PedsCrit

PedsCrit
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Jul 10, 2023 • 1h 9min

Primary Intensivist & Family Partnership: Advocating for Long Stay Patients in the ICU

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.
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Jul 3, 2023 • 30min

Long Stay Patients & Primary Intensivists with Dr. Jeff Edwards and Dr. Erin Gordon Part 2

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.
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Jun 26, 2023 • 27min

Long Stay Patients & Primary Intensivists with Dr. Jeff Edwards and Dr. Erin Gordon Part 1

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.
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5 snips
Jun 12, 2023 • 28min

Norwood Part 3: Anticoagulation, Extubation, & Interstage Considerations with Dr. Greg Yurasek

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.
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7 snips
May 29, 2023 • 25min

Norwood Part 2: Procedure & Immediate Post-Op Management with Dr. Greg Yurasek

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.
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34 snips
May 29, 2023 • 32min

Norwood Part 1: Pre-Operative Physiology & Management with Dr. Greg Yurasek

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.
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May 15, 2023 • 30min

VV ECMO Part 4: Extubation, decannulation, and long-term effects

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.
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May 8, 2023 • 28min

VV ECMO Part 3: Troubleshooting the circuit & preparing for early rehab

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.
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May 1, 2023 • 32min

VV ECMO Part 2: Cannulation & ventilator strategy

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.
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Apr 24, 2023 • 29min

VV ECMO Part 1: Who to cannulate to VV and how to get involved

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.

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