Dr. Zoltan Lett, founding chairman of our Hong Kong Society of Critical Care Medicine (HKSCCM), passed away peacefully in the morning of 15th November 2014 at his nursing home, after a short illness, with his daughter at his side.
With deep grief, I pass onto you this sad news. Dr. Lett had been my teacher since 1980s. He was one of the founders in the critical care specialty in Hong Kong. His good vision and strong will had started the HKSCCM and paved the way for the successful development of critical care in Hong Kong. You could all look at his photo in the foreword of our recently published book “生命現場” .
Hisfuneral and memorial service will be on Thursday 20th November 2014 at St. Peter’s Church, Old Town, Bexhill-on-Sea, West Sussex TN40 2HF, United Kingdom at 2pm. Any donation is to be given to the Society of Anaesthetists of Hong Kong in lieu of flowers.
Our thoughts are with Dr. Lett’s daughter, Angela and family. Please keep them all in our prayers
May he rest in peace.
Yan Wing Wa
18 November 2014
The Hong Kong Society of Critical Care Medicine (香港危重病學會)will be holding its Annual Scientific Meeting (ASM) 2014(週年學術會議2014)on 30 November, 2014 (Sunday) at the Intercontinental Grand Stanford Hong Kong. And it is our pleasure to have the meeting supported by the Hong Kong Association of Critical Care Nurses (香港危重病學護士協會).
This is a major event for all Hong Kong doctors, nurses and allied health professionals working with critically ill patients. Similar to previous years, we will have renowned overseas and local speakers to enlighten us on important ICU topics in plenary lectures & seminars.
Continuing our tradition, SimWARS will be held and teams of doctors & nurses are invited to join this exciting competition. Young specialists and critical care nurses are encouraged to submit abstracts of original research papers for free-paper presentation, and share with the audience about their studies.
Details of the programme will be released soon. We sincerely hope to make the ASM an enjoyable and interesting event for all of you.
Looking forward to seeing you.
Dr. SIN, Kai Cheuk
Chairman of the Organizing Committee for HKSCCM ASM 2014
Date: 4 Sep 2014
2014 Oct - Argatroban versus Lepirudin in critically ill patients (ALicia): a randomized controlled trial
Tanja A Treschan, Maximilian S Schaefer, Johann Geib, Astrid Bahlmann, Tobias Brezina, Patrick Werner, Elisabeth Golla, Andreas Greinacher, Benedikt Pannen, Detlef Kindgen-Milles, Peter Kienbaum, Martin Beiderlinden Critical Care 2014, 18:588 (25 October 2014)
Introduction: Critically ill patients often require renal replacement therapy accompanied by thrombocytopenia. Thrombocytopenia during heparin anticoagulation may be due to heparin-induced thrombocytopenia with need for alternative anticoagulation. Therefore, we compared argatroban and lepirudin in critically ill surgical patients.
2014 Nov 15 - Procalcitonin Algorithm in Critically Ill Adults with Undifferentiated Infection or Suspected Sepsis. A Randomized Controlled Trial
Yahya Shehabi, Martin Sterba, Peter Maxwell Garrett, Kanaka Sundaram Rachakonda, Dianne Stephens, Peter Harrigan, Alison Walker, Michael J. Bailey, Bronwyn Johnson, David Millis, Geoff Ding, Sandra Peake, Helen Wong, Jane Thomas, Kate Smith, Loretta Forbes, Miranda Hardie, Sharon Micallef, and John F. Fraser Am. J. Resp. Crit. Care Med. Nov 15, 2014, vol. 190, no. 10: 1102-1110
Rationale: The role of procalcitonin (PCT), a widely used sepsis biomarker, in critically ill patients with sepsis is undetermined.
2014 Oct - The effects of goal directed fluid therapy based on dynamic parameters on post-surgical outcome: a meta-analysis of randomized controlled trials
Jan Benes, Mariateresa Giglio, Nicola Brienza, Frederic Michard Critical Care 2014, 18:584 (28 October 2014)
Introduction: Dynamic predictors of fluid responsiveness, namely systolic pressure variation, pulse pressure variation, stroke volume variation and pleth variability index have been shown to be useful to identify in advance patients who will respond to a fluid load by a significant increase in stroke volume and cardiac output. As a result, they are increasingly used to guide fluid therapy. Several randomized controlled trial have tested the ability of goal-directed fluid therapy (GDFT) based on dynamic parameters (GDFTdyn) to improve post-surgical outcome. These studies have yielded conflicting results. Therefore we performed this meta-analysis to investigate whether the use of GDFTdyn is associated with a decrease in post-surgical morbidity.
2014 Nov 1 - Association of Postdischarge Rehabilitation with Mortality in Intensive Care Unit Survivors of Sepsis
Pei-wen Chao, Chia-Jen Shih, Yi-Jung Lee, Ching-Min Tseng, Shu-Chen Kuo, Yu-Ning Shih, Kun-Ta Chou, Der-Cherng Tarng, Szu-Yuan Li, Shuo-Ming Ou, and Yung-Tai Chen Am. J. Resp. Crit. Care Med. Nov 1, 2014, vol. 190, no. 9: 1003-1011
Rationale: Intensive care unit (ICU)-acquired weakness is a common issue for sepsis survivors that is characterized by impaired muscle strength and causes functional disability. Although inpatient rehabilitation has not been found to reduce in-hospital mortality, the impact of postdischarge rehabilitation on sepsis survivors is uncertain.
Renee D. Stapleton, MD, PhD, FCCP; William J. Ehlenbach, MD; Richard A. Deyo, MD, MPH; J. Randall Curtis, MD, MPH CHEST Nov 2014; 146(5): 1214-1225
BACKGROUND: Outcomes after in-hospital CPR in older adults with chronic illness are unclear.
Date: 24-26 Apr 2015; Venue: Suntec Singapore, International Convention and Exhibition Centre
2014 Nov - Sepsis Severe or Septic Shock: Outcome According to Immune Status and Immunodeficiency Profile
Violaine Tolsma, MD; Carole Schwebel, MD, PhD; Elie Azoulay, MD, PhD; Michael Darmon, MD, PhD; Bertrand Souweine, MD, PhD; Aurélien Vesin, MSc; Dany Goldgran-Toledano, MD; Maxime Lugosi, MD; Samir Jamali, MD; Christine Cheval, MD; Christophe Adrie, MD, PhD; Hatem Kallel, MD; Adrien Descorps-Declere, MD; Maïté Garrouste-Orgeas, MD, PhD; Lila Bouadma, MD, PhD; Jean-François Timsit, MD, PhD CHEST Nov 2014; 146(5): 1205-1213
OBJECTIVES: This study evaluated the influence of the immune profile on the outcome at day 28 (D28) of patients admitted to the ICU for septic shock or severe sepsis.
Ellen L. Burnham, MD; Robert C. Hyzy, MD, FCCP; Robert Paine, III, MD; Aine M. Kelly, MD; Leslie E. Quint, MD; David Lynch, MB; Douglas Curran-Everett, PhD; Marc Moss, MD; Theodore J. Standiford, MD CHEST Nov 2014; 146(5): 1196-1204
BACKGROUND: In ARDS, the extent of fibroproliferative activity on chest high-resolution CT (HRCT) scan has been reported to correlate with poorer short-term outcomes and pulmonary-associated quality of life. However, clinical factors associated with HRCT scan fibroproliferation are incompletely characterized. We questioned if lung compliance assessed at the bedside would be associated with fibroproliferation on HRCT scans obtained during the resolution phase of ARDS.
Allan J. Walkey, MD; Bradley G. Hammill, MS; Lesley H. Curtis, PhD; Emelia J. Benjamin, MD CHEST Nov 2014; 146(5): 1187-1195
BACKGROUND: New-onset atrial fibrillation (AF) is associated with adverse outcomes during a sepsis hospitalization; however, long-term outcomes following hospitalization with sepsis-associated new-onset AF are unclear.
Date: 18/11/2014, Time: 6:30-8:30pm; Venue: Lecture Theatre, G/F, M Block, QEH
2014 Nov - Comparison of two repositioning schedules for the prevention of pressure ulcers in patients on mechanical ventilation with alternating pressure air mattresses
Manzano F, Colmenero M, Pérez-Pérez AM, Roldán D, Jiménez-Quintana Mdel M, Mañas MR, Sánchez-Moya MA, Guerrero C, Moral-Marfil MA, Sánchez-Cantalejo E, Fernández-Mondéjar E.; Intensive Care Med. 2014 Nov;40(11):1679-87.
PURPOSE: The objective was to compare the effectiveness of repositioning every 2 or 4 h for preventing pressure ulcer development in patients in intensive care unit under mechanical ventilation (MV).
Guerin C, Baboi L, Richard JC.; Intensive Care Med. 2014 Nov;40(11):1634-42
INTRODUCTION: Prone positioning has been used for many years in patients with acute respiratory distress syndrome (ARDS). The initial reason for prone positioning in ARDS patients was improvement in oxygenation. It was later shown that mechanical ventilation in the prone position can be less injurious to the lung and hence the primary reason to use prone positioning is prevention of ventilator-induced lung injury (VILI).
2014 Nov - Surviving Sepsis Campaign: association between performance metrics and outcomes in a 7.5-year study
Levy MM, Rhodes A, Phillips GS, Townsend SR, Schorr CA, Beale R, Osborn T, Lemeshow S, Chiche JD, Artigas A, Dellinger RP.; Intensive Care Med. 2014 Nov;40(11):1623-33.
PURPOSE: To determine the association between compliance with the Surviving Sepsis Campaign (SSC) performance bundles and mortality.
Date: 17-20 Mar 2015; Venue: Square Brussels Meeting Center
Aslakson RA, Curtis JR, Nelson JE.; Crit Care Med. 2014 Nov;42(11):2418-28.
Objectives: Palliative care is an interprofessional specialty as well as an approach to care by all clinicians caring for patients with serious and complex illness. Unlike hospice, palliative care is based not on prognosis but on need and is an essential component of comprehensive care for critically ill patients from the time of ICU admission. In this clinically focused article, we review evidence of opportunities to improve palliative care for critically ill adults, summarize strategies for ICU palliative care improvement, and identify resources to support implementation.
2014 Nov - Bradycardia During Therapeutic Hypothermia Is Associated With Good Neurologic Outcome in Comatose Survivors of Out-of-Hospital Cardiac Arrest
Stær-Jensen H, Sunde K, Olasveengen TM, Jacobsen D, Drægni T, Nakstad ER, Eritsland J, Andersen GO.; Crit Care Med. 2014 Nov;42(11):2401-8.
Objective: Comatose patients resuscitated after out-of-hospital cardiac arrest receive therapeutic hypothermia. Bradycardia is frequent during therapeutic hypothermia, but its impact on outcome remains unclear. We explore a possible association between bradycardia during therapeutic hypothermia and neurologic outcome in comatose survivors of out-of-hospital cardiac arrest.
2014 Nov - Short- and Long-Term Outcome in Elderly Patients After Out-of-Hospital Cardiac Arrest: A Cohort Study
Grimaldi D, Dumas F, Perier MC, Charpentier J, Varenne O, Zuber B, Vivien B, Pène F, Mira JP, Empana JP, Cariou A.; Crit Care Med. 2014 Nov;42(11):2350-7
Objective: Determinants of outcome and long-term survival are unknown in elderly patients successfully resuscitated after out-of-hospital cardiac arrest. Our aim was to identify factors associated with short- and long-term neurologic outcome in such patients.
Funk D, Doucette S, Pisipati A, Dodek P, Marshall JC, Kumar A; Cooperative Antimicrobial Therapy of Septic Shock Database Research Group.; Crit Care Med. 2014 Nov;42(11):2333-41.
Objective: Given conflicting data and current guidelines, low-dose corticosteroids are often used in the treatment of septic shock. To evaluate the therapeutic benefit of early low-dose corticosteroid in patients with septic shock.