SCCM Pod-457 CCM: Increased incidence of ventilator-acquired pneumonia in COVID-19 patients

While little is known about the epidemiology of ventilator-acquired pneumonia among COVID-19 patients, some studies suggest a higher risk of ventilator-associated pneumonia in this specific population. Ashish K. Khanna, MD, FCCP, FCCM, is joined by Charles-Hervé Vacheron, MD, to discuss the Cohort exposed/nonexposed study among the REA-REZO surveillance network.

SCCM Pod-456 PCCM: Effects of Excessive Oxygen Supplementation

This podcast will examine a retrospective, observational cohort study that found an association between excessive oxygen supplementation in the first day of mechanical ventilation with multiple organ dysfunction syndrome on day 7 of admission and in-hospital mortality in critically ill children. Host Elizabeth H. Mack, MD, MS, FCCM, is joined by L. Nelson Sanchez-Pinto, MD, MBI, to discuss the study’s findings.

SCCM Pod-455 Introduction to Molecular Adsorbent Recirculating System Albumin Dialysis

This podcast will describe the principle of albumin dialysis of the molecular adsorbent recirculating system (MARS) and discuss the logistics of starting a MARS program to outline indications for MARS.

CMS Rule Changes for Critical Care Services in 2022

This article was first published in the Winter 2022 issue of Critical Connections. The Centers for Medicare and Medicaid Services 2022 Medicare Physician Fee Schedule has been released, with many changes. One important change involves guidelines for critical care services and split/shared visits in the facility setting.

Optimizing Smart Infusion Pumps

This article was first published in the Winter 2022 issue of Critical Connections. Errors associated with administration of IV medications are a primary safety concern for hospitals. Many medication errors can be prevented via safe medication practices, including the use of smart infusion pumps.

International Medical Graduates and COVID-19

This article was first published in the Winter 2022 issue of Critical Connections. Experts predict that an intensivist shortage is looming as demand for ICU services increases. We have reached the point where demand has overcome the supply of intensivists.

Improving the Critical Care Experience of LGBTQIA+ Patients and Families

This article was first published in the Winter 2022 issue of Critical Connections. When critically ill or injured patients need the services of a critical care team, they are at their most vulnerable. Here are six simple strategies that trained intensivists and critical care specialists can use to improve the critical care experience of the LGBTQIA+ patients and families they serve.

Leading by Example

Profiling leaders and organizations working to combat health disparities and establish trust in the communities they serve.This article was first published in the Winter 2022 issue of Critical Connections. In populations hardest hit by COVID-19, innovative healthcare and community professionals created paradigm shifts to battle healthcare access limitations, distrust of the healthcare system, and healthcare literacy disparities in the new age of physical distancing. Here we identify some best practices and examples of organizations and healthcare leaders working to mitigate barriers to quality care for racial and ethnic minorities.

Choosing Wisely® For Critical Care Daily Care Rounding Checklist

The goal of the Society of Critical Care Medicine’s (SCCM) Choosing Wisely® daily care rounding checklist is to provide a structured approach to maximize integration of evidence-based practices, avoid waste, and deliver safe, high-value critical care. Consideration should be given to the patient’s clinical status and acuity level when considering each recommendation for implementation that day. Other interventions based on local protocols and ICU type can be added to this list.

SCCM Pod-454 PCCM: PANDEM Guidelines

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.

PADIS Guidelines Teaching Slides: Pain

These teaching slides address implementing the 2018 Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU, known as the PADIS Guidelines. This presentation addresses implementing the portion of the guidelines related to pain.

PADIS Guidelines Teaching Slides: Sedation

These teaching slides address implementing the 2018 Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU, known as the PADIS Guidelines. This presentation addresses implementing the portion of the guidelines related to sedation.

PADIS Guidelines Teaching Slides: Delirium

These teaching slides address implementing the 2018 Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU, known as the PADIS Guidelines. This presentation addresses implementing the portion of the guidelines related to delirium.

PADIS Guidelines Teaching Slides: Sleep

These teaching slides address implementing the 2018 Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU, known as the PADIS Guidelines. This presentation addresses implementing the portion of the guidelines related to sleep.

PADIS Guidelines Teaching Slides: Immobility

These teaching slides address implementing the 2018 Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU, known as the PADIS Guidelines. This presentation addresses implementing the portion of the guidelines related to immobility.

Addressing Burnout: A Success Story from Mayo Clinic

"Addressing Burnout: A Success Story from Mayo Clinic" was published in the February/March 2018 issue of Critical Connections.

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. 

SCCM Pod-VCCR7 The Basics of Veno-Arterial and Veno-Venous ECMO and the Indications of ECMO Therapy

Sean P. Kane, PharmD, BCPS, speaks with Elliott Cohen, MD about extracorporeal membrane oxygenation (ECMO). In the episode, the basics of Veno-Arterial (VA) and Veno-Venous (VV) ECMO are outlined and the indications of ECMO therapy are discussed.

Critical-Care Pain Observation Tool: How to Use it in Your ICU

Critical-Care Pain Observation Tool can be used to assess pain in adults, including those in the intensive care unit (ICU). This video offers instructions on how to use the Critical-Care Pain Observation Tool.

Primary Pain Management: Opioids

Pharmacology of Opiate Analgesics. This chart can be used to help treat pain for adult patients in the intensive care unit (ICU).