PedsCrit

PedsCrit
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Dec 1, 2025 • 45min

Nutrition in Critical Illness with Dr. Enid Martinez, 1/2

Dr. Enid Martinez, a Senior Associate in pediatric critical care at Boston Children's Hospital, shares her expertise on nutrition's critical role in the recovery of severely ill children. She discusses alarming rates of malnutrition in the PICU and the metabolic disruptions caused by critical illness. Listeners learn about early feeding goals and the importance of accurate energy assessments using indirect calorimetry. Enid highlights the need for multidisciplinary nutrition teams and warns against the dangers of overfeeding, which can exacerbate respiratory issues.
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Nov 10, 2025 • 51min

Tricyclic Antidepressant Ingestions with Dr. Josh Nogar

Dr. Joshua Nogar, an emergency physician and board-certified medical toxicologist, shares his expertise on managing tricyclic antidepressant toxications. He discusses the complex pharmacology of TCAs and the importance of early recognition of toxicity. Key insights include the significance of QRS duration in predicting cardiac issues, strategies for airway management, and the use of sodium bicarbonate therapy. Dr. Nogar also delves into advanced treatment options like lipid emulsion therapy and emphasizes the necessity for vigilant reassessment in cases of suspected overdose.
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108 snips
Oct 27, 2025 • 48min

Diabetic Ketoacidosis with Dr. Nicole Glaser

Dr. Nicole Glaser, Chief of Pediatric Endocrinology at UC Davis, shares her expertise on managing pediatric diabetic ketoacidosis (DKA). She discusses best practices for triaging DKA patients and explains the critical risks associated with cerebral injury. Dr. Glaser highlights the importance of fluid management and the evidence supporting insulin infusion rates. She also addresses when to transition to subcutaneous insulin and the benefits of continuous glucose monitors in managing children recovering from DKA. Vigilant monitoring and reassessment are key takeaways.
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135 snips
Oct 6, 2025 • 57min

Critical Bronchiolitis with Dr. Steve Shein and Dr. Jatinder Dhami

In this insightful discussion, Dr. Steve Shein, a leading expert in pediatric critical care, and Dr. Jatinder Dhami, a pediatric intensivist with a focus on ethics in critical illness, dive into the complexities of managing critical bronchiolitis. They explore why infants are particularly vulnerable to respiratory infections and the challenges of developing strong treatment guidelines. Delving into the merits of racemic epinephrine versus albuterol, they also emphasize the importance of monitoring physiologic stress and identifying when to escalate care. Their clinical insights are both engaging and informative!
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Sep 15, 2025 • 42min

High-Frequency Percussive Ventilation (HFPV or VDR) with Dr. John Lin (2/2)

Dr. John Lin, a Professor of Pediatrics and Medical Director of Respiratory Care, shares his insights on high-frequency percussive ventilation (HFPV). He explains how the VDR ventilator works, mapping its settings to conventional terms. Listeners learn about safe percussive frequency ranges, the importance of I-time adjustments for effective ventilation, and patient management during transitions to HFPV. Dr. Lin also discusses contraindications, weaning strategies, and updates on its usage trends, emphasizing the need for clinicians to be aware of future equipment availability.
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Sep 8, 2025 • 30min

High-Frequency Percussive Ventilation (HFPV or VDR) with Dr. John Lin (1/2)

Join Dr. John Lin, a pediatric critical care expert and director at St. Louis Children’s Hospital, as he delves into the innovative world of high-frequency percussive ventilation (HFPV). He discusses its key benefits for pediatric patients, especially those with complex respiratory issues, and shares insights on patient selection and collaborative care. Listeners will explore the advantages of HFPV over traditional methods, the importance of training for medical teams, and the future directions for research in this vital area of pediatric medicine.
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Aug 25, 2025 • 56min

Bronchopulmonary Dysplasia with Dr. Audrey Miller

Dr. Audrey Miller, an Attending Neonatologist at Nationwide Children's Hospital, shares her expertise on bronchopulmonary dysplasia (BPD). She discusses the complexities of managing BPD in the ICU, emphasizing individualized care strategies. Insights into ventilatory management, patient comfort, and weaning processes are explored, highlighting the importance of collaboration among healthcare teams. Additionally, she addresses the challenges of patient-ventilator asynchrony and the critical support needed for families navigating their child's care journey.
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Aug 11, 2025 • 28min

Neurally Adjusted Ventilatory Assist (NAVA) with Dr. Guillaume Emeriaud (2/2)

Dr. Guillaume Emeriaud, a Professor of Pediatrics and pediatric intensivist, shares his insights on Neurally Adjusted Ventilatory Assist (NAVA) in critically ill children. He discusses optimizing non-invasive ventilation and the importance of monitoring diaphragmatic activity for effective respiratory support. Key challenges include managing airflow leaks and balancing sedation with ventilation needs. Emeriaud also highlights future directions for NAVA in pediatric care, emphasizing the necessity for personalized observation and institutional knowledge.
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58 snips
Aug 4, 2025 • 40min

Neurally Adjusted Ventilatory Assist (NAVA) with Dr. Guillaume Emeriaud (1/2)

Dr. Guillaume Emeriaud is a Professor of Pediatrics and pediatric intensivist at Sainte Justine Hospital in Montreal, with expertise in children’s ventilatory support. He discusses Neurally Adjusted Ventilatory Assist (NAVA) and its groundbreaking applications in pediatric critical care. The conversation covers its advantages over traditional ventilation methods, the significance of monitoring diaphragmatic electrical activity, and the complexities of ensuring optimal patient support. Insights into NAVA's cost-effectiveness and catheter insertion techniques add to the rich discussion.
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Jul 14, 2025 • 42min

Fellowship Project Design with Dr. Mike Spaeder (2/2)

Dr. Mike Spaeder, a Professor of Pediatrics at UVA and director of the Pediatric Critical Care fellowship, dives into the nuts and bolts of fellowship project design. He emphasizes the critical role of mentorship and offers fresh strategies for clinical research planning. The conversation also addresses generational differences in mentorship, touching on how to engage younger trainees effectively. Spaeder shares insights on mastering science writing and navigating the intricacies of manuscript submissions, highlighting the importance of community in pediatric critical care.

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