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IBCC COVID-19 Update #7

We were actively trying to fill your life with non-covid things… but we just had to talk about these big new things. Come take a listen of aerosol transmission, why Remdesivir just doesn’t work in the real world, why not to make the same mistake with the -mab du jour, and a few other tid

IBCC Episode 105 – Ventilator Associated Pneumonia

In this episode, we cover that daily issue: Is this a VAP? Come take listen to level up beyond leukocytosis, inflammation, consolidation, worsening oxygenation and positive cultures. Viva la Piptazo – Linezolid/Vanco diad.  

IBCC Episode 104 – Hemophagocytic LymphoHistiocytosis (HLH)

In this episode, we cover another great white whale in critical care: Hemophagocytic LymphoHistiocytosis (HLH). When your macrophages turn into paceman and start chomping your own cells, you’re in trouble. Com listen about genetic predisposition to unchecked immune response, and a conversation around immunomodulation.

IBCC Episode 103 – Gastrointestinal hypomotility in critical care

In this episode we cover the big picture view of ileus, gastroparesis and colonic pseudo-obstruction. Come take a listen so summarize these issues you will encounter on the daily.

IBCC Episode 102 – Cerebral Venous Thrombosis

In this episode, we cover the DVT of the Brain… Cerebral Venous Thrombosis. Lace up your shoes, start washing those dishes, do whatever you need to do while we remind you about presentation, workup and most of all, treatment. As 1% of all strokes and the most common cause of stroke in young patients, you’ll

IBCC Episode 101 – Stress Hyperglycemia in the ICU

In this episode we cover the often overlooked topic of glycemic control in the ICU. What blood sugar should we be targeting? Is that hyperglycaemia a stress response? Insulin resistance? Iatrogenic? All of the above. Come listen to our discussion, and Josh’s attempt at clearing up a confused evidence base.

IBCC Episode 100 – Wernicke encephalopathy

We’ve reached a milestone, 100 episodes! In this podcast, we cover ICU level thiamine deficiency, not just your white-whale of Wernicke encephalopathy. Come take a listen for dosing, clinical features and complications.

IBCC Episode 99 – Hypertriglyceridemic Pancreatitis

In this episode, we cover the approach to the   not-so-rare cause of ICU level pancreatitis: hypertriglyceridemia. Come take a listen for nuances around insulin management, and second thoughts around using heparin and plasmapheresis.

IBCC Episode 98 – Antifungal Agents

In this episode we simplify the approach to covering your invasive fungal infections in critically unwell patients.  Yeast vs Mold vs Endemic Mycoses Azoles vs Echinocandins vs Amphotericin

IBCC Episode 97 – Nausea & antiemetics

Its the rare occasion you go one complete day without treating Nausea and vomiting in the ICU. In this episode, we cover the ddx you can’t miss, and the multiple receptors to target in your patients.

IBCC Episode 96 – Analgesia for the critically ill patient

In this episode, we cover the essentials of analgesia for your critically ill patients. Spoiler alert, multimodal approaches are the way to go. If your MAR only has opiates on it, there may be a problem.    Come listen for a new twist on the ladder approach, all things ketamine / precedes and lidocaine… with

IBCC Episode 95 – Inhaled Pulmonary Vasodilators

In this episode we cover the widely use, but poorly supported inhaled pulmonary vasodilators: -Oxygen -Nitroglycerin / Nitric Oxide -Epoprostenol -Milrinone