Coagulopathy And Analgesia

This podcast is an interactive discussion about the management of coagulopathy, analgesia, sedation, and delirium in critically ill pediatric patients between Dr. Adam Vogel and Dr. Alexander Gibbons. 00:00:00:00 Introduction 00:01:22:01 Case Scenario: 12-year-old male in helmeted MVC vs. bicycle accident 00:02:36:10 See Where You Are 00:05:22:17 Initial Therapy 00:06:26:04 General Management 00:07:00:04 Viscoelastic Monitoring 00:08:05:01 Phases of Viscoelastic Monitoring 00:10:47:02 Targeted Therapy 00:11:42:25 Real Time Monitoring 00:14:38:13 Management of Fibrinolysis 00:16:06:18 Balanced Resuscitation 00:17:26:16 Efficiency 00:18:12:29 Pediatric Evidence 00:19:07:08 Massive Transfusion and Balanced Resuscitation 00:19:42:28 Case Scenario: Pain Control After Laparotomy 00:21:02:12 Narcotics 00:22:08:19 Regional Analgesia 00:23:29:12 Anxiety 00:25:43:24 Case Scenario: Sedation 00:27:51:13 Validated Pain Scores 00:29:53:14 Validated Sedation Scores 00:31:23:23 Sedation Holidays and ABCDEF Bundles 00:32:09:08 A: Assessing Pain 00:32:20:29 B: Breathing and Awakening Trials 00:33:30:15 C: Choice of Analgesia and Sedation 00:34:24:15 D: Delirium 00:34:31:25 E: Early Mobility and Exercise 00:34:37:24 F: Family Engagement 00:35:47:28 Case Scenario: Post-Operative/ICU Delirium 00:36:38:04 Risk Factors for Delirium 00:37:21:15 Delirium Assessment Tools 00:39:23:20 Evaluating for Causes of Altered Mental Status 00:40:36:16 Multimodal Treatment for Delirium 00:42:51:23 Preventing Delirium 00:43:58:22 Conclusion 00:44:21:22 Outro/Teaser Intro and outro tracks are adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626