iCritical Care: LearnICU

When should clinicians intubate preterm infants? The answer is not always straightforward, according to podcast guest Deepak Jain, MD, FAAP. He and host Pamela M. Peeke, MD, MPH, FACP, FACSM, discuss strategies that optimize noninvasive ventilation and when such strategies are appropriate.

​This podcast discusses patients who develop acute kidney injury (AKI) and how AKI is independently associated with mortality in critically ill infants, neonates, and larger children.

BioFire FilmArray is the latest in technologies for rapidly identifying pathogens that cause Lower Respiratory Tract Infections (LRTI). Host Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Tufik Assad M.D., M.S.C.I. to discuss how this technology can be integrated into clinical care to improve patient outcomes.

Learn about the importance of utilizing dynamic assessments of fluid responsiveness to guide treatment in patients with viral sepsis, including COVID-19, and understand how they can be used to help improve patient outcomes in sepsis patients.

The prevalence and consequences of dyssynchronies are largely underestimated due to frequent lack of monitoring.

Extubation is a high-risk endeavor in some COVID-19 patients. Host Pamela M. Peeke, MD, MPH, FACP, FACSM, is joined by Joshua H. Atkins, MD, PhD; Christopher Rassekh, MD; and Ara Chalian, MD, to discuss recognizing risks surrounding extubation in ventilated COVID-19 patients.

COVID-19 complicated critical care clinicians' decision-making with regard to tracheostomy.

With widespread utilization of continuous renal replacement therapy, its critical to know about how citrate may have a role.

Continuous renal replacement therapy (CRRT) is complex, and dosing varies among institutions.

Severe COVID-19 infection can be a form of viral sepsis with occasionally concomitant bacterial infection.

Continuous renal replacement therapy (CRRT) requires considerable involvement from the bedside nurse.

Continuous monitoring on hospital wards can prevent adverse events and unnecessary ICU admissions.

Procalcitonin testing on admission seems to be a valuable piece of information for early risk assessment and ruling out bacterial co-infection in COVID-19 patients.

The increase in acute kidney injury in COVID-19 patients is resulting in more utilization of renal replacement therapy (RRT) and continuous renal replacement therapy (CRRT).

Review how to best utilize parameters provided by minimally invasive advanced hemodynamic monitors. Host Michael Smith, MD, talks with Michael Scott, MBChB, about clinical thresholds that may warrant continuous advanced hemodynamic monitoring and the application of parameters such as stroke volume and stroke volume variation when administering fluid.

Montefiore Medical Center in the Bronx, New York, USA, quickly converted a children's hospital to an adult COVID-19 hospital.

The National Institutes of Health has released Coronavirus Disease 2019 (COVID-19) Treatment Guidelines.

Ludwig H. Lin, MD, and Michael G.S. Shashaty, MD, MS, discuss acute kidney injury (AKI) biomarkers and whether they are ready for clinical use.

Michael Smith, MD, and Jayshil Patel, MD discuss the factors associated with managing malnutrition in the critical ill utilizing enteral nutrition.

Kyle B. Enfield, MD, FCCM, and Azra Bihorac, MD, MS, FCCM, discuss best practices and complexities of implementing biomarkers for kidney stress and acute kidney injury (AKI) and what the future holds for AKI biomarker literature.

Michael Smith, MD, and Sarah Vest Cogle, PharmD, BCCCP, review current methodologies for managing nutrition concerns for critically ill morbidly obese patients.

Ludwig H. Lin, MD, and John A. Kellum, MD, MCCM, review factors associated with renal recovery, therapies and techniques used to enhance recovery, and long-term consequences of nonrecovery in critical illness.

Ranjit Deshpande, MD, and Pratik P. Pandharipande, MD, FCCM, discuss the impact of critical illness on neurocognitive and physical functions

Kyle B. Enfield, MD, and Michael J. Connor Jr, MD, discuss when to start renal replacement therapy (RRT) in critically ill patients

Ranjit Deshpande, MD, and Donna Lee Armaignac, PhD, APRN, CCNS, CCRN, discuss maximizing positive patient care outcomes through telemedicine

Kyle B. Enfield, MD, and Sheila A. Alexander, BSN, PhD, RN, FCCM, review targeted temperature management, especially its use in treating intracerebral hemorrhage

Kyle B. Enfield, MD, and Craig M. Lilly, MD, FCCM, examine tele-ICUs. Dr. Lilly presented on this topic at the 48th Critical Care Congress

Kyle B. Enfield, MD, and Paula Ferrada, MD, discuss Dr. Ferrada's talk from the 48th Critical Care Congress titled Clostridium difficile: Sparring With Spores

Ranjit Deshpande, MD, and Mark D. Cipolle, MD, PhD, FCCM, discuss Dr. Cipolle's talk from the 48th Critical Care Congress on what's new in anticoagulant reversal.

Ludwig H. Lin, MD, and Benjamin Moses, MD, MS, discuss Dr. Moses' talk from the 48th Critical Care Congress titled Drug-Seeking Behavior in the ICU. They review the opioid crisis and managing addiction in the ICU.

Margaret M. Parker, MD, MCCM, and Craig M. Coopersmith, MD, FCCM, discuss Dr. Coopersmith's talk from the 48th Critical Care Congress titled: The Gut as a Motor of Multiorgan Dysfunction in Critical Illness.

Margaret M. Parker, MD, MCCM, speaks with SCCM President Heatherlee Bailey, MD, FCCM, about Dr. Bailey's path to becoming SCCM's 2019 president and about her goals for SCCM during her term as president.

Ranjit Deshpande, MD, speaks with Laurence W. Busse, MD, MBA, about Dr. Busse talk on preserving end-organ perfusion presented at the 46th Critical Care Congress in Honolulu, Hawaii, USA. Dr. Busse is an assistant professor in the Division of Pulmonary Critical Care, Sleep, and Allergy Medicine at Emory University in Atlanta, Georgia, USA

Ranjit Deshpande, MD, speaks with Rajit Basu, MD, MS, FCCM, about treating volume overload in the intensive care unit with renal replacement therapy.

Kyle B. Enfield, MD, speaks with SCCM President Jerry J. Zimmerman, MD, PhD, FCCM, about the 2018 presidential address on high-value care that Dr. Zimmerman presented at the Society's 47th Critical Care Congress in San Antonio, Texas.

Kyle Enfield, MD, speaks with Colin K. Grissom, MD, FCCM, and Matthew W. Semler, MD, about fluid management in the critically ill.

Dr. Fraser, MD, speaks with Bruce A. Mueller, PharmD, FCCP, FASN, about his talk presented at the 47th Critical Care Congress in San Antonio, Texas, entitled Artificial Kidney Meets Mechanical Lung: Comanaging the Patient with Renal and Respiratory Failure.

Todd Fraser, MD, speaks with Bradford D. Winters, PhD, MD, FCCM, about alarm and alert fatigue in critical care. Alarm fatigue is the desensitization that clinicians experience to frequent alarms, particularly those that do not provide useful clinical information, or false alarms.

Kyle Enfield, MD, speaks with Wes Ely, MD, MPH, about his talk presented at the 2017 Multiprofessional Critical Care Review: Adult course in Rosemont, Illinois entitled, Early Mobility in Critically Ill Patients: More to Come.

Kyle Enfield, MD, speaks with John A. Kellum, MD, MCCM, about his talk presented at the 46th Critical Care Congress in Honolulu, Hawaii entitled, Are Biomarkers Ready for Prime Time?

Ludwig Lin, MD, speaks with Charles Hunley, MD, about his talk presented at the 46th Critical Care Congress in Honolulu, Hawaii entitled, Rapidly Distributing Critical Care Services in Response to a Surge Event with Multiple Casualties.

Ludwig Lin, MD, speaks with Grete Porteous, MD, about emergency preparedness in healthcare and the role of critical care personnel in catastrophic situations.

Todd Fraser, MD, speaks with Jenny Tcharmtchi, BSN, RN, CCRN, about the article, "Family Experience in the PICU," published in Critical Connections, the Society of Critical Care Medicine's newsletter.

Dr. Ludwig Lin, MD, speaks with Christina Jones, PhD, RN, about the ICU Patient Diary Network. Dr. Jones discusses the widespread adoption of ICU diaries in the United Kingdom, various models that institutions are using, and the overall positive impact that implementation has had on patients, families, and providers.

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.

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 the importance of the interprofessional care model, as well as successes, challenges, and barriers to bundle implementation.

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. Ludwig Lin, MD, speaks with John C. Marshall, MD, FRCSC, FACS, about his talk given at the 46th Critical Care Congress in Honolulu, Hawaii on, Building Global Collaboration in Acute Care Research.

Ludwig Lin, MD, speaks with Ruth M. Kleinpell, PhD, RN, FAAN, FCCM. Dr. Kleinpell is Director at the Center for Clinical Research and Scholarship and Professor in the College of Nursing at Rush University in Chicago, Illinois.

Margaret Parker, MD, MCCM, speaks with Lakhmir S. Chawla, MD, about future research related to the Congress session: Bench-Pressing in the ICU: Which Vasopressor Agent Should I Choose for My Patient? which he presented at the 45th Critical Care Congress in Orlando, Florida.

Todd Fraser, MD, speaks with Scott Kaatz, DO, FACP, SFHM, about his talk given at the 45th Critical Care Congress on, Bleeding Management and Reversal Strategies for the DOAC Patient: New and Future Approaches. Dr. Kaatz is Senior Staff Hospitalist and Medical Director for Professional Development and Research in the Division of Hospital Medicine at Henry Ford Hospital in Detroit, Michigan.