Adult Sepsis Guidelines
Children's Sepsis Guidelines
Adult ICU Liberation Guidelines
PANDEM Guidelines for Children and Infants
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The SCCM Podcast offers a wide selection of in-depth interviews on adult and pediatric topics.
SCCM Pod-459: Processed EEG Monitoring in the ICU
This podcast educates clinicians on the unfamiliar parameters of processed EEG. Host Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Meghan B. Lane-Fall, MD, MSHP, FCCM, to discuss the benefits of processed EEG for monitoring sedated mechanically ventilated patients and patients undergoing neuromuscular blockade. This podcast is sponsored by Medtronic.
SCCM Pod-458 CCM: Association of Catecholamine in Patients With Septic Shock
Catecholamine is used in patients with septic shock to augment hemodynamics and achieve goal mean arterial pressure. Ludwig H. Lin, MD, is joined by Gretchen L. Sacha BCCCP, PharmD, to discuss this retrospective observational study to evaluate the associations of catecholamine dose, lactate concentration, and timing from shock onset at vasopressin initiation with in-hospital mortality. This podcast is sponsored by Sound Physicians.
Category: CCM Podcast
SCCM Pod-457 CCM: Increased Incidence of Ventilator-Acquired Pneumonia in COVID-19 Patients
Little is known about the epidemiology of ventilator-acquired pneumonia among COVID-19 patients. Ashish K. Khanna, MD, FCCP, FCCM, is joined by Charles-Hervé Vacheron, MD, to discuss a cohort exposed/nonexposed study that found a higher incidence of ventilator-associated pneumonia among COVID-19 patients compared with the general population.
SCCM Pod-456 PCCM: Effects of Excessive Oxygen Supplementation
This podcast will examine a retrospective, observational cohort study that found an association between excessive oxygen supplementation in the first day of mechanical ventilation with multiple organ dysfunction syndrome on day 7 of admission and in-hospital mortality in critically ill children. Host Elizabeth H. Mack, MD, MS, FCCM, is joined by L. Nelson Sanchez-Pinto, MD, MBI, to discuss the study’s findings. (Sanchez-Pinto LN, et al. Pediatr Crit Care Med. 2022;23:89-98). Dr. Sanchez-Pinto is a pediatric critical care physician, data scientist, clinical informaticist, and healthcare technologist at the Ann and Robert H. Lurie Children's Hospital in Chicago, IL.
Category: PCCM Podcast
SCCM Pod-455 Introduction to Molecular Adsorbent Recirculating System Albumin Dialysis
This podcast will describe the principle of albumin dialysis of the molecular adsorbent recirculating system (MARS) and discuss the logistics of starting a MARS program to outline indications for MARS.
SCCM Pod-454 PCCM: PANDEM Guidelines
The PANDEM guidelines evaluate current practices and provide recommendations for management of pain, agitation, iatrogenic withdrawal, neuromuscular blockade, delirium, ICU environment, and early mobility in critically ill infants and children. Host Margaret M. Parker, MD, MCCM, is joined by Heidi A. B. Smith, MD, MSCI, FAAP, to discuss the guidelines.
SCCM Pod-453 Extracorporeal Blood Purification
Because COVID-19 can create a status of systemic inflammation, which can affect multiple organs, including the kidneys, the adjuvant therapy of blood purification has gained some recognition.
Category: COVID-19 Podcast
SCCM Pod-452 CCM: Racial Disparities in ICU Outcome
In this podcast, host Kyle B. Enfield, MD, FSHEA, FCCM, is joined by Samuel K. McGowan, MD, to discuss a systematic review that found significant differences in care and outcomes, including mortality rates, among intensive care unit (ICU) patients of different races.
SCCM Pod-451 PCCM: A Hard Learned Lesson on What It's Like to Be a Patient
In the ICU, medical staff do all they can to assist patients and get them back to health as quickly as possible. In the process of saving lives, bedside manner and communication may suffer.
SCCM Pod-450 Surviving Sepsis Campaign: Long-Term Goals of Care
Since the publication of the Surviving Sepsis Campaign guidelines, the focus has been on sepsis management, early identification, and treatment.
SCCM Pod-449 Family Nurse Practitioners in the ICU
Family nurse practitioners (FNP) who do not have acute care certification may be recruited to work in ICUs. But when the FNP moves to another institution, ICU experience may not be considered an adequate qualification. This podcast discusses the difficulties of FNPs who need acute care certification to work in ICUs.
SCCM Pod-448 Noninvasive Respiratory Support: Opinion- or Evidence-Based Medicine?
When should clinicians intubate preterm infants? This podcast discusses strategies that optimize noninvasive ventilation and when such strategies are appropriate.
SCCM Pod-447 eSIMPLER: A Dynamic, Electronic Health Record–Integrated Checklist
Host Margaret M. Parker, MD, MCCM is joined by Alon Geva, MD, MPH, to discuss how the implementation of eSIMPLER provided clinical decision support prompts with display of relevant data automatically pulled from the electronic health record and improved certain care processes.
SCCM Pod-446 Comparison of Bivalirudin Versus Heparin
This podcast will be a comparative analysis of conventional heparin- versus bivalirudin-based systemic anticoagulation in adult and pediatric patients supported on ECMO.
SCCM Pod-445 The Association of Workload and Outcomes in the Pediatric Cardiac ICU
Host Elizabeth Mack, MD, MS, FCCM, is joined by Michael Fundora, MD, FAAP, to discuss if the hypothesized frontline clinician workload, measured by bed occupancy and staffing, is associated with poor outcomes and unnecessary testing.
SCCM Pod-444 HF20 Filter Set for CRRT in Low Weight Patients
This podcast discusses patients who develop acute kidney injury (AKI) and how AKI is independently associated with mortality in critically ill infants, neonates, and larger children. Host Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Stuart Goldstein, MD, to discuss the HF20 study, including its end points and the clinical gaps the study addresses.
SCCM Pod-443 How the Pneumonia Panel Aids in Antimicrobial Stewardship and in the Fight Against COVID-19
BioFire® FilmArray® is the latest in technologies for rapidly identifying pathogens that cause Lower Respiratory Tract Infections (LRTI). Host Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Tufik Assad M.D., M.S.C.I. to discuss how this technology can be integrated into clinical care to improve patient outcomes, describe the benefits in diagnosing bacterial secondary infections in patients with COVID-19 and summarize the benefits of Pneumonia (PN) Panel in the fight against Antimicrobial Resistance.
SCCM Pod-442 Continuous Prediction of Mortality in the PICU: A Recurrent Neural Network Model in a Single-Center Dataset
As a proof of concept, a recurrent neural network (RNN) model was developed using electronic medical record (EMR) data capable of continuously assessing a child’s risk of mortality throughout an ICU stay as a proxy measure of illness severity. Host Margaret M. Parker, MD, MCCM, is joined by Melissa D. Aczon, PhD, to discuss how the RNN model can process hundreds of input variables contained in a patient’s EMR and integrate them dynamically as measurements become available.
SCCM Pod-441 Connections Between COVID-19, Sepsis, and Fluid Management
Learn about the importance of utilizing dynamic assessments of fluid responsiveness to guide treatment in patients with viral sepsis, including COVID-19, and understand how they can be used to help improve patient outcomes in sepsis patients. Host Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Patrick Troy, MD, to discuss how only 50% of hemodynamically unstable patients are fluid responsive and that the same treatment paradigm in fluid management applies to both viral sepsis and COVID-19 patients.
SCCM Pod-440 Optimal Sedation in Patients Who Receive Neuromuscular Blocking Agent Infusions for Treatment of ARDS
Two previously published trials presented equivocal evidence on the effect of neuromuscular blocking agent infusions in patients with acute respiratory distress syndrome. Host Kyle B. Enfield, MD, FCCM, is joined by Matthias Eikermann, MD, to discuss the different sedation regimens between these two trials, different regimens within the ROSE trial between treatment and control groups, and the hypothesis that the proportion of deeper sedation is a mediator of the effect of neuromuscular blocking agent infusions on mortality.