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Airways That Scare Me in #pedsICU - Shock Part 1
Manage episode 365515914 series 2638013
Airway management remains the single highest risk time for our patients in pediatric ICU. We've known about these problems for a long time, but they're finally gaining the attention they deserve with registry projects and multicenter studies, new ways of thinking that move away from old dogmas and new ways to use our drugs and devices. One of the groups with the highest rates of peri intubation cardiac arrest is the child with cardiac disease or hemodynamic instability. Recent studies show extraordinary rates of peri intubation cardiac arrest as high as four to 15% in the 30 minute peri-intubation window.
We'll discuss resuscitation and airway management in child with cardiac disease or hemodynamic instability, introduce the concept of the resus spiral staircase and talk about how you can optimize your team, respiratory support and hemodynamics. We cover delayed sequence intubation and that not every patient needs a tube and not every patient needs a tube right now. With better drugs and devices like dexmedetomidine and non-invasive, we've actually opened up a big zone between no support and invasive ventilation. We'll discuss ECMO standby when, how, who, and then finally de-resuscitation and extubation or separation from support.
This is a really big episode, so we've split it into two. This first half covers the resus spiral, team management and monitoring. And in the second episode, we will go into respiratory and hemodynamic support, rescue strategies, including ECMO and finally extubation.
Featuring regular hosts @drpetaalexander @BostonChildrens @karen_choong @MCH-childrens @drgregkelly @SCHNkidsNo time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter @pedsintensiva and our website here https://pedsintensiva.com
24 에피소드
Airways That Scare Me in #pedsICU - Shock Part 1
Pediatrica intensiva: Art & Science of Pediatric Critical Care
Manage episode 365515914 series 2638013
Airway management remains the single highest risk time for our patients in pediatric ICU. We've known about these problems for a long time, but they're finally gaining the attention they deserve with registry projects and multicenter studies, new ways of thinking that move away from old dogmas and new ways to use our drugs and devices. One of the groups with the highest rates of peri intubation cardiac arrest is the child with cardiac disease or hemodynamic instability. Recent studies show extraordinary rates of peri intubation cardiac arrest as high as four to 15% in the 30 minute peri-intubation window.
We'll discuss resuscitation and airway management in child with cardiac disease or hemodynamic instability, introduce the concept of the resus spiral staircase and talk about how you can optimize your team, respiratory support and hemodynamics. We cover delayed sequence intubation and that not every patient needs a tube and not every patient needs a tube right now. With better drugs and devices like dexmedetomidine and non-invasive, we've actually opened up a big zone between no support and invasive ventilation. We'll discuss ECMO standby when, how, who, and then finally de-resuscitation and extubation or separation from support.
This is a really big episode, so we've split it into two. This first half covers the resus spiral, team management and monitoring. And in the second episode, we will go into respiratory and hemodynamic support, rescue strategies, including ECMO and finally extubation.
Featuring regular hosts @drpetaalexander @BostonChildrens @karen_choong @MCH-childrens @drgregkelly @SCHNkidsNo time to listen or want to participate in the discusion? You can find a full Tweetorial of this episode on Twitter @pedsintensiva and our website here https://pedsintensiva.com
24 에피소드
모든 에피소드
×1 Difficult Airways w Akira Nishisaki & Doug Atkinson 1:09:26
1 Airways That Scare Me - Respiratory Instability w Robi Khemani 55:14
1 Challenging Scenarios in Pediatric ECMO with Peds Intensiva, PCICS and PediECMO 48:14
1 Culture & Practice Change for #pedsICU based rehabilitation 1:20:15
1 Long term & technology dependent #pedsICU patients 1:12:25
1 Post Intensive Care Syndrome in #pedsICU feat. Joseph Manning 1:13:51
1 Analgesia & Sedation in #pedsICU feat. Jayashree Muralidharan 1:16:43
1 Delirium in #pedsICU feat. Chani Traube & Deb Long 1:24:46
1 Early Mobilization in #pedsICU feat. Sapna Kudchadkar 1:05:55
1 Pre & Post Stage 1 Management feat. Aparna Hoskote 1:17:40
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