The landscape of Intensive care is changing. In the era of evidence based medicine, we try to make best possible decision for our patients based on best available evidence. Every fortnight, Dr Swapnil Pawar & Dr Jose Chacko will bring you one hot topic in Critical care. If you want to stay up to date with recent evidence or learn how to critically evaluate the literature in critical care, this podcast is for you.
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Oxygen is the most commonly used drug in Intensive care. However, the targets for oxygen therapy titration are arbitrary. In this podcast, we discuss the significance of hyperoxemia in intensive care patients.
Sedation in ICU is practised so commonly that thinking of any mechanically ventilated patient without sedation is impossible. This trial published in NEJM has challenged that dogma and showed us that Non-sedation in mechanically ventilated patients is feasible.
The accumulation of a positive fluid balance is a frequent occurrence in critically ill patients. As Paracelsus said, " All things are poisons, nothing is without poison. Only the dose permits something not to be poisonous." Like other drugs, it is the dose of fluids which makes them poisonous. In this podcast, we discuss the significance of de-resuscitation in ICU.
Lung protective ventilation has become the cornerstone of the management of ARDS patient. As a consequence, hypercapnia is inevitable. However, permissive hypercapnia is not without its own problems. In this podcast, we discuss this dogma and challenge traditional practices.
Recently there has been a growing interest in driving pressure as a significant parameter for titration in mechanical ventilation for ARDS patients. It has challenged our dogma of 6-8 mls/kg tidal volume ventilation. In this podcast, we discuss the current evidence and future of mechanical ventilation in ARDS.
The malnutrition in hospitalised patients has a potentially severe impact on their overall outcomes. EFFORT trial, published in Lancet explored whether early intervention in medical inpatients is feasible and whether it alters the outcomes by commencing early individualised nutritional therapy.
The role of thrombolysis in submassive PE remains controversial to date. In this podcast, Dr Chacko & I dive deeper to explore the current evidence on this topic.
Liberating high-risk patients from mechanical ventilation poses a unique challenge to all intensive care physicians. The use of high flow has increased over the last decade, however, combination of high flow nasal oxygen and NIV has not been tested so far. The present study published in JAMA tries to answer this dilemma.