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.

A brief summary of what are hemoglobin based oxygen carriers (HBOC) and where are they in development.

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.

A discussion on nosocomial infections and VAP.

What horrible things can happen with central lines once they have been inserted.

A discussion of the potential problems encountered while inserting central venous catheters.

This episode discusses the effects and risks of anesthesia on patients with pulmonary disease as well as the effects of anesthesia on pulmonary physiology.

Ingestion of caustic materials can be fatal and difficult to evaluate. These patients are often referred to our burn center.

An introduction to the basic science in fluids used to treat hypovolemia.

This episode is a discussion about how to approach an arterial blood gas result.

Discussion of the technology of the pulse oximeter

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.

When and how can providing a starving patient nutrition be potentially deadly.

Understanding the root cause of hypoxia will allow for more appropriate treatment.

Evaluation and treatment of elevated serum sodium is presented.

Hyponatremia or a low serum sodium is a common electrolyte problem that is dangerous if ignored or treated improperly.

Review of a recent publication from Annals of Surgery

Following the recent crash of the US Airways in the Hudson River, it is an appropriate time to discuss the clinical manifestations and treatment of hypothermia.

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 )

Hyperkalemia is a very common and potentially dangerous electrolyte disorder that commonly occurs in ICU patients.

A brief discussion regarding some of the commonly used values obtained from a pulmonary artery catheter. 

Therapeutic Hypothermia following cardiac arrest has been demonstrated to improve outcomes.  Starting Jan 1, 2009 Ney York City EMS will dorect patients to those hospitals able to delivery such care. 

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.

This episode explores what is needed to make surgery safer for the patient with cardiovascular disease. 

Tight glucose control has been widely introduced into critical care. This meta-analysis, recently published in JAMA, critically evaluates the effects of these trials in reduction of sepsis as well as mortality. The results might surprise you.