Critical Care Scenarios

Transplant clinical pharmacist Olivia Philippart discusses managing infections in transplant patients, timing of transplant medication effects, adjusting medications for severe infections, pharmacokinetics in critically ill patients, drug administration nuances, and considerations for steroid use in transplant patients.

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Experts in critical care and patient sedation discuss strategies for rescuing deliriosedated patients at SCCM’s Critical Care Congress. Topics include weaning off sedation, patient positioning, pharmacological management, involving family members, and addressing underlying causes of confusion to aid in patient recovery.

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We discuss assessing patients prior to intubation or other airway management, including both elective and emergent circumstances, with Dr. Jed Wolpaw, anesthesiologist and intensivist from Johns Hopkins, anesthesiology residency program director, and host of the ACCRAC podcast. Find us on Patreon here! Buy your merch here! Takeaway lessons References

Arterial lines are resuscitative tools.

Bedside nurses and providers (physicians, PAs, NPs) tend to see the world differently, much of it driven by their training and the systems they work within. We chat about reconciling this and how to best function as a team.

Exploring the effectiveness of central vs. peripheral lines for rapid blood and fluid delivery in critical situations, emphasizing the significance of cannula size. The importance of reliability in medical procedures over perfection, highlighting the risks of prioritizing optimization. The balance between excellence and error avoidance, focusing on consistent, reliable practices for the well-being of professionals and patients in critical care scenarios.

Dr. Alexandra Kejner, an otolaryngologist specializing in head and neck surgery, discusses advancements in minimally invasive procedures, free flap surgery, and managing complications post-surgery. Topics include precision surgeries for aggressive cancers, balancing vasopressors for optimal perfusion, and emotional support for patients undergoing head and neck surgery.

Delving into treating syndromes like ARDS and sepsis in critical care reveals the complexity and challenges they present. Sepsis as a multifactorial syndrome initiated by diverse infections and conditions showcases the variability in patient manifestations. Understanding critical care problems as syndromes emphasizes the need for a comprehensive knowledge base and individualized patient management.