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The latest 10 podcasts are available here. Access archives from the past six years.
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-166 CCM: How Much Nutrition Should Critically Ill Patients Receive?
Todd W. Rice, MD, MSc, is the lead author of an article published in the May 2011 Critical Care Medicine titled, “Randomized Trial of Initial Trophic Versus Full-Energy Enteral Nutrition in Mechanically Ventilated Patients with Acute Respiratory Failure.” Overall, the data found that a less aggressive feeding strategy during the initial stages of mechanical ventilation is not demonstrably worse than early advancement to full-energy enteral nutrition. Rice is an assistant professor of medicine at Vanderbilt University School of Medicine in Nashville, Tennessee. (Crit Care Med. 39[5]:967-974.) Released: 1/5/12 Keywords: enteral, nutrition, ARF
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-164 CCM: Rescue Therapies in Patients with ALI
Allan J. Walkey, MD, MSc, is the lead author of an article published in the June 2011 Critical Care Medicine titled “Utilization Patterns and Patient Outcomes Associated with Use of Rescue Therapies in Acute Lung Injury.” Walkey is an assistant professor of medicine and the director of pulmonary and critical care education at Boston University School of Medicine in Boston, Massachusetts. (Crit Care Med. 2011;39[6]:1322-1328. Released: 12/01/11 Keywords: respiratory, prone, positioning, nitric oxide, ECMO (Extracorporeal membrane oxygenation), high-frequency ventilation
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-162 Healthcare Quality: How Did We Get Here?
Kristine Lombardozzi, MD, FCCM, discusses her article published in the August Critical Connections titled, “Understanding the Evolution of Our National Healthcare Quality Improvement Process,” which outlines the origins and history of healthcare quality that brought us to where we are today. Lombardozzi is a surgical intensivist serving as director of the surgical and medical intensive care units at Spartanburg Regional Medical Center in Spartanburg, South Carolina, USA. She also is a member of the SCCM Advocacy Committee and has participated in quality and safety programs at her community-based teaching hospital. (Critical Connections. 2011 10[4]:18-19) Released: 11/3/11 Keywords: quality, improvement, outcome measures
SCCM Pod-161 Clifford Deutschman on Sepsis Research, SCCM Involvement
SCCM President-elect Clifford S. Deutschman, MD, FCCM, professor of anesthesiology and critical care at the University of Pennsylvania School of Medicine in Philadelphia, shares how his involvement within SCCM helped shape aspects of his career. Deutschman goes on to discuss an article published in a supplement to Critical Care Medicine, “Cytochrome C Oxidase Dysfunction in Sepsis.” (Crit Care Med. 2009 35 [9]: Supp468-475) Released: 10/20/11 Keywords: sepsis, cardiac contractility
SCCM Pod-160 Enhanced LearnICU.org Promises Premiere Educational Opportunities
Mark Hall, MD, is a pediatric intensivist at Nationwide Children’s Hospital in Columbus, Ohio, where he is also an assistant professor of pediatrics at the University College of Medicine. He also is the incoming chair of the SCCM Accreditation and Online Learning Committee, the group responsible for the development of LearnICU.org. Since the website’s launch in 2010, the site has grown into a huge repository of critical care resources from the Society as well as from outside sources. LearnICU.org recently has moved away from its beta version to unveil its full function, and it promises to serve as the go-to clearinghouse of information for professionals from all backgrounds and levels. Hall is with us today to give us some background on LearnICU.org, its place in SCCM’s overall educational strategy and gives us glimpse of how to best utilize and navigate the information. Released: 10/6/11 Keywords: research, education
SCCM Pod-159 Continuous Capnography and the Difficult Airway
The Fourth National Audit Project of the Royal College of Anaesthetists and Difficult Airway Society was designed to identify and study serious airway complications occurring during anaesthesia in the intensive care unit and emergency department. The group recently published its results in the British Journal of Anesthesia and lead author Tim M. Cook, FRCA, discusses the findings. He addresses specifically the use of continuous capnography to improve outcomes in patients that require intubations and gaps in care that may lead to adverse events. Cook is a consultant in anaesthesia and critical care medicine at Royal United Hospital in Bath, United Kingdom. (Br J Anaesth. 2011;106[5]:632-642) Released: 9/15/11 Keywords: airway, death, tracheostomy, capnography
SCCM Pod-158 Mouth Care and VAP Prevention
Cindy L. Munro, RN, PhD, ANP-C, authored an article in the 2009 American Journal of Critical Care, titled “Chlorhexidine, Toothbrushing, and Preventing Ventilator-Associated Pneumonia (VAP) in Critically Ill Adults.” The study examined the effects of mechanical, pharmacological and combination oral care on the development of VAP among critically ill patients. Munro is a professor of nursing at Virginia Commonwealth University School of Nursing in Richmond, Virginia, and co-editor of the American Journal of Critical Care. (Am J Crit Care. 2009:18:428-438) Keywords: oral, ventilator-associated pneumonia
iCritical Care Podcast Hosts
Rich Savel, MD, FCCM, associate editor for podcasting, conducts thought-provoking interviews with authors from Critical Care Medicine and Critical Connections as well as other prominent members of the critical care community and SCCM leadership.
Margaret Parker, MD, FCCM, the guest editor for pediatric podcasts, talks with members of the pediatric critical care community and authors from Pediatric Critical Care Medicne.
To contact iCritical Care with recommended podcast topics or feedback email mnielsen@sccm.org or call +1 847 827-7405. All authors are required to resolve conflicts of interest before publishing. Any conflicts of interest appear with the original source of the podcast.