So on the ISepsis section of the blog, Paul just posted on the uselessness of IVC ultrasound for fluid assessment. Now since I don't really believe in large volume repletion anymore, I don't really care about fluid responsiveness all that much either. But I never let a good opportunity for debate pass me by, so it was a delightful happenstance that one of the authors of a negative trial on IVC ultrasound for fluid responsiveness sent me an email a few weeks ago. It seems Dr. Keith Corl, who was lead author of a 2002 trial mentioned in Paul's post, did not let the matter go. He just published a repeated, and in his estimation, much better trial:

cIVC Detects FR in Spontaneous Breathing Criticall Ill JCC 2017 Corl

I'll be posting a wee about it and Paul's post very soon; EMNerd tells me he is working on one as well. In the meanwhile, why don't you read through the trial and tell us what you think in the comments section.

Update:

Take a look at this piece