Neuro Resus - podcast cover

Neuro Resus

Oliver Flower•www.neuroresus.com
Health & Fitness
Medicine
Education
Podcasts on topics relevant to intensive care medicine
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Episodes

A new heart – who gets one and what next?

This talk with discuss the indications for, contraindications to, and expected outcomes after heart transplant with a focus on the New Zealand and Australian experience. I will discuss the transplant assessment process and listing criteria. Perioperative and long term management of heart transplant patients will be covered. Post heart transplant outcomes (morbidity and mortality) will be discussed. I will discuss organ donation with a focus on the donor heart, covering what criteria we use to de...

Sep 19, 2018•27 min

ECLS in adults – where are we now?

Talk will discuss the use of ECMO as advanced cardio-pulmonary resuscitation in the setting of refractory cardiac arrest. The aim will be to provide useful information for those already experienced in ECPR as well as those with no experience but an interest in establishing an ECPR in their adult centre. Topics covered will include the rationale for the use of ECPR , the evidence base and current Australasian practice. Practical issues re patient selection , cannulation , post cannulation managem...

Sep 19, 2018•23 min

ECLS – where are we now? Young ones

Extracorporeal membrane oxygenation assisted cardiopulmonary resuscitation (ECPR) is an effective therapy to improve outcomes for children who experience cardiopulmonary arrest. Survival after ECLS varies between 60% and 75%. For ECPR survival is lower, with 40% to 50% of children surviving ECPR. After ECPR good neurological outcomes are seen in 40% to 60% of children. This contrasts with adult patients where neurological outcomes after ECPR are poor. Given these findings the American Heart Asso...

Sep 19, 2018•20 min

We have ROSC. What next?

Patients admitted to the ICU after cardiac arrest have, by definition, achieved ROSC. In such patients the major issues remain those of ongoing support hemodynamic and cardiorespiratory support, cerebral protection, aetiological diagnosis, and rapid intervention to deal with the underlying trigger (coronary angiography and stenting of coronary artery disease or CT pulmonary angiography and anticoagulation/thrombolysis for PE). Once the aetiological diagnosis has been made and its cases addresses...

Sep 19, 2018•19 min

Resuscitation update

The good news in resuscitation is that there have not been any new advances that mandate a change in practice since the 2016 ANZCOR Guidelines. The bad news is that despite our best intent, the ever-increasing research appears unable to demonstrate improved outcomes with any particular approach. Two of the most exciting areas (eCPR and post-resuscitation care) are being covered in detail at separate talks at this meeting. This presentation will focus on updating the audience on the more continuo...

Sep 19, 2018•24 min

Spread your wings: Planning a fellowship year

The Fellowship abroad: Dr Peta Alexander Research Fellowship: Dr Elissa Milford Simulation Fellowship: Dr Sile Smith Trauma Fellowship: Dr Fraser Magee Echo Fellowship: Dr Sebastian Knudsen

Sep 19, 2018•1 hr 1 min

Top 10 papers of recent times

There has been a potpourri of papers released in the last 12 months of interest to Intensivists. Some have solved the great mysteries of the universe, some have sparked the interest for more high-quality research and others have left us scratching our heads. This talk will give a snapshot of the Top 10 Critical Care papers of the last year.

Sep 19, 2018•28 min

Ventilation / bronchoscopy tips for the intensivist

Basic bronchoscopy skills are considered a core component ability for all Intensive Care trainees. A few simple tricks to remember anatomy can make a relative bronch novice look like a seasoned pro. Remember 4 rules when looking down a bronchoscope: Walls to the back Every bronchus looks the same as every bronchus once you have already jumped in, so always identify the posterior wall to orientate yourself Carina is your friend – visit her often. Everyone gets lost. When this happens, don’t go on...

Sep 19, 2018•13 min

Pulmonary hypertension and the right ventricle: what’s practically important?

This short talk will focus on the who, why, how, what, and when of diagnosis and management of pulmonary hypertension and the right ventricle: Who gets pulmonary hypertension? Why is pulmonary hypertension important? How do I diagnose pulmonary hypertension? What are the most important practical management strategies? When should I use advanced monitors and expensive pharmacotherapies? Both acute and chronic pulmonary hypertension will be discussed, and the emphasis will be on practical manageme...

Sep 19, 2018•13 min
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