PedsCrit

Dr. Bradley Fuhrman, an expert in pediatric critical care, discusses cardiopulmonary interactions. Topics include the impact of intubation and positive pressure ventilation on cardiovascular physiology, the relationship between right and left ventricular performance, and the muscle connection in pericardial tamponade. The hosts emphasize the importance of seeking medical advice and express excitement about interviewing Fuhrman.

Dr. Bradley Fuhrman, a pediatrician and specialist in cardiology and neonatology, discusses clinically relevant cardiopulmonary interactions. Topics covered include cardiopulmonary dynamics, septic shock, fluid status assessment in pediatric patients, and the use of passive leg raise as a diagnostic tool.

Dr. Jerry Zimmerman, Professor of Pediatrics, discusses the physiologic rationale and clinical evidence for using corticosteroids in septic shock. They explore the potential benefits and adverse effects of corticosteroids in conditions like COVID-19 and ARDS. They also discuss the use of oxandrolone for muscle protein accretion and the future of clinical research. Additionally, they cover the use of corticosteroids in adrenal insufficiency, ACTH stimulation tests, and optimal cortisol cutoffs.

Dr. Jerry Zimmerman, Professor of Pediatrics at the University of Washington and former Chief of the Division of Critical Care Medicine, discusses the use of corticosteroids in septic shock. Topics include the physiologic rationale, clinical evidence, current practice patterns, side effects, and future research. The chapter also highlights the significance of perseverance, teamwork, learning, and addressing burnout in pediatric intensive care.

Dr. Warren Zuckerman and Dr. Gav Apfel discuss post-operative care and management of pediatric heart transplant patients, including medication usage and monitoring parameters. They also explore challenges and complications in heart transplant patients and emphasize the importance of appropriate care. Additionally, they discuss the excitement for the Super Bowl and address new fellows' fears about transplants.

Dr. Warren Zuckerman, a pediatric cardiologist, and Dr. Gav Apfel, a CICU hospitalist, discuss pediatric heart transplants, including indications for transplant, preoperative management, surgical techniques, and post-transplant considerations. They also highlight the importance of a proactive approach in managing heart transplant patients in the operating room.

Megan & Ross Maenius, parents of a child with chronic medical complexity, share their journey in the ICU. Dr. Erin Gordon discusses the importance of a 'primary' intensivist in pediatric care, improving communication, and supporting families. Topics include parental consequences, challenges in NICU, advocating for families, emotional reflections on loss, and nurturing connections in the ICU.

Dr. Jeff Edwards and Dr. Erin Gordon discuss the role of primary intensivists in the ICU, the importance of family meetings, and the benefits of primary intensivist programs. They also highlight the significance of long-stay patients in the cardiac ICU and the insights gained from families with complex medical conditions.

Dr. Jeff Edwards and Dr. Erin Gordon discuss long stay patients in the pediatric ICU, including challenges and impact, mental health consequences for families, developmental outcomes for children, and strategies for improving continuity of care.

Dr. Greg Yurasek discusses anticoagulation, extubation, and interstage considerations after a Norwood procedure. Topics include EEG use in Norwood patients, managing acute hypoxemia with a BTT shunt, complications in intubated children post-surgery, extubation in pediatric patients with heart disease, and establishing relationships in the Cardiac ICU.