SCCM Podcast

Margaret Parker, MD, MCCM, speaks with Chani Traube, MD, about the article, Delirium in Critically Ill Children: An International Point Prevalence Study, published in the April 2017 issue of Critical Care Medicine.

Margaret Parker, MD, MCCM, speaks Mark Duffett, PhD, about the article, High-Quality Randomized Controlled Trials in Pediatric Critical Care: A Survey of Barriers and Facilitators, published in the May 2017 issue of Pediatric Critical Care Medicine.

Todd Fraser, MD, speaks with Christopher W. Seymour, MD, MSc, about the article, Delays From First Medical Contact to Antibiotic Administration for Sepsis, published in Critical Care Medicine.

Margaret Parker, MD, MCCM, speaks with Ericka L. Fink, MD, MS, about the PANGEA study (Prevalence of Acute Critical Neurological Disease in Children: A Global Epidemiological Assessment), published in the April 2017 issue of Pediatric Critical Care Medicine.

Sean P. Kane, PharmD, BCPS, speaks with Joshua Trob, MD about continuous renal replacement therapy. In the episode, the indications, timing of initiation, and intensity of renal replacement therapy are discussed.

Todd Fraser, MD, speaks with Jenny Tcharmtchi, BSN, RN, CCRN, about the article, "Family Experience in the PICU," published in Critical Connections, the Society of Critical Care Medicine's newsletter.

Dr. Ludwig Lin, MD, speaks with Christina Jones, PhD, RN, about the ICU Patient Diary Network. Dr. Jones discusses the widespread adoption of ICU diaries in the United Kingdom, various models that institutions are using, and the overall positive impact that implementation has had on patients, families, and providers.

Sean P. Kane, PharmD, BCPS, speaks with Karen Berger, PharmD, BCPS, BCCCP about refractory status epilepticus. In the episode, the use of continuous sedatives is discussed for refractory epilepticus with a focus on the novel use of ketamine in super-refractory status epilepticus patients.

Margaret Parker, MD, MCCM, speaks with John J. Marini, MD, about the Congress session Clinician Pro/Con: Paralysis and Proning in ARDS, which was presented at the 45th Critical Care Congress in Orlando, Florida.

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.

Sean P. Kane, PharmD, BCPS, speaks with Scott T. Benken, PharmD, BCPS-AQ Cardiology about vasopressor selection in septic shock. In the episode, each vasopressor agent is discussed individually regarding its receptor profile, adverse effect profile, and the comparative clinical evidence supporting its use in this patient population.

Sean P. Kane, PharmD, BCPS, speaks with Nadia Awad, PharmD, BCPS about Rumack-Matthew nomogram and acetaminophen toxicity. In the episode, the toxidrome of acetaminophen overdose is outlined and the nuances (including clinical practice pearls) are discussed regarding the nomogram used to decide whether N-acetylcysteine is warranted for acetaminophen toxicity.

Ludwig Lin, MD, speaks with Brenda Pun, DNP, RN, ACNP, about the ICU Liberation ABCDEF Bundle Improvement Collaborative. Dr. Pun reflects upon Collaborative work, including origins and logistics of the project, team training and resource-sharing, and the importance of the interprofessional care model, as well as successes, challenges, and barriers to bundle implementation.

Sean P. Kane, PharmD, BCPS, speaks with Joseph Muench, PharmD, BCPS about airway pharmacology. In the episode, the most common sedatives and paralytics for rapid sequence intubation are discussed, including concepts regarding dosing, adverse effects, onset and duration of effect, and clinical pearls.

Sean P. Kane, PharmD, BCPS, speaks with Frank Paloucek, PharmD, DABAT about the use of activated charcoal in the overdose patient. In the episode, nuances of activated charcoal including dosing, dosage forms, administration, and efficacy are discussed.

Ranjit Deshpande, MD, speaks with Patrick Kochanek, MD, MCCM, about his plenary talk at the 46th Critical Care Congress in Honolulu, Hawaii, entitled The Brain and Hypothermia: From Aristotle to Targeted Temperature Management, the Good Stuff Keeps Coming Back.

Sean P. Kane, PharmD, BCPS, speaks with Ishaq Lat, PharmD, about new onset atrial fibrillation in septic shock. In the epsiode, the issue of rate versus rhythm control is discussed as well as the need for anticoagulation among this patient population.

Sean P. Kane, PharmD, BCPS, speaks with Craig Cocchio, PharmD, BCPS, about angiotensin-converting enzyme (ACE) inhibitor-induced angioedema. In the episode, a variety of treatment approaches for ACE inhibitor-induced angioedema are discussed, including fresh frozen plasma, ecallantide, icatibant, and conventional therapies for undifferentiated angioedema.

Stressful decision making often falls to family members because most patients in the ICU are too ill to participate in decisions. Ranjit Deshpande, MD, speaks with Judy E. Davidson, DNP, RN, FAAN, FCCM, and J. Randall Curtis MD, MPH, about the Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU.

Dr. Ludwig Lin, MD, speaks with John C. Marshall, MD, FRCSC, FACS, about his talk given at the 46th Critical Care Congress in Honolulu, Hawaii on, Building Global Collaboration in Acute Care Research.

Dr. Todd Fraser, MD, speaks with Michael J. Murray, MD, PhD, FCCM, FCCP, about the article, Clinical Practice Guidelines for Sustained Neuromuscular Blockade in the Adult Critically Ill Patient, published in Critical Care Medicine.

Ludwig Lin, MD, speaks with Mitchell M. Levy, MD, MCCM, about the release of the Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016, presented at the 46th Critical Care Congress in Honolulu, Hawaii.

Ludwig Lin, MD, speaks with Ruth M. Kleinpell, PhD, RN, FAAN, FCCM. Dr. Kleinpell is Director at the Center for Clinical Research and Scholarship and Professor in the College of Nursing at Rush University in Chicago, Illinois.

Margaret Parker, MD, MCCM, speaks with Lakhmir S. Chawla, MD, about future research related to the Congress session: Bench-Pressing in the ICU: Which Vasopressor Agent Should I Choose for My Patient? which he presented at the 45th Critical Care Congress in Orlando, Florida.

Margaret Parker, MD, MCCM, speaks with David B. Kantor, MD, PhD, about the article, Ultrasound Guidance and Other Determinants of Successful Peripheral Artery Catheterization in Critically Ill Children, published in the December 2016 issue of Pediatric Critical Care Medicine.