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Swapnil Pawar

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eCritCare PodcasteCritCare PodcastEpisode 80: ICP monitoring in TBIIn this episode, we discuss the evidence behind the dogmatic practice of routinely using ICP monitoring in patients with traumatic brain injury admitted to ICU. 2021-09-2830 minICU Fellowship PrepCastICU Fellowship PrepCast# Epi 5 - Fellowship Vivas - Submassive PE, Esophageal Perforation & MalariaIn this podcast, we discuss other 3 vivas covering management of submissive PE, esophageal perforation post TOE and falciparum malaria in the overseas returned travellers.2021-09-1927 mineCritCare PodcasteCritCare PodcastEpisode 79: ICU Journal Club - Low vs high oxygenation TargetsThe 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.2021-09-1929 minMedspresso PodcastMedspresso Podcast#Epi 37 - Ascending CholangitisIn this episode, we discuss the clinical presentation and management of Acute ascending cholangitis. 2021-09-1613 minMedspresso PodcastMedspresso Podcast#Epi 36 - Renal CalculusIn this episode, we discuss the clinical presentation and management of renal calculus.2021-09-0615 minICU Fellowship PrepCastICU 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. 2021-09-0528 mineCritCare PodcasteCritCare PodcastEpisode 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. 2021-08-2931 minMedspresso PodcastMedspresso Podcast#Epi 35 - Aortic DissectionIn this episode, we discuss the clinical presentation and management of Aortic dissection. 2021-08-2518 minICU Fellowship PrepCastICU Fellowship PrepCast# Epi 3 - Fellowship Vivas - SAH, LA toxicity and Difficult AirwayIn this podcast, we discuss 3 fellowship vivas from previous exams. 2021-08-2123 mineCritCare PodcasteCritCare PodcastEpisode 77: ICU Journal Club- BASIC StudyIn 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.2021-08-1832 minICU Fellowship PrepCastICU 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. 2021-08-0618 minMedspresso PodcastMedspresso Podcast#Epi 34 - HypercalcemiaJoin us in this week's episode, where we discuss differential diagnoses, the clinical features and the management of hypercalcemia.2021-08-0417 mineCritCare PodcasteCritCare PodcastEpisode 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. 2021-08-0142 minMedspresso PodcastMedspresso Podcast#Epi 33 - Inguinal HerniaIn this podcast, we discuss the presentation and the management of Inguinal hernia. 2021-07-2609 minICU Fellowship PrepCastICU Fellowship PrepCast# Epi 1 - Vivas - MH, Failed Extubation and PancreatitisJoin us in this episode, where Maddi and I discuss previously asked 3 viva scenarios around 3 themes - Malignant hyperthermia, Failed extubation and Pancreatitis. 2021-07-2436 minMedspresso PodcastMedspresso Podcast#Epi 32 - PericarditisJoin us in this episode, where we discuss the clinical presentation, differential diagnosis and the management of Pericarditis.2021-07-1916 minMedspresso PodcastMedspresso Podcast#Epi 31 - Mesenteric IschemiaIn this podcast, we discuss different types of mesenteric ischemia and the management of acute mesenteric ischemia. 2021-07-1412 mineCritCare PodcasteCritCare PodcastEpisode 75: Stopping Nasogastric Feeds in ICU- Time for a CHANGENo 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.2021-07-1433 minMedspresso PodcastMedspresso Podcast#Epi 30 - Community Acquired PneumoniaIn this episode, we discuss the clinical presentation and management of community-acquired pneumonia, hospital-acquired pneumonia and aspiration pneumonia. 2021-07-0521 mineCritCare PodcasteCritCare PodcastEpisode 74: Mechanical Power - Paradigm Shift in ARDSIn 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. 2021-07-0429 minMedspresso PodcastMedspresso Podcast#Epi 29 - Lung CancerIn this episode, we discuss the presenting complaints and management of lung cancer. 2021-06-2811 mineCritCare PodcasteCritCare PodcastEpisode 73: ICU Journal Club- TTM 2 trialIn 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. 2021-06-2227 minMedspresso PodcastMedspresso Podcast#Epi 28 - Congestive Cardiac FailureIn this episode, we discuss the clinical features and management of this commonly encountered presentation.2021-06-2218 minMedspresso PodcastMedspresso Podcast#Epi 27 - Compartment SyndromeIn this episode, we discuss the clinical features and the management of compartment syndrome. 2021-06-1407 mineCritCare PodcasteCritCare PodcastEpisode 72: Driving Pressure & Elastance - New Drivers in ARDSThe 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. 2021-06-1429 mineCritCare PodcasteCritCare PodcastEpisode 71: ICU Journal Club- COAST trialOxygen 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.  2021-06-0733 minMedspresso PodcastMedspresso Podcast#Epi 26 - MeningitisJoin us in this episode, where we discuss the etiology, clinical presentation and management of meningitis. 2021-05-3115 mineCritCare PodcasteCritCare PodcastEpisode 70: Monoclonal Antibodies in COVID-19COVID-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.2021-05-2517 minMedspresso PodcastMedspresso Podcast#Epi 25 - Post Polypectomy Bleedin this episode, we discuss how to manage the bleeding after polypectomy. 2021-05-2411 minMedspresso PodcastMedspresso Podcast#Epi 24 - Management of AnaphylaxisIn this episode, we discuss the management of a patient presenting to ED with anaphylaxis. 2021-05-1617 mineCritCare PodcasteCritCare PodcastEpisode 69: Thromboprophylaxis in COVID-19Recently 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.2021-05-1620 minMedspresso PodcastMedspresso Podcast#Epi 23 - Management of Febrile NeutropeniaIn this episode, we discuss the management of the patient presenting with febrile neutropenia. 2021-05-1111 mineCritCare PodcasteCritCare PodcastEpisode 68: VITT - Vaccine Induced Immune Thrombotic ThrombocytopeniaDifferent 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.2021-05-0428 minMedspresso PodcastMedspresso Podcast#Epi 22 - Management of Infective CarditisIn this episode, we discuss the management of Infective endocarditis.2021-05-0219 minMedspresso PodcastMedspresso Podcast#Epi 21 - Management of Acute Coronary SyndromeIn this episode, we discuss the management of acute coronary syndromes.2021-04-2614 mineCritCare PodcasteCritCare PodcastEpisode 67: ICU Journal Club - ULTRA TrialIn this episode, we discuss another landmark trial that has answered the very relevant question regarding the use of anti-fibrinolytic treatment in subarachnoid hemorrhage.2021-04-2521 minMedspresso PodcastMedspresso Podcast#Epi 20 - Management of Acute PancreatitisIn this episode, we discuss the clinical features and management of acute pancreatitis.2021-04-1918 minMedspresso PodcastMedspresso Podcast#Epi 19 - Management of CholecystitisIn this episode, we discuss the presentation and management of acute cholecystitis.2021-04-1114 mineCritCare PodcasteCritCare PodcastEpisode 66: Neuromuscular Blockade in ICUThe 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.2021-04-0939 minMedspresso PodcastMedspresso Podcast#Epi 19 - Management of HyperkalemiaJoin us in this episode to discuss the management of hyperkalemia. 2021-04-0419 mineCritCare PodcasteCritCare PodcastEpisode 65: transfusion Thresholds in Intensive CareRestrictive 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. 2021-03-3024 minMedspresso PodcastMedspresso Podcast#Epi 18 - Management of Peptic UlcerIn this episode, we discuss the etiology and management of peptic ulcer disease.2021-03-2811 mineCritCare PodcasteCritCare PodcastEpisode 64: ICU Journal Club - REALITY TrialHemoglobin 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.2021-03-2328 minMedspresso PodcastMedspresso Podcast#Epi 17 - Management of Diabetic KetoacidosisIn this episode, we discuss the management of diabetic ketoacidosis. This is a very commonly encountered pattern and understanding of the management are critical.2021-03-2315 mineCritCare PodcasteCritCare PodcastEpisode 63: Tocilizumab Fairytale in COVID-19In 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.  2021-03-1531 minMedspresso PodcastMedspresso Podcast#Epi 16 - Management of Subarachnoid Hemorrhage (SAH)In this episode, we discuss the presentation, diagnosis and management of the patient with subarachnoid hemorrhage.2021-03-1219 minMedspresso PodcastMedspresso Podcast#Epi 15 - Management of Spontaneous PneumothoraxIn this episode, we discuss the approach towards the management of spontaneous pneumothorax. 2021-03-0716 mineCritCare PodcasteCritCare PodcastEpisode 62: Oxygen Therapy - The circle of uncertaintyJoin 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. 2021-03-0430 minMedspresso PodcastMedspresso Podcast#Epi 14 - TIA ManagementIn this episode, we discuss the approach towards the management of patients presenting with symptoms of TIA.2021-03-0308 mineCritCare PodcasteCritCare PodcastEpisode 61: COVID-19 Vaccines - Comprehensive ReviewIn this podcast, we discuss the challenges and the evidence behind different technological platforms used to produce COVID-19 vaccines. 2021-02-2826 minMedspresso PodcastMedspresso Podcast#Epi 13 - COPD ManagementIn this episode, we discuss the management of a patient presenting to the emergency department with acute exacerbation of COP.2021-02-1322 minMedspresso PodcastMedspresso Podcast#Epi 12 - Hypertensive EmergenciesIn this podcast, we discuss the management of hypertensive emergencies presenting to the emergency department.2021-02-0713 mineCritCare PodcasteCritCare PodcastEpisode 60: COVID-19 Vaccine - The Mystery of HopeThe 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.2020-12-2429 minMedspresso PodcastMedspresso Podcast#Epi 11 - Spontaneous Bacterial PeritonitisIn this episode, we discuss the diagnostic criteria and management of Spontaneous Bacterial Peritonitis.2020-12-2221 minMedspresso PodcastMedspresso Podcast#Epi 10 - Post-Operative Fluid AdministrationJoin us in this episode, where we discuss post-operative fluid administration and share some practical tips for JMOs.2020-12-1714 mineCritCare PodcasteCritCare PodcastEpisode 59: Lactate in SepsisHigh 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. 2020-12-1424 minMedspresso PodcastMedspresso Podcast#Epi 9 - Management of SLEIn this episode, we discuss the presentation and management of the patient with SLE.2020-12-0814 minMedspresso PodcastMedspresso Podcast#Epi 8 - Management of HyperthyroidismIn this episode, we discuss the management of the patient who presented with the features s/o hyperthyroidism.2020-11-3009 mineCritCare PodcasteCritCare PodcastEpisode 58: ICU Journal Club - RICH trialJoin 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.2020-11-2632 minMedspresso PodcastMedspresso Podcast#Epi 7 - Management of Inflammatory Bowel DiseaseIn this episode, we discuss an approach towards a patient with inflammatory bowel disease.2020-11-1815 mineCritCare PodcasteCritCare PodcastEpisode 57: Critical Appraisal of Surviving Sepsis GuidelinesIn this episode, we discuss some of the controversial recommendations from surviving sepsis guidelines and talk about the rational approach in adopting these guidelines.2020-11-1837 minMedspresso PodcastMedspresso Podcast#Epi 6 - Management of Bowel ObstructionIn this episode, we discuss the management of Bowel obstruction.2020-11-1409 minMedspresso PodcastMedspresso Podcast#Epi 5 - management of Hyponatremiain this podcast, we discuss the approach to manage hyponatremia.2020-11-0815 minMedspresso PodcastMedspresso Podcast#Epi 4 - Management of Breast LumpIn this episode, we discuss how to approach a patient with breast lump.2020-10-3008 mineCritCare PodcasteCritCare PodcastEpisode 56: EBM - The Process of forming GuidelinesIn this episode, we discuss what the importance of guidelines is, how they are formed and what does GRADE methodology involve. 2020-10-2522 minMedspresso PodcastMedspresso Podcast#Epi 3 - Management of BurnsIn this episode, we discuss how to assess the severity of burns and discuss in depth about the initial management of burns.2020-10-2115 mineCritCare PodcasteCritCare PodcastEpisode 55: EBM - How to Interpret a Meta-analysisIn 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.2020-10-1742 minMedspresso PodcastMedspresso Podcast#Epi 2 - Management of Atrial FibrillationJoin us in this week's podcast, where we discuss how to manage rapid atrial fibrillation.2020-10-1510 minMedspresso PodcastMedspresso Podcast#Epi 1 - Management of Pulmonary EmbolismIn this episode, we discuss the management of a patient with pulmonary embolism.2020-10-0516 mineCritCare PodcasteCritCare PodcastEpisode 54: EBM - How to Interpret an RCTIn this podcast, we discuss how one should interpret an RCT, which is considered as the gold standard while practising evidence-based medicine.2020-10-0442 mineCritCare PodcasteCritCare PodcastEpisode 53: Steroid Story in COVID-19The 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.2020-09-2036 mineCritCare PodcasteCritCare PodcastEpisode 52- Prone positioning in ARDSProne 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. 2020-09-1339 mineCritCare PodcasteCritCare PodcastEpisode 51- ICU Journal Club - STARRT-AKI TrialIn 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.2020-08-2229 mineCritCare PodcasteCritCare PodcastEpisode 50- Top 10 Practice Changing Trials in Intensive CareJoin 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. 2020-08-1541 mineCritCare PodcasteCritCare PodcastEpisode 49- Cytokine Storm in COVID-19The 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.2020-08-0127 mineCritCare PodcasteCritCare PodcastEpisode 48- ICU Journal Club - HALT-IT TrialTranexamic 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.2020-07-2431 mineCritCare PodcasteCritCare PodcastEpisode 47- Hydroxychloroquine Prophylaxis in COVID-19Recently 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.2020-07-1128 mineCritCare PodcasteCritCare PodcastEpisode 46- ICU Journal Club - RECOVERY TrialThe 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.2020-07-0228 mineCritCare PodcasteCritCare PodcastEpisode 45- ICU Journal Club - VIOLET TrialThe 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. 2020-06-2320 mineCritCare PodcasteCritCare PodcastEpisode 44- Neuromuscular Blockade in ARDSManagement 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.2020-06-1631 mineCritCare PodcasteCritCare PodcastEpisode 43- ICU Journal Club - Convalescent Plasma in COVID-19The 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.2020-06-1325 mineCritCare PodcasteCritCare PodcastEpisode 42- ICU Journal Club - ACCT TrialIn 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. 2020-06-0125 mineCritCare PodcasteCritCare PodcastEpisode 41- ICU Journal Club - Hydroxychloroquine and Macrolide in COVID-19In 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.2020-05-2424 mineCritCare PodcasteCritCare PodcastEpisode 40- Preventing Transmission of COVID-19 in Intensive CareCOVID-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.2020-05-1734 mineCritCare PodcasteCritCare PodcastEpisode 39- ICU Journal Club - Remdesivir in COVID-19Remdesisvir 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-19.2020-05-0924 mineCritCare PodcasteCritCare PodcastEpisode 38- ICU Journal Club - Connecting Dots in COVID-19The 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.2020-04-2732 mineCritCare PodcasteCritCare PodcastEpisode 37- ICU Journal Club - Novel Therapies and Diagnostic Tools in COVD-19In this episode, we summarise the key literature published in last week w.r.t novel therapies in COVID-19.2020-04-1827 mineCritCare PodcasteCritCare PodcastEpisode 36- ICU Journal Club - COVID-19 ControversiesIn this podcast, we discuss current controversies w.r.t treatment of COVID -19 patients and summarise the literature available till date.2020-04-0544 mineCritCare PodcasteCritCare PodcastEpisode 35- Management of Critically ill COVID-19 patientIn 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.2020-03-2742 mineCritCare PodcasteCritCare PodcastEpisode 34- ICU Journal Club - 65 TrialVasopressor 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. 2020-03-1529 mineCritCare PodcasteCritCare PodcastEpisode 33 - Hyperoxemia in ICUOxygen 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.2020-03-0525 mineCritCare PodcasteCritCare PodcastEpisode 32- ICU Journal Club - NONSEDA TrialSedation 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. 2020-02-2730 mineCritCare PodcasteCritCare PodcastEpisode 31 - De-resuscitation in ICUThe 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.2020-02-2027 mineCritCare PodcasteCritCare PodcastEpisode 30- ICU Journal Club - VITAMINS TrialThis Randomised controlled trial explored the role of HAT therapy in patients with septic shock admitted to ICU.2020-02-1129 mineCritCare PodcasteCritCare PodcastEpisode 29 - Permissive Hypercapnia in ARDSLung 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. 2020-02-0321 mineCritCare PodcasteCritCare PodcastEpisode 26 - ICU Journal Club- PEPTIC TrialIn this podcast, we discuss the landmark PEPTIC study, which compared PPIs vs H2 Receptor antagonists in mechanically ventilated patients.2020-01-2927 mineCritCare PodcasteCritCare PodcastEpisode 27 - Driving pressure Vs Low Tidal Volume in ARDSRecently 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.2020-01-1924 mineCritCare PodcasteCritCare PodcastEpisode 26 - ICU Journal Club- EFFORT TrialThe 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.2020-01-1323 mineCritCare PodcasteCritCare PodcastEpisode 25 - Thrombolysis in Submassive PEThe 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.2019-12-3125 mineCritCare PodcasteCritCare PodcastEpisode 24 - ICU Journal Club- High Wean StudyLiberating 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.2019-12-2326 min