CCP Podcast 051: ICU Follow Up Clinics

 January 23

by Jonathan Downham

CCP Podcast 051: ICU Follow Up Clinics

This is an episode I recorded with Professor Stephen Brett, outgoing President of the Intensive Care Society at the State of the Art meeting 2016 about the merits of the ICU Follow Up Clinics. During the conference, he had had a pro-con debate with Brian Cuthbertson who is Chief of the Department of Critical Care Medicine at Sunnybrook Health Sciences Centre and Professor in the Interdepartmental Division of Critical Care Medicine at the University of Toronto. I think the outcome of the debate was very inconclusive other than to say that we need more evidence which may have to be collected in a more qualitative way. During this chat I think we arrive at the same conclusions too. Some of the studies in the debate : The PRaCTICaL study of Nurse led, intensive care follow-up programmes for improving long term outcomes from critical Illness. A national survey of intensive care follow-up clinics One year outcomes in caregivers of Critically Ill Patients The Recover Trial Improving outcomes after critical illness: harder than we thought! And below is my video summary of day 2 at the Intensive Care Society State of the Art 2016 which includes a summary of this debate with some of the slides used. https://www.youtube.com/watch?v=e02RbLUNWNY&t=1091s
 Previous Article
Next Article

share this

Related Posts

Decompensated Alcohol Related Liver Disease Part 2

We return to our 48-year-old patient: jaundiced, hypotensive, drowsy, and bleeding. In decompensated cirrhosis, every treatment targets a disrupted system — splanchnic vasodilation, portal hypertension, toxin accumulation, and renal hypoperfusion.Although these patients look fluid overloaded, they are effectively hypovolaemic. Start with small aliquots of balanced crystalloid, avoiding 0.9% saline. In hepatorenal syndrome or tense ascites, 20% albumin is

Read More

Decompensated Alcohol Related Liver Disease

In this episode, I walk through the real-world critical care management of acute decompensated alcohol-related liver disease, using a high-risk ICU case to anchor the discussion. The focus is on understanding the underlying physiology—portal hypertension, rebalanced haemostasis, hepatic encephalopathy, infection, and hepatorenal syndrome—and translating that physiology into clear first-hour priorities at the bedside.  Listeners are

Read More