Saving Lives Podcast: Critical Care w/eddyjoemd

Latest Episodes:

Awake Prone Positioning for COVID-19 Patients: Best Trial To Date! Sep 04, 2021

Show notes

Should we be proning COVID patients who are not intubated/spontaneously breathing? The short answer is yes. Prone positioning works. A hat tip to the authors!

Show Notes: https://eddyjoemd.com/proning-covid/

Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom.

Website: www.eddyjoemd.com
Instagram: www.instagram.com/eddyjoemd
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Podcast: https://anchor.fm/eddyjoemd
My Amazon store for resources you may find helpful: www.amazon.com/shop/eddyjoemd
Citation: Aguirre-Avalos G, Trump MW, Nay MA, Dellamonica J, Nseir S, Mogri I, Cosgrave D, Jayaraman D, Masclans JR, Laffey JG, Tavernier E; Awake Prone Positioning Meta-Trial Group. Awake prone positioning for COVID-19 acute hypoxaemic respiratory failure: a randomised, controlled, multinational, open-label meta-trial. Lancet Respir Med. 2021 Aug 20:S2213-2600(21)00356-8. doi: 10.1016/S2213-2600(21)00356-8. Epub ahead of print. PMID: 34425070; PMCID: PMC8378833.

COVID-19 & Proton Pump Inhibitors (PPI): Are they Friends or Foes? Sep 02, 2021

Show notes

Do Proton Pump Inhibitors (PPI) help or harm patients with COVID-19? Let's take an evidence-based approach to evaluate the best approach.

Show Notes: https://eddyjoemd.com/ppi-covid/

Expectations for the Families of COVID-19 Patients on Mechanical Ventilation Part 3 Aug 31, 2021

Show notes

As an Intensivist taking care of critically ill COVID-19 patients on mechanical ventilation, I frequently set expectations for families. In this podcast, I review the third 5 of 15 things I usually discuss with the family members of patients who are the ventilator because of COVID-19.

Show Notes: https://eddyjoemd.com/expectations/

Expectations for the Families of COVID-19 Patients on Mechanical Ventilation Part 2 Aug 29, 2021

Show notes

As an Intensivist taking care of critically ill COVID-19 patients on mechanical ventilation, I frequently set expectations for families. In this podcast, I review the second 5 of 15 things I usually discuss with the family members of patients who are the ventilator because of COVID-19.

Show Notes: https://eddyjoemd.com/expectations/

Expectations for the Families of COVID-19 Patients on Mechanical Ventilation Part 1 Aug 28, 2021

Show notes

As an Intensivist taking care of critically ill COVID-19 patients on mechanical ventilation, I frequently set expectations for families. In this podcast, I review the first 5 of 15 things I usually discuss with the family members of patients who are the ventilator because of COVID-19.

Show Notes: https://eddyjoemd.com/expectations/

Hypothermia (33°C) vs. Normothermia (37.5°C) in Cardiac Arrest - TTM2 Jun 29, 2021

Show notes

Taking apart the TTM2 trial looking at Hypothermia (33°C) versus Normothermia (37.5°C) after Out-of-Hospital Cardiac Arrest.

Show Notes: https://eddyjoemd.com/normothermia/

Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. 😉

Citations:
Nielsen N, Wetterslev J, Cronberg T, Erlinge D, Gasche Y, Hassager C, Horn J, Hovdenes J, Kjaergaard J, Kuiper M, Pellis T, Stammet P, Wanscher M, Wise MP, Åneman A, Al-Subaie N, Boesgaard S, Bro-Jeppesen J, Brunetti I, Bugge JF, Hingston CD, Juffermans NP, Koopmans M, Køber L, Langørgen J, Lilja G, Møller JE, Rundgren M, Rylander C, Smid O, Werer C, Winkel P, Friberg H; TTM Trial Investigators. Targeted temperature management at 33°C versus 36°C after cardiac arrest. N Engl J Med. 2013 Dec 5;369(23):2197-206. doi: 10.1056/NEJMoa1310519. Epub 2013 Nov 17. PMID: 24237006.
Lascarrou JB, Merdji H, Le Gouge A, Colin G, Grillet G, Girardie P, Coupez E, Dequin PF, Cariou A, Boulain T, Brule N, Frat JP, Asfar P, Pichon N, Landais M, Plantefeve G, Quenot JP, Chakarian JC, Sirodot M, Legriel S, Letheulle J, Thevenin D, Desachy A, Delahaye A, Botoc V, Vimeux S, Martino F, Giraudeau B, Reignier J; CRICS-TRIGGERSEP Group. Targeted Temperature Management for Cardiac Arrest with Nonshockable Rhythm. N Engl J Med. 2019 Dec 12;381(24):2327-2337. doi: 10.1056/NEJMoa1906661. Epub 2019 Oct 2. PMID: 31577396.
Dankiewicz J, Cronberg T, Lilja G, Jakobsen JC, Levin H, Ullén S, Rylander C, Wise MP, Oddo M, Cariou A, Bělohlávek J, Hovdenes J, Saxena M, Kirkegaard H, Young PJ, Pelosi P, Storm C, Taccone FS, Joannidis M, Callaway C, Eastwood GM, Morgan MPG, Nordberg P, Erlinge D, Nichol AD, Chew MS, Hollenberg J, Thomas M, Bewley J, Sweet K, Grejs AM, Christensen S, Haenggi M, Levis A, Lundin A, Düring J, Schmidbauer S, Keeble TR, Karamasis GV, Schrag C, Faessler E, Smid O, Otáhal M, Maggiorini M, Wendel Garcia PD, Jaubert P, Cole JM, Solar M, Borgquist O, Leithner C, Abed-Maillard S, Navarra L, Annborn M, Undén J, Brunetti I, Awad A, McGuigan P, Bjørkholt Olsen R, Cassina T, Vignon P, Langeland H, Lange T, Friberg H, Nielsen N; TTM2 Trial Investigators. Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest. N Engl J Med. 2021 Jun 17;384(24):2283-2294. doi: 10.1056/NEJMoa2100591. PMID: 34133859.

Cardiac Power Output (CPO) in Cardiogenic Shock May 10, 2021

Show notes

Cardiac power output is a calculation one should do when caring for patients with cardiogenic shock. Data has shown it to be the strongest hemodynamic correlate of mortality in cardiogenic shock. We should be using it in our practice to determine whether a patient will benefit from mechanical circulatory support (MCS). In this episode, we explore the concept of cardiac power output (CPO) as a potential tool to help guide management in patients with cardiogenic shock. We review the underlying physiology of CPO and its potential advantages over more traditional hemodynamic parameters, such as cardiac output and mean arterial pressure. We also discuss the practical aspects of measuring CPO and the potential limitations and challenges of its use in the clinical setting. Tune in to learn more about this promising new approach to managing patients in cardiogenic shock.

Show Notes: https://eddyjoemd.com/cardiogenic-shock-mcs/ Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom.

Website: www.eddyjoemd.com Instagram: www.instagram.com/eddyjoemd Twitter: www.twitter.com/eddyjoemd Facebook: www.facebook.com/eddyjoemd Podcast: https://anchor.fm/eddyjoemd My Amazon store for resources you may find helpful: www.amazon.com/shop/eddyjoemd Citations: Fincke R, Hochman JS, Lowe AM, Menon V, Slater JN, Webb JG, LeJemtel TH, Cotter G; SHOCK Investigators. Cardiac power is the strongest hemodynamic correlate of mortality in cardiogenic shock: a report from the SHOCK trial registry. J Am Coll Cardiol. 2004 Jul 21;44(2):340-8. doi: 10.1016/j.jacc.2004.03.060. PMID: 15261929. Lim HS. Cardiac Power Output Revisited. Circ Heart Fail. 2020 Oct;13(10):e007393. doi: 10.1161/CIRCHEARTFAILURE.120.007393. Epub 2020 Sep 30. PMID: 32993372.

ICU COVID-19 Patients Don’t Get Well Soon, Unfortunately (Journal Club-ish) Apr 27, 2021

Show notes

What are the functional outcomes of our COVID-19 patients who end up in the ICU and then on mechanical ventilation? Something to consider...

Show Notes: https://eddyjoemd.com/icu-covid/

Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. 😉

Citations: Musheyev B, Borg L, Janowicz R, Matarlo M, Boyle H, Singh G, Ende V, Babatsikos I, Hou W, Duong TQ. Functional status of mechanically ventilated COVID-19 survivors at ICU and hospital discharge. J Intensive Care. 2021 Mar 31;9(1):31. doi: 10.1186/s40560-021-00542-y. PMID: 33789772.

Double Triggering: Fix the Underlying Problem, Vent Optimization, Sedate (Journal Club-ish) Apr 23, 2021

Show notes

Double triggering of the ventilator in critically patients has long been suspected to lead to poor outcomes. New data has confirmed this.

Show Notes: https://eddyjoemd.com/double-triggering/

Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. 😉

Citations: Sousa, Mayson Laérciod e Araújo PT, PhD; Magrans, Rudys PhD; Hayashi, Fátima K. RRT, PhD; Blanch, Lluís MD, PhD; Kacmarek, Robert M. RRT, PhD; Ferreira, Juliana C. MD, PhD. Clusters of Double Triggering Impact Clinical Outcomes, Critical Care Medicine: April 21, 2021 - Volume Latest Articles - Issue - doi: 10.1097/CCM.0000000000005029

Peripheral Vasopressors: Are They Safe for Our Patients? (Journal Club-ish) Apr 20, 2021

Show notes

Reviewing the evidence supporting the utilization of peripheral vasopressors to avoid central lines in the critically ill patients. Show Notes: https://eddyjoemd.com/peripheral-vasopressors/ Receive a FREE audiobook (TWO for Amazon Prime members) with your FREE 30-day trial by using my link for Audible: CLICK HERE! You will be reminded when your trial is ending, by the way. 😉 Although great care has been taken to ensure that the information in this podcast are accurate, eddyjoe, LLC shall not be held responsible or in any way liable for the continued accuracy of the information, or for any errors, omissions or inaccuracies, or for any consequences arising therefrom. Website: www.eddyjoemd.com Instagram: www.instagram.com/eddyjoemd Twitter: www.twitter.com/eddyjoemd Facebook: www.facebook.com/eddyjoemd Podcast: https://anchor.fm/eddyjoemd My Amazon store for resources you may find helpful: www.amazon.com/shop/eddyjoemd Citations: Owen VS, Rosgen BK, Cherak SJ, Ferland A, Stelfox HT, Fiest KM, Niven DJ. Adverse events associated with administration of vasopressor medications through a peripheral intravenous catheter: a systematic review and meta-analysis. Crit Care. 2021 Apr 16;25(1):146. doi: 10.1186/s13054-021-03553-1. PMID: 33863361.

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