Gator PICU Podcast

Christina

General Pediatric ICU Nursing TopicsKline-Tilford, A. M., & Haut, C. (2020). Cases in pediatric acute care: Strengthening clinical decision making. Wiley-Blackwell.PICU Essentials on the App Store (apple.com)PICU Essentials - Apps on Google Play

  1. DEC 10

    How Personalized mRNA Teaches A Child’s Immune System To Fight Cancer

    Send us a text What if a child’s own tumor could teach their immune system how to fight back? We sit down with Dr. Liggon from the University of Florida to unpack a first‑in‑kids, personalized mRNA lipid nanoparticle therapy designed for high‑grade glioma and osteosarcoma. Instead of chasing a single target, this approach isolates mRNA directly from each patient’s tumor and packages it into lipid nanoparticles, training the immune system against a wide range of cancer proteins. That personalization is the point: every dose is built for one child, aiming to overcome the limits of one‑size‑fits‑all immunotherapy. We walk through the basket trial design and why starting with these two cancers matters, especially when relapse rates are high and outcomes are poor. Dr. Liggon shares early adult data from glioblastoma patients showing rapid immune activation within hours—fevers, chills, and transient hypotension—signs that the therapy is doing its job without dose‑limiting toxicities. We also get practical: the six‑week manufacturing timeline from tumor to vaccine, the use of radiation or a non‑specific priming LNP to bridge that gap, and how the team measures pharmacodynamic markers at two and six hours to understand dose response over repeated treatments. Collaboration is the backbone of this work. Our PICU team partners closely with oncology and immunotherapy colleagues to deliver infusions safely, manage inflammatory side effects, and collect the data that will refine dosing and duration. Behind the scenes, a funding story comes to life: local seed backing from Stop Children’s Cancer of Gainesville sparked momentum that grew into support from the V Foundation, National Pediatric Cancer Foundation, Alex’s Lemonade Stand Foundation, and the National Cancer Institute. Looking forward, the plan is to expand this platform to medulloblastoma, DIPG, Ewing sarcoma, and rhabdomyosarcoma as phase one findings guide the next steps. Tune in to hear how personalized mRNA can move from lab to bedside, what signals we’re tracking, and where this platform could go next. If this resonates, follow the show, share it with a colleague, and leave a review with the questions you want us to ask in future updates. Please take the survey using the link below: https://ufl.qualtrics.com/jfe/form/SV_8whTtydadAMpx7o References: Kline-Tilford, A. M., & Haut, C. (2020). Cases in pediatric acute care: Strengthening clinical decision making. Wiley-Blackwell. Additional Resources: PICU Essentials on the App Store (apple.com) PICU Essentials - Apps on Google Play

    35 min
  2. SEP 2

    Oral Care in the ICU

    Send us a text This podcast highlights the importance of oral care in the ICU. CDC (2020). Ventilator-Associated Event (VAE) Surveillance Manual. https://www.cdc.gov/nhsn/pdfs/pscmanual/10-vae_final.pdf Imai, K., Iinuma, T., & Sato, S. (2021). Relationship between the oral cavity and respiratory diseases: Aspiration of oral bacteria possibly contributes to the progression of lower airway inflammation. The Japanese Dental Science Review, 57, 224–230. https://ddec1-0-en-ctp.trendmicro.com:443/wis/clicktime/v1/query?url=https%3a%2f%2fdoi.org%2f10.1016%2fj.jdsr.2021.10.003&umid=c9d01824-5246-4959-a2d9-e800f20fcd10&rct=1756489460&auth=97fad1ab76126251d3eed843752929f8915193a6-8b0c33aa44bd060ab3435662fa8cda3f7d379545 Takahama, A., Jr, de Sousa, V. I., Tanaka, E. E., Ono, E., Ito, F. A. N., Costa, P. P., Pedriali, M. B. B. P., de Lima, H. G., Fornazieri, M. A., Correia, L. S., Cardoso, L. T. Q., & de Maio Carrilho, C. M. D. (2021). Analysis of oral risk factors for ventilator-associated pneumonia in critically ill patients. Clinical oral investigations, 25(3), 1217–1222. https://ddec1-0-en-ctp.trendmicro.com:443/wis/clicktime/v1/query?url=https%3a%2f%2fdoi.org%2f10.1007%2fs00784%2d020%2d03426%2dx&umid=c9d01824-5246-4959-a2d9-e800f20fcd10&rct=1756489460&auth=97fad1ab76126251d3eed843752929f8915193a6-c36d50ca1a740dc3bff1fffe2ec84a3178ac6d36 Please take the survey using the link below: https://ufl.qualtrics.com/jfe/form/SV_8whTtydadAMpx7o References: Kline-Tilford, A. M., & Haut, C. (2020). Cases in pediatric acute care: Strengthening clinical decision making. Wiley-Blackwell. Additional Resources: PICU Essentials on the App Store (apple.com) PICU Essentials - Apps on Google Play

    7 min

Ratings & Reviews

5
out of 5
4 Ratings

About

General Pediatric ICU Nursing TopicsKline-Tilford, A. M., & Haut, C. (2020). Cases in pediatric acute care: Strengthening clinical decision making. Wiley-Blackwell.PICU Essentials on the App Store (apple.com)PICU Essentials - Apps on Google Play