CPD Homes will be introduced to Australian-registered doctors in 2024, but what are they for, and what do they mean for you? Chair of the Medical Board of Australia, Dr Anne Tonkin, joins Todd to talk about what lies ahead.See omnystudio.com/listener for privacy information.

Mechanical ventilation is indeed a lifesaving intervention.  However, it is clear that positive pressure ventilation itself has the potential to cause harm.  Novel approaches to ventilation aim to minimise this risk, and one such strategy is the incorporation of oesophageal pressure monitoring.   Tai Pham is a staff intensivist in Paris and an assistant professor at Paris Saclay university.  He completed a PhD in public health where he focussed on respiratory physiology and mechanical ventilation, and is a member of the executive committees for Lung Safe and Wean Safe studies.See omnystudio.com/listener for privacy information.

If you’ve worked in ICU for very long, you’ll recognise the scenario where a patient who is weaning from mechanical ventilation goes into pulmonary oedema.  This syndrome is referred to as weaning induced pulmonary oedema, or WIPO. Dr Rui Shi currently works as an intensivist in the surgical ICU of the First Affiliated Hospital at Sun Yet Sen University in China. Rui has a strong interest in haemodynamic monitoring in critical care in which she has done a PhD, and she joins Todd to talk about this fascinating clinical problem. See omnystudio.com/listener for privacy information.

The ultimate outcome for patients who are resuscitated from cardiac arrest depends heavily on the neurological damage that results from a low flow state.  Prevention of further damage during this phase is one of the core goals of post resuscitation care. In recent years, a multitude of research papers have been produced which examine various aspects of this approach, including oxygenation and blood pressure targets.  One alternative strategy may be to increase cerebral blood flow by allowing mild therapeutic hypercapnoea, an approach studied in the recently released TAME trial.  Principle investigator of the study, Glenn Eastwood, joins Todd on the podcast to discuss the key features and results from this important trial.See omnystudio.com/listener for privacy information.

This podcast comes to you from the 2023 ANZICS Clinical Trials Group Noosa meeting. ECMO (extracorporeal membrane oxygenation) is steadily embedding itself into modern critical care medicine.   Does it have a role in pre-hospital setting for patients with refractory cardiac arrest? In this podcast, we are joined by Aidan Burrell to talk about the SHERPA trial.See omnystudio.com/listener for privacy information.

Non invasive ventilation is steadily establishing itself as a crucial component of the critical care armoury.  While many patients can tolerate it, some require sedation. Wisam Al-Bassam is a staff specialist at Monash Medical center and Victorian Heart hospital.  Wisam is passionate about education and research, and his research interests include mechanical ventilation and sedation in ICU.  He joins Todd to talk about the role of dexmedetomidine in patients on non invasive ventilation in the ICUSee omnystudio.com/listener for privacy information.

DKA causes a serious disturbance of fluid and electrolyte balance.However, it is said that more complications are caused by our management than by the disease itself.  This is no more apparent than in our management of the patient's fluids. Professor Bala Venkatesh is a world renowned intensive care researcher and he joins Todd to discuss the BEST-DKA trialSee omnystudio.com/listener for privacy information.

Sometimes the failing heart needs support, and inotropic agents are often instituted ahead of other measures such as ECMO But is there a best agent? Antoine Kimmoun is a professor of Critical Care Medicine at the University of Lorraine, France, and he joins Todd to discuss these important agents.See omnystudio.com/listener for privacy information.

This podcast comes to you from the 2022 LIVES Conference in Paris Disseminiated intravascular coagulation is the endpoint of a range of different conditions, including sepsis.  How does this important clinical condition evolve, and what can we do about it? Mirjam Bachler is a senior post doc researcher in surgery at the Department of Anaesthesiology and Intensive care Medicine at Innsbruck, Austria.  Her key interests are coagulation in critical care, particularly after inflammatory diseases. She joins Todd to talk about DIC in sepsis.See omnystudio.com/listener for privacy information.

Cardiac arrest causes neurological injury through a sustained period of hypoxia and ischaemia.  It has long been thought that avoiding further hypoxia could save vulnerable brain tissue, leading to the common practice of deliberate hyperoxygenation. However, recent research has suggested this approach may in fact be harmful. Paul Young is an Intensivist and critical care researcher from Wellington in New Zealand, and he joins me to discuss an upcoming study which will further explore this issue, LOGICALSee omnystudio.com/listener for privacy information.

This podcast comes to you from the 25th Annual Noosa meeting of the ANZICS Clinical Trials Group. It is now well recognised that mechanical ventilation, while potentially lifesaving, also causes damage to the lung in its own right.  Careful setting of the ventilator is crucial to avoiding lung injury.  While plateau pressure ceilings have been recommended for many years, research attention is now turning towards driving pressure. Neil Ferguson is the head of critical care at the University Health Network and Mt Sinai  Health Systems in Toronto, and has an extensive research history in critical care ventilationSee omnystudio.com/listener for privacy information.

This podcast comes to you from the 2022 LIVES Conference in Paris Sudden cardiac arrest in the community has historically had a poor prognosis.  Improvements in prehospital care and post resuscitation interventions have raised hopes that overall survival has improved.  But has it? Tommaso Scquizzato is a researcher in the fields of cardiac arrest and resuscitation science at San Raffaele Hospital in Milan, Italy and member of the European resuscitation council BLS Science and Education Committee   You can follow Tommaso on twitter too - @tscquizzatoSee omnystudio.com/listener for privacy information.

Managing bleeding in a patient with severe trauma is a complex process, with multiple interventions occurring in parallel. Derek Kleinveld is an anesthesiology resident at the Erasmus MC in Rotterdam, The Netherlands, and a post-doc researcher with an interest in Trauma Induced Coagulopathy.  He joins Todd to discuss haemostatic resuscitation in trauma.See omnystudio.com/listener for privacy information.

There has been an intense focus on the nutritional needs of ICU patients in recent years, but what happens to them when they go to the wards?This important question is now the subject of interest for highly regarded critical care dietitians and researchers Lee-anne Chapple and Emma Ridley.See omnystudio.com/listener for privacy information.

It is well known that critical illness often features a pro-catabolic state, which can lead to muscle atropy and long term functional deficits.  Early mobilisation has been thought to slow the rate of muscle loss, and potentially improve these outcomes. Professor Carol Hodgson is Head of the Division of Clinical Trials and Cohort Studies, School of Public Health and Preventive Medicine, at Monash University in Melbourne, Australia. She joins Todd on the podcast to talk about the recently released TEAM trial. This is another great interview from the 2022 ANZICS CTG meeting in NoosaSee omnystudio.com/listener for privacy information.

How important is AKI in trauma?  Can we predict which patients will be affected?  What can we do to stop it? These questions and many more have troubled intensive care clinicians as they care for patients after severe trauma.  Dr Anatole Harrois joins Todd on the podcast to talk all-things AKI in traumaSee omnystudio.com/listener for privacy information.

In traumatic brain injury, the lung and the brain are caught in a complex interplay, where the challenges of managing one can affect the other. Chiara Robba is a consultant in Neuro and General Intensive Care at Policlinico San Martino, Genova.  She has a PhD in neuroscience and is the current chair of the NeuroICU section of the ESICM.  Chiara joins Todd to discuss her thoughts on this important issue.See omnystudio.com/listener for privacy information.

Ventilation is known to cause injury to the lungs in its own right, but now it is becoming clear that the respiratory effort of the patient may also contribute to ongoing pulmonary damage. Antonio Pesenti joins Todd to discuss what we know, and the future of research in this area.See omnystudio.com/listener for privacy information.

The SuDDICU trial is now in print.  This long awaited trial explored the merits of Selective Digestive Decontamination (SDD), and in parallel studied its potential impact on the local microbiology resistance patterns. After over 15 years of work, principle investigator Ian Seppelt joins Todd on the podcast to discuss the trial, the results, and what it all meansSee omnystudio.com/listener for privacy information.

COVID-19 is a multisystem disease, and cardiac injury has been identified as a major contributor to the pathology. Antoine Vieillard-Baron is an intensivist and researcher from Boulogne in France, and he joins the podcast to talk about key echocardiographic patterns of disease found in COVID-19See omnystudio.com/listener for privacy information.

Thrombotic microangiopathies are uncommon disorders, and can result in significant patient morbidity.  With the introduction of effective new therapies, the outlook for those suffering from these diseases is increasingly optimistic. Elie Azoulay is a professor of medicine, intensivist and board member of the French National Reference Centre for Thrombotic Microangiopathies.  See omnystudio.com/listener for privacy information.

Surgical site infections are a dreaded complication of all surgery, no more so than in cardiothoracics.  Antibiotics at the time of surgery has an established role in the prevention of infections, but the duration of therapy remains contentious. The CALIPSO trial will explore different approaches to this question, and chief investigator Trisha Peel joins Todd on the podcast to discuss the issue.See omnystudio.com/listener for privacy information.

Does my patient need bolus IV crystalloid fluids?This is a conundrum faced on a daily basis for clinicians working in the ICU.  As time goes by, more evidence of the harm fluids do becomes available, so how can we be sure the fluids we give benefit our patients?Xavier Monnet is an intensivist and fluids researcher, and he joins Todd on the podcast to discuss fluid responsiveness.See omnystudio.com/listener for privacy information.

The development of antimicrobial agents is one of the most influential achievements of modern medicine. However, where once we thought the days of sepsis deaths could be numbered, antimicrobial resistance has given us pause for pessimism. Professor Jan De Waele is a surgery-trained intensivist and clinical researcher from Ghent, Belgium, working on several aspects of optimizing antimicrobial use in the ICU, including Antimicrobial Stewardship.See omnystudio.com/listener for privacy information.

The pathophysiology of ARDS is complex and remains incompletely understood.  However, it is clear that ARDS is not simply a disease of the alveoli. Understanding the pathological basis of ARDS will assist in the development of new therapies for this potentially fatal disease. One such avenue is the role of thrombolysis.  Professor Anders Aneman and Dr Lucy Coupland are leaders of a new program of research looking at this potential intervention.See omnystudio.com/listener for privacy information.

The impact of resuscitation strategies on the gut is often neglected, as attention to circulatory and respiratory support takes priority. Leading ICU dietitian Varsha Asrani joins Todd to chat about the implications of gut ischaemia for the longterm recovery of our patients.See omnystudio.com/listener for privacy information.

Healthcare is a difficult industry to advance in.  Many of us are time-poor and there is little structure to training and learning outside formal college training programs.  Many clinicians are therefore turning to coaching and mentoring for answers.  These concepts are familiar to many in business, but they are only now working their way into mainstream healthcare. In this podcast, Rita Holland joins Todd to discuss the potential benefits of coaching in healthcareSee omnystudio.com/listener for privacy information.

Traumatic brain injury is a significant problem, affecting patients of all ages across the globe.  Despite this, relatively little hard evidence supports the interventions commonly used in practice. Research in this area remains challenging, with many barriers to the traditional large-scale randomised controlled trial.  Perhaps alternative sources of evidence are required. In this podcast from the 24th annual ANZICS-CTG meeting in Noosa, Toby Jeffcote joins Todd to discuss these limitations, and how "big data" may provide the solution.See omnystudio.com/listener for privacy information.

In 2002, the critical care world was rocked by a pair of studies released simultaneously in the New England Journal of Medicine, which found that therapeutic hypothermia improved neurological outcomes for unconscious survivors of cardiac arrest. In the almost 20 years that have followed, several trials have produced conflicting results, culminating in the TTM-2 trial released in 2021, which seems to have finally put the issue to rest – cooling to 33 degrees Celsius is no better for patients than 37.5. Niklas Nielsen is Prof Anaes / CC at Lund University in Sweden, and the principle investigator of the TTM-2 trial, and he joins me on the podcast to discuss what’s next for hypothermia research.See omnystudio.com/listener for privacy information.

Plasmapheresis can be a life saving intervention in a number of ICU conditions.  Two potential methods are available – centrifugal plasmapheresis and membrane therapeutic plasma exchange.  But what do we know about the applicability, utilisation and complications of the latter? On this episode, Todd is joined by Mitul Chavda and Alpesh Patel, who recently published 6 years worth of prospective data from their service, run from the Flinders Medical Centre in South Australia.   Baxter Healthcare has provided an educational grant to sponsor this podcast. The content was developed independently of Baxter Healthcare and opinions expressed are those of the presenting healthcare professionals.  See omnystudio.com/listener for privacy information.

In this episode of the Careers in Health podcast, Todd chats to Rheumatologist Graeme JonesSee omnystudio.com/listener for privacy information.

Part 2 of this interview with CLIP-2 chief investigator Michael Reade explores the structure of CLIP-2, some of the challenges the project has had to overcome, and the workings of a non-inferiority trial.See omnystudio.com/listener for privacy information.

Platelets are a critical component of haemostatic resuscitation, but there are significant challenges involved in their use, most notably, their short shelf life. Could frozen platelets be the answer? Michael Reade is an anaesthetist, intensivist and clinical researcher from the University of Queensland and the Australian Defence Force, and he joins Todd to discuss his research program in this area, known as CLIPSee omnystudio.com/listener for privacy information.

Ketamine is regarded as a bit of a wonder drug in emergency and critical care areas, but is it all that it’s cracked up to be. Andrew Casamento is an Intensivist  / Emergency Physician at the Northern, Austin, Warringal Private and Bendigo Hospitals in Victoria, and is the author of a recent review of the role of ketamine in mechanically ventilated ICU patients.  He joins Todd on the podcast to discuss some of the important points.See omnystudio.com/listener for privacy information.

Bronchiolitis is a considerable portion of the workload of paediatric ICUs.  As an inflammatory disease process, treatment with corticosteroids may have benefit, and the alpha effects of adrenaline may reduce secretions.  However, evidence remains sparse, while international guidelines are conflicting. Ben Gelbart is a paediatric intensivist from the Royal Children's Hospital in Melbourne, and he joins the podcast to chat about a recently released paper on which he was the lead author, which explore the role of these two agents.   This is the second interview from our podcast series from the 2022 Noosa meeting of the ANZICS CTGSee omnystudio.com/listener for privacy information.

Our guest on this podcast is Dr Emma Ridley, Manager of the ICU Nutrition Program at the Monash University ANZICS Research Centre.  She joins me Todd to chat about her survey of nutritional practice in Australasian ICUs, known as Nutrients, presented at the 2022 ANZICS-CTG conference in Noosa.See omnystudio.com/listener for privacy information.

Delirium and sleep deprivation are known to go hand in hand in the ICU.Could melatonin, a readily available, safe and cheap hormonal therapy, improve sleep, and thereby delirium, in a general population of ICU patients?Lead investigator of the recently released ProMEDIC study Dr Brad Wibrow joins Todd to discuss the results of his study.See omnystudio.com/listener for privacy information.

In this Careers in Health podcast, Todd chats to Ear, Nose and Throat surgeon, Dr David McIntoshSee omnystudio.com/listener for privacy information.

Interstitial Lung Disease is like a black box for many intensivists.  The complexity of the pathology seems to be only matched by the complexity of the diagnostic classification, and the drug names used to treat them.   James Lindstrom is a dual trained intensivist and respiratory physician in Geelong, Australia, and he joins me to explore some of the issues related to ILD in the ICUSee omnystudio.com/listener for privacy information.

It has been said that more people suffer harm from our management of diabetic ketoacidosis than those that do from the disease itself. So how do we avoid these pitfalls in the emergency department? Adan Atriham is an emergency physician from Houston, TexasSee omnystudio.com/listener for privacy information.

Unstable patients with tachyarrhythmias may need urgent cardioversion in the emergency department. Dr Eleni Salakidou is a specialist in emergency medicine at the University General Hospital of Heraklion, and she joins Todd on the podcast to share her tips for safe and successful cardioversion.See omnystudio.com/listener for privacy information.

Necrotising fasciitis is a scary disease for even the most experienced of emergency physicians. Dr Michael Gleenberg is an emergency physician and Residency Director at the Assuta Ashdod University Hospital in Israel, and he joins Todd to discuss the identification and management of this important disease processSee omnystudio.com/listener for privacy information.

In this episode of the Careers in Health podcast, Todd chats to ophthalmologist, Dr Madeleine AdamsSee omnystudio.com/listener for privacy information.

Medication errors are a significant challenge to the safety of patients.  Pre-filled syringes represent an opportunity to prevent errors related to medication preparation, and may have additional cost and efficiency savings. Dr Rhys Thomas is an anaesthetist and the Quality and Safety Fellow at John Hunter Hospital in New South Wales.  He joins Todd to share his experiences with pre-filled syringes   Baxter Healthcare has provided an educational grant to sponsor this podcast. The content was developed independently of Baxter Healthcare and opinions expressed are those of the presenting healthcare professional.See omnystudio.com/listener for privacy information.

Many doctors will take leadership positions during their careers, but the skills required to succeed in these roles do not come naturally to all. Hash Abdeen is the Chair of the Council of Doctors in Training for the Australian Medical Association.  He joins Todd on the podcast to chat about his experience in leadership positions, how junior doctors can enhance their skills, and what the AMA CDT is doing to support this.See omnystudio.com/listener for privacy information.

In this episode of the Careers in Health podcast, Todd interviews Dr Sophia Velosa, an endocrinologist with a special interest in Obstetric MedicineSee omnystudio.com/listener for privacy information.

The stress of exams, clinical practice, finances and major life events takes a toll on junior doctors.  The added burden of COVID-19 has pushed many to the edge. Tahnee Bridson is an inspiring young doctor who saw an opportunity to help by establishing a peer-to-peer support group, known as Hand 'n' Hand. She joins Todd on the podcast to chat about the project   If you would like to access the serviced provided by Hand 'n' Hand, or are interested in becoming a support facilitator, follow the link below   https://www.handnhand.org.au/join  See omnystudio.com/listener for privacy information.

The critically ill bleeding patient who is taking novel oral anticoagulant medications is a difficult clinical challenge. Dr Barbra Backus is an emergency physician from The Netherlands, and she joins Todd to discuss some of the important issues in managing this problem.See omnystudio.com/listener for privacy information.

In this episode, Todd chats to geriatrician Dr John EndacottSee omnystudio.com/listener for privacy information.

Acute cardiogenic pulmonary oedema is a common presenting complaint in the emergency department. Dr Roberto Cosentini is an emergency physician from Bergamo in Italy.  He joins Todd to discuss the use of NIV in the management of these patients.See omnystudio.com/listener for privacy information.

Transcutaneous pacing is an important emergency skill.  In this podcast, senior emergency medicine trainee Dr Tim Balfour joins Todd to discuss the indications for pacing, describe the process of applying and adjusting it, and share some tips and tricks for its use.See omnystudio.com/listener for privacy information.

Dr Stuart Collins is a urologist on the Sunshine Coast in Queensland, Australia. He joins Todd on the podcast to chat about the highs and lows of his specialty.See omnystudio.com/listener for privacy information.

As Indirect Calorimetry becomes more practical at the bedside, how will it influence nutritional prescription? Oana Tatucu is a senior ICU dietitian and a research fellow at the ANZICS Research Centre.  She joins Todd on the podcast to discuss the role of IC now and into the future.   Baxter Healthcare has provided an educational grant to sponsor this podcast. The content was developed independently of Baxter Healthcare and opinions expressed are those of the presenting healthcare professional.See omnystudio.com/listener for privacy information.

Patients with chronic pulmonary hypertension can present to hospital acutely unwell. What are the principles of managing these patients? Cardiologist Dr Kavitha Muthiah joins Todd on the podcast to discuss the underlying causes, precipitants, management and rescue options for these patients.See omnystudio.com/listener for privacy information.

Bronchopleural fistula is an important diagnosis to consider in patients with persistent and high volume pneumothoraces. Dr Izzy Seneviratne is a dual trained Intensivist and Respiratory Physician who joins Todd on the podcast to talk about the diagnosis and management of this important condition.See omnystudio.com/listener for privacy information.

Targeted temperature management has become a mainstay of treatment for resuscitated patients following cardiac arrest. Manoj Saxena is an intensivist and clinician researcher from Sydney, Australia, and was part of the team that delivered the TTM-2 trial earlier in 2021.  He joins Todd on the podcast to discuss the premise of TTM-2, the results and what comes next.See omnystudio.com/listener for privacy information.

As the world wrestles with the COVID-19 pandemic, it’s clear that much depends on our ability to vaccinate a large proportion of the population. Like all medications, vaccines have their side effects, and the most notable at present is an unusual syndrome of intravascular clotting associated with thrombocytopaenia. Dr Tim Brighton is a consultant haematologist with New South Wales Health, and a participant in a recent working party that developed guidelines for the detection and management of this important condition, known as Vaccine Induced Thrombotic Thrombocytopaenia, or VITT.See omnystudio.com/listener for privacy information.

The importance of adequate antibiotic dosing in sepsis and pneumonia is well known.  However, changes in the pharmacokinetics and dynamics of antibiotics makes it challenging to ensure the appropriate doses are given. Dr Jason Roberts is an internationally renowned ICU pharmacist and researcher, and he joins Todd to discuss these important issues, and some potential solutions.See omnystudio.com/listener for privacy information.

Manipulating the ventilator to protect the critically ill ARDS patient from harm, while simultaneously improving their condition, is one of the dark arts of intensive care practice. Airway Pressure Release Ventilation is a somewhat novel mode of mechanical ventilation which seeks to enhance lung recruitment while reducing lung injury.  Ed Litton is an Intensivist and researcher from the Fiona Stanley Hospital in Perth, Australia, and he joins Todd to chat about his approach to APRVSee omnystudio.com/listener for privacy information.

Join host Dr Todd Fraser for this fascinating exploration of life, both professional and personal, for those lucky enough to practice in a regional or remote ICU. Guests include Penny Stewart, Rob Bevan, Paul Secombe, Claire Corrigan and Lauren CoxSee omnystudio.com/listener for privacy information.

Traditionally we’ve measured the performance of the health system machine on hard endpoints such as mortality, and this is particularly so in ICU. In recent years however, we’ve begun to focus more on the patient experience, including their functional outcomes.  Narrative and qualitative research has provided us with a better understanding of the emotional, psychological and physical trauma imposed by critical illness. Kali Dayton is a nurse practitioner in ICU, and through her podcast “Walking Home from the ICU”, has helped shine the spotlight on this important issue through a series of interviews with survivors of critical illness.  She joins Todd on the podcast to share what she's learned. You can find Kali's podcast here : https://anchor.fm/restoringlifeSee omnystudio.com/listener for privacy information.

Extracorporeal membrane oxygenation (ECMO) is an increasingly available therapy, though it remains restricted to tertiary centres.  So what does this mean for smaller peripheral units? Dr Sara Allen is an intensivist and anaesthetist from the Auckland City Hospital in New Zealand, and she joins Todd to discuss referrals for ECMO.See omnystudio.com/listener for privacy information.

The intravenous cannula may be the most common procedure performed in healthcare.  You probably perform several of them a day, without thinking twice. However, without attention to detail, it’s possible the humble cannula could cause your patient harm. Gillian Ray-Barruel is an experienced nurse researcher at Griffith University in Australia. Among her numerous research interests, Gillian has extensive experience in prevention of indwelling device-related patient complications. See omnystudio.com/listener for privacy information.

Large and persistent bronchopleural fistulae are one of the more challenging problems to manage in ICU practice. In this enlightening interview, Intensivist and Respiratory Physician Dr Michael Putt discusses the principles of management, and the role of bronchoscope intervention.See omnystudio.com/listener for privacy information.

Up to a quarter of emergency services calls relate to behavioural disturbance or mental health issues.  For many patients, these calls end up in transportation to the emergency department, where the service struggles to meet the patient's needs. David Hardstaff is an experienced paramedic who is part of a novel approach to this problem, a prehospital response team aiming to manage patients predominantly in their own homes.  He joins Todd to talk about the prehospital issues surrounding mental health, and the Co-Responder program.See omnystudio.com/listener for privacy information.

While mechanical ventilation can be life saving, it can also cause its fair share of complications. Dr Kiran Shekar is an intensivist at The Prince Charles Hospital in Brisbane, Australia.  He heads a program of research exploring a range of therapies that may minimise these risks, including the subject of today's discussion, Extracorporeal CO2 removal (ECCOR)   Baxter Healthcare has provided an educational grant to sponsor this podcast. The content was developed independently of Baxter Healthcare and opinions expressed are those of the presenting healthcare professional.See omnystudio.com/listener for privacy information.

We focus a lot on energy and protein delivery in ICU.  But what happens to patients and their nutrition when they get to the wards? Could it be that an intensive approach to feeding throughout the patient's hospital stay is the key to enhancing functional recovery? Eliza Miller is the project manager for the INTENT trial, and she joins us to discuss this important study.   Baxter Healthcare has provided an educational grant to sponsor this podcast. The content was developed independently of Baxter Healthcare and opinions expressed are those of the presenting healthcare professional.See omnystudio.com/listener for privacy information.

While sepsis research in adults has gathered pace in recent years, similar work in paediatrics is lacking. Among those looking for the elusive "magic bullet" are researchers Sainath Raman and Luregn Schlapbach.  In this fascinating podcast, they discuss the limitations of research in paediatric sepsis, the current evidence landscape, and their upcoming RESPOND trial.   Baxter Healthcare has provided an educational grant to sponsor this podcast. The content was developed independently of Baxter Healthcare and opinions expressed are those of the presenting healthcare professional.See omnystudio.com/listener for privacy information.

Resuscitation of hypotensive patients with sepsis traditionally involves up to several litres of crystalloid fluids before vasopressors are initiated.  While this forms the basis for many sepsis management guidelines, the dogma is being challenged. In this latest podcast from the 2021 ANZICS CTG meeting in Noosa, Stephen McDonald joins Todd to talk about the ARISE FLUIDS 2 trial, which aims to provide more detail on the prioritisation of these two key interventions.   Baxter Healthcare has provided an educational grant to sponsor the following podcast. The content was developed independently of Baxter Healthcare and opinions expressed are those of the presenting healthcare professional.See omnystudio.com/listener for privacy information.

Many patients undergoing Continuous Renal Replacement Therapy in ICU require fluid removal. But how fast can you remove it?  Dr Emily See is a Nephrologist and senior ICU fellow at the Austin Hospital in Melbourne Australia.  She joins Todd on this edition of the podcast from the 2021 ANZICS CTG meeting in Noosa to talk about the concept of Net Ultrafiltration Rate, and the upcoming NEPTUNE study.   Baxter Healthcare has provided an educational grant to sponsor the following podcast. The content was developed independently of Baxter Healthcare and opinions expressed are those of the presenting healthcare professional.See omnystudio.com/listener for privacy information.

Limiting tidal volumes to prevent lung injury has been a core plank of ICU care for the past 20 years. However, is it that simple?  Dr Ewan Goligher joins us to discuss how using the driving pressure to set Vt may help tailor ventilation to the patient's needs.See omnystudio.com/listener for privacy information.

While it remains an uncommon event, some patients with cancer require ICU level care. Dr Tamishta Hensman is a senior ICU fellow at the Royal Darwin Hospital, and holds a Diploma of Palliative Care Medicine.  Following her presentation at the recent CICM Annual Scientific Meeting, she joins Todd to discuss the latest data on survival, some common presentations, and some tips for talking to families.See omnystudio.com/listener for privacy information.

Lung ultrasound is gradually establishing itself as an invaluable point-of-care investigation in ICU and emergency medicine. Dr Robert Arntfield is an intensivist and traumatologist from London, Ontario, and he joins Todd to describe how it fits into his clinical practice.See omnystudio.com/listener for privacy information.

Despite the incredible burden of COVID-19, ICU researchers have somehow been able to produce practice changing research at an unprecedented rate. ICU nutrition researchers Lee-anne Chapple and Emma Ridley join Todd on the podcast to discuss their findings regarding the nutritional status and issues for COVID-19 patients admitted to ICUSee omnystudio.com/listener for privacy information.

Despite increasing focus and the development of international clinical guidelines, delirium in ICU remains an under-recognised issue. Melissa Ankravs is a senior ICU pharmacist, and she joins Todd on the podcast to discuss the results of a point prevalence study in Australia / New ZealandSee omnystudio.com/listener for privacy information.

Aidan Burrell joins the podcast to update our listeners with the progress of the SPRINT SARI project - designed to collect real time data on the COVID-19 pandemic in Australasia.See omnystudio.com/listener for privacy information.

One of the fundamentals of therapy for severe Diabetic Ketoacidosis (DKA) is fluids.  However, it is well known that aggressive fluid replacement with Normal Saline commonly results in a non-anion gap metabolic acidosis as the underlying condition improves. Does this acidosis cause harm?  Can it be avoided? In this edition of the podcast, Todd chats to intensivist Dr Mahesh Ramanan about his recently completed study, SCOPE, which compared the effects of buffered solution Plasmalyte 148 with normal saline in these patients. This is another great podcast interview from the 2021ANZICS Clinical Trials Group meeting in NoosaSee omnystudio.com/listener for privacy information.

COVID 19 has ravaged many parts of the world, leaving some patients with persistent symptoms known as "Long COVID". But what about survivors of critical illness due to COVID-19?  How do they compare with other ICU survivors? Professor Carol Hodgson is the Head of the Division of Clinical Trials and Cohort Studies, School of Public Health and Preventive Medicine, Monash University.  Carol's major area of research interest is functional outcomes for survivors of ICU, and she joins Todd to chat about the COVID-RECOVERY studySee omnystudio.com/listener for privacy information.

Professor David Tuxen has had a long and distinguished career as an Intensivist, Director and researcher.  Decades of research into mechanical ventilation have given David a unique perspective into trial interpretation, and he has recently raised his concerns about research outcomes in ventilation trials. He joins Todd on the latest podcast from the 2021 ANZICS CTG Noosa meeting to discuss these issues.See omnystudio.com/listener for privacy information.

Hypofibrinogenaemia is an independent risk factor for mortality after severe trauma.  How though should we manage it? Dr James Winearls is an Intensivist and researcher from the Gold Coast University Hospital.  In this special edition podcast from the 2021 Noosa ANZICS CTG meeting, he joins Todd to chat about the issue, and the FIESTY 2 study he leadsSee omnystudio.com/listener for privacy information.

Looking for a specialty that combines procedural work with consultation, private practice and in-patient care?  Need something with a seemingly endless array of options for subspecialisation? Gastroenterology may well be just what you're looking for.  Dr Simone Kaye joins Todd on the Careers in Health podcast to find out what it's really likeSee omnystudio.com/listener for privacy information.

Extracorporeal membrane oxygenation (ECMO) has an established role as a rescue therapy in severe respiratory failure. But could there be benefit in using it earlier, to avoid the potential complications associated with mechanical ventilation? Dr Aidan Burrell is an intensivist and researcher from The Alfred Hospital in Melbourne, Australia, and he joins Todd on the first podcast from the 2021 Noosa ANZICS CTG meeting.See omnystudio.com/listener for privacy information.

The marvel that is modern Intensive Care has the capacity to save lives, and help survivors live long and satisfying lives.  But it comes at a cost, both in terms of patient experience and cost. Anecdotally, the number of patients with life-limiting illnesses are being referred for management in the ICU.  This trend has given some clinicians pause to consider whether traditional ICU is the best place for their care. Dr Matt Maiden led a team who studied the incidence of life limiting illness in ICU patients, and he joins Todd on the podcast to discuss the results and their implications.See omnystudio.com/listener for privacy information.

As the COVID-19 pandemic continues unabated, the search for meaningful therapies is being led by clinical researchers. Dr Lise Estcourt is a consultant haematologist who has led major studies into the role of convalescent plasma in the treatment of COVID-19. She joins Todd on the podcast to summarise the data so far.See omnystudio.com/listener for privacy information.

Can you cut it? Being a surgeon is as much a way of life as it is a profession.  In this podcast, Felicity Adams joins Todd to chat about her experiences in training to become, and then being, a surgeon.See omnystudio.com/listener for privacy information.

James Cox is a Queensland-trained orthopaedic surgeon with subspecialty interests in hip, knee and pelvic trauma. He joins Todd on the podcast to describe his path to specialty, and what life is like as an Orthopaedic SurgeonSee omnystudio.com/listener for privacy information.

Intensive Care Medicine is a highly exciting and variable specialty, but it also carries with it the stress of caring for patients and their families under enormous duress. Dr Rob Bevan is an Intensivist and supervisor of training at Middlemore Hospital in Auckland, New Zealand, and the current vice president of the Australia New Zealand College of Intensive Care Medicine XDJ8eVCAs0ecJIoJq6sfSee omnystudio.com/listener for privacy information.

Sudden cardiac arrest is a common event.  Rarely though, it can be a feature of acute Subarachnoid Haemorrhage. What impact does this have on the patient's prognosis? A recent review of a binational ICU patient registry set out to explore this question, and one of the authors, Professor Andrew Udy, joins Todd on the podcast to discuss their findingsSee omnystudio.com/listener for privacy information.

Despite increased focus on gender inequities in healthcare in recent years, female doctors still experience the effects of systemic discrimination.  Rather than teaching them how to cope with discrimination, proactive strategies such as enhanced negotiations skills may help to level the playing field. Fiona McKenzie is a management consultant and mediator, and she has developed a framework for teaching negotiation skills to female doctors, helping them achieve their goals and progress their careers. She joins Todd on the podcast to discuss her program More information about Sustainable Negotiation can be found at www.resolvingmatters.com.auSee omnystudio.com/listener for privacy information.

Dr Craig Mitchell has spent nearly 20 years providing general anaesthesia and critical care services.  His career encompasses private and public work, routine and emergency cases, critically ill patients and rural practice.  Somehow, he's also found time to explore non-medial business interests to, as a co-founder of a boutique winery and wine bar. His story serves as an example of the wide and varied opportunities available to medical graduatesSee omnystudio.com/listener for privacy information.

Malnutrition is common in ICU, and it stands to reason that it should impact on functional recovery. Lee-anne Chapple is a senior dietician in critical care at the Royal Adelaide Hospital, and an NHMRC Early Career Fellow at the University of Adelaide.  She joins Todd on the podcast to discuss her work in protein metabolism in critically ill patientsSee omnystudio.com/listener for privacy information.

Traditionally, anaesthetists have ventilated patients undergoing prolonged surgery with supra physiological tidal volumes to prevent collapse and improve oxygenation.  But is this safe?  Evidence from the critical care sphere suggests ventilator induced lung injury may be minimised with a more conservative approach. Dharshi Karalapillai is an Intensivist-Anaesthetist from Melbourne's Austin Hospital, and is lead author of a paper which explored the role of a low volume ventilation strategy.See omnystudio.com/listener for privacy information.

So what makes a cardiologist tick? Professor Christian Hamilton-Craig has experienced the full spectrum of cardiology, from academia and research to bedside clinician, taking the good with the bad along the way. In this absorbing interview he describes the path his career has taken, the options available to those interested in cardiology, and the enjoyment he derives from it to this day.See omnystudio.com/listener for privacy information.

Does metabolic acidosis cause harm to critically ill patients?  Or is it just an epiphenomenon of severe illness? In this podcast, lead investigator of the VITAMINS trial, Tomoko Fujii, joins Todd to discuss her latest program of research, the SODIBIC trial.See omnystudio.com/listener for privacy information.

Colin McArthur is an Intensivist and director of research at Auckland City Hospital in New Zealand, and is the Co-lead for the Australia-New Zealand arm of the REMAP-CAP study, which today releases the results of its first domain study, corticosteroids. Colin joins Todd on the podcast to discuss the results of this important trialSee omnystudio.com/listener for privacy information.

David Cooksley is an experienced Emergency and Retrieval Physician who currently works in the Emergency Department at the Sunshine Coast University Hospital and for LifeFlight Retrieval Medicine at their Maroochydore helicopter base.  He has worked for four different retrieval services including twice with the London’s Air Ambulance, which is widely regarded as the world’s best pre-hospital trauma service. He is also a Wing Commander in the RAAF Specialist Reserve and is the Air Force’s Principal military critical care aeromedical transport team instructor and has successfully completed overseas training in military pre-hospital combat critical care. Today David joins Todd on the podcast to share his experiences in retrieval medicine.See omnystudio.com/listener for privacy information.

Transporting the ventilated patient is one of the highest risk processes critically ill patients will face Lina Bergman is a critical care nurse and researcher from Gothenberg in Sweden, and she joins Todd on the podcast to discuss her research into this delicate process.See omnystudio.com/listener for privacy information.

As the COVID-19 pandemic surges ahead, researchers are desperately seeking evidence to support a range of potential disease modifying treatments.  On this episode, Prof Tony Gordon from Imperial Hospitals in London joins me to discuss one such potential therapy, convalescent serum.  Tony is a prominent intensivist researcher and is the UK chief investigator for the REMAP-CAP study.See omnystudio.com/listener for privacy information.

On this episode of the Careers in Health Podcast, Todd is joined by General Practitioner Dr Anita Holland.  Originally from the UK, Anita has settled on the Sunshine Coast in Queensland, Australia, and has specialised interests in obstetrics, paediatrics and women's health. In this fabulous interview, Anita chats about the highs and lows of general practice, and how the flexibility it affords has allowed her to explore her other passions.See omnystudio.com/listener for privacy information.

Critical illness can have an overwhelming effect on the long term quality of life of survivors of ICU. On this thought provoking interview, Professor Carol Hodgson joins Todd on the podcast to discuss the latest publication in her research program, the PREDICT trial, which was presented at the 2020 ANZICS Clinical Trials Group meeting in Noosa.See omnystudio.com/listener for privacy information.

The unfolding COVID-19 pandemic has seen an unprecedented sharing of information to support clinicians in making clinical decisions at the coal-face.  But has this pressure to publish data come at the cost of lower standards of governance? Colin McArthur, co-lead of the ANZ arm of the REMAP-CAP study joins Todd on the podcast to discuss the trials and tribulations of hydroxychloroquine, and THAT observational study.See omnystudio.com/listener for privacy information.

So what's life like as an Infectious Diseases Physician? Dr Keat Choong is the Director of Infectious Diseases at the Sunshine Coast University Hospital in Queensland, Australia.See omnystudio.com/listener for privacy information.

Research in the past decade has helped clarify dosing and indications for renal replacement therapy.  But what about the management of volume status in a critically ill patient with acute anuric renal failure? Professor Rinaldo Bellomo is one of the world's leading critical care nephrologists and researchers, and he presented his thoughts on this issue at the most recent Australia-New Zealand Intensive Care Society (ANZICS) Clinical Trials Group meeting in Noosa.  He joins Todd to discuss the concept, and his plan for a research program to answer these questions.See omnystudio.com/listener for privacy information.

Chronic pain in survivors of ICU is remarkably frequent, yet remains poorly researched and managed.  Dr Ben Moran is an anaesthetist and intensivist from New South Wales in Australia, and a PhD candidate at the George Institute in Sydney.  He joins Todd on the podcast to discuss his research.See omnystudio.com/listener for privacy information.

High flow nasal oxygen therapy is rapidly establishing itself as a low cost, low side effect treatment option in respiratory failure. In this, another great podcast from the 22nd Annual Meeting of the Australia-New Zealand Intensive Care Society (ANZICS) Clinical Trials Group in Noosa, Australia, Todd is joined by Dr Ed Litton to talk about the upcoming NOTACS trial, an international study exploring its role in preventing complications post cardiothoracic surgery.See omnystudio.com/listener for privacy information.