PedsCrit

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.

Dr. Greg Yurasek discusses the step-by-step process of the Norwood procedure, options for blood delivery to the PA bifurcation, surgeon's decision-making process for cardiac procedures in children, immediate post-op care strategies, and managing urine output in children after surgery.

Dr. Greg Yurasek, a pediatric cardiology fellowship graduate, discusses topics such as single ventricle physiology, timing of procedures, assessing blood flow in pediatric patients, and pre-operative feeding challenges for single-ventricle patients.

Guest Jenna Miller, MD, discusses the key milestones for extubation on VV-ECMO, mobilization practices for different age groups, and long-term neurologic effects. Also covered are the weaning and decannulation process, procedural sedation, and the importance of collaboration in VV-ECMO.

Guest Jenna Miller, Associate Professor of Pediatrics, discusses troubleshooting the VV-ECMO circuit and preparing for early rehab. Topics include nutrition for patients on VV-ECMO, moving towards early extubation and mobilization, breastfeeding and feeding on ECMO, waking up patients on ECMO, and early rehabilitation and sedation approach for pediatric patients.

Jenna Miller, MD and Dr John Daniel discuss the different cannulas used in VV ECMO, the importance of proper cannula placement, and the risks associated with movement. They also explore the benefits of lung rest and extubation strategy for respiratory kids on ECMO, along with important aspects such as neurosedation, bottle feeding, and monitoring cannula placement.

Experts discuss their personal experiences and advice in the field of ECMO. The use of VV ECMO in respiratory failure and the criteria for cannulation are explored. Choosing between VV and VA ECMO for progressive respiratory failure is discussed, along with the benefits of VV ECMO in neonates.

Dr. Scott Weiss, an Associate Professor of Pediatrics and Pathology, discusses the use of vasoactive agents and monitoring of hemoglobin and lactate values in the treatment of septic shock. He explores the choice of vasoactive agents for children with septic shock and highlights the differences between pediatric and adult practice. He emphasizes the importance of reassessing non-responsive septic shock patients, identifying common dynamics of sepsis, and improving the management of children with septic shock.

Dr. Scott Weiss, Associate Professor of Pediatrics and Pathology at Thomas Jefferson University and Chair of the Division of Pediatric Critical Care Medicine at Nemours Children’s Hospital, discusses fluid bolus therapy and accurate measurement of capillary refill in septic shock. The podcast also covers differentiating between warm and cold shock in pediatric sepsis, the importance of physical examination, and additional monitoring techniques used in ICU management.

Dr. Sam Davila, a specialist in pediatric infectious diseases and cardiac critical care, discusses ventilator-associated pneumonia. He explores the diagnosis and treatment of VAP, considerations for empiric therapy, and strategies for preventing and managing VAP.