Date: 15/3/2015; Venue: Square - Brussels Meeting Center
Parienti JJ, Mongardon N, Mégarbane B, Mira JP, Kalfon P, Gros A, Marqué S, Thuong M, Pottier V, Ramakers M, Savary B, Seguin A, Valette X, Terzi N, Sauneuf B, Cattoir V, Mermel LA, du Cheyron D; 3SITES Study Group.; N Engl J Med. 2015 Sep 24;373(13):1220-9.
BACKGROUND: Three anatomical sites are commonly used to insert central venous catheters, but insertion at each site has the potential for major complications.
2015 Aug - Clinical management for patients admitted to a critical care unit with severe sepsis or septic shock
Cheung WK, Chau LS, Mak II, Wong MY, Wong SL, Tiwari AF.; Intensive Crit Care Nurs. 2015 Aug 17
BACKGROUND: The Surviving Sepsis Campaign promotes the use of norepinephrine as the first-line inotropic support for patients presenting with severe sepsis or septic shock in cases of persistent hypotension, despite adequate fluid resuscitation. However, there is little published evidence on how much noradrenaline is administered to such patients when admitted to the intensive care unit (ICU). The authors report the clinical management of this group of patients, with a special focus on the total amount and duration of norepinephrine infusion required.
2015 Oct - High Viral Load and Respiratory Failure in Adults Hospitalized for Respiratory Syncytial Virus Infections
Lee N, Chan MC, Lui GC, Li R, Wong RY, Yung IM, Cheung CS, Chan EC, Hui DS, Chan PK.; J Infect Dis. 2015 Oct 15;212(8):1237-40.
A prospective study among adults hospitalized for polymerase chain reaction-confirmed respiratory syncytial virus infections (n = 123) showed frequent occurrence of lower respiratory-tract complications causing respiratory insufficiency (52.8%), requirement for assisted ventilation (16.3%), and intensive care unit admission/death (12.2%).
Annals of Intensive Care 2015, 5:24 (17 September 2015)
Hypovolemia, anemia and hypoxemia may cause critical deterioration in the oxygen delivery (DO 2 ). Their early detection followed by a prompt and appropriate intervention is a cornerstone in the care of critically ill patients. And yet, the remedies for these life-threatening conditions, namely fluids, blood and oxygen, have to be carefully titrated as they are all associated with severe side-effects when administered in excess.
2015 Sep - Recent knowledge on the pathophysiology of septic acute kidney injury - a narrative review
Hoi-Ping Shum, Wing-Wa Yan, Tak Mao Chan; Journal of Critical Care, Published online: September 21 2015
Sepsis is the commonest cause of acute kidney injury (AKI) in critically ill patients. Its pathophysiology is complex and not well understood. Until recently, it was believed that kidney hypoperfusion is the major contributor of septic AKI. However, recent publications have improved our understanding on this topic. We now know that its mechanisms included the following: 1) renal macro- and micro-circulatory disturbance, 2) surge of inflammatory markers and oxidative stress, 3) coagulation cascade activation, and 4) bioenergetics adaptive response with controlled cell cycle arrest aiming to prevent cell death. Uncovering these complicated mechanisms may facilitate the development of more appropriate therapeutic measures in the future.
Date: 15 Sep 2015, Time: 7:30-8:30am, Venue: Anaes. CME meeting, PYNEH, Speaker: Dr Carol Chan (ICU, TMH)
Date: 25 Oct 2015; Time: 08:00-16:15
Venue: Intercontinental Grand Stanford Hong Kong 香港海景嘉福酒店
*** Online Registration Now Open ***
Date: 25 Oct 2015; Time: 10:20
Venue: Intercontinental Grand Stanford Hong Kong 香港海景嘉福酒店
Notice of 2015 Annual General Meeting
Notice is hereby given that the 2015 Annual General Meeting of the Association will be held on 25 Octoberr 2015 at Intercontinental Grand Stanford Hotel at 10:20am for the following purposes :-
To note that the Audited Financial Statements for the year ended 31 March 2015 would not be available for presentation.
- To re-elect members of Executive Committee.
Special notice pursuant to Sections 116C and 132(1) of the Companies Ordinancehas been received to propose the following resolution be passed as an Ordinary Resolution :
“That Messrs RSM Nelson Wheeler 中瑞岳華(香港)會計師事務所, Certified Public Accountants, the retiring Auditor, be re-appointed Auditor of the Association until the conclusion of the next Annual General Meeting or the passing of the written resolution in lieu of the next Annual General Meeting at a fee to be agreed with the members of Executive Committee.”
To transact any other ordinary business of the Association.
By Order of the Executive Committee
Dr. Chan King Chung
Date: 23 September 2015
1. Any Member entitled to attend and vote at the Meeting is entitled to appoint a proxy to attend and vote on his behalf.
2. A proxy need not be a member of the Association.
3. The instrument appointing a proxy should be deposited at the Registered Office of the Association not less than 48 hours before the time fixed for holding the Meeting or adjourned Meeting.
Annals of Intensive Care 2015, 5:22 (17 September 2015)
The French Intensive Care Society organized on 5th and 6th June 2014 its 4th “Paris International Conference in Intensive Care”, whose principle is to bring together the best international experts on a hot topic in critical care medicine. The 2014 theme was “Breakthrough in cardiac arrest”, with many high-quality updates on epidemiology, public health data, pre-hospital and in-ICU cares. The present review includes short summaries of the major presentations, classified into six main chapters..
2015 Sep - Outcome of elderly patients who receive intensive care at a regional hospital in Hong Kong
Shum HP, Chan KC, Wong HY, Yan WW.; Hong Kong Med J. 2015 Sep 29. [Epub ahead of print]
2015 Sep - Postextubation laryngeal edema and stridor resulting in respiratory failure in critically ill adult patients: updated review
Wouter Pluijms, Walther van Mook, Bastiaan Wittekamp, Dennis Bergmans Critical Care 2015, 19:295 (23 September 2015)
Endotracheal intubation is frequently complicated by laryngeal edema, which may present as postextubation stridor or respiratory difficulty or both. Ultimately, postextubation laryngeal edema may result in respiratory failure with subsequent reintubation. Risk factors for postextubation laryngeal edema include female gender, large tube size, and prolonged intubation. Although patients at low risk for postextubation respiratory insufficiency due to laryngeal edema can be identified by the cuff leak test or laryngeal ultrasound, no reliable test for the identification of high-risk patients is currently available.
2015 Sep - Monitoring of serum lactate level during cardiopulmonary resuscitation in adult in-hospital cardiac arrest
Chih-Hung Wang, Chien-Hua Huang, Wei-Tien Chang, Min-Shan Tsai, Ping-Hsun Yu, Yen-Wen Wu, Kuan-Yu Hung, Wen-Jone Chen Critical Care 2015, 19:344 (21 September 2015)
Introduction: Serum lactate level may correlate with no-flow and low-flow status during cardiac arrest. Current guidelines have no recommended durations for cardiopulmonary resuscitation (CPR) before transition to the next strategy. We hypothesized that the lactate level measured during CPR could be associated with the survival probability and accordingly be useful in estimating the optimal duration for CPR.
2015 Sep - Dynamics of end expiratory lung volume after changing positive end-expiratory pressure in acute respiratory distress syndrome patients
Aude Garnero, David Tuxen, Gaëlle Corno, Jacques Durand-Gasselin, Carol Hodgson, Jean-Michel Arnal Critical Care 2015, 19:340 (18 September 2015)
Introduction: Lung recruitment maneuvers followed by an individually titrated positive end-expiratory pressure (PEEP) are the key components of the open lung ventilation strategy in acute respiratory distress syndrome (ARDS). The staircase recruitment maneuver is a step-by-step increase in PEEP followed by a decremental PEEP trial. The duration of each step is usually 2 minutes without physiologic rationale.
2015 Sep - Daily laxative therapy reduces organ dysfunction in mechanically ventilated patients: a phase II randomized controlled trial
Rodrigo de Azevedo, Flávio Freitas, Elaine Ferreira, Luciano Pontes de Azevedo, Flávia Machado Critical Care 2015, 19:329 (16 September 2015)
Introduction: Constipation is a common problem in intensive care units. We assessed the efficacy and safety of laxative therapy aiming to promote daily defecation in reducing organ dysfunction in mechanically ventilated patients.
2015 Aug - Changes in the Attitude and Practice Toward End-of-Life Care: Perspective of Chinese Physicians in Medical Department
Lam KW, Yeung KW, Lai KY, Cheng F.; Am J Hosp Palliat Care. 2015 Aug;32(5):549-54.
INTRODUCTION: End-of-life care is affected by the attitude and cultural influence of doctors.
2015 Sep - Comparison of hydroxyethyl starch colloids with crystalloids for surgical patients: A systematic review and meta-analysis
Raiman M, Mitchell CG, Biccard BM, Rodseth RN. Eur J Anaesthesiol. 2015 Sep 8. [Epub ahead of print]
BACKGROUND: Fluid therapy is one of the most ubiquitous medical therapeutic interventions. There is a debate over whether colloids or crystalloids are better for fluid resuscitation. Recent large trials and meta-analyses suggest no mortality benefit and possible harm with hydroxyethyl starch (HES) use. However, these trials were conducted in critically ill and septic patients and their applicability to perioperative patients has been challenged.
2015 Aug - High-volume plasma exchange in patients with acute liver failure: An open randomised controlled trial
Larsen FS, Schmidt LE, Bernsmeier C, Rasmussen A, Isoniemi H, Patel VC, Triatafyllou E, Bernal W, Auzinger G, Shawcross D, Eefsen M, Bjerring PN, Clemmesen JO, Hockerstedt K, Frederiksen HJ, Hansen BA, Antoniades CG, Wendon J.; J Hepatol. 2015 Aug 29. pii: S0168-8278(15)00590-5. doi: 10.1016/j.jhep.2015.08.018. [Epub ahead of print]
BACKGROUND: Acute liver failure (ALF) results in cardiovascular instability, renal failure, brain oedema and death either due to irreversible shock, cerebral herniation or development of multiple organ failure. High-volume plasma exchange (HVP), defined as exchange of 8-12 or 15% of ideal body weight with fresh fozen plasmain case series improves systemic, cerebral and splanchnic parameters.
2015 Sep 15 - Respiratory Electrodialysis. A Novel, Highly Efficient Extracorporeal CO2 Removal Technique
Alberto Zanella, Luigi Castagna, Domenico Salerno, Vittorio Scaravilli, Salua Abd El Aziz El Sayed Deab, Federico Magni, Marco Giani, Silvia Mazzola, Mariangela Albertini, Nicolò Patroniti, Francesco Mantegazza, and Antonio Pesenti Am. J. Resp. Crit. Care Med. Sep 15, 2015, vol. 192, no. 6: 719-726
Rationale: We developed an innovative, minimally invasive, highly efficient extracorporeal CO2 removal (ECCO2R) technique called respiratory electrodialysis (R-ED).
Objectives: To evaluate the efficacy of R-ED in controlling ventilation compared with conventional ECCO2R technology.
Come and Join Hong Kong Society of Critical Care Medicine !!
Membership in the Hong Kong Society of Critical Care Medicine (HKSCCM) signals your dedication to the practice of Critical Care / Intensive Care and your support to the Society
The HKSCCM was formally established on 19 May 1983. Our objectives are:
To improve co-operation, liaison, and comradeship of all the health care workers involved in the practice of critical care medicine in Hong Kong.
To advance knowledge in Critical Care Medicine in Hong Kong.
To provide expert advice, as and when required, to other organisations on matters pertaining to critical care medicine in Hong Kong.
To liaise with similar organisations overseas and to promote exchange of expertise and information
Download application form here
Membership and sponsorship information here