Neuro Resus

When is an arrhythmia important? Can you tell, or should you always refer to a cardiologist? What are the best management strategies for common arrhythmias and are there any potential problems to be aware of? What about the "do not miss" diagnoses?     Arrhythmias are common in critically unwell patients, and may represent primary cardiac pathology, or the cardiac response to underlying pathology....

Patients admitted to the intensive care unit (ICU) are at increased risk for cardiac arrhythmias. They may be the reason for admission or resulting from the underlying condition. Treating exacerbating and contributing factors is the first step in management, however in certain cases may not be sufficient. Further the diagnosis of the arrhythmia may difficult from the ECG. An invasive cardiac elect...

The intent of this presentation is to provide an update of coronary assessment and management for the adult intensivist. Discussion points will include:    1. An assessment of coronary severity, using established methods, in particular fractional flow reserve (FFR),    2. Which stent- highlight the evolution of the stent to the current generation and what is evolving,   3. How to keep the stent op...

Debate: Who should care for GUCH? Presenters: Dr Susanna Price & Dr Peta Alexander. Moderator: Dr Bennett Sheridan

GUCH - A growing problem by Dr Susanna Price.

Congenital Heart Disease (CHD) in infants presents as inadequate systemic or pulmonary blood flow, or heart failure from intra-cardiac shunts. Approaches to surgical intervention comprise primary repair, early palliation with subsequent repair or definitive palliation.   CHD palliation evolved in the pre-cardiopulmonary bypass era. In 1938 a patent ductus arteriosus was ligated, in 1944 pulmonary...

Inotropic agents are commonly used in critically ill patients to support myocardia contractility either in the setting of cardiac surgery or ischemia or in the setting of sepsis associated myocardial dysfunction.  The most commonly used agents are beta-agonist drugs (dobutamine), mixed beta and alpha agents (adrenaline and dopamine), phosphodiesterase inhibitors ( inodilators ) such as milrinone o...

Acute heart failure (AHF) is defined as rapid onset of new or worsening signs and symptoms of heart failure. It represents a life-threatening condition requiring treatment for fluid overload and hemodynamic compromise. Presentation may be initial diagnosis with symptoms and signs of AHF or acute decompensation of pre-existing cardiomyopathy. Hemodynamic instability results from disorders of the my...

In  non- cardiac  I CU patients,  the  two  major causes of  acute  myocardial   dysfunction   are sepsis- related   cardiac   depression   (SRCD)  and stress- related   cardiomyopathy , the   most   common   cause   being   the former .  The  main   mechanisms   responsible  for  SRCD   include   release of  cardiac-depressant  substances  such  as  pro- inflammatory  cytokines,  hyporesponsivene...

Ventricular pump function is often compromised during critical illness and for a variety of reasons. The most common cause of a limited cardiac output in acutely ill patients is right ventricular (RV) dysfunction. Exacerbations of chronic obstructive lung disease or the use of high end-expiratory pressure sin acute lung injury to support arterial oxygenation can result in acute elevations of pulmo...

Over 65,000 people are diagnosed with heart failure every year in Australia. Heart failure is implicated in the deaths of 61,000 individuals per year. Although the need for cardiovascular support is common in patients in the Intensive Care Unit (ICU) with about 60% of ventilated patients requiring some form of inotropic or vasopressor support, a primary diagnosis of acute heart failure on admissio...

Shree Basu and Ahmed Osman discuss paediatric traumatic brain injury. They cover initial management, prevention of secondary injury, what is different in paediatrics compared to adults and the latest evidence. From www. IntensiveCareNetwork.com

Shree Basu is joined by Marino Festa to discuss sepsis. They cover epidemiology, challenges in diagnosing sepsis, SEPSIS 3 guidelines and what it means in paediatrics, and some clinical tips on the assessment and management of children with sepsis. Here's a useful article on the prognostic accuracy of age-adapted SOFA, SIRS, PELOD-2, and qSOFA for in-hospital mortality among children with suspecte...

My own experience by Ms Claire Kerr. Ms Kerr is a nurse who also spent significant amounts of time in hospital as an adolescent. Claire outlines her own experience in the hospital system and the things that made a difference for her.

In this episode Shree Basu and Ahmed Osman discuss the shocked neonate - both the initial management when they present and the subsequent PICU management. From IntensiveCareNetwork.com

Prehospital Damage Control Resuscitation by Ann Weaver

In this episode Shree Basu and Ahmed Osman discuss the tricky issues surrounding management of paeds CICU patients with a single ventricle. From IntensiveCareNetwork.com

Shree Basu and Lily Foster are paediatric intensive care trainees. They discuss post operative management in paediatric cardiac intensive care following surgery for congenital heart disease. 

Matt Anstey is an intensivist from Sir Charles Gardener hospital in Perth, Australia. He gave this talk on outcomes after intensive care at an ICN WA meeting in Perth last year.

Shree Basu and Lily Foster are paediatric intensive care trainees. They give an introductory podcast to paediatric cardiac intensive care, covering recognition of congenital heart disease, early and emergency pre-operative management principles, and classification of the most common lesions.

You can't treat pancreatitis without antibiotics by Dr Emma Goeman

A quick interview with Mark & Lee from Developing Emergency Medicine giving some information about the 2018 Developing Emergency Medicine conference in Fiji. The conference will be held ath the InterContinental Fiji Golf Resort & Spa on Nataola Bay, from Monday 3rd December - Thursday 6th December 2018, with the two day ultrasound workshop the weekend prior.

Liver disease in ICU – when to stop? by  Professor Julia Wendon