Podcasts
Coagulopathy and Analgesia
This podcast is an interactive discussion about the management of coagulopathy, analgesia, sedation, and delirium in critically ill pediatric patients between Dr. Adam Vogel and Dr. Alexander Gibbons.
Intro and outro tracks are adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626
Sections
- Introduction (00:00)
- Case Scenario: 12-year-old male in helmeted MVC vs. bicycle accident (01:22)
- See Where You Are (02:36)
- Initial Therapy (05:22)
- General Management (06:26)
- Viscoelastic Monitoring (07:00)
- Phases of Viscoelastic Monitoring (08:05)
- Targeted Therapy (10:47)
- Real Time Monitoring (11:42)
- Management of Fibrinolysis (14:38)
- Balanced Resuscitation (16:06)
- Efficiency (17:26)
- Pediatric Evidence (18:12)
- Massive Transfusion and Balanced Resuscitation (19:07)
- Case Scenario: Pain Control After Laparotomy (19:42)
- Narcotics (21:02)
- Regional Analgesia (22:08)
- Anxiety (23:29)
- Case Scenario: Sedation (25:43)
- Validated Pain Scores (27:51)
- Validated Sedation Scores (29:53)
- Sedation Holidays and ABCDEF Bundles (31:23)
- A: Assessing Pain (32:09)
- B: Breathing and Awakening Trials (32:20)
- C: Choice of Analgesia and Sedation (33:30)
- D: Delirium (34:24)
- E: Early Mobility and Exercise (34:31)
- F: Family Engagement (34:37)
- Case Scenario: Post-Operative/ICU Delirium (35:47)
- Risk Factors for Delirium (36:38)
- Delirium Assessment Tools (37:21)
- Evaluating for Causes of Altered Mental Status (39:23)
- Multimodal Treatment for Delirium (40:36)
- Preventing Delirium (42:51)
- Conclusion (43:58)
- Outro/Teaser (44:21)