ICU Rounds

Thermal Injuries

Metabolic Acidosis in the ICU

In this episode of Surgery ICU Rounds, Jeff Guy discusses metabolic acidosis, a common issue in the ICU, focusing on its identification, etiology, and management. He explains the processes causing metabolic acidosis, including increased acid accumulation and bicarbonate wasting, and how the body compensates through res...

Bomb and Blast Injuries

Early Surgery Improves Outcomes Following Critical Burns

Metabolism: Starvation versus Stress

Blood Conservation in the ICU

Burns: Fluid Creep

The podcast reviews Dr. Jeff Saffel's article in the Journal of Burn Care and Rehab, which addresses fluid creep and acute burn resuscitation. It traces the evolution of burn resuscitation from the World War II era to the present day, highlighting the development and subsequent modifications of the Parkland formula. Th...

Renal Replacement Therapy: SCUF, SLED, CVVH, CVVHD, IHD--what does it all mean

The podcast addresses renal replacement therapy, focusing on different dialysis types, their advantages, and how nephrologists determine the best option for patients. It explains the principles of diffusion, osmosis, and convection, which are used to move solutes, electrolytes, and toxins. The discussion covers intermi...

Intraosseous Vascular Access: not just for the kids anymore

Weaning (Liberating) from the mechanical ventilator

In this episode of Surgery ICU Rounds, Jeff Guy discusses the process of liberating patients from mechanical ventilation, advocating for a shift in terminology and approach. He highlights a study revealing that a significant percentage of patients on ventilators may not need them, emphasizing the importance of prompt e...

Acute RenalFailure

In this episode of Surgery ICU Rounds, Jeff Guy provides an in-depth discussion on acute renal failure, particularly in the context of intensive care and surgical settings. He begins by highlighting the high mortality rates associated with acute renal failure, especially when linked to sepsis. The podcast covers the de...

Airway Pressure Release Ventilation (APRV) or BiVent: What the heck is this?

Complications of PEEP and Auto-PEEP

Glutamine In Critical Illness: what's all the fuss about?

Lightning Injuries

Oxygenation & PEEP

Modes of Mechanical Ventilation

The podcast introduces the basics of mechanical ventilation, focusing on ventilator types and modes. It classifies ventilators by cycling method: volume-cycled, pressure-cycled, and time-cycled, detailing how each affects gas delivery relative to pressure and volume. The discussion covers ventilation modes, including C...

What is the role of decadron in preventing post extubation stridor?

The podcast discusses the role of steroids in preventing post-extubation stridor and reducing reintubation risk, primarily referencing a CHESS 2001 study by Maureen Mead. While steroids are shown to reduce post-extubation stridor in children by about 40%, their effect on reintubation rates in children is unclear, with ...