Adult Surviving Sepis Campaign Guidelines (Hour-1 Bundle)
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Management of Adults with COVID-19
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Critical Care Medicine iCritical Care Podcast Latest Episodes
iCritical Care: Critical Care Medicine is a customized podcast feed that offers a portion of the iCritical Care podcasts, delivering only those related to the Society of Critical Care Medicine's premier peer-reviewed, scientific journal in critical care.
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Since the publication of the Surviving Sepsis Campaign guidelines, the focus has been on sepsis management, early identification, and treatment. (Evans L, et al. Crit Care Med. 2021;49:e1063-e1143). As more patients are surviving sepsis, they may be left with short- and long-term problems that need to be addressed. Host Ludwig H. Lin, MD, is joined by Christa A. Schorr, DNP, MSN, RN, FCCM, to discuss the implementation of initiatives for preventing impairments due to sepsis. They will also discuss the challenges faced by survivors of sepsis and the difficulties of matching care to the patient’s and family’s goals of care. In addition to the challenges of physical rehabilitation, patients often are uncertain about how care is coordinated to promote recovery and avoid complications and recurrence. Christa Schorr is a clinical nurse scientist at Cooper Hospital University Medical Center in Camden, New Jersey, USA.
This webcast will be a comparative analysis of conventional heparin- versus bivalirudin-based systemic anticoagulation in adult and pediatric patients supported on extracorporeal membrane oxygenation (ECMO). Host Ashish K. Khanna, MD, FCCP, FCCM, is joined by Troy Seelhammer, MD, to discuss a retrospective study of adult and pediatric patients receiving ECMO from January 1, 2014, to October 1, 2019 (Seelhammer T, et al. Crit Care Med. 2021 Sept;49:1481-1492). Dr. Seelhammer is an anesthesiologist in the Department of Anesthesiology and Perioperative Medicine at the Mayo Clinic in Rochester, Minnesota, USA.
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;49:1137-1148; Jabaley 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.
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.
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.
COVID-19 is associated with a high prevalence of coagulopathy and venous thromboembolism. Host Kyle B. Enfield, MD, FCCM, talks with Jerrold H. Levy, MD, FAHA, FCCM, about what clinicians need to know about this serious problem and how it impacts care delivery (Iba et al. Crit Care Med. 2020;48:1358-1364). Dr. Levy is professor of anesthesiology, critical care professor of surgery (cardiothoracic), and codirector of the cardiothoracic ICU at Duke University Hospital in Durham, North Carolina, USA. This podcast is sponsored by BioFire.