|SCCM Pod-VCCR9 Continuous Renal Replacement Therapy
Sean P. Kane, PharmD, BCPS, speaks with Joshua Trob, MD about continuous renal replacement therapy. In the episode, the indications, timing of initiation, and intensity of renal replacement therapy are discussed. Dr. Trob is a board certified nephrologist in private practice, the chair of the Pharmacy and Therapeutics committee at Advocate Condell Medical Center in Libertyville, Illinois, and the medical director of a dialysis clinic in Lake Bluff, Illinois.
SCCM Pod-344 Developing an ICU Diary in the Pediatric ICU
Todd Fraser, MD, speaks with Jenny Tcharmtchi, BSN, RN, CCRN, about the article, “Family Experience in the PICU,” published in Critical Connections, the Society of Critical Care Medicine's newsletter. Ms. Tcharmtchi discusses her unit’s effort to better understand the family experience in the ICU through development of a survey. She also discusses implementing an ICU diary to facilitate communication between patient families and ICU staff. Ms. Tcharmtchi is a nurse leader in the pediatric intensive care unit at Texas Children’s Hospital in Houston, Texas. The Critical Connections article is available at http://bit.ly/2uzXKq4. Released: 7/13/17
SCCM Pod-343 Patient Diaries in the ICU
Dr. Ludwig Lin, MD, speaks with Christina Jones, PhD, RN, about the ICU Patient Diary Network. Dr. Jones discusses the widespread adoption of ICU diaries in the United Kingdom, various models that institutions are using, and the overall positive impact that implementation has had on patients, families, and providers. Patients suffering from post-traumatic syndrome disorder (PTSD) after the ICU is also addressed. Dr. Jones is a retired nurse consultant in critical care rehabilitation in the ICU at Whiston Hospital in Prescot, United Kingdom, and honorary reader at the University of Liverpool’s Institute of Aging and Chronic Disease in Liverpool. She is now the research manager for the support group charity, ICUsteps. Dr. Jones has no relevant disclosures. Released 6/29/17
SCCM Pod-VCCR8 Ketamine for Refractory Status Epilepticus
Sean P. Kane, PharmD, BCPS, speaks with Karen Berger, PharmD, BCPS, BCCCP about refractory status epilepticus. In the episode, the use of continuous sedatives is discussed for refractory epilepticus with a focus on the novel use of ketamine in "super-refractory" status epilepticus patients. Dr. Berger is a neurocritical care clinical pharmacist at Weill Cornell Medical Center in New York, New York and the President-Elect for the NYC Society of Health-System Pharmacists.
SCCM Pod-342 Clinician Pro/Con: Paralysis and Proning in ARDS
Margaret Parker, MD, MCCM, speaks with John J. Marini, MD, about the Congress session "Clinician Pro/Con: Paralysis and Proning in ARDS," which was presented at the 45th Critical Care Congress in Orlando, Florida. Dr. Marini served as moderator for this session and is Professor of Medicine at the University of Minnesota and Director of Research at Regions Hospital in Saint Paul, Minnesota. In this interview, Dr. Marini reflects on the use of neuromuscular blockers and prone position in ARDS. View the Congress session at http://bit.ly/2s0Kk5j. Released 6/22/17
SCCM Pod-VCCR7 The Basics of Veno-Arterial and Veno-Venous ECMO and the Indications of ECMO Therapy
Sean P. Kane, PharmD, BCPS, speaks with Elliott Cohen, MD about extracorporeal membrane oxygenation (ECMO). In the episode, the basics of Veno-Arterial (VA) and Veno-Venous (VV) ECMO are outlined and the indications of ECMO therapy are discussed. Dr. Cohen is the medical director of Advocate Condell's Adult ECMO Program. He is co-medical director of Advocate Condell's Intensive Care Unit and medical director of the medical center's Pulmonary Rehabilitation Program in Libertyville, Illinois.
SCCM Pod-VCCR6 Vasopressor Selection in Septic Shock
Sean P. Kane, PharmD, BCPS, speaks with Scott T. Benken, PharmD, BCPS-AQ Cardiology about vasopressor selection in septic shock. In the episode, each vasopressor agent is discussed individually regarding its receptor profile, adverse effect profile, and the comparative clinical evidence supporting its use in this patient population. Dr. Benken is a clinical pharmacist in the medical and cardiothoracic surgery ICU at the University of Illinois Hospital & Health Sciences System in Chicago, Illinois.
SCCM Pod-VCCR5 Rumack-Matthew Nomogram and Acetaminophen Toxicity
Sean P. Kane, PharmD, BCPS, speaks with Nadia Awad, PharmD, BCPS about Rumack-Matthew nomogram and acetaminophen toxicity. In the episode, the toxidrome of acetaminophen overdose is outlined and the nuances (including clinical practice pearls) are discussed regarding the nomogram used to decide whether N-acetylcysteine is warranted for acetaminophen toxicity. Dr. Awad is an emergency medicine pharmacist at Robert Wood Johnson University Hospital in New Brunswick, New Jersey and an Associate Editor of Emergency Medicine PharmD blog. References mentioned in this episode are available at http://empharmd.blogspot.com
SCCM Pod-341 Reflections on the ICU Liberation ABCDEF Bundle Improvement Collaborative
Ludwig Lin, MD, speaks with Brenda Pun, DNP, RN, ACNP, about the ICU Liberation ABCDEF Bundle Improvement Collaborative. Dr. Pun reflects upon Collaborative work, including origins and logistics of the project, team training and resource-sharing, and importance of the interprofessional care model, as well as successes, challenges, and barriers to bundle implementation. Dr. Pun is the Project Clinical Manager at Vanderbilt University Medical Center in Nashville, Tennessee. She was a member of the ICU Liberation Moore Foundation Steering Committee and played an instrumental role in the development of the REDCap database that was used for quality improvement for the ICU Liberation Campaign. Dr. Pun served as a mentor and coach to her own team as well as others in the Collaborative. Her disclosures note that she is also an AACN speaker. Visit iculiberation.org for additional information. Released 5/18/17
SCCM Pod-VCCR4 Common Sedatives and Paralytics for Rapid Sequence Intubation
Sean P. Kane, PharmD, BCPS, speaks with Joseph Muench, PharmD, BCPS about airway pharmacology. In the episode, the most common sedatives and paralytics for rapid sequence intubation are discussed, including concepts regarding dosing, adverse effects, onset and duration of effect, and clinical pearls. Dr. Muench (known to his listeners as "Pharmacy Joe") is the host of The Elective Rotation: A Critical Care Pharmacy Podcast and author of A Pharmacist's Guide to Inpatient Medical Emergencies. You can find the references mentioned in this episode at http://pharmacyjoe.com/VCCR