ICU Ed and Todd-Cast

CCR24: PROTECTION and CYCLE

Jul 2, 2024

The hosts discuss weight lifting for kidney protection after cardiac surgery and cycling for mechanically ventilated adults. They explore the benefits of amino acids and lower body strength, as well as a conference for critical care nurse practitioners and physician assistants in Nashville.

01:00:06

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Quick takeaways

Early in-bed cycling for ICU patients showed neutral physical function scores, posing challenges in determining optimal patient populations.

Combining physical therapy with enhanced nutrition may synergistically optimize muscle maintenance and development for critically ill patients.

Resource-intensive requirements and limited accessibility hinder the implementation of physical therapy interventions like cycling in critical care.

Deep dives

Cycling

Cycling intervention of 30 minutes/day for mechanically ventilated patients showed neutral results on physical function scores, despite trends favoring cycling over usual PT. Although no serious adverse events were reported, the accessibility and significant resource investment needed for physical therapy interventions like cycling remain a challenge, questioning the overall impact and feasibility.

Intro

2min

Exploring Mechanical Ventilation and Oxygen Delivery Practices in Critical Care

2min

Discussion on Protection and Cycle Studies

3min

Randomized Trial of Intravenous Amino Acids for Kidney Protection in Critical Care

14min

Approach to Managing Patients with AKI in the Context of Elective Cardiac Surgery

19min

Considerations on Nutrition in Critical Care and Introduction to a Unique Conference

2min

Conference Highlights and Study on Cycling Intervention in ICU Patients

15min

Discussion on Physical Therapy, Nutrition Intervention, and Patient Population Benefit

3min

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Episode 42! In this episode we foray into weight lifting and body building as we talked about amino acids for kidney protection after cardiac surgery (PROTECTION) and cycling in addition to PT in mechanically ventilated adults (CYCLE). We also feature our first real ad for the Critical Care ACNP/PA Bootcamp! Details below!

Bagging vs Ventilator During Cardiac Arrest: https://journal.chestnet.org/article/S0012-3692(24)00248-4/abstract
PROTECTION: https://www.nejm.org/doi/full/10.1056/NEJMoa2403769
PROTECTION (pubmed): https://pubmed.ncbi.nlm.nih.gov/38865168/
CYCLE: https://evidence.nejm.org/doi/10.1056/EVIDoa2400137
CYCLE (pubmed): https://pubmed.ncbi.nlm.nih.gov/38865147/

Bootcamp Details:
Vanderbilt University Medical Center is hosting its annual Critical Care ACNP/PA Bootcamp. This multi-specialty conference is designed for nurse practitioners and physician assistants working in critical care. The program, now in its thirteenth year, features a mix of lectures, roundtable discussions, expert Q&A sessions and networking opportunities aimed at both new and experienced providers. #CCBootcamp2024

Dates: September 4-5, 2024 from 08:00 AM - 3:30 PM each day

Target Audience: This course is designed for nurse practitioners and physician assistants working in critical care.

Location: Loews Vanderbilt Hotel located at 2100 West End Ave, Nashville, TN

Registration: https://www.eventbrite.com/e/vumc-critical-care-acnppa-bootcamp-2024-tickets-830345073467?utm-campaign=social&utm-content=attendeeshare&utm-medium=discovery&utm-term=listing&utm-source=cp&aff=ebdsshcopyurl

More Info: https://www.vumc.org/advanced-practice-critical-care

If you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!

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ICU Ed and Todd-Cast

CCR24: PROTECTION and CYCLE

Podcast summary created with Snipd AI

Quick takeaways

Deep dives

Cycling

Physical Therapy Study

Future Directions

Physical Therapy Feasibility

Promising Interventions

Remember Everything You Learn from Podcasts