Dr. Jared Greenberg will be discussing Patient Prognosis and decision-making in critically ill patients.
Interested in joining? RSVP by emailing [email protected] to claim your spot.
Dr. Jared Greenberg will be discussing Patient Prognosis and decision-making in critically ill patients.
Interested in joining? RSVP by emailing [email protected] to claim your spot.
Please complete this short survey and we may be reaching out to you soon!
sccmmidwestchapter.org/survey.php?i...
Please complete this short survey and we may be reaching out to you soon!
sccmmidwestchapter.org/survey.php?i...
Interested in learning from some incredible critical care speakers and meeting others in the field? Join us September 13 in Indianapolis. Registration: sccmmwc.starchapter.com/meet-reg1.ph...
Interested in learning from some incredible critical care speakers and meeting others in the field? Join us September 13 in Indianapolis. Registration: sccmmwc.starchapter.com/meet-reg1.ph...
When: Thursday, July 31 at 6pm CST
RSVP required! Email [email protected] to claim your spot.
When: Thursday, July 31 at 6pm CST
RSVP required! Email [email protected] to claim your spot.
Abstracts are due by August 15 at QR.
@pharmacytodose.bsky.social @sccmcriticalcare.bsky.social
Abstracts are due by August 15 at QR.
@pharmacytodose.bsky.social @sccmcriticalcare.bsky.social
Management Recommendations:
● Due to elevated risk, it is recommended to monitor closely for early identification of sepsis and management of multiple-organ dysfunction like AKI and cardiorespiratory decompensation, conditions that often prolong the length of ICU stay.
Management Recommendations:
● Due to elevated risk, it is recommended to monitor closely for early identification of sepsis and management of multiple-organ dysfunction like AKI and cardiorespiratory decompensation, conditions that often prolong the length of ICU stay.
Pathophysiologic effects related to Sepsis:
● A chronic, low-grade, altered inflammatory state, which triggers a massive inflammatory response to an insult
Pathophysiologic effects related to Sepsis:
● A chronic, low-grade, altered inflammatory state, which triggers a massive inflammatory response to an insult
Management Recommendations:
● Close monitoring is needed for early detection of VTE in obese children and adolescents who have comorbidities and coagulation factor deficiencies.
Management Recommendations:
● Close monitoring is needed for early detection of VTE in obese children and adolescents who have comorbidities and coagulation factor deficiencies.
Pathophysiologic effects related to Venous Thromboembolism:
● High risk for thrombus formation with comorbidities and coagulation factor deficiencies
Pathophysiologic effects related to Venous Thromboembolism:
● High risk for thrombus formation with comorbidities and coagulation factor deficiencies
Pathophysiologic effects on the Renal System:
● AKI
Management Recommendations:
● Early recognition of AKI, prevention of fluid overload, appropriate drug dosing for obesity, and avoidance of nephrotoxic drugs are essential to improve outcomes in obese children with AKI.
Pathophysiologic effects on the Renal System:
● AKI
Management Recommendations:
● Early recognition of AKI, prevention of fluid overload, appropriate drug dosing for obesity, and avoidance of nephrotoxic drugs are essential to improve outcomes in obese children with AKI.
● Abnormal ECG in obese children necessitates further investigation to identify cardiac anomalies, as ECG changes are infrequent in this population.
● Delivering high-quality CPR is a cornerstone to improve outcomes in obese children with cardiac arrest.
● Abnormal ECG in obese children necessitates further investigation to identify cardiac anomalies, as ECG changes are infrequent in this population.
● Delivering high-quality CPR is a cornerstone to improve outcomes in obese children with cardiac arrest.
Management Recommendations:
● Subclinical cardiac dysfunction has been documented in obese adolescents with no hypertension.
● Hypertensive crisis in obese children is most likely from secondary causes.
Management Recommendations:
● Subclinical cardiac dysfunction has been documented in obese adolescents with no hypertension.
● Hypertensive crisis in obese children is most likely from secondary causes.
Pathophysiologic effects on Cardiovascular System:
● Elevated total body volume, plasma volume, cardiac output, and venous return -> causing hyperdynamic circulation + heightened intracardiac filling pressures
● Elevated peripheral resistance and left ventricular afterload
Pathophysiologic effects on Cardiovascular System:
● Elevated total body volume, plasma volume, cardiac output, and venous return -> causing hyperdynamic circulation + heightened intracardiac filling pressures
● Elevated peripheral resistance and left ventricular afterload
● It may be beneficial to extubate on higher PEEP and to administer noninvasive ventilation rather than HFNC after extubation.
● Monitor for postoperative respiratory complications in obese children with OSA
● It may be beneficial to extubate on higher PEEP and to administer noninvasive ventilation rather than HFNC after extubation.
● Monitor for postoperative respiratory complications in obese children with OSA
● Anticipate the need for higher tidal volumes to prevent underventilation and higher PEEP to prevent airway collapse over regular settings.
● Higher PEEP trials to prevent airway collapse may be useful
● Anticipate the need for higher tidal volumes to prevent underventilation and higher PEEP to prevent airway collapse over regular settings.
● Higher PEEP trials to prevent airway collapse may be useful
Management Recommendations:
● CPAP or BiPAP may be preferred support over HFNC.
● Plan for difficult-to-bag mask ventilation (2 persons preferred) and difficult airway.
● Ventilator settings: Calculate tidal volumes based on ideal body weight.
Management Recommendations:
● CPAP or BiPAP may be preferred support over HFNC.
● Plan for difficult-to-bag mask ventilation (2 persons preferred) and difficult airway.
● Ventilator settings: Calculate tidal volumes based on ideal body weight.
Pathophysiologic effects on the Respiratory System:
● Decreased chest wall compliance and pulmonary reserve.
● OSA
Pathophysiologic effects on the Respiratory System:
● Decreased chest wall compliance and pulmonary reserve.
● OSA
Pharmacology Recommendations for sedatives and analgesics:
● It may be better to utilize multiple mini-loading doses to limit adverse effects like respiratory depression.
● Maintenance dosing can be done utilizing lean body weight
Pharmacology Recommendations for sedatives and analgesics:
● It may be better to utilize multiple mini-loading doses to limit adverse effects like respiratory depression.
● Maintenance dosing can be done utilizing lean body weight
Pediatric Obesity in the ICU
Definitions:
CDC - BMI > 95th percentile for age and sex. (Children >2 Y)
WHO - BMI > 97.7th percentile for the sex-specific weight for recumbent length (Children < 2 years)
Epidemiology:
1 in 5 US children and adolescents.
Pediatric Obesity in the ICU
Definitions:
CDC - BMI > 95th percentile for age and sex. (Children >2 Y)
WHO - BMI > 97.7th percentile for the sex-specific weight for recumbent length (Children < 2 years)
Epidemiology:
1 in 5 US children and adolescents.
~Would you like to get free CME?
If you answered YES to the above questions, please join us on July 31 at 6pm CST for a FREE online webinar presented by Dr. Ries.
Email [email protected] to receive the link.
~Would you like to get free CME?
If you answered YES to the above questions, please join us on July 31 at 6pm CST for a FREE online webinar presented by Dr. Ries.
Email [email protected] to receive the link.
We hope everyone enjoys the fireworks, parade, and barbecues. Stay safe and have a lovely weekend 🇺🇸
We hope everyone enjoys the fireworks, parade, and barbecues. Stay safe and have a lovely weekend 🇺🇸
September 13, 2025 in Indianapolis
Not a SCCM-MWC member? Not a problem! Register as a guest - we'd love to have you.
Registration is Open! sccmmidwestchapter.org/meet-reg1.ph...
September 13, 2025 in Indianapolis
Not a SCCM-MWC member? Not a problem! Register as a guest - we'd love to have you.
Registration is Open! sccmmidwestchapter.org/meet-reg1.ph...
Midwest Chapter's 6th Annual Critical Care Conference will be on September 13 in Indianapolis.
Have research that you're looking to publish? Submit your research abstracts no later than August 15 for consideration.
Midwest Chapter's 6th Annual Critical Care Conference will be on September 13 in Indianapolis.
Have research that you're looking to publish? Submit your research abstracts no later than August 15 for consideration.
Prognosis: Remarkable recoveries are possible – Even profoundly hypothermic patients can survive with appropriate rewarming and critical care. Always resuscitate hypothermic cardiac arrest aggressively in the ICU.
Prognosis: Remarkable recoveries are possible – Even profoundly hypothermic patients can survive with appropriate rewarming and critical care. Always resuscitate hypothermic cardiac arrest aggressively in the ICU.