『SoCCC Pre-Rounds: Bite-Sized Critical Care Cardiology Topics Delivered By Experts』のカバーアート

SoCCC Pre-Rounds: Bite-Sized Critical Care Cardiology Topics Delivered By Experts

SoCCC Pre-Rounds: Bite-Sized Critical Care Cardiology Topics Delivered By Experts

著者： Dr. Balim Senman Dr. Elliott Miller Dr. Simon Parlow Dr. Anthony Carnicelli
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概要
 SoCCC Pre-Rounds is your go-to for quick, high-yield insights in critical care cardiology, hosted by members of the Society of Critical Care Cardiology (SoCCC). With only 160 specialists in the U.S., mentorship is rare. This podcast bridges the gap with bite-sized episodes featuring clinical pearls, expert tips, and real-world answers on topics like cardiogenic shock, ECMO, and resuscitation. Perfect for pre-rounds, night shifts, or leveling up anytime. Listen in. Level up. Join the SoCCC community.Dr. Balim Senman, Dr. Elliott Miller, Dr. Simon Parlow, Dr. Anthony Carnicelli 衛生・健康的な生活 身体的病い・疾患
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  • Adults With Congenital Heart Disease in the Contemporary CICU with Dr. Christopher Valle

    Adults With Congenital Heart Disease in the Contemporary CICU with Dr. Christopher Valle
    2026/11/06
    Adults with congenital heart disease are no longer a niche population in the cardiac ICU. They are growing in number, in complexity, and in age, and many cardiac intensivists never received formal congenital training. How do you quickly make sense of such a heterogeneous group when one of these patients arrives in your unit?In this episode of SoCCC Pre-Rounds, host Dr. Anthony Carnicelli is joined by Dr. Christopher Valle for the first of a two-part series on adult congenital heart disease (ACHD) in the contemporary CICU. Together they review the epidemiology of ACHD in critical care, including who is being admitted and why.Dr. Valle then shares a four-question bedside framework for placing any ACHD patient into a physiologic bucket within minutes: Is the patient cyanotic? One ventricle or two? Which ventricle is systemic? And where does the disease live? He also highlights three of the highest-risk, least intuitive circulations for non-congenital clinicians: Eisenmenger syndrome, Fontan circulation, and systemic right ventricle. The conversation closes with practical guidance on when to involve ACHD specialists, advanced heart failure, and electrophysiology colleagues.Whether you’re admitting your first ACHD patient or looking to sharpen your approach, this episode offers a simple, physiology-first framework for a complex and growing population.Key TakeawaysACHD is no longer a niche population: about 2% of adult CICU patients have it, rising to roughly 1 in 5 among patients under 40.Physiology, not the eponym, should guide bedside decisions.Four questions phenotype most patients quickly: cyanotic or not, one ventricle or two, which ventricle is systemic, and where the disease lives.Protect SVR in Eisenmenger, avoid positive pressure pitfalls in Fontan, and keep patients with vulnerable physiologies in sinus rhythm.Call your ACHD specialist earlier and more often than you think you need to.In This Episode[00:00] Introduction[02:05] The landscape of ACHD in critical care: prevalence, outcomes, and reasons for admission[05:04] Phenotyping the ACHD patient with four bedside questions[09:23] Eisenmenger syndrome: physiology and management priorities[11:13] Fontan circulation and cardiopulmonary interaction[12:12] Systemic right ventricle: arrhythmia risk and MCS limitations[13:03] When to call your ACHD colleagues: “call early, call often”[15:03] Involving heart failure and EP: MCS, transplant, and rhythm management[17:31] Final thoughts and closing remarksNotable Quotes[05:53] “It’s the physiology, not the eponym, that dictates what you’re gonna do at the bedside.” — Dr. Christopher Valle[08:41] “It’s just four simple questions: cyanotic or not, one ventricle or two, which ventricle’s systemic, and where the disease lives.” — Dr. Christopher Valle[12:54] “You’re in low evidence territory, which is a reason to get help early.” — Dr. Christopher Valle[14:45] “I don’t think you’re ever gonna annoy an ACHD center or provider by calling at hour one.” — Dr. Christopher ValleResources and LinksBecome a member of the Community: https://www.soccc.org/subscribeDr. Christopher ValleLinkedIn - https://www.linkedin.com/in/christopher-valle-126947247/Dr. Anthony Carnicelli https://www.getcare.muschealth.org/providers/anthony-carnicelli-1376956714https://www.linkedin.com/in/anthony-carnicelli-926a0b88Supported By:This episode is made possible by unrestricted support from Zoll LifeVest — thanks for keeping high-impact education free for our community.DisclaimerThis podcast is not medical advice, just candid, practical discussions about what your hosts do every day in the CICU. Always consult your supervising team and current guidelines before applying any interventions.
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    19 分
  • Cardiogenic Shock in Pregnancy: A Practical CICU Approach with Dr. Ricky Hansra

    Cardiogenic Shock in Pregnancy: A Practical CICU Approach with Dr. Ricky Hansra
    2026/10/02

    Managing cardiogenic shock is challenging in any patient. Add pregnancy to the equation, and even experienced cardiac intensivists must navigate a unique set of physiologic, clinical, and ethical challenges.


    In this episode of SoCCC Pre-Rounds, host Dr. Elliott Miller sits down with Dr. Ricky Hansra, co-director of the Cardiac Intensive Care Unit at Vanderbilt and an expert in cardio-obstetrics, for a practical discussion on caring for pregnant patients with cardiogenic shock.


    Together, they explore the foundational principles of managing these critically ill patients, including how pregnancy alters cardiovascular physiology, how to interpret hemodynamics in this unique population, and why supporting maternal circulation is central to supporting fetal well-being.


    Dr. Hansra discusses the role of pulmonary artery catheterization, bedside hemodynamic monitoring, vasopressor and inotrope selection, and the use of mechanical circulatory support including ECMO. He shares practical CICU pearls on anticoagulation strategies, delivery planning, and managing the challenges created by a growing uterus during mechanical support.


    The conversation also covers the care of patients with pre-existing cardiomyopathy during pregnancy, including optimization strategies, multidisciplinary planning, and coordination between cardiology, maternal-fetal medicine, obstetrics, anesthesia, cardiac surgery, and critical care teams.


    Designed for residents, fellows, intensivists, cardiologists, and CICU teams, this episode provides a practical framework for approaching one of the most complex scenarios in critical care cardiology: the pregnant patient in cardiogenic shock.


    Key topics covered:


    • Initial approach to cardiogenic shock during pregnancy
    • Understanding normal pregnancy physiology and abnormal hemodynamics
    • Pulmonary artery catheter use in the CICU
    • Vasopressor and inotrope selection
    • ECMO and mechanical circulatory support considerations
    • Anticoagulation and delivery planning
    • Managing cardiomyopathy during pregnancy
    • The importance of multidisciplinary cardio-obstetric care


    Dr. Ricky Hansra


    https://medicine.vumc.org/department-directory/Barinder-Hansra

    https://x.com/RickyHansra


    Dr. Elliot Miller

    https://x.com/ElliottMillerMD

    https://www.soccc.org/


    Supported By:


    This episode is made possible by unrestricted support from Zoll LifeVest — thanks for keeping high-impact education free for our community.


    Disclaimer

    This podcast is not medical advice, just candid, practical discussions about what your hosts do every day in the CICU. Always consult your supervising team and current guidelines before applying any interventions.
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    19 分
  • Diagnosis & Management of Pulmonary Hypertension in the CICU with Dr. Manreet Kanwar

    Diagnosis & Management of Pulmonary Hypertension in the CICU with Dr. Manreet Kanwar
    2026/09/04
    Is that "pulmonary hypertension" on the echo report actually driving your patient's shock, or is it just along for the ride? In this episode of SoCCC Pre-Rounds, Dr. Anthony Carnicelli is joined by Dr. Manreet Kanwar, an internationally recognized expert in pulmonary hypertension, cardiogenic shock, mechanical circulatory support, advanced heart failure, and heart transplantation, for a practical discussion on managing pulmonary hypertension in the cardiac intensive care unit. Together, they explore how clinicians can move beyond simply recognizing elevated pulmonary pressures to identifying the underlying disease process driving a patient's deterioration.Dr. Kanwar explains why pulmonary hypertension should be viewed as a hemodynamic finding rather than a standalone diagnosis and why understanding its effect on the right ventricle is central to caring for critically ill patients. The conversation covers early bedside assessment, optimizing preload, the challenges of respiratory support, vasopressor selection, and the careful use of temporary mechanical circulatory support. Throughout the discussion, he emphasizes protecting the right ventricle while treating the underlying cause of pulmonary hypertension.Whether you're admitting a patient with decompensated pulmonary hypertension or managing acute right ventricular failure overnight, this episode provides a thoughtful framework for approaching one of the CICU's most challenging patient populations.Key TakeawaysPulmonary hypertension is a hemodynamic finding that requires identifying and treating the underlying cause.Right ventricular function should guide bedside assessment and management decisions in critically ill patients.Optimal preload is patient-specific and should be individualized rather than managed with blanket rules.Mechanical ventilation can worsen right ventricular failure and should be approached with caution.Norepinephrine and vasopressin are preferred vasopressors for hypotensive patients with pulmonary hypertension, while phenylephrine is generally avoided.Temporary mechanical circulatory support requires a clear exit strategy before implantation.In This Episode[00:00] Introduction[01:37] Defining pulmonary hypertension [04:20] Evaluating the critically ill patient with pulmonary hypertension[06:41] Right ventricular failure and preload management[09:46] Respiratory support and the risks of mechanical ventilation[13:26] Vasopressors and temporary mechanical circulatory support[17:44] Final clinical pearls for intensivists[19:11] Closing remarks Notable Quotes[02:49] "Pulmonary hypertension in itself is not a single disease. It is a hemodynamic finding. The key is to figure out the why." — Dr. Manreet Kanwar[11:13] "If you let the patient be very hypoxic or hypercarbic or wait till they're very acidotic to do something about it, this RV will just give out." — Dr. Manreet Kanwar[14:31] "When in doubt, use Levophed. Norepinephrine is always the drug of choice in all circumstances, period." —Dr. Manreet Kanwar[16:00] "Putting devices in is easy. It's the art of taking them out that becomes very, very tricky." —Dr. Manreet Kanwar[19:01] "Go forth and protect the RVs." — Dr. Manreet KanwarResources and LinksBecome a member of the Community: https://www.soccc.org/subscribeDr. Manreet Kanwarhttps://biologicalsciences.uchicago.edu/faculty/manreet-kanwar-mdhttps://www.linkedin.com/in/manreet-kanwar-aa9897aaDr. Anthony Carnicellihttps://www.soccc.org/https://www.linkedin.com/in/anthony-carnicelli-926a0b88/Supported By:This episode is made possible by unrestricted support from Zoll LifeVest — thanks for keeping high-impact education free for our community.DisclaimerThis podcast is not medical advice, just candid, practical discussions about what your hosts do every day in the CICU. Always consult your supervising team and current guidelines before applying any interventions.
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    20 分
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