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The SCCM Podcast offers a wide selection of in-depth interviews on adult and pediatric topics.
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.
Published: 9/27/2021
Category: Other
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.
Published: 9/3/2021
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.
Published: 9/2/2021
Category: PCCM Podcast
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.
Published: 9/1/2021
Category: COVID-19 Podcast
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.
Published: 8/31/2021
Category: CCM Podcast
SCCM Pod-439 The Association Between Antibiotic Delay and Hospital Mortality
Explore the correlation between antibiotic delay and hospital mortality in patients with sepsis in this podcast.
Published: 7/11/2021
SCCM Pod-438 Patient-Ventilator Dyssynchronies and Their Mechanisms
Explore the different mechanisms of the various patient-ventilator dyssynchronies and how to detect these dyssynchronies and evaluate their possible impact on patient-centered outcomes in this podcast.
Published: 5/17/2021
SCCM Pod-437 Enteral Feeding Intolerance in the Mechanically Ventilated Critically Ill
Enteral feed intolerance occurs frequently during enteral nutrition delivery in the critically ill and is associated with lower enteral nutrition delivery and worse clinical outcomes. Host Ludwig H. Lin, MD, is joined by Daren K. Heyland, MD, MSc, FRCPC,to explore this topic.
Published: 5/11/2021
SCCM Pod-436 Interventions to Reduce Patient and Clinician COVID-19 Risk
Extubation is a high-risk endeavor in some COVID-19 patients. Host Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Joshua H. Atkins, MD, PhD; Christopher Rassekh, MD; and Ara Chalian, MD, to discuss this topic.
Published: 5/3/2021
SCCM Pod-435 Intracranial and Cerebral Perfusion Pressure Thresholds Associated with In-Hospital Mortality Across Pediatric Neurocritical Care
Targets for treatment of raised intracranial pressure or decreased cerebral perfusion pressure in pediatric neurocritical care are not well defined. Host Margaret Parker, MD, MCCM, is joined by Alicia K. Au, MD, MS, to discuss this topic.
Published: 4/28/2021
SCCM Pod-434 Tracheostomy Adaptation for COVID-19 Patients
COVID-19 complicated critical care clinicians’ decision-making with regard to tracheostomy. ICU resource constraints and risk of staff exposure during an aerosol-generating procedure necessitated rapid adaption of clinical practice in the setting of many unknowns.
Published: 4/12/2021
SCCM Pod-433 Choosing Wisely for Critical Care: The Next Five
Five new recommendations to reduce waste and enhance value in the practice of critical care address invasive devices, proactive liberation from mechanical ventilation, antibiotic stewardship, early mobilization, and providing goal-concordant care.
Published: 4/7/2021
SCCM Pod-432 Citrate and Continuous Renal Replacement Therapy
With widespread utilization of continuous renal replacement therapy, its critical to know about how citrate may have a role. Review its role in the anticoagulation process and how it can decrease the likelihood of adverse events and ease clinician workload in this podcast.
Published: 3/10/2021
SCCM Pod-431 Hypertonic Saline in Children with Raised Intracranial Pressure
Mannitol is a commonly used osmotherapy agent in raised intracranial pressure (ICP) but the side effects are significant. An alternative therapy, hypertonic saline, has shown varied results.
Published: 1/22/2021
SCCM Pod-430 Optimal Bundle of Management for Cardiac Arrest
Sudden cardiac arrest remains a leading cause of premature death worldwide and survival with favorable neurologic function is less than 10%. Review a practical, attainable roadmap for enhancing the likelihood of neurologically intact survival in this podcast.
Published: 12/10/2020
SCCM Pod-429 Drug Dosing Considerations in AKI and RRT
Continuous renal replacement therapy (CRRT) is complex, and dosing varies among institutions. Review dosing regimens, utilization in COVID-19 patients, and more in this podcast.
Published: 12/2/2020
SCCM Pod-428 Endotracheal Tube Size and Aspiration
Each year, approximately 790,000 patients in the United States develop acute respiratory failure that requires intubation and mechanical ventilation. This podcast explores the association between endotracheal tube size and aspiration in acute respiratory failure survivors.
Published: 11/19/2020
SCCM Pod-427 Severe COVID-19 and Sepsis
Severe COVID-19 infection can be a form of viral sepsis with occasionally concomitant bacterial infection. Explore the definition of sepsis and overlap with case descriptions of patients with severe COVID-19, treatment, and more.
Published: 11/10/2020
SCCM Pod-426 CRRT in the ICU From a Nursing Perspective
Continuous renal replacement therapy (CRRT) requires considerable involvement from the bedside nurse. Explore when to start CRRT, the nursing role, and other considerations and challenges in this podcast.
Published: 10/22/2020
SCCM Pod-425 Outcomes in Cystic Fibrosis PICU Admissions
Cystic fibrosis patient care has advanced greatly in recent years and the mortality rate has improved. Explore PICU mortality and the factors associated with death among critically ill children with cystic fibrosis in this iCritical Care podcast.
Published: 10/15/2020