PedsCrit

PedsCrit
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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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Jul 7, 2025 • 35min

Fellowship Project Design with Dr. Mike Spaeder (1/2)

In this engaging discussion, Dr. Mike Spaeder, a Professor of Pediatrics and director of the Pediatric Critical Care fellowship at UVA, shares crucial insights into fellowship project design in pediatric medicine. He emphasizes the dual roles of mentorship and research, and how vital support systems enhance productivity. The conversation covers the specific challenges fellows face in publishing research, the importance of funding, and the evolving landscape of career opportunities after fellowship. Dr. Spaeder's expertise in mentorship shapes a supportive environment for aspiring clinicians and researchers.
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Jun 16, 2025 • 25min

Airway Pressure Release Ventilation (APRV) with Dr. Palen Mallory (2/2)

Dr. Palen Mallory, a pediatric intensivist at Duke Children's Hospital, unpacks the essential nuances of Airway Pressure Release Ventilation (APRV) for ARDS. She discusses the importance of personalized ventilator settings and innovative strategies to boost oxygenation and ventilation. Advanced weaning techniques are explored, emphasizing the role of end-tidal CO2 monitoring. Mallory also highlights the need for standardized protocols in pediatric care and sheds light on future research directions, making for a compelling listen for healthcare professionals.
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Jun 9, 2025 • 35min

Airway Pressure Release Ventilation (APRV) with Dr. Palen Mallory (1/2)

Palen Mallory, a pediatric intensivist at Duke University, dives into the fascinating world of Airway Pressure Release Ventilation (APRV) for pediatric ARDS. She discusses the physiological rationale behind APRV and its potential benefits for critically ill children. The conversation addresses the challenges clinicians face, including managing unintended extubation and monitoring complications. Mallory also emphasizes the importance of careful patient selection and institutional practices in optimizing care, shedding light on her ongoing research in this field.

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