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All Audio iCritical Care Latest Episodes
SCCM Pod-380 2019 Presidential Address
Margaret M. Parker, MD, MCCM, speaks with SCCM President Heatherlee Bailey, MD, FCCM, about Dr. Bailey’s path to becoming SCCM’s 2019 president and about her goals for SCCM during her term as president. Dr. Bailey is the first SCCM president with an emergency medicine background. She has been actively involved in the Society for more than 20 years. Dr. Bailey is on the emergency medicine faculty at the Durham VA Medical Center in Durham, North Carolina, USA. Published: 3/15/2019
SCCM Pod-379 Opioid-Induced Respiratory Depression Risk Prediction Tool
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. Published: 3/8/2019
SCCM Pod-378 Procalcitonin Guidance during Antibiotics Management
Ranjit Deshpande, MD, and Simon W. Lam, PharmD, MS, BCPS, BCCCP, FCCM, discuss procalcitonin guidance during different phases of antibiotics management in patients admitted to intensive care units. This podcast originated from the article “Systematic Review and Meta-Analysis of Procalcitonin-Guidance Versus Usual Care for Antimicrobial Management in Critically Ill Patients: Focus on Subgroups Based on Antibiotic Initiation, Cessation, or Mixed Strategies” (Lam S, et al. Crit Care Med. 2018;46:684-690). Dr. Lam is a clinical specialist in pharmacoeconomics, outcomes research, and critical care at the Cleveland Clinic in Cleveland, Ohio, USA. He has no disclosures to report. This podcast is sponsored by Thermo Fisher Scientific.  Published: 2/11/2019
SCCM Pod-377 Procalcitonin Guidance in Patients with Sepsis
Ludwig H. Lin, MD, and Philipp Schuetz, MD, discuss procalcitonin and how it impacts treatment of sepsis. This podcast originated from the article “Efficacy and Safety of Procalcitonin Guidance in Patients With Suspected or Confirmed Sepsis: A Systematic Review and Meta-Analysis” (Iankova I, et al. Crit Care Med. 2018;46:691-698). Dr. Schuetz is a professor of internal medicine, endocrinology, diabetes, and metabolism at the University of Basel in Basel, Switzerland. This podcast is sponsored by Thermo Fisher Scientific.  Published: 1/30/2019
SCCM Pod-376 2018 PADIS Guidelines
Kyle B. Enfield, MD, speaks with John W. Devlin, PharmD, FCCM, about the article “Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU” (Devlin JW, et al. Crit Care Med. 2018;46:e825-e873). Dr. Devlin discusses what’s new in the 2018 guidelines, including the added topics of rehabilitation/mobilization and sleep, the guideline development process, and implementation strategies. Dr. Devlin is an associate professor at Northeastern University in Boston, Massachusetts, USA, and has been involved in the ICU Liberation committees and collaboratives. Published: 1/16/2019
SCCM Pod-375 Medical Emergency Calls and Hospital Mortality
Todd Fraser, MD, speaks with John D. Santamaria, MBBS, MD, FRACP, FCICM, FCCP, about the article “Increasing the Number of Medical Emergency Calls Does Not Improve Hospital Mortality” (Santamaria J, et al. Crit Care Med. 2018;46:1063-1069). The podcast explores Dr. Santamaria’s recent study on the relationship between emergency calling rates and adjusted in-hospital mortality and the effect of increasing call rates on the workload of the teams. Dr. Santamaria is the director of intensive care at St. Vincent’s Hospital in Melbourne, Australia. Published: 12/17/2018
SCCM Pod-374 Angiotensin II Treatment in Patients with Vasodilatory Shock and Renal Replacement Therapy
Todd Fraser, MD, speaks with Rinaldo Bellomo, MD, MBBS, FRACP, FCICM, FAAHMS, about the article “Outcomes in Patients with Vasodilatory Shock and Renal Replacement Therapy Treated with Intravenous Angiotensin II” (Tumlin JA, et al. Crit Care Med. 2018;46:949-957). Dr. Bellomo discusses his post-talk analysis of the Angiotensin II for the Treatment of High-Output Shock 3 (ATHOS-3) trial and potential benefits of angiotensin II in patients with shock requiring renal replacement therapy. Dr. Bellomo is the director of intensive care research at Austin Hospital in Melbourne, Australia. Published: 12/10/2018
SCCM Pod-373 Preserving End-Organ Perfusion
Ranjit Deshpande, MD, speaks with Laurence W. Busse, MD, MBA, about Dr. Busse’s talk on preserving end-organ perfusion presented at the 46th Critical Care Congress in Honolulu, Hawaii, USA. Dr. Busse is an assistant professor in the Division of Pulmonary Critical Care, Sleep, and Allergy Medicine at Emory University in Atlanta, Georgia, USA. This podcast is supported by an unrestricted educational grant provided by La Jolla Pharmaceutical Company.  Published: 12/4/2018
SCCM Pod-372 Nutrition Support Therapy in the Pediatric Critically Ill Patient
Margaret Parker, MD, MCCM, speaks with Nilesh M. Mehta, MD, about the article, “Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition,” published in the July 2017 issue of Pediatric Critical Care Medicine. Dr. Mehta discusses best practices in nutrition therapy in critically ill children. Dr. Mehta is the Director of Critical Care Nutrition in the division of critical care medicine in the department of anesthesiology, critical care, and pain medicine at Boston Children’s Hospital and an associate professor of anesthesia (critical care) at Harvard Medical School in Boston, Massachusetts
 
Mehta, Nilesh M. MD; Skillman, Heather E. MS, RD, CSP, CNSC; Irving, Sharon Y. PhD, CRNP, FCCM, FAAN; Coss-Bu, Jorge A. MD; Vermilyea, Sarah MS, RD, CSP, LD, CNSC; Farrington, Elizabeth Anne PharmD, FCCP, FCCM, FPPAG, BCPS; McKeever, Liam MS, RDN; Hall, Amber M. MS; Goday, Praveen S. MBBS, CNSC; Braunschweig, Carol PhD, RD. Ped Crit Care Med. 2017; 18(7):675-715.  This podcast is supported by an educational grant provided from Abbott Nutrition. Published: 11/5/2018
SCCM Pod-371 Treating Volume Overload in the ICU with RRT
Ranjit Deshpande, MD, speaks with Rajit Basu, MD, MS, FCCM, about treating volume overload in the intensive care unit with renal replacement therapy. Dr. Basu presented his talk at the 47th Critical Care Congress in San Antonio, Texas. Dr. Basu is an associate professor in the Department of Pediatrics at Emory University School of Medicine in Atlanta, Georgia. He is also the research director in the Department of Critical Care Medicine at Children’s Healthcare of Atlanta in Atlanta, Georgia. This podcast is sponsored by Baxter Healthcare Corporation.  Published: 9/26/2018
SCCM Pod-370 2018 Presidential Address: High-Value Care
Kyle B. Enfield, MD, speaks with SCCM President Jerry J. Zimmerman, MD, PhD, FCCM, about the 2018 presidential address on high-value care that Dr. Zimmerman presented at the Society’s 47th Critical Care Congress in San Antonio, Texas. Dr. Zimmerman is an attending physician in the pediatric intensive care unit at Seattle Children’s Hospital in Seattle, Washington. Published: 9/17/2018
SCCM Pod-369 Hospital Variation in Risk-Adjusted Pediatric Sepsis Mortality

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.

Published: 9/6/2018
SCCM Pod-368 Achieving Fluid Balance
Kyle Enfield, MD, speaks with Colin K. Grissom, MD, FCCM, and Matthew W. Semler, MD, about fluid management in the critically ill. Dr. Grissom presented his talk, entitled “Achieving Fluid Balance,” at the 47th Critical Care Congress in San Antonio, Texas. During this session he discussed the study by Semler et al. entitled “Balanced Crystalloids versus Saline in Critically Ill Adults,” published in the March 2018 issue of the New England Journal of Medicine. Dr. Grissom and Dr. Semler discuss the history of fluid management in the critically ill and how recent study findings are shaping future care. Dr. Grissom works as an attending physician at Intermountain Medical Center in Salt Lake City, Utah. Dr. Semler works as an attending physician at Vanderbilt University Medical Center in Nashville, Tennessee. Published: 8/9/2018
SCCM Pod-367 Variability in Antibiotic Use Across PICUs
Margaret Parker, MD, MCCM, speaks with Thomas V. Brogan, MD, about the article “Variability in Antibiotic Use Across PICUs,” published in the June 2018 issue of Pediatric Critical Care Medicine. Dr. Brogan discusses study findings regarding the variation in antibiotic use in pediatric intensive care units (PICUs) across institutions. He considers how overuse or inappropriate use can be addressed in PICUs in the future. Dr. Brogan is a Professor of Pediatrics in the Division of Pediatric Critical Care Medicine at the Seattle Children’s Hospital and the University Washington School of Medicine in Seattle, Washington. Ped Crit Care Med. 2018; 19(6):519-527.  Published: 7/25/2018
SCCM Pod-366 Predictors of In-Hospital Mortality After Rapid Response Team Calls
Ranjit Deshpande, MD, speaks with Matthew M. Churpek, MD, MPH, PhD, about the article, “Predictors of In-Hospital Mortality After Rapid Response Team Calls in a 274 Hospital Nationwide Sample,” published in the July 2018 issue of Critical Care Medicine. Dr. Churpek discusses predictors for in-hospital mortality for patients who had already been identified as high-risk by the rapid response team. Dr. Churpek is an assistant professor in pulmonary and critical care medicine in the Department of Medicine at the University of Chicago in Chicago, Illinois, USA. Shappell C, Snyder A, Edelson DP, Churpek MM; American Heart Association’s Get With the Guidelines-Resuscitation Investigators. Crit Care Med. 2018 Jul;46(7):1041-1048.  Published: 7/19/2018
SCCM Pod-365 Medications and RRT: We Know How to Dose, Right?
Dr. Fraser, MD, speaks with Bruce A. Mueller, PharmD, FCCP, FASN, about his talk presented at the 47th Critical Care Congress in San Antonio, Texas, entitled “Artificial Kidney Meets Mechanical Lung: Comanaging the Patient with Renal and Respiratory Failure.” Dr. Mueller discusses the concepts of drug dosing during renal replacement therapy. Dr. Mueller is a Professor and Associate Dean at University of Michigan College of Pharmacy in Ann Arbor, Michigan. Published: 7/12/2018
SCCM Pod-364 Characterization of Pediatric In-Hospital CPR Quality Metrics
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. Published: 7/5/2018
SCCM Pod-363 Hemodynamic Support of Pediatric and Neonatal Septic Shock
Margaret Parker, MD, MCCM, speaks with Joseph A. Carcillo, MD, about the article, "American College of Critical Care Medicine Clinical Practice Parameters for Hemodynamic Support of Pediatric and Neonatal Septic Shock," published in the June 2017 issue of Critical Care Medicine. Dr. Carcillo the revisions made to the 2014 guidelines and recommendations regarding use of 1) a “recognition bundle” containing a trigger tool for rapid identification of patients with septic shock, 2) a “resuscitation and stabilization bundle” to help adherence to best practice principles, and 3) a “performance bundle” to identify and overcome perceived barriers to the pursuit of best practice principles. Dr. Carcillo is a professor of Anesthesia, Critical Care Medicine, and Pediatrics at the University of Pittsburgh School of Medicine in Pittsburgh, Pennsylvania. Crit Care Med. 2017; 45(6):1061-1093. Published: 6/7/2018
SCCM Pod-362 Time of Admission to the PICU and Mortality
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
SCCM Pod-361 Antibiotic Therapy in Comatose Mechanically Ventilated Patients Following Aspiration
Dr. Fraser, MD, speaks with Jean Baptiste Lascarrou, MD, about the article, “Antibiotic Therapy in Comatose Mechanically Ventilated Patients Following Aspiration: Differentiating Pneumonia from Pneumonitis,” published in Critical Care Medicine. He discusses results from his team’s prospective observational study to determine the proportion of patients with documented bacterial aspiration pneumonia among comatose ICU patients with symptoms suggesting either bacterial aspiration pneumonia or non-bacterial aspiration pneumonitis. Dr. Lascarrou is a physician in the Medical Intensive Care Unit at CHU Nantes in Nantes, France. Crit Care Med. 2017; 45(8):1268-1275. Published: 3/22/2018