Script Writer: Sam Orton
Interviewee: John Myburgh
Summary Writer: Lise Kempler
Reviewer: John Myburgh and Luke Collett
James chats to John Myburgh IV fluids, which are an integral part of therapy for patients in the hospital.
Professor John Myburgh is Professor of Critical Care at the Faculty of Medicine, University of New South Wales; Director of the Division of Critical Care and Trauma at the George Institute for International Health and senior intensive care physician at the St George Hospital, Sydney.
He also holds honorary professorial appointments at University of Sydney and Monash University School of Public Health.
Professor Myburgh was a foundation member and past Chairman of the Australian and New Zealand Intensive Care Society (ANZICS) Clinical Trials Group. He has an extensive research record of accomplishment over 25 years and is regarded as a national and international expert in catecholamines, traumatic brain injury, fluid resuscitation, endocrine dysfunction in critical illness and in the development and co-ordination of over 40 studies in Intensive Care Medicine. He has been awarded over $75M is cumulative research funding from national and international research funding agencies.
His list of publications include over 230 refereed research publications and 45 book chapters, with an h-index of 41. He has delivered over 400 presentations, including over 50 plenary presentations at major international and national scientific congresses.
He has a long-established profile in education in Intensive Care Medicine, both at undergraduate and postgraduate levels. He was instrumental in establishing the College of Intensive Care Medicine of Australia and New Zealand, serving as President from 2010-2012. For services to medicine, he was made an Officer of the Order of Australia in 2014. Professor Myburgh was elected to the WFSICCM Council in 2013 and as Secretary-General in November 2017 and will hold this office until 2019.
With Professor John Myburgh, Intensivist at St George Hospital and Professor of Intensive Care Medicine at The University of New South Wales, Australia
Intravenous (IV) fluids are an integral part of therapy in the hospital. In the context of hypovolaemia, IV fluids are life-saving. However, the decision to prescribe fluids is not one to be made lightly. The adverse effects, toxicities and complications of IV fluids need to be considered every time they are administered. Unless a patient is truly clinically hypovolaemic, the question should arise whether fluids need to be given at all.
Case 1 – You are working in the Emergency Department and you have been called into the Resuscitation Bay by the registrar to help with a 65 year old gentleman, who is septic from a presumed urinary source. HR 140 and BP 90/60. He is confused and warm to touch.
Case 2 – On your night shift, the nursing staff on the wards call you at 3am as they are concerned about a 65 year old female, who is day 1 post-hemicolectomy. Her urine output has dropped to 20 ml/hr and they are asking you to please fill out a fluid order.
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