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Swapnil Pawar
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eCritCare Podcast
Episode 80: ICP monitoring in TBI
In this episode, we discuss the evidence behind the dogmatic practice of routinely using ICP monitoring in patients with traumatic brain injury admitted to ICU.
2021-09-28
30 min
ICU Fellowship PrepCast
# Epi 5 - Fellowship Vivas - Submassive PE, Esophageal Perforation & Malaria
In this podcast, we discuss other 3 vivas covering management of submissive PE, esophageal perforation post TOE and falciparum malaria in the overseas returned travellers.
2021-09-19
27 min
eCritCare Podcast
Episode 79: ICU Journal Club - Low vs high oxygenation Targets
The debate over low vs high oxygenation targets continue. In this podcast, we discuss the recently published trial in JAMA which evaluates the effect of high oxygenation on organ failure scores.
2021-09-19
29 min
Medspresso Podcast
#Epi 37 - Ascending Cholangitis
In this episode, we discuss the clinical presentation and management of Acute ascending cholangitis.
2021-09-16
13 min
Medspresso Podcast
#Epi 36 - Renal Calculus
In this episode, we discuss the clinical presentation and management of renal calculus.
2021-09-06
15 min
ICU Fellowship PrepCast
# Epi 4 - Hot Cases - How to Approach a Neuro Hot Case?
In this episode, I share my approach to neuro cases in the Fellowship exam.
2021-09-05
28 min
eCritCare Podcast
Episode 77: Long COVID- Long road ahead ?
In this episode, we discuss the controversies around the long term sequelae of COVID-19. We dive deeper into the available evidence and suggest the next steps to address this very significant issue.
2021-08-29
31 min
Medspresso Podcast
#Epi 35 - Aortic Dissection
In this episode, we discuss the clinical presentation and management of Aortic dissection.
2021-08-25
18 min
ICU Fellowship PrepCast
# Epi 3 - Fellowship Vivas - SAH, LA toxicity and Difficult Airway
In this podcast, we discuss 3 fellowship vivas from previous exams.
2021-08-21
23 min
eCritCare Podcast
Episode 77: ICU Journal Club- BASIC Study
In this podcast, we discuss another landmark study called BASIC, which evaluated the superiority of balanced salt solution over 0.9% saline in critically ill patients admitted to Brazilian intensive care units.
2021-08-18
32 min
ICU Fellowship PrepCast
# Epi 2 - Hot Cases - How to Approach Hot Case?
In this episode, I share an approach towards fellowship hot cases presented in the CICM final fellowship exam.
2021-08-06
18 min
Medspresso Podcast
#Epi 34 - Hypercalcemia
Join us in this week's episode, where we discuss differential diagnoses, the clinical features and the management of hypercalcemia.
2021-08-04
17 min
eCritCare Podcast
Episode 76: Remdesivir & Tocilizumab in COVID-19 - have we gone too far?
The evidence for the use of Remdesivir in COVID-19 is conflicting. Different guidelines have suggested contradictory recommendations on its use in COVID-19. Tocilizumab, although demonstrated mortality benefit in conjunction with steroids, we do not have data on its long term outcomes including quality of life. In this episode, we revisit the controversy surrounding the use of these agents in COVID-19.
2021-08-01
42 min
Medspresso Podcast
#Epi 33 - Inguinal Hernia
In this podcast, we discuss the presentation and the management of Inguinal hernia.
2021-07-26
09 min
ICU Fellowship PrepCast
# Epi 1 - Vivas - MH, Failed Extubation and Pancreatitis
Join us in this episode, where Maddi and I discuss previously asked 3 viva scenarios around 3 themes - Malignant hyperthermia, Failed extubation and Pancreatitis.
2021-07-24
36 min
Medspresso Podcast
#Epi 32 - Pericarditis
Join us in this episode, where we discuss the clinical presentation, differential diagnosis and the management of Pericarditis.
2021-07-19
16 min
Medspresso Podcast
#Epi 31 - Mesenteric Ischemia
In this podcast, we discuss different types of mesenteric ischemia and the management of acute mesenteric ischemia.
2021-07-14
12 min
eCritCare Podcast
Episode 75: Stopping Nasogastric Feeds in ICU- Time for a CHANGE
No standard protocol exists to decrease or eliminate preoperative fasting times for adult ICU patients with cuffed endotracheal tubes; however, multiple intensive care units across the globe have implemented their own protocols with adjusted times for the intubated patient. This has led to significant variability in practices along with potential harm to ICU patients. In this podcast, we challenge this another dogmatic practice in the Intensive care unit and dive deeper into available evidence.
2021-07-14
33 min
Medspresso Podcast
#Epi 30 - Community Acquired Pneumonia
In this episode, we discuss the clinical presentation and management of community-acquired pneumonia, hospital-acquired pneumonia and aspiration pneumonia.
2021-07-05
21 min
eCritCare Podcast
Episode 74: Mechanical Power - Paradigm Shift in ARDS
In this episode, we talk about the novel concept called mechanical power in ventilating patients with ARDS. This concept has led to a new debate as to whether we should move away from the dogmatic approach of fixed tidal volume ventilation to an individualised ventilation strategy for patients with ARDS.
2021-07-04
29 min
Medspresso Podcast
#Epi 29 - Lung Cancer
In this episode, we discuss the presenting complaints and management of lung cancer.
2021-06-28
11 min
eCritCare Podcast
Episode 73: ICU Journal Club- TTM 2 trial
In this episode, we discuss the recently published landmark RCT -TTM2. This trial has answered the important question and forced us to reconsider our management practices around post-out of hospital cardiac arrest management.
2021-06-22
27 min
Medspresso Podcast
#Epi 28 - Congestive Cardiac Failure
In this episode, we discuss the clinical features and management of this commonly encountered presentation.
2021-06-22
18 min
Medspresso Podcast
#Epi 27 - Compartment Syndrome
In this episode, we discuss the clinical features and the management of compartment syndrome.
2021-06-14
07 min
eCritCare Podcast
Episode 72: Driving Pressure & Elastance - New Drivers in ARDS
The recent study published by Golligher et al have challenged the dogma of setting 6-8 ml/kg Vt for all patients with ARDS. In this study, the authors demonstrated that the mortality in ARDS is related to driving pressure and baseline elastance and there is no correlation between mortality and plateau pressure or P/F ratio. In this episode, we discuss how this study will impact the future of mechanical ventilation in ARDS.
2021-06-14
29 min
eCritCare Podcast
Episode 71: ICU Journal Club- COAST trial
Oxygen is a precious commodity. COVID-19 pandemic has reminded us of the significance of Oxygen and we need to be mindful that Oxygen is a drug. It has its own side effects and thus warrants cautious use. In this podcast, we discuss controversial but thought-provoking COAST trial in-depth.
2021-06-07
33 min
Medspresso Podcast
#Epi 26 - Meningitis
Join us in this episode, where we discuss the etiology, clinical presentation and management of meningitis.
2021-05-31
15 min
eCritCare Podcast
Episode 70: Monoclonal Antibodies in COVID-19
COVID-19 pandemic continues to be a major problem across the globe. Various treatment options are emerging and we are desperate to achieve some normalcy in our lives. The recent addition is the use of monoclonal antibodies, which constitute a form of passive immunotherapy. In this podcast, we dive deeper into the available evidence on this novel treatment option.
2021-05-25
17 min
Medspresso Podcast
#Epi 25 - Post Polypectomy Bleed
in this episode, we discuss how to manage the bleeding after polypectomy.
2021-05-24
11 min
Medspresso Podcast
#Epi 24 - Management of Anaphylaxis
In this episode, we discuss the management of a patient presenting to ED with anaphylaxis.
2021-05-16
17 min
eCritCare Podcast
Episode 69: Thromboprophylaxis in COVID-19
Recently published RCTs and various guidelines have given us conflicting results w.r.t optimal dose of thromboprophylaxis in patients with COVID-19. In this episode, we dive deeper into the available evidence on this topic and suggest the rational approach in selecting the dose of thromboprophylaxis in COVID-19 patients.
2021-05-16
20 min
Medspresso Podcast
#Epi 23 - Management of Febrile Neutropenia
In this episode, we discuss the management of the patient presenting with febrile neutropenia.
2021-05-11
11 min
eCritCare Podcast
Episode 68: VITT - Vaccine Induced Immune Thrombotic Thrombocytopenia
Different Vaccines were developed during the COVID-19 pandemic at unprecedented speed using different platforms. However, recent reports raised concerns regarding thrombotic complications and thrombocytopenia after certain vaccines. In this episode, we discuss the pathophysiology and the treatment of this newly described syndrome.
2021-05-04
28 min
Medspresso Podcast
#Epi 22 - Management of Infective Carditis
In this episode, we discuss the management of Infective endocarditis.
2021-05-02
19 min
Medspresso Podcast
#Epi 21 - Management of Acute Coronary Syndrome
In this episode, we discuss the management of acute coronary syndromes.
2021-04-26
14 min
eCritCare Podcast
Episode 67: ICU Journal Club - ULTRA Trial
In this episode, we discuss another landmark trial that has answered the very relevant question regarding the use of anti-fibrinolytic treatment in subarachnoid hemorrhage.
2021-04-25
21 min
Medspresso Podcast
#Epi 20 - Management of Acute Pancreatitis
In this episode, we discuss the clinical features and management of acute pancreatitis.
2021-04-19
18 min
Medspresso Podcast
#Epi 19 - Management of Cholecystitis
In this episode, we discuss the presentation and management of acute cholecystitis.
2021-04-11
14 min
eCritCare Podcast
Episode 66: Neuromuscular Blockade in ICU
The use of neuromuscular blockade is not uncommon however, it's associated with many complications such as the increased risk of ICU acquired weakness, prolonged length of ICU stay along with the increased risk of corneal ulceration and VTE. In this episode, we discuss various indications for the use of NMB agents in ICU and review the available evidence on this topic.
2021-04-09
39 min
Medspresso Podcast
#Epi 19 - Management of Hyperkalemia
Join us in this episode to discuss the management of hyperkalemia.
2021-04-04
19 min
eCritCare Podcast
Episode 65: transfusion Thresholds in Intensive Care
Restrictive Vs Liberal transfusion strategy debate has come to the surface after the publication of the REALITY trial. In this podcast, we dive deeper into proposed transfusion thresholds in intensive care in various subgroups and the evidence behind them.
2021-03-30
24 min
Medspresso Podcast
#Epi 18 - Management of Peptic Ulcer
In this episode, we discuss the etiology and management of peptic ulcer disease.
2021-03-28
11 min
eCritCare Podcast
Episode 64: ICU Journal Club - REALITY Trial
Hemoglobin targets in patients with myocardial infarction are still debatable. In this episode, we discuss the landmark REALITY trial, which explores the non-inferiority of a restrictive transfusion strategy over a liberal transfusion strategy.
2021-03-23
28 min
Medspresso Podcast
#Epi 17 - Management of Diabetic Ketoacidosis
In this episode, we discuss the management of diabetic ketoacidosis. This is a very commonly encountered pattern and understanding of the management are critical.
2021-03-23
15 min
eCritCare Podcast
Episode 63: Tocilizumab Fairytale in COVID-19
In this episode, we discuss recently published practice-changing trials RECOVERY and REMAP-CAP. These trials have clearly demonstrated the difference in mortality with the use of Tocilizumab in severe COVID-19.
2021-03-15
31 min
Medspresso Podcast
#Epi 16 - Management of Subarachnoid Hemorrhage (SAH)
In this episode, we discuss the presentation, diagnosis and management of the patient with subarachnoid hemorrhage.
2021-03-12
19 min
Medspresso Podcast
#Epi 15 - Management of Spontaneous Pneumothorax
In this episode, we discuss the approach towards the management of spontaneous pneumothorax.
2021-03-07
16 min
eCritCare Podcast
Episode 62: Oxygen Therapy - The circle of uncertainty
Join us to dive deeper into the recent controversy around oxygen therapy and its proposed targets in ICU patients. In this episode, we compare 3 landmark trials namely ICU-ROX, LOCO2 and HOT-ICU along with recently published meta-analyses to fully understand the nature of this controversy and discuss our recommendations for the future.
2021-03-04
30 min
Medspresso Podcast
#Epi 14 - TIA Management
In this episode, we discuss the approach towards the management of patients presenting with symptoms of TIA.
2021-03-03
08 min
eCritCare Podcast
Episode 61: COVID-19 Vaccines - Comprehensive Review
In this podcast, we discuss the challenges and the evidence behind different technological platforms used to produce COVID-19 vaccines.
2021-02-28
26 min
Medspresso Podcast
#Epi 13 - COPD Management
In this episode, we discuss the management of a patient presenting to the emergency department with acute exacerbation of COP.
2021-02-13
22 min
Medspresso Podcast
#Epi 12 - Hypertensive Emergencies
In this podcast, we discuss the management of hypertensive emergencies presenting to the emergency department.
2021-02-07
13 min
eCritCare Podcast
Episode 60: COVID-19 Vaccine - The Mystery of Hope
The year 2020 has been a challenging year for most of us. We all are eagerly waiting to get out of this pandemic. Recently published trial on COVID-19 vaccine has offered some hope, however its too soon to predict the outcome.
2020-12-24
29 min
Medspresso Podcast
#Epi 11 - Spontaneous Bacterial Peritonitis
In this episode, we discuss the diagnostic criteria and management of Spontaneous Bacterial Peritonitis.
2020-12-22
21 min
Medspresso Podcast
#Epi 10 - Post-Operative Fluid Administration
Join us in this episode, where we discuss post-operative fluid administration and share some practical tips for JMOs.
2020-12-17
14 min
eCritCare Podcast
Episode 59: Lactate in Sepsis
High lactate levels are uniformly associated with poor clinical outcomes, including mortality. However, there is considerable interest and conflict of opinion regarding the clinical value of using lactate levels to guide resuscitation in critically ill patients. In this episode, we dive deeper into this long-standing controversy.
2020-12-14
24 min
Medspresso Podcast
#Epi 9 - Management of SLE
In this episode, we discuss the presentation and management of the patient with SLE.
2020-12-08
14 min
Medspresso Podcast
#Epi 8 - Management of Hyperthyroidism
In this episode, we discuss the management of the patient who presented with the features s/o hyperthyroidism.
2020-11-30
09 min
eCritCare Podcast
Episode 58: ICU Journal Club - RICH trial
Join us in this episode, where we discuss the recently published trial in JAMA. This trial explores the efficacy of regional citrate anticoagulation over systemic heparin anticoagulation for CRRT. This is the largest randomised controlled trial on this topic and has provided very valuable answers on this topic.
2020-11-26
32 min
Medspresso Podcast
#Epi 7 - Management of Inflammatory Bowel Disease
In this episode, we discuss an approach towards a patient with inflammatory bowel disease.
2020-11-18
15 min
eCritCare Podcast
Episode 57: Critical Appraisal of Surviving Sepsis Guidelines
In this episode, we discuss some of the controversial recommendations from surviving sepsis guidelines and talk about the rational approach in adopting these guidelines.
2020-11-18
37 min
Medspresso Podcast
#Epi 6 - Management of Bowel Obstruction
In this episode, we discuss the management of Bowel obstruction.
2020-11-14
09 min
Medspresso Podcast
#Epi 5 - management of Hyponatremia
in this podcast, we discuss the approach to manage hyponatremia.
2020-11-08
15 min
Medspresso Podcast
#Epi 4 - Management of Breast Lump
In this episode, we discuss how to approach a patient with breast lump.
2020-10-30
08 min
eCritCare Podcast
Episode 56: EBM - The Process of forming Guidelines
In this episode, we discuss what the importance of guidelines is, how they are formed and what does GRADE methodology involve.
2020-10-25
22 min
Medspresso Podcast
#Epi 3 - Management of Burns
In this episode, we discuss how to assess the severity of burns and discuss in depth about the initial management of burns.
2020-10-21
15 min
eCritCare Podcast
Episode 55: EBM - How to Interpret a Meta-analysis
In this episode, we dive deeper to understand how to interpret a meta-analysis, which is usually situated at the top of the pyramid of Evidence-based medicine.
2020-10-17
42 min
Medspresso Podcast
#Epi 2 - Management of Atrial Fibrillation
Join us in this week's podcast, where we discuss how to manage rapid atrial fibrillation.
2020-10-15
10 min
Medspresso Podcast
#Epi 1 - Management of Pulmonary Embolism
In this episode, we discuss the management of a patient with pulmonary embolism.
2020-10-05
16 min
eCritCare Podcast
Episode 54: EBM - How to Interpret an RCT
In this podcast, we discuss how one should interpret an RCT, which is considered as the gold standard while practising evidence-based medicine.
2020-10-04
42 min
eCritCare Podcast
Episode 53: Steroid Story in COVID-19
The role of steroids in COVID-19 has been endorsed after the publication of RECOVERY trial. However, whether we should change our practices based on just one trial was heavily debated. In this podcast, we discuss the role of steroid in COVID-19 in-depth and weigh all the available evidence on this topic.
2020-09-20
36 min
eCritCare Podcast
Episode 52- Prone positioning in ARDS
Prone positioning was first proposed in the 1970s as a method to improve gas exchange in ARDS. Subsequent observations of dramatic improvement in oxygenation with simple patient rotation motivated the next several decades of research. During COVID -19 pandemic, the debate on the utility of proning has been resurfaced. In this podcast, we dive deeper to discuss the physiology and evidence behind the role of proning in ARDS.
2020-09-13
39 min
eCritCare Podcast
Episode 51- ICU Journal Club - STARRT-AKI Trial
In this podcast, we discuss a recently published landmark trial START-AKI trial. This trial explores the benefit of accelerated renal replacement strategy compared to standard strategy.
2020-08-22
29 min
eCritCare Podcast
Episode 50- Top 10 Practice Changing Trials in Intensive Care
Join us in our Golden jubilee episode, where we discuss top 10 trials published in last two decades that helped to change the practices in Intensive care.
2020-08-15
41 min
eCritCare Podcast
Episode 49- Cytokine Storm in COVID-19
The cytokine storm, arising from a dysregulated host response, has captivated mainstream and scientific media in recent times with its possible role leading to poor outcomes in COVID-19. It is characterized by the release of mediators, including chemokines, interleukins, interferons, and tumor necrosis factors. In this podcast, we discuss the available evidence on this topic.
2020-08-01
27 min
eCritCare Podcast
Episode 48- ICU Journal Club - HALT-IT Trial
Tranexamic acid has been thought to be the wonder drug for stopping the active bleeding and has recently been proven life-saving in certain subgroups of patients. HALT_IT is another landmark trial that has evaluated the benefit of tranexamic acid in patients with acute GI bleeding. In this podcast, we discuss the implications of this landmark trial.
2020-07-24
31 min
eCritCare Podcast
Episode 47- Hydroxychloroquine Prophylaxis in COVID-19
Recently published RCT in NEJM has raised more questions on the use of HCQ for post-exposure prophylaxis in COVID-19. This trial is more provocative than definitive. In this podcast, we discuss this trial in-depth and present our views on this topic.
2020-07-11
28 min
eCritCare Podcast
Episode 46- ICU Journal Club - RECOVERY Trial
The majority of guidelines for COVID-19 recommended against the use of steroids. However, RECOVERY trial has challenged this opinion by proving that low dose dexamethasone can actually improve the outcomes by both decreasing the mortality and facilitating early discharge from the hospital. In this podcast, we discuss the implications of this landmark trial on the future of this deadly pandemic.
2020-07-02
28 min
eCritCare Podcast
Episode 45- ICU Journal Club - VIOLET Trial
The routine use of Vit D in critically ill patients is debatable. The VIOLET trial published in NEJM in December 2019 has given us some clear answers on this topic. In this podcast, we discuss this trial in-depth to outline future directions on this topic.
2020-06-23
20 min
eCritCare Podcast
Episode 44- Neuromuscular Blockade in ARDS
Management of ARDS comprises of multi-modal approach that includes pharmacological and non-pharmacological interventions. The evidence on non-pharmacologic interventions is consistent. However, the benefit of pharmacological interventions is still debatable. In this podcast, we critically evaluate the role of neuromuscular blockade in ARDS.
2020-06-16
31 min
eCritCare Podcast
Episode 43- ICU Journal Club - Convalescent Plasma in COVID-19
The recently published trial in JAMA has suggested that the treatment with convalescent plasma in COVID-19 is feasible and can be used as a potential treatment option in this devastating pandemic.
2020-06-13
25 min
eCritCare Podcast
Episode 42- ICU Journal Club - ACCT Trial
In this episode, we discuss another landmark trial published in NEJM on the use of Remdesivir in COVID-19. This trial has raised more questions than providing answers.
2020-06-01
25 min
eCritCare Podcast
Episode 41- ICU Journal Club - Hydroxychloroquine and Macrolide in COVID-19
In this podcast, we discuss multi-national registry data on the efficacy of chloroquine, hydroxychloroquine with or without macrolides in COVID-19 patients. This study has added significant information to our understanding of COVID-19 and has warned us against the use of the combination of HCQ and macrolides.
2020-05-24
24 min
eCritCare Podcast
Episode 40- Preventing Transmission of COVID-19 in Intensive Care
COVID-19 pandemic has posed a very difficult challenge to the entire ICU community i.e. how to prevent transmission to health care workers while performing routine interventions in critically ill patients. This has forced us to unlearn the traditional ways and learn new ways of performing certain interventions in ICU. In this podcast, we discuss specific modifications that every ICU staff need to be aware of while caring for COVID-19 patient.
2020-05-17
34 min
eCritCare Podcast
Episode 39- ICU Journal Club - Remdesivir in COVID-19
Remdesisvir has thought to be the new CURE for COVID-19. In this podcast, we discuss the recent evidence available on the efficacy of Remdesivir in COVID-19.
2020-05-09
24 min
eCritCare Podcast
Episode 38- ICU Journal Club - Connecting Dots in COVID-19
The literature published from various countries has helped us to understand the disease pattern in COVID-19 pandemic. In this podcast, we discuss the key literature from New York, Italy, China and the UK.
2020-04-27
32 min
eCritCare Podcast
Episode 37- ICU Journal Club - Novel Therapies and Diagnostic Tools in COVD-19
In this episode, we summarise the key literature published in last week w.r.t novel therapies in COVID-19.
2020-04-18
27 min
eCritCare Podcast
Episode 36- ICU Journal Club - COVID-19 Controversies
In this podcast, we discuss current controversies w.r.t treatment of COVID -19 patients and summarise the literature available till date.
2020-04-05
44 min
eCritCare Podcast
Episode 35- Management of Critically ill COVID-19 patient
In this podcast, we discuss how to manage critically ill patient diagnosed with COVID-19. This podcast based on current recommendations from various societies and the expressed views may change as recommendations change over time.
2020-03-27
42 min
eCritCare Podcast
Episode 34- ICU Journal Club - 65 Trial
Vasopressor administration to maintain higher map in patients >65 years of age has become a dogma. In this podcast, we discuss recently published 65 trial which not only challenges this dogma but will definitely change our practices.
2020-03-15
29 min
eCritCare Podcast
Episode 33 - Hyperoxemia in ICU
Oxygen is the most commonly used drug in Intensive care. However, the targets for oxygen therapy titration are arbitrary. In this podcast, we discuss the significance of hyperoxemia in intensive care patients.
2020-03-05
25 min
eCritCare Podcast
Episode 32- ICU Journal Club - NONSEDA Trial
Sedation in ICU is practised so commonly that thinking of any mechanically ventilated patient without sedation is impossible. This trial published in NEJM has challenged that dogma and showed us that Non-sedation in mechanically ventilated patients is feasible.
2020-02-27
30 min
eCritCare Podcast
Episode 31 - De-resuscitation in ICU
The accumulation of a positive fluid balance is a frequent occurrence in critically ill patients. As Paracelsus said, " All things are poisons, nothing is without poison. Only the dose permits something not to be poisonous." Like other drugs, it is the dose of fluids which makes them poisonous. In this podcast, we discuss the significance of de-resuscitation in ICU.
2020-02-20
27 min
eCritCare Podcast
Episode 30- ICU Journal Club - VITAMINS Trial
This Randomised controlled trial explored the role of HAT therapy in patients with septic shock admitted to ICU.
2020-02-11
29 min
eCritCare Podcast
Episode 29 - Permissive Hypercapnia in ARDS
Lung protective ventilation has become the cornerstone of the management of ARDS patient. As a consequence, hypercapnia is inevitable. However, permissive hypercapnia is not without its own problems. In this podcast, we discuss this dogma and challenge traditional practices.
2020-02-03
21 min
eCritCare Podcast
Episode 26 - ICU Journal Club- PEPTIC Trial
In this podcast, we discuss the landmark PEPTIC study, which compared PPIs vs H2 Receptor antagonists in mechanically ventilated patients.
2020-01-29
27 min
eCritCare Podcast
Episode 27 - Driving pressure Vs Low Tidal Volume in ARDS
Recently there has been a growing interest in driving pressure as a significant parameter for titration in mechanical ventilation for ARDS patients. It has challenged our dogma of 6-8 mls/kg tidal volume ventilation. In this podcast, we discuss the current evidence and future of mechanical ventilation in ARDS.
2020-01-19
24 min
eCritCare Podcast
Episode 26 - ICU Journal Club- EFFORT Trial
The malnutrition in hospitalised patients has a potentially severe impact on their overall outcomes. EFFORT trial, published in Lancet explored whether early intervention in medical inpatients is feasible and whether it alters the outcomes by commencing early individualised nutritional therapy.
2020-01-13
23 min
eCritCare Podcast
Episode 25 - Thrombolysis in Submassive PE
The role of thrombolysis in submassive PE remains controversial to date. In this podcast, Dr Chacko & I dive deeper to explore the current evidence on this topic.
2019-12-31
25 min
eCritCare Podcast
Episode 24 - ICU Journal Club- High Wean Study
Liberating high-risk patients from mechanical ventilation poses a unique challenge to all intensive care physicians. The use of high flow has increased over the last decade, however, combination of high flow nasal oxygen and NIV has not been tested so far. The present study published in JAMA tries to answer this dilemma.
2019-12-23
26 min