PedsCrit

Dr. Alexander Rotta, a leading pediatric intensivist and educator from Duke University, discusses the transformative impact of high-frequency jet ventilation in critically ill children. He explains the physiological rationale behind this ventilation method and identifies the specific patient populations that stand to gain the most from it. Through engaging anecdotes, Dr. Rotta reflects on his career, emphasizing the importance of mentorship and resilience in overcoming challenges, alongside practical insights into advanced ventilation techniques.

Dr. Steven Loscalzo and Dr. Elorm Avakame discuss the importance of emotional intelligence in healthcare, emphasizing self-awareness, empathy, and communication skills. They explore ways to improve interactions with colleagues, families, and patients in high-stress environments like critical care settings. The podcast highlights the need for ongoing development and training in emotional intelligence for better patient care and workplace culture.

Dr. Ayse Akcan Arikan discusses the implementation of extracorporeal liver support, management of hepatic encephalopathy, ethical dilemmas in therapy decisions, positive outcomes for teenagers with liver failure, and challenges in providing high-resource therapies to pediatric patients with acute liver failure.

Dr. Ayse Akcan Arikan, a pediatric intensivist and nephrologist, discusses extracorporeal liver support in acute liver failure. Topics include modalities of liver support, innovative therapy implementation, managing liver failure in pediatric patients, and the use of extracorporeal therapies like SPAD, MARS, and CRRT.

Dr. Jim Squires and Dr. Maria Pliakas discuss pediatric acute liver failure, focusing on fluid resuscitation, coagulopathy, and prognostic markers. They explore management strategies, coagulation factor replacements, and fluid/electrolyte complications. The podcast emphasizes the importance of multidisciplinary care and collaboration in successful liver transplantation cases.

Dr. Jim Squires & Dr. Maria Pliakas discuss pediatric acute liver failure, challenges in diagnosis, clinical cases, management strategies, and personalized treatment approaches. They highlight the importance of individualized care, early referral to transplant centers, and extracurricular support methods like plasma exchange and CRRT. The conversation also explores medication management in critical care settings for safe sedation and paralysis.

Dr. Martin Kneyber discusses the physiologic rationale for HFOV, patient populations benefiting from it, evidence supporting its use, expert patient management, and future research. Topics include mean airway pressure, chest movement in HFOV, corner frequency's impact on ventilation, optimizing strategies for oxygenation, and CO2 monitoring in critically ill children.

Dr. Martin Kneyber, a pediatric critical care specialist, discusses high frequency oscillatory ventilation (HFOV) in pediatric critical care. Topics include physiologic rationale, patient populations, key evidence, expert approach in managing HFOV, and future research directions. The podcast explores HFOV benefits, challenges, efficacy, and setting PEEP levels for optimal outcomes.

Dr. Thomas Conlon and Dr. Sarah Ginsburg discuss the importance of Point of Care Ultrasound in pediatric ICU, addressing challenges in program implementation and competency assessments. They emphasize collaboration with specialists for quality assurance and continuous training to enhance ultrasound practice.

Dr. Thomas Conlon and Dr. Sarah Ginsburg discuss the importance of Point of Care Ultrasound in pediatric critical care. They explore its impact on diagnosing shock, challenges in treatment, and enhancing patient outcomes. The podcast highlights the benefits of real-time ultrasound for immediate hemodynamic assessment and improved communication among healthcare providers.