Are cardiac arrest outcomes improving?

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, we are joined by Aidan Burrell to talk about the SHERPA trial.See omnystudio.com/listener for privacy information.

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 education and research, and his research interests include mechanical ventilation and sedation in ICU.  He joins Todd to talk about the role of dexmedetomidine in patients on non invasive ventilation in the ICUSee omnystudio.com/listener for privacy information.

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 care researcher and he joins Todd to discuss the BEST-DKA trialSee omnystudio.com/listener for privacy information.

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.See omnystudio.com/listener for privacy information.

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 researcher in surgery at the Department of Anaesthesiology and Intensive care Medicine at Innsbruck, Austria.  Her key interests are coagulation in critical care, particularly after inflammatory diseases. She joins Todd to talk about DIC in sepsis.See omnystudio.com/listener for privacy information.

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 approach may in fact be harmful. Paul Young is an Intensivist and critical care researcher from Wellington in New Zealand, and he joins me to discuss an upcoming study which will further explore this issue, LOGICALSee omnystudio.com/listener for privacy information.

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 injury.  While plateau pressure ceilings have been recommended for many years, research attention is now turning towards driving pressure. Neil Ferguson is the head of critical care at the University Health Network and Mt Sinai  Health Systems in Toronto, and has an extensive research history in critical care ventilationSee omnystudio.com/listener for privacy information.

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 Scquizzato is a researcher in the fields of cardiac arrest and resuscitation science at San Raffaele Hospital in Milan, Italy and member of the European resuscitation council BLS Science and Education Committee   You can follow Tommaso on twitter too - @tscquizzatoSee omnystudio.com/listener for privacy information.

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 joins Todd to discuss haemostatic resuscitation in trauma.See omnystudio.com/listener for privacy information.

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 omnystudio.com/listener for privacy information.