ICU playlist

While sepsis research in adults has gathered pace in recent years, similar work in paediatrics is lacking. Among those looking for the elusive "magic bullet" are researchers Sainath Raman and Luregn Schlapbach.  In this fascinating podcast, they discuss the limitations of research in paediatric sepsis, the current evidence landscape, and their upcoming RESPOND trial.   Baxter Healthcare...

Many patients undergoing Continuous Renal Replacement Therapy in ICU require fluid removal. But how fast can you remove it?  Dr Emily See is a Nephrologist and senior ICU fellow at the Austin Hospital in Melbourne Australia.  She joins Todd on this edition of the podcast from the 2021 ANZICS CTG meeting in Noosa to talk about the concept of Net Ultrafiltration Rate, and the upcoming NEPT...

Limiting tidal volumes to prevent lung injury has been a core plank of ICU care for the past 20 years. However, is it that simple?  Dr Ewan Goligher joins us to discuss how using the driving pressure to set Vt may help tailor ventilation to the patient's needs. See omnystudio.com/listener for privacy information.

While it remains an uncommon event, some patients with cancer require ICU level care. Dr Tamishta Hensman is a senior ICU fellow at the Royal Darwin Hospital, and holds a Diploma of Palliative Care Medicine.  Following her presentation at the recent CICM Annual Scientific Meeting, she joins Todd to discuss the latest data on survival, some common presentations, and some tips for talking to fa...

Lung ultrasound is gradually establishing itself as an invaluable point-of-care investigation in ICU and emergency medicine. Dr Robert Arntfield is an intensivist and traumatologist from London, Ontario, and he joins Todd to describe how it fits into his clinical practice. See omnystudio.com/listener for privacy information.

Professor David Tuxen has had a long and distinguished career as an Intensivist, Director and researcher.  Decades of research into mechanical ventilation have given David a unique perspective into trial interpretation, and he has recently raised his concerns about research outcomes in ventilation trials. He joins Todd on the latest podcast from the 2021 ANZICS CTG Noosa meeting to discuss th...

Hypofibrinogenaemia is an independent risk factor for mortality after severe trauma.  How though should we manage it? Dr James Winearls is an Intensivist and researcher from the Gold Coast University Hospital.  In this special edition podcast from the 2021 Noosa ANZICS CTG meeting, he joins Todd to chat about the issue, and the FIESTY 2 study he leads See omnystudio.com/listener for priv...

Extracorporeal membrane oxygenation (ECMO) has an established role as a rescue therapy in severe respiratory failure. But could there be benefit in using it earlier, to avoid the potential complications associated with mechanical ventilation? Dr Aidan Burrell is an intensivist and researcher from The Alfred Hospital in Melbourne, Australia, and he joins Todd on the first podcast from the 2021 Noos...

The marvel that is modern Intensive Care has the capacity to save lives, and help survivors live long and satisfying lives.  But it comes at a cost, both in terms of patient experience and cost. Anecdotally, the number of patients with life-limiting illnesses are being referred for management in the ICU.  This trend has given some clinicians pause to consider whether traditional ICU is t...

As the COVID-19 pandemic continues unabated, the search for meaningful therapies is being led by clinical researchers. Dr Lise Estcourt is a consultant haematologist who has led major studies into the role of convalescent plasma in the treatment of COVID-19. She joins Todd on the podcast to summarise the data so far. See omnystudio.com/listener for privacy information.

Intensive Care Medicine is a highly exciting and variable specialty, but it also carries with it the stress of caring for patients and their families under enormous duress. Dr Rob Bevan is an Intensivist and supervisor of training at Middlemore Hospital in Auckland, New Zealand, and the current vice president of the Australia New Zealand College of Intensive Care Medicine XDJ8eVCAs0ecJIoJq6sf See...

Sudden cardiac arrest is a common event.  Rarely though, it can be a feature of acute Subarachnoid Haemorrhage. What impact does this have on the patient's prognosis? A recent review of a binational ICU patient registry set out to explore this question, and one of the authors, Professor Andrew Udy, joins Todd on the podcast to discuss their findings See omnystudio.com/listener for privacy inf...

Malnutrition is common in ICU, and it stands to reason that it should impact on functional recovery. Lee-anne Chapple is a senior dietician in critical care at the Royal Adelaide Hospital, and an NHMRC Early Career Fellow at the University of Adelaide.  She joins Todd on the podcast to discuss her work in protein metabolism in critically ill patients See omnystudio.com/listener for privacy in...

Traditionally, anaesthetists have ventilated patients undergoing prolonged surgery with supra physiological tidal volumes to prevent collapse and improve oxygenation.  But is this safe?  Evidence from the critical care sphere suggests ventilator induced lung injury may be minimised with a more conservative approach. Dharshi Karalapillai is an Intensivist-Anaesthetist from Melbourne's Aus...

Does metabolic acidosis cause harm to critically ill patients?  Or is it just an epiphenomenon of severe illness? In this podcast, lead investigator of the VITAMINS trial, Tomoko Fujii, joins Todd to discuss her latest program of research, the SODIBIC trial. See omnystudio.com/listener for privacy information.

Colin McArthur is an Intensivist and director of research at Auckland City Hospital in New Zealand, and is the Co-lead for the Australia-New Zealand arm of the REMAP-CAP study, which today releases the results of its first domain study, corticosteroids. Colin joins Todd on the podcast to discuss the results of this important trial See omnystudio.com/listener for privacy information.

David Cooksley is an experienced Emergency and Retrieval Physician who currently works in the Emergency Department at the Sunshine Coast University Hospital and for LifeFlight Retrieval Medicine at their Maroochydore helicopter base.  He has worked for four different retrieval services including twice with the London’s Air Ambulance, which is widely regarded as the world’s best pr...

Transporting the ventilated patient is one of the highest risk processes critically ill patients will face Lina Bergman is a critical care nurse and researcher from Gothenberg in Sweden, and she joins Todd on the podcast to discuss her research into this delicate process. See omnystudio.com/listener for privacy information.

As the COVID-19 pandemic surges ahead, researchers are desperately seeking evidence to support a range of potential disease modifying treatments.  On this episode, Prof Tony Gordon from Imperial Hospitals in London joins me to discuss one such potential therapy, convalescent serum.  Tony is a prominent intensivist researcher and is the UK chief investigator for the REMAP-CAP study. See o...

Critical illness can have an overwhelming effect on the long term quality of life of survivors of ICU. On this thought provoking interview, Professor Carol Hodgson joins Todd on the podcast to discuss the latest publication in her research program, the PREDICT trial, which was presented at the 2020 ANZICS Clinical Trials Group meeting in Noosa. See omnystudio.com/listener for privacy information.

The unfolding COVID-19 pandemic has seen an unprecedented sharing of information to support clinicians in making clinical decisions at the coal-face.  But has this pressure to publish data come at the cost of lower standards of governance? Colin McArthur, co-lead of the ANZ arm of the REMAP-CAP study joins Todd on the podcast to discuss the trials and tribulations of hydroxychloroquine, and T...

Research in the past decade has helped clarify dosing and indications for renal replacement therapy.  But what about the management of volume status in a critically ill patient with acute anuric renal failure? Professor Rinaldo Bellomo is one of the world's leading critical care nephrologists and researchers, and he presented his thoughts on this issue at the most recent Australia-New Zealand...

Chronic pain in survivors of ICU is remarkably frequent, yet remains poorly researched and managed.  Dr Ben Moran is an anaesthetist and intensivist from New South Wales in Australia, and a PhD candidate at the George Institute in Sydney.  He joins Todd on the podcast to discuss his research. See omnystudio.com/listener for privacy information.

High flow nasal oxygen therapy is rapidly establishing itself as a low cost, low side effect treatment option in respiratory failure. In this, another great podcast from the 22nd Annual Meeting of the Australia-New Zealand Intensive Care Society (ANZICS) Clinical Trials Group in Noosa, Australia, Todd is joined by Dr Ed Litton to talk about the upcoming NOTACS trial, an international study explori...

As the COVID-19 outbreak unfolds, increasing experience with the disease has allowed much to be learned. Dr Mark Nichols joins Todd on the podcast to discuss the updated COVID-19 guidelines from the Australia-New Zealand Intensive Care Society (ANZICS). See omnystudio.com/listener for privacy information.