最高の ICU ポッドキャスト (2025)

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Episode 196: Delirium and Workplace Violence 1:03:32

2d ago1:03:32

1:03:32

Does sedation improve sedation safety in the ICU? What is the relationship between delirium and workplace violence? Nurse and survivor of workplace violence, Kelsey Springer, MSN, RN, CCRN join us now to share her experiences and the research. Join me for the pre-conference delirium simulation training at ADS! https://americandeliriumsociety.org/ev…

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New/Old: PEERLESS and PEITHO 50:27

2d ago50:27

50:27

Send us a Text Message (please include your email so we can respond!) Episode 63! We talk about intermediate risk PE in "Large-Bore Mechanical Thrombectomy Versus Catheter-Directed Thrombolysis in the Management of Intermediate-Risk Pulmonary Embolism" by Jaber et al published in Circulation in February 2025. Then we talk about "Fibrinolysis for pa…

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Epi 97 - ICU Primary Snippet 40 - Metoprolol Vs Verapamil 6:16

3d ago6:16

6:16

In this episode, we compare and contrast the pharmacological profiles of Metoprolol and verapamil.

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Pediatric Vestibular Disorders 47:57

14d ago47:57

47:57

Did you know that vestibular disorders affect children as well as adults? There are increasing reports of vestibular deficits in children. One study suggests that as many as 1 in 5 children in the United States have problems with dizziness or balance. Pediatric vestibular disorders result in vertigo, gaze instability, delayed motor development, and…

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Valvulopathy Part II: Stenosis 43:08

7d ago43:08

43:08

Acute medical management of valvulopathy. Part II talks about the pathophysiology and management of stenotic valves: AS and MS. Check out Rapid Sequence, ICUedu's new education project at rapidsequence.org Great Core Ultrasound post on POCUS assessment of valvulopathy: https://coreultrasound.com/valves-2/ Additional content and educational resource…

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Episode 195: Public Opinion on Informed Consent and Medically-Induced Comas 31:38

11d ago31:38

31:38

If the choice between being sedated or awake and mobile was provided prior to intubation with the risks disclosed, what would the general public choose? Do patients and families have a right to know the risks of continuous sedation? I interviewed strangers in airports throughout the USA to learn more about their preferences. www.DaytonICUConsulting…

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ISICEM Review and SESAR 48:46

17d ago48:46

48:46

Send us a Text Message (please include your email so we can respond!) Episode 62! We talk briefly about two of the analyses that dropped with the ISICEM conference and then talk in depth about SESAR or "Inhaled Sedation in Acute Respiratory Distress Syndrome" by Jabudon et al in JAMA 2025. Then was answer a question on sleep in the ICU. Eddie did m…

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Epi 96 - ICU Primary Snippet 39 - Lactate 8:37

18d ago8:37

8:37

In this episode, we cover the production, metabolism and the role played by lactate in the body.

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Episode 194: Walking While Intubated with an IABP with Bob 28:04

19d ago28:04

28:04

What it is like to wake up intubated with an intra aortic balloon pump and then have Teia, your physical therapist, get you walking? Bob shares with us how the ABCDEF Bundle helped him walk home from the ICU. www.DaytonICUConsulting.com Need help making the business case for your hospital? Check out www.ABCDEFBundle.com !…

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Episode 193: Empowering Respiratory Therapists with JJ the RT 53:08

25d ago53:08

53:08

What does JJ the RT have to say about last episode’s exploration of sedation and ventilator asynchrony? Are respiratory therapists prepared and empowered to optimize their role in Awake and Walking ICUs? How can create an environment that fosters RT excellence? JJ explores it all in this episode. Www.DaytonICUConsulting.com…

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Epi 95 - ICU Primary Snippet 38 - Work of Breathing and Lung Efficiency 9:10

1M ago9:10

9:10

In this episode, we discuss the concept of Work of breathing and lung efficiency.

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New/Review: Extubating to HFNC 46:47

1M ago46:47

46:47

Send us a Text Message (please include your email so we can respond!) Episode 61! We talk about HFNC including extubation to HFNC in "Early weaning from invasive mechanical ventilation via high-flow nasal oxygen versus conventional weaning in patients with hypoxemic respiratory failure" by Ayyawar et al published in Critical Care Science. Then we t…

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Episode 192: Debunking Myths- Sedation and Ventilator Asynchrony 27:22

1M ago27:22

27:22

For years we have been taught at the bedside that sedation “improves ventilator asynchrony”. We have believed that patients must be sedated to be compliant with the ventilator. Is that true? What does the research show? Sylvia Stefanos, PharmD, BCCCP joins us armed with the evidence and ready to debunk the myths. Want to share the financial benefit…

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SCCM: PROACTIVE and ASA in sepsis 45:15

1M ago45:15

45:15

Send us a Text Message (please include your email so we can respond!) Episode 60! We jump to SCCM where we talk about 2 late breakers - PROACTIVE or "Propranolol As an Anxiolytic to Reduce the Use of Sedatives for Critically Ill Adults Receiving Mechanical Ventilation" by Downar et al and "Acetylsalicylic Acid Treatment in Patients With Sepsis and …

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Episode 191: Insights from SCCM Congress- Current State of Affairs 50:53

2M ago50:53

50:53

What do ICU clinicians really know about patient perspective of sedation and immobility? What are their personal wishes if they were intubated in the ICU? What do ICU providers really understand about the ABCDEF bundle and how is it going in the ICU community at large? I hit the halls at SCCM Congress to find out. www.DaytonICUConsulting.com…

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ICU Podcast: Brain Fog 57:55

2M ago57:55

57:55

In today’s episode of the ICU Podcast, we’re going to talk about brain fog. It kind of sounds like some sort of weather pattern. What is brain fog, and why do so many vestibular patients experience it? Some people describe it as forgetfulness, confusion, a lack of focus, difficulty concentrating or making decisions, or just a vague sense of blurry …

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Episode 190: Healing From Post-ICU PTSD with UCF Restores 33:56

2M ago33:56

33:56

After 51 days of sedation and immobility in the ICU and on ECMO, Angela Leggett spent almost 2 decades battling post-ICU PTSD. She shares with us her journey and the impact of UCF Restores to give her a new chance at quality of life! UCF Restores Www.DaytonICUConsulting.com

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TRAUMOX2, SAHARA, and mailbag 57:02

2M ago57:02

57:02

Send us a Text Message (please include your email so we can respond!) Episode 59! We finish our CCR down under coverage with TRAUMOX2 or "Early Restrictive vs Liberal Oxygen for Trauma Patients" published in JAMA by Arleth et al and then switch to SAHARA or "Liberal or Restrictive Transfusion Strategy in Aneurysmal Subarachnoid Hemorrhage" by Engli…

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Episode 189: The ICU Revolution at Mercy San Juan Medical Center- Part 8 with Dr. Parimal Bharucha 44:58

2M ago44:58

44:58

What is the ethical and moral responsibility of a medical director to personally practice, lead, and support their ICU to keep patients as awake and mobile as possible? Dr. Parimal Bharucha shares with us the incredible revolution that has happened in his ICU. Www.DaytonICUConsulting.com

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Visually Induced Dizziness 51:57

2M ago51:57

51:57

For many people who have a vestibular disorder, a trip to the grocery store can turn into a battle with dizziness. The bright lights, rows of shelves, patterns on the floor, and crowds of people can trigger symptoms such as dizziness, nausea, and light-headedness. Bending down or turning your head to scan for the items you need. All this can take a…

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Old/New: FLORALI and RENOVATE 56:42

2M ago56:42

56:42

Send us a Text Message (please include your email so we can respond!) Episode 58! We talk about non-invasive oxygen support and RENOVATE or "High-Flow Nasal Oxygen vs Noninvasive Ventilation in Patients With Acute Respiratory Failure" published in JAMA December 2024 and presented at the CCR Down Under Conference. We supplement this by first talking…

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CCR Down Under: SCREEN with Adam Wright 1:06:27

3M ago1:06:27

1:06:27

Send us a Text Message (please include your email so we can respond!) Episode 57! We were excited to have on this episode Dr. Adam Wright who is a PhD in Bioinformatics to discuss SCREEN or "Electronic Sepsis Screening Among Patients Admitted to Hospital Wards: A Stepped-Wedge Cluster Randomized Trial" published by Arabi et al in JAMA 2024 and pres…

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Valvulopathy Part I: Regurgitation 42:55

3M ago42:55

42:55

Acute medical management of valvulopathy. Part I talks about the pathophysiology and management of regurgitant valves: AI, MR, and TR. Great Core Ultrasound post on POCUS assessment of valvulopathy: https://coreultrasound.com/valves-2/ Additional content and educational resources at ICUedu.orgSara Crager による

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How Hearing Loss Impacts people with vestibular conditions 53:59

3M ago53:59

53:59

In this episode we’re going to talk about silence. The silence that happens when you lose your hearing. Whether it comes on all of a sudden or gradually, losing your hearing is a life changer. It starts when you have to ask your friends and family to repeat what they just said. Eventually you stop asking, and you begin to feel separate, apart, not …

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CCR Down Under: ADAPT-Sepsis 46:03

3M ago46:03

46:03

Send us a Text Message (please include your email so we can respond!) Episode 56! In this episode we spend a few minutes talking about making decisions on ECMO initiation but spend most of the episode talking about ADAPT-Sepsis or "Biomarker-Guided Antibiotic Duration for Hospitalized Patients With Suspected Sepsis" published by Dark et al in JAMA …

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Episode 188: The ICU Revolution at Mercy San Juan Medical Center - Part 7 with Dr. Jodi Coates 54:49

3M ago54:49

54:49

When the harm of “normal practices” shifts the perspective of an ICU revolutionist and medical director, what is the next course of action? Dr. Jodi Coates shares how her personal convictions inspired her to lead her trauma ICU to radically transform their sedation and mobility practices. Want to help your ICU become an Awake and Walking ICU? Sched…

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Apple gaat de keuken in 48:22

4M ago48:22

48:22

In deze eerste aflevering van de iCulture Podcast van 2025 vertellen we je welke nieuwe producten er worden verwacht. Sommige dingen zijn te voorspellen: er komen in september weer nieuwe iPhones aan en de standaard iPad krijgt in 2025 ook weer een kleine specs-update. Maar er zijn ook spannende vooruitzichten, zoals een smart home-tablet voor aan …

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Episode 187: The ICU Revolution at Mercy San Juan Medical Center - Part 6 with Ginger Manss 32:16

4M ago32:16

32:16

What is the role of the critical care director in leading ICU teams to become Awake and Walking ICUs? How can directors use the evidence to win executive leadership support for their teams to have what they need to succeed? Ginger Manss, DNP shares with us her key role as senior director of critical care in the revolution at MSJMC. Check out their …

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2024 Year in Review and CCR Down Under 59:58

4M ago59:58

59:58

Send us a Text Message (please include your email so we can respond!) Episode 55 and Happy New Year! In this episode we talk broad strokes about the CCR Down Under Conference and the trials that were presented, then Todd and Eddie go over a bunch of articles from the year 2024 that they didn't have time to go over or want to re-emphasize for whatev…

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Het Apple-jaar 2024 40:48

4M ago40:48

40:48

In deze tiende aflevering van de iCulture Podcast is het tijd om terug te blikken. Apple heeft de MacBook Air en MacBook Pro vernieuwd, er kwamen drie nieuwe iPads, vier nieuwe iPhones, nieuwe kleurtjes voor de AirPods Max en HomePod mini en nog veel meer. Maar wat zijn nou eigenlijk onze favoriete Apple-producten van 2024? Wat vonden we het belang…

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New/Old: BALANCE and iDIAPASON 52:01

4M ago52:01

52:01

Send us a Text Message (please include your email so we can respond!) Episode 54! In this episode we talk about antibiotic duration in bacteremia (BALANCE) and also antibiotic duration in Pseudomonas Ventilator associated pneumonia (iDIAPASON). BALANCE (NEJM): https://www.nejm.org/doi/full/10.1056/NEJMoa2404991 BALANCE (pubmed): https://pubmed.ncbi…

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Episodes 186: The ICU Revolution at Mercy San Juan Medical Center Part 5- Respiratory Therapy 48:04

4M ago48:04

48:04

What role do respiratory therapists play in creating Awake and Walking ICUs? How did Candace Wistrich, RRT, BSRT and Nelya Kapitula, RRT, BSRT lead their respiratory therapy department to move the revolution forward? They join us now to share their team’s journey! Vote for “Awake and Walking ICUs” as “best nurse innovation” and Kali Dayton as “best…

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Bilateral Vestibular Hypofunction 52:32

4M ago52:32

52:32

In this episode of the ICU Podcast we’re going to talk about what happens when we lose function in our inner ear completely, when the vestibular system on both your right and your left sides is not working. Bilateral vestibular loss, also called hypofunction, can be devastating. It results in severe difficulty maintaining balance, especially when w…

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Episode 185: The ICU Revolution at Mercy San Juan Medical Center- Part 4 with the Trauma ICU RNs 59:00

5M ago59:00

59:00

How does the Awake and Walking ICU approach apply to the trauma ICU? How did education, training, leadership support, and deep compassion empower these experience trauma nurses to transform their ICU culture and practices? What successes have they had and how has keeping patients awake and mobile impacted their career fulfillment and team dynamics?…

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New/New-ish: IVIO and PARAMEDIC-3 34:16

5M ago34:16

34:16

Send us a Text Message (please include your email so we can respond!) Episode 53! In this episode we talk about access in patients with out of hospital cardiac arrest. Both articles are similar so we talk in depth about IVIO and then bringing PARAMEDIC-3 to round out our discussion. A good acronym discussion too, don't miss it! IVIO (NEJM): https:/…

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Episode 184: The ICU Revolution at Mercy San Juan Medical Center- Part 3 with Luke Stratigates 44:29

5M ago44:29

44:29

Safe patient handling(SPH) is a fairly new and rapidly growing field. Mercy San Juan Medical Center is fortunate to have a strong SPH department and leadership. Luke Strategates, DPT shares with us the key role he plays in the ICU Revolution as the safe patient handling leader. Want to bring the revolution to your ICU? Schedule a consultation at ww…

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Daar zijn de M4 Macs 51:48

5M ago51:48

51:48

In deze negende aflevering van de iCulture Podcast van 2024 kijken we naar de Macs met M4-chip. Apple heeft maar liefst drie varianten aangekondigd, van de alles-in-een bureaucomputer iMac tot de allersnelste 16-inch MacBook Pro met M4 Max (en alles er tussenin). Wij zijn inmiddels druk aan het testen met de verschillende modellen en hebben een gro…

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New/New: INTREPID and PROLABI 40:42

5M ago40:42

40:42

Send us a Text Message (please include your email so we can respond!) Episode 52! In this episode we talk about fevers in acute neurologic injury and double that up with talking about low tidal volume ventilation in patients with neurologic injury INTREPID (JAMA): https://jamanetwork.com/journals/jama/fullarticle/2824088 INTREPID (pubmed): https://…

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Episode 183: The ICU Revolution at Mercy San Juan Medical Center- Part 2 with Dr. Lawrence Bistrong 37:14

5M ago37:14

37:14

What happens when a medical director really sees the reality of “normal practices” and becomes a revolutionist? Dr. Bistrong shares his personal conversion and the key role he has playing in his team’s transformation. Www.DaytonICUConsulting.com

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Managing Social Events With Dizziness and Imbalance 53:11

5M ago53:11

53:11

The year end holidays are probably the busiest time of year for social events. Family gatherings and work parties, special church services, and cocktail parties with friends. These are meant to be fun and festive, a time to eat, drink, and be merry. But events can often be overwhelming for people with vestibular disorders, with bright lights and lo…

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Episode 182: The ICU Revolution at Mercy San Juan Medical Center- Part 1 with Jeana Flakes 44:50

6M ago44:50

44:50

Standardized sedation and immobility are rooted in a gap in education. What is the power of a nurse educator in transforming knowledge, culture, and practice in the ICU? Jeana Flakes, MSN, RN shares how she helped lead the ICU Revolution as a nurse educator at Mercy San Juan Medical Center. Www.DaytonICUConsulting.com…

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LIVE @ CC Bootcamp 2024: NONSEDA 22:32

6M ago22:32

22:32

Send us a Text Message (please include your email so we can respond!) We are (were) LIVE at ACNP Critical Care Bootcamp 2024! Thank you to the organizers of the conference for inviting us do a live show and thank you to everyone who came out to listen! We talk about the NONSEDA trial or "Nonsedation or Light Sedation in Critically Ill, Mechanically…

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Fluids in Sepsis 41:16

6M ago41:16

41:16

Updated talk on fluids in sepsis! Access to video version of lecture, supplemental materials & references at: https://www.icuedu.org/fluids-in-sepsisSara Crager による

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Episode 181: Physician Insights at CHEST 52:54

6M ago52:54

52:54

What do physicians understand of the ABCDEF bundle? What are their perceptions of early mobility? How are their teams practicing the ABCDEF bundle in their own units? What do physicians need to be able to lead an Awake and Walking ICU approach in their units?I interviewed physicians while attending the CHEST conference to find answers to these ques…

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FAST and IV Fluid Shortage 55:49

6M ago55:49

55:49

Send us a Text Message (please include your email so we can respond!) Episode 50! In this episode we talk about SBT frequency and "Frequency of Screening and Spontaneous Breathing Trial Techniques" by Burns et al from JAMA 2024 that was released with the ESICM conference. In our second segment, instead of another trial we talk a little bit about th…

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Resuscitation & the Science of Expertise 33:46

6M ago33:46

33:46

How can the science of expertise inform our ability to attain excellence in resuscitation? Additional content and educational resources at ICUedu.org References for the papers mentioned in the episode: Kovacs & Croskery. Clinical Decision Making: An Emergency Medicine Perspective. Academic Emergency Medicine, 1999; 6(9): 947-952 The Neuroscience of…

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What About Those Who Love and Help Care for Vestibular Patients? 48:24

6M ago48:24

48:24

Living with and supporting someone with a chronic illness can be challenging. First off, we'd like to give a big shout out to all the spouses, parents, friends, and other “care partners” out there who selflessly adapt their lives around the restrictions imposed by their loved one’s vestibular illness. Aborted family events, staying home instead of …

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