Surgery ICU Rounds
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The focus audience includes physicians, residents, medical students, nurses, therapists and paramedics. These are topics that arise while on teaching rounds in the Burn ICU at Vanderbilt Medical Center. a broad scope of critical care and prehospital topics are presented as well as journal articles and medical news.
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Item That peripheral IV can kill you: Suppurative Thrombophlebitis(Vanderbilt University. Medical Center, 2010-02-25) Guy, Jeffrey S.All the recent emphasis on venous catheter infections has been on central lines. Those peripheral IVs are also dangerous.Item Discussion on Fluids: The last Cotton lecture(Vanderbilt University. Medical Center, 2009-03-05) Guy, Jeffrey S.; Cotton, Brian, Dr.This is an interview that I did on www.medtalknetwork.com with Dr. Brian Cotton. Dr. Cotton recently left Vanderbilt to take a new position at UT Houston. He is an excellent teacher and his opinions on fluids resuscitation are cutting edge.Item Endotracheal tube cuff leaks and self-extubations(Vanderbilt University. Medical Center, 2011-08-03) Guy, Jeffrey S.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.Item Peak Inspiratory Pressure: Physiological Determinants(Vanderbilt University. Medical Center, 2009-01-19) Guy, Jeffrey S.Peak inspiratory pressure (PIP) the center of a great deal of discussion of ventilator management. Knowing the factors that increase or decrease PIP are important to those managing critically ill patient. This podcast is steeped in physiology and perhaps more difficult than my typical podcasts. PIP= [Tv/ (Compliance Lung & Thorax)] + (Resistance of airway + flow )Item Hemoglobin Based Oxygen Carriers (a.k.a. Artificial Blood)(Vanderbilt University. Medical Center, 2010-01-18) Guy, Jeffrey S.A brief summary of what are hemoglobin based oxygen carriers (HBOC) and where are they in development.Item Different Cardiac Output Monitors & Physiology(Vanderbilt University. Medical Center, 2011-11-26) Guy, Jeffrey S.This episode will discuss the physiology behind various CO output monitors such as pulmonary artery catheters, PICCO, pulse wave form analysis, and LiDCO.Item Acute Colonic Pseudoobstruction (Ogilvie's Syndrome)(Vanderbilt University. Medical Center, 2010-02-15) Guy, Jeffrey S.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.Item Necrotizing Soft Tissue Infection (NTSI)(Vanderbilt University. Medical Center, 2011-12-06) Guy, Jeffrey S.This episode discusses the pathophysiology, presentation, and treatment of NTSI.Item Ventilator Associated Pneumonia(Vanderbilt University. Medical Center, 2009-09-17) Guy, Jeffrey S.A discussion on nosocomial infections and VAP.Item Complications of Dwelling Central Lines(Vanderbilt University. Medical Center, 2009-08-04) Guy, Jeffrey S.What horrible things can happen with central lines once they have been inserted.Item Catheter-Related Bloodstream Infection: Diagnosis(Vanderbilt University. Medical Center, 2009-09-24) Guy, Jeffrey S.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.Item Refeeding Syndrome(Vanderbilt University. Medical Center, 2009-02-21) Guy, Jeffrey S.When and how can providing a starving patient nutrition be potentially deadly.Item IV Fluids (Part 1)(Vanderbilt University. Medical Center, 2009-05-03) Guy, Jeffrey S.An introduction to the basic science in fluids used to treat hypovolemia.Item Caustic Ingestions(Vanderbilt University. Medical Center, 2009-05-13) Guy, Jeffrey S.Ingestion of caustic materials can be fatal and difficult to evaluate. These patients are often referred to our burn center.Item Radiation Injury / Nuclear MCI(Vanderbilt University. Medical Center, 2008-12-12) Guy, Jeffrey S.The US government last week released a report that the threat of a nuclear device used in an act of terrorism is high in the next couple of years. In this episode we discuss the some concepts of the medical care required to those exposed to radiation as well as blast injuries. I hope this is information that none of you will ever need.Item Hypoxia: physiological causes(Vanderbilt University. Medical Center, 2009-02-15) Guy, Jeffrey S.Understanding the root cause of hypoxia will allow for more appropriate treatment.Item Pulmonary Physiology and General Anesthesia(Vanderbilt University. Medical Center, 2009-06-21) Guy, Jeffrey S.This episode discusses the effects and risks of anesthesia on patients with pulmonary disease as well as the effects of anesthesia on pulmonary physiologyItem Wedge: Everyone elses favorite Swan number(Vanderbilt University. Medical Center, 2010-12-12) Guy, Jeffrey S.Wedge or PAOP is perhaps the most quoted and poorly understood variable generated by a Swan-Ganz.Item Lactic Acidosis - Type B(Vanderbilt University. Medical Center, 2011-11-19) Guy, Jeffrey S.The types of lactic acidosis that are not familiar. They can be caused by medications, underlying disease, or inborn errors of metabolism.Item Lactate Acidosis - Type A(Vanderbilt University. Medical Center, 2011-11-12) Guy, Jeffrey S.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.