PedsCrit
PedsCrit
Welcome to PedsCrit! We are a collaborative educational PICU podcast working with pediatric critical care educators around the world to create high-yield podcast episodes on core PICU topics. Find us at PedsCrit.com, or reach us via email at PedsCritPodcast@gmail.com. We hope you enjoy! No financial conflicts of interest. Each clinical episode is made in coordination with a pediatric intensivist or guest that is a clinical or scholarly leader on the topic being discussed. Podcasts do not receive formal peer review prior to publication but quality and accuracy is closely monitored by the producers throughout the creation process to ensure accuracy and clarity. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. You can also find us on twitter visit @critpeds and @pedscrit on instagram. Want to support the show?Please rate and review on Spotify and Apple Podcasts! PedsCrit is a passion project and is not supported by advertisements. Donations are appreciated to support ongoing costs (podcast hosting, audio editing software, website support, etc.). Search @PedsCrit on Venmo, or you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions.Thank you for listening to PedsCrit!-Alice Shanklin & Zac Hodges
Episodes
Mentioned books
7 snips
May 29, 2023 • 25min
Norwood Part 2: Procedure & Immediate Post-Op Management with Dr. Greg Yurasek
Dr. Greg Yurasek discusses the step-by-step process of the Norwood procedure, options for blood delivery to the PA bifurcation, surgeon's decision-making process for cardiac procedures in children, immediate post-op care strategies, and managing urine output in children after surgery.
34 snips
May 29, 2023 • 32min
Norwood Part 1: Pre-Operative Physiology & Management with Dr. Greg Yurasek
Dr. Greg Yurasek, a pediatric cardiology fellowship graduate, discusses topics such as single ventricle physiology, timing of procedures, assessing blood flow in pediatric patients, and pre-operative feeding challenges for single-ventricle patients.
May 15, 2023 • 30min
VV ECMO Part 4: Extubation, decannulation, and long-term effects
Guest Jenna Miller, MD, discusses the key milestones for extubation on VV-ECMO, mobilization practices for different age groups, and long-term neurologic effects. Also covered are the weaning and decannulation process, procedural sedation, and the importance of collaboration in VV-ECMO.
May 8, 2023 • 28min
VV ECMO Part 3: Troubleshooting the circuit & preparing for early rehab
Guest Jenna Miller, Associate Professor of Pediatrics, discusses troubleshooting the VV-ECMO circuit and preparing for early rehab. Topics include nutrition for patients on VV-ECMO, moving towards early extubation and mobilization, breastfeeding and feeding on ECMO, waking up patients on ECMO, and early rehabilitation and sedation approach for pediatric patients.
May 1, 2023 • 32min
VV ECMO Part 2: Cannulation & ventilator strategy
Jenna Miller, MD and Dr John Daniel discuss the different cannulas used in VV ECMO, the importance of proper cannula placement, and the risks associated with movement. They also explore the benefits of lung rest and extubation strategy for respiratory kids on ECMO, along with important aspects such as neurosedation, bottle feeding, and monitoring cannula placement.
Apr 24, 2023 • 29min
VV ECMO Part 1: Who to cannulate to VV and how to get involved
Experts discuss their personal experiences and advice in the field of ECMO. The use of VV ECMO in respiratory failure and the criteria for cannulation are explored. Choosing between VV and VA ECMO for progressive respiratory failure is discussed, along with the benefits of VV ECMO in neonates.
Apr 10, 2023 • 34min
Septic Shock with Dr. Scott Weiss Part 2
Dr. Scott Weiss, an Associate Professor of Pediatrics and Pathology, discusses the use of vasoactive agents and monitoring of hemoglobin and lactate values in the treatment of septic shock. He explores the choice of vasoactive agents for children with septic shock and highlights the differences between pediatric and adult practice. He emphasizes the importance of reassessing non-responsive septic shock patients, identifying common dynamics of sepsis, and improving the management of children with septic shock.
Apr 3, 2023 • 36min
Septic Shock with Dr. Scott Weiss Part 1
Dr. Scott Weiss, Associate Professor of Pediatrics and Pathology at Thomas Jefferson University and Chair of the Division of Pediatric Critical Care Medicine at Nemours Children’s Hospital, discusses fluid bolus therapy and accurate measurement of capillary refill in septic shock. The podcast also covers differentiating between warm and cold shock in pediatric sepsis, the importance of physical examination, and additional monitoring techniques used in ICU management.
Mar 20, 2023 • 39min
Ventilator-Associated Pneumonia with Dr. Sam Davila
Dr. Sam Davila, a specialist in pediatric infectious diseases and cardiac critical care, discusses ventilator-associated pneumonia. He explores the diagnosis and treatment of VAP, considerations for empiric therapy, and strategies for preventing and managing VAP.
Mar 8, 2023 • 37min
ECMO Essentials with Dr. Karen Fauman & the Cribsiders--Part 2
Dr. Karen Fauman, an associate professor of Pediatrics at the University of Chicago and dual boarded pediatric intensivist and palliative care physician, discusses the pathophysiology of oxygen delivery, indications for VV and VA ECMO, interpreting flow and RPM measurements, assessing lung recovery through air bronchograms, and the process of weaning a patient from ECMO with the Cribsiders.
