PODCAST · health
ICU playlist
by Osler Podcasts
This podcast is dedicated to the hard working doctors, nurses and allied health professionals who are continually striving for excellence in critical care.
Episodes
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Clinician Educator Incubator program
Clinical medicine has always been taught with a strong emphasis on the master-apprentice model. This relies heavily on clinical educators, many of whom give their time freely. However, many do so without any formal instruction in education and training. Our guest on this podcast is Dr Chris...
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Oesophageal manometry
Mechanical ventilation is indeed a lifesaving intervention. However, it is clear that positive pressure ventilation itself has the potential to cause harm. Novel approaches to ventilation aim to minimise this risk, and one such strategy is the incorporation of oesophageal pressure monitoring. Tai...
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Weaning induced pulmonary oedema (WIPO)
If you’ve worked in ICU for very long, you’ll recognise the scenario where a patient who is weaning from mechanical ventilation goes into pulmonary oedema. This syndrome is referred to as weaning induced pulmonary oedema, or WIPO. Dr Rui Shi currently works as an intensivist in the surgical ICU…
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TAME
The ultimate outcome for patients who are resuscitated from cardiac arrest depends heavily on the neurological damage that results from a low flow state. Prevention of further damage during this phase is one of the core goals of post resuscitation care. In recent years, a multitude of research...
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Excessive treatment
This podcast comes to you from the 2022 LIVES conference in Paris. In recent years, concerns have been raised that patients may be receiving excessive treatment at the end of their lives, with a cost to patients, their families and the health system in general But how is it identified, and what…
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eCPR and the SHERPA trial
This podcast comes to you from the 2023 ANZICS Clinical Trials Group Noosa meeting. ECMO (extracorporeal membrane oxygenation) is steadily embedding itself into modern critical care medicine. Does it have a role in pre-hospital setting for patients with refractory cardiac arrest? In this podcast,...
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Dexmedetomidine for NIV
Non invasive ventilation is steadily establishing itself as a crucial component of the critical care armoury. While many patients can tolerate it, some require sedation. Wisam Al-Bassam is a staff specialist at Monash Medical center and Victorian Heart hospital. Wisam is passionate about…
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Fluids in DKA
DKA causes a serious disturbance of fluid and electrolyte balance. However, it is said that more complications are caused by our management than by the disease itself. This is no more apparent than in our management of the patient's fluids. Professor Bala Venkatesh is a world renowned intensive...
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Inotropes in cardiogenic shock
Sometimes the failing heart needs support, and inotropic agents are often instituted ahead of other measures such as ECMO But is there a best agent? Antoine Kimmoun is a professor of Critical Care Medicine at the University of Lorraine, France, and he joins Todd to discuss these important agents....
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DIC
This podcast comes to you from the 2022 LIVES Conference in Paris Disseminiated intravascular coagulation is the endpoint of a range of different conditions, including sepsis. How does this important clinical condition evolve, and what can we do about it? Mirjam Bachler is a senior post doc...
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Logical
Cardiac arrest causes neurological injury through a sustained period of hypoxia and ischaemia. It has long been thought that avoiding further hypoxia could save vulnerable brain tissue, leading to the common practice of deliberate hyperoxygenation. However, recent research has suggested this...
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Driving pressures in Acute respiratory failure
This podcast comes to you from the 25th Annual Noosa meeting of the ANZICS Clinical Trials Group. It is now well recognised that mechanical ventilation, while potentially lifesaving, also causes damage to the lung in its own right. Careful setting of the ventilator is crucial to avoiding lung...
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Are cardiac arrest outcomes improving?
This podcast comes to you from the 2022 LIVES Conference in Paris Sudden cardiac arrest in the community has historically had a poor prognosis. Improvements in prehospital care and post resuscitation interventions have raised hopes that overall survival has improved. But has it? Tommaso…
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Trauma Induced Coagulopathy
Managing bleeding in a patient with severe trauma is a complex process, with multiple interventions occurring in parallel. Derek Kleinveld is an anesthesiology resident at the Erasmus MC in Rotterdam, The Netherlands, and a post-doc researcher with an interest in Trauma Induced Coagulopathy. He...
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Nutrition in survivors of critical illness
There has been an intense focus on the nutritional needs of ICU patients in recent years, but what happens to them when they go to the wards? This important question is now the subject of interest for highly regarded critical care dietitians and researchers Lee-anne Chapple and Emma Ridley. See...
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TEAM
It is well known that critical illness often features a pro-catabolic state, which can lead to muscle atropy and long term functional deficits. Early mobilisation has been thought to slow the rate of muscle loss, and potentially improve these outcomes. Professor Carol Hodgson is Head of the...
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AKI in trauma
How important is AKI in trauma? Can we predict which patients will be affected? What can we do to stop it? These questions and many more have troubled intensive care clinicians as they care for patients after severe trauma. Dr Anatole Harrois joins Todd on the podcast to talk all-things AKI in...
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Ventilation in TBI
In traumatic brain injury, the lung and the brain are caught in a complex interplay, where the challenges of managing one can affect the other. Chiara Robba is a consultant in Neuro and General Intensive Care at Policlinico San Martino, Genova. She has a PhD in neuroscience and is the current…
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Patient induced lung injury
Ventilation is known to cause injury to the lungs in its own right, but now it is becoming clear that the respiratory effort of the patient may also contribute to ongoing pulmonary damage. Antonio Pesenti joins Todd to discuss what we know, and the future of research in this area. See...
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SuDDICU final
The SuDDICU trial is now in print. This long awaited trial explored the merits of Selective Digestive Decontamination (SDD), and in parallel studied its potential impact on the local microbiology resistance patterns. After over 15 years of work, principle investigator Ian Seppelt joins Todd on…
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Cardiac injury in COVID-19
COVID-19 is a multisystem disease, and cardiac injury has been identified as a major contributor to the pathology. Antoine Vieillard-Baron is an intensivist and researcher from Boulogne in France, and he joins the podcast to talk about key echocardiographic patterns of disease found in COVID-19…
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Thrombotic microangiopathy
Thrombotic microangiopathies are uncommon disorders, and can result in significant patient morbidity. With the introduction of effective new therapies, the outlook for those suffering from these diseases is increasingly optimistic. Elie Azoulay is a professor of medicine, intensivist and board...
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Preventing sternotomy infections
Surgical site infections are a dreaded complication of all surgery, no more so than in cardiothoracics. Antibiotics at the time of surgery has an established role in the prevention of infections, but the duration of therapy remains contentious. The CALIPSO trial will explore different approaches…
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Fluid responsiveness
Does my patient need bolus IV crystalloid fluids? This is a conundrum faced on a daily basis for clinicians working in the ICU. As time goes by, more evidence of the harm fluids do becomes available, so how can we be sure the fluids we give benefit our patients? Xavier Monnet is an intensivist…
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Antimicrobial stewardship
The development of antimicrobial agents is one of the most influential achievements of modern medicine. However, where once we thought the days of sepsis deaths could be numbered, antimicrobial resistance has given us pause for pessimism. Professor Jan De Waele is a surgery-trained intensivist…
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Gut ischaemia in ICU
The impact of resuscitation strategies on the gut is often neglected, as attention to circulatory and respiratory support takes priority. Leading ICU dietitian Varsha Asrani joins Todd to chat about the implications of gut ischaemia for the longterm recovery of our patients. See...
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Membrane plasma exchange
Plasmapheresis can be a life saving intervention in a number of ICU conditions. Two potential methods are available – centrifugal plasmapheresis and membrane therapeutic plasma exchange. But what do we know about the applicability, utilisation and complications of the latter? On this episode…
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CLIP-2 part 2
Part 2 of this interview with CLIP-2 chief investigator Michael Reade explores the structure of CLIP-2, some of the challenges the project has had to overcome, and the workings of a non-inferiority trial. See omnystudio.com/listener for privacy information.
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CLIP-2 part 1
Platelets are a critical component of haemostatic resuscitation, but there are significant challenges involved in their use, most notably, their short shelf life. Could frozen platelets be the answer? Michael Reade is an anaesthetist, intensivist and clinical researcher from the University of...
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Ketamine in ICU
Ketamine is regarded as a bit of a wonder drug in emergency and critical care areas, but is it all that it’s cracked up to be. Andrew Casamento is an Intensivist / Emergency Physician at the Northern, Austin, Warringal Private and Bendigo Hospitals in Victoria, and is the author of a recent…
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ProMEDIC - melatonin to prevent ICU delirium
Delirium and sleep deprivation are known to go hand in hand in the ICU. Could melatonin, a readily available, safe and cheap hormonal therapy, improve sleep, and thereby delirium, in a general population of ICU patients? Lead investigator of the recently released ProMEDIC study Dr Brad Wibrow…
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Interstitial Lung Disease in ICU
Interstitial Lung Disease is like a black box for many intensivists. The complexity of the pathology seems to be only matched by the complexity of the diagnostic classification, and the drug names used to treat them. James Lindstrom is a dual trained intensivist and respiratory physician in...
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Diabetic ketoacidosis
It has been said that more people suffer harm from our management of diabetic ketoacidosis than those that do from the disease itself. So how do we avoid these pitfalls in the emergency department? Adan Atriham is an emergency physician from Houston, Texas See omnystudio.com/listener for privacy...
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Cardioversion
Unstable patients with tachyarrhythmias may need urgent cardioversion in the emergency department. Dr Eleni Salakidou is a specialist in emergency medicine at the University General Hospital of Heraklion, and she joins Todd on the podcast to share her tips for safe and successful cardioversion.…
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Necrotising fasciitis
Necrotising fasciitis is a scary disease for even the most experienced of emergency physicians. Dr Michael Gleenberg is an emergency physician and Residency Director at the Assuta Ashdod University Hospital in Israel, and he joins Todd to discuss the identification and management of this…
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Pre-filled syringes
Medication errors are a significant challenge to the safety of patients. Pre-filled syringes represent an opportunity to prevent errors related to medication preparation, and may have additional cost and efficiency savings. Dr Rhys Thomas is an anaesthetist and the Quality and Safety Fellow at…
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Reversing DOACs
The critically ill bleeding patient who is taking novel oral anticoagulant medications is a difficult clinical challenge. Dr Barbra Backus is an emergency physician from The Netherlands, and she joins Todd to discuss some of the important issues in managing this problem. See…
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NIV for SCAPE
Acute cardiogenic pulmonary oedema is a common presenting complaint in the emergency department. Dr Roberto Cosentini is an emergency physician from Bergamo in Italy. He joins Todd to discuss the use of NIV in the management of these patients. See omnystudio.com/listener for privacy information.
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Transcutaneous pacing
Transcutaneous pacing is an important emergency skill. In this podcast, senior emergency medicine trainee Dr Tim Balfour joins Todd to discuss the indications for pacing, describe the process of applying and adjusting it, and share some tips and tricks for its use. See omnystudio.com/listener for...
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Indirect calorimetry
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. Baxter...
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Decompensated pulmonary hypertension
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...
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Bronchopleural fistula
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…
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Targeted temperature management
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...
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Vaccine induced thrombotic thrombocytopenia
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...
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Drug dosing in pneumonia
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…
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Airway Pressure Release Ventilation
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...
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Critical illness - the patient perspective
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...
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Referring for ECMO
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…
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Preventing IV complications
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...
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Bronchopleural fistula
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...
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Frequently Asked Questions
How many episodes does ICU playlist have?
ICU playlist currently has 100 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.
What is ICU playlist about?
This podcast is dedicated to the hard working doctors, nurses and allied health professionals who are continually striving for excellence in critical care.
How often does ICU playlist release new episodes?
ICU playlist has 100 episodes. Check the episode list to see recent publication dates and frequency.
Where can I listen to ICU playlist?
You can listen to ICU playlist on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.
Who hosts ICU playlist?
ICU playlist is created and hosted by Osler Podcasts.
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