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2012 Feb - Humane terminal extubation reconsidered: The role for preemptive analgesia and sedation

Journal and News Update - Critical Care Medicine (Highlights)
Billings, J. Andrew; Critical Care Medicine. 40(2):625-630, February 2012. Patient comfort is not assured by common practices for terminal extubation. Treatment guidelines suggest minimizing dosage of opioids and sedatives. Multiple lines of evidence indicate that clinicians are limited in their ability to recognize distress in such patients and tend to undermedicate patients in distress....
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2012 Feb - Family response to critical illness: Postintensive care syndrome–family [Review]

Journal and News Update - Critical Care Medicine (Highlights)
Davidson, Judy E.; Jones, Christina; Bienvenu, O. Joseph; Critical Care Medicine. 40(2):618-624, February 2012 Background: The family response to critical illness includes development of adverse psychological outcomes such as anxiety, acute stress disorder, posttraumatic stress, depression, and complicated grief. This cluster of complications from exposure to critical care is now entitled postintensive care syndrome–family. Adverse psychological outcomes occur in parents of neonatal and pediatric patients and in family members of adult patients, and may be present for >4 yrs after intensive care unit discharge. Psychological repercussions of critical illness affect the family member's ability to fully engage in necessary care-giving functions after hospitalization.
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2012 Feb 5 - Initial Trophic vs Full Enteral Feeding in Patients With Acute Lung Injury

Journal and News Update - JAMA & Archives
The EDEN Randomized Trial The National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome (ARDS) Clinical Trials Network* Online First. JAMA. Published online February 5, 2012. Context The amount of enteral nutrition patients with acute lung injury need is unknown. Objective To determine if initial lower-volume trophic enteral feeding would increase ventilator-free days and decrease gastrointestinal intolerances compared with initial full enteral feeding.
Last Updated on Monday, 06 February 2012 18:42
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2012 Feb 1 - Regulation of Lymphocyte Trafficking by CXC Chemokine Receptor 3 during Septic Shock

Journal and News Update - Am J of Respiratory & Critical Care Medicine
Daniela S. Herzig, Brandon R. Driver, Geping Fang, Tracy E. Toliver-Kinsky, Eric N. Shute and Edward R. Sherwood Am. J. Respir. Crit. Care Med. February 1, 2012 vol. 185 no. 3 291-300 Abstract Rationale: Lymphocytes have been shown to facilitate systemic inflammation and physiologic dysfunction in experimental models of severe sepsis. Our previous studies show that natural killer (NK) cells migrate into the peritoneal cavity during intraabdominal sepsis, but the trafficking of NKT and T lymphocytes has not been determined. The factors that regulate lymphocyte trafficking during sepsis are currently unknown.
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2012 Jan - Quantitative versus qualitative cultures of respiratory secretions for clinical outcomes in patients with ventilator-associated pneumonia

Journal and News Update - Others: All Other Overseas Journals
Berton DC, Kalil AC, Teixeira PJ.; Cochrane Database Syst Rev. 2012 Jan 18;1:CD006482. BACKGROUND: Ventilator-associated pneumonia (VAP) is a common infectious disease in intensive care units (ICUs). The best diagnostic approach to resolve this condition remains uncertain.
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2012 Feb - Acute lung injury in critical neurological illness

Journal and News Update - Critical Care Medicine (Highlights)
Hoesch, Robert E.; Lin, Eric; Young, Mark; Gottesman, Rebecca F.; Altaweel, Laith; Nyquist, Paul A.; Stevens, Robert D.; Critical Care Medicine. 40(2):587-593, February 2012 Objective: Acute lung injury and acute respiratory distress syndrome have been reported in a significant proportion of patients with critical neurologic illness. Our aim was to identify risk factors for acute lung injury/acute respiratory distress syndrome in this population.
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2012 Feb - Effect of the bevel direction of puncture needle on success rate and complications during internal jugular vein catheterization

Journal and News Update - Critical Care Medicine (Highlights)
Lim, Taewan; Ryu, Ho-Geol; Jung, Chul-Woo; Jeon, Yunseok; Bahk, Jae-Hyon; Critical Care Medicine. 40(2):491-494, February 2012. Objective: Artery puncture and hematoma formation are the most common immediate complications during internal jugular vein catheterization. This study was performed to assess whether the bevel-down approach of the puncture needle decreases the incidence of posterior venous wall damage and hematoma formation during internal jugular vein catheterization.
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2012 Feb - Clinical outcomes after telemedicine intensive care unit implementation

Journal and News Update - Critical Care Medicine (Highlights)
Willmitch, Beth; Golembeski, Susan; Kim, Sandy S.; Nelson, Loren D.; Gidel, Louis; Critical Care Medicine. 40(2):450-454, February 2012. Objective: To examine clinical outcomes before and after implementation of a telemedicine program in the intensive care units of a five-hospital healthcare system.
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2012 Feb - Energy deficit and length of hospital stay can be reduced by a two-step quality improvement of nutrition therapy: The intensive care unit dietitian can make the difference

Journal and News Update - Critical Care Medicine (Highlights)
Soguel, Ludivine; Revelly, Jean-Pierre; Schaller, Marie-Denise; Longchamp, Corinne; Berger, Mette M.; Critical Care Medicine. 40(2):412-419, February 2012. Objective: Critically ill patients are at high risk of malnutrition. Insufficient nutritional support still remains a widespread problem despite guidelines. The aim of this study was to measure the clinical impact of a two-step interdisciplinary quality nutrition program.
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2012 Feb - Early use of noninvasive positive pressure ventilation for acute lung injury: A multicenter randomized controlled trial

Journal and News Update - Critical Care Medicine (Highlights)
Zhan, Qingyuan; Sun, Bing; Liang, Lirong; Yan, Xixin; Zhang, Lutao; Yang, Jingping; Wang, Ling; Ma, Zhuang; Shi, Liang; Wei, Luqing; Li, Guoqiang; Yang, Lan; Shi, Zhihong; Chen, Yuqing; Xu, Qixia; Li, Wei; Zhu, Xi; Wang, Zongyu; Sun, Yongchang; Zhuo, Jie; Liu, Yang; Li, Xuesong; Wang, Chen; Critical Care Medicine. 40(2):455-460, February 2012. Objective: Noninvasive positive pressure ventilation is beneficial for patients with acute respiratory failure. However, its possible benefit for patients with acute lung injury (200 mm Hg < PaO₂/FIO₂ ≤300 mm Hg) remains unclear. Our aim was to assess the safety and efficacy of noninvasive positive pressure ventilation for patients with acute lung injury and compare this with high-concentration oxygen therapy.
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2012 Feb - High prevalence of corrected QT interval prolongation in acutely ill patients is associated with mortality: Results of the QT in Practice (QTIP) Study

Journal and News Update - Critical Care Medicine (Highlights)
Pickham, David; Helfenbein, Eric; Shinn, Julie A.; Chan, Garrett; Funk, Marjorie; Weinacker, Ann; Liu, Jia-Ni; Drew, Barbara J.; Critical Care Medicine. 40(2):394-399, February 2012. Objective: To test the potential value of more frequent QT interval measurement in hospitalized patients.
Last Updated on Monday, 30 January 2012 17:01
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2012 Feb 29 - Mechanical Ventilation - beyond BASIC course

Activity Schedules and Reports - Local Meetings (Others)
Date: 29 Feb 2012; Venue: Prince of Wales Hospital Dear all, I am writing to cordially invite members of your department to the Mechanical Ventilation - beyond BASIC course which is suitable for senior ICU trainees and specialist intensivists. We would be most grateful if you could circulate the following information within your department Mechanical Ventilation - beyond BASIC A blended learning course consisting of a course manual, distance learning material and a day of small group skill stations. Topics will include:
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2012 Feb 24 - Managing Patients with VV-ECMO: Simulation Workshop for Nurses

Activity Schedules and Reports - Local Meetings (Others)
Date: 24 Feburary 2012, 29 February 2012 & 2 March 2012 Venue: Pamela Youde Nethersole Eastern Hospital
Last Updated on Wednesday, 04 January 2012 20:39
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2012 Feb 8 & 10 - The Sixth Critical Care Nephrology Course (CCNC6)

Activity Schedules and Reports - Critical Care Nephrology Course (CCNC) at PYNEH
The 6th Critical Care Nephrology Course will be held on February 8 & 10, 2012, at the Pamela Youde Nethersole Eastern Hospital. Download program here. Course Fee: (included: handout, lunch on 8th February 2011 & light refreshment) From Now to 31st December 2011 (Early Bird) HK $1,600 (Full course: lecture and workshop) HK $1,000 (Lecture only) After 31st December 2011 HK $1,900 (Full course: lecture and workshop) HK $1,200 (Lecture only) HKSCCM members may apply for the CCMF Subsidy to attend this course.
Last Updated on Wednesday, 04 January 2012 15:53
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