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PODCAST

Saving Lives Podcast: Critical Care w/eddyjoemd

Eddy Joe Gutierrez, MD

Saving Lives Podcast: Critical Care w/eddyjoemd is a podcast that reviews evidence-based strategies to care for the critically ill patient in the Intensive Care Unit and other topics in Medicine. It is hosted by Eddy Joe Gutierrez, MD, a board-certified critical care physician. In each episode, Dr. Gutierrez discusses the latest research and best practices in Intensive Care Medicine. He also shares his own insights and experiences as an Intensivist/Critical Care physician. The podcast is designed

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All Episodes

00:08:27

Should You Avoid the Right IJ for Central Lines in...

Saving Lives Podcast: Critical Care w/eddyjoemd ·

2025/08/17

In this episode of the Saving Lives Podcast, Eddy Joe breaks down a 2025 Journal of Critical Care study examining how the choice of the internal jugular vein for initial central line placement impacts outcomes when patients later need hemodialysis catheters. You'll learn why using the left IJV first may reduce the need for repeat procedures and complications. Essential insights for optimizing central line strategy in the ICU.The Vasopressor & Inotrope HandbookAmazon:

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00:09:16

Acetazolamide + Furosemide: Boosting Diuretic...

Saving Lives Podcast: Critical Care w/eddyjoemd ·

2025/08/12

In this episode, we dive into a new pilot RCT exploring the addition of acetazolamide to furosemide in critically ill patients. We break down the study’s methods, findings, and practical implications for fluid management in the ICU. Could this inexpensive, decades-old drug be the key to sustaining diuresis and preventing metabolic alkalosis? Tune in to find out.The Vasopressor & Inotrope HandbookAmazon: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://amzn.to/47qJZe1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (Affiliate Link)My Store:

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00:05:08

Methylprednisolone vs. Hydrocortisone: Which Can Save...

Saving Lives Podcast: Critical Care w/eddyjoemd ·

2025/07/19

In this episode of the Saving Lives Podcast, we review a July 2025 study from the Journal of Intensive Care comparing methylprednisolone and hydrocortisone for severe pneumonia treatment. The discussion focuses on how these findings may influence clinical decisions, particularly for patients with septic shock. The Vasopressor & Inotrope HandbookAmazon: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://amzn.to/47qJZe1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (Affiliate Link)My Store:

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00:06:07

Sodium Bicarbonate for ICU Acidosis: New Evidence...

Saving Lives Podcast: Critical Care w/eddyjoemd ·

2025/07/03

In this episode of the Saving Lives Podcast, we break down a 2025 study from Intensive Care Medicine that emulates a target trial on the use of sodium bicarbonate in ICU patients with metabolic acidosis. With over 6,000 patients across 12 Australian ICUs, the study reveals a small but significant reduction in mortality and RRT use with bicarbonate therapy. Tune in to learn how this could transform our clinical approach to acidemia in the critically ill patients.The Vasopressor & Inotrope

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00:06:31

Predicting Mortality in a Pulmonary Embolism: What...

Saving Lives Podcast: Critical Care w/eddyjoemd ·

2025/07/01

In this episode of the Saving Lives Podcast, we review a comprehensive 2025 meta-analysis on mortality risk factors in pulmonary embolism. Learn which clinical signs, biomarkers, and imaging findings most strongly predict outcomes — and how they can guide triage and therapy decisions in acute PE cases. A must-listen for anyone managing thromboembolic disease in the critically ill patients.The Vasopressor & Inotrope HandbookAmazon: ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://amzn.to/47qJZe1⁠⁠⁠⁠⁠⁠⁠⁠⁠ (Affiliate Link)My

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00:05:52

Hyponatremia Correction: Is Going Too Slow Riskier...

Saving Lives Podcast: Critical Care w/eddyjoemd ·

2025/06/26

In this episode of the Saving Lives Podcast, we review a 2025 NEJM-Evidence study analyzing over 21,000 cases of severe hyponatremia to determine the safest and most effective correction rates. Learn why moderate correction (8–10 mmol/L/day) may actually reduce mortality, and how central pontine myelinolysis (CPM) remains rare even with faster correction. The Vasopressor & Inotrope HandbookI have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare

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00:06:11

Why Low Hemoglobin Spells Trouble in Cardiogenic Shock

Saving Lives Podcast: Critical Care w/eddyjoemd ·

2025/06/25

In this episode, we analyze a June 2025 study from the Journal of Intensive Care, which shows that lower hemoglobin levels at admission are strongly associated with worse outcomes in cardiogenic shock. We dive into the data from the FRENSHOCK registry, uncover key subgroup findings, and discuss implications for transfusion strategies. Could this shift how we manage anemia in shock? Tune in and find out.The Vasopressor & Inotrope HandbookI have written "The Vasopressor & Inotrope

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00:06:09

Valproic Acid for ICU Delirium: A New Tool for...

Saving Lives Podcast: Critical Care w/eddyjoemd ·

2025/06/20

In this episode of the Saving Lives Podcast, we reviews a 2024 multicenter study on valproic acid for hyperactive delirium and agitation in ICU patients. The findings show that VPA may help reduce sedation needs, improve ventilator synchrony, and resolve delirium without major adverse effects. Tune in for practical insights into this emerging option for complex critical care cases.The Vasopressor & Inotrope HandbookI have written "The Vasopressor & Inotrope Handbook: A Practical Guide

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00:07:03

Chloride, pH, and Fluid Choices: Should Labs Guide...

Saving Lives Podcast: Critical Care w/eddyjoemd ·

2025/03/23

In this episode of the Saving Lives Podcast, we discuss a study from Intensive Care Medicine that explores whether baseline serum chloride and pH affect outcomes with balanced fluids versus saline. The findings from the PLUS trial show no significant interaction, but intriguing trends suggest that hyperchloremic patients may benefit more from balanced fluids. The Vasopressor & Inotrope HandbookI have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare

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00:08:14

Normosol-R vs. Lactated Ringer’s: Do Buffered...

Saving Lives Podcast: Critical Care w/eddyjoemd ·

2025/02/27

In this episode of the Saving Lives Podcast, we break down a randomized trial from CHEST (2025) comparing Normosol-R vs. Lactated Ringer’s in critically ill adults. Learn whether acetate/gluconate-buffered fluids offer advantages over lactate-buffered solutions regarding acid-base balance, kidney function, and mortality. Tune in to hear how this study impacts critical care fluid management!The Vasopressor & Inotrope HandbookI have written "The Vasopressor & Inotrope Handbook: A Practical

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00:11:29

Lactated Ringer’s vs. 0.9% Saline in Sepsis: Does...

Saving Lives Podcast: Critical Care w/eddyjoemd ·

2025/02/26

In this episode of the Saving Lives Podcast, we review a 2025 study from Critical Care Medicine comparing lactated Ringer’s and normal saline for initial fluid resuscitation in sepsis-induced hypotension. The findings suggest that LR may improve survival and increase hospital-free days compared to NS, supporting current guidelines favoring balanced crystalloids. Tune in for a deep dive into the study’s results and clinical implications!The Vasopressor & Inotrope HandbookI have written "The

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00:08:00

Cardiogenic Shock: Insights on Mortality and Management

Saving Lives Podcast: Critical Care w/eddyjoemd ·

2025/01/14

In this episode of the Saving Lives Podcast, we review a nationwide study on cardiogenic shock in general ICUs, recently published in the European Heart Journal: Acute Cardiovascular Care. Discover why non-ischemic heart failure now leads cardiogenic shock admissions, which patient groups face the highest mortality, and how early ICU intervention can improve outcomes. Stay tuned for critical insights into managing this high-risk population.The Vasopressor & Inotrope Handbook I have written "The

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00:08:05

Reducing ICU Delirium: The Role of Sleep Interventions

Saving Lives Podcast: Critical Care w/eddyjoemd ·

2025/01/07

In this episode of the Saving Lives Podcast, we explore a systematic review and meta-analysis from the Journal of Critical Care on sleep interventions in ICU patients. We learn about the effectiveness of pharmacologic and non-pharmacologic strategies in reducing delirium and discover how improving sleep could transform critical care outcomes.The Vasopressor & Inotrope Handbook I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read

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00:07:38

Sepsis Order Sets: Potentially Enhancing Outcomes and...

Saving Lives Podcast: Critical Care w/eddyjoemd ·

2025/01/02

In this episode of the Saving Lives Podcast, we dive into the latest research from CHEST, exploring how sepsis order sets can improve care value. Learn about the impact of these sets on reducing mortality, lowering hospital costs, and their role in streamlining sepsis management. Discover why order sets can be a game-changer for hospitals and society in addressing sepsis care. The Vasopressor & Inotrope HandbookI have written "The Vasopressor & Inotrope Handbook: A Practical Guide for

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00:08:44

Continuous Glucose Monitoring: Is It the Future of...

Saving Lives Podcast: Critical Care w/eddyjoemd ·

2024/12/23

In this episode of the Saving Lives Podcast, Eddy Joe breaks down a study comparing continuous glucose monitoring systems (CGMS) to conventional point-of-care monitoring in ICU patients. Learn how CGMS improves glycemic control, reduces variability, and eases nursing workloads, even without reducing mortality.The Vasopressor & Inotrope Handbook I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically

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00:10:06

Propofol Infusion Syndrome: A Rare but Deadly...

Saving Lives Podcast: Critical Care w/eddyjoemd ·

2024/12/21

In this episode of The Saving Lives Podcast, we explore Propofol Infusion Syndrome (PRIS), looking at this complication's incidence, laboratory, and clinical manifestations. Hat tip to the authors. The Vasopressor & Inotrope Handbook I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically ill patients (check out the reviews)! You have several options to get a physical copy. Amazon:

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00:09:05

Does Left Atrial Appendage Closure Worsen...

Saving Lives Podcast: Critical Care w/eddyjoemd ·

2024/11/03

In this episode, we discuss recent findings on the potential risks of left atrial appendage closure (LAAC) in cardiac surgery patients without prior atrial fibrillation. The study highlights an increased risk of new-onset postoperative AF and prolonged hospital stays without clear benefits in mortality or stroke prevention. The Vasopressor & Inotrope HandbookAmazon: ⁠⁠https://amzn.to/3UvFFVf⁠⁠ (affiliate link) Signed Copy:

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00:09:23

Severe Tricuspid Regurgitation Treatment:...

Saving Lives Podcast: Critical Care w/eddyjoemd ·

2024/10/31

In this episode of the Saving Lives Podcast, Eddy Joe explores the TRISCEND II trial’s groundbreaking findings on transcatheter tricuspid valve replacement (TTVR) for severe tricuspid regurgitation. Learn about the quality-of-life improvements, procedural risks, and future directions for this innovative therapy.The Vasopressor & Inotrope HandbookAmazon: https://amzn.to/3UvFFVf (affiliate link) Signed Copy: https://eddyjoemd.myshopify.com/products/the-vasopressor-inotrope-handbook Citation:

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00:10:35

Dexmedetomidine in Septic Shock: DecatSepsis Trial

Saving Lives Podcast: Critical Care w/eddyjoemd ·

2024/09/25

In this episode of the Saving Lives Podcast, we dive into the DecatSepsis trial, exploring the role of dexmedetomidine in reducing mortality and managing septic shock. Discover how this sedative could help mitigate the harmful effects of the hyperadrenergic state in septic patients. The Vasopressor & Inotrope Handbook I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically ill patients

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00:10:05

Minocycline: A New Hope in Delirium Prevention for...

Saving Lives Podcast: Critical Care w/eddyjoemd ·

2024/09/01

In this episode of the Saving Lives Podcast, we discuss a recent randomized controlled trial exploring the use of minocycline to prevent delirium in critically ill patients. The study reveals that minocycline may significantly reduce delirium incidence and hospital mortality, offering a promising new pharmacologic approach.The Vasopressor & Inotrope Handbook I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone

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