ICU Rounds
Channel Details
ICU Rounds
A podcast dedicated to the teaching of critical care. The focus audience is physicians, residents, medical students, nurses, therapists, and paramedics. These are topics that arise while on teaching rounds in the Burn ICU at Vanderbilt Medical Center. A broad scope of critical care and prehospita...
Recent Episodes
97 episodes
Splitting a Ventilator: Multipatient Ventilation for COVID?
Throughout the pandemic, there has been considerable discussion about the possibility of running our of ventilators. One potential solution that was b...
Prone Ventilation for ARDS (COVID-19)
This week we have a brief conversation about prone mechanical ventilation for ARDS. Does it provide a benefit? When should we use it, and why does it...
ARDS and Mechanical Ventilation / COVID-19 Care
Today we discuss the approach to oxygenating and mechanically ventilating a patient suffering from ARDS. We will cover elements relevant and essential...
ICU Care of Coronavirus (COVID-19)
I'm back. I plan on providing you with some useful information when caring for patients infected with COVID-19 (Coronavirus). In this episode, I will...
Colloids: Details and Myths
This episode provide some basic description of colloids as will as some myths.
Random Serum Cortisol Levels are misleading
A physiological explanation why random cortisol levels are NOT helpful in evaluating adrenal function
EARLY use of Tranexamic Acid may improve survival from bleeding in trauma
In this episode we talk about the results of the CRASH-2 trial published in Lancet. This trial showed that the EARLY use of Tranexamic acid may impro...
Pediatric IVC diameter determination with ultrasound
If you are using ultrasound to evaluate IVC diamter in children, what is considered a normal IVC diameter? You can determine the IVC/Ao ratio or cor...
Takotsubo Cardiomyopathy
This is a condition that mimics acute coronary syndrome (ACS) that may be caused by acute emotional or physical stress. Patient's may appear to have...
Necrotizing Soft Tissue Infection (NTSI)
This episode discusses the pathophysiology, presentation, and treatment of NTSI.
Different Cardiac Output Monitors & Physiology
This episode will discuss the physiology behind various CO output monitors such as pulmonary artery catheters, PICCO, pulse wave form analysis, and Li...
Lactic Acidosis - Type B
Now these are the types of lactic acidosis that most people are not familiar. They can be caused by medications, underlying disease, or inborn errors...
Lactate Acidosis - Type A
This podcast is a description of how lactate is produced and metabolized. I will discuss the role of lactate in the diagnosis and management of shock...
Endotracheal tube cuff leaks and self-extubations
A brief description on what to consider when confronted with a patient with an air leak from the ET tube or a patient that self-extubates.
Smoke Inhalation Injury
Smoke Inhalation injuries can be deadly. This episode explains why smoke can be so deadly, and how to care for those patients with suspected smoke in...
Propofol Related Infusion Syndrome
Propofol Related Infusion Syndrome is a potentially fatal complication of propofol. If you use this common ICU drug you need this information.
Wedge: Everyone elses favorite Swan number
Wedge or PAOP is perhaps the most quoted and poorly understood variable generated by a Swan-Ganz.
SVO2 My favorite Swan Number
The most helpful number for me on a Swan is the SvO2. This is a brief description of how I use this variable in evaluating critically ill and injure...
Therapeutic Hypothermia After Cardiac Arrest
Therapeutic hypothermia after cardiac arrest is part of ACLS and is used by several EMS agencies around the US. Despite good data and improved patien...
Pancreatitis - Surgical Indications and Procedures
This is the third in the series on severe pancreatitis and necrotizing pancreatitis. This episode reviews the indications for surgery, morbidity and...
Severe Acute Pancreatitis: Part 2 ICU Considerations
A brief discussion of the considerations of ICU care of the patient with severe pancreatitis, fluid resuscitation, respiratory, renal, and nutrition.
Pancreatitis - Part 1
This is an initial presentation of the causes and diagnosis of acute pancreatitis.
That peripheral IV can kill you: Suppurative Thrombophlebitis
All the recent emphasis on venous catheter infections has been on central lines. Those peripheral IVs are also dangerous.
Acute Colonic Pseudoobstruction (Ogilvie's Syndrome)
Acute Colonic Pseudoobstruction (ACPO) is commonly called Ogilvies Syndrome. ACPO presents massive dilation in critically ill patients, and might res...
Hemoglobin Based Oxygen Carriers (a.k.a. Artificial Blood)
A brief summary of what are hemoglobin based oxygen carriers (HBOC) and where are they in development.
Catheter-Related Bloodstream Infection: Diagnosis
Discussion of what is the difference between a CVC infection and a catheter-related blood stream infection. They are treated differently so it is imp...
Complications of Dwelling Central Lines
What horrible things can happen with central lines once they have been inserted.
Central Line Insertion Complications
A discussion of the potential problems encountered while inserting central venous catheters.
Pulmonary Physiology and General Anesthesia
This episode discusses the effects and risks of anesthesia on patients with pulmonary disease as well as the effects of anesthesia on pulmonary physio...
Caustic Ingestions
Ingestion of caustic materials can be fatal and difficult to evaluate. These patients are often referred to our burn center.
IV Fluids (Part 1)
An introduction to the basic science in fluids used to treat hypovolemia.
Arterial Blood Gases
This episode is a discussion about how to approach an arterial blood gas result.
Discussion on Fluids: The last Cotton lecture
This is an interview that I did on www.medtalknetwork.com with Dr. Brian Cotton. Dr. Cotton recently left Vanderbilt to take a new position at UT Ho...
Refeeding Syndrome
When and how can providing a starving patient nutrition be potentially deadly.
Hypoxia: physiological causes
Understanding the root cause of hypoxia will allow for more appropriate treatment.
Hyponatremia: common but dangerous
Hyponatremia or a low serum sodium is a common electrolyte problem that is dangerous if ignored or treated improperly.