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Yizhak Kupfer, MD, discusses his lecture, to be held during the 36th Critical Care Congress, "Reduction of Medication Errors in the Intensive Care Unit." Dr. Kupfer is an associate professor of medicine at SUNY Downstate School of Medicine and is the director of the medical intensive care unit at Maimonides Medical Center in New York, New York.
Terry Clemmer, MD, FCCM, discusses computerized physician order entry and error detection in the intensive care unit. This podcast was recorded during the Society's 35th Critical Care Congress and released to complement the Excellence in Quality and Safety in Critical Care conference to be held September 21 to 23, 2006. Dr. Clemmer is the director of critical care at LDS Hospital in Utah and professor of medicine at the University of Utah School of Medicine.
Marie R. Baldisseri, MD, an intensivist from the University of Pittsburgh, discusses her article from the June 2006 issue of Critical Connections, titled "Rapid Response Systems: Have They Made a Difference?" Dr. Baldisseri is an associate professor of critical care medicine at the University of Pittsburgh School of Medicine.
Brian Jacobs, MD, project director of Integrating Clinical Information Systems, or ICIS, at Cincinnati Children's Hospital Medical Center, discusses how efforts in computerized physician order entry relate to patient safety. The ICIS system is a computer-based system implemented throughout the hospital through which all medical orders are entered and documented electronically. The system, believed to be the most comprehensive in any pediatric hospital in the United States, is expected to reduce medical errors significantly.
Jack Zimmerman, MD, FCCM, discusses his article in the May 2006 issue of Critical Care Medicine, "Acute Physiology and Chronic Health Evaluation (or APACHE IV): Hospital Mortality Assessment for Today's Critically Ill Patients." Dr. Zimmerman is professor emeritus of anesthesia and critical care medicine at George Washington University Medical Center in Washington, D.C.
Matthew Churpek, MD, MPH, PhD, will share the top 10 things he wished someone had told him about clinical predictive modeling as part of the thought leader session Data Science and Critical Care at the 2022 Critical Care Congress.
The PANDEM guidelines evaluate current practices and provide recommendations for management of pain, agitation, iatrogenic withdrawal, neuromuscular blockade, delirium, ICU environment, and early mobility in critically ill infants and children. Host Margaret M. Parker, MD, MCCM, is joined by Heidi A. B. Smith, MD, MSCI, FAAP, to discuss the guidelines. (Smith HA, et al. Ped Crit Care Med. 2022;23:74-110) Dr. Smith is an assistant professor of pediatric critical care and anesthesiology at the Monroe Carell Jr. Children’s Hospital at Vanderbilt.
The Society of Critical Care Medicine (SCCM) held a session at the 48th Critical Care Congress that offered best practices for reducing CLABSI and CAUTI infections. Subject matter experts discussed quality improvement strategies as well as overcoming challenges and resistance to change. We’ve outlined the questions from the session and curated responses.
Is cardiopulmonary resuscitation (CPR) futile in hospitalized patients with COVID-19 experiencing cardiac arrest? A study recently published in Critical Care Medicine sought to answer this question and provide more data around outcomes of in-hospital cardiac arrest in patients with COVID-19.
The ARREST Trial compared extracorporeal membrane oxygenation (ECMO)-facilitated resuscitation to advanced cardiac life support (ACLS) treatment in patients with out-of-hospital cardiac arrest (OHCA). This month’s Concise Critical Appraisal takes a deep dive into the trial, published in The Lancet.
Continuous monitoring on hospital wards can prevent adverse events and unnecessary ICU admissions. Michael Smith, MD, is joined by Ashish K. Khanna, MD, FCCP, FCCM, to review the demographics of respiratory depression, including opioid-induced respiratory depression on surgical and medical wards, and to correlate the results of the PRODIGY trial with the clinical practice of critical care medicine. Dr. Khanna is staff intensivist and anesthesiologist, associate professor of anesthesiology, and section head for research with the Department of Anesthesiology, Section on Critical Care Medicine at Wake Forest University School of Medicine in Winston-Salem, North Carolina, USA. This podcast is supported by an unrestricted education grant by Medtronic.
Explore the Surviving Sepsis Campaign's Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19) (Alhazzani W, et al. Crit Care Med. 2020;46:854-887) with host Kyle B. Enfield, MD, and authors Mitchell M. Levy, MD, MCCM, and Waleed Alhazzani, MD, MSc, FRCPC. The guidelines discussed were created by the Surviving Sepsis Campaign (SSC), a joint collaboration of the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine (ESICM).
Margaret M. Parker, MD, MCCM, and Scott L. Weiss, MD, FCCM, discuss the release of "Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children," published in the February 2020 issue of Pediatric Critical Care Medicine (Weiss S, et al. Pediatr Crit Care Med. 2020;21(2);e52-e106). Dr. Weiss outlines the differences between the new pediatric Surviving Sepsis Campaign (SSC) guidelines and the 2017 “American College of Critical Care Medicine Clinical Practice Parameters for Hemodynamic Support of Pediatric and Neonatal Septic Shock” (Davis AL, et al. Crit Care Med. 2017;45:1061-1093), as well as key differences from the “Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016” (Rhodes A, et al. Crit Care Med. 2017;45:486-552). The challenges in implementing the pediatric guidelines in resource-limited areas and key recommendations for resuscitation of children with sepsis and septic shock are also covered. Dr. Weiss has served as the SCCM-appointed co-vice-chair of the SSC Guidelines Task Force. He is an attending physician at the Children’s Hospital of Philadelphia.
Margaret M. Parker, MD, MCCM, and Mitchell M. Levy, MD, MCCM discuss the Hour-1 Bundle, the controversies of the Surviving Sepsis Campaign, and the future of sepsis. Drs. Parker and Levy go beyond the bundle to talk about the challenges of the Campaign from data entry to resistance from physicians, sepsis in resource limited countries, and spreading quality improvement worldwide. Dr. Levy is professor of medicine and chief of pulmonary and critical care at Brown University in Providence, Rhode Island, USA. This podcast is part 5 of a series sponsored by Baxter Healthcare Corporation.
Margaret M. Parker, MD, MCCM, and Lorry R. Frankel, MD, FCCM, discuss the updated pediatric critical care admission, discharge, and triage criteria and levels of care guidance published in the September issue of Pediatric Critical Care Medicine (Frankel L, et al. Pediatr Crit Care Med. 2019;20:847-887). They review the methodology behind the development of this joint Society of Critical Care Medicine and American Academy of Pediatrics updated guidance, the areas of agreement, and what we may see in future updates. Dr. Frankel is chair of the Department of Pediatrics at California Pacific Medical Center and emeritus professor of pediatrics at Stanford University School of Medicine in Stanford, California, USA.
Ludwig H. Lin, MD, and Ashish K. Khanna, MD, FCCP, FCCM, discuss Dr. Khanna’s top-rated abstract, Derivation and Validation of a Novel Opioid-Induced Respiratory Depression Risk Prediction Tool (Khanna A, et al. Crit Care Med. 2019;47:18), from the Society of Critical Care Medicine’s 48th Critical Care Congress. Nearly half of all in-hospital cardiorespiratory arrests occur on general care floors; opioid-induced respiratory depression (OIRD) is one potential cause of these events. Dr. Khanna investigated the incidence of OIRD as part of the PRODIGY trial. Dr. Khanna is an associate professor of anesthesiology and associate chief of research at Wake Forest University School of Medicine in Winston-Salem, North Carolina, USA. Dr. Khanna discloses that he served on the executive advisory board for the respiratory monitoring division of Medtronic and received consulting fees from Medtronic for being part of the steering committee of the PRODIGY trial. This podcast is supported by an unrestricted educational grant provided by Medtronic.
Margaret Parker, MD, MCCM, speaks with Stefanie G. Ames, MD, about the article “Hospital Variation in Risk-Adjusted Pediatric Sepsis Mortality,” published in the May 2018 issue of Pediatric Critical Care Medicine. Dr. Ames discusses study findings regarding the development of a method to evaluate hospital pediatric sepsis performance and how to assess hospital variation in risk-adjusted sepsis mortality in a large state-wide sample. Dr. Ames is a pediatric critical care fellow at the University of Pittsburg School of Medicine in Pittsburg, Pennsylvania. She is working with the Clinical Research Investigation and Systems Modeling of Acute Illness (CRISMA) Center in the department of critical care medicine. Ped Crit Care Med. 2018; 19(5):390-396.
Margaret Parker, MD, MCCM, speaks with Dana E. Niles, MS, about the article “Characterization of Pediatric In-Hospital Cardiopulmonary Resuscitation Quality Metrics Across an International Resuscitation Collaborative,” published in the May 2018 issue of Pediatric Critical Care Medicine. Dr. Niles discusses study findings regarding American Heart Association guidelines compliance and the landscape of pediatric in-hospital cardiac arrest chest compression quality metrics across an international pediatric resuscitation collaborative. Dr. Niles is the Research Program Manager at the Center for Simulation, Advanced Education and Innovation at the Children’s Hospital of Philadelphia in Philadelphia, Pennsylvania, and the Program Director for the Pediatric Resuscitation Quality Collaborative. Ped Crit Care Med. 2018; 19(5):421-432. Released: 7/5/18
Margaret Parker, MD, MCCM, speaks with Michael C. McCrory, MD, MS, about the article, “Time of Admission to the PICU and Mortality,” published in the October 2017 issue of Pediatric Critical Care Medicine. Dr. McCrory discusses research findings examining how admissions and discharges to the pediatric intensive care unit (PICU) vary throughout the day and whether off-hours admissions or other factors lead to a higher rate of mortality in the PICU. Dr. McCrory is an associate professor and pediatric intensive care attending in the Department of Anesthesiology in the Section of Pediatric Critical Care Medicine at Wake Forest University School of Medicine in Winston-Salem, North Carolina. Ped Crit Care Med. 2017; 18(10):915-923. Published: 4/3/2018
Kyle Enfield, MD, speaks with Wes Ely, MD, MPH, about his talk presented at the 2017 Multiprofessional Critical Care Review: Adult course in Rosemont, Illinois entitled, “Early Mobility in Critically Ill Patients: More to Come.” Dr. Ely discusses landmark studies that have shown that ICU ventilator weaning protocols, maintaining light levels of sedation in ICU patients, and early mobility protocols can improve patient outcomes and survivorship. He shares his experiences with the ABCDEF Bundle Improvement Collaborative and ICU Liberation Initiative, and provides best practices for implementing the ABCDEF Bundle. Dr. Ely is a professor of medicine and critical care at Vanderbilt School of Medicine’s Center for Health Services Research. He is also the Associate Director of Aging Research at the VA Geriatric Research Education and Clinical Center in Nashville, Tennessee. Visit www.iculiberation.org for more information. Released: 2/8/18