PODCASTS

Swapnil interviews Dr Paul Secombe (Intensivist, Director of Alice Springs Hospital ICU, and Director of ANZICS CORE Adult Patient Database), as he shares his insights on the unique healthcare challenges faced across the rural and remote regions of Central Australia. Amplified by the COVID-19 pandemic, Paul discusses the geographical challenges faced when caring for patients in remote areas, particularly in relation to clinical deterioration and the triggers for patient transfer and/or retrieval. A strong advocate for healthcare equity, Paul describes the current state of Indigenous health outcomes and how data can be used to identify gaps in provision of care and service delivery. Did you know that PROEMS is coming? Find out about the ANZICS CORE patient reported outcomes and experience measures feasibility study.

Join Swapnil as he interviews Dr Liz Crowe, Staff Wellbeing Consultant, Counsellor and Coach at Royal Brisbane Hospital. Liz discusses the downstream effects of COVID-19 on our sense of community in the ICU and the measures we can all take to counteract psychological distress, residual fatigue and burnout. Do you know the ABCs of ICU?

Join Swapnil as he interviews Dr Emma Ridley about best practice for nutritional care of intensive care patients. Emma is the Senior Research Fellow and NHMRC Emerging Leadership Fellow (2020-2025) at Monash University, and a Clinical Dietitian in the Intensive Care Unit at the Alfred Hospital. She is responsible for the strategic development and leadership of the Critical Care Nutrition Program at the Australian and New Zealand Intensive Care Research Centre, and has research interests in understanding energy requirements across the whole hospitalisation period, the clinical application of indirect calorimetry, and the effect of optimal nutrition delivery on short and long-term outcomes in ICU patients.

Join Swapnil as he chats to Andrew Davies, an Intensivist at Frankston Hospital and an Associate Professor at Monash University, with interests in clinician wellbeing and humanisation of beside care.  Andrew produces and hosts the ‘Mastering Intensive Care’ podcast to promote story-telling on topics including clinical leadership, bedside communication and clinician wellbeing.

Join Dr Swapnil Pawar as he interviews Dr Penny Stewart (Director, Alice Springs Intensive Care Unit) as she shares her insights about the development of Intensive Care services in rural and remote areas. Shining the spotlight on Indigenous health outcomes, Penny discusses some of the challenges faced by socially disadvantaged communities.

Dr Swapnil Pawar interviews Associate Professor Winston Cheung (Senior Staff Specialist, Concord Repatriation General Hospital ICU; Clinical Associate Professor, University of Sydney, School of Medicine; Honorary Senior Research Fellow, The George Institute for Global Health, and Fellow of the College of Intensive Care Medicine and the Royal Australasian College of Physicians), as he discusses the challenges of current and future workforce issues faced by ICUs across Australia and New Zealand. Winston is a proponent of evidence-based health policy, with his main research interests being the evaluation of health systems and health policy in relation to the provision of critical care services. He recently chaired the taskforce charged with writing the ANZICS Minimum Workforce Standards document.

Dr Swapnil Pawar interviews Professor Dianne Stephens OAM (Intensivist, Royal Darwin Hospital; Medical Director of the National Critical Care and Trauma Response Centre; Foundation Dean, CDU Menzies School of Medicine), as she takes us back to 1998 to share her unique experience in being the first ICU Specialist in the Northern Territory, and subsequent Director of Royal Darwin Hospital Intensive Care Unit for 16 years. Dianne shares her insights on matters of importance to Intensive Care Medicine including: Indigenous health and education, disaster preparedness, response capability and aeromedical retrieval. Throughout the COVID-19 pandemic, Dianne held NT Health leadership roles and now leads the academic and research partnerships portfolio for the NCCTRC, including the development of postgraduate courses in aeromedical retrieval and health emergency preparedness and response at Charles Darwin University.

Swapnil Pawar talks with Professor Luregn Schlapbach - Professor and Head of the Paediatric and Neonatal Intensive Care Unit at the University Children`s Hospital Zurich, Switzerland; Researcher at the Child Health Research Centre, University of Queensland; Co-Chair of the International Paediatric Sepsis Definition Taskforce; and member of the Global Sepsis Alliance Executive and the ANZICS Paediatric Study Group. Professor Schlapbach shares his insights on the current challenges facing PICU environments, the impact of patients admitted with chronic disease and complex medical conditions, and latest evidence to inform best practice for paediatric sepsis management. He also discusses the latest research informing treatment therapies for children admitted to PICU with COVID-19, as well as his latest study on linking ANZPIC Registry data to school outcome data.

Dr Swapnil Pawar talks with Professor P.J. Vlaar (Professor of Intensive Care Medicine, Amsterdam UMC) about evidence-based research to inform guidelines for transfusion thresholds and use of artificial intelligence and predictive algorithms in the ICU.

Dr Swapnil Pawar meets Professor Simon Finfer (Professional Fellow, Critical Care and Trauma Division, The George Institute for Global Health; Chair of Critical Care Medicine, Faculty of Medicine, The Imperial College of London; Senior Staff Specialist, Royal North Shore Hospital ICU, Sydney) as he shares his extensive expertise on the challenges faced when conducting large scale randomised controlled trials and the key learnings for embedding research into clinical practice in the post pandemic climate.

Join Dr Swapnil Pawar as he kicks off the 2022 podcast series with special guest Professor Jason Roberts. A Clinical Pharmacist at the Royal Brisbane and Women’s Hospital, Professor Roberts is a Practitioner Fellow at the Australian National Health and Medical Research Council and Interim Director of the Herston Infectious Diseases Institute (HeIDI). In his role as Director of the Centre of Research Excellence (REDUCE), Professor Roberts leads a team that aims to develop optimised antibiotic dosing regimens to improve patient outcomes and minimise the emergence of anti-biotic-resistant superbugs. Find out more about the latest pharmacokinetic research as it relates to the intensive care patient population.

For the last podcast of 2021, Dr Swapnil Pawar talks with Dr Julie Highfield (Consultant Clinical Psychologist for Adult and Paediatric Critical Care, and the National Project Director for Wellbeing for the Intensive Care Society, UK) about her work involving wellbeing in the intensive care unit. Julie discusses the recognition of early signs of delirium, ways to curb its negative effects, and strategies clinicians can undertake to enhance a sense of safety for their patients. She also explores the subject of staff burnout, unit culture and psychological safety.

Dr Swapnil Pawar talks with Dr Hayley Gershengorn (Assoc Professor, Division of Pulmonary, Critical Care, and Sleep Medicine; University of Miami, Miller School of Medicine) about her research program which shines the spotlight on the allocation of ICU resources and the impact on the outcomes of critically ill patients. In particular, in how ICU staffing and practices affect patient morbidity and mortality.

Dr Swapnil Pawar talks with Professor John Myburgh (Professor of Intensive Care Medicine, the UNSW; Director for the Division of Critical Care at the George Institute of Global Health; and Senior Intensive Care Physician at St George Hospital ICU, Sydney) about his thoughts on ‘the fluid story’ and the impact landmark research has on clinical practice in intensive care.

In this edition, Dr Hallie Prescott (Assistant Professor in Pulmonary & Critical Care Medicine, University of Michigan and Staff Physician at the Ann Arbor Veterans Affairs Hospital) talks about her experience during the COVID-19 Pandemic and the challenges she has faced as a female researcher. Hallie shares her insights in Sepsis research and discusses healthcare utilisation, antibiotic sequencing and quality of sepsis care. 

In this edition, Dr Swapnil Pawar talks Dr Paul Young from Wellington about his research on temperature management, oxygen therapy, fluid therapy and trial designs in ICU.

In this edition, Dr Swapnil Pawar talks with Dr Tomoko Fujii from Tokyo about her journey as a researcher and shares her insights from the VITAMIN trial. Dr Fujii encourages young female intensivists to find the right mentor and advises that what you write in your research paper is more important than your race, gender and affiliation.

In this edition, Dr Swapnil Pawar talks A/Prof Julian Elliott about the processes involved in forming the world's first Living guidelines for COVID-19. A/Prof Elliott discusses the challenges faced by National COVID-19 Clinical Task Force and how they were overcome. He explains the thought process behind some of the controversial recommendations and outlines the future of these living guidelines.

In this edition, Dr Swapnil Pawar talks with Professor Steve Webb from Perth sharing his experiences on REMAP-CAP journey and talks about the importance of this evidence in COVID-19. 

COVID-19 pandemic has posed various challenges to the intensive care community. In this edition, Dr Swapnil Pawar talks with A/Prof Michael O’Leary, NSW Organ donation state co-ordinator about the nuances involved in running organ donation programme during and after COVID-19 pandemic.

In this edition, Dr Swapnil Pawar talks with Professor Dale Needham from John Hopkins hospital shares his insights into ICU rehab experiences during COVID-19 pandemic. He talks about the challenges associated with prolonged ICU length of stay and advises on how to optimise the recovery of COVID-19 patients.

In this edition, Dr Swapnil Pawar talks with Professor Maurizio Cecconi about the Italian experiences of the COVID-19 pandemic and outlines the challenges specific to intensive care in the post-pandemic phase. Professor Cecconi discusses various issues including prolonged ICU length of stay, slow weaning, and the impact of the pandemic on staff well-being.

In this edition, Dr Swapnil Pawar talks with A/Professor George Skowronski discussing the various ethical dilemmas that ICU clinicians might face during the second wave and outline how we should deal with those dilemmas. COVID-19 pandemic has posed significant ethical challenges to an intensive care community. Although we managed to contain the spread with social distancing, the second wave of the pandemic is still on the radar.

In this edition, Dr Swapnil Pawar talks with Professor John Marini about the new terminology CARDS and explains how the concept of power and energy can be utilised to optimise mechanical ventilation in COVID-19.

In this edition, Dr Swapnil Pawar talks in-depth with Prof Luciano Gattinoni  about the pathophysiology of the disease and how we should ventilate these patients. His key messages are monitor closely, identify the right phenotype, be patient and do not apply blanket protocols for mechanical ventilation. COVID -19 has a very unique pattern and it has challenged the dogmatic approach of mechanical ventilation described for ARDS patients.

In this edition, Dr Swapnil Pawar talks with Professor Steve McGloughlin, the chair of ANZICS COVID guidelines group talks about the process of guideline development, different recommendations in comparison with other guidelines and the approach to deal with ethical dilemmas.

In this edition, Dr Swapnil Pawar talks with A/Prof Craig French, Director of ICU at Western Health and past Chair of ANZICS CTG discussing the challenges of COVID-19

In this edition, Dr Swapnil Pawar speaks with Professor Geert Meyfroidt. Professor Meyfroidt is clinically active as Senior Consultant at the Department of Intensive Care Medicine of the University Hospitals Leuven, and has an academic appointment as Associate Professor of Medicine at the University of Leuven (KU Leuven), Belgium. Professor Meyfroidt graduated as a MD in 1996, has a board certification in anesthesiology (2001) and intensive care medicine (2004).
In 2010, Professor Meyfroidt finished his PhD, entitled, “Computerized data management in the intensive care unit: predictive modeling, time series analysis, and opportunities for support of care”. He is funded by the Flemish Government (Research Foundation – Flanders (FWO)), as Senior Clinical Researcher (2012-2017: 1843113N and 2017-2022: 1843118N) and has project funding from the KU Leuven (KU Leuven C2 project (C24/17/072): A Neuromonitor for the 21st century). Current research projects include: data mining and predictive modeling in neuro-intensive care and acute kidney injury; cerebrovascular autoregulation; brain injury and ketamine. Professor Meyfroidt is promotor and co-promotor of 5 PhD students, has authored and co-authored more than 85 medical journal articles, and is a regular speaker at national and international conferences.
As of 2019, he serves as Associate Editor in the editorial board of Intensive Care Medicine. Professor Meyfroidt was country representative for Belgium at the European Society of Intensive Care Medicine (ESICM)(2012-2015), and was recently elected as the next Neuro-Intensive Care section chair of ESICM. In 2019, he became president of the Belgian Society of Intensive Care Medicine (SIZ). He received the Established Investigator Award from ESICM (20K €) in 2016.

In this edition, Dr Swapnil Pawar speaks with Prof Michael Pinsky, Professor of Critical Care Medicine (primary), Bioengineering, Cardiovascular Diseases, Clinical & Translational Science, and Anesthesiology at the University of Pittsburgh. Dr. Pinsky is also Docteur Honoris Casusa at the Universite Rene Descartes Paris V, School of Medicine in Paris, France. He is also currently an Emeritus (Honorary) Attending at Presbyterian and Magee Hospitals UPMC as well as a faculty member of the Center for Critical Care Nephrology at Pitt.
Dr. Pinsky received his MD from McGill University in Montreal, Quebec, Canada. He completed his post-graduate internal medicine residency training and pulmonary fellowship training at Stanford University, Stanford, California; Orlando Regional Medical Center, Orlando, Florida; and advanced physiological training at Johns Hopkins Medical Institutes, Baltimore, Maryland.
Currently, Dr. Pinsky serves as the Principal Investigator of two R01 “Using biological time series analysis to identify cardiorespiratory insufficiency” in ICU patients (MLADI) and during emergency air transport (ADMIT), and Co-Principal Investigator of another R01 on “Predicting patient instability noninvasively for nursing care (PPINNC)” and scientific PI on a DoD contract “Trauma Care in A Rucksack” (TRACIR). He is also a Co-I on a related R01 on assessing instability in patients during surgery (MLORD). Dr. Pinsky has been the Director of the Cardiopulmonary Research Laboratory for the past 38 years. Dr. Pinsky was the program director for an NIH National Research Service Award entitled “Experimental Therapeutics in Critical Illness” until last month, a program he directed for the last 20 years. He was part of the inaugural group to receive Masters of Critical Care Medicine (MCCM) from the SCCM, part of the first North Americans to receive “Honorary membership” in ESICM, and is a Fellow of the American Physiological Society and the American College of Chest Physicians.
Dr. Pinsky has edited 27 Medical Textbooks, authored >380 peer-reviewed publications, >250 chapter and supported >400 abstract presentations. Dr. Pinsky is the Editor-in-Chief of MedScape’s Critical Care Medicine section. He is also on the editorial boards of the Critical Care, Journal of Critical Care, Current Opinion in Critical Care, the International Journal of Critical Care, the Annals of Critical Care, and Intensive Care Medicine. He is an ad hoc reviewer for NHLBI K and R awards annually and provides journal referring for numerous publications.

In this edition, Dr Swapnil Pawar speaks with Professor David Krishna Menon, Professor and Head of the Division of Anaesthesia, and Professorial Fellow in Medicine at Queens’ College, Cambridge.
Prof Menon is the Principal Investigator at the Wolfson Brain Imaging Centre and at the John van Geest Centre for Brain Repair in Cambridge, and Co-Chairs the Acute Brain Injury Program at the University of Cambridge. He is Chair of the European Brain Injury Consortium and serves on the Executive of the International Neuro Trauma Society. Prof Menon currently acts as Vice-Coordinator of the CENTER-TBI project, a €30 million FP7 European multicentre study of precision medicine and comparative effectiveness research in traumatic brain injury, and as Joint Director of the Cambridge NIHR Global Health Research Group on Neurotrauma. With over three hundred publications in peer-reviewed journals, with a ‘h’ index of over 60, has contributed to major textbooks, and is one of two lead authors on a Commissioned Issue of the Lancet Neurology on Traumatic Brain Injury which was released at the European Parliament on the 7th of November 2017, and which has been used as a basis for briefing UK MPs in the All Party Parliamentary Group on Acquired Brain Injury.
In this podcast, Prof Menon dives deeper into his research and talks about the need for change in the current approach of treating Traumatic Brain Injury patients.

In this edition, Dr Swapnil Pawar speaks with Professor Jean-Louis Vincent, a Professor of Intensive Care Medicine, Université Libre de Bruxelles, and Intensivist in the Department of Intensive Care at Erasme University Hospital, Brussels, Belgium.
Professor Vincent obtained his medical degree from the Université Libre de Bruxelles (Belgium) and completed specialty training in internal medicine and intensive care medicine, including 2 years at the University of Southern California, before obtaining his PhD degree in cardiovascular physiology. He is currently Professor of intensive care medicine at the Université Libre de Bruxelles and intensivist in the Department of Intensive Care at Erasme University Hospital in Brussels – he was Head of the Department from 1996-2014. He is a Past-President of the World Federation of Societies of Intensive and Critical Care Medicine (WFSICCM), the European Society of Intensive Care Medicine (ESICM), the European Shock Society (ESS), the Belgian Society of Intensive Care Medicine (SIZ), and the International Sepsis Forum (ISF). He is a member of the Belgian Royal Academy of Medicine and was made a Baron by the King of Belgium in 2013.
Professor Vincent has signed over 1000 peer-reviewed articles, 400 book chapters and 1000 abstracts. He has edited more than 100 books, including the “Textbook of Critical Care” (Elsevier Saunders, 5th Edition) and the “Encyclopedia of Intensive Care Medicine” (Springer).He is the editor-in-chief of Critical Care, Current Opinion in Critical Care, and ICU Management & Practice and member of the editorial boards of about 30 other journals, including Critical Care Medicine (senior editor), American Journal of Respiratory and Critical Care Medicine (AJRCCM), “PLoS Medicine”, “Lancet Respiratory Medicine”, “Intensive Care Medicine”, “Shock” “Journal of Critical Care” and “The Annals of Intensive Care”.
Prof. Vincent has received several awards including the College Medalist Award of the American College of Chest Physicians, the Society Medal (lifetime award) of the European Society of Intensive Care Medicine, the Distinguished Investigator Award, the Lifetime Achievement Award of the Society of Critical Care Medicine, and the prestigious Belgian scientific award of the FRS-FNRS (Prix Scientifique Joseph Maisin-Sciences biomédicales cliniques), he was awarded the title of Baron by the King of Belgium. His name appears more than 1200 times in Pubmed, and his work has been cited more than 170,000 times; his H-index is 169.

In this edition, Dr Swapnil Pawar speaks with Dr Andrew Conway- Morris, an academic intensivist with interest in immune dysfunction in critical illness and nosocomial infection.
Dr Conway- Morris is Senior Research Associate, Wellcome Clinical Research Career Development Fellow at Cambridge University and works as an honorary Intensive care consultant at Cambridge University Hospitals. He is currently Deputy Chair of Infection Section at European Society of Intensive Care Medicine – ESICM. Dr Conway- Morris’s current projects include human trials of treatments for immune dysfunction, developing clinically relevant markers of immune dysfunction and rapid diagnostics in nosocomial infection. 
In this podcast, Dr Conway- Morris talks about the role of immune function in sepsis and shares his insights into CARS (compensatory anti-inflammatory response syndrome). Also, he urges to consider antibiotics as Antimicrobial Chemotherapy and warns against their overzealous use in intensive care.

In this edition, Dr Swapnil Pawar speaks with Professor Derek Angus about current challenges in Intensive Care, his research interests and advise for younger intensivists to be Intensive but not Invasive.
Professor Angus is a distinguished Professor and Mitchell P. Fink Chair of Critical Care Medicine at the University of Pittsburgh School of Medicine. He is also the Physician Director of the UPMC ICU Service Center, responsible for critical care services across the 40-plus hospital system. Professor Angus’ research interests include translational, clinical and health services research in the fields of sepsis, pneumonia, and multisystem organ failure, as well as optimal critical care delivery. He has a particular interest in novel trial designs for precision medicine and the learning health system. Professor Angus has led several large NIH-funded multicenter studies, published several hundred papers, and received numerous awards for his work. Professor Angus is also the critical care editor for JAMA.

In this edition, Dr Swapnil Pawar speaks with Professor Tim Walsh, a Professor of Critical Care and Leads for the Edinburgh Critical Care Research Group. His main interests are pragmatic clinical trials, epidemiology, and quality improvement research. He currently leads three major research programmes in the areas of blood and blood product transfusion, recovery following critical illness, and sedation management in the ICU.
Professor Walsh has key strategic roles with the National Institute of Healthcare Research (Chair of UK Critical Care Specialty Group), Chief Scientists Office (Critical Care Specialty Group lead and member of the Research Strategy Oversight Group), and through national professional societies (Chairman, Scottish Critical Care Trials Group; Member of UK Intensive Care Society Research Committee). He is a strong believer in collaborative national and international research and the importance of research networks.
His vision is to lead a world-class multidisciplinary group undertaking bench to bedside research, always keeping patient-centred outcomes as the central focus of the group’s activities.

Dr Anthony Holley interviews Dr Gareth Davies at the 2017 ANZICS/ACCCN ASM on the Gold Coast. Gareth has a specialist interest in the prehospital phase of injury, traumatic and medical cardiac arrest, mechanism of injury, and major incident management. He has published in over 50 peer reviewed journals. The service has a reputation for strong clinical governance and has introduced many innovative techniques and processes such as prehospital thoracotomy and REBOA. Gareth has a specific interest in impact brain apnoea and its role in major trauma survival. He has been the lead consultant at many of London’s major incidents, including the Paddington Rail Disaster and the 7th of July 2005 Bombings.

Anthony Holley interviews Prof. Rinaldo Bellow for 'Intensive Talk' - The inaugural and official podcast series ANZICS Meet The Experts. Discussing renal replacement therapy in critical care.