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SCCM Pod-409 SSC COVID-19 GuidelinesSCCM Pod-409 SSC COVID-19 Guidelines

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SCCM Pod-445 The Association of Workload and Outcomes in the Pediatric Cardiac ICU
Healthcare workload has emerged as an important metric associated with poor outcomes. To measure workload, studies have used bed occupancy as a surrogate. However, few studies have examined frontline clinician workload and outcomes. Host Elizabeth Mack, MD, MS, FCCM, is joined by Michael Fundora, MD, FAAP, to discuss if the hypothesized frontline clinician workload, measured by bed occupancy and staffing, is associated with poor outcomes and unnecessary testing (Fundora M.P., et al. Pedtr Crit Care Med. 2021 August; 22:683-691). Michael Fundora is a physician in the Division of Cardiology, Department of Pediatrics, Children’s Healthcare of Atlanta at Emory University School of Medicine in Atlanta, Georgia. This podcast is sponsored by Mölnlycke. Published: 10/14/2021

SCCM Pod-444 HF20 Filter Set for CRRT in Low Weight Patients

This podcast discusses patients who develop acute kidney injury (AKI) and how AKI is independently associated with mortality in critically ill infants, neonates, and larger children. Host Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Stuart Goldstein, MD, to discuss the HF20 study, including its end points and the clinical gaps the study addresses. (Munshi R, et al. Pediatr Nephrol 2020 Dec;35:2345-2352)

Dr. Goldstein is a professor of pediatrics and director of the Center for Acute Care Nephrology at Cincinnati Children's Hospital Medical Center in Cincinnati, Ohio, USA. This podcast is sponsored by Baxter Healthcare.

Published: 9/27/2021

SCCM Pod-443 How the Pneumonia Panel Aids in Antimicrobial Stewardship and in the Fight Against COVID-19

BioFire® FilmArray® is the latest in technologies for rapidly identifying pathogens that cause Lower Respiratory Tract Infections (LRTI). Host Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Tufik Assad M.D., M.S.C.I. to discuss how this technology can be integrated into clinical care to improve patient outcomes, describe the benefits in diagnosing bacterial secondary infections in patients with COVID-19 and summarize the benefits of Pneumonia (PN) Panel in the fight against Antimicrobial Resistance. Dr. Assad is the Medical Director of the Lung Nodule Clinic at Williamson Medical Center. This podcast is sponsored by BioFire.

Tufik Assad M.D., M.S.C.I., is the Medical Director of the Lung Nodule Clinic at Williamson Medical Center. Dr. Assad is board certified in Pulmonary Medicine, Critical Care Medicine and Internal Medicine. He practices with Williamson Medical Group in Franklin and is a credentialed physician with Williamson Medical Center.

Published: 9/3/2021

SCCM Pod-442 Continuous Prediction of Mortality in the PICU: A Recurrent Neural Network Model in a Single-Center Dataset

As a proof of concept, a recurrent neural network (RNN) model was developed using electronic medical record (EMR) data capable of continuously assessing a child’s risk of mortality throughout an ICU stay as a proxy measure of illness severity. Host Margaret M. Parker, MD, MCCM, is joined by Melissa D. Aczon, PhD, to discuss how the RNN model can process hundreds of input variables contained in a patient’s EMR and integrate them dynamically as measurements become available. The RNN’s high discrimination suggests its potential to provide an accurate, continuous, and real-time assessment of a child in the PICU. (Aczon M, et al. Ped Crit Care Med. 2021;22:519-529) Dr. Aczon is a principal data scientist at Children’s Hospital Los Angeles. Melissa D. Aczon, PhD is a Principal Data Scientist at Children’s Hospital Los Angeles. 

Published: 9/2/2021

SCCM Pod-441 Connections Between COVID-19, Sepsis, and Fluid Management

Learn about the importance of utilizing dynamic assessments of fluid responsiveness to guide treatment in patients with viral sepsis, including COVID-19, and understand how they can be used to help improve patient outcomes in sepsis patients. Host Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Patrick Troy, MD, to discuss how only 50% of hemodynamically unstable patients are fluid responsive and that the same treatment paradigm in fluid management applies to both viral sepsis and COVID-19 patients (Douglas IS, et al. Chest. 2020;158:1431-1445Latham H, et al. J Crit Care. 2017;42:42-46). This podcast is sponsored by Baxter.

Patrick Troy M.D., is the Division Director Pulmonary Critical Care and Sleep Medicine Physician at Hartford Hospital, Assistant Professor of Clinical Medicine at the University of Connecticut School of Medicine.

Published: 9/1/2021

SCCM Pod-440 Optimal Sedation in Patients Who Receive Neuromuscular Blocking Agent Infusions for Treatment of ARDS

Two previously published trials (ARDS et Curarisation Systematique [ACURASYS] and Reevaluation of Systemic Early Neuromuscular Blockade [ROSE]) presented equivocal evidence on the effect of neuromuscular blocking agent infusions in patients with acute respiratory distress syndrome. Host Kyle B. Enfield, MD, FCCM, is joined by Matthias Eikermann, MD, to discuss the different sedation regimens between these two trials as well as the different regimens within the ROSE trial between treatment and control groups. They will also discuss the hypothesis that the proportion of deeper sedation is a mediator of the effect of neuromuscular blocking agent infusions on mortality (Wongtangman K, et al. Crit Care Med. 2021;49:1137-1148Jabaley C, Crit Care Med. 2021;49:1211-1213).

Dr. Eikermann is a professor of anesthesia at Harvard Medical School and an attending anesthesiologist and vice chair of faculty affairs in the Department of Anesthesia, Critical Care and Pain Medicine at Beth Israel Deaconess Medical Center. This podcast is sponsored by Sound Physicians.

Published: 8/31/2021

SCCM Pod-439 The Association Between Antibiotic Delay and Hospital Mortality

Rapid delivery of antibiotics is a cornerstone of sepsis therapy, although time targets for specific components of antibiotic delivery are unknown. Host Ludwig H. Lin, MD, is joined by Stephanie Parks Taylor, MD, to discuss the significance of time lead for suspected sepsis patients, how to use a generous time window wisely, and new and reconfigured technologies opportunities (Taylor SP, et al. Crit Care Med. 2021 May;49:741-747). 

Dr. Taylor is an associate professor in the Department of Internal Medicine at Atrium Health’s Carolinas Medical Center in Charlotte, North Carolina, USA. This podcast is sponsored by Biofire

Published: 7/11/2021

SCCM Pod-438 Patient-Ventilator Dyssynchronies and Their Mechanisms

The prevalence and consequences of dyssynchronies are largely underestimated due to frequent lack of monitoring. Dedicated software solutions are needed to continuously and automatically detect dyssynchronies, which will allow for both clinical research and application aimed at determining the effects of dyssynchronies and their incidence among critically ill patients. Host Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Laurent Brochard, MD, to explore the different mechanisms of the various patient-ventilator dyssynchronies and how to detect these dyssynchronies and evaluate their possible impact on patient-centered outcomes. Dr. Brochard is inter-department division director of critical care at the University of Toronto in Toronto, Ontario, Canada. This podcast is supported by an unrestricted education grant from Medtronic.

Published: 5/17/2021

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.

Published: 5/11/2021

SCCM Pod-436 Interventions to Reduce Patient and Clinician COVID-19 Risk
Extubation is a high-risk endeavor in some COVID-19 patients. Host Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Joshua H. Atkins, MD, PhD; Christopher Rassekh, MD; and Ara Chalian, MD, to discuss recognizing risks surrounding extubation in ventilated COVID-19 patients, provide framework for rapid assessment and iterative change in complex care settings, and identify essential elements of integration of data and teams for implementation of new care pathways. This episode’s guests are from the University of Pennsylvania Medical Center in Philadelphia, Pennsylvania, USA. Dr. Atkins is an anesthesiologist and Drs. Rassekh and Chalian are ENT surgeons. This podcast is supported by an unrestricted education grant from Medtronic. Published: 5/3/2021