Episode 53: Insights into Modern Critical Care with Dr. Jean-Louis Vincent: Part II

Trauma ICU Rounds

Dr. Dennis Kim

Emergency General Surgery, Critical Care, Foam, Intensive Care, Education, Health & Fitness, Science, Life Sciences, Acute Care Surgery, Trauma Surgery, Medicine, Medical Education

4.8 • 663 Ratings

🗓️ 12 September 2022

⏱️ 34 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this episode, we talk all things critical care the one and only, Dr. Jean-Louis Vincent aka. JLV. This episode is a MUST listen. We touch upon the evolution of early goal directed therapy, measures of fluid responsiveness, optimizing oxygen delivery, and the importance of integrating data points versus examining them in isolation when caring for our critically ill and injured patients. This and MUCH MUCH more in arguably one of my favorite episodes to date!! Timestamps 00:00 I...

Transcript

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0:00.0	From the classroom to the emergency room, O.R. and beyond. You're joining Trauma
0:06.7	ICU rounds with your host, Dr. Dennis Kim. Hey there, friends. Welcome back to season three
0:14.0	of Trauma ICU rounds. We are super excited to be back, and who better to kick off the season
0:19.5	than one Dr. Jean-Louis-Vincente,
0:22.3	aka JLV. In the first episode of this two-part series, Dr. Vincent shared with us the importance
0:29.5	of avoiding eutrogenicity in the ICU and how important it is for us to give our patients
0:35.6	a fast hug daily. In this follow-up episode,
0:39.1	we touch upon the original Rivers trial, more recent large multi-center RCTs of early
0:45.3	goal-directed therapy, therapeutic nihilism, and get JLV's take on controversial hot topics
0:51.9	in the ICU. If you like what you're hearing and we're contributing to your education and care of
0:56.8	patients, please make sure to leave us a five-star rating at Apple iTunes, leave a kind
1:02.3	comment, and if there are certain topics or guest speakers or professors that you want
1:07.1	to hear from, let us know.
1:09.1	You can email us at trauma ICU rounds at gmail.com
1:12.6	or send me a DM on Twitter at trauma ICU rounds
1:16.7	or via TikTok at trauma ICU doc.
1:20.6	Let's jump on in.
1:21.8	Now you brought up some interesting points
1:23.3	when it comes to selecting the right outcome for our studies.
1:30.3	And so often in ICU critical care medicine, mortality seems to be the primary or main outcome measurement. Now, you mentioned swan
1:37.1	Gans catheters. And it's always amazed me. People say, ah, swan gans catheters, they don't
1:42.4	improve mortality. Well, it's a diagnostic test,
	...

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