Airway Pressure Release Ventilation (APRV) or BiVent: What the heck is this?

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What is the role of decadron in preventing post extubation stridor?: What is the role of giving an adult steroids to prevent stridor or reintubation following extubation. This epidose looks at the data. by ICU Rounds

9 min listen

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Antibiotic Considerations in the ICU: Why do we choose the antibiotics that we do? How long do we continue the course of therapy? Should we use some antibiotics together? These topics are covered in the episode. by ICU Rounds

54 min listen

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Acute RenalFailure: Acute renal failure is a dreaded complication in the ICU. This podcast will review the various types of acute renal failure, the etiology, as well as acute management. by ICU Rounds

42 min listen

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Complications of PEEP and Auto-PEEP: Virtually all patients on ventilators are on PEEP. PEEP has several interactions with various organ systems and some can result in profound complications. An understanding of PEEP and auto-PEEP are required before we can understand modes of... by ICU Rounds

19 min listen

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Oxygenation & PEEP: A discussion of ventilation, oxygenation, and the role of PEEP. by ICU Rounds

26 min listen

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Lightning Injuries: Lightning injuries are rare, but when you do treat a patient they can have facinating presentations. This lecture follows a patient we treated at Vanderbilt. The patient present to a local ED with stroke like symptoms... by ICU Rounds

11 min listen

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Renal Replacement Therapy: SCUF, SLED, CVVH, CVVHD, IHD--what does it all mean: Renal replacement therapy (RRT) is rather a confusing topic. What do all those initials mean and why use one therapy over another? This podcast will explain the difference between intermittent and continous. What are the... by ICU Rounds

32 min listen

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Airway Pressure Release Ventilation (APRV) or BiVent: What the heck is this?: Airway pressure release ventilation (APRV) is not a new mode of mechanical ventilation, but it seems to be gaining a great deal of popularity lately. Many people find this mode very complicated and thick that it is reserved only for the very... by ICU Rounds

23 min listen

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Modes of Mechanical Ventilation: A discussion of the various types of ventilators with a focus on the various ventilator modes and types of ventilator cycles. Also presented is the topic of pressure support ventilation (PSV) by ICU Rounds

24 min listen

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Metabolic Acidosis in the ICU: A common problem in the ill or injured patient is a metabolic acidosis. In this episode we will review the common etiology of a metabolic acidosis as well as some lesser known causes. by ICU Rounds

37 min listen

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Blood Products: Blood products: pRBCs, fresh frozen plasma, platelets, cryoprecipitate when and how should we use it? What are the risks? You may order them like IV fluids but do you really know how these potentially deadly products are to be... by ICU Rounds

38 min listen

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Intraosseous Vascular Access: not just for the kids anymore: Intraosseous vascular access was was developed for use in adult trauma patients over 80 years ago. Only recently has this technique regained popularity for rapid and safe access to the vascular space in patients in extremis. by ICU Rounds

18 min listen

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Smoke Inhalation Injury: CO and Cyanide Toxicity: The onset of cold weather will bring with it an increase in structure fires. The leading cause of deaths in fires is complications from the inhalation of smoke-- not burns. Learn why smoke is so deadly as well as what are the appropriate... by ICU Rounds

39 min listen

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Weaning (Liberating) from the mechanical ventilator: Don't wean people from their ventilators-- liberate them!! When are people ready to come off the ventilator? What are weaning parameters? How does one do a spontaneous weaning trial? What is the role of noninvasive... by ICU Rounds

26 min listen

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Glutamine In Critical Illness: what's all the fuss about?: All surgical residents know that glutamine is the amino acid known as the fuel for the gut. But what is all the fuss about? The episode will look at the data on glutamine. Does glutamine improve outcomes, and if so and in... by ICU Rounds

11 min listen

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Thermal Injuries: An introduction of the biology of thermal injuries and the initial care of the patient with thermal injuries in critical condition. by ICU Rounds

40 min listen

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Atrial Fibrillation: Atrial fibrillation is a common problem in ICU patients, but it is a problem with many potential causes, and not always a well defined treatment. by ICU Rounds

39 min listen

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PAIN: a four letter word: The management of pain is a key element of the care of all patients-- ICU or not. Often providers have little understanding of the concepts and medications of pain management. This episode serves as an introduction. by ICU Rounds

40 min listen

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Surviving Sepsis Campaign (part 2): We continue our discussion of the Surviving Sepsis Campaign (SSC). This includes fluids types, steroids, rhAPC (Xigris), and blood sugar control. by ICU Rounds

34 min listen

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Crush Syndrome: Earthquakes are horrible natural events causing loss of lives in the thousands. Following earthquakes, building collapses, and cave-ins, large number of victims will suffer from renal failure and death following crush syndrome. by ICU Rounds

19 min listen

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Blood Conservation in the ICU: When should a patient receive a transfuse of blood? What is an acceptable hemoglobin concentration in an ICU patient and should we use EPO? Summer is a time when the blood banks often have a single day's worth of blood. Perhaps with... by ICU Rounds

28 min listen

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Metabolism: Starvation versus Stress: Not feeding an injured or ill patient is not that same as a normal individual who is fasting. A pound of weight loss in the stress patient is significantly different than a pound of weight loss in someone on a diet. A basic... by ICU Rounds

29 min listen

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Do Steroid Improve Survivial in Sepsis? CORTICUS Trial: The results of the CORTICUS trial are discussed. by ICU Rounds

23 min listen

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Polypharmacy in the Elderly: Patients are often admitted to the ICU with an entire list of home medications. In this episode I talk about the implications and dangers of polypharmacy. by ICU Rounds

29 min listen

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Burns: Fluid Creep: Excessive fluid resuscitations lead to horrible complications such as abdominal compartment syndrome. This article takes a critical look and challanges many of our practices in fluid resuscitation of burn patients. by ICU Rounds

22 min listen

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Pediatric Burns: Pediatric burns: all burns are serious, both big and small. This episode reviews the objectives of burn care to result in the best functional outcome. Also, burn is a very common method of child abuse and we detail how these children... by ICU Rounds

48 min listen

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Control of hyperglycemia improves outcomes: A great deal is being presented and published on control of blood sugar in the ICU as well as the postoperative period. How much control is enough and what is the data? by ICU Rounds

34 min listen

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Early Surgery Improves Outcomes Following Critical Burns: Early surgical excision is likely to be the most significant individual variable to imporve the outcome of a patient (adult or child) with a critical burn. Nevertheless, many nonburn physicians still want to apply to 1970 treatment paradigms to... by ICU Rounds

24 min listen

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Sepsis - Part 2: In this episode we discuss that ICU care of the patient with sepsis. This includes an introduction to various vasopressors. by ICU Rounds

33 min listen

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Sepsis - Part 1: Sepsis is a common cause of death in the intensive care unit. In this episode I present some of the statistics on septic deaths, introduce the definitions, and present the basic science. Part 2 will cover fluid and drug therapy for septic... by ICU Rounds

34 min listen

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Airway Pressure Release Ventilation (APRV) or BiVent: What the heck is this?

Airway Pressure Release Ventilation (APRV) or BiVent: What the heck is this?

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