Blog
Notes from the unit
Short write-ups on the questions that come up at the bedside — why we do what we do, and where the evidence is softer than the protocol suggests.
Reading an ICP waveform before you read the number
The three peaks of a normal ICP trace carry information about compliance that the mean value hides completely.
Sedation holds in the injured brain: the exception, not the rule
Daily interruption is well supported in general critical care. The neuro population is where that evidence stops being straightforward.
Why we chase cerebral perfusion pressure, not blood pressure
A mean arterial pressure that looks reassuring on the monitor can still be starving an injured brain. Here's the arithmetic behind that.