Pediatrica intensiva: Art & Science of Pediatric Critical Care

Pediatrica Intensiva
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Pediatrica intensiva: Art & Science of Pediatric Critical Care

Bridging the gap between literature and practice in pediatric intensive care. Featuring guests from around the world and pediatric intensive care specialists Greg Kelly (Westmead Children's Hospital Sydney), Peta Alexander (Boston Children's Hospital), Karen Choong (McMaster Children's Hospital Canada) and Mike Clifford (Royal Children's Hospital Melbourne) Pediatrica intensiva won’t tell you the answers, because no one knows what they are, but we can give you a chance to hear respected experts talk about what they actually do with some of the toughest problems in our field. Rather than having short episodes on a topic, we have whole seasons. And that gives us the chance to go deep. We really hope that you find it helpful - please listen and subscribe to Pediatrica intensiva wherever you listen to podcasts and follow us on iTunes and Twitter (https://twitter.com/PedsIntensiva), share with your friends and reach out with any feedback, requests or comments. Of course, information in the podcast is not meant to replace the advice of a health professional and is in no way a substitute for the relationship between a patient and his/her/their own physician

  1. Airways That Scare Me - Respiratory Instability w Robi Khemani

    11 JUL

    Airways That Scare Me - Respiratory Instability w Robi Khemani

    This season is  about airway management or airways that scare me and this episode, we discuss the respiratory unstable patient or the patient who's a "physiologically difficult airway" because they have bad lungs. We were incredibly lucky to have the amazing Robi Khemani from CHLA, a world expert on respiratory disorders in #pedsICU, join us and be able to share his thoughts. It's not just about putting the tube in, it's about that whole high risk period of peri intubation. And with better drugs and devices we've opened a big space between low flow oxygen and invasive ventilation which makes decision making trickier. Here we focus on that difficult decision making and the patients that really scare us. If you haven't heard it yet, our previous episode on team, environment, and equipment is very relevant here. Featuring special guest Robinder Khemani from Children's Hospital LA and regular hosts @drpetaalexander @BostonChildrens @drgregkelly @SCHNkids and @Karen_Choong @MCH_childrens No time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter @pedsintensiva and our website here https://pedsintensiva.com

    55 min
  2. Complex Airway Surgery - Airways That Scare Me

    5 FEB

    Complex Airway Surgery - Airways That Scare Me

    Children with complex airway surgery are airways that truly scare us. Though a small number of patients in pedsICU, they can stay a long time and are at risk of death and morbidity from their underlying conditions, co-existing conditions, their treatment and ICU acquired problems. Managing these patients requires a high level of understanding, communication and teamwork between ENT/ORL, ICU, anesthesia, cardiothoracic surgery and numerous other teams. We're going to cover the working up and investigation of patients transfers. The kind of conditions that are treated ranging from severe stenoses to severe malacias.  What the surgeons actually do what they want us to know and how it can best work together between ICU and surgical team.  We're also going to cover how we maintain these patients in the ICU, how we progress them, forwards, how we investigate problems and how we get the next debated and keep them safe. Featuring special guests ORL surgeon and innovator David Zopf and Ryan Barbaro from University of Michigan and regular hosts @drpetaalexander @BostonChildrens  @drgregkelly @SCHNkids and Mike Clifford @RCH No time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter @pedsintensiva and our website here https://pedsintensiva.com

    59 min
  3. Airways That Scare Me - Shock Part 2

    11/10/2023

    Airways That Scare Me - Shock Part 2

    Airway Management remains the single highest risk time for our patients in pedsICU & pedsCICU. We've known about problems for long time, but finally gaining attention, new ways of thinking & new ways to use drugs & devices- there's a lot more gray then there used to be. We'll discuss resuscitation and airway management in child with cardiac disease or hemodynamic instability, introduce the concept of the resus spiral staircase and talk about how you can optimize your team, respiratory support and hemodynamics. We cover delayed sequence intubation and that not every patient needs a tube and not every patient needs a tube right now. With better drugs and devices like dexmedetomidine and non-invasive, we've actually opened up a big zone between no support and invasive ventilation. We'll discuss ECMO standby when, how, who, and then finally de-resuscitation and extubation or separation from support. This was a really big episode, so we've split it into two. The first half covered the resus spiral, team management, equipment & environment. In this second episode, we will go into respiratory and hemodynamic support, rescue strategies, including ECMO and finally extubation. Featuring regular hosts @drpetaalexander @BostonChildrens @karen_choong @MCH-childrens @drgregkelly @SCHNkids No time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter @pedsintensiva and our website here https://pedsintensiva.com

    48 min
  4. Challenging Scenarios in Pediatric ECMO with Peds Intensiva, PCICS and PediECMO

    30/06/2023

    Challenging Scenarios in Pediatric ECMO with Peds Intensiva, PCICS and PediECMO

    What are the pediatric #ECMO scenarios that even experts struggle with? "Challenging Pediatric ECMO Scenarios" Special Collaboration w @PCICS @ECMOPedi and @PedsIntensiva 3 cases covering what our expert hosts and panelists all decided were three of the HARDEST scenarios to deal with: 1. VA ECMO for respiratory support; 2. L heart decompression on VA ECMO &; 3. "Inadequate" VV ECMO support Feat. international experts @drpetaalexander @deanna_md @ETEmrath @DrGregKelly @JFurlongDillard @ozmen001 and Dr Ariane Willems As usual, the audio content will be released as a tweet thread that you can find and comment on - here is the link Pedsintensiva.com

    48 min
  5. Airways That Scare Me in #pedsICU - Shock Part 1

    07/06/2023

    Airways That Scare Me in #pedsICU - Shock Part 1

    Airway management remains the single highest risk time for our patients in pediatric ICU. We've known about these problems for a long time, but they're finally gaining the attention they deserve with registry projects and multicenter studies, new ways of thinking that move away from old dogmas and new ways to use our drugs and devices. One of the groups with the highest rates of peri intubation cardiac arrest is the child with cardiac disease or hemodynamic instability. Recent studies show extraordinary rates of peri intubation cardiac arrest as high as four to 15% in the 30 minute peri-intubation window. We'll discuss resuscitation and airway management in child with cardiac disease or hemodynamic instability, introduce the concept of the resus spiral staircase and talk about how you can optimize your team, respiratory support and hemodynamics. We cover delayed sequence intubation and that not every patient needs a tube and not every patient needs a tube right now. With better drugs and devices like dexmedetomidine and non-invasive, we've actually opened up a big zone between no support and invasive ventilation. We'll discuss ECMO standby when, how, who, and then finally de-resuscitation and extubation or separation from support. This is a really big episode, so we've split it into two. This first half covers the resus spiral, team management and monitoring. And in the second episode, we will go into respiratory and hemodynamic support, rescue strategies, including ECMO and finally extubation. Featuring regular hosts @drpetaalexander @BostonChildrens @karen_choong @MCH-childrens @drgregkelly @SCHNkidsNo time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter @pedsintensiva and our website here https://pedsintensiva.com

    48 min
  6. Culture & Practice Change for #pedsICU based rehabilitation

    23/02/2023

    Culture & Practice Change for #pedsICU based rehabilitation

    Culture and Practice Change are a vital element to implement ICU based rehabilitation in the pediatric ICU - because even when we know what to do it can be really hard to get our large and diverse teams on board and manage resource limitations, change fatigue and differing views. Here, experts from around the world discuss how they implemented change in their units - using everything from quality science to gossip and merchandise! Invited guests are Dr Brianna McKelvie from @CHEO, an intensivist with a masters degree in quality science, Dr Matteo DiNardo from Bambino Gesu, who has implemented QI projects in Italy and in low resource settings and Dr Mirjana Cvetkovic @mirjanaxxx @GreatOrmondStreet a cardiac intensivist and anesthetist who has driven change at GOS. Featuring regular hosts @drpetaalexander @BostonChildrens @karen_choong @MCH-childrens @drgregkelly @SCHNkids No time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter @pedsintensiva and our website here https://pedsintensiva.com/culture-practice-change-in-picu-based-rehabilitation/

    1h 20m
  7. Long term & technology dependent #pedsICU patients feat. Rob Graham

    04/08/2022

    Long term & technology dependent #pedsICU patients feat. Rob Graham

    Long term & technology dependent aka "chronic critically ill" #pedsICU patients with Dr Rob Graham @BostonChildrens @karen_choong @drgregkelly @drpetaalexander Our #ICUrehab season focussed on preventing PICU morbidities & improving recovery. Our successes in #pedsICU mean that most kids survive & we increasingly see survivors with chronic complex conditions, either in ICU or frequently readmitted. They are still a relatively small population but use a huge proportion of our bed days and are a population with unique risks & needs. Dr Rob Graham established the home ventilation program at Boston Children's and has deep expertise on these patients. #ICUrehab #ICUSurvivorship No time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter @pedsintensiva and our website here https://pedsintensiva.com/long-term-technology-dependent-aka-chronic-critically-ill-pedsicu-patients-feat-dr-rob-graham/

    1h 12m
  8. Post Intensive Care Syndrome in #pedsICU (PICS-p) feat. Joseph Manning

    30/05/2022

    Post Intensive Care Syndrome in #pedsICU (PICS-p) feat. Joseph Manning

    There is a growing awareness of the broad range of problems that patients and their families can face after a stay in the #pedsICU which is now known as Post Intensive Care Syndrome - pediatrics Nurse researcher and clinician Joseph Manning developed the PICS-p framework and has deep experience in following up these patients and families after they leave the ICU Pediatrica Intensiva season 3 is guest edited by Professor Karen Choong from McMaster University in Hamilton, Canada and co hosted by Drs Greg Kelly (Sydney Children's Hospital Network), Peta Alexander (Boston Children's Hospital) and Mike Clifford (Royal Children's Hospital Melbourne) No time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter https://twitter.com/PedsIntensiva and our website here https://pedsintensiva.com/post-intensive-care-syndrome-in-pedsicu-pics-p-with-nurse-researcher-joseph-manning-mbe-rn/

    1h 14m
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About

Bridging the gap between literature and practice in pediatric intensive care. Featuring guests from around the world and pediatric intensive care specialists Greg Kelly (Westmead Children's Hospital Sydney), Peta Alexander (Boston Children's Hospital), Karen Choong (McMaster Children's Hospital Canada) and Mike Clifford (Royal Children's Hospital Melbourne) Pediatrica intensiva won’t tell you the answers, because no one knows what they are, but we can give you a chance to hear respected experts talk about what they actually do with some of the toughest problems in our field. Rather than having short episodes on a topic, we have whole seasons. And that gives us the chance to go deep. We really hope that you find it helpful - please listen and subscribe to Pediatrica intensiva wherever you listen to podcasts and follow us on iTunes and Twitter (https://twitter.com/PedsIntensiva), share with your friends and reach out with any feedback, requests or comments. Of course, information in the podcast is not meant to replace the advice of a health professional and is in no way a substitute for the relationship between a patient and his/her/their own physician

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