ICU playlist

As the pandemic crisis grows, there is considerable anxiety among clinicians who may be required to make difficult decisions about the management of an overwhelming number of patients. Former ANZICS president Stephen Warrilow chaired a working group which developed consistent guidelines to support these decisions and he joins Todd to discuss them in this essential podcast. The guidelines can be fo...

One of the most daunting tasks during the COVID-19 outbreak is intubation.  Not only are the patients extremely sick and fragile, but the risks to staff and the strategies employed to prevent them add extra complexity. Associate Professor David Brewster is an intensivist and anaesthetist and Melbourne's Cabrini Hospital, and a board member of the Safe Airway Society.  He joins Todd to ch...

In the midst of the COVID-19 pandemic, researchers are working overtime to provide data to clinicians at the bedside.  Among them is Professor Steve Webb from Monash University's School of Public Health and Preventative Medicine.  Steve is the principal investigator of the REMAP-CAP study, a multi-factorial research program designed to provide meaningful results on potential intervention...

In these uncertain early phases of the pandemic, it is critical that clinicians and policy makers alike have access to data to inform decisions.  SPRINT SARI, established after the 2009 H1N1 outbreak, will collect demographic and management data from COVID-19 patients admitted to over 50 ICUs. Aidan Burrell is an intensivist at Melbourne's Alfred Hospital, and is an Adjunct Senior Lecturer at...

As the COVID-19 pandemic gathers pace, the Australia New Zealand Intensive Care Society has released guidelines for preparation, resource allocation and management of patients with COVID-19 In this special edition podcast, Anthony joins Todd to discuss the guidelines, which can be found here See omnystudio.com/listener for privacy information.

Emma Ridley is the Manager of the ICU Nutrition Program at the Monash University ANZICS Research Centre.  She joins Todd on the podcast to chat about another role she fills, as chair of the ANZICS CTG Novice Investigators Group You can find more information about the group here See omnystudio.com/listener for privacy information.

In this Osler special edition podcast from the 22nd annual Australia New Zealand Intensive Care Society (ANZICS) Clinical Trials Group meeting from Noosa, Todd chats to TAME-Cardiac Arrest lead investigator Glenn Eastwood about therapeutic permissive hypercapnoea in resuscitated cardiac arrest patients. See omnystudio.com/listener for privacy information.

In this latest Osler podcast from the 22nd annual ANZICS Clinical Trials Group meeting from Noosa, Shailesh Bihari chats with Todd about his work with 20% albumin in sepsis resuscitation Shailesh is an Associate Professor at Flinders University in Adelaide, and an NHMRC Early Career Fellow See omnystudio.com/listener for privacy information.

In this special edition Osler podcast, live from the 22nd annual ANZICS Clinical Trials Group meeting in Noosa, Australia, renowned critical care trials Todd Rice joins us to chat about Pragmatic Clinical Trials. Todd is an Associate Professor of Medicine in the Division of Allergy, Pulmonary and Critical Care Medicine at Vanderbilt University in Nashville, Tennessee See omnystudio.com/listener fo...

Violence in healthcare staff is anecdotally increasing.  A recently released paper casts further light on this important issue, and explores whether the National E Admission Target (NEAT) is a new factor in triggering such episodes against ICU staff. Authors Albertina Pol and Stephane Bouchoucha join Todd on the podcast to discuss their findings The reference for the paper discussed in this p...

Patients with acute liver failure are relatively rare, but they can be spectacularly unwell. In this enlightening interview, Dr Stephen Warrilow from Melbourne's Austin Hospital joins Todd to discuss the outcomes and management of this important group of patients. See omnystudio.com/listener for privacy information.

Paul Secombe is an intensive care physician at the Alice Springs Hospital in Australia.  He is the lead author of a recent review of the presentation, resource needs and outcomes of indigenous Australians admitted to an intensive care unit. He joins Todd on the podcast to explore the findings of this review, and what it means for the care of his patients. See omnystudio.com/listener for priva...

Dr Jocelyn Lowinger initially trained as a GP before working in health, where she first came into contact with professional coaching.  Fascinated by the idea, she undertook further training, and now offers this service across the healthcare industry. She joins Todd on the podcast to discuss coaching and how it applies to the modern health paradigm. Interested listeners can find more informati...

Is hyperoxia harmful in ICU patients?  Does a restrictive approach to prescription of FiO2 in ventilated patients improve patient centred outcomes?   These questions have led to the ICU-ROX trial, which was recently released at the World Congress of Intensive Care in Melbourne, Australia.  Principle investigator Dr Paul Young presented the paper, and joins Todd on the podc...

Associate Professor Daryl Jones is an intensivist from The Austin Hospital in Melbourne, Australia.  He joins Todd on the podcast to discuss the nature of in-hospital cardiac arrest in the era of a modern Rapid Response Team. See omnystudio.com/listener for privacy information.

Managing acute pain is a common task faced by all junior doctors. With a range of analgesics available, and a seemingly endless variety of conditions to apply them to, this task can become quite complex. In this podcast, Todd chats with Dr Nellie Dick, an anaesthetist with a special interest in the management of acute pain. See omnystudio.com/listener for privacy information.

Ensuring patients get the right treatment at the right time is a core ambition of a modern healthcare system, and there is no better example of this than the early administration of antibiotics in patients with severe sepsis. Daniel Cudini is an Intensive Care Paramedic and Clinical Support Officer with Ambulance Victoria, and is a noted prehospital researcher.  He joins Todd on the podcast t...

Dr Rob Dickson is a 6th year trainee of the Australian College of Remote and Rural Medicine in the tiny Tasmanian hamlet of Queenstown, and recently ventured to the Southernmost continent as an Antarctic Medical Practitioner. He joins Todd on the podcast today to chat about the appeal of remote and rural medicine, and his time practicing medicine in the world's most isolated practice. See omnystud...

Dr Andrew Casamento is an emergency medicine and intensive care physician from Melbourne, Australia.  He joins Todd to discuss the use of 2 commonly used narcotic infusions in critically ill patients, fentanyl and morphine, and challenges the research community to investigate this surprisingly evidence-free zone. See omnystudio.com/listener for privacy information.

Sepsis is usually associated with fever.  This highly conserved response has a range of theoretical benefits, including enhanced immune functioning and increased microbial response to antibiotics. But what happens when patients are hypothermic on presentation?  Professor Andrew Udy joins Todd on the podcast to discuss the impact of hypothermia in sepsis, and the results of a recent revie...

Traumatic cardiac arrest is associated with a terrible prognosis - or is it? In this fabulous Osler Podcast, Todd is joined by ED, Pre-hospital and ICU physician Dr Adam Holyoak to talk about the presentation, outcomes and management of patients who arrest after trauma. See omnystudio.com/listener for privacy information.

Blood is a precious commodity at the best of times, but no where more so than on the African continent. The incidence of children presenting with sepsis and critical anaemia is frightening, and overwhelms the availability of blood.  There is some contention that adherence to the World Health Organisation guidelines may ultimately waste this scarce resource. Kath Maitland, author of the renown...

Is the capacity to train new Intensivist reaching a tipping point?  What is the capacity of the current system to train ICU trainees? Professor Bala Venkatesh is a former president of the College of Intensive Care Medicine of Australia / New Zealand, and recently published the results of a binational survey of Directors of ICU, Supervisors of Training and CICM trainees. He joins Todd on the p...

The role of vitamin C and thiamine in the management of vasoplegic septic shock has been a highly controversial and topical issue in modern critical care in the past 2-3 years.   Tomoko Fujii, research fellow at the Monash-ANZICS Research Centre and clinical intensivist, joins Todd in this fascinating podcast to discuss the ongoing VITAMINS trial, a feasibility study seeking to set the ground...

Michael Toolis is an ICU fellow at St Vincent's Hospital in Melbourne.  He recently published a survey of Australasian intensivists, aimed at exploring the variation in intubation practice, and the need for regional guidelines and refresher training. He joined Todd on the podcast to review the survey, and the current guidelines on managing intubation in critically ill patients. See omnystudio...