As I learn, you do too
I hope these are helpful
My name is Jonathan Downham and I am an Advanced Critical Care Practitioner in Warwick, UK.
I have worked in Critical Care for over 20 years now and have learned many things whilst there. This site has some of my teaching resources, podcasts and videos for anyone else to benefit from.
If you want to follow me on Twitter then look for @ccpractitioner. I am very active on there and it is the best way to get in touch with me quickly.
You can find the rest via whichever pod catcher you choose
Paul uses this A-Z checklist for every patient on the ward round. Here he takes us through it to add to our understanding of some of the issues we need to consider when assessing our patients. You can have the list for free as an aide memoir if you let me know your email below.
In this episode Bryan discusses some of the issues with pain, agitation and delirium with the pharmacist Komal Pandya.
We all try to understand how to help our patients and sometimes get it wrong, but lets continue to work hard to improve.
Jakob SM, Ruokonen E, Grounds RM, et al. Dexmedetomidine vs midazolam or propofol for sedation during prolonged mechanical ventilation: two randomized controlled trials. Jama. 2012;307(11):1151-60.
Mehta S, Burry L, Cook D, et al. Daily sedation interruption in mechanically ventilated critically ill patients cared for with a sedation protocol: a randomized controlled trial. Jama. 2012;308(19):1985-92.
Pandharipande PP, Pun BT, Herr DL, et al. Effect of sedation with dexmedetomidine vs lorazepam on acute brain dysfunction in mechanically ventilated patients: the MENDS randomized controlled trial. Jama. 2007;298(22):2644-53.
Riker RR, Shehabi Y, Bokesch PM, et al. Dexmedetomidine vs midazolam for sedation of critically ill patients: a randomized trial. Jama. 2009;301(5):489-99.
Shehabi Y, Howe BD, Bellomo R, et al. Early Sedation with Dexmedetomidine in Critically Ill Patients. The New England journal of medicine. 2019;380(26):2506-17.
Sue Brierley Hobson is a dietitian in Wales and was part of a recent study looking into the efficacy of volume based feeding. We chat about this and the PERFECT protocol.
Safety and efficacy of volume-based feeding in critically ill, mechanically ventilated adults using the 'Protein & Energy Requirements Fed for Every Critically ill patient every Time' (PERFECT) protocol: a before-and-after study.
I am joined in this podcast by one of my colleagues Dr Paul Hughes Webb. We talk about how we define this condition and how we would go about treating it if needed.
I had a fabulous time at the AACN NTI 2019, creating 15 podcasts whilst I was there. This is the last of an exhausting three days and I am joined by others who also use the internet and social media very well in their aim to help those other health care practitioners who want to learn and improve.
Also wanted to acknowledge the support of the British Association of Critical Care Nurses (BACCN) who, through their grants program, helped make this trip possible.
Having read the guidelines I made these infographics. They are FREE. Just click on the button below.