Welcome to 2019! This was meant to be a Christmas Special, but we all have lives and it’s been kind of busy on the PICU. So it’s welcome to 2019. The Christmas BMJ is a British medical tradition. In the spirit of the IgNobel prize, this edition is full of Read more…
PicPod 17 is a pro/con debate on the use of inhaled nitric oxide for paediatric ARDS. Harish argues that Nitric Oxide has no place in PICU, and Patrick argues that we should use it in targeted cases. What are the pathophysiological mechanisms with ARDS? Is it the same for children Read more…
Picpod 16 is all about renal. The kidney is one of the second equal most important organs in the body, with such an important role. What is AKI, and who is at risk? What is CRRT good for, and what does it not work for? When should we start it? Read more…
Bronchiolitis is THE standard illness for paediatric intensivists. Dozens of patients every season, all the same age, size, and type But are they the same? What is bronchiolitis? How should we treat it? Does High Flow Nasal Cannulae treatment work: and what is it actually? What about fluids, ventilation modes, Read more…
Our patients are sick and it makes sense that they need lots of blood. Surely more blood means more oxygen to the tissues which is good… or is it? Why are things not so clear? When should we transfuse our patients? Why are transfusions bad? Is it the blood, the Read more…
Nutrition on children’s intensive care is difficult and is not always a priority. The focus is on survival and the ABC, not the niceties of feeding. However our patients are in an extreme metabolic state and may well be catabolic. How do we prevent this and how do we improve Read more…
In PicPod 12 we revisit some of the themes of PicPod 6. Sedation is difficult to get right, and we can do much harm if we give too much, or not enough. How bad are some of the drugs we use? How much are benzodiazepines linked to delirium? Can we Read more…
Picpod 11 puts it all in to context. Hans Jorg Lang is an intensivist who works with Medicins Sans Frontiers in a variety of countries in Sub Sahara Africa, including Malawi and Congo. Including a guest appearance by David Bird, an intensive care trainee. What is the value of a Read more…
Picpod 10 is based on an interview with Pat Kochanek from Pittsburgh, who is also the editor in chief of PCCM. He has done much lab based and patient based work on traumatic brain injury, and talks about the next level of TBI treatments. TBI is intensely frustrating: so much Read more…
PicPod 9 features Joseph Manning, who specialises in research in to the family centered outcomes of PIC patients. We get so caught up in the technicalities of our patients, do we forget to look after the wider family? Who looks after the siblings, and what damage might we be doing? Read more…