|SCCM Pod-342 Clinician Pro/Con: Paralysis and Proning in ARDS
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. Dr. Marini served as moderator for this session and is Professor of Medicine at the University of Minnesota and Director of Research at Regions Hospital in Saint Paul, Minnesota. In this interview, Dr. Marini reflects on the use of neuromuscular blockers and prone position in ARDS. View the Congress session at http://bit.ly/2s0Kk5j. Released 6/22/17
SCCM Pod-VCCR7 The Basics of Veno-Arterial and Veno-Venous ECMO and the Indications of ECMO Therapy
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. Dr. Cohen is the medical director of Advocate Condell's Adult ECMO Program. He is co-medical director of Advocate Condell's Intensive Care Unit and medical director of the medical center's Pulmonary Rehabilitation Program in Libertyville, Illinois.
SCCM Pod-VCCR6 Vasopressor Selection in Septic Shock
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. Dr. Benken is a clinical pharmacist in the medical and cardiothoracic surgery ICU at the University of Illinois Hospital & Health Sciences System in Chicago, Illinois.
SCCM Pod-VCCR5 Rumack-Matthew Nomogram and Acetaminophen Toxicity
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. Dr. Awad is an emergency medicine pharmacist at Robert Wood Johnson University Hospital in New Brunswick, New Jersey and an Associate Editor of Emergency Medicine PharmD blog. References mentioned in this episode are available at http://empharmd.blogspot.com
SCCM Pod-341 Reflections on the ICU Liberation ABCDEF Bundle Improvement Collaborative
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 importance of the interprofessional care model, as well as successes, challenges, and barriers to bundle implementation. Dr. Pun is the Project Clinical Manager at Vanderbilt University Medical Center in Nashville, Tennessee. She was a member of the ICU Liberation Moore Foundation Steering Committee and played an instrumental role in the development of the REDCap database that was used for quality improvement for the ICU Liberation Campaign. Dr. Pun served as a mentor and coach to her own team as well as others in the Collaborative. Her disclosures note that she is also an AACN speaker. Visit iculiberation.org for additional information. Released 5/18/17
SCCM Pod-VCCR4 Common Sedatives and Paralytics for Rapid Sequence Intubation
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. Dr. Muench (known to his listeners as "Pharmacy Joe") is the host of The Elective Rotation: A Critical Care Pharmacy Podcast and author of A Pharmacist's Guide to Inpatient Medical Emergencies. You can find the references mentioned in this episode at http://pharmacyjoe.com/VCCR
SCCM Pod-VCCR3 Activated Charcoal in the Overdose Patient
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. Dr. Paloucek is a clinical professor and the PGY1 residency director at the University of Illinois at Chicago College of Pharmacy, a fellow of the American Academy of Clinical Toxicology, co-author of the Poisoning and Toxicology Handbook, and an attending with the Toxikon Consortium.
SCCM Pod-340 Interview with Lifetime Achievement Award Winner Patrick Kochanek
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.” Dr. Kochanek was also named this year’s Lifetime Achievement Award winner. In addition to highlights from his session, Dr. Kochanek discusses his background, experiences as Editor-in-Chief of Pediatric Critical Care Medicine, and the future of critical care. Dr. Kochanek is Director of the Safar Center for Resuscitation Research and Professor of Anesthesiology, Pediatrics, Bioengineering, and Clinical Translational Science at the University of Pittsburgh School of Medicine in Pittsburgh, Pennsylvania. He has no relevant disclosures. Released: 5/4/17
SCCM Pod-VCCR2 New Onset Atrial Fibrillation in Septic Shock
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. Dr. Lat is the associate director of clinical pharmacy services and a clinical pharmacist specialist in Critical Care at Rush University Medical Center in Chicago, Illinois.
SCCM Pod-VCCR1 Treatment Approaches for ACE Inhibitor-Induced Angioedema
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. Dr. Cocchio is an Emergency Medicine Clinical Pharmacist at Trinity Mother Frances Hospital in Tyler, Texas and the Editor-in-Chief of the Emergency Medicine PharmD blog. References mentioned in this episode are available at http://empharmd.blogspot.com