Exploration of the Phoenix sepsis criteria focusing on pulmonary criteria and concerns about practice variations. Discussing Menotario pressures and lactate levels in cardiovascular dysfunction assessment. Highlighting the need for standardized sepsis criteria for localized screening based on risk factors. Implementing Phoenix criteria for sepsis screening tools and real-time surveillance of sepsis using data-driven decisions.

Dr. Nelson Sanchez-Pinto, an expert in pediatric sepsis criteria and diagnosis, discusses the limitations of prior pediatric sepsis definitions and the rationale for creating the Phoenix Sepsis Criteria. The podcast explores the methodology of deriving the criteria, analyzing diverse patient outcomes, developing a composite model for mortality risk estimation in infected patients, and introducing the Phoenix eight organ system score for research and management purposes.

Dr. Ethan Sanford, Assistant Professor of Anesthesia and Pediatrics at the University of Texas Southwestern in Dallas, discusses navigating the end of life and shares his personal experience of losing his own child. He talks about grief, finding meaning, returning to work, and explores activities for grief and personal growth.

Dr. Elizabeth Killien discusses post-intensive care syndrome in children and the importance of long-term outcomes in pediatric intensive care. She highlights strategies to reduce the risk of negative outcomes, the impact of pediatric septic shock on mortality and quality of life, the effects of PICS-P on caregivers and families, and the need for better communication and support systems.

Dr. Elizabeth Killien, Assistant Professor of Pediatrics at the University of Washington, discusses Post-Intensive Care Syndrome in children, including its clinical presentation, risk factors, and ways to reduce the risk. The podcast also explores challenges in measuring outcomes for children in the ICU.

Dr. Alexis Topjian discusses post-cardiac arrest care, including therapeutic hypothermia trials in pediatric patients and the impact of temperature management on outcomes. The podcast also highlights the importance of clinical pathways, neuro-prognostication, and building systems to improve patient care.

Dr. Alexis Topjian, Professor of Anesthesiology and Critical Care at the University of Pennsylvania, discusses post-cardiac arrest syndrome, including topics such as post-arrest care and management, approaching hypertension and sedation, and specialized monitoring and testing in the ICU.

 About our guest:Jenna Miller, MD is an Associate Professor of Pediatrics at the University of Missouri-Kansas City School of Medicine. She completed her medical school and residency in Kansas City before moving to Texas Children’s for critical care fellowship. She is the director of the pediatric ECMO program and the pediatric critical care medicine fellowship at Children’s Mercy Kansas City. Her professional and research interests include trimethoprim-sulfamethoxazole ARDS, ECMO and medical education.ECMO Patient Stories from Children’s Mercy Kansas City:https://www.cnn.com/2018/03/21/health/teen-walks-on-life-support-exclusive-profilehttps://www.thedailybeast.com/trevor-hensley-endured-73-days-of-ecmo-to-survive-covidhttps://news.childrensmercy.org/mcpherson-news-ledger-mcpherson-boy-home-following-100-day-hospital-stay/References:Maclare, Graeme, et al. Extracorporeal Life Support: The ELSO Red Book. 6th Edition. Pelosi, er al. Close down the lungs + keep them resting to minimize ventilator induced lung injury.  Maharaj et al, Right Ventricular Dysfunction is Associated with Increased Mortality in Patients Requiring Venovenous Extracorporeal Membrane Oxygenation for Coronavirus Disease 2019Nirmal S Sharma et al. Flexible Bronchoscopy Is Safe and Effective in Adult Subjects Supported With Extracorporeal Membrane Oxygenation. Rosner EA et al. Flexible Bronchoscopy in Pediatric Venovenous Extracorporeal Membrane Oxygenation. Gurnani et al. Outcomes of Extubated COVID and Non-COVID Patients Receiving Awake Venovenous Extracorporeal Membrane Oxygenation, Kohne et al. Tracheostomy Practices and Outcomes in Children During Respiratory Extracorporeal Membrane OxygenationPalen P et al. tracheostomy and long-term mechanical ventilation in children after veno-venous extracorporeal membrane oxygenation.LaRosa JM, Nelliot A, Zaidi M, Vaidya D, Awojoodu R, Kudchadkar SR. Mobilization Safety of Critically Ill Children. Pediatrics. Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.

Dr. Tarif Choudhury, pediatric cardiac intensivist at Columbia University College of Physicians and Surgeons, discusses topics such as optimizing CPR, monitoring patients during CPR, controversies of using epinephrine, bike-carb, and ultrasound in cardiac arrest.

Dr. Tarif Choudhury, a pediatric cardiac intensivist, discusses CPR and his expertise in simulation and team dynamics during a cardiac arrest. He offers valuable advice for aspiring intensivists and talks about work-life balance for healthcare professionals. The podcast also covers strategies for managing noise and chaos during critical situations, the concept of high quality CPR, and correcting suboptimal performance.