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Critical Care Time
39. Beneath the Drape with Drs. Alin Gragossian & Paul Wischmeyer
On this week's episode of Critical Care Time, Cyrus & Nick sit down with Dr. Alin Gragossian - intensivist, patient advocate, acclaimed blogger and heart transplant recipient and Dr. Paul Wischmeyer - a prior guest on CCT who is a world-renowned intensive care nutrition expert, tenured professor and no stranger to prolonged bouts with critical illness and life-threatening disease. These two incredible people share their stories and perspectives as physicians who have spent considerable time both behind the drape and beneath the drape: Being on the receiving end of countless procedures and life-saving interventions. They share with us their thoughts on where we are succeeding as a healthcare team, and where we can strive to improve at the bedside. Join us as we embark on this emotional and thoughtful journey with Alin & Paul. We hope you will listen to their stories and come away with a new appreciation for the patient experience and how privileged we are to care for the patients we care for.
Please be sure to check out Alin's blog www.achangeofthe.art and follow her on Instagram (@a_change_of_heart_blog). Give Paul some follows where he's most active on Instagram (@paulwischmeyermd), X (Paul_Wischmeyer) and LinkedIn (Paul Wischmeyer). As always, listen and let us know what you think, and make sure to leave us a 5-star review on your favorite podcast app!
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64. JC4: End of 2025 Journal Club
01:20:33|This week we drop a journal club extravaganza! Should we do away with the A-Line? Is Bicarb a sure-fire way to treat metabolic acidosis in the setting of AKI? What about selective decontamination and all that capillary refill business!? We tackle all these topics through thoughtful journal discussion, provide our $0.02 and a little witty repartee, of course! Check it out and let us know what you think!
63. Leading in the ICU… and Beyond!
01:12:53|The importance of leadership in the hospital setting is critically important yet often overlooked. It’s even more important to have sound leaders and adhere to well-founded leadership practices when taking care of the critically ill. Join us as we sit down with Dr. Josh Hartzell - internist, infectious disease physician, author, veteran and physician-leader - as we discuss Leading in the ICU and Beyond!As always, please leave us feedback and let us know what you think!
62. Burnout & Moral Injury
01:20:59|For those who work in an ICU - or with any patients for that matter -the concepts of burnout and moral injury are no stranger. In order to mitigate the effects of these forces, it’s important to understand them. Join Nick and Cyrus, as they sit down with an incredible guest, Dr. Venktesh Ramnath, with the hopes of doing just that. On this episode we step away from the pressors and central lines and focus on the contributors to burn out and moral injury in the medical field while developing some strategies to combat them. Listen, watch, learn and let us know what you think!
61. Vents 101
01:40:20|Join Cyrus & Nick as the FINALLY tackle mechanical ventilation. In this episode - first of many we suspect - we lay the foundations for mechanical ventilation. If you stick with us through this one you'll come away with a great introduction to vents to include why we use them, what we adjust, and about a number of the primary vent modes you'll likely seen in your ICU. We've got something for everyone with this episode so please give it a listen and let us know what you think!
Reboot - Hypoxemia Masterclass
01:07:51|Join Nick and Cyrus as they teach a master class on hypoxemia for everyone and anyone who is ICU adjacent! We discuss why oxygen is so crucial, share some very interesting animal physiology and - perhaps most importantly- discuss the 6 causes of hypoxemia you MUST know… and what you can do about them! Take a listen, let us know what you think, and leave us a review!
60. Journal Club: Should We Save The Right IJ?
31:20|This week on Critical Care Time, Nick & Cyrus discuss the recent article in the Journal of Critical Care titled “Impact of initial jugular vein insertion site selection for central venous catheter placement on hemodialysis catheter complications.” Is this bunk or is this practice changing? Did they select the right population for this study or is the question they asked and answered... maybe not such a great question? We'll cover all this and more during this week's episode! Please take a listen, react, reach out & as always - don't forget to leave a review!
59. Airway Controversies with Dr. Jarrod Mosier, MD
01:40:53|Join us this week on Critical Care Time as we take on Airway Controversies with Dr. Jarrod Mosier - course director for The Difficult Airway Course: Critical Care! We talk induction agents, pre-oxygenation and cover so much more in this episode!If you love this - consider attending the upcoming Difficult Airway Course at the Manchester Grand Hyatt in sunny San Diego, California from November 14th to the 16th and use our Discount Code CCTIME25 at checkout and save $250!
58. Cases in Congestion with Dr Ross Prager
32:55|On this mini-sode, Cyrus & Nick are once again joined by Dr. Prager as they follow up on last week's episode with some cases & practical pearls to really hammer home some of the points previously discussed. Here we look at practical uses for the volume assessment tools discussed in our prior show, along with some commentary on when such assessments may or may not be warranted. This is a great, practical, rubber-meets-the-road episode for folks looking for a quick review/refresher. Listen and let us know what you think!
57. Venous Congestion, Volume Tolerance and Bedside Assessments
01:19:58|What is the microcirculation? How are terms like volume-status and fluid-responsiveness misleading? Join us as we sit down with Dr. Ross Prager to unpack and de-mystify the concepts of congestion and volume tolerance along with our survey of the tools of the trade as it relates to these terms. On this Critical Care Time episode we really get into the weeds on this stuff and even get theoretical at some points so it's NOT for the faint of heart! However, if you listen to us for the deep dives into physiology and if you want to level-up your ICU patient care, this is the episode for you! Listen, leave us some feedback and drop us a review!