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Category: Procedures

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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.


SCCM Pod-132 The Future of Acute Care Surgery

Lewis J. Kaplan, MD, FCCM, discusses acute care surgery, its relation to surgical critical care, and his predictions for the future of acute care surgery, trauma surgery and surgical critical care. Kaplan is an associate professor and medical director in the surgical ICU at Yale University Medical School and Yale-New Haven Hospital in New Haven, Connecticut.


SCCM Pod-128 Patient Management After Cardiac Surgery

Anthony Carlese, MD, DO, discusses management of the patient after cardiac surgery, specifically his approach to caring for patients in the ICU who have just undergone coronary artery bypass surgery and the different situations and that he encounters. Carlese is the director of the open heart unit at Montefiore Medical Center in New York City, and he is also an American College of Critical Care Medicine member.


SCCM Pod-125 Focus on the Team: Acute Critical Care Surgery

Michael West, MD, PhD, FCCM, discusses his unique career path into critical care and his background as a trauma/critical care surgeon. West is chief of surgery at San Francisco General Hospital and professor and vice chair in the department of surgery at the University of California, San Francisco. He served as chair of the 39th Critical Care Congress.


SCCM Pod-84 CCM: Economic Evaluation of Prolonged Mechanical Ventilation

Christopher Cox, MD, and Shannon Carson, MD, discuss an article published in the August 2007 issue of Critical Care Medicine, titled "An economic evaluation of prolonged mechanical ventilation." Dr. Cox, the lead author of this article, is an assistant professor at Duke University and Dr. Carson is an associate professor at the University of North Carolina.


Which patients should be proned and for how long?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on February 24, 2021


Vascular Thrombosis in Severe Coronavirus Disease 2019 Requiring Extracorporeal Membrane Oxygenation: A Multicenter Study

From Critical Care Medicine. In this Clinical Investigation the authors conducted a multicenter study using whole-body CT to examine the prevalence, severity, and nature of vascular complications in coronavirus disease 2019 in comparison with patients with other viral pneumonias.


2022 Critical Care Congress Plenary: What Has COVID-19 Taught Us About ECMO?

Peta M.A. Alexander, MBBS, FRACP, FCICM, will present the Max Harry Weil Memorial Lecture titled, “What Has COVID-19 Taught Us About ECMO?” during SCCM’s 2022 Critical Care Congress.


Concise Critical Appraisal: Development of the CCEeXAM

Bedside echocardiography has become increasingly widespread among physicians caring for critically ill patients. The Examination of Special Competence in Critical Care Echocardiography (CCEeXAM) was administered for the first time in 2019 to 524 physicians from multiple specialties. The examination was designed for physicians to demonstrate an objective competence and obtain certification in advanced critical care echocardiography (CCE).


SCCM Pod-481: Everything You Need to Know About Critical Care Ultrasound

For more than 10 years, the Society of Critical Care Medicine has offered an in-person critical care ultrasound course that spanned two days, interspersing lectures with interactive training. This format has now been replaced by a hybrid format, allowing more countries to host the course, virtually or in person, to ensure that healthcare professionals continue to receive optimized ultrasound training and education. Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, was joined by Sarah E. Bain, MD, at the 2023 Critical Care Congress to discuss the critical care ultrasound course, how it has evolved, and how it is expanding around the world. Sarah E. Bain, MD, is division head of cardiovascular thoracic and structural heart anesthesiology at Virginia Mason Hospital in Seattle Washington, USA. This podcast is sponsored by Echonous.


SCCM Pod-437 Enteral Feeding Intolerance in the Mechanically Ventilated Critically Ill

Enteral feed intolerance occurs frequently during enteral nutrition delivery in the critically ill and is associated with lower enteral nutrition delivery and worse clinical outcomes. Host Ludwig H. Lin, MD, is joined by Daren K. Heyland, MD, MSc, FRCPC, to discuss the incidence of enteral feed intolerance, identify factors associated with enteral feed intolerance, and assess the relationship between enteral feed intolerance and key nutritional and clinical outcomes in critically ill patients (Heyland D, et al. Crit Care Med. 2021 Jan;49:49-49). Dr. Heyland is director of the clinical evaluation research unity at Kingston General Hospital and professor in the department of critical care medicine at Queen’s University School of Medicine in Kingston, Ontario, Canada. This podcast is sponsored by Biofire.


Concise Critical Appraisal: Improving Training for Invasive Bedside Procedures

Invasive bedside procedures (IBPs) require a high degree of familiarity and skillful expertise. Yet effective and thorough bedside training can be haphazard or unattainable. Chest published a systematic review and meta-analysis that highlights gaps in research on IBP training in critical care. The study included four focus groups of pulmonary and critical care medicine faculty and fellows from four U.S. medical centers. The focus groups identified traits, behaviors, and context as common themes of effective teachers. This Concise Critical Appraisal takes a deep dive into the study and the takeaways for experts and novices seeking to improve procedural knowledge and increase patient safety.


Mechanical Circulatory Support With ECPR

Does adding mechanical circulatory support to extracorporeal membrane oxygenation (ECMO) lead to better outcomes than ECMO alone? This Concise Critical Appraisal reviews a recent meta-analysis that compares ECMO with mechanical circulatory support to ECMO alone to determine whether one group had decreased mortality and increased likelihood of good neurologic outcomes.


SCCM Members Extend Commitment to Ukrainian Clinicians

A multiprofessional group of SCCM members trained more than 300 clinicians in September, returning to Lviv, Ukraine to provide Fundamental Critical Care Support: Surgical, ICU Liberation, and Advanced Critical Care Ultrasound courses.


Clinical Distancing and Mitigation of Coronavirus Disease 2019

From Critical Care Explorations. In this commentary, the authors provide specific recommendations for the rapid implementation of clinical distancing techniques.


What is the standard of care for the timing of a tracheostomy?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered.


Central Venous Confirmation With Point-of-Care Ultrasound

This presentation covers central veneous confirmation with POCUS. This is SCCM curated COVID-19 microlearning content.


Endotracheal Intubation Confirmation With Point-of-Care Ultrasound

This presentation covers endotracheal intubation confirmation with POCUS. This is SCCM curated COVID-19 microlearning content.


What are the benefits of delaying intubation in COVID-19 patients?

Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on June 10th, 2020.


Does any laboratory marker correlate well with or predict severity of illness for COVID-19 patients?

In this question and answer webcast, attendees had the opportunity to post questions about managing critically ill patients with COVID-19 and other issues. Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were also addressed. Webcast held on June 19, 2020