Osler Podcasts

Transcutaneous pacing is an important emergency skill.  In this podcast, senior emergency medicine trainee Dr Tim Balfour joins Todd to discuss the indications for pacing, describe the process of applying and adjusting it, and share some tips and tricks for its use. See omnystudio.com/listener for privacy information.

Dr Stuart Collins is a urologist on the Sunshine Coast in Queensland, Australia. He joins Todd on the podcast to chat about the highs and lows of his specialty. See omnystudio.com/listener for privacy information.

As Indirect Calorimetry becomes more practical at the bedside, how will it influence nutritional prescription? Oana Tatucu is a senior ICU dietitian and a research fellow at the ANZICS Research Centre.  She joins Todd on the podcast to discuss the role of IC now and into the future.   Baxter Healthcare has provided an educational grant to sponsor this podcast. The content was developed i...

Patients with chronic pulmonary hypertension can present to hospital acutely unwell. What are the principles of managing these patients? Cardiologist Dr Kavitha Muthiah joins Todd on the podcast to discuss the underlying causes, precipitants, management and rescue options for these patients. See omnystudio.com/listener for privacy information.

Bronchopleural fistula is an important diagnosis to consider in patients with persistent and high volume pneumothoraces. Dr Izzy Seneviratne is a dual trained Intensivist and Respiratory Physician who joins Todd on the podcast to talk about the diagnosis and management of this important condition. See omnystudio.com/listener for privacy information.

Targeted temperature management has become a mainstay of treatment for resuscitated patients following cardiac arrest. Manoj Saxena is an intensivist and clinician researcher from Sydney, Australia, and was part of the team that delivered the TTM-2 trial earlier in 2021.  He joins Todd on the podcast to discuss the premise of TTM-2, the results and what comes next. See omnystudio.com/listener...

As the world wrestles with the COVID-19 pandemic, it’s clear that much depends on our ability to vaccinate a large proportion of the population. Like all medications, vaccines have their side effects, and the most notable at present is an unusual syndrome of intravascular clotting associated with thrombocytopaenia. Dr Tim Brighton is a consultant haematologist with New South Wales Health, an...

The importance of adequate antibiotic dosing in sepsis and pneumonia is well known.  However, changes in the pharmacokinetics and dynamics of antibiotics makes it challenging to ensure the appropriate doses are given. Dr Jason Roberts is an internationally renowned ICU pharmacist and researcher, and he joins Todd to discuss these important issues, and some potential solutions. See omnystudio....

Manipulating the ventilator to protect the critically ill ARDS patient from harm, while simultaneously improving their condition, is one of the dark arts of intensive care practice. Airway Pressure Release Ventilation is a somewhat novel mode of mechanical ventilation which seeks to enhance lung recruitment while reducing lung injury.  Ed Litton is an Intensivist and researcher from the Fiona...

Join host Dr Todd Fraser for this fascinating exploration of life, both professional and personal, for those lucky enough to practice in a regional or remote ICU. Guests include Penny Stewart, Rob Bevan, Paul Secombe, Claire Corrigan and Lauren Cox See omnystudio.com/listener for privacy information.

Traditionally we’ve measured the performance of the health system machine on hard endpoints such as mortality, and this is particularly so in ICU. In recent years however, we’ve begun to focus more on the patient experience, including their functional outcomes.  Narrative and qualitative research has provided us with a better understanding of the emotional, psychological and physi...

Extracorporeal membrane oxygenation (ECMO) is an increasingly available therapy, though it remains restricted to tertiary centres.  So what does this mean for smaller peripheral units? Dr Sara Allen is an intensivist and anaesthetist from the Auckland City Hospital in New Zealand, and she joins Todd to discuss referrals for ECMO. See omnystudio.com/listener for privacy information.

The intravenous cannula may be the most common procedure performed in healthcare.  You probably perform several of them a day, without thinking twice. However, without attention to detail, it’s possible the humble cannula could cause your patient harm. Gillian Ray-Barruel is an experienced nurse researcher at Griffith University in Australia. Among her numerous research interests, Gilli...

Large and persistent bronchopleural fistulae are one of the more challenging problems to manage in ICU practice. In this enlightening interview, Intensivist and Respiratory Physician Dr Michael Putt discusses the principles of management, and the role of bronchoscope intervention. See omnystudio.com/listener for privacy information.

Up to a quarter of emergency services calls relate to behavioural disturbance or mental health issues.  For many patients, these calls end up in transportation to the emergency department, where the service struggles to meet the patient's needs. David Hardstaff is an experienced paramedic who is part of a novel approach to this problem, a prehospital response team aiming to manage patients pr...

While mechanical ventilation can be life saving, it can also cause its fair share of complications. Dr Kiran Shekar is an intensivist at The Prince Charles Hospital in Brisbane, Australia.  He heads a program of research exploring a range of therapies that may minimise these risks, including the subject of today's discussion, Extracorporeal CO2 removal (ECCOR)   Baxter Healthcare has pro...

We focus a lot on energy and protein delivery in ICU.  But what happens to patients and their nutrition when they get to the wards? Could it be that an intensive approach to feeding throughout the patient's hospital stay is the key to enhancing functional recovery? Eliza Miller is the project manager for the INTENT trial, and she joins us to discuss this important study.   Baxter Healthc...

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...

Resuscitation of hypotensive patients with sepsis traditionally involves up to several litres of crystalloid fluids before vasopressors are initiated.  While this forms the basis for many sepsis management guidelines, the dogma is being challenged. In this latest podcast from the 2021 ANZICS CTG meeting in Noosa, Stephen McDonald joins Todd to talk about the ARISE FLUIDS 2 trial, which aims t...

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.

Despite the incredible burden of COVID-19, ICU researchers have somehow been able to produce practice changing research at an unprecedented rate. ICU nutrition researchers Lee-anne Chapple and Emma Ridley join Todd on the podcast to discuss their findings regarding the nutritional status and issues for COVID-19 patients admitted to ICU See omnystudio.com/listener for privacy information.

Despite increasing focus and the development of international clinical guidelines, delirium in ICU remains an under-recognised issue. Melissa Ankravs is a senior ICU pharmacist, and she joins Todd on the podcast to discuss the results of a point prevalence study in Australia / New Zealand See omnystudio.com/listener for privacy information.