Asia Ventilation Forum

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BEHIND-THE-SCENE ICU STORIES:
A LIFETIME OF RESEARCH ON NUTRITION IN CRITICAL ILLNESS - PROFESSOR DAREN HEYLAND
Links to YouTube and Spotify:
https://www.youtube.com/watch?v=i56imi50gF4
spoti.fi/43563b9

In this AVF Podcast: Behind-The-Scenes ICU Stories episode, Dr Daren Heyland shares key takeaways from large-scale randomised trials on critical care nutrition led by him and published in the last year, a culmination of his impressive career. Dr Heyland is a Professor of Medicine and Epidemiology at Queen’s University, Kingston, Ontario Canada. He is trained in internal medicine, critical care medicine, and clinical epidemiology. He currently serves as the Director of the Clinical Evaluation Research Unit at the Kingston General Hospital. Overall, Dr Heyland has published approximately 450 peer-reviewed papers, raised more than $120 million in external grant support, and given more than 350 international presentations.



Issues discussed in this interview:

· What inspired Dr Heyland to do research in nutrition in critical illness

· The RE-ENERGIZE trial on enteral glutamine for burn injuries (NEJM 2022)

· The SUSTAIN CSX trial on high-dose selenium for cardiac surgery (JAMA Surgery 2023)

· The LOVIT trial on intravenous vitamin C for sepsis (NEJM 2022)

· The EFFORT Protein trial on higher protein dosing for critical illness (Lancet 2023)

· Future areas for research in nutrition in critical illness?

· Thoughts on clinical trial designs for the future

· Reflections on Dr Heyland’s life’s work

The AVF's Instagram page is: https://www.instagram.com/avf.asia/

Hi friends, we just released a new Asia Ventilation Forum (AVF) Podcast!

ICU TIPS & TRICKS:
HOW I MOBILISE PATIENTS IN THE ICU – PROFESSOR CAROL HODGSON

Links to YouTube and Spotify:
https://www.youtube.com/watch?v=09acJBtL0Ro&t=121s
https://spoti.fi/402XfjY

The AVF Podcast: ICU Tips & Tricks invites colleagues to share anything and everything on how they deal with various clinical situations. Expect discussions on how experts personalise evidence-based medicine for the patient at the bedside.

Issues discussed in this interview:
· Prevalence and impact of ICU-acquired weakness
· Rationale, methods, and findings of the TEAM study
· Comparisons with other studies
· Recommended timing and intensity of mobilisation in the ICU in 2023
· Future research

The AVF's Instagram page is: https://www.instagram.com/avf.asia/

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ICU TIPS & TRICKS:
HOW WE WEAN PATIENTS FROM MECHANICAL VENTILATION – PROFESSOR JOHN LAFFEY

Links to YouTube and Spotify:
https://www.youtube.com/watch?v=rQ2Z-bXCVWA&t=138s
https://spoti.fi/3YTyZjk

In this AVF Podcast: ICU Tips & Tricks episode, Professor Laffey discusses the findings and implications of the landmark WEAN SAFE study on the epidemiology and outcomes of weaning from invasive mechanical ventilation across 50 countries, which was published in The Lancet Respiratory Medicine in January 2023. Dr Laffey is Professor of Anaesthesia and Intensive Care Medicine at the School of Medicine of the National University of Ireland, a Consultant in Anaesthesia and Intensive Care Medicine at Galway University Hospitals, and corresponding author of the WEAN SAFE study.

Issues discussed in this interview:
· Key findings of the WEAN SAFE study
· Implications of delaying weaning in patients on invasive mechanical ventilation
· Rewards and challenges of performing large multi-country studies

The AVF's Instagram page is: https://www.instagram.com/avf.asia/

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Behind-The-Scenes ICU Stories:
HOW WE STUDIED SEPSIS IN ASIAN ICUS – DR ANDREW LI

Links to YouTube and Spotify:
https://www.youtube.com/watch?v=158d2pUaG9E
https://spoti.fi/3WHEEZB

In this AVF Podcast: Behind-The-Scenes ICU Stories episode, Dr Andrew Li discusses MOSAICS II, the largest ever study on sepsis in Asian ICUs, and one that was completed before the COVID-19 pandemic. Dr Li is the lead author of the MOSAICS II study, and a consultant respiratory physician and intensivist from Singapore’s National University Hospital and Woodlands Health.

Issues discussed in this interview:
• Key findings of the MOSAICS II study
• Brief comparison with the MOSAICS I study published in 2011
• Challenges and rewards from multinational research collaboration

The AVF's Instagram page is: https://www.instagram.com/avf.asia/

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Behind-The-Scenes ICU Stories: The Story of Precision Medicine in ARDS – Professor Carolyn Calfee

Links to YouTube and Spotify:
https://www.youtube.com/watch?v=Z3-n41IYdZk
https://spoti.fi/3MqMWAz

The AVF Podcast: Behind-The-Scenes ICU Stories invites colleagues to share anything and everything on their personal experiences. Expect heart-to-heart discussions on topics that may or may not have been widely described in the medical literature.

In this episode, Professor Carolyn Calfee shares her journey on and discusses the science behind precision medicine in the acute respiratory distress syndrome (ARDS) and intensive care. Dr Calfee is Professor in Residence of Medicine and Anesthesia at the University of California, San Francisco (UCSF), where she attends in the intensive care units (ICUs) at Moffitt-Long Hospital. Her primary academic focus is the prevention, diagnosis, prognosis, and treatment of ARDS, and she is a key international leader with multiple high impact publications on molecular phenotyping of ARDS and precision medicine in the ICU.

Issues discussed in this interview:

• What precision medicine is
• The rationale for precision medicine in ARDS
• How Dr Calfee entered this field of research
• Selected landmark studies that reflect the potential of precision medicine in ARDS
• Challenges to overcome
• Implications for practising clinicians today

The AVF's Instagram page is: https://www.instagram.com/avf.asia/

Hi friends, we just released a new Asia Ventilation Forum (AVF) Podcast!

ICU TIPS & TRICKS:
HOW I TITRATE OXYGEN IN THE ICU – PROFESSOR PAUL YOUNG

Links to YouTube and Spotify:
https://www.youtube.com/watch?v=W-hnV70FGww
https://spoti.fi/3KU7vVh

The AVF Podcast: ICU Tips & Tricks invites colleagues to share anything and everything on how they deal with various clinical situations. Expect discussions on how experts personalise evidence-based medicine for the patient at the bedside.

In this episode, Professor Paul Young discusses the evidence behind oxygen targets in the intensive care unit (ICU). Professor Young is Deputy Director and Intensive Care Programme Director at the Medical Research Institute of New Zealand, Co-Clinical Lead of the ICU at Wellington Hospital, and the Medical Director of Wakefield Hospital in Wellington, New Zealand. His high-impact studies include the SPLIT trial (JAMA 2015), the HEAT trial (N Engl J Med 2015), the ICU-ROX trial (N Engl J Med 2020), the PEPTIC trial (JAMA 2020), and the VITAMINS trial (JAMA 2020).

Issues discussed in this interview:
· The potential risks of hyperoxia in ICU patients
· Oxygenation targets in the general ICU population as well as
for specific patient subsets
· The implications of studies such as ICU-ROX (2020), HOT-ICU
(2021), and the ongoing Mega-ROX trial
· Strategies (and the limitations of knowledge) for fine-tuning
targets in complicated populations

For more about the Mega-ROX trial, please visit:

1. https://www.anzics.com.au/current-active-endorsed-research/mega-rox/
2. https://www.youtube.com/watch?v=dMOrOPahXTw
3. https://ccr.cicm.org.au/journal-editions/2022/june/24/original-articles/article-8

The AVF's Instagram page is: https://www.instagram.com/avf.asia/

Hi friends, we just released a new Asia Ventilation Forum (AVF) Podcast!

ICU TIPS & TRICKS:

HOW I PROVIDE FLUID THERAPY IN SEPSIS – PROFESSOR ANDERS PERNER

Links to YouTube and Spotify:
https://www.youtube.com/watch?v=9wQYSE15-C8
https://spoti.fi/3K0HL9b

In this AVF Podcast: ICU Tips & Tricks episode, Professor Anders Perner discusses how he provides fluid therapy in patients with sepsis. Professor Perner is a senior staff specialist and professor in intensive care at Rigshospitalet, University of Copenhagen and an honorary professor of the George Institute in Sydney. He chairs the Danish National Centre for Research in Intensive Care and the Scandinavian Critical Care Trials Group. He was the chair of three land-mark trials, the 6S, TRISS, and CLASSIC trials, the results of which have improved the fluid and transfusion therapy of patients with sepsis.

Issues discussed in this interview:

· What to look out for when deciding on fluid therapy
· Restrictive versus standard fluid therapy
· Whether the guideline of 30 mL/kg of crystalloids remains
valid
· When to start vasopressors
· Buffered crystalloids or 0.9% saline or albumin
· Limitations of markers of pre-load responsiveness
· Removal of fluid after stabilisation
· Importance of evidenced-based medicine and randomised
controlled trials

The AVF's Instagram page is: https://www.instagram.com/avf.asia/

Hi friends, we just released a new Asia Ventilation Forum (AVF) Podcast!

ICU TIPS & TRICKS:

HOW I CARE FOR FAMILY MEMBERS OF THE CRITICALLY ILL – DR BRENDA PUN

Links to YouTube and Spotify:
https://www.youtube.com/watch?v=jodpPeC_hak
https://spoti.fi/3QPM4qm

In this AVF Podcast: ICU Tips & Tricks episode, Dr Brenda Pun discusses how healthcare workers should look after family members and loved ones of critically ill patients. Dr Pun is an advanced practice nurse with a special interest in critical care, who serves as the Director of Data Quality at the Vanderbilt Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center. She is a key leader of the 2018 clinical practice guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility and Sleep Disruption in Adult Patients in the ICU (PADIS) and in the implementation of the ABCDEF bundle. Her research has focused on improving the care and outcomes of critically ill patients with a special emphasis on delirium, sedation, long-term outcomes and teamwork.

Issues discussed in this interview:

· Impact of critical illness on family members and loved ones of
patients in the ICU
· Post-intensive care syndrome-family (PICS-F)
· The ABCDEF bundle
· Care for family members and loved ones in the ICU
· Care for family members and loved ones after the ICU stay
· Care for family members and loved ones of dying and
deceased patients
· COVID-19 and its impact on family members and loved ones
of patients in the ICU

The AVF's Instagram page is: https://www.instagram.com/avf.asia/

Hi friends, we just released a new Asia Ventilation Forum (AVF) Podcast!

ICU TIPS & TRICKS:

HOW I CARE FOR ARDS SURVIVORS – PROFESSOR MARGARET HERRIDGE

Links to YouTube and Spotify:

https://youtu.be/9nl6jg2PXuQ

https://open.spotify.com/episode/2t5hecGR7eVnToBzEIJ97O?si=7fIAHP45RXqmWQ2Zt51X0w

In this AVF Podcast: ICU Tips & Tricks episode, Professor Margaret Herridge discusses what patients and their loved ones go through after surviving ARDS and how we can help them. Dr. Herridge is a Professor in the Department of Medicine, a Senior Scientist in the Toronto General Hospital Research Institute, Director of the RECOVER Program/Grace RECOVER Program for Chronic Critical Illness, and co-lead (with Dr. Angela Cheung) of CANCOV (Canadian multi-centre 2-year follow-up of patients/caregivers after COVID-19). She has been the lead or co-lead on 5 publications in the New England Journal of Medicine and has published over 200 articles and book chapters on patient and caregiver outcomes after critical illness.

Issues discussed in this interview:

· Long-term physical, cognitive, and psychological complications of ARDS and critical illness

· Evidence-based interventions to minimise such complications

· Care for ARDS survivors and their loved ones

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The AVF’s Instagram page is at: https://www.instagram.com/avf.asia/.

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BEHIND-THE-SCENES ICU STORIES:
The Future of Intensive Care – Professor Jean-Louis Vincent

Links to YouTube and Spotify:
https://youtu.be/sChxx8CfpXc
https://open.spotify.com/episode/3pbVvMVMzbmx9RgGyEF8Q8?si=OBTYyrV5RtK_FYiC3bhexQ

In this AVF Podcast: Behind-The-Scenes ICU Stories episode, Professor Jean-Louis Vincent paints his vision for the future of intensive care. Professor Vincent is Professor of intensive care medicine at the University of Brussels. He is Past-President of the World Federation of Societies of Intensive and Critical Care Medicine and the European Society of Intensive Care Medicine. He is the editor-in-chief of Critical Care, Current Opinion in Critical Care, and ICU Management & Practice, and member of the editorial boards of about 30 other journals. He has authored more than 1000 original articles, and his H index is 193.

Issues discussed in this interview:
- Critical care medicine outside the intensive care unit (ICU)
- Mixed versus medical or surgical ICUs
- Multidisciplinary teams
- Protocolised versus personalised care with artificial intelligence
- Outcomes beyond mortality
- Telemedicine and pre-hospital care
- Humanity and diversity in medicine
- Noninvasive monitoring and extracorporeal organ support
- Passion and inspiration

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The AVF’s page is at: https://m.facebook.com/Asia-Ventilation-Forum-102247955530318/ .
The AVF’s Instagram page is at: https://www.instagram.com/avf.asia/.

Hi friends, we just released a new Asia Ventilation Forum (AVF) Podcast!

BEHIND-THE-SCENES ICU STORIES:
Courage in Ukrainian hospitals and ICUs – Dr Maksym Pylypenko

Links to YouTube and Spotify:
https://www.youtube.com/watch?v=qnql5PoHbPg&t=6s
https://open.spotify.com/episode/7thjw0fcqBVhyjP2GtaftV

In this AVF Podcast: Behind-The-Scenes ICU Stories episode, Dr Maksym Pylypenko discusses the human impact of the Russia-Ukraine war on intensive care and hospital care. Together with Dr Oleg Loskutov, Dr Pylypenko is co-author of a recent article in Intensive Care Medicine, titled "The courage of Ukrainian hospitals and intensive care units in the first months of the Russia–Ukraine war". Dr Pylypenko is Head of the Intensive Care and Anaesthesia Department at Romodanov Neurosurgery Institute, National Academy of Medical Sciences of Ukraine, and Associate Professor of the Department of Anaesthesiology and Intensive Care, Shupyk National Healthcare University of Ukraine.


Issues discussed in this interview:
· The situation for intensive care unit (ICU) healthcare workers
in Ukraine
· How ICUs fit into the picture painted by the war
· Challenges faced by ICU healthcare workers and leaders
· Ways the international community can help

Please feel free to Share, Like, Subscribe, and Turn On Notifications for all our social media platforms and episodes, so that you and others will know each time we post something!

The AVF’s Instagram page is at: https://www.instagram.com/avf.asia/.

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ICU TIPS & TRICKS:
HOW I PROVIDE KIDNEY-REPLACEMENT THERAPY - PROFESSOR STEPHANE GAUDRY

Links to YouTube and Spotify:
https://youtu.be/oqBteV3DmKs
https://open.spotify.com/episode/6DdrcPJH5gCcQZYyuMbtvf?si=RQ356_v2RRqxPcfST75fYA

In this AVF Podcast: ICU Tips & Tricks episode, Professor Stephane Gaudry discusses his evidence-based approach to kidney-replacement therapy (KRT). Professor Gaudry is a physician in the critical care department at Assistance Publique-Hopitaux de Paris and at Sorbonne Paris Nord Universite. He is the first author of the landmark Artificial Kidney Initiation in Kidney Injury (AKIKI) and AKIKI 2 studies, of a systematic review on timing of KRT published in The Lancet, and of a recent narrative review on KRT published in the New England Journal of Medicine.

Issues discussed in this interview:
· What acute kidney injury is
· When to start KRT
· Intermittent versus continuous KRT
· Intensity of KRT
· When to stop KRT
· Future research areas for KRT and acute kidney injury

Please feel free to Share, Like, Subscribe, and Turn On Notifications for all our social media platforms and episodes, so that you and others will know each time we post something!

The AVF’s Instagram page is at: https://www.instagram.com/avf.asia/.

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BEHIND-THE-SCENES ICU STORIES:
HOW TO SET UP A CRITICAL CARE RESEARCH NETWORK – PROFESSOR KATHY ROWAN

Links to YouTube and Spotify:
https://youtu.be/Gb-BlivuZC4
https://open.spotify.com/episode/0AAAYH8MnSdeWy1s62t91h?si=ILPdCiJsR8KVKreiXcFJbw

In this AVF Podcast: Behind-The-Scenes ICU Stories episode, Professor Kathy Rowan shares her journey starting and growing one of the world’s most successful critical care research networks, the Intensive Care National Audit & Research Centre (ICNARC), and provides candid advice for anyone who may want to follow in her footsteps. Professor Rowan is the Director and founder of ICNARC, Honorary Professor at the London School of Hygiene & Tropical Medicine, and Adjunct Professor (Research) at Monash University, Australia.

Issues discussed in this interview:
· What ICNARC does
· What inspires one to set up a critical care research network
· What hurdles to expect
· How audit, quality improvement, and research go together
· Ingredients needed for a good registry and research network
· How to scale a critical care research network
· The emphasis on humanity, equity, and effectiveness
· How to use data to study COVID-19
· Three final tips for anyone starting out

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ICU TIPS & TRICKS:
HOW I VENTILATE PATIENTS WITH INTRA-ABDOMINAL HYPERTENSION – PROFESSOR MANU MALBRAIN

Links to YouTube and Spotify:
https://youtu.be/31safA1DdIg
https://open.spotify.com/episode/73Sxu4uNQcypoFRORVZ2W5?si=BuGEBM6xRoiQXZjPktikiA

In this AVF Podcast: ICU Tips & Tricks episode, Professor Manu Malbrain discusses the implications of increased intra-abdominal pressure on mechanical ventilation. Professor Malbrain is Professor of critical care research at the First Department of Anaesthesiology and Intensive Therapy at the Medical University of Lublin in Poland. He is the current President and co-founder of the International Fluid Academy, and the inaugural President, co-founder, and Treasurer of the Abdominal Compartment Society.

Issues discussed in this interview:
• General effects of intra-abdominal hypertension
• Physiologic effects of increased intra-abdominal pressure on intra-thoracic pressure
• Guidance for adjusting ventilation in the presence of increased intra-abdominal pressure
• General concerns and common pitfalls in the measurement of intra-abdominal pressure

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ICU TIPS & TRICKS:
HOW TO IMPROVE QUALITY IN YOUR ICU – DR JORGE SALLUH

Links to YouTube and Spotify:
https://youtu.be/3_OEjQA0AII
https://open.spotify.com/episode/0AfDkhwwrFqXtxI3JUptSv?si=k4_KqgRxSnigb696heebcQ

In this AVF Podcast: ICU Tips & Tricks episode, Dr Jorge Salluh discusses how one can drive quality improvement in the intensive care unit (ICU), both at the local level and in international registries. Dr Salluh is a Brazilian critical care physician working in Rio de Janeiro and a researcher at the not-for-profit D'or Institute for Research and Education. He has been working with outcomes and quality improvement projects for the last 17 years. He is a founder of the Brazilian Research in Intensive Care Network (BRICnet), the Brazilian ICUs registry, and the Linking of Global Intensive Care (LOGIC) consortium.

Issues discussed in this interview:
• What quality improvement is
• Skillsets needed for quality improvement
• How to choose data for collection
• How to choose quality indicators
• How to establish targets
• Frameworks for quality improvement such as the PDCA cycle
• Role of ICU registries
• Linking of Global Intensive Care (LOGIC) consortium

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ICU TIPS & TRICKS:
HOW I USE PRONE POSITIONING IN ARDS – PROFESSOR CLAUDE GUERIN

Links to YouTube and Spotify:
https://youtu.be/cVCkm5NgHhY
https://open.spotify.com/episode/42doWqHd4avU1M4CoryEC2?si=5mafcMeJTY2cSShf1gqkog

In this AVF Podcast: ICU Tips & Tricks episode, Professor Guerin discusses unanswered questions about prone positioning and shares specifics on how he uses it to manage patients with acute respiratory distress syndrome (ARDS). Professor Guerin is Professor of critical care medicine in the University of Lyon in France. He was the lead author of the landmark PROSEVA trial on prone positioning, and a leading figure in critical care and ARDS.

Issues discussed in this interview:
• How prone positioning improves oxygenation and reduces lung injury
• When to start prone positioning: PaO2/FIO2 of 100 or 150 or higher
• What the real contraindications to prone positioning are
• Whether to turn patients back to supine if oxygenation does not improve with prone position
• Whether to use sedation and neuromuscular blockade
• Ventilator settings during prone positioning
• Duration of prone positioning: at least 12 hours or 16 hours or longer
• When to stop prone positioning for patients who do not improve after several weeks
• Awake prone positioning
• Whether COVID-19 including type L patients should be dealt with differently
• Top unanswered questions for research

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BEHIND-THE-SCENES ICU STORIES:
HUMANITARIAN, HEALTHCARE, AND CRITICAL CARE CRISIS IN AFGHANISTAN: MR JAFFER SHAH AND MS SARA NABIL

Links to YouTube and Spotify:
https://youtu.be/goYGCTMfS24
https://open.spotify.com/episode/1PsF3Ic4UMK3q5rTEDwqy4?si=ac11daf89d164e94

In this AVF Podcast: Behind-The-Scenes ICU Stories episode, Mr Jaffer Shah and Ms Sara Nabil discuss the humanitarian crisis that has engulfed Afghanistan since the Taliban takeover in August 2021. Mr Shah graduated from Hofstra University in New York where he studied neuroscience. He has authored over 50 publications in peer-reviewed medical journals and works with the Department of Health in New York to monitor the current COVID-19 pandemic and public health measures. He is a clinical researcher, statistics instructor, and medical journalist with an interest in global health, and together with his colleagues published an article on the respiratory health and critical care concerns in Afghanistan in the journal Lancet Respiratory Medicine on 23 December 2021. Ms Sara Nabil is an artist and women’s rights activist who is currently doing her Masters in Visual Arts in Germany.

Issues discussed in this interview:
- The Taliban takeover and the cessation of foreign funding
- Multiple overlapping disasters related to COVID-19 and starvation and beyond
- Collapse of the healthcare and critical care system
- Loss of women’s rights
- Ground-up support through TelemedAF (www.telemedaf.com) and its telemedicine service
- How the international community can help (please email [email protected] if you wish to help, e.g. by providing teleconsultations, training and education for healthcare workers, provision of medical supplies, designing of websites and apps and databases, donations, etc)

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Hi friends, we just released the last Asia Ventilation Forum (AVF) Podcast of 2021!

ICU TIPS & TRICKS:
SURVIVING SEPSIS IN 2022 – PROFESSOR MITCHELL LEVY

Links to YouTube and Spotify:
https://youtu.be/t6MDqFcQffQ
https://open.spotify.com/episode/4gS86geVpehNp6AjKrAdVP?si=VKJNXoXdSKiud5VRtAqpmw

In this AVF Podcast: ICU Tips & Tricks episode, Professor Levy discusses selected points in the recent 2021 Surviving Sepsis Campaign (SSC) guidelines that we thought were potentially more controversial in clinical practice. Professor Levy is a founding member of the SSC and Co-Chair of its Steering Committee, Past President of the Society of Critical Care Medicine (SCCM), Professor of Medicine and Division Chief of Pulmonary and Critical Care Medicine at Alpert Medical School of Brown University, and Medical Director of the Medical Intensive Care Unit (MICU) at Rhode Island Hospital.

Issues discussed in this interview:
• Appropriate use and timing of antifungals
• Fluid resuscitation: volumes and fluid types
• Bicarbonate use
• Kidney replacement therapy
• Norepinephrine dosing and vasopressin use
• Top unanswered questions for the next SSC Campaign guidelines
• Importance of evidence-based medicine

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Here’s wishing you and your loved ones a safer and better and happier 2022!

Hi friends, we just released a new Asia Ventilation Forum (AVF) Podcast!

ICU TIPS & TRICKS:
HOW I USE DRIVING PRESSURE – PROFESSOR MARCELO AMATO

Links to YouTube and Spotify:
https://youtu.be/BxYdj80rgcs
https://open.spotify.com/episode/4Ky8r6GZpy2daKqJuvAWsz?si=BcVztZOTTwqZJ8T0-suOVQ

In this AVF Podcast: ICU Tips & Tricks episode, Professor Amato shares his thoughts on driving pressure and how he uses it to manage patients on mechanical ventilation. Professor Amato is from the Faculty of Medicine at the University of Sāo Paulo, Brazil. He is a pulmonologist and intensivist at the Pulmonary Division of the Hospital das Clínicas.

Issues discussed in this interview:
- The concept of driving pressure
- Association of driving pressure with mortality: cause or effect?
- How to measure driving pressure
- How to adjust driving pressure
- Transpulmonary driving pressure
- Driving pressure, respiratory rate, and mechanical power

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BEHIND-THE-SCENES ICU STORIES:
A DOCTOR IN MYANMAR – FOR PATIENTS, FOR COUNTRY WITH ANONYMOUS

Links to YouTube and Spotify:
https://youtu.be/nWCykm1a__E
https://open.spotify.com/episode/5Xcy3SATOJ2hpSoP56YU0D?si=ZVgdyKObRrC-NyT501Wz0g

In this AVF Podcast: Behind-The-Scenes ICU Stories episode, an anaesthesiologist and intensivist from Myanmar provides a disturbing account of the humanitarian crisis that has gripped her country since its military coup in February 2021, while also sharing her inspiring story – and those of her fellow healthcare workers – of courage and defiance, and of duty and patriotism. To ensure the safety of the doctor, her family, and her colleagues, her identity has not been revealed, and her voice has been distorted post-recording.

Issues discussed in this interview:
• The military coup in Myanmar and the subsequent civil disobedience movement
• How healthcare workers struggled to treat civilian protestors gunned down by the military
• The military’s crackdown on healthcare workers
• How healthcare workers have continued to provide aid
• Limited healthcare resources amidst the COVID-19 pandemic
• Humanitarian crisis in areas such as the Chin state
• A call for help from the international community

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BEHIND-THE-SCENES ICU STORIES:
EVERY DEEP-DRAWN BREATH WITH PROFESSOR WES ELY

Links to YouTube and Spotify:
https://youtu.be/ufVmohU1754
https://open.spotify.com/episode/0fDQyG2SnU9lB3YxmnfkRG?si=3n0hpkX8T0OSmWhnNG6noA

In this episode, Professor Wes Ely () talks about his recently published book on healing, recovery, and transforming medicine in the intensive care unit (ICU): Every Deep-Drawn Breath ( , ). Professor Ely is a pulmonary and critical care physician-scientist and serves as the Grant W. Liddle Endowed Chair in medicine at Vanderbilt University Medical Center. He is the associate director of ageing research for the Tennessee Valley Veterans Affairs Geriatric Research Education Clinical Center (GRECC). He is also the founder and codirector of the Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center.

Issues discussed in this interview:
- The impact of delirium and post-intensive care syndrome on ICU patients and their families
- The science behind the prevention, detection, and management of delirium in the ICU
- The ABCDEF bundle and the COVID-19 pandemic
- Real life stories of persons with delirium and post-intensive care syndrome
- Bringing humanity back to medicine, one person at a time

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