As Indirect Calorimetry becomes more practical at the bedside, how will it influence nutritional prescription? Oana Tatucu is a senior ICU dietitian and a research fellow at the ANZICS Research Centre.  She joins Todd on the podcast to discuss the role of IC now and into the future. See omnystudio.com/listener for privacy information.

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Indirect calorimetry

Patients with chronic pulmonary hypertension can present to hospital acutely unwell. What are the principles of managing these patients? Cardiologist Dr Kavitha Muthiah joins Todd on the podcast to discuss the underlying causes, precipitants, management and rescue options for these patients. See omnystudio.com/listener for privacy information.

Decompensated pulmonary hypertension

Bronchopleural fistula is an important diagnosis to consider in patients with persistent and high volume pneumothoraces. Dr Izzy Seneviratne is a dual trained Intensivist and Respiratory Physician who joins Todd on the podcast to talk about the diagnosis and management of this important condition. See omnystudio.com/listener for privacy information.

Bronchopleural fistula

Targeted temperature management has become a mainstay of treatment for resuscitated patients following cardiac arrest. Manoj Saxena is an intensivist and clinician researcher from Sydney, Australia, and was part of the team that delivered the TTM-2 trial earlier in 2021.  He joins Todd on the podcast to discuss the premise of TTM-2, the results and what comes next. See omnystudio.com/listener for privacy information.

Targeted temperature management

As the world wrestles with the COVID-19 pandemic, it’s clear that much depends on our ability to vaccinate a large proportion of the population. Like all medications, vaccines have their side effects, and the most notable at present is an unusual syndrome of intravascular clotting associated with thrombocytopaenia. Dr Tim Brighton is a consultant haematologist with New South Wales Health, and a participant in a recent working party that developed guidelines for the detection and management of this important condition, known as Vaccine Induced Thrombotic Thrombocytopaenia, or VITT. See omnystudio.com/listener for privacy information.

Vaccine induced thrombotic thrombocytopenia

The importance of adequate antibiotic dosing in sepsis and pneumonia is well known.  However, changes in the pharmacokinetics and dynamics of antibiotics makes it challenging to ensure the appropriate doses are given. Dr Jason Roberts is an internationally renowned ICU pharmacist and researcher, and he joins Todd to discuss these important issues, and some potential solutions. See omnystudio.com/listener for privacy information.

Drug dosing in pneumonia

Manipulating the ventilator to protect the critically ill ARDS patient from harm, while simultaneously improving their condition, is one of the dark arts of intensive care practice. Airway Pressure Release Ventilation is a somewhat novel mode of mechanical ventilation which seeks to enhance lung recruitment while reducing lung injury.  Ed Litton is an Intensivist and researcher from the Fiona Stanley Hospital in Perth, Australia, and he joins Todd to chat about his approach to APRV See omnystudio.com/listener for privacy information.

Airway Pressure Release Ventilation

Join host Dr Todd Fraser for this fascinating exploration of life, both professional and personal, for those lucky enough to practice in a regional or remote ICU. Guests include Penny Stewart, Rob Bevan, Paul Secombe, Claire Corrigan and Lauren Cox See omnystudio.com/listener for privacy information.

Round table 1

Traditionally we’ve measured the performance of the health system machine on hard endpoints such as mortality, and this is particularly so in ICU. In recent years however, we’ve begun to focus more on the patient experience, including their functional outcomes.  Narrative and qualitative research has provided us with a better understanding of the emotional, psychological and physical trauma imposed by critical illness. Kali Dayton is a nurse practitioner in ICU, and through her podcast “Walking Home from the ICU”, has helped shine the spotlight on this important issue through a series of interviews with survivors of critical illness.  She joins Todd on the podcast to share what she's learned. You can find Kali's podcast here : https://anchor.fm/restoringlife See omnystudio.com/listener for privacy information.

Critical illness - the patient perspective

Extracorporeal membrane oxygenation (ECMO) is an increasingly available therapy, though it remains restricted to tertiary centres.  So what does this mean for smaller peripheral units? Dr Sara Allen is an intensivist and anaesthetist from the Auckland City Hospital in New Zealand, and she joins Todd to discuss referrals for ECMO. See omnystudio.com/listener for privacy information.

Referring for ECMO

The intravenous cannula may be the most common procedure performed in healthcare.  You probably perform several of them a day, without thinking twice. However, without attention to detail, it’s possible the humble cannula could cause your patient harm. Gillian Ray-Barruel is an experienced nurse researcher at Griffith University in Australia. Among her numerous research interests, Gillian has extensive experience in prevention of indwelling device-related patient complications.  See omnystudio.com/listener for privacy information.

Preventing IV complications

Large and persistent bronchopleural fistulae are one of the more challenging problems to manage in ICU practice. In this enlightening interview, Intensivist and Respiratory Physician Dr Michael Putt discusses the principles of management, and the role of bronchoscope intervention. See omnystudio.com/listener for privacy information.

Up to a quarter of emergency services calls relate to behavioural disturbance or mental health issues.  For many patients, these calls end up in transportation to the emergency department, where the service struggles to meet the patient's needs. David Hardstaff is an experienced paramedic who is part of a novel approach to this problem, a prehospital response team aiming to manage patients predominantly in their own homes.  He joins Todd to talk about the prehospital issues surrounding mental health, and the Co-Responder program. See omnystudio.com/listener for privacy information.

Prehospital mental health

While mechanical ventilation can be life saving, it can also cause its fair share of complications. Dr Kiran Shekar is an intensivist at The Prince Charles Hospital in Brisbane, Australia.  He heads a program of research exploring a range of therapies that may minimise these risks, including the subject of today's discussion, Extracorporeal CO2 removal (ECCOR) See omnystudio.com/listener for privacy information.

Extracorporeal CO2 removal (ECCOR)

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Osler Podcasts

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