Antibiotic Considerations in the ICU

FromICU Rounds

Start listening View podcast show

Antibiotic Considerations in the ICU

FromICU Rounds

ratings:

Length:

54 minutes

Released:

Sep 14, 2007

Format:

Podcast episode

Description

Why do we choose the antibiotics that we do? How long do we continue the course of therapy? Should we use some antibiotics together? These topics are covered in the episode.

Released:

Sep 14, 2007

Format:

Podcast episode

Titles in the series (97)

also available for free download on iTunes. (http://itunes.apple.com/us/podcast/icu-rounds/id254707344)

Skip carousel

Antibiotic Considerations in the ICU: Why do we choose the antibiotics that we do? How long do we continue the course of therapy? Should we use some antibiotics together? These topics are covered in the episode. by ICU Rounds
54 min listen
Intraosseous Vascular Access: not just for the kids anymore: Intraosseous vascular access was was developed for use in adult trauma patients over 80 years ago. Only recently has this technique regained popularity for rapid and safe access to the vascular space in patients in extremis. by ICU Rounds
18 min listen
Complications of PEEP and Auto-PEEP: Virtually all patients on ventilators are on PEEP. PEEP has several interactions with various organ systems and some can result in profound complications. An understanding of PEEP and auto-PEEP are required before we can understand modes of... by ICU Rounds
19 min listen
What is the role of decadron in preventing post extubation stridor?: What is the role of giving an adult steroids to prevent stridor or reintubation following extubation. This epidose looks at the data. by ICU Rounds
9 min listen
Acute RenalFailure: Acute renal failure is a dreaded complication in the ICU. This podcast will review the various types of acute renal failure, the etiology, as well as acute management. by ICU Rounds
42 min listen
Weaning (Liberating) from the mechanical ventilator: Don't wean people from their ventilators-- liberate them!! When are people ready to come off the ventilator? What are weaning parameters? How does one do a spontaneous weaning trial? What is the role of noninvasive... by ICU Rounds
26 min listen
HIT: Heparin Induced Thrombocytopenia: Large numbers of patients in ICUs are on heparin and what is this complication of heparin induced thrombocytopenia? by ICU Rounds
20 min listen
Blood Products: Blood products: pRBCs, fresh frozen plasma, platelets, cryoprecipitate when and how should we use it? What are the risks? You may order them like IV fluids but do you really know how these potentially deadly products are to be... by ICU Rounds
38 min listen
Glutamine In Critical Illness: what's all the fuss about?: All surgical residents know that glutamine is the amino acid known as the fuel for the gut. But what is all the fuss about? The episode will look at the data on glutamine. Does glutamine improve outcomes, and if so and in... by ICU Rounds
11 min listen
Renal Replacement Therapy: SCUF, SLED, CVVH, CVVHD, IHD--what does it all mean: Renal replacement therapy (RRT) is rather a confusing topic. What do all those initials mean and why use one therapy over another? This podcast will explain the difference between intermittent and continous. What are the... by ICU Rounds
32 min listen
Bomb and Blast Injuries: Bomb and blast injuries: In the past blast injuries were limited to the battlefield of a rare industrial accident. The events of the past week are a reminder that civilian population centers are targets for bombing attacks. ... by ICU Rounds
32 min listen
Airway Pressure Release Ventilation (APRV) or BiVent: What the heck is this?: Airway pressure release ventilation (APRV) is not a new mode of mechanical ventilation, but it seems to be gaining a great deal of popularity lately. Many people find this mode very complicated and thick that it is reserved only for the very... by ICU Rounds
23 min listen
Thermal Injuries: An introduction of the biology of thermal injuries and the initial care of the patient with thermal injuries in critical condition. by ICU Rounds
40 min listen
Modes of Mechanical Ventilation: A discussion of the various types of ventilators with a focus on the various ventilator modes and types of ventilator cycles. Also presented is the topic of pressure support ventilation (PSV) by ICU Rounds
24 min listen
Lightning Injuries: Lightning injuries are rare, but when you do treat a patient they can have facinating presentations. This lecture follows a patient we treated at Vanderbilt. The patient present to a local ED with stroke like symptoms... by ICU Rounds
11 min listen
Control of hyperglycemia improves outcomes: A great deal is being presented and published on control of blood sugar in the ICU as well as the postoperative period. How much control is enough and what is the data? by ICU Rounds
34 min listen
PAIN: a four letter word: The management of pain is a key element of the care of all patients-- ICU or not. Often providers have little understanding of the concepts and medications of pain management. This episode serves as an introduction. by ICU Rounds
40 min listen
Metabolism: Starvation versus Stress: Not feeding an injured or ill patient is not that same as a normal individual who is fasting. A pound of weight loss in the stress patient is significantly different than a pound of weight loss in someone on a diet. A basic... by ICU Rounds
29 min listen
Early Surgery Improves Outcomes Following Critical Burns: Early surgical excision is likely to be the most significant individual variable to imporve the outcome of a patient (adult or child) with a critical burn. Nevertheless, many nonburn physicians still want to apply to 1970 treatment paradigms to... by ICU Rounds
24 min listen
Crush Syndrome: Earthquakes are horrible natural events causing loss of lives in the thousands. Following earthquakes, building collapses, and cave-ins, large number of victims will suffer from renal failure and death following crush syndrome. by ICU Rounds
19 min listen
Burns: Fluid Creep: Excessive fluid resuscitations lead to horrible complications such as abdominal compartment syndrome. This article takes a critical look and challanges many of our practices in fluid resuscitation of burn patients. by ICU Rounds
22 min listen
Traumatic Shock and Fluid Resuscitation: Fluid resuscitation done poorly can result in significant complications to the patient. This episode will present some of the newer considerations in fluid resuscitation in traumatic shock. by ICU Rounds
42 min listen
Blood Conservation in the ICU: When should a patient receive a transfuse of blood? What is an acceptable hemoglobin concentration in an ICU patient and should we use EPO? Summer is a time when the blood banks often have a single day's worth of blood. Perhaps with... by ICU Rounds
28 min listen
Atrial Fibrillation: Atrial fibrillation is a common problem in ICU patients, but it is a problem with many potential causes, and not always a well defined treatment. by ICU Rounds
39 min listen
Traumatic Rhabdomyolyisis / Crush Syndrome: Crush syndrome is a common cause of death following earth quakes, mine and building collapses. Traumatic rhabdomyolysis may also be seen following electrical injury or severe trauma. (This is a reposting due to some previous technical problems with... by ICU Rounds
27 min listen
Do Steroid Improve Survivial in Sepsis? CORTICUS Trial: The results of the CORTICUS trial are discussed. by ICU Rounds
23 min listen
Oxygenation & PEEP: A discussion of ventilation, oxygenation, and the role of PEEP. by ICU Rounds
26 min listen
Smoke Inhalation Injury: CO and Cyanide Toxicity: The onset of cold weather will bring with it an increase in structure fires. The leading cause of deaths in fires is complications from the inhalation of smoke-- not burns. Learn why smoke is so deadly as well as what are the appropriate... by ICU Rounds
39 min listen
Metabolic Acidosis in the ICU: A common problem in the ill or injured patient is a metabolic acidosis. In this episode we will review the common etiology of a metabolic acidosis as well as some lesser known causes. by ICU Rounds
37 min listen
Pharmacology of Shock: This is a basic introduction of some of the drugs used in various forms of shock. by ICU Rounds
38 min listen

More Episodes from ICU Rounds

Skip carousel

Splitting a Ventilator: Multipatient Ventilation for COVID?: Throughout the pandemic, there has been considerable discussion about the possibility of running our of ventilators. One potential solution that was brought forward was putting multiple patients on a single ventilator. This is a lot harder than merely... by ICU Rounds
16 min listen
Prone Ventilation for ARDS (COVID-19): This week we have a brief conversation about prone mechanical ventilation for ARDS. Does it provide a benefit? When should we use it, and why does it work? I hope this is helpful as prone ventilation has been reported to provide benefit to patients... by ICU Rounds
20 min listen
ARDS and Mechanical Ventilation / COVID-19 Care: Today we discuss the approach to oxygenating and mechanically ventilating a patient suffering from ARDS. We will cover elements relevant and essential in the management of COVID patients and all others with ARDS. by ICU Rounds
33 min listen
ICU Care of Coronavirus (COVID-19): I'm back. I plan on providing you with some useful information when caring for patients infected with COVID-19 (Coronavirus). In this episode, I will provide you an overview of the current evidence and best practices with some explanation and... by ICU Rounds
49 min listen
Colloids: Details and Myths: This episode provide some basic description of colloids as will as some myths. by ICU Rounds
18 min listen
Random Serum Cortisol Levels are misleading: A physiological explanation why random cortisol levels are NOT helpful in evaluating adrenal function by ICU Rounds
17 min listen
EARLY use of Tranexamic Acid may improve survival from bleeding in trauma: In this episode we talk about the results of the CRASH-2 trial published in Lancet. This trial showed that the EARLY use of Tranexamic acid may improve survivial, but delayed use may be associated with an increased mortality. by ICU Rounds
20 min listen
Pediatric IVC diameter determination with ultrasound: If you are using ultrasound to evaluate IVC diamter in children, what is considered a normal IVC diameter? You can determine the IVC/Ao ratio or correct the IVC diamter based on the child's body surface area. by ICU Rounds
16 min listen
Takotsubo Cardiomyopathy: This is a condition that mimics acute coronary syndrome (ACS) that may be caused by acute emotional or physical stress. Patient's may appear to have profound cardiogenic shock, but these patients have a very high survivial rate with little more... by ICU Rounds
13 min listen
Necrotizing Soft Tissue Infection (NTSI): This episode discusses the pathophysiology, presentation, and treatment of NTSI. by ICU Rounds
26 min listen
Different Cardiac Output Monitors & Physiology: This episode will discuss the physiology behind various CO output monitors such as pulmonary artery catheters, PICCO, pulse wave form analysis, and LiDCO. by ICU Rounds
31 min listen
Lactic Acidosis - Type B: Now these are the types of lactic acidosis that most people are not familiar. They can be caused by medications, underlying disease, or inborn errors of metabolism. by ICU Rounds
17 min listen
Lactate Acidosis - Type A: This podcast is a description of how lactate is produced and metabolized. I will discuss the role of lactate in the diagnosis and management of shock. This podcast will focus on Type A lactic acidosis. by ICU Rounds
22 min listen
Endotracheal tube cuff leaks and self-extubations: A brief description on what to consider when confronted with a patient with an air leak from the ET tube or a patient that self-extubates. by ICU Rounds
24 min listen
Pulmonary Embolus: A description of the risk factors, diagnosis, and treatment of PE. by ICU Rounds
33 min listen
Smoke Inhalation Injury: Smoke Inhalation injuries can be deadly. This episode explains why smoke can be so deadly, and how to care for those patients with suspected smoke inhalation injuries. by ICU Rounds
31 min listen
Propofol Related Infusion Syndrome: Propofol Related Infusion Syndrome is a potentially fatal complication of propofol. If you use this common ICU drug you need this information. by ICU Rounds
24 min listen
Wedge: Everyone elses favorite Swan number: Wedge or PAOP is perhaps the most quoted and poorly understood variable generated by a Swan-Ganz. by ICU Rounds
26 min listen
SVO2 My favorite Swan Number: The most helpful number for me on a Swan is the SvO2. This is a brief description of how I use this variable in evaluating critically ill and injured patients. by ICU Rounds
19 min listen
Therapeutic Hypothermia After Cardiac Arrest: Therapeutic hypothermia after cardiac arrest is part of ACLS and is used by several EMS agencies around the US. Despite good data and improved patient outcomes, many providers fail to used this modality. This podcast will focus on a... by ICU Rounds
34 min listen
Pancreatitis - Surgical Indications and Procedures: This is the third in the series on severe pancreatitis and necrotizing pancreatitis. This episode reviews the indications for surgery, morbidity and mortality of surgery, and what are the surgical options. by ICU Rounds
26 min listen
Severe Acute Pancreatitis: Part 2 ICU Considerations: A brief discussion of the considerations of ICU care of the patient with severe pancreatitis, fluid resuscitation, respiratory, renal, and nutrition. by ICU Rounds
18 min listen
Pancreatitis - Part 1: This is an initial presentation of the causes and diagnosis of acute pancreatitis. by ICU Rounds
26 min listen
That peripheral IV can kill you: Suppurative Thrombophlebitis: All the recent emphasis on venous catheter infections has been on central lines. Those peripheral IVs are also dangerous. by ICU Rounds
14 min listen
Acute Colonic Pseudoobstruction (Ogilvie's Syndrome): Acute Colonic Pseudoobstruction (ACPO) is commonly called Ogilvies Syndrome. ACPO presents massive dilation in critically ill patients, and might result in invasive procedures to avoid ischemia or perforation of the colon. by ICU Rounds
32 min listen
Hemoglobin Based Oxygen Carriers (a.k.a. Artificial Blood): A brief summary of what are hemoglobin based oxygen carriers (HBOC) and where are they in development. by ICU Rounds
24 min listen
Catheter-Related Bloodstream Infection: Diagnosis: Discussion of what is the difference between a CVC infection and a catheter-related blood stream infection. They are treated differently so it is important to know the difference. by ICU Rounds
19 min listen
Ventilator Associated Pneumonia: A discussion on nosocomial infections and VAP. by ICU Rounds
34 min listen
Complications of Dwelling Central Lines: What horrible things can happen with central lines once they have been inserted. by ICU Rounds
34 min listen
Central Line Insertion Complications: A discussion of the potential problems encountered while inserting central venous catheters. by ICU Rounds
32 min listen

Related podcast episodes

Skip carousel

EP 115 The One Where We Answer Your Questions: How much protein and fat should you be consuming? Is there a better type of protein to consume? What are biomarkers? How do you treat dry skin? How long does it take to notice a difference when taking a supplement? In this episode we answer questions... by The Doctor Is In Podcast
28 min listen
The Magic of Antibiotics - and a WARNING...! by Call the Vet - an insider's guide to dog and cat health
24 min listen
165: Before You Say No To Antibiotics, Consider This: It’s pretty common to be afraid that antibiotics will wreck your gut microbiome. by The Healthy Skin Show
11 min listen
225: CE: Topical therapy for dermatologic cases by The Vet Blast Podcast
18 min listen
Avoiding Superbug Creation + Long Term Antibiotic Risk | #42 by Call the Vet - an insider's guide to dog and cat health
13 min listen
Episode #156: Bioregulator Basics: If you’ve been wondering what exactly bioregulators are and what differentiates them from the peptides you’re already familiar with, then this episode is for you. Today we’re diving into the world of bioregulator peptides, and... by Biohacking Superhuman Performance
31 min listen
412: Getting the Benefits of Ozone Therapy With Biocharged Scientist Ian Mitchell: I’m here with Dr. Ian Mitchell, an expert in the field of ozone and many other topics. He’s here to tell us what ozone is, how to use it, and why it can sometimes be a controversial therapy. We also dive into the cautions and what you need to avoid if you’re going to try ozone. Dr. Ian also explains a cutting edge product called Biocharged that allows you to ingest ozone orally and get a lot of the same benefits you get from using ozone in the blood. I’ve tried some ozone therapy myself and I can’t wait to learn more about this! Episode Highlights With Dr. Ian Mitchell What ozone is (it doesn’t just have to do with the environment) Antibacterial and antifungal benefits of ozone therapy The pros and cons of ozone delivery systems Why ozone isn’t a therapy to use every day Cautions when using ozone and why it’s controversial Tips to avoid a Herxheimer reaction (excessive die-off) How to use an indirect si by The Wellness Mama Podcast
66 min listen
EP161 The One About Antibiotics, Your Gut, And Probiotics: In this podcast we talk about a recent study showing it can take six months for your good bacteria to grow back after a few days of antibiotics. The same study showed that some strains NEVER come back. We talk about the connection of your gut to every... by The Doctor Is In Podcast
26 min listen
Answered: Fasting, Pain Relief, and Migraine One-Sidedness: This week we bring you an excerpt from our live Clinic Chat Q&A with our members. In this episode, Dr. T answers questions about: When fasting, does drinking coffee or tea break a fast? Will taking pain relief medications for non-migraine... by The Migraine Miracle Moment
17 min listen
Episode #221: The Ultimate Intro to Bioregulator Peptides: If you’ve been wondering what exactly bioregulators are and what differentiates them from the peptides you’re already familiar with, then this episode is for you. Today we’re diving into the world of bioregulator peptides, and covering... by Biohacking Superhuman Performance
29 min listen
Nervous System Healing Has No Boundaries: Trauma Rewired: The Science of Applied Neurology Season 02, Episode 05 The same tools you use to rehabilitate your knee can also be applied to decreasing anxiety. Our bodies are incredibly intelligent machines wired to keep us alive and thriving,... by Trauma Rewired
51 min listen
I Hate Biohacking…Here’s Why: In This Episode, You Will Learn: Why I hate biohacking. Why biohacking works when used properly. The importance of getting your environment and mindset right for healing. How Biohacks work in conjunction with causal treatment. ... by The Doc Jacque Show
49 min listen
How To Stop Aging, Grow Taller, Build Muscles Without Lifting Weights, And Reverse Almost All Disease Using Gene Therapy – Liz Parrish (Ep. 198): Liz Parrish, humanitarian, entrepreneur, innovator, and a leading voice for genetic cures, joins our show in this special episode of the Elite Man Podcast! In today’s episode Liz talks about gene therapy and the remarkable new advances in this... by Elite Life Podcast
76 min listen
215: Probiotic Tips While Taking Antibiotics (from a Nutritionist): Have you had that dreaded diarrhea after you start a round of antibiotics? by The Healthy Skin Show
17 min listen
Antimicrobial Stewardship in Companion Animal Practice: Antimicrobial resistance is said to be one of the greatest challenges currently facing small animal veterinary medicine. How can we become part of the solution rather than part of the problem? In this episode of the podcast I start by providing a... by Veterinary ECC Small Talk
41 min listen
Do You Need to Premedicate? by Ask the Dentist with Dr. Mark Burhenne
10 min listen
Core Beliefs and Resolutions: It’s a common tradition to make resolutions in the New Year, most often relating to our bodies and our habits. New Year’s resolutions usually have an end goal of making us better people, but there’s a reason many people fail to make long-term... by Trauma Rewired
49 min listen
The Hidden Truth About Probiotics For Eczema [S3E6]: Today's guest is Eric Koepp, co-founder of Skinesa, which contains the first probiotic blend to be published in a leading American dermatology journal. The clinical study has successfully demonstrated the effectiveness of the probiotic in supporting... by The Eczema Podcast
76 min listen
The Hidden Truth About Probiotics For Eczema - S4E47 [Rebroadcast]: Today's guest is Eric Koepp, co-founder of Skinesa, which contains the first probiotic blend to be published in a leading American dermatology journal. The clinical study has successfully demonstrated the effectiveness of the probiotic in supporting... by The Eczema Podcast
75 min listen
49: Probiotic Supplements (Part 2) with Anthony Thomas, Ph.D.: Your questions about probiotics are answered! by Eat, Drink, Live Longer
29 min listen
Do BHRT Dosage Amounts Change Overtime? | PYHP 083: Maria’s Question: Hello, I’ve been reading the articles on BHRT, and I have questions. Does the body or will the body develop tolerance to hormones? Whether progesterone, testosterone or estrogens, will I eventually have to increase my dose to get the by Progress Your Health Podcast
1 min listen
Physio Edge 093 Manual therapy - evidence effects and expectations with Prof Chad Cook: Physio Edge 093 Manual therapy - evidence effects and expectations with Prof Chad Cook by Physio Edge podcast
89 min listen
THE CELLULAR CONNECTION TO CHRONIC PAIN WITH DR. BLAKE MYERS: Do you suffer from Chronic Pain? You are not alone! Join Dr. Blake Myers, Naturopathic Physician, as he discusses the root causes of chronic pain and the cellular connection. Some of the profound topics discussed on today's episode: 1. Is inflammation... by The Genetic Genius
75 min listen
How Much And What Types Of Exercise Are Needed To Age Well? by The Doctor's Farmacy with Mark Hyman, M.D.
21 min listen
Should I take antibiotics: If your doctor says you need them, you may want to take their advice. Some antibiotics are worse than others when it comes to destroying the population of gut bacteria. Long term use can make some species extinct. BUT. Sometimes you get sick and it... by Help for Hashimotos podcast
9 min listen
# 32: Insomnia - Part 7 by The Matt Walker Podcast
27 min listen
Is your Somatic Experience missing something?: If you are familiar with trauma therapy, you know that somatic work is currently very popular among practitioners and clients. Somatic work is so powerful in processing and working through trauma that has been stored in the nervous system... by Trauma Rewired
59 min listen
353: Bioenergetic Analysis + Intergenerational Trauma with Dr. Vincentia Schroeter: Welcome back to Therapy Chat! This week, continuing the themes of embodiment and intergenerational trauma, host Laura Reagan, LCSW-C interviews Dr. Vincentia Schroeter about Bioenergetic Analysis. Vincentia gives an overview of what Bioenergetic... by Therapy Chat
47 min listen
Build MUSCLE, Live LONGER and Stay FIT with these Muscle Building TIPS | Gabrielle Lyon: Check out our sponsors: BLUblox: Go to blublox.com/impacttheory for 15% off your order or use discount code ImpactTheory at checkout. Athletic Greens: Go to athleticgreens.com/impact and receive a FREE 1 year supply of Vitamin D AND 5 free... by Impact Theory with Tom Bilyeu
46 min listen
The Difference Between Biohacking vs. Medication: In This Episode, You Will Learn: What is the difference between the average “biohacker” and a medical doctor? Find the root cause of your problem and you will have success for life! It is not biohacking unless you change the diet and... by The Doc Jacque Show
25 min listen

Discover this podcast and so much more

Antibiotic Considerations in the ICU

Antibiotic Considerations in the ICU

Description

Titles in the series (97)

More Episodes from ICU Rounds

Related podcast episodes