ICUedu: Recent Episodes
Sara Crager
Emergency critical care fundamentals. You can find video versions of the talks and additional content at ICUedu.org
Management approach for electrical storm!
For a deep dive into EKGs in wide complex tachycardias, take a look at this awesome lecture by Amal Mattu.
References to articles mentioned in the podcast:
Cheskes et al. Defibrillation Strategies for Refractory Ventricular Fibrillation. N Engl J Med. 2022 Nov 24;387(21):1947-1956
Ortiz et al. Randomized comparison of intravenous procainamide vs. intravenous amiodarone for the acute treatment of tolerated wide QRS tachycardia: the PROCAMIO study. Eur Heart J 2017;38(17):1329-1335
Song et al. Association of Dexmedetomidine With New-Onset Atrial Fibrillation in Patients With Critical Illness. JAMA Netw Open 2023;6(4):e239955
Wang etc. Effect of Dexmedetomidine on Tachyarrhythmias After Cardiac Surgery: A Systematic Review and Meta-Analysis. J Cardiovasc Pharmacol 2022;79(3):315-324
Zhong et al. Dexmedetomidine Reduces Incidences of Ventricular Arrhythmias in Adult Patients: A Meta-Analysis. Cardiol Res Pract 2022;5158362
Do et al. Thoracic Epidural Anesthesia Can Be Effective for the Short-Term Management of Ventricular Tachycardia Storm. J Am Heart Assoc. 2017 Oct 27;6(11):e007080
Tian et al. Effective Use of Percutaneous Stellate Ganglion Blockade in Patients With Electrical Storm. Circ Arrhythm Electrophysiol. 2019;12(9):e007118
Batnyam et al. Safety and Efficacy of Ultrasound-Guided Sympathetic Blockade by Proximal Intercostal Block in Electrical Storm Patients. JACC Clin Electrophysiol 2024;10(4):734-746
ICUedu Physiologically Difficult Airway Pocket Intensivist Card
ICUedu.org page with video lecture, references, and a downloadable link to key visuals: https://www.icuedu.org/physiologicallydifficultairway
ICUedu Physiologically Difficult Airway Pocket Intensivist Card
Access to video version of lecture, supplemental materials & references at: https://www.icuedu.org/physiologicallydifficultairway
ICUedu Approach to the Acutely Ill Patient Pocket Intensivist Card
Additional content and educational resources at ICUedu.org
ICUedu Acid-Base 2.0 Pocket Intensivist Card
This lecture has a lot of important visuals. Here is is a link to the ICUedu.org subpage with the video lecture and a downloadable link to the key lecture visuals:
https://www.icuedu.org/approachacidbase
ICUedu Vasoplegia Pocket Intensivist Card
Additional content and educational resources at ICUedu.org
Like the Trauma Survey... but for sepsis!
Additional content and educational resources at ICUedu.org
Blood Gas Reading Skills series
Additional content and educational resources at ICUedu.org
If you have ABGs you are interested in submitting for possible discussion, you can send along the ABG, the basic metabolic panel, and the albumin (if you have it) as well as a one-liner summary of the clinical context through the ICUedu comments section
Chapter 1: Clinical Context
Chapter 2: Perfusion Pressures
Chapter 3: Three-Pressures Physiology Map
Chapter 4: Management
This lecture has a lot of important visuals. Here is is a link to the ICUedu.org subpage with the video lecture and a downloadable link to the key lecture visuals:
https://www.icuedu.org/reframingshock-2
Right ventricular failure talk updated and re-recorded! This version is broken down into chapters within the podcast feed rather than published as separate segments.
Chapter 1: Clinical Context
Chapter 2: Physiology
Chapter 3: Diagnosis and Differential Diagnosis
Chapter 4: Spiral of Death
Chapter 5: Management
Chapter 6: Recap
Access to video version of lecture, supplemental materials & references at:
https://www.icuedu.org/rvfailure
Link to review article
Additional content and educational resources at ICUedu.org
REFERENCES
Peripheral pressors meta-analysisOwen et al. Critical Care 2021;25(146)
EMCrit peripheral pressorshttps://emcrit.org/ibcc/pressors/#peripheral_pressors
CLOVERS Trial (RCT fluid liberal vs fluid restrictive strategy in septic shock)
Shapiro et al NEJM 2023;388(6):499-510
CENSER Trial (RCT early low dose norepi vs placebo in septic shock)
Permpikul et al. Am J Respir Crit Care Med 2019;199(9):1097-1105
Brief history of pressors in cardiogenic shockDe Backer et al. NEJM 2010;362(9):779-89
Levy et al. Crit Care Med 2011;39(3):450-55.
Levy et al. J Am Coll Cardiol 2018;72(2):173-82
Vahdatpour C et al. Cardiogenic Shock. J Am Heart Assoc. 2019 Apr 16;8(8):e011991.
Thiele H et al. Eur Heart J. 2019; 40: 2671–2683
Lewis et al. J Cardiovasc Pharmacol Ther 2019;24(2):130-38
Liao et al. J Healthc Eng. 2020; 8862256
Mathew et al. NEJM 2021;385(6):516-25
Most recent paper on norepi in cardiogenic shockLu et al. ESC Heart Fail 2022;9(3):1875-33
Pressors in cardiogenic shock metanalysisHu & Mathew. Curr Opin Crit Care 2022;28(4):419-425
Cardiogenic shock editorialSquara et al. Chest 2019;156(2):392-401
Blood Gas Reading Skills series
Additional content and educational resources at ICUedu.org
If you have ABGs you are interested in submitting for possible discussion, you can send along the ABG, the basic metabolic panel, and the albumin (if you have it) as well as a one-liner summary of the clinical context through the comments section on the 'About' page at ICUedu.org
Blood Gas Reading Skills series
Additional content and educational resources at ICUedu.org
If you have ABGs you are interested in submitting for possible discussion, you can send along the ABG, the basic metabolic panel, and the albumin (if you have it) as well as a one-liner summary of the clinical context through the comments section on the 'About' page at ICUedu.org
Additional content and educational resources at ICUedu.org
You can find a quick reference chart on inhaled pulmonary vasodilators in the Cardiac Infographics section of the website: https://www.icuedu.org/core-content
Lecture audio here, you can access video version of lecture & supplemental materials at ICUedu.org
Lecture audio here, you can access video version of lecture & supplemental materials at ICUedu.org