Patients with status epilepticus are one of the most common reasons for admission to Paediatric Intensive Care. There are two important questions: when should we stop the seizure, and how? We go through evidence of when harm increases with a seizure. Can we define a threshold of when we need Read more
Welcome to PicPod 23. This episode we talk about new technology on PICU. Does Point of Care Ultrasound (POCUS) work? Is it worthwhile? Does it help our assessment of the patient? Should we throw away our stethoscopes? Including an interview with Michael Griksaitis, POCUS aficionado, and co-founder of the UK Read more
In PicPod 21 we looked at survival for oncology patients on Paediatric Intensive Care. In PicPod 22 we consider what is different about these patients, and what complications they can have. Almost all organ systems can be affected: but how, in what way, and how do we treat them? And Read more
Oncology patients in intensive care. Bad news: high mortality high morbidity, it’s hardly worth admitting them. Right? NO! WRONG! Historical data shows extremely high mortality, but modern papers and evidence shows low mortality, around the levels seen in non-oncological patients with similar levels of organ dysfunction. What are the numbers? Read more
So much more about TBI. Following on from last week’s part 1, here is more on the same theme. There’s too much to mention, and Picpod is off on holiday for a week. Details and references will be posted next week. https://media.blubrry.com/picpod/picpod.net/wp-content/uploads/2019/02/PicPod-20-TBI-2.mp3 Podcast: Play in new window | Download
There is so much on paediatric traumatic brain injuries that we have had to split this topic in to two podcasts. For the first part, we talk about the guidelines (and how they should be displayed). Decompressive craniectomies: should we? Cooling (briefly). The epidemiology of paediatric brain injury: firearms, cycling Read more
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