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Pediatrica intensiva: Art & Science of Pediatric Critical Care

Pediatrica intensiva: Art & Science of Pediatric Critical Care

Pediatrica Intensiva

Bridging the gap between literature and practice in pediatric intensive care. Featuring guests from around the world and pediatric intensive care specialists Greg Kelly (Westmead Children's Hospital Sydney), Peta Alexander (Boston Children's Hospital), Karen Choong (McMaster Children's Hospital Canada) and Mike Clifford (Royal Children's Hospital Melbourne) Pediatrica intensiva won’t tell you the answers, because no one knows what they are, but we can give you a chance to hear respected experts talk about what they actually do with some of the toughest problems in our field. Rather than having short episodes on a topic, we have whole seasons. And that gives us the chance to go deep. We really hope that you find it helpful - please listen and subscribe to Pediatrica intensiva wherever you listen to podcasts and follow us on iTunes and Twitter (https://twitter.com/PedsIntensiva), share with your friends and reach out with any feedback, requests or comments. Of course, information in the podcast is not meant to replace the advice of a health professional and is in no way a substitute for the relationship between a patient and his/her/their own physician
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Top 10 Pediatrica intensiva: Art & Science of Pediatric Critical Care Episodes

Goodpods has curated a list of the 10 best Pediatrica intensiva: Art & Science of Pediatric Critical Care episodes, ranked by the number of listens and likes each episode have garnered from our listeners. If you are listening to Pediatrica intensiva: Art & Science of Pediatric Critical Care for the first time, there's no better place to start than with one of these standout episodes. If you are a fan of the show, vote for your favorite Pediatrica intensiva: Art & Science of Pediatric Critical Care episode by adding your comments to the episode page.

Pediatrica intensiva: Art & Science of Pediatric Critical Care - Airways That Scare Me - Shock Part 2

Airways That Scare Me - Shock Part 2

Pediatrica intensiva: Art & Science of Pediatric Critical Care

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10/11/23 • 48 min

Airway Management remains the single highest risk time for our patients in pedsICU & pedsCICU. We've known about problems for long time, but finally gaining attention, new ways of thinking & new ways to use drugs & devices- there's a lot more gray then there used to be.

We'll discuss resuscitation and airway management in child with cardiac disease or hemodynamic instability, introduce the concept of the resus spiral staircase and talk about how you can optimize your team, respiratory support and hemodynamics. We cover delayed sequence intubation and that not every patient needs a tube and not every patient needs a tube right now. With better drugs and devices like dexmedetomidine and non-invasive, we've actually opened up a big zone between no support and invasive ventilation. We'll discuss ECMO standby when, how, who, and then finally de-resuscitation and extubation or separation from support.

This was a really big episode, so we've split it into two. The first half covered the resus spiral, team management, equipment & environment. In this second episode, we will go into respiratory and hemodynamic support, rescue strategies, including ECMO and finally extubation.

Featuring regular hosts @drpetaalexander @BostonChildrens @karen_choong @MCH-childrens @drgregkelly @SCHNkids

No time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter @pedsintensiva and our website here https://pedsintensiva.com

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Pediatrica intensiva: Art & Science of Pediatric Critical Care - Airways That Scare Me - Respiratory Instability w Robi Khemani

Airways That Scare Me - Respiratory Instability w Robi Khemani

Pediatrica intensiva: Art & Science of Pediatric Critical Care

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07/11/24 • 55 min

This season is about airway management or airways that scare me and this episode, we discuss the respiratory unstable patient or the patient who's a "physiologically difficult airway" because they have bad lungs. We were incredibly lucky to have the amazing Robi Khemani from CHLA, a world expert on respiratory disorders in #pedsICU, join us and be able to share his thoughts.

It's not just about putting the tube in, it's about that whole high risk period of peri intubation. And with better drugs and devices we've opened a big space between low flow oxygen and invasive ventilation which makes decision making trickier.

Here we focus on that difficult decision making and the patients that really scare us. If you haven't heard it yet, our previous episode on team, environment, and equipment is very relevant here.

Featuring special guest Robinder Khemani from Children's Hospital LA and regular hosts @drpetaalexander @BostonChildrens @drgregkelly @SCHNkids and @Karen_Choong @MCH_childrens

No time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter @pedsintensiva and our website here https://pedsintensiva.com

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Pediatrica intensiva: Art & Science of Pediatric Critical Care - The Frontlines of COVID19 in Italy

The Frontlines of COVID19 in Italy

Pediatrica intensiva: Art & Science of Pediatric Critical Care

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03/21/20 • 57 min

Pediatrica Intensiva episode 2. Italian intensivists Gio Colombo & Lorenzo Grazioli report from Bergamo, Italy, 2 weeks into their enormous epidemic of COVID-19, the first outbreak outside Wuhan, China.

Link to written summary: https://twitter.com/PedsIntensiva/status/1242087069221965824?s=20

Find and follow Pediatrica Intensiva on Twitter here:

https://twitter.com/PedsIntensiva

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Pediatrica intensiva: Art & Science of Pediatric Critical Care - Complex Airway Surgery - Airways That Scare Me

Complex Airway Surgery - Airways That Scare Me

Pediatrica intensiva: Art & Science of Pediatric Critical Care

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02/05/24 • 58 min

Children with complex airway surgery are airways that truly scare us. Though a small number of patients in pedsICU, they can stay a long time and are at risk of death and morbidity from their underlying conditions, co-existing conditions, their treatment and ICU acquired problems. Managing these patients requires a high level of understanding, communication and teamwork between ENT/ORL, ICU, anesthesia, cardiothoracic surgery and numerous other teams.

We're going to cover the working up and investigation of patients transfers. The kind of conditions that are treated ranging from severe stenoses to severe malacias. What the surgeons actually do what they want us to know and how it can best work together between ICU and surgical team. We're also going to cover how we maintain these patients in the ICU, how we progress them, forwards, how we investigate problems and how we get the next debated and keep them safe.

Featuring special guests ORL surgeon and innovator David Zopf and Ryan Barbaro from University of Michigan and regular hosts @drpetaalexander @BostonChildrens @drgregkelly @SCHNkids and Mike Clifford @RCH

No time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter @pedsintensiva and our website here https://pedsintensiva.com

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Pediatrica intensiva: Art & Science of Pediatric Critical Care - Challenging Scenarios in Pediatric ECMO with Peds Intensiva, PCICS and PediECMO

Challenging Scenarios in Pediatric ECMO with Peds Intensiva, PCICS and PediECMO

Pediatrica intensiva: Art & Science of Pediatric Critical Care

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06/30/23 • 48 min

What are the pediatric #ECMO scenarios that even experts struggle with?

"Challenging Pediatric ECMO Scenarios" Special Collaboration w @PCICS @ECMOPedi and @PedsIntensiva

3 cases covering what our expert hosts and panelists all decided were three of the HARDEST scenarios to deal with:

1. VA ECMO for respiratory support; 2. L heart decompression on VA ECMO &; 3. "Inadequate" VV ECMO support

Feat. international experts @drpetaalexander @deanna_md @ETEmrath @DrGregKelly @JFurlongDillard @ozmen001 and Dr Ariane Willems

As usual, the audio content will be released as a tweet thread that you can find and comment on - here is the link

Pedsintensiva.com

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Pediatrica intensiva: Art & Science of Pediatric Critical Care - The peak of the COVID crisis in Bergamo, Italy

The peak of the COVID crisis in Bergamo, Italy

Pediatrica intensiva: Art & Science of Pediatric Critical Care

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04/10/20 • 53 min

3rd interview between Pediatrica intensiva team and Drs Giovanna Colombo and Lorenzo Grazioli at the epicentre of the Italian outbreak in Bergamo, Italy. At the time of recording in early April 2020, Italy was still at the peak of their crisis and New York and other places was starting to see a sizeable number of cases.

Link to written podcast summary here:

https://twitter.com/PedsIntensiva/status/1248589226259517443?s=20

Find and follow Pediatrica Intensiva on Twitter here:

https://twitter.com/PedsIntensiva

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Pediatrica intensiva: Art & Science of Pediatric Critical Care - Culture & Practice Change for #pedsICU based rehabilitation

Culture & Practice Change for #pedsICU based rehabilitation

Pediatrica intensiva: Art & Science of Pediatric Critical Care

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02/23/23 • 80 min

Culture and Practice Change are a vital element to implement ICU based rehabilitation in the pediatric ICU - because even when we know what to do it can be really hard to get our large and diverse teams on board and manage resource limitations, change fatigue and differing views.

Here, experts from around the world discuss how they implemented change in their units - using everything from quality science to gossip and merchandise!

Invited guests are Dr Brianna McKelvie from @CHEO, an intensivist with a masters degree in quality science, Dr Matteo DiNardo from Bambino Gesu, who has implemented QI projects in Italy and in low resource settings and Dr Mirjana Cvetkovic @mirjanaxxx @GreatOrmondStreet a cardiac intensivist and anesthetist who has driven change at GOS. Featuring regular hosts @drpetaalexander @BostonChildrens @karen_choong @MCH-childrens @drgregkelly @SCHNkids

No time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter @pedsintensiva and our website here

https://pedsintensiva.com/culture-practice-change-in-picu-based-rehabilitation/

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Pediatrica intensiva: Art & Science of Pediatric Critical Care - Airways That Scare Me in #pedsICU - Shock Part 1

Airways That Scare Me in #pedsICU - Shock Part 1

Pediatrica intensiva: Art & Science of Pediatric Critical Care

play

06/07/23 • 48 min

Airway management remains the single highest risk time for our patients in pediatric ICU. We've known about these problems for a long time, but they're finally gaining the attention they deserve with registry projects and multicenter studies, new ways of thinking that move away from old dogmas and new ways to use our drugs and devices. One of the groups with the highest rates of peri intubation cardiac arrest is the child with cardiac disease or hemodynamic instability. Recent studies show extraordinary rates of peri intubation cardiac arrest as high as four to 15% in the 30 minute peri-intubation window.

We'll discuss resuscitation and airway management in child with cardiac disease or hemodynamic instability, introduce the concept of the resus spiral staircase and talk about how you can optimize your team, respiratory support and hemodynamics. We cover delayed sequence intubation and that not every patient needs a tube and not every patient needs a tube right now. With better drugs and devices like dexmedetomidine and non-invasive, we've actually opened up a big zone between no support and invasive ventilation. We'll discuss ECMO standby when, how, who, and then finally de-resuscitation and extubation or separation from support.

This is a really big episode, so we've split it into two. This first half covers the resus spiral, team management and monitoring. And in the second episode, we will go into respiratory and hemodynamic support, rescue strategies, including ECMO and finally extubation.

Featuring regular hosts @drpetaalexander @BostonChildrens @karen_choong @MCH-childrens @drgregkelly @SCHNkidsNo time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter @pedsintensiva and our website here https://pedsintensiva.com

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Pediatrica intensiva: Art & Science of Pediatric Critical Care - Early Mobilization in #pedsICU feat. Sapna Kudchadkar

Early Mobilization in #pedsICU feat. Sapna Kudchadkar

Pediatrica intensiva: Art & Science of Pediatric Critical Care

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05/10/21 • 65 min

Early Mobilization in the #pedsICU with groundbreaker Sapna Kudchadkar from Johns Hopkins

Early Mobilization is enormously important because while survival continues to increase, so do the numbers of children who leave PICU with a new functional limitation. Survival is not enough anymore - it's all about the quality of survival

Pediatrica Intensiva season 3 is guest edited by Professor Karen Choong from McMaster University in Hamilton, Canada and co hosted by Drs Greg Kelly (Sydney Children's Hospital Network), Peta Alexander (Boston Children's Hospital) and Mike Clifford (Royal Children's Hospital Melbourne)

No time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter https://twitter.com/PedsIntensiva and our website here https://pedsintensiva.com/early-mobilization-in-the-pedsicu-feat-sapna-kudchadkar/

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Pediatrica intensiva: Art & Science of Pediatric Critical Care - Difficult Airways w Akira Nishisaki & Doug Atkinson

Difficult Airways w Akira Nishisaki & Doug Atkinson

Pediatrica intensiva: Art & Science of Pediatric Critical Care

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12/05/24 • 69 min

Airway management remains the single highest risk time for our patients in pediatric ICU. Different studies of pediatric airway management report first pass success as low as 50%. Rates of severe desaturation as high as 20%, and significant rates of cardiac arrest ranging from two to 15% in the 30 minute peri intubation window alone. A difficult airway might be anticipated or unanticipated and is not just difficult endotracheal intubation, but also difficulties with mask ventilation. supraglottic airway devices, difficult rescue techniques including front of neck access and physiologically difficult airways, which we covered in previous episodes.

The good news is that the attention our community has been paying to these issues has reduced the rates of endo tracheal intubation (ETI) associated adverse events significantly, but there's still a long way to go. We are joined by Akira Nishisaki from NEAR 4 Kids & CHOP which has been one of the main drivers of improvements in this space for almost 20 years and who has an incredible knowledge of the literature and Doug Atkinson a pediatric anesthesiologist and cardiac intensivist from Boston Children's Hospital.

As always, we focus on how our expert panel do things in practice at their institutions whilst being aware of the evidence.

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FAQ

How many episodes does Pediatrica intensiva: Art & Science of Pediatric Critical Care have?

Pediatrica intensiva: Art & Science of Pediatric Critical Care currently has 24 episodes available.

What topics does Pediatrica intensiva: Art & Science of Pediatric Critical Care cover?

The podcast is about Life Sciences, Health & Fitness, Pediatrics, Medicine, Podcasts and Science.

What is the most popular episode on Pediatrica intensiva: Art & Science of Pediatric Critical Care?

The episode title 'Airways That Scare Me - Shock Part 2' is the most popular.

What is the average episode length on Pediatrica intensiva: Art & Science of Pediatric Critical Care?

The average episode length on Pediatrica intensiva: Art & Science of Pediatric Critical Care is 57 minutes.

How often are episodes of Pediatrica intensiva: Art & Science of Pediatric Critical Care released?

Episodes of Pediatrica intensiva: Art & Science of Pediatric Critical Care are typically released every 45 days, 18 hours.

When was the first episode of Pediatrica intensiva: Art & Science of Pediatric Critical Care?

The first episode of Pediatrica intensiva: Art & Science of Pediatric Critical Care was released on Mar 14, 2020.

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