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SCCM Pod-316 The SPLIT Randomized Clinical Trial

Todd Fraser, MD, speaks with Paul Young, FCICM, about the article, “Effect of a Buffered Crystalloid Solution vs Saline on Acute Kidney Injury Among Patients in the Intensive Care Unit: The SPLIT Randomized Clinical Trial,” published in The Journal of the American Medical Association. Dr. Young is an intensivist at Wellington Regional Hospital, and Programme Director of Intensive Care at the Medical Research Institute of New Zealand in Wellington, New Zealand. In this article, Dr. Young and coauthors examine the effect of a buffered crystalloid compared with saline on renal complications on patients admitted to the ICU.


SCCM Pod-302 Feeding Critically Ill Children and Outcomes

Margaret Parker, MD, MCCM, speaks with Ann-Marie Brown, ACNP, PhD, RN, FCCM, Assistant Professor of Nursing at the University of Akron and Advanced Practice Nurse in the Pediatric Intensive Care Unit at Akron Children’s Hospital in Akron, Ohio. Dr. Brown shares her insights on the benefits of a protocolized feeding approach and discusses the issues related to feeding in critically ill children.


SCCM Pod-285 Trial of the Route of Early Nutritional Support in Critically Ill Adults

Todd Fraser, MD, speaks with Monty Mythen, MD, about the article, “Trial of the Route of Early Nutritional Support in Critically Ill Adults,” published in The New England Journal of Medicine in 2014. Dr. Mythen is the Smiths Medical Professor of Anaesthesia and Critical Care at the University College of London and an elected council member of the Royal College of Anaesthetists. Dr. Mythen and coauthors found no significant difference in 30-day mortality associated with the route of delivery of early nutritional support in critically ill adults.


SCCM Pod-282 A Qualitative Study Exploring Moral Distress in the ICU Team

Michael S. Weinstein, MD, FACS, FCCM, speaks with Janice L. Zimmerman, MD, and Courtenay R. Bruce, JD, MA, about the article, “A Qualitative Study Exploring Moral Distress in the ICU Team: The Importance of Unit Functionality and Intrateam Dynamics*,” published in Critical Care Medicine. Dr. Zimmerman is a Professor of Clinical Medicine in the Department of Medicine at Weill Cornell Medical College, adjunct Professor of Medicine at Baylor College of Medicine, and Head of the Critical Care Division for the Department of Medicine at the Houston Methodist Hospital in Houston, Texas. Professor Bruce is an Assistant Professor of Medicine & Medical Ethics at the Center for Medical Ethics & Health Policy at Baylor College of Medicine, and Director of the Bioethics Program for the Houston Methodist Hospital System. In this article, the authors examine the key sources of moral distress in diverse critical care professionals and how they manage it in the context of team-based models.


SCCM Pod-275 44th Critical Care Congress: Is Repair After AKI Linked to Long-Term Outcomes?

Todd Fraser, MD, speaks with John Kellum, MD, MCCM, Professor of Critical Care Medicine at the University of Pittsburgh in Pittsburgh, Pennsylvania. In this interview, Dr. Kellum discusses the concept of renal repair after acute kidney injury and its link to significant long-term outcomes in critically ill patients.


SCCM Pod-268 Results from the EPIC II Study

Ludwig Lin, MD, speaks with Jean-Louis Vincent, MD, PhD, FCCM, about the article, “The Impact of Hospital and ICU Organizational Factors on Outcome in Critically Ill Patients: Results from the Extended Prevalence of Infection in Intensive Care Study,” published in Critical Care Medicine. Dr. Vincent is a Professor of Intensive Care Medicine at the French-speaking University of Brussels in Brussels, Belgium, and President of the World Federation of Societies of Intensive and Critical Care Medicine. In this article, Dr. Vincent and coauthors investigate the impact of various facets of intensive care unit organization on outcome in a large cohort of ICU patients from different geographical regions.


SCCM Pod-264 44th Critical Care Congress: RESTORE Study

Margaret Parker, MD, MCCM, speaks with Martha Curley, RN, PhD, Professor of Nursing Science at the University of Pennsylvania School of Nursing in Philadelphia and Nurse Scientist at Children's Hospital in Boston. Dr. Curley discusses "Protocolized Sedation vs Usual Care in Pediatric Patients Mechanically Ventilated for Acute Respiratory Failure: A Randomized Clinical Trial," published January 2015 in The Journal of the American Medical Association. Dr. Curley presented the article on behalf of her co-investigators at the 44th Critical Care Congress in Phoenix, Arizona.


SCCM Pod-241 Stem Cell Therapies in Critical Illness

Michael Weinstein, MD, FACS, FCCP, speaks with Michael Matthay, MD, Professor of Medicine and Anesthesia at the University of California at San Francisco and a Senior Associate at the Cardiovascular Research Institute. Dr. Matthay discusses “Stem Cell Therapies in Critical Illness,” along with some thoughts on the treatment of ARDS and clinical trials in general. This discussion derives from a presentation at the 43rd Critical Care Congress in San Francisco, California.


SCCM Pod-239 Hypertension and Health Outcomes in the PICU

Margaret Parker, MD, MCCM, speaks with Brett J. Ehrmann, MD, MS, about the article, “Hypertension and Health Outcomes in the PICU,” published in Pediatric Critical Care Medicine. Dr. Ehrmann is beginning his residency in Internal Medicine at the New York Presbyterian Hospital in New York City, New York. At the time of this project, he was a researcher in the Division of Pediatric Nephrology at the C.S. Mott Children’s Hospital in Ann Arbor, Michigan. This study represents the first detailed effort to characterize hypertension and its significance in critically ill children.


SCCM Pod-199 PCCM: Stem Cell Transplant Outcomes

Margaret Parker, MD, FCCM, speaks with Ranjit S. Chima, MD, lead author of an article that demonstrated a 63% survival to ICU discharge and a 45% long-term survival in hematopoietic stem cell transplant patients needing PICU care. Chima is an assistant professor in the department of pediatrics at Cincinnati Children’s Hospital in Cincinnati, Ohio, USA.


SCCM Pod-193 CCM: Research Consent Discrepancies Between Patients and Surrogates

Michael S. Weinstein, MD, FACS, FCCP, speaks with Marc Moss, MD, lead author of an article published in the September Critical Care Medicine, “Surrogate and Patient Discrepancy Regarding Consent for Critical Care Research.” The article highlights differences between critically ill patients and their surrogate decision makers regarding their willingness to participate in critical care research studies. Moss is the Roger S. Mitchell Professor of Medicine at the University of Colorado Denver in Aurora, Colorado.


SCCM Pod-184 PCCM: Health-Related Outcomes in Children

Margaret Parker, MD, FCCM, associate podcast editor, speaks with Nana Coleman, MD, EdM, about her editorial published in the July Pediatric Critical Care Medicine, “Health-Related Outcomes in Children After Critical Illness.” Coleman is an assistant professor of pediatrics at the Weill Cornell Medical College in New York, New York. She also is a professor of medicine, pediatrics and public health at the Virginia Tech-Carilion School of Medicine, and professor of nursing at the Jefferson College of Health Sciences.


SCCM Pod-172 PCCM: A Closer Look at the Critical Pertussis Study

Carol E. Nicholson, MD, MS, FAAP, is the Project Scientist for the Collaborative Pediatric Critical Care Research Network (CPCCRN) and Program Director for Pediatric Care and Rehabilitation Research (PCCR). Nicholson discusses the results of the CPCCRNs critical pertussis study, which sought to characterize the condition, its change over time and the level of support required for pediatric patients.


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.”


SCCM Pod-153 Council Member Shares SCCM Experiences, Sepsis Research

Craig Coopersmith, MD, FCCM, is a professor of surgery at Emory University School of Medicine in Atlanta, Georgia, as well as associate director of the surgical intensive care unit at Emory University Hospital. He shares how early involvement within the Society, his receiving the Vision Grant, and his participation in Specialty Sections helped shape his career, while stressing the importance of mentorship. Coopersmith goes on to discuss his sepsis research, including two papers published in Critical Care Medicine, “Cancer Causes Increased Mortality and Is Associated with Altered Apoptosis in Murine Sepsis” and “Streptococcus Pneumoniae and Pseudomonas Aeruginosa Pneumonia Induce Distinct Host Responses.”


SCCM Pod-94 Increased Mortality of Ventilated Patients with Endotracheal Pseudomonas Aeruginosa

Jeanine Wiener-Kronish, MD, discusses an article published in the September 2008 issue of Critical Care Medicine, titled "Increased Mortality of Ventilated Patients with Endotracheal Pseudomonas Aeruginosa Without Clinical Signs of Infection." Dr. Wiener-Kronish is a professor of research and teaching in anaesthetics and anaesthesia at Harvard Medical School, and Chief of Anesthesia, Massachusetts General Hospital in Boston.


SCCM Pod-51 SCCM Members Launch Major Sepsis Study

Derek Angus, MD, MPH, discusses a new, multicenter research consortium, called Protocolized Care for Early Septic Shock (ProCESS). The consortium is beginning a large-scale study to determine whether specific interventions can halt the progression to severe sepsis and septic shock. Dr. Angus along with SCCM members Mitchell Fink, MD, and Donald Yealy, MD, will lead a team of intensive care unit and emergency department personnel. The study is likely to offer valuable insight on the best ways to treat sepsis and the value of early goal-directed therapy. Dr. Angus is vice chairman of research for the University of Pittsburgh School of Medicine's critical care department.


Research

A central component of the Society's mission is the support of quality-based improvement initiatives and the support of multiprofessional research at all levels.


Discovery and SARI-PREP Have Roles in Preparing for Next Pathogen Outbreak

The COVID-19 pandemic exposed major gaps in the U.S. healthcare system, prompting the National Emerging Special Pathogens Training and Education Center (NETEC) to form the National Special Pathogen System of Care (NSPS) to prepare the country for the next large-scale outbreak. Discovery, the Critical Care Research Network, and its Severe Acute Respiratory Infection – Preparedness (SARI-PREP) program are helping lead the way in this new vision. SARI-PREP is a key player in the effort to establish a coordinated and standardized healthcare network that provides high-quality care to parents with a special pathogen, while also protecting healthcare workers.


SCCM Pod-475: Data Science and the Future of Critical Care Research

Discovery, the Critical Care Research Network, is an SCCM program that aims to expand research and improve outcomes. Discovery has launched the Data Science Campaign to leverage large-scale (big) data for research, seeking to apply these data in a clinical environment through standardized models and shared resources. Kyle B. Enfield, MD, FSHEA, FCCM, was joined by J. Perren Cobb, MD, FACS, FCCM, and Karin Reuter-Rice, PhD, NP, FAAN, FCCM, at SCCM's 2023 Critical Care Congress to discuss the future of data science and critical care research.