Date: 25 Oct 2015; Time: 08:00-16:15; Venue: Intercontinental Grand Stanford Hong Kong 香港海景嘉福酒店
Prevention of VAP - site visit of PYNEH ICU by Prof. David J Weber (USA), Central Infection Control Office and Cluster infection control team
2015 Sep - Mechanical chest compression for out of hospital cardiac arrest: Systematic review and meta-analysis
Gates S, Quinn T, Deakin CD, Blair L, Couper K, Perkins GD.; Resuscitation. 2015 Sep;94:91-7. doi: 10.1016/j.resuscitation.2015.07.002. Epub 2015 Jul 17.
AIM: To summarise the evidence from randomised controlled trials of mechanical chest compression devices used during resuscitation after out of hospital cardiac arrest.
Annals of Intensive Care 2015, 5:21 (12 August 2015)
The burden of multidrug resistance in Gram-negative bacilli (GNB) now represents a daily issue for the management of antimicrobial therapy in intensive care unit (ICU) patients. In Enterobacteriaceae, the dramatic increase in the rates of resistance to third-generation cephalosporins mainly results from the spread of plasmid-borne extended-spectrum beta-lactamase (ESBL), especially those belonging to the CTX-M family.
2015 Aug - Enteral glutamine supplementation in critically ill patients: a systematic review and meta-analysis
Arthur van Zanten, Rupinder Dhaliwal, Dominique Garrel, Daren Heyland Critical Care 2015, 19:294 (18 August 2015)
Introduction: Glutamine (GLN) has been suggested to have a beneficial influence on outcomes of critically ill patients. However, recent large-scale trials have suggested harm associated with GLN supplementation. Recently, systematic reviews on the use of parenteral GLN have been published; however, less information is available on the role of enteral GLN. Therefore, the aim of this systematic review was to study the effects of enteral GLN supplementation in patients with critical illness.
2015 Aug - Venous thromboembolism in the ICU: main characteristics, diagnosis and thromboprophylaxis
Clémence Minet, Leila Potton, Agnès Bonadona, Rébecca Hamidfar-Roy, Claire Somohano, Maxime Lugosi, Jean-Charles Cartier, Gilbert Ferretti, Carole Schwebel, Jean-François Timsit Critical Care 2015, 19:287 (18 August 2015)
Venous thromboembolism (VTE), including pulmonary embolism (PE) and deep venous thrombosis (DVT), is a common and severe complication of critical illness. Although well documented in the general population, the prevalence of PE is less known in the ICU, where it is more difficult to diagnose and to treat.
Hendrik Helmerhorst, Marcus Schultz, Peter van der Voort, Evert de Jonge, David van Westerloo Critical Care 2015, 19:284 (17 August 2015)
Oxygen administration is uniformly used in emergency and intensive care medicine and has life-saving potential in critical conditions. However, excessive oxygenation also has deleterious properties in various pathophysiological processes and consequently both clinical and translational studies investigating hyperoxia during critical illness have gained increasing interest.
Date: 15/9/2015; Time: 18:00-19:30; Venue: Room SB1034A&B, 1/F Special block, TMH
2015 Aug - Bioelectrical impedance vector analysis in critically ill patients: a prospective, clinician-blinded investigation
Sarah Jones, Aiko Tanaka, Glenn Eastwood, Helen Young, Leah Peck, Rinaldo Bellomo, Johan Mårtensson Critical Care 2015, 19:290 (12 August 2015)
Introduction: Assessment of fluid status in critically ill patients is challenging. We aimed to assess the feasibility and validity of bioelectrical impedance vector analysis (BIVA) as a measure of hydration in critically ill patients.
Joseph Paonessa, Thomas Brennan, Marco Pimentel, Daniel Steinhaus, Mengling Feng, Leo Celi Critical Care 2015, 19:288 (7 August 2015)
Introduction: Limited information exists on the etiology, prevalence, and significance of hyperdynamic left ventricular ejection fraction (HDLVEF) in the intensive care unit (ICU). Our aim in the present study was to compare characteristics and outcomes of patients with HDLVEF with those of patients with normal left ventricular ejection fraction in the ICU using a large, public, deidentified critical care database.
Greet Hermans, Greet Van den Berghe Critical Care 2015, 19:274 (5 August 2015)
A substantial number of patients admitted to the ICU because of an acute illness, complicated surgery, severe trauma, or burn injury will develop a de novo form of muscle weakness during the ICU stay that is referred to as “intensive care unit acquired weakness” (ICUAW). This ICUAW evoked by critical illness can be due to axonal neuropathy, primary myopathy, or both. Underlying pathophysiological mechanisms comprise microvascular, electrical, metabolic, and bioenergetic alterations, interacting in a complex way and culminating in loss of muscle strength and/or muscle atrophy.
McGuinness S, Parke R.; Curr Opin Crit Care. 2015 Aug;21(4):364-8.
Purpose of review: The aim of this study was to review recent advances and evidence for the use of cardiac output monitors to guide perioperative haemodynamic therapy.
Schultz MJ, Abreu MG, Pelosi P.; Curr Opin Crit Care. 2015 Aug;21(4):351-7.
Purpose of review: To summarize clinical evidence for intraoperative ventilation settings, which could protect against postoperative pulmonary complications (PPCs) in surgical patients with uninjured lungs.
Raghunathan K, Nailer P, Konoske R.; Curr Opin Crit Care. 2015 Aug;21(4):309-14.
Purpose of review: We discuss the importance of the composition of intravenous crystalloid solutions. On the basis of current physiologic principles, evidence from basic science and clinical experiments, recent observational studies, and clinical trials, we conclude that the ‘ideal crystalloid’ depends on clinical context. We make recommendations on solutions that may be used during critical illness, major surgery, and certain clinical situations.
Caironi P, Langer T, Gattinoni L.; Curr Opin Crit Care. 2015 Aug;21(4):302-8.
Purpose of review: The use of albumin-containing solutions in critically ill patients has been recently revisited, following evidence on harmful effects of synthetic colloids, and novel randomized controlled trials (RCTs) in sepsis. Here, we review the most recent findings on albumin administration in acutely ill and septic patients.
Date: 20 Nov 2015, Time: 2-5:45pm;
Venue: Hong Kong Academy of Medicine, Jockey Club Building, 99 Wong Chuk Hang Road, Aberdeen, Hong Kong
Mårtensson J, Bellomo R.; Curr Opin Crit Care. 2015 Aug;21(4):292-301.
Purpose of review: To describe the harmful effects of intravenous fluids on kidney structure and function and summarize recent comparisons between different fluids and their effect on kidney outcome.
Ait-Oufella H, Bourcier S, Lehoux S, Guidet B. ;Curr Opin Crit Care. 2015 Aug;21(4):271-5.
PURPOSE OF REVIEW: Despite the progress made over the past 20 years in the treatment of septic shock, mortality remains high. Microcirculatory disorders raise considerable interest aiming to improve the understanding of the physiopathology of septic shock and its management.