Hyperoxia in critically ill - what will ICURox tell us?

In this, the 8th podcast from the 20th annual ANZICS-CTG meeting in Noosa, Diane Mackle joins me to chat about the impacts of hyperoxia in the ICU critically ill patients, and the ICU-ROX trial

Check out the podcast here

Podcast : Temperature control in traumatic brain injury

The issue of temperature control in traumatic brain injury has vexed Intensivists, Emergency Physicians and Neurosurgeons for decades.

In this fabulous podcast from the 20th annual ANZICS CTG meeting from Noosa, I chat to Dr Manoj Saxena about this important topic.

Listen here

Following the interview, Manoj mentioned his involvement with the 7th International Hypothermia and Temperature Management Symposium (IHTMS).

The symposium has been a recurring meeting since 2004, is held every 2 years, and organized scientific experts in the field of targeted temperature management.

The ANZICS CTG Meeting will take place on the Monday 27th and Tuesday 28th August at the same venue, and this meeting starts on the afternoon of the 28th until Thursday the 30th – it will be a fantastic week all health care workers interested in research, education and the application of evidence to everyday critical care.

The 7th IHTMS will include 25 International adult and paediatric investigators who will present plenary lectures and landmark clinical trials with editorial comment and panel discussions e.g. Peter Andrews, Seetha Shankaran, Alistair Gunn, Niklas Nielsen, Gisela Lilja, Frederique Schortgen, Morten Bestle, Hans Kirkegaarde, Michael Conterato

Themed sessions will include multi modal neurological monitoring and ECMO-CPR.

Panel discussions will focus on a practical message that delegates can apply in their everyday practice and include patients/relatives, academic members of the multidisciplinary team and clinical trialists.

You can find out more information at the following links

Conference website : http://www.ihtms.org/
Conference program : http://www.ihtms.org/index.php/program/

Podcast : Does your ICU patient need a top-up?

Emma Ridley is the Manager of the ICU Nutrition Program at the Monash University ANZICS Research Centre.  In this fabulous podcast from the 2018 ANZICS CTG meeting in Noosa, Emma discusses the hot topic of top up parenteral nutrition in ICU patients.

Check it out here

Has PHARLAP run its race? Where to now for open lung ventilation strategies in ARDS?

While high PEEP, low tidal volume, pressure limited ventilation is well established in the management of ARDS patients, a range of open lung strategies are variably used and of unproven value.

The ANZICS CTG endorsed PHARLAP trial set out to explore a protocolised set of these interventions.

Sadly PHARLAP has run into a hurdle.

So has it run its race?  Or is there still more to the open lung story?

Primary investigator for the PHARLAP trial, Carol Hodgson of the ANZICS Research Centre, joined me to chat about PHARLAP at the 2018 ANZICS Clinical Trials Group meeting in Noosa

Listen to the podcast here

ARISE-fluids - vasoconstrictors to reduce fluid administration in early sepsis

When should we give fluids in sepsis?  How much?

These questions have troubled emergency physicians, intensivists and anaesthetists for decades.  Given how common the condition is, it is surprising that there is such a paucity of quality evidence to guide practice.

Dr Stephen McDonald is an emergency physician from Perth, Australia, and is heading up the ARISE-Fluids trial that will explore the question of whether earlier vasoconstrictor support and restriction of fluids in the early resuscitation period improves outcomes.


This interview was recorded at the 20th annual meeting of the ANZICS Clinical Trials Group in Noosa, Queensland

Podcast : Rebecca Hahn - Sleep management practices in the ICU

“To die, to sleep – to sleep, perchance to dream – ay, there’s the rub, for in this sleep of death what dreams may come…” (Hamlet)

Shakespeare may not have been talking about the tumult of the ICU survivor, but you could be forgiven for thinking so.

Sleep deprivation is familiar to us all.  It's clear that our patients experience it frequently, and it is not hard to believe that it affects them greatly, both acutely in the ICU, and following discharge.

So what are we doing about it?

Rebecca Hahn is exploring the attitudes and behaviours of fellow ICU nurses with respect to sleep practices, to inform a wider research interest.  She joined me on the podcast at the 20th Annual ANZICS CTG meeting in Noosa Heads, Queensland.

And you have to wonder what it might show.  The recently released ADRENAL study spent nearly 10 years and $5M Australian on exploring the role of steroids in sepsis, and found that at best, they reduce ventilation times and ICU length-of-stay

Could a pair of noise cancelling earphones do the same?

Listen to Rebecca's podcast here

Podcast : Andrew Udy - continuous brain tissue oxygen monitoring in TBI

Dum da da dum da da dum da da dum BONANZA

I can't get the theme song out of my head.

Andrew Udy from The Alfred Hospital joins me on the podcast at the 20th Annual ANZICS Clinical Trials Group meeting in Noosa to talk about the upcoming BONANZA trial.

BONANZA will look at the impacts of a relatively new monitoring modality, continuous brain tissue oxygenation monitoring

Check out the podcast here