Pediatrica intensiva: Art & Science of Pediatric Critical Care

Delirium is a hugely important topic in the #pedsICU with up to 90% of some patient populations being affected and impacts on disease severity, length of stay and quality of life, even months after discharge. It is related to underlying disease, but also to the drugs and abnormal environment that we expose our patients to. Chani Traube and Deb Long are two of the foremost experts on pediatric delirium and offer countless pearls in this practice-changing conversation. Pediatrica Intensiva season 3 is guest edited by Professor Karen Choong from McMaster University in Hamilton, Canada and co hosted by Drs Greg Kelly (Sydney Children's Hospital Network), Peta Alexander (Boston Children's Hospital) and Mike Clifford (Royal Children's Hospital Melbourne) No time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter https://twitter.com/PedsIntensiva and our website here https://pedsintensiva.com/delirium-in-pedsicu-feat-chani-traube-deb-long/

Early Mobilization in the #pedsICU with groundbreaker Sapna Kudchadkar from Johns Hopkins Early Mobilization is enormously important because while survival continues to increase, so do the numbers of children who leave PICU with a new functional limitation. Survival is not enough anymore - it's all about the quality of survival Pediatrica Intensiva season 3 is guest edited by Professor Karen Choong from McMaster University in Hamilton, Canada and co hosted by Drs Greg Kelly (Sydney Children's Hospital Network), Peta Alexander (Boston Children's Hospital) and Mike Clifford (Royal Children's Hospital Melbourne) No time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter https://twitter.com/PedsIntensiva and our website here https://pedsintensiva.com/early-mobilization-in-the-pedsicu-feat-sapna-kudchadkar/

Survival in PICU continues to increase around the world. The hidden cost of this is ever increasing numbers of children with severe, sometimes lifelong, problems from their critical illness and intensive care stay. Joining us as a guest editor for this season is one of the world experts on this topic - Professor Karen Choong from McMaster University in Hamilton, Canada. The episodes for this season cover the breadth of rehabilitation in the peds ICU. No time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter https://twitter.com/PedsIntensiva and our website here https://pedsintensiva.com/picu-based-rehabilitation-season-trailer/  

6th regular episode of Pediatrica Intensiva with Aparna Hoskote, consultant in cardiac ICU at Great Ormond St Hospital London. The time around the stage 1 procedure is the time of the highest mortality for single ventricle patients, up to 15%. What we do in the #pedsICU really matters for these patients but there is very little high quality evidence to inform our practice. Consequently, practice varies greatly around the world with things to learn from many great centers. No time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter https://twitter.com/PedsIntensiva and our website here https://pedsintensiva.com/110-2/  

5th regular episode of Pediatrica Intensiva with Peta Alexander from Boston Children's, Mike Clifford from Royal Children's Melbourne & Greg Kelly from Westmead Children's Sydney. The interstage is a time of incredibly high mortality despite the fact it only lasts a few months. These patients can get sick for a variety of reasons between the mundane and the catastrophic - management is tricky and varies between centers. Hosts: Dr Greg Kelly (Westmead Children's Hospital, Sydney, Australia), Peta Alexander (Boston Children's Hospital), Mike Clifford (Royal Children's Hospital, Melbourne). Produced & edited by Caitlin Gibson, special thanks to Maya Newell. No time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter https://twitter.com/PedsIntensiva and our website here https://pedsintensiva.com/the-sick-interstage-single-ventricle-patient/

4th regular episode of Pediatrica Intensiva with Liz Crowe - Senior PICU Social Worker Having a child with single ventricle disease is an extraordinarily stressful time for the child, the family, and the staff who are involved. Liz Crowe is a world expert on these matters with over 20 years experience clinical work and a recently completed PhD on grief, resilience and wellbeing. Hosts: Dr Greg Kelly (Westmead Children's Hospital, Sydney, Australia), Peta Alexander (Boston Children's Hospital), Mike Clifford (Royal Children's Hospital, Melbourne). Produced & edited by Caitlin Gibson, special thanks to Maya Newell. No time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter https://twitter.com/PedsIntensiva and our website here https://pedsintensiva.com/supporting-the-child-family-in-single-ventricle-disease-feat-liz-crowe/

3rd regular episode of Pediatrica Intensiva with Dr Ravi Thiagarajan - Division Chief of Cardiovascular Critical Care at Boston Children's Hospital Patients with single ventricle heart disease are a very high risk group for cardiopulmonary arrest and requirement for ECMO support. Arrest and CPR is not inevitable and we are increasingly finding ways to prevent it, as well as manage the CPR and ECMO period with more nuance and better outcomes. Hosts: Dr Greg Kelly (Westmead Children's Hospital, Sydney, Australia), Peta Alexander (Boston Children's Hospital), Mike Clifford (Royal Children's Hospital, Melbourne). Produced & edited by Caitlin Gibson, special thanks to Maya Newell. No time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter https://twitter.com/PedsIntensiva and our website here https://pedsintensiva.com/cpr-ecmo-in-single-ventricle-patients-feat-ravi-thiagarajan/

2nd regular episode of Pediatrica Intensiva with Dr Mike Seed, division head of cardiology from Sick Kids and also a fully qualified cardiac radiologist. Patients with otherwise normal hearts can tolerate single residual lesions fairly well, but in single ventricle patients they are often associated with major adverse outcomes. Modern management involves aggressive monitoring for and intervention on residual lesions, though interventions must be seen in the context of the whole patient. No time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter https://twitter.com/PedsIntensiva and our website here https://pedsintensiva.com/residual-lesions-in-single-ventricle-patients-feat-mike-seed/   Hosts: Dr Greg Kelly (Westmead Children's Hospital, Sydney, Australia), Peta Alexander (Boston Children's Hospital), Mike Clifford (Royal Children's Hospital, Melbourne). Produced & edited by Caitlin Gibson, special thanks to Maya Newell.

1st regular episode of Pediatrica Intensiva with Dr Peter Laussen, cardiac intensivist & anaesthesiologist from Boston Children's Hospital who is one of the world's most experienced people at dealing with borderline left heart patients, one of the toughest groups of critical congenital heart patients. These patients are tricky because of issues with terminology, testing, management and differences in institutional approach. A whole-of-program understanding is vital to ensuring best outcomes. No time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter https://twitter.com/PedsIntensiva and our website here https://pedsintensiva.com/borderline-left-hearts-pedsicu-feat-peter-laussen/   Hosts: Dr Greg Kelly (Westmead Children's Hospital, Sydney, Australia), Peta Alexander (Boston Children's Hospital), Mike Clifford (Royal Children's Hospital, Melbourne). Produced & edited by Caitlin Gibson, special thanks to Maya Newell.

A podcast that aims to bridge the gap between literature and practice for pediatric critical care clinicians. Hosted by Drs Peta Alexander, cardiologist & intensivist at Boston Children’s Hospital; Mike Clifford, intensivist & anaesthetist at Royal Children’s Melbourne and Greg Kelly, intensivist at Westmead Children’s Hospital, Sydney, Australia Second season on Single Ventricle Patients featuring borderline left hearts with Peter Laussen, pre and post stage 1 management with Aparna Hoskote, CPR and ECMO in single ventricle patients with Ravi Thiagarajan, supporting the family and staff with Liz Crowe and residual lesions with Mike Seed. https://twitter.com/PedsIntensiva