PICU Doc On Call is the podcast for current and aspiring Intensivists. This podcast will provide protocols that any Critical Care Physician would use to treat common emergencies and the sudden onset of acute symptoms. Brought to you by Emory University School of Medicine, in conjunction with Dr. Rahul Damania and under the supervision of Dr. Pradip Kamat.
PICU Doc On Call
Claim This Podcastby Dr. Pradip Kamat, Dr. Rahul Damania, Dr. Monica Gray
4.9(88 reviews)
120 episodes
Updated Bi-weekly
Accepts GuestsHas SponsorsLocation 🇺🇸
52
Podcast Authority
BetaFairBased on show quality, social media presence, reviews, charts, and more
Quality68
Social0
YouTube0
Engagement90
Podcast Overview
PICU Doc On Call is the podcast for current and aspiring Intensivists. This podcast will provide protocols that any Critical Care Physician would use to treat common emergencies and the sudden onset of acute symptoms. Brought to you by Emory University School of Medicine, in conjunction with Dr. Rahul Damania and under the supervision of Dr. Pradip Kamat.
Language
🇺🇲
Publishing Since
2/8/2021
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52
Podcast Authority
BetaFairBased on show quality, social media presence, reviews, charts, and more
Quality68
Social0
YouTube0
Engagement90
7
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11
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excellent
Episode Length
28 minutes
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Recent Episodes
May 24, 2026
Of Rats & Men: Approach to Coumadin Overdose in the PICU
Hosts Dr. Monica Gray and Dr. Pradip Kamat interview each other about managing a complex rat poison overdose in a pediatric intensive care unit, highlighting crucial treatment strategies.
May 10, 2026
Mind Your Scope: Bronchoscopy Pearls for the Pediatric Intensivist
<p>In this episode of PICU Doc on Call, Dr. Monica Gray and Dr. Pradip Kamat chat about flexible fiberoptic bronchoscopy (FFB) in the pediatric ICU. They walk through a case involving an eight-year-old who’s dealing with respiratory failure after a stem cell transplant. Along the way, they talk about when and why you might use bronchoscopy both for diagnosis and treatment—plus how to approach sedation and what effects the procedure can have on the heart and lungs. They also dive into important topics like managing hypoxia, handling increased airway and pulmonary vascular resistance, and what to keep in mind if your patient has a traumatic brain injury. The episode wraps up with tips for managing fever after the procedure and a quick look at how rigid bronchoscopy compares.</p><p><strong>Show Highlights:</strong></p><ul><li>Use of flexible fiberoptic bronchoscopy (FFB) in the pediatric ICU (PICU)</li><li>Indications for performing bronchoscopy (diagnostic and therapeutic)</li><li>Management of sedation and analgesia during bronchoscopy</li><li>Cardiovascular effects associated with bronchoscopy procedures</li><li>Respiratory effects and complications during bronchoscopy</li><li>Special considerations for bronchoscopy in patients with traumatic brain injury (TBI)</li><li>Post-procedure complications, including fever and its management</li><li>Overview of rigid bronchoscopy and its indications</li><li>Importance of understanding physiological changes during bronchoscopy</li><li>Educational focus on acute pediatric care for current and aspiring PICU interns</li></ul><br/><p><strong>References:</strong></p><p>Reference 1: Sachdev A, Chhawchharia R. Flexible Fiberoptic Bronchoscopy in Pediatric Practice. Indian Pediatr. 2019 Jul 15;56(7):587-593. PMID: 31333214.</p><p>Reference 2: Li SX, Tao XF, Wu HJ, Jin F, Zhu GH, Wang YS, Tang LF, Chen ZM, Wu L. Advances in pediatric flexible bronchoscopy. World J Pediatr. 2025 Oct;21(10):945-956. doi: 10.1007/s12519-025-00967-7. Epub 2025 Oct 4. PMID: 41045338; PMCID: PMC12578761.</p><p>Reference 3: Truitt BA, Kasi AS, Kamat PP, Fundora MP, Simon DM, Guglani L. Cryoextraction via flexible bronchoscopy in children with tracheobronchial obstruction. Pediatr Pulmonol. 2023 Sep;58(9):2527-2534. doi: 10.1002/ppul.26540. Epub 2023 Jun 23. PMID: 37350368.</p><p></p>
April 26, 2026
Isoflurane in the PICU
<p>In this episode of "PICU Doc on Call," Drs. Monica Gray and Pradip Kamat from Children's Healthcare of Atlanta dive into the use of inhaled anesthetics, especially isoflurane, in the pediatric ICU. We’re focusing on those tough cases: refractory status asthmaticus and status epilepticus. </p><p>We’ll chat about why isoflurane is our go-to over other agents like sevoflurane, desflurane, or nitrous oxide, and break down its bronchodilatory and anticonvulsant properties. We’ll also touch on important pharmacology concepts, such as MAC and the blood-gas partition coefficient, and discuss how we approach dosing and ventilator management when using isoflurane.</p><p>Of course, we’ll also discuss the potential adverse effects that can come with prolonged use, and why it’s important to stop other sedatives and beta-agonists once you start isoflurane. Join us as we walk through the practical aspects and pearls for using inhaled anesthetics in the PICU!</p><p><strong>Show Highlights:</strong></p><ul><li>Use of inhaled anesthetics in pediatric intensive care units (PICU)</li><li>Focus on isoflurane for managing refractory status asthmaticus and status epilepticus</li><li>Comparison of inhaled anesthetic agents: isoflurane, sevoflurane, nitrous oxide, and desflurane</li><li>Importance of minimum alveolar concentration (MAC) and blood-gas partition coefficient in anesthetic pharmacodynamics</li><li>Mechanism of action of isoflurane in airway management and bronchodilation</li><li>Clinical administration techniques for isoflurane in critically ill children</li><li>Ventilator management principles for intubated children with status asthmaticus</li><li>Role of isoflurane in refractory and super-refractory status epilepticus</li><li>Potential adverse effects and considerations for prolonged isoflurane use</li><li>Summary of pharmacologic concepts essential for safe isoflurane therapy in pediatric patients</li></ul><br/><p><strong>References:</strong></p><ul><li>Rogers Text Book of Pediatric Intensive Care: Chapter 47: Acute Severe Asthma. Stewart C, Brilli RJ. pages 763-775</li><li>Reference 1: Stetefeld HR, Schaal A, Scheibe F, Nichtweiß J, Lehmann F, Müller M, Gerner ST, Huttner HB, Luger S, Fuhrer H, Bösel J, Schönenberger S, Dimitriadis K, Neumann B, Fuchs K, Fink GR, Malter MP; IGNITE Study Group, with support from the German Neurocritical Care Society (DGNI). Isoflurane in (Super-) Refractory Status Epilepticus: A Multicenter Evaluation. Neurocrit Care. 2021 Dec;35(3):631-639. doi: 10.1007/s12028-021-01250-z. Epub 2021 Jul 20. PMID: 34286464; PMCID: PMC8692280.</li><li>Reference 2: Zeiler FA, Zeiler KJ, Teitelbaum J, Gillman LM, West M. Modern inhalational anesthetics for refractory status epilepticus. Can J Neurol Sci. 2015 Mar;42(2):106-15. doi: 10.1017/cjn. 2014.121. Epub 2015 Jan 9. PMID: 25572922.</li><li>Reference 3: Werner HA. Status asthmaticus in children: a review. Chest. 2001 Jun;119(6):1913-29. doi: 10.1378/chest. 119.6.1913. PMID: 11399724.</li><li>Reference 4: Gill B, Bartock JL, Damuth E, Puri N, Green A. Case report: Isoflurane therapy in a case of status asthmaticus requiring extracorporeal membrane oxygenation. Front Med (Lausanne). 2022 Nov 8;9:1051468. doi: 10.3389fmed. .2022.1051468. PMID: 36425104; PMCID: PMC9679515.</li></ul><br/>
120 total episodes available with 1 transcripts
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- What is PICU Doc On Call?
- How often does this podcast release new episodes?
This podcast updates bi-weekly.
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This podcast is available on 10 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
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Yes, this podcast regularly features guests.
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