PedsCrit

PedsCrit

Download on the App Store

PedsCrit episodes

  • Congenital Diaphragmatic Hernia with Dr. Yigit Guner & Dr. Amir Ashrafi -- Part 2 of 3

    Dr. Yigit Guner earned his Doctor of Medicine degree from the Rosalind Franklin University of Medicine and Science at the Chicago Medical School. He completed his internship and residency in general surgery at UC Davis Medical Center, where he served as chief resident. Dr. Guner’s training continued with a fellowship in pediatric surgery at the University of Texas, Houston. In addition, he finished a post-doctoral research fellowship at the USC-CHLA Department of Pediatric Surgery. Dr. Guner continues to publish articles in peer-reviewed journals, presents lectures at nationally recognized conferences, has collaborated on book chapters, and is a member of several professional associations and hospital leadership committees. He also serves as an assistant professor of surgery at UC Irvine.

    Dr. Amir Ashrafi is an expert in neonatology and neonatal-cardiac physiology. His primary focus is treating newborns with congenital heart disease. He holds the national distinction of being one of the few physicians to receive formal training in both neonatal intensive care and cardiac intensive care. Dr. Ashrafi is the co-founder of the conference NeoHeart: Cardiovascular Management of the Neonate which is an international collaboration dedicated to advancing the care of newborns with complex heart disease. He attended medical school at the University of Utah and completed pediatric residency training at Emory University in Atlanta. He spent time in the Emergency Dept at Children’s Hospital of Los Angeles prior to completing his neonatal intensive care fellowship at UCLA, where he was recognized as the chief fellow. Dr. Ashrafi then completed a second fellowship in cardiac intensive care in Boston Children’s Hospital at Harvard University. His research focus includes Neonatal-cardiac physiology, non-invasive tissue perfusion monitoring, neurodevelopment outcomes in infants with congenital heart disease, and targeted neonatal echocardiography.

    By the end of this podcast, listeners should be able to discuss:

    1. The clinically relevant anatomic and physiologic consequences of CDH.
    2. The relevant prenatal evaluation and interventions for unborn babies with CDH.
    3. The core aspects of neonatal resuscitation and cardiopulmonary support for neonates with CDH.
    4. The role of ECMO in neonates with CDH.
    5. The timing, general approach and relevant complications of CDH surgical repair.
    6. The expected long-term outcomes of neonates with CDH.

    Reference:
    Guner et al. Management of Congenital Diaphragmatic Hernia Treated With Extracorporeal Life Support: Interim Guidelines Consensus Statement From the ELSO. ASAIO J. 2021 Feb 1;67(2):113-120. 

    Send us Fan Mail

    Support the show


    How to support PedsCrit:
    Please complete our Listener Feedback Survey
    Please rate and review on Spotify and Apple Podcasts!
    Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.

    Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at [email protected].  You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!

    33 min
  • Congenital Diaphragmatic Hernia with Dr. Yigit Guner & Dr. Amir Ashrafi -- Part 1 of 3

    Dr. Yigit Guner earned his Doctor of Medicine degree from the Rosalind Franklin University of Medicine and Science at the Chicago Medical School. He completed his internship and residency in general surgery at UC Davis Medical Center, where he served as chief resident. Dr. Guner’s training continued with a fellowship in pediatric surgery at the University of Texas, Houston. In addition, he finished a post-doctoral research fellowship at the USC-CHLA Department of Pediatric Surgery. Dr. Guner continues to publish articles in peer-reviewed journals, presents lectures at nationally recognized conferences, has collaborated on book chapters, and is a member of several professional associations and hospital leadership committees. He also serves as an assistant professor of surgery at UC Irvine.

    Dr. Amir Ashrafi is an expert in neonatology and neonatal-cardiac physiology. His primary focus is treating newborns with congenital heart disease. He holds the national distinction of being one of the few physicians to receive formal training in both neonatal intensive care and cardiac intensive care. Dr. Ashrafi is the co-founder of the conference NeoHeart: Cardiovascular Management of the Neonate which is an international collaboration dedicated to advancing the care of newborns with complex heart disease. He attended medical school at the University of Utah and completed pediatric residency training at Emory University in Atlanta. He spent time in the Emergency Dept at Children’s Hospital of Los Angeles prior to completing his neonatal intensive care fellowship at UCLA, where he was recognized as the chief fellow. Dr. Ashrafi then completed a second fellowship in cardiac intensive care in Boston Children’s Hospital at Harvard University. His research focus includes Neonatal-cardiac physiology, non-invasive tissue perfusion monitoring, neurodevelopment outcomes in infants with congenital heart disease, and targeted neonatal echocardiography.

    By the end of this podcast, listeners should be able to discuss:

    1. The clinically relevant anatomic and physiologic consequences of CDH.
    2. The relevant prenatal evaluation and interventions for unborn babies with CDH.
    3. The core aspects of neonatal resuscitation and cardiopulmonary support for neonates with CDH.
    4. The role of ECMO in neonates with CDH.
    5. The timing, general approach and relevant complications of CDH surgical repair.
    6. The expected long-term outcomes of neonates with CDH.

    Reference:
    Guner et al. Management of Congenital Diaphragmatic Hernia Treated With Extracorporeal Life Support: Interim Guidelines Consensus Statement From the ELSO. ASAIO J. 2021 Feb 1;67(2):113-120. 

    Send us Fan Mail

    Support the show


    How to support PedsCrit:
    Please complete our Listener Feedback Survey
    Please rate and review on Spotify and Apple Podcasts!
    Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.

    Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at [email protected].  You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!

    24 min
  • Phoenix Sepsis Criteria with Dr. Nelson Sanchez-Pinto Part 2

    L. Nelson Sanchez-Pinto, MD, is a Pediatric intensivist at Lurie Children’s Hospital of Chicago, where he is also an Associate Professor of Pediatrics at Northwestern University Feinberg School of Medicine. 

    Dr. Sanchez-Pinto co-led an international group of researchers in the Society of Critical Care Medicine Pediatric Sepsis Definition Task Force for the Development and Validation of the new Phoenix Criteria for Pediatric Sepsis and Septic Shock that was featured at the 2024 SCCM conference.


    Learning Objectives:

    By the end of this podcast, listeners should be able to discuss:

    1. The limitations of prior definitions of pediatric sepsis and the rationale for creating the Phoenix Sepsis Criteria.
    2. The methods and key outcomes used for deriving the Phoenix Sepsis Criteria.
    3. How to diagnose sepsis using the Phoenix Sepsis Criteria. 
    4. General limitations of the Phoenix Sepsis Criteria.
    5. Next steps in implementing the Phoenix Sepsis Criteria and the direction it provides for future research. 


    References:

    Sanchez-Pinto LN, Bennett TD, DeWitt PE, et al. Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. JAMA. Published online January 21, 2024. doi:10.1001/jama.2024.0196

    Schlapbach LJ, Watson RS, Sorce LR, Argent AC, Menon K, Hall MW, Akech S, Albers DJ, Alpern ER, Balamuth F, Bembea M, Biban P, Carrol ED, Chiotos K, Chisti MJ, DeWitt PE, Evans I, Flauzino de Oliveira C, Horvat CM, Inwald D, Ishimine P, Jaramillo-Bustamante JC, Levin M, Lodha R, Martin B, Nadel S, Nakagawa S, Peters MJ, Randolph AG, Ranjit S, Rebull MN, Russell S, Scott HF, de Souza DC, Tissieres P, Weiss SL, Wiens MO, Wynn JL, Kissoon N, Zimmerman JJ, Sanchez-Pinto LN, Bennett TD; Society of Critical Care Medicine Pediatric Sepsis Definition Task Force. International Consensus Criteria for Pediatric Sepsis and Septic Shock. JAMA. 2024 Jan 21. doi: 10.1001/jama.2024.0179. Epub ahead of print. PMID: 38245889.

    Richesson RL, Smerek MM, Blake Cameron C. A Framework to Support the Sharing and Reuse of Computable Phenotype Definitions Across Health Care Delivery and Clinical Research Applications. EGEMS (Wash DC). 2016 Jul 5;4(3):1232. doi: 10.13063/2327-9214.1232. PMID: 27563686; PMCID: PMC4975566.

    Send us Fan Mail

    Support the show


    How to support PedsCrit:
    Please complete our Listener Feedback Survey
    Please rate and review on Spotify and Apple Podcasts!
    Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.

    Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at [email protected].  You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!

    21 min
  • Phoenix Sepsis Criteria with Dr. Nelson Sanchez-Pinto Part 1

    L. Nelson Sanchez-Pinto, MD, is a Pediatric intensivist at Lurie Children’s Hospital of Chicago, where he is also an Associate Professor of Pediatrics at Northwestern University Feinberg School of Medicine. 

    Dr. Sanchez-Pinto co-led an international group of researchers in the Society of Critical Care Medicine Pediatric Sepsis Definition Task Force for the Development and Validation of the new Phoenix Criteria for Pediatric Sepsis and Septic Shock that was featured at the 2024 SCCM conference.


    Learning Objectives:

    By the end of this podcast, listeners should be able to discuss:

    1. The limitations of prior definitions of pediatric sepsis and the rationale for creating the Phoenix Sepsis Criteria.
    2. The methods and key outcomes used for deriving the Phoenix Sepsis Criteria.
    3. How to diagnose sepsis using the Phoenix Sepsis Criteria. 
    4. General limitations of the Phoenix Sepsis Criteria.
    5. Next steps in implementing the Phoenix Sepsis Criteria and the direction it provides for future research. 


    References:

    Sanchez-Pinto LN, Bennett TD, DeWitt PE, et al. Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. JAMA. Published online January 21, 2024. doi:10.1001/jama.2024.0196

    Schlapbach LJ, Watson RS, Sorce LR, Argent AC, Menon K, Hall MW, Akech S, Albers DJ, Alpern ER, Balamuth F, Bembea M, Biban P, Carrol ED, Chiotos K, Chisti MJ, DeWitt PE, Evans I, Flauzino de Oliveira C, Horvat CM, Inwald D, Ishimine P, Jaramillo-Bustamante JC, Levin M, Lodha R, Martin B, Nadel S, Nakagawa S, Peters MJ, Randolph AG, Ranjit S, Rebull MN, Russell S, Scott HF, de Souza DC, Tissieres P, Weiss SL, Wiens MO, Wynn JL, Kissoon N, Zimmerman JJ, Sanchez-Pinto LN, Bennett TD; Society of Critical Care Medicine Pediatric Sepsis Definition Task Force. International Consensus Criteria for Pediatric Sepsis and Septic Shock. JAMA. 2024 Jan 21. doi: 10.1001/jama.2024.0179. Epub ahead of print. PMID: 38245889.

    Richesson RL, Smerek MM, Blake Cameron C. A Framework to Support the Sharing and Reuse of Computable Phenotype Definitions Across Health Care Delivery and Clinical Research Applications. EGEMS (Wash DC). 2016 Jul 5;4(3):1232. doi: 10.13063/2327-9214.1232. PMID: 27563686; PMCID: PMC4975566.

    Send us Fan Mail

    Support the show


    How to support PedsCrit:
    Please complete our Listener Feedback Survey
    Please rate and review on Spotify and Apple Podcasts!
    Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.

    Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at [email protected].  You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!

    35 min
  • Navigating the End of Life and Taking Next Steps with Dr. Ethan Sanford

    Ethan Sanford, MD is an Assistant Professor of Anesthesia and Pediatrics at the University of Texas Southwestern in Dallas. He completed his MD at Harvard University followed by Anesthesiology residency at Brigham and Women’s Hospital and pediatric anesthesia fellowship at Boston Children’s Hospital. He then completed a pediatric critical care fellowship at UTSW. He is board certified in both pediatric anesthesia and pediatric critical care medicine. He works both as a pediatric anesthesiologist and intensivist at UTSW/CMC Dallas.

    Learning Objective:
    By the end of this podcast, listeners should have an improved understanding of the grief experienced by parents at the end of their child's life and be better equipped to care for them in the pediatric intensive care unit. 

    Reference:
    Sanford EL. Losing Ceci. JAMA. 2023 May 2;329(17):1451-1452. doi: 10.1001/jama.2023.4747. PMID: 37022705.

    Send us Fan Mail

    Support the show


    How to support PedsCrit:
    Please complete our Listener Feedback Survey
    Please rate and review on Spotify and Apple Podcasts!
    Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.

    Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at [email protected].  You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!

    48 min
  • Post-Intensive Care Syndrome in Children (PICS-P) with Dr. Elizabeth Killien--Part 2

    Elizabeth Killien, MD MPH is an Assistant Professor of Pediatrics at the University of Washington and an attending physician in the Pediatric ICU at Seattle Children’s. She earned her MD from Dartmouth Medical School in 2011. She completed her residency in General Pediatrics and fellowship in Pediatric Critical Care Medicine at the University of Washington. She underwent additional training in pediatric trauma research at the Harborview Injury Prevention and Research Center in the Pediatric Injury Research Training Program from 2017-2019, and completed her Master of Public Health degree in Epidemiology at the University of Washington in 2019. She is a member of the Society of Critical Care Medicine, Pediatric Acute Lung Injury and Sepsis Investigators, and American Thoracic Society. Her scholarly work focuses on organ failure after traumatic injury and long-term outcomes after critical illness.

    Learning Objectives:

    By the end of this podcast, listeners should be able to:

    1. Define post-intensive care syndrome, recognize the clinical presentation and make the presumptive diagnosis.
    2. Recognize common risk factors of post-intensive care syndrome in children.
    3. Discuss practical ways to reduce the risk of post-intensive care syndrome in children admitted to the pediatric ICU.
    4. Discuss management strategies to optimize the care provided to children suffering from post-intensive care syndrome.
    5. Recall key next steps in post-intensive care syndrome research.


    References:

    Manning, Joseph C. RN, PhD1,2,3; Pinto, Neethi P. MD, MS4; Rennick, Janet E. RN, PhD5,6; Colville, Gillian MPhil, CPsychol7; Curley, Martha A. Q. RN, PhD8,9,10. Conceptualizing Post Intensive Care Syndrome in Children—The PICS-p Framework*. Pediatric Critical Care Medicine 19(4):p 298-300, April 2018. | DOI: 10.1097/PCC.0000000000001476 

    https://www.palisi.org/ 

    Killien EY, Zimmerman JJ, Di Gennaro JL, Watson RS. Association of Illness Severity With Family Outcomes Following Pediatric Septic Shock. Crit Care Explor. 2022 Jun 15;4(6):e0716. doi: 10.1097/CCE.0000000000000716. PMID: 35733611; PMCID: PMC9203075.

    Smith MB, Killien EY, Dervan LA, Rivara FP, Weiss NS, Watson RS. The association of severe pain experienced in the pediatric intensive care unit and postdischarge health-related quality of life: A retrospective cohort study. Paediatr Anaesth. 2022 Aug;32(8):899-906. doi: 10.1111/pan.14460. Epub 2022 Apr 22. PMID: 35426458; PMCID: PMC9990726.

    Send us Fan Mail

    Support the show


    How to support PedsCrit:
    Please complete our Listener Feedback Survey
    Please rate and review on Spotify and Apple Podcasts!
    Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.

    Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at [email protected].  You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!

    30 min
  • Post-Intensive Care Syndrome in Children (PICS-P) with Dr. Elizabeth Killien--Part 1

    Elizabeth Killien, MD MPH is an Assistant Professor of Pediatrics at the University of Washington and an attending physician in the Pediatric ICU at Seattle Children’s. She earned her MD from Dartmouth Medical School in 2011. She completed her residency in General Pediatrics and fellowship in Pediatric Critical Care Medicine at the University of Washington. She underwent additional training in pediatric trauma research at the Harborview Injury Prevention and Research Center in the Pediatric Injury Research Training Program from 2017-2019, and completed her Master of Public Health degree in Epidemiology at the University of Washington in 2019. She is a member of the Society of Critical Care Medicine, Pediatric Acute Lung Injury and Sepsis Investigators, and American Thoracic Society. Her scholarly work focuses on organ failure after traumatic injury and long-term outcomes after critical illness.

    Learning Objectives:

    By the end of this podcast, listeners should be able to:

    1. Define post-intensive care syndrome, recognize the clinical presentation and make the presumptive diagnosis.
    2. Recognize common risk factors of post-intensive care syndrome in children.
    3. Discuss practical ways to reduce the risk of post-intensive care syndrome in children admitted to the pediatric ICU.
    4. Discuss management strategies to optimize the care provided to children suffering from post-intensive care syndrome.
    5. Recall key next steps in post-intensive care syndrome research.

    References:

    Manning, Joseph C. RN, PhD1,2,3; Pinto, Neethi P. MD, MS4; Rennick, Janet E. RN, PhD5,6; Colville, Gillian MPhil, CPsychol7; Curley, Martha A. Q. RN, PhD8,9,10. Conceptualizing Post Intensive Care Syndrome in Children—The PICS-p Framework*. Pediatric Critical Care Medicine 19(4):p 298-300, April 2018. | DOI: 10.1097/PCC.0000000000001476 

    https://www.palisi.org/ 

    Killien EY, Zimmerman JJ, Di Gennaro JL, Watson RS. Association of Illness Severity With Family Outcomes Following Pediatric Septic Shock. Crit Care Explor. 2022 Jun 15;4(6):e0716. doi: 10.1097/CCE.0000000000000716. PMID: 35733611; PMCID: PMC9203075.

    Smith MB, Killien EY, Dervan LA, Rivara FP, Weiss NS, Watson RS. The association of severe pain experienced in the pediatric intensive care unit and postdischarge health-related quality of life: A retrospective cohort study. Paediatr Anaesth. 2022 Aug;32(8):899-906. doi: 10.1111/pan.14460. Epub 2022 Apr 22. PMID: 35426458; PMCID: PMC9990726.

    Send us Fan Mail

    Support the show


    How to support PedsCrit:
    Please complete our Listener Feedback Survey
    Please rate and review on Spotify and Apple Podcasts!
    Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.

    Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at [email protected].  You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!

    36 min
  • Post–Cardiac Arrest Syndrome with Dr. Alexis Topjian-Part 2

    Alexis Topjian, MD, MSCE is a Professor of Anesthesiology and Critical Care at the University of Pennsylvania. She is an intensivist at the Children’s Hospital of Philadelphia where she also serves as the Fellowship Director of Neurocritical Care, Director of the Pediatric Neurocritical Care Program, and the Director of Faculty Development. She also was the first author on the 2019 Pediatric Post–Cardiac Arrest Care Scientific Statement from the American Heart Association.

    Learning Objectives:

    By the end of this podcast, listeners should be able to describe:

    1. The clinical characteristics of post-cardiac arrest syndrome.
    2. The general goals and guiding principles of high quality post-cardiac arrest care.
    3. An evidence-based approach to diagnostic testing and monitoring of the post-cardiac arrest patient.
    4. An evidence-based approach to supportive treatment of the post-cardiac arrest patient with an emphasis on targeted temperature management.
    5. Relevant prognostic factors and best practices communicating prognosis to families of children who have suffered a cardiac arrest.

    References:

    Topjian AA, de Caen A, Wainwright MS, Abella BS, Abend NS, Atkins DL, Bembea MM, Fink EL, Guerguerian AM, Haskell SE, Kilgannon JH, Lasa JJ, Hazinski MF. Pediatric Post-Cardiac Arrest Care: A Scientific Statement From the American Heart Association. Circulation. 2019 Aug 6;140(6):e194-e233. doi: 10.1161/CIR.0000000000000697. Epub 2019 Jun 27. PMID: 31242751.

    Moler et al. Therapeutic hypothermia after out-of-hospital cardiac arrest in children. N Engl J Med. 2015 May 14;372(20):1898-908. doi: 10.1056/NEJMoa1411480. Epub 2015 Apr 25. PMID: 25913022; PMCID: PMC4470472.

    Moler et al; THAPCA Trial Investigators. Therapeutic Hypothermia after In-Hospital Cardiac Arrest in Children. N Engl J Med. 2017 Jan 26;376(4):318-329. doi: 10.1056/NEJMoa1610493. Epub 2017 Jan 24. PMID: 28118559; PMCID: PMC5310766.

    Send us Fan Mail

    Support the show


    How to support PedsCrit:
    Please complete our Listener Feedback Survey
    Please rate and review on Spotify and Apple Podcasts!
    Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.

    Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at [email protected].  You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!

    27 min
  • Post–Cardiac Arrest Syndrome with Dr. Alexis Topjian-Part 1

    Alexis Topjian, MD, MSCE is a Professor of Anesthesiology and Critical Care at the University of Pennsylvania. She is an intensivist at the Children’s Hospital of Philadelphia where she also serves as the Fellowship Director of Neurocritical Care, Director of the Pediatric Neurocritical Care Program, and the Director of Faculty Development. She also was the first author on the 2019 Pediatric Post–Cardiac Arrest Care Scientific Statement from the American Heart Association.

    Learning Objectives:

    By the end of this podcast, listeners should be able to describe:

    1. The clinical characteristics of post-cardiac arrest syndrome.
    2. The general goals and guiding principles of high quality post-cardiac arrest care.
    3. An evidence-based approach to diagnostic testing and monitoring of the post-cardiac arrest patient.
    4. An evidence-based approach to supportive treatment of the post-cardiac arrest patient with an emphasis on targeted temperature management.
    5. Relevant prognostic factors and best practices communicating prognosis to families of children who have suffered a cardiac arrest.


    References:

    Topjian AA, de Caen A, Wainwright MS, Abella BS, Abend NS, Atkins DL, Bembea MM, Fink EL, Guerguerian AM, Haskell SE, Kilgannon JH, Lasa JJ, Hazinski MF. Pediatric Post-Cardiac Arrest Care: A Scientific Statement From the American Heart Association. Circulation. 2019 Aug 6;140(6):e194-e233. doi: 10.1161/CIR.0000000000000697. Epub 2019 Jun 27. PMID: 31242751.

    Moler et al. Therapeutic hypothermia after out-of-hospital cardiac arrest in children. N Engl J Med. 2015 May 14;372(20):1898-908. doi: 10.1056/NEJMoa1411480. Epub 2015 Apr 25. PMID: 25913022; PMCID: PMC4470472.

    Moler et al; THAPCA Trial Investigators. Therapeutic Hypothermia after In-Hospital Cardiac Arrest in Children. N Engl J Med. 2017 Jan 26;376(4):318-329. doi: 10.1056/NEJMoa1610493. Epub 2017 Jan 24. PMID: 28118559; PMCID: PMC5310766.

    Send us Fan Mail

    Support the show


    How to support PedsCrit:
    Please complete our Listener Feedback Survey
    Please rate and review on Spotify and Apple Podcasts!
    Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.

    Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at [email protected].  You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!

    31 min
  • From the archives: VV-ECMO with Dr. Jenna Miller

     About our guest:

    Jenna Miller, MD is an Associate Professor of Pediatrics at the University of Missouri-Kansas City School of Medicine. She completed her medical school and residency in Kansas City before moving to Texas Children’s for critical care fellowship. She is the director of the pediatric ECMO program and the pediatric critical care medicine fellowship at Children’s Mercy Kansas City. Her professional and research interests include trimethoprim-sulfamethoxazole ARDS, ECMO and medical education.

    ECMO Patient Stories from Children’s Mercy Kansas City:

    https://www.cnn.com/2018/03/21/health/teen-walks-on-life-support-exclusive-profile

    https://www.thedailybeast.com/trevor-hensley-endured-73-days-of-ecmo-to-survive-covid

    https://news.childrensmercy.org/mcpherson-news-ledger-mcpherson-boy-home-following-100-day-hospital-stay/

    References:

    1. Maclare, Graeme, et al. Extracorporeal Life Support: The ELSO Red Book. 6th Edition. 
    2. Pelosi, er al. Close down the lungs + keep them resting to minimize ventilator induced lung injury.  
    3. Maharaj et al, Right Ventricular Dysfunction is Associated with Increased Mortality in Patients Requiring Venovenous Extracorporeal Membrane Oxygenation for Coronavirus Disease 2019
    4. Nirmal S Sharma et al. Flexible Bronchoscopy Is Safe and Effective in Adult Subjects Supported With Extracorporeal Membrane Oxygenation. 
    5. Rosner EA et al. Flexible Bronchoscopy in Pediatric Venovenous Extracorporeal Membrane Oxygenation. 
    6. Gurnani et al. Outcomes of Extubated COVID and Non-COVID Patients Receiving Awake Venovenous Extracorporeal Membrane Oxygenation, 
    7. Kohne et al. Tracheostomy Practices and Outcomes in Children During Respiratory Extracorporeal Membrane Oxygenation
    8. Palen P et al. tracheostomy and long-term mechanical ventilation in children after veno-venous extracorporeal membrane oxygenation.
    9. LaRosa JM, Nelliot A, Zaidi M, Vaidya D, Awojoodu R, Kudchadkar SR. Mobilization Safety of Critically Ill Children. Pediatrics. 

    Send us Fan Mail

    Support the show


    How to support PedsCrit:
    Please complete our Listener Feedback Survey
    Please rate and review on Spotify and Apple Podcasts!
    Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.

    Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at [email protected].  You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!

    1 hr 18 min

About PedsCrit

From the publisher's feed

Welcome to PedsCrit! We are a collaborative educational PICU podcast working with pediatric critical care educators around the world to create high-yield podcast episodes on core PICU topics. Find…

More shows like PedsCrit

EMCrit FOAM Feed by Scott D. Weingart, MD FCCM

EMCrit FOAM Feed

1,864 Listeners

Emergency Medicine Cases by Dr. Anton Helman

Emergency Medicine Cases

539 Listeners

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast by Jed Wolpaw

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

1,470 Listeners

The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

3,345 Listeners

Up First from NPR by NPR

Up First from NPR

56,472 Listeners

PCICS Podcast by The Podcast for Pediatric Cardiac Critical Care

PCICS Podcast

30 Listeners

Charting Pediatrics by Children's Hospital Colorado

Charting Pediatrics

269 Listeners

Healing Hearts: Empowering Pediatric Critical Care Providers by Healing Hearts

Healing Hearts: Empowering Pediatric Critical Care Providers

30 Listeners

Critical Care Scenarios by Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

Critical Care Scenarios

255 Listeners

The Curious Clinicians by The Curious Clinicians

The Curious Clinicians

375 Listeners

Pediatrics On Call by AAP - American Academy of Pediatrics

Pediatrics On Call

233 Listeners

The Cribsiders by The Cribsiders

The Cribsiders

315 Listeners

PICU Doc On Call by Dr. Pradip Kamat, Dr. Rahul Damania, Dr. Monica Gray

PICU Doc On Call

62 Listeners

The Incubator by Ben Courchia & Daphna Yasova Barbeau

The Incubator

163 Listeners

Critical Care Time by Critical Care Time Podcast

Critical Care Time

270 Listeners