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