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LearnICU Podcasts

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LearnICU iCritical Care Podcast Latest Episodes
iCritical Care LearnICU podcasts feature interviews with speakers, book authors, prominent SCCM members and thought leaders. Subscribe via iTunes or Google Podcasts.
SCCM Pod-448 Noninvasive Respiratory Support: Opinion- or Evidence-Based Medicine?

When should clinicians intubate preterm infants? The answer is not always straightforward, according to podcast guest Deepak Jain, MD, FAAP. He and host Pamela M. Peeke, MD, MPH, FACP, FACSM, discuss strategies that optimize noninvasive ventilation and when such strategies are appropriate, referring to a 2015 JAMA article (Stoll BJ et al. JAMA. 2015;314:1039-1051). Dr. Jain is interim chief in the Division of Neonatology at Rutgers Robert Wood Johnson Medical School. This podcast is supported by an unrestricted education grant from Medtronic.

Published: 11/12/2021

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-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-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-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

SCCM Pod-434 Tracheostomy Adaptation for COVID-19 Patients

COVID-19 complicated critical care clinicians’ decision-making with regard to tracheostomy. ICU resource constraints and risk of staff exposure during an aerosol-generating procedure necessitated rapid adaption of clinical practice in the setting of many unknowns. 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 essential considerations for tracheostomy in the COVID-19 setting and identify challenges to coordinated development of tracheostomy best practices. 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: 4/12/2021

SCCM Pod-432 Citrate and Continuous Renal Replacement Therapy
With widespread utilization of continuous renal replacement therapy, its critical to know about how citrate may have a role. Host Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Ashita Tolwani, MD, to review citrate and its role in the anticoagulation process and how it can decrease the likelihood of adverse events and ease clinician workload. Dr. Tolwani is a nephrologist at the University of Alabama in Tuscaloosa, Alabama, USA. This podcast is sponsored by Baxter Healthcare. Published: 3/10/2021

SCCM Pod-429 Drug Dosing Considerations in AKI and RRT
Continuous renal replacement therapy (CRRT) is complex, and dosing varies among institutions. Host Michael Smith, MD, is joined by Melissa L. Thompson Bastin, PharmD, BS, BCPS, to review dosing regimens for CRRT, studies of CRRT antibiotic dosing, and CRRT utilization in COVID-19 patients. Dr. Thompson Bastin is a medical ICU and pulmonary critical care pharmacist and assistant adjunct professor at the University of Kentucky in Lexington, Kentucky, USA. This podcast is sponsored by Baxter Healthcare. Published: 12/2/2020

SCCM Pod-427 Severe COVID-19 and Sepsis

Severe COVID-19 infection can be a form of viral sepsis with occasionally concomitant bacterial infection. Pamela M. Peeke MD, MPH, FACP, FACSM, is joined by Russell Miller, MD, MPH, FCCM, to discuss the definition of sepsis and overlap with case descriptions of patients with severe COVID-19, how experience with viral sepsis can be leveraged to diagnose and treat COVID-19 patients being admitted to ICU, and the need to be able to differentiate viral from bacterial sepsis to avoid over or under treatment. Dr. Miller is medical director of critical care at FirstHealth of the Carolinas in Pinehurst, North Carolina, USA. This podcast is sponsored by Immunexpress.

Published: 11/10/2020