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Content provided by Dr. Pradip Kamat, Dr. Rahul Damania, Dr. Monica Gray, Dr. Pradip Kamat, Dr. Rahul Damania, and Dr. Monica Gray. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Dr. Pradip Kamat, Dr. Rahul Damania, Dr. Monica Gray, Dr. Pradip Kamat, Dr. Rahul Damania, and Dr. Monica Gray or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.
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Brains & Drains: The EVD survival guide for the PICU

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Manage episode 515683528 series 2873095
Content provided by Dr. Pradip Kamat, Dr. Rahul Damania, Dr. Monica Gray, Dr. Pradip Kamat, Dr. Rahul Damania, and Dr. Monica Gray. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Dr. Pradip Kamat, Dr. Rahul Damania, Dr. Monica Gray, Dr. Pradip Kamat, Dr. Rahul Damania, and Dr. Monica Gray or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

In today’s episode, Dr. Monica Gray and Dr. Pradip Kamat sit down with neurosurgeon Dr. Neal Laxpati, MD, PhD, to chat about intracranial pressure (ICP) monitoring in pediatric critical care. Using real case studies, they dive into how and when to use external ventricular drains (EVDs) and ICP bolts, walking listeners through setup, potential risks, and everyday challenges. The group discusses device complications, ways to prevent infections, how to interpret waveforms, and shares practical bedside tips. It’s a must-listen for intensivists looking for hands-on advice and key insights to help optimize care for kids with brain injuries or hydrocephalus.

Show Highlights:

  • Pediatric critical care unit (PCU) case discussions
  • Intracranial pressure (ICP) monitoring in pediatric patients
  • Case studies involving a 10-year-old girl with diffuse midline glioma and a 16-year-old male with a ruptured arteriovenous malformation (AVM)
  • Cerebrospinal fluid (CSF) physiology and its role in ICP management
  • Types of ICP monitoring devices: external ventricular drains (EVDs) and intraparenchymal monitors
  • Indications and complications associated with ICP monitoring
  • Interpretation of ICP waveforms and their clinical significance
  • Management strategies for elevated ICP and CSF drainage
  • Risks and challenges of ICP monitoring, including infection and device malfunction
  • Importance of interdisciplinary communication and meticulous bedside care in pediatric critical care settings

References:

  • Fuhrman & Zimmerman - Textbook of Pediatric Critical Care Chapter 118. Traumatic brain injury. Kochaneck et al. Page 1375 -1400
  • Rogers textbook:
  • Reference 1: Forsyth RJ, Parslow RC, Tasker RC, Hawley CA, Morris KP; UK Paediatric Traumatic Brain Injury Study Group; Paediatric Intensive Care Society Study Group (PICSSG). Prediction of raised intracranial pressure complicating severe traumatic brain injury in children: implications for trial design. Pediatr Crit Care Med. 2008 Jan;9(1):8-14. doi: 10.1097/01.PCC.0000298759.78616.3A. PMID: 18477907.
  • Reference 2: Appavu B, Burrows BT, Foldes S, Adelson PD. Approaches to Multimodality Monitoring in Pediatric Traumatic Brain Injury. Front Neurol. 2019 Nov 26;10:1261. doi: 10.3389/fneur.2019.01261. PMID: 32038449; PMCID: PMC6988791.

  continue reading

110 episodes

Artwork
iconShare
 
Manage episode 515683528 series 2873095
Content provided by Dr. Pradip Kamat, Dr. Rahul Damania, Dr. Monica Gray, Dr. Pradip Kamat, Dr. Rahul Damania, and Dr. Monica Gray. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Dr. Pradip Kamat, Dr. Rahul Damania, Dr. Monica Gray, Dr. Pradip Kamat, Dr. Rahul Damania, and Dr. Monica Gray or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

In today’s episode, Dr. Monica Gray and Dr. Pradip Kamat sit down with neurosurgeon Dr. Neal Laxpati, MD, PhD, to chat about intracranial pressure (ICP) monitoring in pediatric critical care. Using real case studies, they dive into how and when to use external ventricular drains (EVDs) and ICP bolts, walking listeners through setup, potential risks, and everyday challenges. The group discusses device complications, ways to prevent infections, how to interpret waveforms, and shares practical bedside tips. It’s a must-listen for intensivists looking for hands-on advice and key insights to help optimize care for kids with brain injuries or hydrocephalus.

Show Highlights:

  • Pediatric critical care unit (PCU) case discussions
  • Intracranial pressure (ICP) monitoring in pediatric patients
  • Case studies involving a 10-year-old girl with diffuse midline glioma and a 16-year-old male with a ruptured arteriovenous malformation (AVM)
  • Cerebrospinal fluid (CSF) physiology and its role in ICP management
  • Types of ICP monitoring devices: external ventricular drains (EVDs) and intraparenchymal monitors
  • Indications and complications associated with ICP monitoring
  • Interpretation of ICP waveforms and their clinical significance
  • Management strategies for elevated ICP and CSF drainage
  • Risks and challenges of ICP monitoring, including infection and device malfunction
  • Importance of interdisciplinary communication and meticulous bedside care in pediatric critical care settings

References:

  • Fuhrman & Zimmerman - Textbook of Pediatric Critical Care Chapter 118. Traumatic brain injury. Kochaneck et al. Page 1375 -1400
  • Rogers textbook:
  • Reference 1: Forsyth RJ, Parslow RC, Tasker RC, Hawley CA, Morris KP; UK Paediatric Traumatic Brain Injury Study Group; Paediatric Intensive Care Society Study Group (PICSSG). Prediction of raised intracranial pressure complicating severe traumatic brain injury in children: implications for trial design. Pediatr Crit Care Med. 2008 Jan;9(1):8-14. doi: 10.1097/01.PCC.0000298759.78616.3A. PMID: 18477907.
  • Reference 2: Appavu B, Burrows BT, Foldes S, Adelson PD. Approaches to Multimodality Monitoring in Pediatric Traumatic Brain Injury. Front Neurol. 2019 Nov 26;10:1261. doi: 10.3389/fneur.2019.01261. PMID: 32038449; PMCID: PMC6988791.

  continue reading

110 episodes

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