2013 May - Early antibiotics improve survival following out-of hospital cardiac arrest
Davies KJ, Walters JH, Kerslake IM, Greenwood R, Thomas MJ.; Resuscitation. 2013 May;84(5):616-9.
INTRODUCTION: Therapeutic hypothermia (TH) has become standard management following out of hospital cardiac arrest (OHCA). Recent evidence suggests TH increases the incidence of pneumonia. We retrospectively assessed infective indicators after OHCA and evaluated the effect of antibiotics on survival.
No comments2013 May - Continuous on-line glucose measurement by microdialysis in a central vein. A pilot study
Christina Blixt, Olav Rooyackers, Bengt Isaksson, Jan Wernerman Critical Care 2013, 17:R87 (11 May 2013)
Introduction: Tight glucose control in the ICU has been proven difficult with an increased risk for hypoglycaemic episodes. Also the variability of glucose may have an impact on morbidity. An accurate and feasible on-line/continuous measurement is therefore desired. In this study a central vein catheter with a microdialysis membrane in combination with an on-line analyzer for continuous monitoring of circulating glucose and lactate by the central route was tested.
2013 Mar - Recombinant factor VIIa for uncontrollable bleeding in patients with extracorporeal membrane oxygenation: report on 15 cases and literature review
Repressé X, Au SM, Brechot N, Trouillet J, Leprince P, Chastre J, Combes A, Luyt CE; Crit Care 2013, 17:R55.
INTRODUCTION: Bleeding is the most frequent complication in patients on venoarterial or venovenous extracorporeal membrane oxygenation (ECMO). Recombinant activated factor VII (rFVIIa) has been used in these patients with conflicting results. We describe our experience using rFVIIa for refractory bleeding in this setting and review the cases reported in the literature.
2013 May 21 - HKSCCM & HKACCN Grand Round
Date: 21st May 2013
Dear HKSCCM members:
I would like to inform you that the next Critical Care Medicine (CCM) interhospital grand-round, the joint academic meeding co-organized by HK Society of Critical Care Medicine (HKSCCM) and HK Association of Critical Care Nurses (HKACCN), will be held at 1815-2015 on 12th March 2013 at the Lecture Theatre of M Block of Queen Elizabeth Hospital.
2013 Jul / Dec - Advanced Difficult Airway Management (ADAM-D) Workshop for Doctors
Date: 17 Jul 2013 and 21 Dec 2013 (Two identical workshops), Time: 8:30am - 1pm
Venue: The Institution of Clinical Stimulation, 3/F, North District Hospital
Message from the organizer:
Dear all colleagues,
On behalf of Institute of Clinical Simulation of the Hong Kong College of Anaesthesiologists, I would like to inform you that we have organized an Advanced Difficult Airway Management (ADAM-D) Workshop for Doctors on 13 July 2013 (Saturday) and 21 December 2013 (Saturday) from 0830-1300 in North District Hospital.
We have run this workshop since 2007 and more than 200 doctors have attended.
27 May 2013 Citrate Anticoagulation in CRRT
Date: 27th May 2013, Time: 1830-2000
Venue: G/F, A Block Seminar Room, Queen Elizabeth Hospital
Chair: Dr Anne Leung
All are welcome (Due to limited space, registration is on first come first serve basis)
2013 Jul 9 - British Association of Intermediate Care (BASICS)
Date: 9 Jul 2013, Venue: Room 301, Li Ka Shing Medical Sciences Building, Prince of Wales Hospital
Organizer: Dept of Anaesthesia & Intensive Care, The Chinese University of Hong Kong
Message from Prof. Charles Gomersall
Dear All,
We will be holding our next BASIC course in July, timed to coincide with the arrival of new trainees. This time we will be running a blended learning course with a large e-learning component. The face to face teaching (skill stations) will all take place on one day (July 9th) to minimize any disruption to duty rosters. The course content will be identical to our usual 2 day course and is aimed at ICU novices.
2013 Mar - Mechanical ventilation for amyotrophic lateral sclerosis/motor neuron disease
Radunovic A, Annane D, Rafiq MK, Mustfa N. Cochrane Database Syst Rev. 2013;3:CD004427.
BACKGROUND: Amyotrophic lateral sclerosis, also known as motor neuron disease, is a fatal neurodegenerative disease. Neuromuscular respiratory failure is the commonest cause of death, usually within two to five years of the disease onset. Supporting respiratory function with mechanical ventilation may improve survival and quality of life. This is the first update of a review first published in 2009.
2013 May - Infection prevention and control during health care for probable or confirmed cases of novel coronavirus (nCoV) infection
World Health Organization; 2013 May 6
WHO has developed new interim guidance to provide up-to-date information and evidence-based recommendations for the safe care of patients with probable or confirmed novel coronavirus (nCoV) infection.
2013 Mar - New biomarker panel of plasma neutrophil gelatinase-associated lipocalin and endotoxin activity assay for detecting sepsis in acute kidney injury
Katagiri D, Doi K, Matsubara T, Negishi K, Hamasaki Y, Nakamura K, Ishii T, Yahagi N, Noiri E.; J Crit Care. 2013 Mar 14. [Epub ahead of print]
PURPOSE: Septic acute kidney injury (AKI) shows an unacceptably high mortality rate. Detection of sepsis is important for the clinical management of AKI patients. This study was undertaken to evaluate 2 biomarkers of neutrophil gelatinase-associated lipocalin (NGAL) and endotoxin activity (EA) assay and their combination for detecting sepsis in AKI.
2013 Apr - Development of acute kidney injury during continuous infusion of vancomycin in septic patient
Cianferoni S, Devigili A, Ocampos-Martinez E, Penaccini L, Scolletta S, Abdelhadii A, De Backer D, Beumier M, Jacobs F, Vincent JL, Taccone FS.; Infection. 2013 Apr 10. [Epub ahead of print]
PURPOSE: Few data are available on the occurrence of renal failure during continuous infusion of vancomycin in critically ill patients.
2013 May - FAQs on avian influenza A(H7N9) virus
Food and Agriculture Organization of the United Nations; 2013 May 3
H7N9 is a new subtype of avian influenza virus. The current H7N9 virus is a reassortant (i.e. mix) of viruses previously detected in wild birds and poultry. The recent event in China represents the first ever report of H7N9 virus in humans..
2013 May - Retrospective review of clinical presentations, microbiology, and outcomes of patients with psoas abscess
OF Wong, PL Ho, SK Lam; HKMJ, 6 May 2013
Objective: The clinical features of patients with psoas abscess in a local setting, including the microbiology, incidence and aetiologies, have not been well described. This study aimed to review such clinical features and patient outcomes.
2013 Jun 22, 25 - Emergency Management of Severe Burns course
Date: 22 or 25 Jun 2013, Venue: Kai Chong Tong Clinical Skills Learning Centre, 2/F Lui Che Woo Clinical Sciences Bldg (Old Blk), Prince of Wales Hospital, Shatin
Message from Organizing Committee
Dear All,
On behalf of The Hong Kong Burns & Wound Healing Society, we would like to invite you to attend the coming EMSB course.
2013 May - Application of endotoxin and cytokine adsorption haemofilter in septic acute kidney injury due to Gram-negative bacterial infection
HP Shum, KC Chan, MC Kwan, WW Yan; HKMJ 6 May 2013
Objective: Endotoxins and cytokines play an important role in the pathogenesis of multi-organ failure and mortality in patients suffering from severe Gram-negative bacterial infection. The aim of this study was to determine whether in patients with such infections, use of a haemofilter with enhanced endotoxin haemoadsorption and cytokine removal properties helps to overcome organ dysfunction.
2013 May - Hemodynamic Monitoring
Steven M. Hollenberg, MD, FCCP CHEST May, 2013; 143(5): 1480-1488
Abstract
Hemodynamic assessment is a key component of the evaluation of the critically ill patients and has both diagnostic and prognostic utility. This review outlines a general approach to assessment of hemodynamics and perfusion, and then discusses various hemodynamic parameters: heart rate, BP, intravascular (central venous and pulmonary artery) pressures, cardiac output, and myocardial performance, within the context not only of how they are best measured but also how they should be used in a clinical context.