Intensive Care Network Podcasts

A/Professor Neil Orford explores the identification of patients who have poor prognosis at the CICM ASM 2017.

This presentation by Professor Bala Venkatesh is ICU focussed and will cover: What categories of patients? Impact on the patient Impact on the caregivers Impact on ICU practice Economic costs Compliance with stated preferences Drivers for this change Current level of training How we as a speciality should take the lead in education and making the change.

Professor Lars Lundell. Professor of Surgery Karolinska University Hospital Stockholm. What this man doesn’t know about the oesophagus is probably not worth knowing. What he knows about so many other things is worth knowing. Professor Lundell's visit to Australia will not soon be forgotten. His distinct style and his willingness to grasp controversial issues made his multiple lectures at the ASM memorable. From his first talk about critical care aspects of GI surgery to his last asking “Is obesity a surgical disease?” Lars repeatedly surprised the audience. During this recording he again surprises with his commentary upon obesity, bariatric surgery and its future. The talk turns to the real public health problem we have to face and thus to global politics. Lars’ talks are worth seeking out via the CICM website. Indeed Lars had so much interesting stuff to say that this podcast, at 30 minutes, is twice the usual length. Sit back and listen.   Each year the CICM holds its Annual Scientific Meeting. The Meeting

By Steve Morgan & Sophie Connolly Welcome back to the Basic Science Clinic podcast on ICN. Post-hiatus we are ready to reinvigorate the examination of oxygen cascade physiology, from the prevailing atmosphere down to the only organelle that boasts its own bespoke genome, the mitochondrion. In the last podcast we decomposed the minutiae of passive respiratory gas diffusion across the alveolar capillary membrane. Prior to expounding the pre-eminence of V/Q ratios in determining gas exchange sufficiency, we need to publically vivisect the pulmonary circulation to bring you the belated Raw Science 11, pulmonary perfusion. This detailed inspection of pulmonary perfusion is the longest podcast yet, no doubt we got slightly carried away and thus we have broken it up into three more comfortably digested sections. Section 1 (start to 18:24) will include the historical bit and both adult and fetal anatomy. Section 2 (18:30 to 40:26) examines pulmonary haemodynamics and the integrated control of pulmonary vascula

John takes his life long learning seriously. How many senior professors of surgery brushes up on his Trauma Surgery practice by volunteering to work in Baragwanath Hospital for 6 weeks?   John Marshall has been at the pointy end of research, in particular sepsis research, for many years. That has been a rather controversial area in recent times. John has navigated those waters with charm and grace. So we took him aside and tried to find out more about his journey and what it journey it is. From Ingmar Bergman to Chris Hani Baragwanath, from working in local occupational health and safety to InFACT; a global network of huge critical care clinical trial groups. Impressive stuff. Impressive personality. Impressive story. (And caterpillars.)   Each year the CICM holds its Annual Scientific Meeting. The Meeting has always been focused upon a single issue or organ system. This year the theme was Gastroenterology entitled “A Gut Reaction; ICU Gastroenterology from beginning to end.”   The lectures presented at the

Professor Jules Wendon Jules Wendon  is the Professor of Hepatology and Executive Medical Director at Kings College London.  When it comes to the intensive care hepatology there are few people that have done more to shape our knowledge and practice than Jules Wendon. Jules travelled to Australia to share her knowledge at the CICM Annual Scientific Meeting. Sharing is a key theme in this interview as Jules insists on  crediting her team, all of her team, for their part in the success of Kings. Humble yet inspirational, modest yet brilliant. Have a listen to this short conversation recorded in between her lectures at the CICM ASM in Sydney 2017. Each year the CICM holds its Annual Scientific Meeting. The Meeting has always been focused upon a single issue or organ system. This year the theme was Gastroenterology entitled “A Gut Reaction; ICU Gastroenterology from beginning to end.” The lectures presented at the meeting have been recorded and will all be shared among the delegates and some will also be shared wi

Associate Professor Charlie Corke President of the College of Intensive Care Medicine of Australia and New Zealand (CICM). The CICM is the worlds first stand alone College of Intensive Care Medicine. A/Prof Charlie Corke is the President. It is not an easy job to do. It is not an easy job to get. Charlie got there by a path less travelled and he talks about that path, among many other things, in this short interview recorded at the Annual Scientific Meeting of the College. Each year the CICM holds its Annual Scientific Meeting. The Meeting has always been focused upon a single issue or organ system. This year the theme was Gastroenterology entitled “A Gut Reaction; ICU Gastroenterology from beginning to end.” The lectures presented at the meeting have been recorded and will all be shared among the delegates and some will also be shared with all comers via the Intensive Care Network (www.IntensiveCareNetwork.com), the celebrated “#FOAMed” website. (Free Open Access Medical Education.) The organisers of the AS

This is the oration John Myburgh gave at the College of Intensive Care's Annual Scientific meeting when he was awarded the College Medal for a career's worth of contributions. This was actually recorded a couple of days after the event by Lily Foster & Oli Flower, but it still contains all the emotions and sentiments that were there on the night when it was delivered at Doltone house on 27th May 2017.

Sarah Yong is an impressive person. Advocacy, Training, Representation and being a new fellow of the College of Intensive Care to boot. Theres a lot to talk about when you sit down with Dr Sarah Yong. Let’s make it easier by focussing on three big issues; Gender issues; Women in Intensive Care Network.  Training issues; The Critical Care Collaborative and the Victorian Primary Examination Course for CICM.  The Trainee Symposium at CICM ASM. Representation issues; New Fellows Rep on the Board of the College of Intensive Care Medicine.   Where to start? The Women in Intensive Care Network or W.I.N.. (or on twitter @WomenIntensive) WIN is co-convened by Sarah and Dr Lucy Modra. Sarah gives all the credit to Lucy. I suspect Lucy might do something equally graceful. If my sources are correct there pretty much the same number of women and men out there in the world. Further it seems that there are roughly the same number of women and men presenting to intensive care units. This pattern does not repeat it self in t

See the Post on Intensivecarenetwork.com Ash Banerjee talks about the history of ventilation and where we are today. He discusses in particular current concepts about lung protective ventilation strategies and how we can ventilate with the least amount of harm. For more details on how to select the ideal PEEP for a patient, or how one would set up the ventilator for an ARDS patient, have a look at Alex Yartsev’s site Deranged Physiology, where there’s a great post on the Optimal PEEP for Open Lung Ventilation in ARDS which specifically mentions Gattinoni’s recent review paper.

Cannulation Part 2 by Roger Pye Welcome to learnECMO podcast series. This instalment is the second part of Roger Pye’s meditations on ECMO cannulation, this time focusing on Avalon, VA and the duplicitous art of backflow cannulation. On the subject of cannulation, places for SMACCannulate are going fast so head to the SMACC website if you fancy a crack at the title of world fastest cannulator and sign-up. Now we do realise that optimal procedural ergonomics does not prioritise speed and we have had lots of enquiries about actually learning to cannulate. As such we will be offering sessions at the pop-up SMACCannulate station where all comers will be welcome for hands-on cannulation teaching. We will teach you how to finesse and troubleshoot each element of ECMO cannulation from ultrasound guided seldinger technique to mitigating the perceived disaster of a bent wire. Go to the SMACC website to register for either of these sessions. If you are not able to join us in berlin then we will be co-hosting a cannulat

Associate Professor Neil Orford is the director of the intensive care unit at University Hospital Geelong. In his time as director he has overseen some major developments within his unit, including the introduction of a paediatric service. Here he shares some of his strategies on what it takes to be an effective leader.

by Steve Morgan & Sophie Connolly Today we are going to cover the essentials of ECMO haemodynamics. Haemodynamics literally means blood movement and thus is the physical study of flowing blood and the structures through which it flows. In bedside vernacular we tend to use haemodynamics to refer to accessible surrogate measurements of cardiovascular performance, such as vascular and chamber pressures or quantifications of macrocirculatory blood flow. To understand the haemodynamic effects of ECMO we will consider the effects of the in-parallel VA circuit and the in-series VV circuit separately. The effect on cardiac performance can be best approached and compartmentalised by examining the impact of ECMO on each of the determinants of stroke volume: preload, afterload and contractility. This podcast covers: How can we best describe ventricular function and the effect of ECMO? What factors influence the net effect of VA ECMO on patient haemodynamics? What are the general primary haemodynamic effects of VA EC

This round table discussion from the JICScast team asks whether Intensivists are the greatest danger to Intensive Care. They tackle why single or dual specialty training is recommended and whether this could endanger Intensive Care as a specialty field. The podcast is inspired and based  on a blog post written by Aoife Abbey, trainee in intensive care https://whistlingdixietalk.wordpress.com/2016/11/16/the-biggest-threat-to-icu-intensivists/  

Associate Professor Neil Orford is an intensive care specialist and Director of Intensive Care at University Hospital Geelong. Neil is the clinical lead for the i-Validate program. In this podcast he discusses this collaboration between Barwon Health and Deakin University which aims to improve patient-centred end-of-life care through training in clinical communication.

Associate Professor Sue Berney is head of physiotherapy at Austin Health.She has over 20 years experience working in the cardiorespiratory field, with a particular interest in critical care and early rehabilitation. She currently holds an NHMRC Early Career Fellowship and has a passion for research into patient outcomes in intensive care. Here she discuses cognitive dysfunction post critical illness.

Peter Brindley, an intensivist from Canada, and Jon Gatward (of the Critical Care Airway Management Course fame) discuss a recent paper by Peter and a group of airway experts, which discusses airway management outside the operating room and how to better prepare. Clearly this isn't a new concept but there hasn't been much written from the ICU perspective about this, and it's something many of us deal with all the time. Every place has their own way of managing airways but there are so many good ideas in this paper that it might just change your practice!

Kimberley Haines is a senior ICU physiotherapist and the Allied Health Research Lead at Western Health.  Her academic research focusses on the long term progress of ICU survivors. Here she discusses the developing puzzle of ICU outcomes.

Professor Andrew Davies is an Intensivist working at Peninsula Health in Melbourne with a special interest in nutrition in the ICU, and is a past Chair of the Australian and New Zealand Society of Parenteral and Enteral Nutrition (AuSPEN). In this talk, Professor Davies tackles the often overlooked aspect of nutrition in the ICU and it’s potential benefits for our patients

Professor Rinaldo Bellomo is an Intensivist at the Austin Hospital in Melbourne. He is Professor of Medicine at Melbourne University, and Honorary Professor of Medicine at Monash University, Melbourne and The University of Sydney. He is one of the most eminent researchers in Intensive Care Medicine today and has been named one of the most influential scientific minds of our time. In this thought-provoking talk Professor Bellomo discusses glycemic control of critically ill diabetic patients in the ICU.