Podcasts about therapeutic hypothermia

Nesse episódio do Journal Club, trazemos quatro artigos que foram citados pelos professores que deram palestras no NeoBrain Brasil 2024. São eles: 1.  "The hidden consequence of intraventricular hemorrhage (IVH): persistent cerebral desaturation after IVH in preterm infants" -  A consequência oculta da hemorragia intraventricular (IVH): dessaturação cerebral persistente após IVH em prematuros.Artigo comentado na palestra "Manejo Hemodinâmico nas Primeiras 72h de Vida", do Prof Renato Procianoy. Já escutou a entrevista com o Prof. Procianoy? No episódio  9 do nosso podcast.2. "Incidence of Neonatal Seizures in China Based on Electroencephalogram Monitoring in Neonatal Neurocritical Care Units" - Incidência de crises neonatais na China com base na monitorização do eletroencefalograma em unidades de cuidados neurocríticos neonatais.Artigo comentado pelo Prof Eilon Shany na aula "Crises convulsivas e o Cérebro do Prematuro".3. "Cerebral and systemic near infrared spectroscopy patterns in preterm infants treated by caffeine" - Padrões de NIRS cerebral e sistêmica no  em prematuros tratados com cafeína.Artigo comentado na aula do Prof. Maurício Magalhães,  "A cafeína e o Cérebro do Prematuro".4. "Safety and Short-Term Outcomes of Therapeutic Hypothermia in Preterm Neonates 34–35 Weeks Gestational Age with Hypoxic- Ischemic Encephalopathy" - Segurança e Resultados a Curto Prazo da Hipotermia Terapêutica em Neonatos Prematuros de 34 a 35 Semanas de Idade Gestacional com Encefalopatia Hipóxico-Isquêmica.Artigo comentado na palestra "Trial de Hipotermia em Prematuros: resultados de um estudo que avaliou a hipotermia terapêutica em prematuros", pela Profa Sonia BonifacioGostaríamos de agradecer a PBSF pelo convite para participar do NeoBrain Brasil 2024 e por aceitar essa parceria inédita com o nosso Podcast A Incubadora.Um agradecimento especial também para a FANEM, que patrocinou esse episódio e acreditou na força do nosso projeto. A Incubadora não poderia receber um apoio mais adequado do que esse ;-) Não esqueça: você pode ter acesso aos artigos do nosso Journal Club no nosso site: https://www.the-incubator.org/podcast-1 Se estiver gostando do nosso Podcast, por favor deixe sua avaliação no seu aplicativo favorito e compartilhe com seus colegas. O nosso objetivo é democratizar a informação. Se quiser entrar em contato, nos mandar sugestões, comentários, críticas e elogios, manda um e-mail pra gente: incubadora@the-incubator.org

Hello Friends, We have a new episode of journal club for you this week. On this episode Ben & Daphna review the latest research in neonatology, and welcome the EBNEO team for a new commentary. The articles reviewed this week include: Esophageal versus Rectal Temperature Monitoring during Whole-body Therapeutic Hypothermia for Hypoxic-ischemic Encephalopathy: Association with Short and Long-term Outcomes. Wu TW, Schmicker R, Wood TR, Mietzsch U, Comstock B, Heagerty PJ, Rao R, Gonzalez F, Juul S, Wu YW.J Pediatr. 2024 Feb 1:113933. doi: 10.1016/j.jpeds.2024.113933. Online ahead of print.PMID: 38309524 Free article.Neonatal Outcomes After COVID-19 Vaccination in Pregnancy. Norman M, Magnus MC, Söderling J, Juliusson PB, Navér L, Örtqvist AK, Håberg S, Stephansson O.JAMA. 2024 Feb 6;331(5):396-407. doi: 10.1001/jama.2023.26945.PMID: 38319332Maternal syphilis rates tripled in the US between 2016 and 2022, data show. Tanne JH.BMJ. 2024 Feb 15;384:q416. doi: 10.1136/bmj.q416.PMID: 38359912 No abstract available. Therapeutic hypothermia for preterm infants 34-35 weeks gestational age with neonatal encephalopathy. Kim SH, El-Shibiny H, Inder T, El-Dib M.J Perinatol. 2024 Jan 16. doi: 10.1038/s41372-024-01874-x. Online ahead of print.PMID: 38228763Randomised study of a new inline respiratory function monitor (Juno) to improve mask seal and delivered ventilation with neonatal manikins. Tracy MB, Hinder M, Morakeas S, Lowe K, Priyadarshi A, Crott M, Boustred M, Culcer M.Arch Dis Child Fetal Neonatal Ed. 2024 Feb 9:fetalneonatal-2023-326256. doi: 10.1136/archdischild-2023-326256. Online ahead of print.PMID: 38336472Dextrose gel prophylaxis for neonatal hypoglycaemia and neurocognitive function at early school age: a randomised dosage trial. Wei X, Franke N, Alsweiler JM, Brown GTL, Gamble GD, McNeill A, Rogers J, Thompson B, Turuwhenua J, Wouldes TA, Harding JE, McKinlay CJD; pre-hPOD Early School-age Outcomes Study Group.Arch Dis Child Fetal Neonatal Ed. 2024 Feb 12:fetalneonatal-2023-326452. doi: 10.1136/archdischild-2023-326452. Online ahead of print.PMID: 38307710Effect of human milk-based fortification in extremely preterm infants fed exclusively with breast milk: a randomised controlled trial. Jensen, G. B., Domellöf, M., Ahlsson, F., Elfvin, A., Navér, L., & Abrahamsson, T. eClinicalMedicine (2023).Neurodevelopmental Outcomes of Extremely Preterm Infants Fed Donor Milk or Preterm Infant Formula: A Randomized Clinical Trial. Colaizy TT, Poindexter BB, McDonald SA, et al. JAMA. 2024;331(7):582–591. doi:10.1001/jama.2023.27693EBNEO Commentary: De-MIST-ifying the 2-year outcomes of non-invasive surfactant therapy. Loft L, Ferguson KN, Tingay DG. Acta Paediatr. 2024 Jan 25. doi: 10.1111/apa.17116. O As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Esophageal versus Rectal Temperature Monitoring during Whole-body Therapeutic Hypothermia for Hypoxic-ischemic Encephalopathy: Association with Short and Long-term Outcomes. Wu TW, Schmicker R, Wood TR, Mietzsch U, Comstock B, Heagerty PJ, Rao R, Gonzalez F, Juul S, Wu YW.J Pediatr. 2024 Feb 1:113933. doi: 10.1016/j.jpeds.2024.113933. Online ahead of print.PMID: 38309524 Free article. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Alexis Topjian, MD, MSCE is a Professor of Anesthesiology and Critical Care at the University of Pennsylvania. She is an intensivist at the Children's Hospital of Philadelphia where she also serves as the Fellowship Director of Neurocritical Care, Director of the Pediatric Neurocritical Care Program, and the Director of Faculty Development. She also was the first author on the 2019 Pediatric Post–Cardiac Arrest Care Scientific Statement from the American Heart Association.Learning Objectives:By the end of this podcast, listeners should be able to describe:The clinical characteristics of post-cardiac arrest syndrome.The general goals and guiding principles of high quality post-cardiac arrest care.An evidence-based approach to diagnostic testing and monitoring of the post-cardiac arrest patient.An evidence-based approach to supportive treatment of the post-cardiac arrest patient with an emphasis on targeted temperature management.Relevant prognostic factors and best practices communicating prognosis to families of children who have suffered a cardiac arrest.How to support PedsCrit:Please complete our Listener Feedback Survey:(https://cri-datacap.org/surveys/?s=CDM3NMWL9F3N3DKJ)Please rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.Thank you for listening to this episode of PedsCrit. 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. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.References:Topjian AA, de Caen A, Wainwright MS, Abella BS, Abend NS, Atkins DL, Bembea MM, Fink EL, Guerguerian AM, Haskell SE, Kilgannon JH, Lasa JJ, Hazinski MF. Pediatric Post-Cardiac Arrest Care: A Scientific Statement From the American Heart Association. Circulation. 2019 Aug 6;140(6):e194-e233. doi: 10.1161/CIR.0000000000000697. Epub 2019 Jun 27. PMID: 31242751.Moler et al. Therapeutic hypothermia after out-of-hospital cardiac arrest in children. N Engl J Med. 2015 May 14;372(20):1898-908. doi: 10.1056/NEJMoa1411480. Epub 2015 Apr 25. PMID: 25913022; PMCID: PMC4470472.Moler et al; THAPCA Trial Investigators. Therapeutic Hypothermia after In-Hospital Cardiac Arrest in Children. N Engl J Med. 2017 Jan 26;376(4):318-329. doi: 10.1056/NEJMoa1610493. Epub 2017 Jan 24. PMID: 28118559; PMCID: PMC5310766.Support the show

Alexis Topjian, MD, MSCE is a Professor of Anesthesiology and Critical Care at the University of Pennsylvania. She is an intensivist at the Children's Hospital of Philadelphia where she also serves as the Fellowship Director of Neurocritical Care, Director of the Pediatric Neurocritical Care Program, and the Director of Faculty Development. She also was the first author on the 2019 Pediatric Post–Cardiac Arrest Care Scientific Statement from the American Heart Association.Learning Objectives:By the end of this podcast, listeners should be able to describe:The clinical characteristics of post-cardiac arrest syndrome.The general goals and guiding principles of high quality post-cardiac arrest care.An evidence-based approach to diagnostic testing and monitoring of the post-cardiac arrest patient.An evidence-based approach to supportive treatment of the post-cardiac arrest patient with an emphasis on targeted temperature management.Relevant prognostic factors and best practices communicating prognosis to families of children who have suffered a cardiac arrest.How to support PedsCrit:Please complete our Listener Feedback Survey: (https://cri-datacap.org/surveys/?s=CDM3NMWL9F3N3DKJ) Please rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.Thank you for listening to this episode of PedsCrit. 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. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.References:Topjian AA, de Caen A, Wainwright MS, Abella BS, Abend NS, Atkins DL, Bembea MM, Fink EL, Guerguerian AM, Haskell SE, Kilgannon JH, Lasa JJ, Hazinski MF. Pediatric Post-Cardiac Arrest Care: A Scientific Statement From the American Heart Association. Circulation. 2019 Aug 6;140(6):e194-e233. doi: 10.1161/CIR.0000000000000697. Epub 2019 Jun 27. PMID: 31242751.Moler et al. Therapeutic hypothermia after out-of-hospital cardiac arrest in children. N Engl J Med. 2015 May 14;372(20):1898-908. doi: 10.1056/NEJMoa1411480. Epub 2015 Apr 25. PMID: 25913022; PMCID: PMC4470472.Moler et al; THAPCA Trial Investigators. Therapeutic Hypothermia after In-Hospital Cardiac Arrest in Children. N Engl J Med. 2017 Jan 26;376(4):318-329. doi: 10.1056/NEJMoa1610493. Epub 2017 Jan 24. PMID: 28118559; PMCID: PMC5310766.Support the show

As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!_____________________________________________________________________________________Show notes and articles can be found on our website: http://www.the-incubator.org/142/

Date: May 10, 2023 Reference: Harhay MO, et al. A bayesian interpretation of a pediatric cardiac arrest trial (THAPCA-OH). NEJM Evidence. 2023. Guest Skeptic: Dr. Kat Priddis is a paediatric emergency medicine consultant and trauma director at Watford General Hospital. She is part of the Don't Forget the Bubbles team and faculty at Queen Mary […] The post SGEM #404: Sitting on the Dock of the Bay-esian Interpretation of Therapeutic Hypothermia for Pediatric Cardiac Arrest first appeared on The Skeptics Guide to Emergency Medicine.

Review the current status of hypothermia treatment for hypoxic-ischemic encephalopathy (HIE).Review other trials of therapeutic hypothermia.Review the results of combining hypothermia with other neuroprotective treatments.Discuss the considerations of therapeutic hypothermia for infants with mild HIE.

Physicians noticed centuries ago that people exposed to cold temperatures often have amazing recoveries from serious medical emergencies. Now medicine is learning how to purposefully induce hypothermia in order to buy time to fix otherwise fatal trauma. Find out all about it in this classic episode.See omnystudio.com/listener for privacy information.

In this podcast, author Emilie Bourel-Ponchel discusses her paper 'Prognostic value of neonatal conventional electroencephalography monitoring in hypoxic-ischemic encephalopathy during therapeutic hypothermia ' The paper is available to read here: https://onlinelibrary.wiley.com/doi/full/10.1111/dmcn.15302   Subscribe to our channel for more:   https://bit.ly/2ONCYiC    ___  Listen to all our episodes:  https://bit.ly/2yPFgTC   __  DMCN Journal:  Developmental Medicine & Child Neurology (DMCN) has defined the field of paediatric neurology and childhood-onset neurodisability for over 60 years. DMCN disseminates the latest clinical research results globally to enhance the care and improve the lives of disabled children and their families.    DMCN Journal - https://onlinelibrary.wiley.com/journal/14698749  ___    Watch DMCN videos on our YouTube channel:  https://bit.ly/2ONCYiC    Find us on Twitter!  @mackeithpress - https://twitter.com/mackeithpress 

In deze aflevering van Intensief de Podcast gaan we het hebben over het huidige wetenschappelijke bewijs voor het koelen van patiënten na reanimatie.We bespreken de volgende onderwerpen:Wat is de prognose/mortaliteit van een reanimatie? Hoe doen we het in NL in vergelijking met de rest van de wereld?Moeten we direct een CAG uitvoeren bij patiënten na reanimatie? Wat zegt de COACT trial?Waarom zijn we ooit begonnen met het koelen van onze post-reanimatie patiënten?Welke literatuur is er beschikbaar?We bespreken de HACA trial, de TTM1 trial, de Hyperion trial, de TTM2 trial en de RINSE trial.Wat zijn de voor- en nadelen van hypothermie?Wat is uiteindelijk bewezen effectief voor onze patiënten?Bronnen:Cijfers hartstichting 2016Coronary Angiography after Cardiac Arrest without ST-Segment Elevation (COACT trial Lemkes 2019)Meta-analysis of targeted temperature management in animal models of cardiac arrest Mild therapeutic hypothermia for survivors of cardiac arrest (Deranged Physiology)Targeted Temperature Management for Cardiac Arrest with Nonshockable Rhythm (Hyperion trial)Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest (TTM2 trial)Effect of Prehospital Induction of Mild Hypothermia on Survival and Neurological Status Among Adults With Cardiac Arrest (RINSE trial)Therapeutic Hypothermia in Critically Ill Patients: A Systematic Review and Meta-Analysis of High Quality Randomized TrialsBedankt voor het luisteren!Volg @intensiefdepodcast op InstagramVragen? intensiefdepodcast@gmail.com

TOMAHAWK trial or Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation trial was recently published in #NEJM New England journal of Medicine and presented at the European Society of Cardiology Virtual Congress in 2021. It tested the strategy of immediate coronary angiography vs delayed or selective coronary angiography in patients with OHCA or Out of Hospital Cardiac Arrest patients without ST segment elevation. Related Topic previously discussed: Therapeutic Hypothermia after Cardiac Arrest. TTM-2 trial https://youtu.be/FKdvKcr8bEs Follow Cardio-Ed for more content. https://www.thecardioedblog.com Follow social media profiles getting updates regarding new videos / podcast https://twitter.com/drShaileshSingh?s=09 https://www.facebook.com/CardiologyEd/ Cardio-Ed is now available on Apple Poscast, Google Podcast, Spotify and other major podcast platforms too. Now you can stay updated on the go. Listen to episodes. Here are the links. Apple https://podcasts.apple.com/us/podcast/cardio-ed/id1570745864 Google Podcast https://podcasts.google.com/feed/aHR0cHM6Ly9hbmNob3IuZm0vcy81ZDRiOTgwMC9wb2RjYXN0L3Jzcw Spotify https://open.spotify.com/show/3SLQ2g4Ii8hdFiy7i8LMRp?si=hWgPgwliQ5a5RY_nz-Q22g&utm_source=copy-link Amazon Music https://music.amazon.in/podcasts/4215cfdf-5121-438e-b355-14eaabed41e5/CARDIOED?ref=dm_sh_vn5xvDArGZGRCTh8YpK3Mdtff Stitcher https://www.stitcher.com/podcast/cardioed music –––––––––––––––––––––––––––––– California by MusicbyAden https://soundcloud.com/musicbyaden Creative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0 Free Download / Stream: https://bit.ly/al-california Music promoted by Audio Library https://youtu.be/oZ3vUFdPAjI

In this Journal Jam podcast, special guest Dr. Mizuho Morrison joins Anton and Justin to clear up the muddy waters of therapeutic hypothermia with a deep dive into the world's literature... The post Journal Jam 19 Therapeutic Hypothermia After Cardiac Arrest – Mixed Evidence appeared first on Emergency Medicine Cases.

Drs. Pescatore and Raja review the latest evidence on whether emergency physicians should initiate therapeutic hypothermia after cardiac arrest and also talk about patient awareness during sedation while on mechanical ventilation and how much information is retained from listening to podcasts.

In this month's EM Quick Hits podcast: Arun Sayal on the nuances of assessment for scaphoid fractures, Justin Morgenstern on the evidence for therapeutic hypothermia post-arrest and the TTM2 trial, Sarah Reid on HEADS-ED mental health screening tool for children, youth and young adults, Andrew Petrosoniak on pelvic trauma and pelvic binder tips and pitfalls, Michelle Klaiman on what we need to know about Kratom and Anand Swaminathan on why femoral lines are often a great central line choice... The post EM Quick Hits 30 Scaphoid Fracture, Therapeutic Hypothermia, HEADS-ED, Pelvic Trauma, Kratom, Femoral Lines appeared first on Emergency Medicine Cases.

CRICO funds work to make therapeutic hypothermia more reliable and maximize its effectiveness.

Show notes at pharmacyjoe.com/episode621. In this episode, I'll discuss whether subcutaneous VTE prophylaxis should be given during therapeutic hypothermia. . The post 621: Should subcutaneous VTE prophylaxis be given during therapeutic hypothermia? appeared first on Pharmacy Joe.

Show notes at pharmacyjoe.com/episode621. In this episode, I ll discuss whether subcutaneous VTE prophylaxis should be given during therapeutic hypothermia. . The post 621: Should subcutaneous VTE prophylaxis be given during therapeutic hypothermia? appeared first on Pharmacy Joe.

Past, present and future of therapeutic hypothermia. Targeted temperature management (TTM) or Therapeutic hypothermia is recommended for patients after cardiac arrest, but the supporting evidence is of low certainty. TTM-2 trial was recently published in NEJM (June 2021). The TTM-2 trial tried to answer the question if Therapeutic hypothermia is any better than normal temperature in patients who are in coma after being resuscitated from cardiac arrest. I have briefly discussed the trial, also touching briefly the recent and upcoming trials of hypothermia protocol. Do watch/ listen.

We review the pathogenesis, treatment, and outcomes, for neonates with HIE. We are joined by Lina Chalak, MD, Professor of Pediatrics and Psychiatry in the Division of Neonatal-Perinatal Medicine at the University of Texas Southwestern Medical Center.

Therapeutic Hypothermia has long been the standard of care for infants with moderate to severe neonatal encephalopathy. However, the future of treatment for neonatal encephalopathy (NE) will focus on hypothermia adjuvant therapies. There needs to be a rethink in how future NE clinical trials are designed and analyzed, according to a multi-disciplinary expert panel who met at the 'Hypoxic-Ischemic Encephalopathy Symposium: Developing the Future'. In this episode we meet Dr. Kristen Benninger, a neonatologist at Nationwide Children's Hospital in Columbus Ohio who wrote up the panel's summary. See acast.com/privacy for privacy and opt-out information.

Dr. Phillipe Friedlich, Professor of Clinical Pediatrics and Surgery at the Keck School of Medicine of USC, Co-Director of the Fetal and Neonatal Institute and Chief of the Division of Neonatology at Children’s Hospital Los Angeles shares his experiences of neonatal surgery, new developments in pediatric medicine, and more! A complete science of its own, Bill, Dr. Taback, and Dr. Philippe Friedlich dive into the world of fetal care and neonatal medicine in this exciting episode. (2:19) Dr. Friedlich explains how the Children’s Hospital of Los Angeles is handling COVID-19, and what sorts of procedures they have in place for quelling the spread of the virus as well as the fear that surrounds it. (4:41) Percentages and details surrounding premature births are discussed, as well as some of the complications that can result. (7:06) Dr. Friedlich dives into the fascinating technique of cooling a child’s brain in an MRI and why he would do such a thing. The doctors also discuss ECMO machines and how their usage varies from neonatal to adult care. (10:34) The microscopic non-invasive procedure of keyhole repairs is discussed and the miracle of repairing extremely fragile fetal organs with this new technology. (12:46) Dr. Friedlich discuses some of the significant advances that his team at CHLA has made for the whole medical world. (16:42) Communicating with parents about hard to swallow issues relating to their child, and the importance of touch and the presence of family around ailing children is discussed. (20:22) Following the break, Bill poses the question: “What sort of cases/cures can medicine not entirely explain?” (22:51) Dr. Taback and Dr. Friedlich discuss brain development in relation to the early nurturing stage for a child. (26:03) In this section, Dr. Friedlich goes into more detail about the logistical process that CHLA run’s in order to transport and operate on neonates getting transferred into the center. (27:54) Dr. Taback asks Dr. Friedlich if working in neonatology has influenced his view on a women’s right to choose vs pro-life. (31:02) Is autism a neonatal issue? What sort of things can contribute to developing child falling on the spectrum? (32:32) Dr. Friedlich finishes the podcast by discussing the achievements he is most proud of accomplishing at CHLA.  Learn More: Medicine, We're Still Practicing Follow Us on Twitter: @MedsPodcast --------------------------------------- Hosted by: Dr. Steven Taback & Bill Curtis Guest: Dr. Philippe Friedlich Produced and Edited by: Aj Moseley Sound Engineering by: Michael Kennedy Theme Music by: Cellest and Eric Dick A CurtCo Media Production

On Friday's Morning Focus, we met Laura Collins from Sixmilebridge, who told us about the December 2018 birth of her son Luan. Far from the happy, routine birth that she had hoped for, Laura found out after her son was born that he required a 'baby cooling' treatment to ward off potential brain damage. To get this, he had to be transferred, without being accompanied by his parents, to Cork University Hospital, which is one of four hospitals where the treatment is available. The other three are in Dublin. Luan is now well, thankfully, but Laura and other campaigners want the treatment to be made available in more hospitals, including in Limerick. Laura spoke with Gavin, while they were also joined by fellow campaigner Carmel Finnegan. The UL Hospitals Group issued this statement on the matter to Clare FM: Neonatal Therapeutic Hypothermia (TH), referred to as ‘Baby Cooling’ is the recognised treatment for babies that have been clinically identified with hypoxic-ischaemic encephalopathy (HIE). Therapeutic Hypothermia (TH) is administered in four maternity centres in Ireland (the National Maternity Hospital, Rotunda, Coombe Women and Infants University Hospital and Cork University Maternity Hospital). All infants born in the Midwest requiring this treatment are transferred to one of these four centres within the timeframes for treatment as set out by international guidelines, which is 6 hours. Passive cooling which involves turning off heat sources around the baby and the removal of the babies clothes commences at UMHL once the infant meets the cooling criteria. The National Neonatal retrieval service retrieves the baby or the baby is transferred by UMHL with the members of our neonatal team to the receiving hospital ensuring that the baby commences treatment in one of the four sites within the timeframe. UMHL has had limited numbers of HIEs over the past three years: fewer than 5 per annum in 2017, 2018 and 2019. Evidence-based research recommends that the best outcome for babies requiring Therapeutic Hypothermia is by treating them in one of the specialist centres with relevant subspecialty supporting services

40% of infants with hypoxic ischemic encephalopathy (HIE) go on to develop long-term disability, despite receiving therapeutic hypothermia. Mounting evidence suggests that children with HIE are at a higher risk of both hypoglycemia and hyperglycemia, which may explain the variable outcomes to therapeutic hypothermia. In this episode, we meet this month's featured Early Career Investigator Dr. Paolo Montaldo, from Imperial College London, UK and the University of Campania Luigi Vanvitelli, Italy who used continuous glucose monitoring to assess the association between neonatal glucose control and neurological outcomes at 18-24 months. Related Article. See acast.com/privacy for privacy and opt-out information.

There is a need for neuropsychologists in an inpatient rehab setting and throughout follow-up care for children who are resuscitated after experiencing a cardiac arrest.  Today, we talk with Beth Slomine, Ph.D., ABPP-CN, about the risks and benefits associated with therapeutic hypothermia for these children, and her involvement in the THAPCA multi-site trial. Show notes are available at www.NavNeuro.com/49 _________________ If you’d like to support the show, here are a few easy ways: 1) Get APA-approved CE credit for listening to episodes: www.NavNeuro.com/INS  2) Tell your friends and colleagues about it 3) Subscribe (free) and leave an Apple Podcasts rating/review: www.NavNeuro.com/itunes 4) Contribute to the discussion in the comments section of the website (click the episode link listed above) or on Twitter (@NavNeuro)   Thanks for listening, and join us next time as we continue to navigate the brain and behavior! [Note: This podcast and all linked content is intended for general educational purposes only and does not constitute the practice of psychology or any other professional healthcare advice and services. No professional relationship is formed between hosts and listeners. All content is to be used at listeners’ own risk. Users should always seek appropriate medical and psychological care from their licensed healthcare provider.]

Therapeutic Hypothermia (also called targeted temperature management (TTM)) is a deliberate reduction of the core body temperature to 32 – 34°C, in patients who suffer... The post REBEL Crit Cast Episode 1.0 – Overview of Targeted Temperature Management (TTM) Post Cardiac Arrest appeared first on REBEL EM - Emergency Medicine Blog.

Earlier this week, results from the HYPERION trial were published in the New England Journal of Medicine. Drs. Abella and Teran discuss the use of TTM for patients resuscitated from cardiac arrest with a non-shockable initial rhythm.   Suggested Readings: Lascarrou JB et at., “Targeted Temperature Management for Cardiac Arrest with Nonshockable Rhythm.” N Engl J Med. 2019 Oct 2.https://www.ncbi.nlm.nih.gov/pubmed/31577396 Perman SM et al., “The Utility of Therapeutic Hypothermia for Post-Cardiac Arrest Syndrome Patients With an Initial Nonshockable Rhythm.” Circulation. 2015 Dec 1;132(22):2146-51. https://www.ncbi.nlm.nih.gov/pubmed/26572795 Grossestreuer AV et al., “Magnitude of temperature elevation is associated with neurologic and survival outcomes in resuscitated cardiac arrest patients with postrewarming pyrexia.” J Crit Care. 2017 Apr;38:78-83. https://www.ncbi.nlm.nih.gov/pubmed/27866109 Neilsen N et al., “Targeted temperature management at 33°C versus 36°C after cardiac arrest.” N Engl J Med. 2013 Dec 5;369(23):2197-206.https://www.ncbi.nlm.nih.gov/pubmed/24237006

In this podcast, Cody Gough and Ashley Hamer discuss the following stories to help you get smarter and learn something new in just a few minutes: NASA Is Working on Cryosleep Chambers for Astronauts "Getting" Puns Means Both Sides of Your Brain Are Working Together Why Red Delicious Are the Most Popular, Most Terrible Apple Follow Curiosity Daily on your favorite podcast app to learn something new every day withCody Gough andAshley Hamer. Still curious? Get exclusive science shows, nature documentaries, and more real-life entertainment on discovery+! Go to https://discoveryplus.com/curiosity to start your 7-day free trial. discovery+ is currently only available for US subscribers. See omnystudio.com/listener for privacy information.

Denise Casey discusses therapeutic hypothermia in the treatment of hypoxic ischemic encephalopathy. Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

Denise Casey discusses therapeutic hypothermia in the treatment of hypoxic ischemic encephalopathy. Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

This week we discuss 3 articles recently reviewed in our conference - LOV-ED study, Validation of Step-By-Step and Therapeutic Hypothermia. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_99_0_Final_Cut.m4a Download Leave a Comment Tags: ARDS, Cardiac Arrest, Lung Protective Ventilation, Mechanical Ventilation, OHCA, Step-By-Step Protocol, Therapeutic Hypothermia, TTM Show Notes Take Home Points The step-by-step approach to managing febrile infants is a reliable decision instrument to identify patients at low risk for invasive bacterial infections. Caution in the group of patients 22-28 days of age. The LOV-ED study shows an association between employing a lung-protective ventilation strategy in the ED and decreased complications from mechanical ventilation. Best available evidence says that we should embrace this approach in the ED. Cooling to 33 degrees is no better than cooling to 36 degrees. However, shooting 36 degrees is more difficult than we may have thought. We have to continue to be vigilant about maintaining patients in the target temperature range and avoiding fever.

This week we discuss 3 articles recently reviewed in our conference - LOV-ED study, Validation of Step-By-Step and Therapeutic Hypothermia. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_99_0_Final_Cut.m4a Download Leave a Comment Tags: ARDS, Cardiac Arrest, Lung Protective Ventilation, Mechanical Ventilation, OHCA, Step-By-Step Protocol, Therapeutic Hypothermia, TTM Show Notes Take Home Points The step-by-step approach to managing febrile infants is a reliable decision instrument to identify patients at low risk for invasive bacterial infections. Caution in the group of patients 22-28 days of age. The LOV-ED study shows an association between employing a lung-protective ventilation strategy in the ED and decreased complications from mechanical ventilation. Best available evidence says that we should embrace this approach in the ED. Cooling to 33 degrees is no better than cooling to 36 degrees. However, shooting 36 degrees is more difficult than we may have thought. We have to continue to be vigilant about maintaining patients in the target temperature range and avoiding fever.

Pediatric Grand Rounds with Richard Morse, MD

In this, the third interview from the 19th Annual ANZICS-CTG meeting in Noosa Heads, Australia, I'm joined by Dr Paul Young. Paul is a prolific researcher who is well known in Australasian ICU circles.  This time, Paul and his colleagues are attempting to resolve some of the questions generated by the landmark TTM trial of therapeutic hypothermia after cardiac arrest. The trial compared active cooling of these patients at two separate temperatures - 33 and 36 degrees celsius.  However, the question still remains as to whether cooling is necessary at all, and it may be that simply avoiding fever in these patients is sufficient.  The impact on resource consumption alone would be significant, and mandates this question be answered.

Phil Hyde vs Greg Kelly - We Should Perform Therapeutic Hypothermia (T32– 34C) for Children After Cardiac Arrest The recent publication of THAPCA-OH filled an important gap in our knowledge. THAPCA does not support cooling children after cardiac arrest which was a common practice until recently in many units. It is illustrative to look at how a practice became routine with no supporting evidence at it raises questions about what questions we ask and how we operate in the absence of good evidence.

Episode 43: Therapeutic hypothermia: do you need the expensive stuff?

Physicians noticed centuries ago that people exposed to cold temperatures often have amazing recoveries from serious medical emergencies. Now medicine is learning how to purposefully induce hypothermia in order to buy time to fix otherwise fatal trauma. Learn more about your ad-choices at https://news.iheart.com/podcast-advertisers

Physicians noticed centuries ago that people exposed to cold temperatures often have amazing recoveries from serious medical emergencies. Now medicine is learning how to purposefully induce hypothermia in order to buy time to fix otherwise fatal trauma. Learn more about your ad-choices at https://news.iheart.com/podcast-advertisers

Today we are fortunate to have the combined mental powers of two of the greatest minds in the field of therapeutic hypothermia. First you will hear from Nirav Shah, Assistant Professor of Medicine and current Program Director for the Pulmonary and Critical Care Fellowship at the University of Maryland. Using ...

A discussion with Dr. Sandeep Khot and Dr.Elizabeth Cahill from Harborview Medical Center, Seattle regarding postcardaic arrest management through the use of prognostic tools and markers, including the physical examination, evaluation of myoclonus, electroencephalogram monitoring, somatosensory-evoked potentials, biochemical markers of neuronal injury, and neuroimaging.   Click here to read the full article.  

Interview with Neal E. Little, MD, author of Therapeutic Hypothermia After Cardiac Arrest Without Return of Consciousness: Skating on Thin Ice

Therapeutic hypothermia is standard treatment for cardiac arrest patients to protect against the damaging or deadly repercussions of a beatless heart. But this global practice has been called into question after research in the New England Journal of Medicine reported no difference in survival rates between patients chilled to 33 degrees and those cooled to just below normal body temperature to 36 degrees. Dr Jerry Nolan, vice chair of the European Resuscitation Council tells Dr Adam Rutherford how doctors worldwide are reacting to this new study and Dr Kevin Fong, author of "Extremes, Life, Death and the Limits of the Human Body" describes how medicine has historically harnessed hypothermic states to heal.Show Us Your Instrument: The European Space Agency's GAIA mission is due to launch just before Christmas. It will spend the next 5 years recording space, using a billion pixel camera. This camera is made up of charge-couple devices, similar to the ones you'd find in your smart phone. These are damaged by space radiation. Dr Ross Burgon damages them in his lab first, to tell whether the images coming back from space are real stars or planets, or the digital equivalent of a smudge on the lens.Methane is the second most important greenhouse gas after carbon dioxide because it's 25 times more powerful than carbon dioxide at trapping the sun's rays. And it doesn't hang around as long either, ten years as opposed to a 100. So tackling methane is seen by many countries as a useful way of reducing greenhouse gases, quickly. But that depends on knowing how much there is. A new paper in the Proceedings of the National Academy of Sciences reveals that United States could be underestimating its methane emissions by as much as fifty per cent. Dr Vincent Gauci Head of Ecosystems and Biodiversity at the Open University explains how the Americans got their sums so wrong, and considers whether the British calculations are similarly suspect.The fuzzy concept of "terroir" for wine fans has always been difficult to pin down. Climate, soil, geology and individual wine-making practice don't make it easy to identify what makes particular wines unique. But Dr David Mills, Professor in the Department of Viticulture and Enology at University of California, Davis, has used DNA sequencing to study the microbial ecology of individual grapes. And he concludes bacteria and fungi could explain "microbial terroir".Producer: Fiona Hill.

A paper by Niklas Nielsen et al titled “Targeted temperature management at 33°C versus 36°C after cardiac arrest” published online by The New England Journal of Medicine on November 17, 2013 has brought a lot of attention to the use of therapeutic hypothermia for post-cardiac arrest cares. It stormed through the social media channels. It may very well be practice changing in emergency departments and ICUs through throughout the world. Or maybe not. Before we can figure out what “truth” this research study may have uncovered, we will look at the development of therapeutic hypothermia and what the literature has already told us.

Michael Weinstein, MD, FACS, FCCP, speaks with Philip E. Empey, PharmD, PhD, BCPS, who discusses his Young Investigator Award winning abstract.

Jeffrey Guy, MD, MSc, MMHC, speaks with Omar Badawi, PharmD, MPH, to discuss his article published in the December Critical Care Medicine.

Jeffrey Guy, MD, MSc, MMHC, speaks with Omar Badawi, PharmD, MPH, to discuss his article published in the December Critical Care Medicine.

Jeffrey Guy, MD, MSc, MMHC, speaks with David R. Janz, MD, lead author on an article published in the December issue of Critical Care Medicine.

Jeffrey Guy, MD, MSc, MMHC, speaks with David R. Janz, MD, lead author on an article published in the December issue of Critical Care Medicine.

Niklas Nielsen is an academic intensivist from Helsingborg, Sweden. He is the mastermind behind the Targeted Temperature Management Trial, a landmark international multicentre clinical that has sought to answer a question that many believed has already been answered: What is the optimal target temperature following out of hospital cardiac arrest? The TTM trail has finished recruiting and the protocol can be seen here. The results will be out later this year. So... READ Niklas' FASCINATING paper which really lays down the rationale for the study LISTEN to this podcast interview with Niklas LEAVE some feedback if you have any comments on this controversial and emotive topic KEEP an open mind about this topic!

This episode of EM Basic Essential Evidence will review the two articles that led to the adoption of therapeutic hypothermia as a treatment for survivors of cardiac arrest. This is a simple yet highly effective therapy that improves survival and neurological outcome in survivors of cardiac arrest so it is important that we know and understand these two articles.

UH EMS Institute Director Dan Ellenberger, EMS Medical Director Dr. Coleman, and Dr. Degeorgia, Director, Neurocritical Care Center, UH Case Medical Center discuss Therapeutic Hypothermia

In Part 2 of this episode on ACLS Guidelines - Atropine, Adenosine & Therapeutic Hypothermia, Dr. Steven Brooks and Dr. Michael Feldman discuss the removal of Atropine from the PEA/Asystole algorithm, the indications and dangers of Adenosine in wide-complex tachycardias, pressors as a bridge to transvenous pacing in unstable bradycardias, and the key elements of post cardiac arrest care including therapeutic hypothermia and PCI. They answer questions such as: In which arrhythmias can Amiodarone cause more harm than good? Is there any role for transcutaneous pacing for asystole? When should Bicarb be given in the arrest situation? In what situations is Atropine contra-indicated or the dosage need to be adjusted? How has the widespread use of therapeutic hypothermia currently effected our ability to prognosticate post-arrest patients? What are the indications for PCI and thrombolysis in the cardiac arrest patient? Should we be using therapeutic hypothermia in the non-Vfib arrest patient? What is the best method for achieving the target temperature for the patient undergoing therapeutic hypothermia? and many more......

In Part 2 of this episode on ACLS Guidelines - Atropine, Adenosine & Therapeutic Hypothermia, Dr. Steven Brooks and Dr. Michael Feldman discuss the removal of Atropine from the PEA/Asystole algorithm, the indications and dangers of Adenosine in wide-complex tachycardias, pressors as a bridge to transvenous pacing in unstable bradycardias, and the key elements of post cardiac arrest care including therapeutic hypothermia and PCI. They answer questions such as: In which arrhythmias can Amiodarone cause more harm than good? Is there any role for transcutaneous pacing for asystole? When should Bicarb be given in the arrest situation? In what situations is Atropine contra-indicated or the dosage need to be adjusted? How has the widespread use of therapeutic hypothermia currently effected our ability to prognosticate post-arrest patients? What are the indications for PCI and thrombolysis in the cardiac arrest patient? Should we be using therapeutic hypothermia in the non-Vfib arrest patient? What is the best method for achieving the target temperature for the patient undergoing therapeutic hypothermia? and many more...... The post Episode 12 Part 2: ACLS Guidelines – Atropine, Adenosine & Therapeutic Hypothermia appeared first on Emergency Medicine Cases.

Therapeutic hypothermia after cardiac arrest is part of ACLS and is used by several EMS agencies around the US.  Despite good data and improved patient outcomes, many providers fail to used this modality.  This podcast will focus on a presentation of the data, methods of cooling, and potential complications.

Host: Janet Wright, MD Guest: Michael Mooney, MD Therapeutic hypothermia is a relatively new treatment option for patients who suffer cardiac arrest, that can significantly improve neurologic outcomes. What factors determine the success of cooling therapy for cardiac arrest, and what resources does the procedure require? Dr. Michael Mooney, Director of Interventional Cardiology, Minneapolis Cardiology Associates, at Minneapolis Heart Institute / Abbott Northwestern Hospital in Minnesota, explores the indications for therapeutic hypothermia with host Dr. Janet Wright. Might therapeutic hypothermia be approached with a strategy similar to initiatives aimed at reducing door-to-balloon time for ST-elevation MI?

Host: Janet Wright, MD Guest: Michael Mooney, MD Therapeutic hypothermia is a relatively new treatment option for patients who suffer cardiac arrest, that can significantly improve neurologic outcomes. What factors determine the success of cooling therapy for cardiac arrest, and what resources does the procedure require? Dr. Michael Mooney, Director of Interventional Cardiology, Minneapolis Cardiology Associates, at Minneapolis Heart Institute / Abbott Northwestern Hospital in Minnesota, explores the indications for therapeutic hypothermia with host Dr. Janet Wright. Might therapeutic hypothermia be approached with a strategy similar to initiatives aimed at reducing door-to-balloon time for ST-elevation MI?

Therapeutic Hypothermia following cardiac arrest has been demonstrated to improve outcomes.  Starting Jan 1, 2009 Ney York City EMS will dorect patients to those hospitals able to delivery such care.