

ICU Primary PrepCast
Swapnil
This podcast is about Intensive care pharmacology and physiology. This is created to prepare intensive care trainees for their primary CICM exams. However, it will be of benefit to anyone who works in intensive care and keen to acquire new knowledge or want to refresh their memory.
Episodes
Mentioned books

Nov 6, 2018 • 22min
#012- Haematology Part 1- Anticoagulants in ICU
Dive into the complexities of anticoagulants in intensive care. Explore the pharmacology and uses of warfarin, including its mechanism and risks. Discover the nuances of newer oral anticoagulants like apixaban and rivaroxaban, from their advantages to dosing challenges. Compare heparin with low molecular weight heparins, focusing on their origins and adverse effects. Get insights into monitoring techniques and reversal strategies, all while enjoying a light-hearted quiz at the end!

Oct 15, 2018 • 16min
#011- Gastrointestinal Pharmacology - 2
Explore the intricate world of gastrointestinal pharmacology in ICU settings. Learn about the critical roles of vasopressin and octreotide in managing variceal bleeding, complete with their effects on portal pressure. Dive into the mechanism behind turlipressin and its relevance for critically ill patients. Discover the challenges of hepatic encephalopathy, focusing on lactulose and rifaximin's role in ammonia reduction. Wrap up with a light-hearted comparison of ICU laxative agents, showcasing the unique properties of docusate, senna, and macrogol.

Oct 4, 2018 • 22min
#010- Gastrointestinal Pharmacology Part 1
Dive into the world of gastrointestinal pharmacology tailored for the ICU. Discover the vital role of stress ulcer prophylaxis and early enteral feeding in critically ill patients. Explore the contrast between pantoprazole and ranitidine, delving into their effects and interactions. Learn about the intricate mechanisms behind nausea and vomiting, along with various antiemetic classes. Lastly, uncover the pharmacology and clinical applications of prokinetic agents like erythromycin and metoclopramide, along with their therapeutic benefits and side effects.

11 snips
Sep 16, 2018 • 21min
#009- Respiratory Pharmacology
Explore the fascinating world of respiratory pharmacology! Learn why oxygen is considered the most vital drug in the ICU and the risks of hyperoxia. Discover the differences between bronchodilators like Salbutamol and Salmeterol, and dive into the classifications of medications for acute severe asthma. Maddy shares insights on dosing, effects, and side effects of various drugs, providing valuable clinical implications. The conversation is wrapped up with a fun quiz that lightens the mood. Tune in for an engaging discussion on essential critical care pharmacology!

Sep 1, 2018 • 17min
#008- Anticonvulsant Agents in ICU
Dive into the world of anticonvulsant agents used in intensive care. Discover the pharmacological mechanisms behind key medications like sodium valproate and carbamazepine. Learn how phenytoin functions specifically in neurosurgical contexts and its effects on sodium channels. Explore the advantages of levetiracetam and its growing role in seizure management. This discussion is essential for practitioners looking to enhance their understanding of critical care pharmacology.

Aug 15, 2018 • 24min
#007- Sedative Agents in ICU
Explore the fascinating world of sedative agents used in the ICU. Discover the critical properties that make these medications effective and safe for critically ill patients. Dive deep into the pharmacology of propofol, including its potential toxicities. Learn about a comparative analysis of various sedatives like midazolam and dexmedetomidine, highlighting their unique advantages. Understand ketamine's dissociative effects and how its pharmacokinetics can impact treatment decisions. Uncover the contrasting cardiovascular effects of ketamine versus propofol at induction doses.

Jul 28, 2018 • 20min
#006- Opioids in ICU
Dive into the fascinating world of opioids in the ICU. Explore how these powerful medications interact with opioid receptors and their physiological effects. Discover the importance of context-sensitive half-time, especially with drugs like fentanyl and remifentanil. Get a comprehensive look at morphine's pharmacology and its therapeutic uses. Plus, learn about naloxone's critical role in managing opioid overdoses, illustrated through a gripping case study. Get ready for an informative session packed with valuable insights!

Jul 16, 2018 • 23min
#005- Neuromuscular Blockade Pharmacology
Dive into the intricacies of neuromuscular blockade agents used in intensive care. Uncover the differences between depolarizing and non-depolarizing muscle relaxants, and how they interact with acetylcholine receptors to cause flaccid paralysis. Learn about the phases of neuromuscular blockade, and discover factors affecting the onset speed, such as dosage and patient factors. Explore mechanisms that boost the effectiveness of non-depolarizing agents, and examine the pharmacology of succinylcholine and other blockers, comparing their clinical applications.

4 snips
Jun 17, 2018 • 23min
#004- CVS -Antihypertensive Agents in ICU
Dive into the world of antihypertensive agents in critical care! Discover how various medications like glyceryl trinitrate and sodium nitroprusside work to manage blood pressure effectively. Learn about the role of calcium channel blockers and the unique distinctions between different classes. Unpack the pharmacology of metoprolol, including its vital clinical implications. Finally, compare the effects of clonidine and hydralazine, with a lighthearted twist on the topic of hypotension!

16 snips
May 28, 2018 • 18min
#003- Diuretics
Explore the pharmacology and clinical scenarios of various diuretics like frasimide, hydrochlorothiazide, spironolactone, and acetazolamide. Learn about their mechanisms of action, adverse effects, and diverse applications in ICU settings.


