ICU Ed and Todd-Cast

Send us a Text Message (please include your email so we can respond!)Summer is here and we're getting a chance to catch our breath! Unless there is a surprise article drop we anticipate that our next few episodes are going to be a little bit different as we catch up on non-RCT happenings in the critical care world. This episode is the same, our discussion on ARDS is a fascinating history lesson blended in with current insights.ARDS Guidelines: https://pubmed.ncbi.nlm.nih.gov/37326646/ARMA: https://pubmed.ncbi.nlm.nih.gov/10793162/If you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!

Send us a Text Message (please include your email so we can respond!)Episode 13! We made it this far! Instead of keying in on one major article from the Critical Care Reviews Conference 2023 we decided to do a pot pourri of the entire conference. It was quite the whirlwind, if there is any point or trial you want us to elaborate please contact us and let us know!Otherwise we discuss EXIT-SEP in our "short" discussion section. This was published in JAMA Internal Medicine by Liu et al evaluating XueBiJing Injection versus placebo in patients with sepsis. EXIT-SEP: https://pubmed.ncbi.nlm.nih.gov/37126332/As always, if you appreciate the content please share with friends or social media!If you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!

Send us a Text Message (please include your email so we can respond!)This is a little off schedule (and a little long!) but we were SO EXCITED to have the opportunity to sit down and talk with Matt Prekker, the lead author on the DEVICE trial evaluating video versus direct laryngoscopy for tracheal intubation which was published TODAY, June 2023, in the New England Journal of Medicine and presented TODAY at CCR Meeting 2023. DEVICE: https://www.nejm.org/doi/full/10.1056/NEJMoa2301601?query=featured_home(DOI: 10.1056/NEJMoa2301601)INTUBE: https://pubmed.ncbi.nlm.nih.gov/33755076/Please excuse any audio issues! First time recording remotely and we will address volume issues for next time.If you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!

Send us a Text Message (please include your email so we can respond!)Episode 11/12 (depending on how you count the ATS episode)! This time we discuss "Platelet Transfusion before CVC Placement in Patients with Thrombocytopenia" published in NEJM May 2023. Apologies for the lack of old articles, with summer travel plans we've prepped for a couple but ran out of recording time. When things slow down a bit, we'll get back into our normal flow.PACER: https://pubmed.ncbi.nlm.nih.gov/37224197/If you enjoy the podcast please share on social media or by word of mouth! Thank you!If you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!

Send us a Text Message (please include your email so we can respond!)ATS 2023! Unfortunately for us, there were more breaking pulmonary articles compared to critical care but we did get this great article by the late Dr. Curtis published in JAMA during the conference "Intervention to Promote Communication About Goals of Care for Hospitalized Patients With Serious Illness". Article: https://pubmed.ncbi.nlm.nih.gov/37210665/If you enjoy the podcast please share on social media or by word of mouth! Thank you!If you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!

Send us a Text Message (please include your email so we can respond!)Episode 10! In this episode we rambled a little bit and limited ourselves to just our new article which was "Haloperidol for the Treatment of Delirium in ICU Patients" published by Andersen-Ranberg et al in NEJM 2022. Of note, we go back and forth a little bit between "haloperidol" and the brand name "Haldol" but we hope it is similar enough it doesn't impede your listening!AID-ICU: https://pubmed.ncbi.nlm.nih.gov/36286254/AID-ICU Bayesian: https://pubmed.ncbi.nlm.nih.gov/36971791/MIND-USA: https://pubmed.ncbi.nlm.nih.gov/30346242/If you enjoy the podcast please share on social media or by word of mouth! Thank you!If you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!

Send us a Text Message (please include your email so we can respond!)Episode 9! In this episode we step a little out of our comfort zone to talk about a couple of analyses which caught our interest recently: 1) "Comparative Effectiveness of Fludrocortisone and Hydrocortisone vs Hydrocortisone Alone Among Patients With Septic Shock" published  by Bosch et al March 2023 in JAMA Internal Medicine2) "Osmotic Demyelination Syndrome in Patients Hospitalized with Hyponatremia" published by MacMillan et al March 2023 in NEJM EvidenceFludrocortisone: https://pubmed.ncbi.nlm.nih.gov/36972033/COIITSS: https://pubmed.ncbi.nlm.nih.gov/20103758/ODM: https://evidence.nejm.org/doi/full/10.1056/EVIDoa2200215ODM Editorial: https://evidence.nejm.org/doi/full/10.1056/EVIDe2300014If you enjoy the podcast please share on social media or by word of mouth! Thank you!If you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!

Delving into NUTRIREA 3 vs NUTRIREA 1, the hosts discuss calorie feeding in ventilated adults with shock and the importance of monitoring gastric volumes. They explore patient cohorts, nutritional interventions, and personalized nutrition strategies in critical care, highlighting debates on weaning criteria and traditional practices.

Send us a Text Message (please include your email so we can respond!)Episode 7! In this episode we discuss CAPECOD or  "Hydrocortisone in Severe Community-Acquired Pneumonia" by Dequin et al published NEJM 2023. No second article because this was an important trial which has a lot of messy history that we review, including the ESCAPe trial published last year, before we start our discussion.We start with a listener question about 3SITES so if you want to skip ahead to the discussion on CAPECOD you can by skipping to the 8:45 time markCAPECOD: https://pubmed.ncbi.nlm.nih.gov/36942789/ESCAPe: https://pubmed.ncbi.nlm.nih.gov/35723686/CHEST Meta-analysis: https://pubmed.ncbi.nlm.nih.gov/36087797/Individual Patient Meta-analysis: https://pubmed.ncbi.nlm.nih.gov/29020323/If you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!

Send us a Text Message (please include your email so we can respond!)Episode 6! In this episode we discuss 1) "Treating Rhythmic and Periodic EEG Patterns in Comatose Survivors of Cardiac Arrest" by Ruijter et al published NEJM 2022 and 2) "Dexamethasone treatment for the acute respiratory distress synrome" by Villar et al published Lancet Respiratory Medicine 2020. This episode is a little bit longer than normal because we also extended our conversation of steroids in ARDS to the LaSRS (steroids in late ARDS) and Meduri 2007 methylprednisolone in early ARDS studies!TELSTAR: https://pubmed.ncbi.nlm.nih.gov/35196426/DEXA-ARDS: https://pubmed.ncbi.nlm.nih.gov/32043986/Steroids in ARDS CHEST Point: https://pubmed.ncbi.nlm.nih.gov/33422200/and Counterpoint: https://pubmed.ncbi.nlm.nih.gov/33422201/If you enjoy the show be sure to like and subscribe, leave that 5 star review! Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!