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Critical Care Time
Registrace 18. 01. 2023
The MedEd channel for everyone who cares for the critically ill.
33. Anatomically Difficult Airway Part 1
On this week’s episode of Critical Care Time, Nick & Cyrus return to talk about airway management in the ICU. In season 1 we focused on the physiologically difficult airway. Now we will begin to unravel the anatomically difficult airway. Today we will break things down by covering foundational concepts, discussing some of the physical and cognitive tools you can use to address an airway, and basically set the stage for part II where we will go through some case studies and leave you with our pitfall and pearls for anatomically difficult airways. This episode is packed with clinical pearls that will empower you to take on even the :hot_pepper: spiciest :hot_pepper: of airways!
As always - give us a watch or a listen and let us know what you think! Don’t forget those :star: :star: :star::star::star: reviews!!
As always - give us a watch or a listen and let us know what you think! Don’t forget those :star: :star: :star::star::star: reviews!!
zhlédnutí: 50
Video
32. 3 Wishes Project with Dr Thanh Neville, MD MSHS
zhlédnutí 117Před 14 dny
On this week’s episode of Critical Care Time, Nick & Cyrus have the honor of hosting Dr. Thanh Neville, MD, MSHS (X @thanh_neville) the director of the 3 Wishes Program out of UCLA. In this moving discussion we explore the importance of dying with dignity when curative intent is no longer a realistic option. We dovetail this with an impassioned exploration Dr. Neville’s incredible work with 3WP...
31. Tele-Critical Care with Drs. Bill Beninati and David Guidry
zhlédnutí 190Před 28 dny
Tele-health is blowing up in 2024 and that is as true for critical care as it is for other fields of medicine! On this episode of Critical Care Time, Nick and Cyrus interview Drs. Bill Beninati and David Guidry: Two experts in the world of tele critical care. We cover all the in’s and out’s of delivering critical care service from afar with a focus on implementation, logistics, benefits and cha...
30. Hypoxemia Masterclass
zhlédnutí 495Před měsícem
Join Nick and Cyrus as they teach a master class on hypoxemia for everyone and anyone who is ICU adjacent! We discuss why oxygen is so crucial, share some very interesting animal physiology and - perhaps most importantly- discuss the 6 causes of hypoxemia you MUST know… and what you can do about them! Take a listen, let us know what you think, and leave us a review!
29. Pleural Disease Part 2: Hemothorax & BPF with Dr. Michal Sobieszczyk, MD
zhlédnutí 149Před měsícem
On this episode - part 2/2 if you will - we continue our discussion of pleural disease with a focus on hemothorax & management of bronchopleural fistulas. Small tube or large tube? When do you call in the reinforcements? What about endobronchial valves for persistent air leaks? Learn the answers to these questions - and so much more -n with Dr. Mike Sobieszczyk our expert interventionalist!
28. Pleural Disease Part 2: Effusions and more with Dr Michal Sobieszczyk, MD
zhlédnutí 206Před 2 měsíci
On this episode of Critical Care Time, Nick & Cyrus revisit the pleural space! We had SO much great content we opted to split the episode into two parts. We also figured it would be nice to get an interventionalists take on this and we thus recruited Dr. Mike Sobieszczyk to help navigate this complex topic! Here we discuss things like hepatic hydrothorax, indwelling pleural catheters and all th...
26: The PREOXI Trial with Dr. Kevin Gibbs, MD
zhlédnutí 508Před 2 měsíci
Extra Extra - Read All About It!! It is our pleasure to bring to you - hot off the presses - the results from the PREOXI Trial which looks at whether or not preoxygenation with non-invasive positive pressure ventilation results in better peri-intubation outcomes versus non-pressurized preoxygenation strategies. Joining us is the primary author on this paper, Dr. Kevin Gibbs, MD of Wake Forest U...
25. Diuresis & Negative Fluid Balance
zhlédnutí 576Před 3 měsíci
Diuretics are essential tools used by clinicians to manage volume status in ambulatory patients and in the critically ill… but are we using them correctly? Join Nick & Cyrus as they explore principles of fluid balance and teach a masterclass on how to approach diuresis in the critically ill patient. You won’t want to miss this high-yield episode discussing an evergreen topic in the world of cri...
24. Thrombocytopenia with Dr. Matthew Rendo, MD.
zhlédnutí 337Před 3 měsíci
Thrombocytopenia is a puzzling, yet common problem in the ambulatory setting, on the wards and certainly in critically ill patients! Having an understanding of why it matters, why it can happen and what we should do about it, is of paramount importance to you if you are committed to excellent patient care. Given that patient care is first and foremost for us at Critical Care Time, we’ve teamed ...
23. Resuscitative TEE with Dr. Ross Prager
zhlédnutí 346Před 4 měsíci
On Critical Care Time we are - of course - HUGE fans of POCUS. On this episode, Nick and Cyrus take this love for POCUS to the next level with our discussion on Resuscitative Transesophageal Echocardiography (Resus-TEE) with Canadian intensivist, Dr. Ross Prager (@ross_prager), Resus-TEE expert aficionado! On this show, we discuss the basics of Resus-TEE including indications, pitfalls and pear...
7. Vasopressors - Part 2
zhlédnutí 389Před 4 měsíci
On this episode of Critical Care Time, Cyrus and Nick go beyond the basics of vasopressor management. This thing is jam-packed with high-yield pearls, where we discuss important topics such as how to titrate vasopressors, what can be done when vasopressors seem to be failing and how to wean patients from vasopressors in order to successfully get them out of the ICU and ultimately home. Sit back...
22. Bronch emergencies with the PulmPEEPS
zhlédnutí 329Před 4 měsíci
Like that time the Jetsons met the Flintstones or the more recent colab between Lululemon and Peloton, join us for an epic pairing between Critical Care Time hosts Cyrus & Nick and the PulmPEEPS - Drs. Dave Furfaro and Kristina Montemayor. On this show we use a case based approach to answer the question: How can a bronchoscope save your @$$ in the ICU and beyond? We take a practical look at air...
21. Feeding in Critical Illness with Paul Wischmeyer, MD
zhlédnutí 579Před 5 měsíci
On this MEGAsode of Critical Care Time, Cyrus & Nick are joined by world-renowned expert in ICU nutrition, Dr. Paul Wischmeyer (X: Paul_Wischmeyer & IG: paul_wischmeyermd) to discuss all things ICU nutrition. This episode is highly fortified with practice changing pearls from soup to nuts! In addition to getting to know who Paul is and why he does what he does, we demystify metabolic carts, tal...
20. AKI & CRRT with Dr Kevin Chung
zhlédnutí 729Před 5 měsíci
On this week’s episode of Critical Care Time, Nick and Cyrus discuss continuous renal replacement (or kidney replacement) therapy and acute kidney injury with master intensivist and extra corporeal aficionado, Dr. Kevin Chung. Dr. Chung is a retired colonel in the United States Army, the principal force behind an intensivist-run renal replacement program in San Antonio, and is currently the Chi...
19. Metabolic Acidosis w/ NephMadness
zhlédnutí 483Před 5 měsíci
In this Critical Care Time x Neph Madness colab, Nick & Cyrus host Drs. Tim Yau and Jeff Kott for a comprehensive discussion of metabolic acidosis with a focus on critically ill patients. We start by outlining a pragmatic approach to acid/base derangements peppered with some fact finding and myth busting, CCT style! We then turn our attention to working up and treating metabolic acidosis in the...
#18 Journal Club - VL versus DL: The Device Trial
zhlédnutí 188Před 6 měsíci
#18 Journal Club - VL versus DL: The Device Trial
17. Hyponatremia in Critical Illness with Dr Joel Topf
zhlédnutí 1,3KPřed 6 měsíci
17. Hyponatremia in Critical Illness with Dr Joel Topf
13. ICU Rounds: Focusing on the Patient
zhlédnutí 297Před 9 měsíci
13. ICU Rounds: Focusing on the Patient
12. DVT Prophylaxis in the Critically Ill
zhlédnutí 402Před 9 měsíci
12. DVT Prophylaxis in the Critically Ill
11. The Physiologically Difficult Airway
zhlédnutí 805Před 10 měsíci
11. The Physiologically Difficult Airway
10. Intro to The Pleura & Conquering Pneumothorax
zhlédnutí 464Před 10 měsíci
10. Intro to The Pleura & Conquering Pneumothorax
8. Legal Considerations and Patient Care
zhlédnutí 182Před 11 měsíci
8. Legal Considerations and Patient Care
Cyrus first heard you on the curb eiders and I’m glad I found you here. Your podcast is good. Very good.
Nice work!
Super podcast!
Fantastic! Thanks a lot
Antibiotic selection is an important point that was not discussed in detail. The data would suggest that anaerobic confections are high (perhaps 20 percent, but difficult to culture)- high enough that one should strongly consider coverage of these organisms even if culture is positive for a non-anaerobic, single organism.
great discussion ..TEE is very convincing for many resus scenarios
Great summary guys thank you
Can the pdf version of this article be shared with me please?
Stayed until the end for the #slothfacts. Seriously great podcast guys thank you
❤
Which a nice discussion thank you
too many ads youtube - perhaps educational material could be exempt from your profit-mongering phukkery ?
What is that supplement HnB?
Finally hit the subscribe button. I have been listening on Spotify and love the content. I am a Critical Care Paramedic who teaches Paramedics and am always advocating for Life Long Learning. I am telling my students to stretch their knowledge base and listen to your shows. Excellent stuff!!
Thank you! Very useful 👌🙏
Are theses guys are all jazzed up on Columbian dark roast? 🙊
Never heard of ICU delirium before yesterday.
You don't wanna infuse LR in cirrhosis. Other than that - fantastic!
Brilliant discussion. I liked it! Please continue
in love with your videos
Guys I like your choice for topics and guests thank you
Great Episode with tons of information Thank you
This is a great podcast
I love you Dr thank you guys for this feature. My boss is in icu for 7 weeks now
Cyrus has some INSANE guns !!!
Amazing talk as always! Thank you so much! ICU providers must watch all your videos and really take all your points into consideration.
Amazing work!
That was an awesome discussion. This place is a gold mine !. I know the viewer count is on the lower side. This channel needs promotion.
Perfect. Thank you!
Thank you so much for such an amazing talk. It set a base for understanding RRT. Respect, Dr. Chung!
Please do a lecture/video on preventing aspiration in patients. It's so common to have patients who survive their critical illness...only to aspirate and code.
Great food for thought!
Great podcast Thank you so much one of the best episodes so far❤
Great talk. Thank you so much!
Amazing informative talk. I am very grateful to all participants for the discussion and clear explanation of important ICU points.
This is awesome I’m a pharmacy student and my MICU patient has sepsis and cirrhosis, plt that’s been in the 30’s finally trending to 47 today, INR 2.2, D-dimer in 900s, and not on DVT prophylaxis and hopefully this upward trend of his plt continue >50 and I can speak to my preceptor and advocate for LMWH for DVT prophylaxis.
"listen and let us know what you think!"--I think Dr Chung is a rockstar in AKI . His work along with the SAB of SeaStar getting FDA approval in PEDs is fantastic. They are ALL saving lives NOW--TODAY and more to come with (hopefully) FDA approval of adult SCD. KUDOS. And THANKS to Dr Cyrus and Dr Nick for taking time to host and discuss potential life saving --cutting edge technologies
I really appreciate the talk on different induction medications and reasons when to and not to use them. I also didn't comprehend the amount of considerations taken when intubating a physiologically "complex" airway before watching this episode. Very informative. Thank you!
Thanks so much for another great episode Nick and Cyrus and to Tim and Jeff for all their knowledge! My brain also feels edematous, but that was great. My name's Ryan, a Junior doc in New Zealand and Ive got a bit of a physiological conundrum im hoping you guy could help with in regards to "lactic acidosis". Mainly, i cant find ANY cellular metabolic pathways anywhere that produce lactic acid. Lactate yes. But not the conjugate acid. The only pathway that produces lactic acid in the body ive found is lactobacillus in the GU tract of women. Lactate is basic. And the production of lactate requires reduction of NADP to NADPH, which is a 'net basic' process. (Reduces proton load by 1 per NADPH produced). Im assuming its probably mostly academic, since the same processes driving up lactate production are also driving up H+ production somewhere else. But still, has the medical world just been incorrectly accepting the existence of lactic acid production in the body as fact? And does it have implications for CRRT clearance of lactate in acidosis? Did some googling journals.physiology.org/doi/full/10.1152/ajpregu.00117.2005 Wild if we've got it SO wrong! Looking forward to the next episode, and thanks again!
Thank you thank you. My sister in law is likely too far down the delirium rabbit hole to be helped. However, your video showed me what we as family missed along the way. Please continue breaking thru “ the way we’ve always done things” in medical care. Grateful.
Never give up on her, you never know the brain is very flexible. Get expert opinion. Could she have brain damage after surgery from O2 loss?
Brilliant!
To Nick’s point about how he can’t think of a situation where DL is superior, my opinion is DL is better in bleeding airways or copious secretions. That camera is pretty small on the VL devices and a drop of blood/spit can really gum up your view. A standard geometry VL, to his point at the end, would be ideal but at least at my institution the only VL option is hyperangulated
Agree. If you don't have standard geometry VL available, it *might* make sense to use DL if you expect a contaminated airway. That said, your institution really ought to get standard geometry blades; it's safer and better for patients according to the DEVICE trial!
Kidneyboy is such a boss name
Great topic! I love to be humbled and challenged in my own knowledge. ED RN from maine
What a trip that episode was! We covered a lot of ground!
Ah! Dr Warren! She was an awesome attending.
As a rapid response nurse this was an excellent resource and I’ll definitely be recommending it to nurses at my facility. Thanks for the vids!
Great episode! Thank you , we need Traumatic brain injury plz 🙏
So many Rendo-isms but one of my favorites is "DIC DAT Smear!" Great guest! Thank you!
So this may seem like a silly question but why is it that all simple pneumothoraces are not under tension? Is what determines if a simple ptx progresses is the speed of the leak into the pleural space?
It's a great question actually! You are correct, the biggest factor is is there ongoing leak of air into the pleural space & how rapid is that leak. In many cases a spontaneous pneumothorax occurs when a bleb ruptures. This deposits air into the pleura but there isn't necessarily any ongoing leak (many blebs don't communicate with the airways because the small connecting airways have been compressed.) On the other hand, in some cases there is damage to an airway (called a bronchopleural fistula) which enables constant leak of air with each breath (particularly if on positive pressure ventilation). Larger/more proximal injuries have greater leak and will lead to tension physiology more rapidly.