PedsCrit

Dr. Yigit Guner and Dr. Amir Ashrafi discuss congenital diaphragmatic hernia surgery, use of corticosteroids, optimal timing for surgical repair, specialized care impact, and AI in CDH management. They also share personal insights, talk about upcoming pediatric congress, express gratitude to guests, and chat about pizza secrets.

Exploring delivery room procedures, ECMO transition decisions for neonates with congenital diaphragmatic hernia. Optimizing care in the NICU with blood gas analysis, ventilation strategies, and hemodynamic resuscitation. Managing pulmonary vascular resistance with pulmonary vasodilators. Navigating ECMO cannulation decision and surgical repair. Team approach and ECMO considerations for CDH patients.

Experts discuss the anatomy, physiology, and prenatal risk assessment of congenital diaphragmatic hernia. They delve into managing CDH, liver position implications, fetal echocardiograms, and a fetal procedure for lung growth, highlighting the complexities and challenges in treatment.

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.