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Pediatric iCritical Care Podcasts

2011 Podcasts

 SCCM Pod-167 PCCM: Restrictive Versus Liberal Transfusion Strategy in Children
Jill M. Cholette, MD, is the lead author of an article published in the January Pediatric Critical Care Medicine titled, “Children with Single-Ventricle Physiology Do Not Benefit From Higher Hemoglobin Levels Post Cavopulmonary Connection: Results of a Prospective, Randomized, Controlled Trial of a Restrictive Versus Liberal Red-Cell Transfusion Strategy.” The study found that a restrictive red blood cell transfusion strategy decreases the number of transfusions, donor exposures and potential risks in these children. Dr. Cholette is an assistant professor of pediatrics in the division of pediatric critical care medicine at the University of Rochester Medical Center in Rochester, New York. (Pediatr Crit Care Med. 2011; 12[1]:39-45) Released 1/19/12 Keywords: lactate, transfusion, hemoglobin, congenital heart disease

 SCCM Pod-165 PCCM: PAI-1 May Lead to Early Diagnosis of VAP in Children
Ramya Srinivasan, MD, discusses her article published in the January Pediatric Critical Care Medicine titled, “Plasminogen Activation Inhibitor Concentrations in Bronchoalveolar Lavage Fluid Distinguishes Ventilator-Associated Pneumonia from Colonization in Mechanically Ventilated Pediatric Patients.” The article found that PAI-1 discriminated well between pediatric patients diagnosed clinically with VAP compared with those who were considered colonized. This resulted in PAI-1 being useful in directing appropriate antibiotic therapy in intubated patients suspected of having a new pulmonary infection. Srinivasan is a pediatric intensivist at Sutter Memorial Hospital in Sacramento and a translational researcher at the University of California in San Francisco. (Pediatr Crit Care Med. 2011; 12[1]:21-27). Released 12/15/11 Keywords: ventilator-associated pneumonia, surfactant proteins

 SCCM Pod-163 PCCM: Central ECMO Leads to Better Survival in Children
Graeme MacLaren, MD, FCCM, is the lead author on an article published in the March Pediatric Critical Care Medicine titled, “Central Extracorporeal Membrane Oxygenation for Refractory Pediatric Septic Shock.” MacLaren is a pediatric intensivist at The Royal Children’s Hospital in Melbourne, Australia. He is an adult and pediatric intensivist and the director of cardiothorasic intensive care in the department of cardiac, thorasic and vascular surgery at the National University Heart Centre in Singapore. He also serves as an assistant professor of surgery and pediatrics at the National University of Singapore. (Pediatr Crit Care Med. 2011;12[2]:133-136) Released: 11/16/11 Keywords: sepsis, shock, ECMO (Extracorporeal membrane oxygenation), cardiac arrest.

 SCCM Pod-150 PCCM: Blood Transfusion and Prolonged Mechanical Ventilation
Ravi Thiagarajan, MD, MBBS, MPH, discusses his article published in the January Pediatric Critical Care Medicine titled, “Blood Transfusion is Associated with Prolonged Duration of Mechanical Ventilation in Infants Undergoing Reparative Cardiac Surgery.” Thiagarajan is an assistant professor of pediatrics at Children’s Hospital Boston. (Pediatr Crit Care Med. 2011; 12[6]: 52-56) Released: 5/4/11 Keywords: cardiac surgery, ventilation

 SCCM Pod-148 Adjunctive Corticosteroid Therapy in Pediatric Sepsis
Jerry J. Zimmerman, MD, PhD, FCCM, discusses his article published in the January Pediatric Critical Care Medicine, titled “Adjunctive Corticosteroid Therapy in Pediatric Severe Sepsis: Observations From the RESOLVE.” Zimmerman is a professor of pediatrics, chief of the Division of Critical Care Medicine and director of Continuous Quality Improvement at Seattle Children’s Hospital in Washington. (Pediatr Crit Care Med. 2011; 12[6]: 2-8) Released: 4/7/11 Keywords: pediatric, sepsis, outcomes, mechanical ventilation, mortality

2010 Podcasts

 SCCM Pod-143 PCCM: The Effects of Heparin in Infants on Catheter-Related Thrombosis
Alan R. Schroeder, MD, discusses his article, “A Continuous Heparin Infusion Does Not Prevent Catheter-Related Thrombosis in Infants After Cardiac Surgery," published in the July Pediatric Critical Care Medicine. Schroeder is the chief of pediatric inpatient services at Santa Clara Valley Medical Center in San Jose, California. (Pediatr Crit Care Med. 2010;11[4]:489-495) Released: 12/30/10 Keywords: catheter, heparin, pediatric, echocardiography

 SCCM Pod-142 PCCM: Helping Mechanically Ventilated Infants Swallow
Steven B. Leder, PhD, discusses his article, “Dysphagia Testing and Aspiration Status in Medically Stable Infants Requiring Mechanical Ventilation Via Tracheotomy,” published in the July 2010 Pediatric Critical Care Medicine. Leder is a professor of surgery at Yale University School of Medicine in New Haven, Connecticut. (Pediatr Crit Care Med. 2010;11[4]484-487) Released: 11/30/10 Keywords: mechanical ventilation, tracheotomy, pediatric

 SCCM Pod-141 PCCM: Emergent Endotracheal Intubations in Children
Christopher L. Carroll, MD, FCCM, lead author of an article published in the May 2010 issue of Pediatric Critical Care Medicine, “Emergent Endotracheal Intubations in Children: Be Careful if it's Late When You Intubate,” which discusses the risks of emergent tracheal intubations in children. Carroll is an assistant professor at Connecticut Children’s Medical Center in Hartford, Connecticut. (Pediatr Crit Care Med. 2010;11[3]: 343-348) Released: 11/17/10 Keywords: pediatric, endotracheal tube

 SCCM Pod-140 PCCM: Blood/Brain Barrier Permeability During Diabetic Ketoacidosis
Monica Vavilala, MD, discusses her recent article published in the May issue of Pediatric Critical Care Medicine, titled “Change in Blood-Brain Barrier Permeability During Pediatric Diabetic Ketoacidosis Treatment.” Vavilala is an associate professor of anesthesiology, pain medicine and pediatrics at Harborview Medical Center, and is the associate director of the Harborview Injury Prevention and Research Center in Seattle, Washington. She is also an adjunct associate professor of neurological surgery at the University of Washington. (Pediatr Crit Care Med. 2010;11[3]:332-338.) Released: 10/31/10 Keywords: permeability, pediatric

 SCCM Pod-130 PCCM: Telemedicine in Rural Emergency Departments 
Amelia Hopkins, MD, FCCM, discusses her article published in the September 2009 issue of Pediatric Critical Care Medicine, “Pediatric Critical Care Telemedicine in Rural Underserved Emergency Departments.” Hopkins is an assistant professor of pediatrics at The University of Vermont in Burlington. (Pediatr Crit Care Med. 2009;10[5]:588-591) Released: 6/17/10

2009 Podcasts

SCCM Pod-121 PCCM: E-CPR and ECMO in Pediatric Patients
Robert Tasker, MD, MBBS, discusses two editorials related to neurological issues in critical care. Tasker published "E-CPR for in-hospital cardiac arrest: lessons from acute neurotoxicity” in response to the PCCM article, “Neurological injury after extracorporeal membrane oxygenation use to aid pediatric cardiopulmonary resuscitation.” His second editorial, “Validating serologic biomarkers of brain injury for cardiac arrest research,” is a response to “Neuron-specific enolase and S-100B are associated with neurologic outcome after pediatric cardiac arrest.” Tasker is a senior lecturer at the University of Cambridge School of Clinical Medicine in the United Kingdom. (Pediatr Crit Care Med. 2009;10[4] and Pediatr Crit Care Med. 2009;10[4]) Released: 12/17/09

SCCM Pod-119 PCCM: Does Fellowship Program Size and Rotations Affect Clinical and Research Time?
Wynne Morrison, MD, discusses an article published in the May issue of Pediatric Critical Care Medicine, which highlighted the results of a national survey of pediatric critical care medicine fellowship clinical and research time allocation. Dr. Morrison is director of the Pediatric Critical Care Medicine Fellowship Program at The Children’s Hospital of Philadelphia in Pennsylvania. (Pediatr Crit Care Med. 2009;10[3]:397-399) Released: 11/17/09

SCCM Pod-118 PCCM: HLH and Sepsis
Leticia Castillo, MD, FCCM, assistant professor at Baylor College of Medicine in Houston, Texas, discusses an article published in Pediatric Critical Care Medicine, “Secondary HLH and severe sepsis/systemic inflammatory response syndrome/multiorgan dysfunction syndrome/macrophage activation syndrome share common intermediate phenotypes on a spectrum of inflammation.” (Pediatr Crit Care Med. 2009;10[3]:387-392) Released 10/30/09

SCCM Pod-115 PCCM: Difficult Conversations in the Pediatric ICU
Elaine Meyer, RN, PhD, discusses a paper published recently in Pediatric Critical Care Medicine, titled “Difficult Conversations: Improving Communication Skills and Relational Abilities in Healthcare.” Meyer, a clinical psychologist, is the Director of the Institute for Professionalism and Ethical Practice at Children’s Hospital Boston, Massachusetts. She also is Associate Professor of Psychology at Harvard Medical School.  (Pediatr Crit Care Med. 2009;10[3]:352-359) Released: 8/31/09

SCCM Pod-109 PCCM: Simulation at the Point-of-Care
Jeffrey P. Burns, MD, MPH, discusses an article from the March 2009 issue of Pediatric Critical Care Medicine, "Simulation at the Point-of-Care: Reduced cost, in-situ training via a mobile cart." Burns is chief of the division of critical care medicine at Children's Hospital in Boston as well as an associate professor at Harvard Medical School. (Pediatr Crit Care Med. 2009;10[2]:176) Released: 5/21/09


2008 Podcasts

SCCM Pod-96 PCCM: Acute Hyponatremia in Hospitalized Children
Desmond Bohn, MC, BCH, discusses his editorial, "The Problem of Acute Hyponatremia in Hospitalized Children: The Solution is the Solution," which was published in the November 2008 issue of Pediatric Critical Care Medicine. The editorial was in response to an article by P. Alvarez-Montanana et al, published in the same issue titled, "The use of isotonic fluid as maintenance therapy prevents iatrogenic hyponatremia in pediatrics: A randomized, controlled open study." Dr. Bohn is Department of Critical Care Medicine Chief at The Hospital for Sick Children in Toronto, Canada. (Pediatr Crit Care Med. 2008;9[6]:658) Released: 12/1/08

SCCM Pod-95 PCCM: Is the Endotracheal Tube Next to Go
James D. Fortenberry, MD, FCCM, discusses his editorial published in the September 2008 issue of Pediatric Critical Care Medicine, titled "8-Tracks, Betamax... Is the endotracheal tube next to go?" Fortenberry is a pediatric intensivist at Children's Healthcare of Atlanta in Georgia, where he also is the medical director of the system's clinical research. Dr. Fortenberry also is director, division of critical care medicine in the department of pediatrics at Emory University School of Medicine. The editorial was in response to an article published in the same issue by Leticia J. Yanez et al., "A prospective, randomized, controlled trial of non-invasive ventilation in pediatric acute respiratory insufficiency." (Pediatr Crit Care Med. 2008;9[5]:536) Released: 11/19/08

SCCM Pod-91 PCCM: Outcomes and Admissions in the PICU
Folafoluwa O. Odetola, MD, MPH, discusses an article published in the January 2008 issue of Pediatric Critical Care Medicine, "Do outcomes vary according to the source of admission to the pediatric intensive care unit?" Dr. Odetola is from Mott Children's Hospital, University of Michigan Health System, and from the Child Health Evaluation and Research Unit Department of Pediatrics and Communicable Diseases at the University of Michigan Ann Arbor. (Pediatr Crit Care Med. 2008;9[1]:20)

SCCM Pod-88 PCCM: Organ Donation After Cardiac Death - Part 2
Martha A.Q. Curley, RN, PhD, associate professor of nursing, anesthesia and critical care medicine at the University of Pennsylvania and nurse scientist at Children's Hospital in Boston, discusses an article published in the May 2007 issue of Pediatric Critical Care Medicine, "Pediatric staff perspectives on organ donation after cardiac death in children." (Pediatr Crit Care Med. 2007;8[3]:212).


2007 Podcasts

SCCM Pod-85 PCCM: Organ Donation After Cardiac Death - Part 1
Peter C. Laussen, MD, discusses an article published in the May 2007 issue of Pediatric Critical Care Medicine, titled "Pediatric Staff Perspectives on Organ Donation After Cardiac Death in Children." Dr. Laussen is director of the cardiac intensive care unit at Children's Hospital Boston. This is the first podcast in a two-part interview. Part two will feature an interview with lead author Martha A.Q. Curley, RN, PhD. (Pediatr Crit Care Med. 2007;8[3]:212).

SCCM Pod-80 PCCM: Adrenal Status in Children with Septic Shock
Jerry Zimmerman, MD, PhD, FCCM, discusses an article published in the January 2007 issue of Pediatric Critical Care Medicine, titled "Adrenal Status in Children with Septic Shock Using Low Dose Stimulation Test." Dr. Zimmerman is professor of pediatric critical care medicine at the University of Utah.  Dr. Zimmerman is director of pediatric critical care medicine at Children’s Hospital Regional Medicine Center in Seattle, Washington. (Sarthi M, et al. Pediatr Crit Care Med. 2007; 8:84)

SCCM Pod-74 PCCM: The Collaborative Pediatric Critical Care Research Network
Douglas Willson, MD, discusses an article he published in the July 2006 issue of Pediatric Critical Care Medicine, "The Collaborative Pediatric Critical Care Research Network." Dr. Willson is medical director of the pediatric intensive care unit at the University of Virginia Health Sciences Center and the chairman of the Steering Committee for the Collaborative Pediatric Critical Care Research Network. (Pediatr Crit Care Med. 2006;7:301).

SCCM Pod-72 PCCM: Family Presence During Pediatric CPR
Susan Bratton, MD, MPH, discusses an editorial published in the September 2006 issue of Pediatric Critical Care Medicine, "Physician Experience with Family Presence During Pediatric Cardiopulmonary Resuscitation." Dr. Bratton is professor of pediatric critical care medicine at the University of Utah. (Niranjan K. Pediatr Crit Care Med. 2006;7:505).

SCCM Pod-70 PCCM: Childhood Obesity and Severe Asthma
Christopher Carroll, MD, discusses an article published in Pediatric Critical Care Medicine titled, "Childhood Obesity Increases Duration Of Therapy During Severe Asthma Exacerbations." Dr. Carroll is a pediatric intensivist at Connecticut Children's Medical Center. (Pediatr Crit Care Med. 2006:527-31)

SCCM Pod-67 PCCM: Lower Limit of Systolic and Mean Arterial Pressure in Children
Arno Zaritsky, MD, discusses an article he and Dr. Ikram Haque published in the March 2007 issue of Pediatric Critical Care Medicine titled "Analysis of the Evidence for Lower Limit of Systolic and Mean Arterial Pressure in Children." Dr. Zaritsky is professor and chief of pediatric critical care at the University of Florida College of Medicine in Gainesville, Florida.


2006 Podcasts

SCCM Pod-26 PCCM: Assessing Sedation Levels of Mechanically Ventilated Pediatric Patients
Martha Curley, RN, PhD, discusses her article in the March 2006 issue of Pediatric Critical Care Medicine, titled "State Behavioral Scale: A Sedation Assessment Instrument for Infants and Young Children Supported on Mechanical Ventilation." Dr. Curley, director of nursing research in critical care and cardiovascular nursing research at The Children’s Hospital in Boston, Massachusetts, is a recognized expert in pediatric critical care nursing. She discusses the development and validation of the State Behavioral Scale, a tool used in the evaluation of the level of sedation in pediatric patients requiring mechanical ventilation. (Pediatr Crit Care Med. 2006;7(2):107-114)

SCCM Pod-23 Preventing Pediatric Trauma
Anthony Slonim, MD, DrPH, FCCM, and Angela Hsu, MD, both from the Children's National Medical Center at the George Washington University School of Medicine in Washington, D.C., discuss their article in the February 2006 issue of Critical Connections, titled "Preventing Pediatric Trauma: The Role of the Critical Care Professional." They focus on the different levels of prevention in this patient population and how critical care professionals can play a more active role in making sure fewer young patients are treated for trauma. (Crit Conn. 2006;.5(1):10)

PCCM: The 1st International Sepsis Forum on Sepsis in Infants and Children
Adrienne Randolph, MD, MSc, served as guest editor for the May 2005 supplement of Pediatric Critical Care Medicine. Dr. Randolph shares her thoughts on the importance of the 1st International Sepsis Forum on Sepsis in Infants and Children and the Pediatric Acute Lung Injury and Sepsis Investigator’s (PALISI) Network. She also highlights the most important aspects from the supplement, which she played such an instrumental role in producing. (Pediatr Crit Care Med. 2005;6(3) (Suppl S1-S2)

PICU Care of Children with Cancer
Mortality rates for most pediatric cancer patients in the PICU are approaching those of the general PICU population. Learn about the history of PICU care and find out how new attitudes have improved outcomes for this population. (Crit Conn. 2005;4(4):19)