PedsCrit

 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.

Dr. Jim Fortenberry, a pediatric critical care expert, shares insights on career development in the field. He discusses leadership skills, reflections on past mistakes, and the importance of recognizing fallibility. Dr. Fortenberry also highlights motivation, making a difference in pediatric healthcare, and the significance of succession planning.

Dr. Nada Mallick, pediatric intensivist at Children's National Hospital, discusses the importance of rapid response teams in addressing respiratory distress and hypotension. The podcast also explores challenges in communication and collaboration during a rapid response, emphasizing the value of involving nurses and having clear plans. It concludes with gratitude and collaboration efforts.

Dr. Nada Mallick, a pediatric intensivist at Children's National Hospital, discusses pediatric rapid response teams, patient safety, and managing undifferentiated shock. The podcast also explores the evaluation and escalation of patient care, procedures in a surgical care unit, and the importance of gathering input from medical providers and nurses.

Dr. Priya Bhaskar, an associate professor of pediatrics and attending in the cardiac ICU at UT Southwestern, discusses VA ECMO in pediatrics. Topics include indications for VA ECMO, cannulation strategies, hemodynamic complications, weaning strategies, and the advantages of ventricular assist devices over ECMO.

Dr. Michelle Kittleson, an expert in heart failure and transplant, shares insights on running efficient rounds in the pediatric ICU. She discusses her journey in becoming interested in heart failure, her experiences in research, and her passion for cardiology. The podcast covers topics such as fellowship programs, mentorship, open access medical education, efficiency and preparation in rounds, and providing feedback in medical training. Dr. Kittleson emphasizes the importance of concise communication, minimizing time spent during rounds, and delivering timely and specific feedback. She also mentions her book 'Mastering the Art of Patient Care'.

Dr. Proshad Efune, a dual-trained intensivist in pediatric ICU and pediatric anesthesiology, discusses the physiologic difficult airway. Topics include high-risk scenarios for cardiovascular collapse during intubation and approaches to minimize risk. They also explore challenges in intubating young children with bronchiolitis, rapid sequence induction in pediatric patients, and the challenges of mask ventilation and ECMO readiness.

Dr. Eric Silver, Associate Professor of pediatrics at Columbia University Medical Center, discusses temporary pacing in pediatric cardiology. Topics include common indications for temporary pacing, understanding pacing modes in pacemakers, different pacing methods and risk factors for rhythm disturbances after cardiac surgeries.