Salluh JI, Soares M.; Curr Opin Crit Care. 2014 Oct;20(5):557-65
Purpose of review: This review aims to evaluate the latest versions of the Acute Physiology and Chronic Health Evaluation, Simplified Acute Physiology Score and Mortality Probability Model scores, make comparisons and describe their strengths and limitations. Additionally, we provide critical analysis and recommendations for the use of these scoring systems in different scenarios.
2014 Oct - Antibiotic treatment of ventilator-associated tracheobronchitis: to treat or not to treat?
Craven DE, Hudcova J, Craven KA, Scopa C, Lei Y.: Curr Opin Crit Care. 2014 Oct;20(5):532-41.
Purpose of review: To evaluate the data on antimicrobial therapy for ventilator-associated tracheobronchitis (VAT) to prevent ventilator-associated pneumonia (VAP), and its impact on patient outcomes.
2014 Oct - Infection control measures to decrease the burden of antimicrobial resistance in the critical care setting
Landelle C, Marimuthu K, Harbarth S.; Curr Opin Crit Care. 2014 Oct;20(5):499-506.
Purpose of review: The prevalence of multidrug-resistant organisms (MDROs) in ICUs is increasing worldwide. This review assesses the role of infection control measures, excluding antibiotic stewardship programs, in reducing the burden of resistance in ICUs.
Torres-Courchoud I, Chen HH.; Curr Opin Crit Care. 2014 Oct;20(5):467-71.
Purpose of review: Acute heart failure (AHF) is a major health problem worldwide, with no proven therapy. Low-dose dopamine has been used in this entity to improve renal outcomes in the past decades. The aim of this article is to review the former and recent clinical trials about the use of low-dose dopamine in AHF.
Kuchena A, Merkel MJ, Hutchens MP.: Curr Opin Crit Care. 2014 Oct;20(5):507-15.
Purpose of review: Therapeutic hypothermia following out-of-hospital cardiac arrest improves neurological recovery. Coupled with neurological benefit, multiple complications including infection have been associated with therapeutic hypothermia following out-of-hospital cardiac arrest. In this review, we will discuss therapeutic hypothermia, and more broadly, temperature management, as a risk for ICU infection.
Krishnamoorthy A, Felker GM.; Curr Opin Crit Care. 2014 Oct;20(5):478-83.
Purpose of review: Fluid removal and relief of congestion are central to treatment of acute heart failure. Diuretics have been the decongestive mainstay but their known limitations have led to the exploration of alternative strategies. This review compares diuretics with ultrafiltration and examines the recent evidence evaluating their use.
2014 Oct - Tidal Volume and Plateau Pressure Use for Acute Lung Injury From 2000 to Present: A Systematic Literature Review
Jaswal DS, Leung JM, Sun J, Cui X, Li Y, Kern S, Welsh J, Natanson C, Eichacker PQ.; Crit Care Med. 2014 Oct;42(10):2278-89.
Objective: Since publication of the Respiratory Management of Acute Lung Injury and Acute Respiratory Distress Syndrome (ARMA) trial in 2000, use of tidal volume (VT) less than or equal to 6 mL/kg predicted body weight with corresponding plateau airway pressures (PPlat) less than or equal to 30 cm H2O has been advocated for acute lung injury. However, compliance with these recommendations is unknown. We therefore investigated VT (mL/kg predicted body weight) and PPlat (cm H2O) practices reported in studies of acute lung injury since ARMA using a systematic literature review (i.e., not a meta-analysis).
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 - Basic Critical Care Echocardiography by Pulmonary Fellows: Learning Trajectory and Prognostic Impact Using a Minimally Resourced Training Model
See KC, Ong V, Ng J, Tan RA, Phua J.; Crit Care Med. 2014 Oct;42(10):2169-77
Objectives: The spread of basic critical care echocardiography may be limited by training resources. Another barrier is the lack of information about the learning trajectory and prognostic impact of individual basic critical care echocardiography domains like acute cor pulmonale determination and left ventricular function estimation. We thus developed a minimally resourced training model and studied the latter outcomes.
2014 Oct - Horizontal Infection Control Strategy Decreases Methicillin-Resistant Staphylococcus aureus Infection and Eliminates Bacteremia in a Surgical ICU Without Active Surveillance
Traa MX, Barboza L, Doron S, Snydman DR, Noubary F, Nasraway SA Jr.; Crit Care Med. 2014 Oct;42(10):2151-7.
Objective: Methicillin-resistant Staphylococcus aureus infection is a significant contributor to morbidity and mortality in hospitalized patients worldwide. Numerous healthcare bodies in Europe and the United States have championed active surveillance per the “search and destroy” model. However, this strategy is associated with significant economic, logistical, and patient costs without any impact on other hospital-acquired pathogens. We evaluated whether horizontal infection control strategies could decrease the prevalence of methicillin-resistant S. aureus infection in the ICU, without the need for active surveillance.
2014 Oct - Aggressiveness of Intensive Care Use Among Patients With Lung Cancer in the Surveillance, Epidemiology, and End Results-Medicare Registry
Colin R. Cooke, MD; Laura C. Feemster, MD; Renda Soylemez Wiener, MD; Maya E. O’Neil, PhD; Christopher G. Slatore, MD CHEST Oct 2014; 146(4): 916-923
BACKGROUND: Approximately 65% of elderly patients with lung cancer who are admitted to the ICU will die within 6 months. Efforts to improve end-of-life care for this population must first understand the patient factors that underlie admission to the ICU.
2014 Oct - Increased Fluid Administration in the First Three Hours of Sepsis Resuscitation Is Associated With Reduced Mortality: A Retrospective Cohort Study
Sarah J. Lee, MD, MPH; Kannan Ramar, MBBS, MD; John G. Park, MD, FCCP; Ognjen Gajic, MD, FCCP; Guangxi Li, MD; Rahul Kashyap, MBBS CHEST Oct 2014; 146(4): 908-915
BACKGROUND: The surviving sepsis guidelines recommend early aggressive fluid resuscitation within 6 h of sepsis onset. Although rapid fluid administration may offer benefit, studies on the timing of resuscitation are lacking. We hypothesized that there is an association between quicker, adequate fluid resuscitation and patient outcome from sepsis onset time.
Augustine Lee, MD, FCCP; Emir Festic, MD; Pauline K. Park, MD; Krishnan Raghavendran, MD; Ousama Dabbagh, MD, FCCP; Adebola Adesanya, MD, FCCP; Ognjen Gajic, MD, FCCP; Raquel R. Bartz, MD, FCCP; the United States Critical Illness and Injury Trials Group CHEST Oct 2014; 146(4): 899-907
BACKGROUND: Pulmonary aspiration is an important recognized cause of ARDS. Better characterization of patients who aspirate may allow identification of potential risks for aspiration that could be used in future studies to mitigate the occurrence of aspiration and its devastating complications.
Date: 28 Oct 2014; Time: 19:00-20:30; Venue: Seminor Room, G/F, Block A, QEH
Date: 7 Nov 2014; Time: 09:20-17:45; Venue: Lecture Theatre, M/F, HA building
CCM board accredited tutorial
Date: 15 Nov 2014; Time: 09:00-17:15; Venue: Lecture Theatre, M/F, HA Building
CCM board accredited tutoriral
The ARISE Investigators and the ANZICS Clinical Trials Group.; N Engl J Med. 2014 Oct 1.
Background: Early goal-directed therapy (EGDT) has been endorsed in the guidelines of the Surviving Sepsis Campaign as a key strategy to decrease mortality among patients presenting to the emergency department with septic shock. However, its effectiveness is uncertain.
Harvey SE, Parrott F, Harrison DA, Bear DE, Segaran E, Beale R, Bellingan G, Leonard R, Mythen MG, Rowan KM; the CALORIES Trial Investigators.; N Engl J Med. 2014 Oct 1. [Epub ahead of print]
Background Uncertainty exists about the most effective route for delivery of early nutritional support in critically ill adults. We hypothesized that delivery through the parenteral route is superior to that through the enteral route.
Holst LB, Haase N, Wetterslev J, Wernerman J, Guttormsen AB, Karlsson S, Johansson PI, Aneman A, Vang ML, Winding R, Nebrich L, Nibro HL, Rasmussen BS, Lauridsen JR, Nielsen JS, Oldner A, Pettilä V, Cronhjort MB, Andersen LH, Pedersen UG, Reiter N, Wiis J, White JO, Russell L, Thornberg KJ, Hjortrup PB, Müller RG, Møller MH, Steensen M, Tjäder I, Kilsand K, Odeberg-Wernerman S, Sjøbø B, Bundgaard H, Thyø MA, Lodahl D, Mærkedahl R, Albeck C, Illum D, Kruse M, Winkel P, Perner A; the TRISS Trial Group and the Scandinavian Critical Care Trials Group.; N Engl J Med. 2014 Oct 1. [Epub ahead of print]
Background Blood transfusions are frequently given to patients with septic shock. However, the benefits and harms of different hemoglobin thresholds for transfusion have not been established.
Date: 23 Oct 2014; Venue: Ballroom 1&2, The Mira Hong Kong, Kowloon