online final programme
Transcription
online final programme
F i n a l p r o g 25th AnnuAl COnGRESS 13-17 october 2012 For physicians, nurses and other allied healthcare professionals. www.esicm.org r a m m e Acknowledgements The European Society of Intensive Care Medicine would like to wholeheartedly thank the following companies who are entitled to be recognised as Major sponsors Astute Medical Gambro Baxter GE Healthcare Covidien Kimberly-Clark Dräger Maquet Edwards Nestlé Health Science Fisher & Paykel Orion Pharma Fresenius Kabi Philips Pulsion sponsors Pfizer CONTENTS WELCOME FROM THE PRESIDENT & PRESIDENT ELECT 3 Welcome from the Congress Committee Chairman 5 Who’s who 6 Practical Information 19 MAP - CongreSs Center CCL LISBON 22 Summary poster CORNERS 24 POSTER CORNERS - REPLAY THEATRE - E-POSTERS 26 esicm activities 29 ESICM General Assembly 32 Pre-Congress Educational programme 43 PG Overview 44 Advanced haemodynamic monitoring 48 LUNG ABDOMINAL AND CEREBRAL ULTRASOUNDS IN ICU 50 Critical care refresher course 52 ECHOCARDIOGRAPHY 54 RENAL REPLACEMENT THERAPY 59 PERI-OPERATIVE CARE OF THE HIGH -RISK PATIENT: SIMULATION BASED 60 DESIGNING, CONDUCTING AND PUBLISHING INTENSIVE CARE RESEARCH 62 HOW TO WRITE A SYSTEMATIC REVIEW & META-ANALYSIS 64 Scientific Programme 67 Opening session 69 SESSIONS FORMAT 70 SESSIONS REFERENCES 72 Sessions of special interest for Nurses and AHP 73 Replay Theatre 75 Overview Monday 15 October 80 Overview Tuesday 16 October 132 Overview Wednesday 17 October 180 ESICm Faculty list 204 Industry SPONSORED sessions 207 FACULTY LIST - INDUSTRY SPONSORED SESSIONS 208 Industry sponsored sessions 209 Exhibition list & guide - List of exhibitors & Exhibition map 216 Guide to exhibition 218 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 1 Our new identity _ As ESICM celebrates its 30th anniversary, we wish to express new ambitions for our society. Is there any better opportunity to unveil the new ESICM identity? this new logotype is clearly oriented towards the future and is built on a graphic reinterpretation of highly symbolic intensive care waveforms, Dna strands, and digital connections. it conveys all the values of a resourceful, dynamic, collaborative and innovative scientific society: your eSicm. The creation of a new brand slogan Building the brand value of ESICM With this complete redesign of the eSicm graphic identity, we aim to capitalise on the work accomplished over the past 30 years, and to foster further worldwide recognition of eSicm for the quality of its scientific research, professional events and services. to accompany this new eSicm identity, we have launched a slogan that summarises our commitment and mission: to provide all intensive care professionals resources that will help them advance care of critically ill patients and their families, and create the conditions for the continued progress for our specialty. Download our new graphic logos every eSicm member can download the new static and animated logos after login on our website: www.esicm.org. Feel free to add them to your site: be part of the intensive connection! liSbon 2012 wElCOME fROM THE PRESIDEnT AnD PRESIDEnT ElECT. DR. AnDREw RHODES, eSicm president PR. JEAn-DAnIEl CHICHE, eSicm president elect it gives us great pleasure to welcome you to liVeS 2012, the 25th annual congress of the european Society of intensive care medicine (eSicm) in lisbon, portugal. We have been delighted to oversee the continued growth of our annual congress, which now is the biggest and most innovative critical care event held anywhere in the world. this continued success is richly deserved as the meeting contains the highest quality of scientific and educational sessions, delivered by the world’s most eminent experts. as important as the education is, however, we fully appreciate the importance of being able to meet up with colleagues and old friends as well as having the time to network and forge new contacts in the field, so we have strived to create an environment that is conducive to education, relaxation and fun. this year, we will also be celebrating the 30th anniversary of eSicm. Standing on the shoulders of giants that have made our discipline what it is today, it is easier to look at the future without fear and consider the next 30 years. intensive care medicine has now become a mature specialty that is critical to the progress of all other disciplines. it is anticipated that there will be a continued growth in the demand for intensive care services and therefore a need for what we can offer and deliver. our Society will undoubtedly have a pivotal role to play in advancing biomedical sciences that pertain to our discipline as well as in the continuous education of our workforces to guarantee the best possible outcomes for our patients. We are ready for this challenge and have begun to prepare eSicm for its transformation into a Society even more connected to its members and its root values. to mark this important milestone of eSicm turning 30, we are delighted to unveil a new visual identity as the first step of an evolution that will soon include a new digital platform and membership offers with unprecedented benefits. For those who are interested in getting involved in the activities of the eSicm, there has never been a better opportunity. if you are already a member, ensure you take some time whilst you are at the congress to visit eSicm member’s lounge. our staff will be pleased to welcome you and guide you through the benefits that you can receive from the Society. if you are not yet an eSicm member, find a member to sponsor your application and get more rewards through our “1+1=12,000” campaign. alone or with your sponsor, be sure to visit our booth where we will try to persuade you to join us in our continual venture: to unite and collectively shape the future of our discipline — both for the homogeneity of our profession and moreover, in the interest of improved quality of care and outcomes for our patients. Join us to celebrate our 30th Anniversary and make lIVES 2012 the event where you finally become involved and help to build the future of intensive care with us! www.esicm.org / 3 RAPID AND SUSTAINED BENEFITS FOR THE FAILING HEART Cardioprotective inodilator: FIRST IN CLASS SIMDAX is the first in class as cardioprotective inodilator drug.1 ESC guidelines give levosimendan a class IIa recommendation at level of evidence B for the treatment of acute heart failure.2 The most recent meta-analysis shows reduction of mortality and length of stay in hospital.3 These benefits are not obtained with other inodilators such as dobutamine4 or milrinone.5 Papp et al. Int J Cardiol 2011 e-pub Dickstein et al. Eur Heart J 2008;29:2388–442 3 Landoni et al. Crit Care Med 2011 e-pub 4 Tacon et al. Intensive Care Med 2011 e-pub 5 Zangrillo et al. J Cardiothor Vasc Anesth 2011 e-pub 1 2 PRODUCT INFORMATION: Simdax 2.5 mg/ml concentrate for solution for infusion. Therapeutic indications Simdax is indicated for the short-term treatment of acutely decompensated severe chronic heart failure (ADHF) in situations where conventional therapy is not sufficient, and in cases where inotropic support is considered appropriate. Dosage and administration Simdax is for in-hospital use only. It should be administered in a hospital setting where adequate monitoring facilities and expertise with the use of inotropic agents are available. Simdax is to be diluted prior to administration. The infusion is for intravenous use only and can be administered by the peripheral or central route. Dosage: The dose and duration of treatment should be individualised according to the patient’s clinical condition and response. The recommended duration of infusion in patients with acute decompensation of severe chronic heart failure is 24 hours. No signs of development of tolerance or rebound phenomena have been observed following discontinuation of Simdax infusion. Haemodynamic effects persist for at least 24 hours and may be seen up to 9 days after discontinuation of a 24-hour infusion. Experience of repeated administration of Simdax is limited. Experience with concomitant use of vasoactive agents, including inotropic agents (except digoxin) is limited. Monitoring of treatment: Consistent with current medical practice, ECG, blood pressure and heart rate must be monitored during treatment and the urine output measured. Monitoring of these parameters for at least 3 days after the end of infusion or until the patient is clinically stable is recommended. In patients with mild to moderate renal or mild to moderate hepatic impairment monitoring is recommended for at least 5 days. Elderly: No dose adjustment is required for elderly patients. Renal impairment: Simdax must be used with caution in patients with mild to moderate renal impairment. Simdax should not be used in patients with severe renal impairment (creatinine clearance <30 ml/min). Hepatic impairment: Simdax must be used with caution in patients with mild to moderate hepatic impairment although no dose adjustment appears necessary for these patients. Simdax should not be used in patients with severe hepatic impairment. Children: Simdax should not be administered to children and adolescents under 18 years of age. Contraindications Hypersensitivity to levosimendan or to any of the excipients. Severe hypotension and tachycardia. Significant mechanical obstructions affecting ventricular filling or outflow or both. Severe renal impairment (creatinine clearance <30 ml/min) and severe hepatic impairment. History of Torsades de Pointes. Special warnings and special precautions for use An initial haemodynamic effect of levosimendan may be a decrease in systolic and diastolic blood pressure, therefore, levosimendan should be used with caution in patients with low baseline systolic or diastolic blood pressure or those at risk for a hypotensive episode. More conservative dosing regimens are recommended for these patients. Physicians should tailor the dose and duration of therapy to the condition and response of the patient. Severe hypovolaemia should be corrected prior to levosimendan infusion. If excessive changes in blood pressure or heart rate are observed, the rate of infusion should be reduced or the infusion discontinued. The exact duration of all haemodynamic effects has not been determined, however, the haemodynamic effects, generally last for 7-10 days. This is partly due to the presence of active metabolites, which reach their maximum plasma concentrations about 48 hours after the infusion has been stopped. Non-invasive monitoring for at least 4-5 days after the end of infusion is recommended. Monitoring is recommended to continue until the blood pressure reduction has reached its maximum and the blood pressure starts to increase again, and may need to be longer than 5 days if there are any signs of continuing blood pressure decrease, but can be shorter than 5 days if the patient is clinically stable. In patients with mild to moderate renal or mild to moderate hepatic impairment an extended period of monitoring maybe needed. Simdax infusion should be used cautiously in patients with tachycardia atrial fibrillation with rapid ventricular response or potentially life-threatening arrhythmias. Interaction with other medicinal products and other forms of interaction Consistent with current medical practice, levosimendan should be used with caution when used with other intravenous vasoactive medicinal products due to a potentially increased risk of hypotension. No pharmacokinetic interactions have been observed in a population analysis of patients receiving digoxin and Simdax infusion. Simdax infusion can be used in patients receiving beta-blocking agents without loss of efficacy. Co-administration of isosorbide mononitrate and levosimendan in healthy volunteers resulted in significant potentiation of the orthostatic hypotensive response. Undesirable effects The most commonly (>1/10) reported adverse reactions include headache, hypotension and ventricular tachycardia. Overdose Overdose of Simdax may induce hypotension and tachycardia. High doses (at or above 0.4 microgram/kg/min) and infusions over 24 hours increase the heart rate and are sometimes associated with prolongation of the QTc interval. Simdax overdose leads to increased plasma concentrations of the active metabolite, which may lead to a more pronounced and prolonged effect on heart rate requiring a corresponding extension of the observation period. Storage Store at 2°C-8°C (in a refrigerator). Do not freeze. CONTACT INFORMATION: Orion Corporation, Orion Pharma, PO Box 65, FI-02101 ESPOO, FINLAND. Tel. +358 10 4261 liSbon 2012 wElCOME fROM THE COnGRESS COMMITTEE CHAIRMAn GIuSEPPE CITERIO chairman, Division of eSicm Scientific affairs and congress committee on behalf of the executive and congress committees of eSicm, i would like to welcome you to the 25th annual congress of eSicm, liVeS 2012. the acronym liVeS: latest intensive care Views on education & Science, established last year, reflects our congress’ brand as well as our Society’s core mission. Updating clinicians, nursing staff, and allied health professionals on the latest and most relevant advances in critical care and emergency medicine is the continual aim of our annual congress, and this years’ programme boasts an unprecedented width and breadth: With 10 parallel sessions and more than 1000 lectures, presentations, debates, tutorials and interactive educational sessions, this congress will surely once again not disappoint the participants – from more than 90 countries— who will converge at ccl in lisbon. the congress committee has worked closely with the Division of professional Development to propose a critical care refresher and 7 postgraduate courses. these carefully selected courses have been adapted to suit potential european Diploma in intensive care (eDic) candidates, as well as those more ‘senior’ intensive care professionals who would like to refresh their knowledge and update crucial skills in a broad range of topics, such as haemodynamic monitoring, critical care nephrology, ultrasound, management skills in intensive care medicine, research, systematic review creation and icU practical skills. this is a special anniversary year for the Society — be sure to join us at the opening ceremony to learn more about the highlights of this year’s congress and to help us celebrate eSicm’s 30th anniversary. it is fitting that this is also a banner year for cutting-edge original research. While presentations of original research has always been one of our central priorities, we are pleased that this year, of the 1330 submitted, 1141 exemplary abstracts have been selected to be presented in either oral or e-poster format. in keeping with the current climate of environmental conservatism and to lessen our own carbon footprint, we have decided to eliminate paper posters. in addition to the environmental considerations, there are added benefits for congress delegates in that there are no necessary printing and/or shipping costs, and rather than being disposed of after the congress, electronic versions of all posters will be available online (indefinitely!) on the eSicm website. e-poster corners, the replay theatre and an updated mobile app will empower you to optimise your selection of thematic sessions or debates in an efficient, user-friendly and interactive fashion. the new liVeS 2012 app will have increased functionality including a voting module (available in room rome), which utilises Wi-Fi (for smartphone users) and (along with many other useful features) will allow participants to send questions to the session chairs. it may be somewhat paradoxical, but while host city lisbon is one of the oldest cities, it has also been voted one of the most liveable cities in the world. it boasts a moderate mediterranean climate, an expansive and reliable public transport network and is steeped in history and culture. While you are here, be sure to take a stroll through the heart of the city — baixa (city centre) and for a little shopping, visit chiado, a traditional shopping area that mixes old and modern shops with cafés, museums and theatres. also rich in nightlife, lisbon offers traditional entertainment in the form of the nostalgic sounds of Fado at authentic Fado clubs (in bairro alto and alfama), and for those with other pursuits, most locals would agree that with some 150 restaurants and bars, the bairro alto is the most happening place after dark. There is no better time or place to get involved! Join us for all of the lIVES 2012 programme and activities and take advantage of all the perks this very multicultural city offers. we are pleased that you will be a part of ESICM’s 25th Annual Congress in lisbon and we wholeheartedly wish you the best possible experience! www.esicm.org / 5 Congress committee Who’s who CHAIR OF THE DIVISION OF SCIENTIFIC AFFAIRS Giuseppe Citerio HEALTH SERVICES RESEARCH AND OUTCOMES Andreas Valentin SYSTEMIC INFLAMMATION AND SEPSIS Susanne Toussaint Monza, Italy Vienna, Austria Berlin, Germany Acute Kidney Injury Michael Joannidis INFECTION George Dimopoulos Innsbruck, Austria Athens, Greece Trauma and Emergency Medicine Jacques Duranteau ACUTE RESPIRATORY FAILURE Antonio Pesenti METABOLISM, ENDOCRINOLOGY, Nutrition Jan Wernerman Monza, Italy Stockholm, Sweden representative of the N&AHP COMMITTEE Stijn Blot CARDIOVASCULAR DYNAMICS Maurizio Cecconi NEURO-INTENSIVE CARE Pedro Navarrete Navarro Granada, Spain London, United Kingdom Kremlin-Bicetre, France Ghent, Belgium CHAIR OF THE RESEARCH COMMITTEE Richard Beale London, United Kingdom ETHICS Jozef Kesecioglu PERIOPERATIVE INTENSIVE CARE Rupert Pearse Utrecht, Netherlands London, United Kingdom CHAIR OF THE DIVISION OF PROFESSIONAL DEVELOPMENT Marco Maggiorini Zurich, Switzerland 6 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 SENATE Executive committee Who’s who President Andrew Rhodes London, United Kingdom Peter Suter 1982-1986 Hilmar Burchardi 1998-2000 Cara-Presinge, Switzerland Bovenden, Germany PRESIDENT-ELECT Jean-Daniel Chiche Chair of the N&AHP committee Christina Jones Maurice Lamy 1986-1988 Jukka Takala 2000-2002 Paris, France Liverpool, United Kingdom Liège, Belgium Bern, Switzerland GENERAL SECRETARY Philipp Metnitz Editor-in-Chief Intensive Care Medicine Journal Massimo Antonelli Luciano Gattinoni 1988-1990 Graham Ramsay 2002-2004 Milan, Italy London, United Kingdom Chair of the Research Committee Richard Beale Iain Mc Ledingham 1990-1992 Julian Bion 2004-2006 Lisbon, Portugal London, United Kingdom Perth, United Kingdom Birmingham, United Kingdom CHAIR of the division of Scientific affairs Giuseppe Citerio CHAIR OF THE EDITORIAL & PUBLISHING COMMITTEE Salvatore Maggiore Jean-Louis Vincent 1992-1994 Marco Ranieri 2006-2008 Vienna, Austria Rome, Italy Interim Treasurer Rui Moreno Brussels, Belgium Turin, Italy Monza, Italy Rome, Italy Chair of the division of professional development Marco Maggiorini Past-President Rui Moreno Lambert G Thijs ✝ 1994-1996 Rui Moreno 2008-2010 Lisbon, Portugal Huizen, Netherlands Lisbon, Portugal Zurich, Switzerland Espnic president Jan Hazelzet Rotterdam, Netherlands L I V E S 2 012 Jean Carlet 1996-1998 La Plaine St-Denis, France L ink ing Inno vat ion Vi sion E xcel l ence & S cience 7 Chair Education and training committee Marco Maggiorini Zurich, Switzerland Research Committee Education and Training Committee Who’s who CHAIR OF THE RESEARCH COMMITTEE Richard Beale INF Jordi Rello Chair Congress Committee Giuseppe Citerio Barcelona, Spain Monza, Italy Chair Education and Training Commitee Marco Maggiorini London , United Kingdom Chair PACT Subcommittee Dermot Phelan AKI Eric Hoste MEN Mette Berger Dublin, Ireland Ghent, Belgium Lausanne, Switzerland Zurich, Switzerland ARF John Laffey NIC Mauro Oddo N&AHP Representative Freda DeKeyser Ganz Galway, Ireland Lausanne, Switzerland Jerusalem, Israel Chair Congress Committee Giuseppe Citerio CD Christoph Hofer POIC Michael Sander Monza, Italy Zurich, Switzerland Berlin, Germany N&AHP Representative Katherina Iliopoulou ETH Andrej Michalsen SIS Ricard Ferrer Roca Athens, Greece Tuttlingen, Germany Barcelona, Spain HSRO Akos Csomós TEM Martin Dünser Budapest, Hungary Salzburg, Austria Chair Clinical Training Subcommittee Hans Flaatten Bergen, Norway 8 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 ESICM OFFICE STAFF Who’s who Executive Officer Joël Alexandre Brussels, Belgium Administration Affairs Team Administration Stéphanie Khazzaka Accounting Oscar Serge Ndongo Brussels, Belgium Brussels, Belgium IT & Website Etienne Vander Elst Brussels, Belgium membership Ghislaine Eenens Brussels, Belgium Scientific Affairs Team Congress Cindy Martinez Congress Elise Maquestiaux Brussels, Belgium (On maternity leave) Brussels, Belgium research Dominique De Boom research Guy Marie François Brussels, Belgium Brussels, Belgium Congress Ana Freitas Brussels, Belgium Professional Development Team EDUCATION & TRAINING Estelle Flament Brussels, Belgium EDIC Tania Kapu Brussels, Belgium (On maternity leave) EDIC Stephano Ridolfi Brussels, Belgium Editorial & Publishing Sherry Scharff Brussels, Belgium L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 9 TO be cOnTinued > The intensive connection to… A growing network of members_ BECOME An ESICM MEMBER working to promote the highest standards of multidisciplinary care of critically ill patients through education, research and professional development. 10 GOOD REASOnS_ 1 Discount on registration fees at our annual congress and at international meetings endorsed by eSicm 2 Free access to the eSicm Flash-conferences (slides & sound of the scientific sessions held during the congress & regional meetings) 3 annual subscription to intensive care medicine – electronic version of the Journal (printed version optional) 4 Free access to the web-based 2nd edition of the pact programme 5 participation in eSicm’s scientific activities: including positions in Sections and Working groups, annual congress, joint international meetings, etc. 6 apply for research grants through the eccrn (european critical care research network) 7 access to information about the development of intensive care medicine in europe through our monthly newsletter, annual report and interactive website 8 participation in eSicm educational and training activities: post-graduate courses, cobatrice, etc. 9 reduced fees as you apply for the eDic (european Diploma in intensive care) 10 possibility of joint membership with the european Society of paediatric and neonatal intensive care - eSpnic (optional) JOIn uS_ apply online at www.esicm.org www.esicm.org DR.copyright© TO be cOnTinued > The intensive connection to… The new (magic) formula_ Today, the ESICM boasts slightly more than 6,000 members worldwide. Special thanks to all of you that have contributed to make ESICM what it is as we celebrate our 30th anniversary ! This is the time for an open invitation: sponsor new ESICM members! with you, we can re-invent mathematics. with you, 1+1=12,000! If you are member of ESICM, sponsor your friends, win… and help us win. To thank you, we have imagined a simple principle for rewards : discount on your registration to the 2013 regional conferences. 1 sponsorship = 10% additional discount 2 sponsorships = 15% additional discount 3 sponsorships = 20% additional discount 4 sponsorships = 30% additional discount 5 sponsorships = 50% additional discount 10 sponsorships = free registration by introducing your Society to your friends, you will allow eSicm to expand, progress and create the resources necessary for better science and better care, everywhere and for everyone. to facilitate your connections with new members, we offer you to wear this badge during liVeS 2012: i’m eSicm connected and i am ready to sponsor you. You are not yet an eSicm member: take advantage of our exclusive offer during liVeS 2012. Find an eSicm member to sponsor you and come together to connect to the eSicm family. You will benefit from the exclusive advantages of eSicm membership in addition to an exceptional offer made possible by your sponsor. JOIn uS_ eSicm reception area eSicm loUnge area eSicm ForUm area www.esicm.org TO be cOnTinued > The intensive connection to… become an ambassador_ you to…». You can help us set up the most amazing network of individuals ready to speak up for those who care for and cure the most critically ill patients. BECOME A lIfE-PRIORITY AMBASSADOR AnD HElP uS PuT InTEnSIVE CARE In THE SPOTlIGHT. To accelerate the development of our awareness campaign about intensive care medicine, we are looking for intensive care professionals that are ready to become ambassadors of lIfE-PRIORITY, the foundation that publicly represents ESICM OuR AMBITIOn: link intensive care to the human beings it serves, beyond borders. You stand at the bedside and work relentlessly to save lives. You are the most legitimate ambassador of liFe-prioritY as you breath our slogan. You can state «because your life is our priority, we would like JOIn uS_ Interested in becoming a lIfE-PRIORITY ambassador? Come and meet us! You are an intensive care professional? • come and join us on the liFe-prioritY connecting area located in front of the ccl • or send us an email ambassador@life-priority.com We will be thrilled to tell you more about your role as an ambassador and discuss how liFe-prioritY can help you fulfill your most important mission: SAVE lIVES. www.life-priority.com www.esicm.org liSbon 2012 HOnORARY MEMBERS AnD SOCIETY MEDAlS Society Medal Holders Honorary Members eSicm awards a yearly medal, the Society medal, to one of its most outstanding and long serving members. every year, eSicm also awards honorary membership to the society, to recognised professionals. CRITERIA CRITERIA the eSicm medal is awarded to an individual who has made an outstanding contribution to both the society and the specialty over a prolonged period of time. Honorary membership is awarded to an individual who has made an outstanding contribution to the specialty of intensive care medicine (Statutes - article 4.4). PROCESS PROCESS the council nominates individuals they deem deserving of this award in the Spring of each year. the executive commmitee then shortlists the nominees and asks the council to formally vote for the winner. the council nominates individuals for this award in the Spring of each year. the executive commmitee then shortlists the nominees and (when necessary), asks the council to formally vote for the most deserving recipients(s). RIGHTS RIGHTS the eSicm medal holders benefit from a life-long honorary free membership of the society. Honorary members benefit from a life-long free membership of the society. AWArded members AWArded hOnOnAry membership Peter Suter Switzerland 2005 Konrad falke germany 2006 françois lemaire France 2007 Albert Osterhaus netherlands 2009 Malcom fisher australia 2010 Elias Knobel brazil 2010 luciano Gattinoni italy 2008 Jean-louis Vincent belgium 2009 Jean-Roger le Gall France 2010 David Bennett United kingdom 2011 Andrés Esteban Spain 2011 Antonio Artigas Spain 2012 Charles Sprung israel 2011 Julian Bion United kingdom 2012 Mitchell levy United States 2012 Michael Pinsky United States 2012 warren Zapol United States 2012 liSbon 2012 C IE TY MED AL P EA N RE RO ME EU DIC THE NE SO SO CIE TY OF INTENS IV E CA Julian Bion the european Society of intensive care medicine proudly awards this citation of Honorary membership to professor Julian bion, mD for his major contributions to the european Society of intensive care medicine and to intensive care medicine around the world, but foremost for his key role in improving the quality of care of acutely, critically ill patients and their relatives through the development of a programme of high quality education and training. Julian bion is professor of intensive care medicine at the University of birmingham and honorary consultant in intensive care medicine at the Queen elizabeth University Hospital birmingham. as an active, dedicated and skilled front-line physician and teacher, he is committed to full clinical duties in one of the largest intensive care units in europe. Julian bion was president of the european Society of intensive care medicine (2004-2006) and foundation chairman of the european board of intensive care medicine (2006-2009). He led the restructuring of the european Society of intensive care medicine and he was instrumental at establishing the european critical care research network. most importantly however, he conceived, led, and is now the research director of the competency-based training programme for intensive care medicine. cobatrice was established as an eU leonardo da Vinci-funded collaboration and has now been successfully adopted by a considerable number of national training programmes worldwide. cobatrice has been identified as an example of best practice by the european commission, and the process has been emulated by the United States. His involvement in training and education goes back to the late eighties. Julian bion has been responsible for undergraduate training in resuscitation and intensive care at the University of birmingham since 1987, and he successfully developed national standards for undergraduate training in the care of the acutely ill patient. at the postgraduate level, he was the first regional advisor in intensive care medicine for the West midlands. He has been an elected council member of the royal college of anaesthetists since 2007 and chair of the professional Standards committee. in 2010, he was elected as the first Dean of great britain’s new Faculty of intensive care medicine. as a result of the strong collaborative efforts of prof. bion and others, the United kingdom joined Spain and Switzerland as the third european country with intensive care medicine recognised as a primary medical speciality. Hopefully, many more countries will follow in the near future! the research interests of Julian bion include sepsis and multiple organ failure, quality management and patients’ safety, and improving patient outcomes through professional education and training. the sheer number of prof. bion’s contributions limits the opportunity to name them all, but to mention just a few: He established an eU-funded european collaboration to determine genetic predisposition to mortality from septic shock, the genoSept project, and he is a member of the national steering committee of the Hta-funded study on protocolised management of sepsis, the promiSe study. Julian bion is also senior clinical lead for a national patient Safety programme, aiming at reducing blood stream infections from central venous catheters in icUs. Finally, he is leading a national approach that aims to integrate clinical research and behavioural sciences with education and professional development to improve the quality and reliability of care of acutely ill hospitalised patients. in 2004 Julian bion received the Shubin-Weil international award for excellence from the Society of critical care medicine in the USa. He was awarded honorary life memberships of the czech Society of intensive care medicine in 2008 and of the Uk intensive care Society in 2009. taking into account all these professional activities, it may come as a surprise that “the man with the bow-tie” still has some spare time to invite friends from all over the world to his home, to browse through his collection of more than 4000 books, or to attend to his collection of excellent wines. Finally, with no less than three pianos at his home in birmingham, you can be confident that even though “cobatrice” may be a master keyword in Julian’s life, his passion does not end there. be assured, it also includes discussions of other aspects of life with his most beloved wife nitaya, his family and his many friends. HAnS u. ROTHEn liSbon 2012 Antonio Artigas the european Society of intensive care proudly awards this citation of Honorary membership to antonio artigas, mD, phD, for his major contributions to the european Society of intensive care medicine and to intensive care around the world. antonio is a founding member of the european Society of intensive care medicine, and has devoted a huge amount of time to this society, which he always considered as his second family. He was a member of the executive committee from 1982 to 1990. He has never missed missed one meeting of the society, nor missed one general assembly. Fidelity represents one of his numerous qualities. antonio has been an outstanding clinician, and has always tried to balance his activities between the clinical field, which remained his absolute priority and many other activities, such as research, teaching, and national or international activities. it is hard to combine all those activities, but antonio made it. antonio, 63, was born in barcelona, a splendid city that he loves. He attended the French lycée in barcelona, which explains why he speaks French so elegantly, and understands French culture French culture. He was trained in barcelona University (Spain), and became mD in 1973. He received his phD in 1992. He his and was certified in internal medicine in 1976 and intensive care medicine in 1982. He has been appointed as the director of the chair of applied physiology, parc tauli University institute, and professor at the medicine department, autonomous University of barcelona in 2002. From 1980 to 1988, he was the clinical chief of the general icU in Hospital Santa creu i San pau, in barcelona. Since 1988, he has been director of the critical care centre at Sabadell hospital. He has created an outstanding acute care center, working with the emergency room, and also has created a network with the icUs within the area. antonio is very creative and interactive. as a member of many international societies, including eSicm and atS (critical care assembly and programme committee), SrlF (vice president from 1991 to 1993), erS (chairman of the critical care group) and chairman of HermeS (respiratory critical care). He was also president of the intensive care medicine Society from 1990 to 94, and his part of the european research group on respiratory intensive care. antonio has proved his merits on an international level. antonio likes the lungs. alongside gordon bernard, he was involved in three american and european consensus conferences on arDS, which led to the publication of guidelines which have been cited thousands of times. He is the director of the research programme on acute respiratory failure and sepsis and active member at the ciber de enfermedades respiratorias at instituto carlos iii. He is also heavily involved in sepsis research, and was part of the group who drafted the Surviving Sepsis guidelines, which has shown that establishing bundles of care in treatment can decrease mortality. in addition to being an outstanding scientist, antonio is also on the editorial boards of many critical care and respiratory journals and reviews numerous papers. He published more than 200 articles in national and international scientific journals. He has published 20 books, and wrote chapters in various others. He has presented at more than 200 conferences internationally. He has received 50 awards and more than 30 research grants. antonio also organises meetings. He chaired the international Symposium on applied physiology of the peripheral circulation, with michael pinsky and Jean François Dhainaut, from 1994 to 2000. Since 1996, he has lead the annual international Symposium on infections in the critically ill patient with Jean carlet and michael niederman. He was the president of the european congress of intensive care medicine in barcelona, in 1992. antonio has trained hundreds of students, residents, fellows and nurses, many of whom remain very close to him. on a more personal note, antonio is certainly one of the kindest people that i know. He is one of the very few people who is able to combine fidelity to people and ideas, as well as maintain long lasting friendships and impressive professionalism. He has a wonderful family, in particular roser, his fantastic wife, who always supported him throughout his career. He has seven wonderful, and successful kids, including two medical doctors. they have also inherited antonio’s love of travel. an avid mountain climber, antonio also appreciates a good meal and wine with friends. like many Spanish people, antonio likes football, and considers, very logically that the barcelona football club is the best of the world. (it might very well be true) eSicm recognises how important prof. artigas’ contributions to the Society and the field have been and are truly thankful to this great physician and human being. i am personally privileged to present antonio artigas this citation of Honorary membership for his contributions to intensive care medicine all around the world. i am especially proud to be one of antonio’s colleagues and friends. JEAn CARlET liSbon 2012 Mitchell levy the european Society of intensive care medicine proudly awards this citation for Honorary membership to professor mitchell m levy mD for his outstanding contributions to the care of critically ill patients, especially those with severe sepsis, and his unceasing efforts to build collaboration and partnerships between professional societies as well as individual critical care practitioners around the world and, most notably, to build upon and further reinforce the crucial relationship between the Society of critical care medicine and the european Society of intensive care medicine. Dr levy gained degrees in medicine and psychology from the State University of new York in buffalo, before going on to train in internal medicine at the University of colorado. after positions in canada and Hawai, Dr mitchell came to brown University, rhode island in 1997, where he remains, having become professor of medicine in 2004, and subsequently chief of the Division of pulmonary and critical care medicine; positions he still holds. as a successful academic, he has published in excess of 100 peer-reviewed papers and chapters, and has served upon a number of important bodies influential in the critical care arena, most notably in the areas of quality initiatives, ethics and end of life care. He played a particularly important role in 2000 – 2001 as chair of the niH arDSnet panel investigating oHrp complaints against arDSnet. Dr levy has been especially active within the Society of critical care medicine, serving in a number of senior roles, culminating in president-elect and president in 2008 – 2010. Dr levy is widely travelled, and is a europhile, and it is perhaps this, together with his strong grounding in the quality and process initiatives, that made him uniquely suited to his role as a founding member of the Surviving Sepsis campaign. originally conceived as a joint initiative of the Society of critical care medicine, european Society of intensive care medicine and the international Sepsis Forum, and subsequently (and still) supported and developed by Sccm and eSicm, the campaign has been the product of an enormous amount of effort by many dedicated people, but three extraordinary leaders have played outstanding roles in its success. professor graham ramsey (past president of eSicm led the First phase, developing the narrative around why the campaign was and remains necessary. professor r phillip Dellinger leads the Second phase; the pivotal development and updating of the guidelines that are distilled from the rapidly changing evidence base, and which provide the most authoritative statement of how best to treat severe sepsis and underpin the third phase – the implementation phase, led by Dr levy. this aspect of the campaign has been its most original and transformative aspect, and is an initiative unique within critical care, and arguably unequalled within any major speciality area. building on the foundations of the guidelines, and working with the institute for Healthcare improvement (iHi), Dr levy championed the introduction of the concept of bundles to critical care, at a time when this was still an entirely new concept, allied with a formal process improvement methodology and a database to allow the effects of this initiative to be measured and reported. as a consequence, there are now some 30,000 patients with severe sepsis in whom the effects of this initiative have been recorded, demonstrating a substantial improvement in outcome, and establishing a new standard of care, both clinically, and as a benchmark in research studies of new therapies for this challenging patient group. Dr levy has a formidable list of achievements and honours, and his style and success has always been collaborative and generous, in particular in the manner in which he reinforced the importance of the fundamental relationship between Sccm and the european Society. Ultimately, though, it is his achievement through his leadership role in the Surviving Sepsis campaign that will perhaps be regarded as his greatest achievement to date. Very few can genuinely claim to have changed fundamentally for the better the way we treat our patients, and to have established a new paradigm of care. Dr levy, through his personal leadership and generous encouragement of others, together with Drs ramsey and Deliinger, has been largely responsible for just such a change. i have been personally privileged to witness Dr levy delivering the highest standard of care to his patients in rhode island, but there are many more patients with severe sepsis who will have survived in large part due to his efforts, but without ever knowing his face or name. Ultimately it is for this achievement that the european Society is proud to recognise and honour Dr levy, and we are confident that the full impact of the work he and his colleagues started has yet to be completely realised. indeed, the finest tribute we can pay will be to continue to work together to ensure that, in the future, all patients with severe sepsis receive the best possible standard of care, building on the foundation Dr levy and his colleagues, and the campaign, have provided. RICHARD BEAlE liSbon 2012 Michael Pinsky the european Society of intensive care medicine proudly awards this citation of Honorary membership to professor michael pinsky for his major contributions to intensive care medicine around the world. michael pinsky received his mD from mcgill University in montreal in 1974, graduating with honours. after an internal medicine residency and pulmonary medicine fellowship at Stanford University with additional cardiopulmonary physiology training at Johns Hopkins medical institution, he joined the University of pittsburgh faculty in 1981. He is currently professor of critical care medicine with secondary appointments in cardiovascular Diseases, clinical & translational Science, anaesthesiology and bioengineering at the University of pittsburgh. prof. pinsky’s research over the years has mostly focused on the fields of heart-lung interactions, cardiovascular insufficiency, and haemodynamic monitoring. He has published more than 230 peer-reviewed papers, many in leading medical journals. His expertise and knowledge are recognised internationally as demonstrated by his regular invitations to speak at national and international symposia and his position on the editorial boards of several journals. We were honoured to have him spend time with us as a Visiting professor at erasme Hospital, University of brussels in 1988/89, during which we formed a valuable collaboration that has spanned the years. He continues to join us in brussels every December as co-chairman for our annual course on cardiovascular and respiratory physiology applied to icm. teaching is one of michael’s key interests and one of his (many) fortes. When faced with an attentive audience, michael seems to shine – transmitting his message with enthusiasm and clarity. He has the innate ability to adapt automatically to his listeners and always ensures his presentations are ably illustrated with appropriate images and diagrams. michael’s dynamic approach to work spills over into most other aspects of his life, or perhaps it’s the other way round. either way, his sheer energy for life sometimes makes it difficult to keep up with him and his exuberance can, on occasion, get him into trouble! Whatever the situation, you can be assured that michael’s heart is very much in the right place and i am honoured to count him among my friends. michael has established himself as a leader in his field, an inspired proponent of translation from basic physiology to patient care. When someone mentions “functional haemodynamic monitoring”, the name that immediately springs to mind is: michael pinsky. in 2012, michael’s contributions to the field of critical care medicine were officially recognised as he became one of the first 20 critical care physicians to become a master of critical care medicine (mccm) of the Society of critical care medicine. in this citation of Honorary membership, the eSicm recognises how important michael pinsky’s contributions have been not only in the USa but also across europe. i am privileged to be able to present him with this richly deserved recognition of his service to intensive care medicine. JEAn-lOuIS VInCEnT liSbon 2012 warren Zapol the european Society of intensive care medicine proudly awards this citation of Honorary membership to professor Warren m. Zapol, mD, for his major contributions to the european Society of intensive care medicine and to intensive care medicine. Warren m. Zapol, mD, is the emeritus anaesthetistin-chief at massachusetts general Hospital and the reginald Jenney professor of anaesthesia at Harvard medical School. He is currently the Director of the mgH anaesthesia centre for critical care research. after completing residency in anaesthesiology at mgH, in 1972 he joined and has remained on staff ever since. Supported by the nHlbi, Dr. Zapol’s research efforts include studies of extracorporeal membrane oxygenation (ecmo), acute respiratory distress syndrome, and cardiopulmonary physiology in animals and humans. His contributions to the study of arDS and of pulmonary hypertension in arDS include classic seminal papers. the randomised controlled trial on ecmo he published in Jama in 1979 represented perhaps the first randomised multicentre controlled clinical trial conducted in critical care. the niH funded this trial, which can be considered the basis of the current nHlbi arDS network (arDSnet). one would be remiss to only focus on these aspects of prof. Zapol professional achievements. His intellectual curiosity knows no bounds, and over the years, he has probed a wide range of fields, providing him with the possibility to integrate knowledge and experiences from very different sources. in addition to his roles as an anaesthesiologist and intensive care physician, supported by the national Science Foundation, prof. Zapol has led nine antarctic expeditions. His endeavours in this field have received the highest recognition in the United States: in 2008, he was appointed by president george W. bush and reappointed by president barack obama in 2012 as an academic representative to the U.S. arctic research commission. in 2006, the United States board on geographic names officially named a steep mountain glacier in antarctica after prof. Zapol. through his antarctic research his team learned how marine mammals avoid compression/decompression sickness and hypoxia during prolonged free diving. in the early 90’s, he led research on the vasodilating effects of inhaled nitric oxide and applied this knowledge to arDS pathophysiology and management. in 2003, he was awarded the ipo inventor of the Year award for his work on an innovative treatment for hypoxic newborns utilising inhaled nitric oxide. this technique, pioneered with his mgH team, is now used to save the lives of over ten thousand babies each year in the U.S. He has, throughout his career and continues to, lead and mentor numerous fellows and researchers – both in the experimental lab and in the clinical investigation field. eSicm recognises professor Warren Zapol as one of the most important leaders and initiators of modern critical care. His brilliant mind and broad vision of physiological problems provide us in the field with an archetype of what can be achieved. personally, it is a great honour and privilege to be able to present professor Warren Zapol this eSicm citation of Honorary membership for his major contributions to our understanding and treatment of critical illness. moreover, i am extremely proud to have worked alongside him, and to have been part of his ‘crew’. AnTOnIO PESEnTI Practical Information Dates CME Credits The Congress starts on Saturday 13 October 2012 with the PG Courses at 08:30 and ends on Wednesday 17 October 2012 at 16:15 with the Hot Topics Session. Congress Venue The Congress takes place at the: Centro de Congressos de Lisboa (CCL) Praça das Indústrias 1300-307 Lisbon Portugal Tel: +(351) 213601400 - Fax: +(351) 213601499 www.lisboacc.pt Congress Secretariat For all information regarding the Congress, please contact the European Society of Intensive Care Medicine ESICM Rue Belliard 19 1040 Brussels - Belgium Tel.: +32 (0)2 559 03 75 - Fax: +32 (0)2 559 03 79 Email: lisbon2012@esicm.org www.esicm.org The European Society of Intensive Care Medicine has chosen an international contractor, K.I.T. Group GmbH, who will ensure a smooth and efficient management of abstracts, e-Posters and industry exhibition, registration and hotel accommodation linked to ESICM LIVES 2012, the 25th Annual Congress. For any further information regarding the Congress, do not hesitate to contact: ESICM LIVES 2012 c/o K.I.T. Group GmbH Association and Conference Management Kurfürstendamm 71 10709 Berlin - Germany Tel.: +49 30 24 603 319 - Fax: +49 30 24 603 200 Email: info@esicm-congress.org www.kit-group.org Congress Language The official language of the Congress is English. There will be no simultaneous translation. Non-Smoking Congress LIVES 2012 is a non-smoking congress. Therefore, ESICM thanks participants in advance for not smoking in the congress centre and exhibition as well as during coffee breaks. Registration to the Congress All Congress participants are required to personally check in at the appropriate registration counter. The counters are open during the following times: Saturday 13 October Sunday 14 October Monday 15 October Tuesday 16 October Wednesday 17 October 08:00 - 18:30 08:00 - 20:00 07:30 - 18:30 08:00 - 20:00 08:00 - 17:00 On-site registration will be accepted within the same time frame. Group pick-ups will be handled by K.I.T. Group on an individual basis. Please contact K.I.T. Group for further information. L I V E S 2 012 The ESICM LIVES 2012, 25th Annual Congress is accredited by the European Accreditation Council for Continuing Medical Education (EACCME) to provide the following CME activity for medical specialists. The EACCME is an institution of the European Union of Medical Specialists (UEMS), www.uems.net ESICM LIVES 2012, the 25th Annual Congresss is designated for a maximum of 27 hours of European external CME credits. Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity. Credits are divided as follows: PG Courses: 12 credits (6 per day) Congress: 15 credits (Monday and Tuesday: 6 per day, Wednesday: 3) Through an agreement between the European Union of Medical Specialists and the American Medical Association, physicians may convert ACCME credits to an equivalent number of AMA PRA Category 1 Credits™. Information on the process to convert EACCME credit to AMA credit can be found at www.ama-assn.org/go/internationalcme. Live educational activities, occurring outside of Canada, recognised by the UEMS-EACCME for ECMEC credits are deemed to be Accredited Group Learning Activities (Section 1) as defined by the Maintenance of Certification Program of The Royal College of Physicians and Surgeons of Canada. Congress WI-FI Free Wi-Fi is available in several locations throughout the CCL during ESICM LIVES 2012. Signs willl indicate the hotspots and provide login information. Industry Exhibition LIVES 2012 will host an Industry Exhibition including the latest technology, equipment, pharmaceutical products and literature. To discuss sponsorship opportunities and rates, please contact the Congress Department. The Exhibition will be open during the following hours: Sunday 14 October 18:45 - 20:15 Monday 15 October 09:00 - 17:00 Tuesday 16 October 09:00 - 17:00 Wednesday 17 October 09:00 - 14:00 Disclaimer The Organising Committee and K.I.T. Group GmbH accept no liability for injuries/losses of whatever nature incurred by participants and/or accompanying persons, nor for loss or damage to their luggage and/ or personal belongings. On-Site Facilities Restaurants: Lunches are not included in the registration fee. There will be coffee and lunch areas in the Industry Exhibition. Cloakroom: The cloakroom and baggage claim is located in the entrance foyer. €1,70 will be charged for each piece of clothing and €2,30 for each bag or suitcase. Lost & Found: Lost items can be collected at the cloakroom during the Congress and will remain at the CCL after the Congress. L ink ing Inno vat ion Vi sion E xcel l ence & S cience 19 Practical Information Transportation Star Alliance™: Official airline of the Congress The Lisboa International Airport is located 7km north of the city centre. From the airport you can reach the city centre and the congress centre either by taxis or public transportation. Taxis: The transfer by taxi takes approximately 15 minutes depending on the traffic and costs around €15. Taxis are always available in front of the airport building. Public transportation: From the airport participants can reach the city centre by taking the AeroBus shuttle service, which leaves every 20 minutes between 7am and 9pm and stops at many hotels until it reaches Cais do Sodré (downtown Lisbon). Travel from Cais do Sodré (following busses and a tram) to the Lisbon Congress Centre (station name: R. Junqueira/Centro de Congressos): - Bus 732: Marquês Pombal / Caselas - Tram 15E: Algés / Praça da Figueira To travel from the Lisboa Congress Centre to other areas, the following busses are available: - Bus 714: Praça da Figueira / Outurela - Bus 727: Estação Roma-Areeiro / Restelo - Av. Descobertas - Bus 751: Estação Campolide / Linda-a-Velha - Bus 756: Olaias / R. Junqueira Detailed information regarding public transportation is available at: www.carris.pt for trams and busses, and at: www.metrolisboa.pt for metros. Train: From Santa Apolónia terminal station, take the blue Metro line to Baxia-Chiado station, and then change into the green Metro line to terminus Cais do Sodré. From Gare do Oriente, take the red Metro line to the station Alameda and then change in the green Metro line to the terminus, Cais do Sodré. From here several busses and a tram travel to the Lisboa Congress Centre (see Public Transportation). Passport and Visa For participants from EU countries, a national identity card is sufficient to enter Portugal. For citizens of other countries, a valid passport is required, and for some countries, a visa is required. Should you have any doubt about the need of an entry visa, please contact the Portuguese Embassy or Portuguese Consulate in your own country. 20 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL Save up to 20% on travel with the Star Alliance network The Star Alliance™ Members airlines are pleased to be appointed as the Official airline Network for the 25th Congress of the European Society of Intensive Care Medicine. To obtain the Star Alliance™ Conventions Plus discounts, please call the reservation office of a participating Star Alliance Member airline and quote the following Convention Code: LH04A28. Registered participants plus one accompanying person travelling to the event are automatically granted a discount of up to 20%, depending on fare and class of travel booked. The participating airlines for this event are: Air Canada, bmi, Air China, Spanair, Adria Airways, Lufthansa, LOT Polish airlines, SWISS International air Lines, Egyptair, aNa, Austrian Airlines, Croatia Airlines, Asiana Airlines, South African Airways, Scandinavian Airlines, Turkish Airlines, TaP Portugal, United, US Airways For booking office information please visit: www.staralliance.com/conventionsplus. Discounts are offered on published business and economy class fares, excluding website/Internet fares, senior and youth fares, group fares and Round the World fares. Please note: for travel from Japan and New Zealand special fares or discounts are offered by the participating airlines on their own network. When making your travel plans please present confirmation of your registration or proof of attendance. ESICM 2012 - SIGHTSEEING TOUR Tickets for hop-on hop-off tours with the company Cityrama will be on sale in the registration area. The tickets are valid for 24 or 48 hours and allow participants to get on and off the bus at 30 minutes intervals. Recorded descriptions are available in 14 languages with an audioguide. Price: from € 10 to € 22 incl. VAT. L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 GENERAL Information Climate October temperatures in Lisbon average around 18°C (64°F). There is a chance of rain, but average rainfull is low during this month. Electricity The electric current in Portugal is 220/380 volts at a frequency of 50 Hertz. Language The official language in Portugal is Portuguese. Time Zone Portugal is 1 hour behind Central European Standard Time [CET]. Currency The Portuguese currency is the Euro. Paying and tipping Major credit cards are widely accepted. Prices in hotels and restaurants as well as the price of taxi fares are calculated to include taxes and service, but a tip of 5 to 10% for good service is appreciated. Opening hours Banks Typically open from Monday to Friday from 08:30 to 15:00, closed on Saturdays and Sundays. At other times, money can be exchanged at the airport and in most hotels. Shops Generally open from Monday to Saturday, 10:00 to 13:00 and 15:00 to 19:00, closed on Sundays. Post Offices Usually open from Monday to Friday, 09:00 to 12:30 and 14:30 to 18:00 and closed on Saturdays and Sundays. Telephone From public call boxes, direct dialling abroad is possible. Phone cards are commonly used. (available at post offices, kiosks and train stations). Driving Speed limit is according to the posted signs, typically 50 km/h in towns, 90 km/h on major roads outside urban areas, and 120 km/h on highways. L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 21 Map - Congress Centre CCL MAP CONGRESS CENTRE CCL LEVEL 0 Level 0 Conference & Meeting Rooms Exhibition Area Registration Catering Berlin PG1 IM6 IM8 Stairs Room Berlin IM7 Berlin II PG6 Lounge Area Catering Area Stairs e-Posters & Replay Theatre Stairs Internet Point POSTER CORNER 2x POSTER CORNER First Aid IM5 Exhibition Area A 2x POSTER CORNER IM4 Exhibition Area B Geneva POSTER CORNER IM1 POSTER CORNER Stairs e-Posters Stairs Poster Corner Check-in Slide Preview Stairs Internet Point Cloak Room Registration IM3 ESICM Booth 2x POSTER CORNER Catering Area POSTER CORNER IM2 Glasgow PG4 Stockholm PG4 Main Entrance CCL POSTER CORNER LIFE-PRIORITY Area PG 5: How to write a systematic review & meta-analysis PG 6: Lung abdominal and cerebral ultrasounds in ICU 22 PG 1: Advanced haemodynamic monitoring PG 4: Echocardiography PG 7: Peri-operative care of the high-risk patient: Simulation based training in ventilation and haemodynamic management PG 2: Critical care refresher course PG 3: Designing, conducting and publishing intensive care research PG 8: Renal replacement therapy 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Map - Congress Centre CCL LEVEL 1 Level 1 Conference & Meeting Rooms Exhibition Area Registration Catering IM6 Berlin IM7 IM8 Overflow 3 Replay Theatre Rome TV Studio PG8 Walkway Overflow 2 Vienna PG3 e-Posters Internet Point Level 2 Exhibition Area Barcelona PG2 Lisbon Members Lounge POSTER CORNER POSTER CORNER Slide Preview Poster Corner Check-in Athens PG7 Paris PG7 POSTER CORNER Overflow 1 BM 1 BM 2 BM3 PG5 BM 4 Faculty Lounge BM 5 BM 6 Faculty Restaurant PG 5: How to write a systematic review & meta-analysis PG 6: Lung abdominal and cerebral ultrasounds in ICU PG 1: Advanced haemodynamic monitoring PG 4: Echocardiography PG 7: Peri-operative care of the high-risk patient: Simulation based training in ventilation and haemodynamic management PG 2: Critical care refresher course PG 3: Designing, conducting and publishing intensive care research PG 8: Renal replacement therapy L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 23 POSTER CORNERS summary POSTER CORNERS Area Day Time Abstract Nr Monday 15 oct. Tuesday 16 oct. Area Beja 0031 - 0044 VENTILATOR-INDUCED LUNG INJURY 10:10-12:00 Wednesday 17 oct. Monday 15 oct. Tuesday 16 oct. Area Braga 14:00-15:50 Tuesday 16 oct. 10:10-12:00 14:00-15:50 Monday 15 oct. Tuesday 16 oct. Area Cascais 10:10-12:00 Wednesday 17 oct. Monday 15 oct. Tuesday 16 oct. 14:00-15:50 Monday 15 oct. Area Coimbra Tuesday 16 oct. Tuesday 16 oct. 10:10-12:00 Area Estoril 14:00-15:50 10:10-12:00 Wednesday 17 oct. Monday 15 oct. Tuesday 16 oct. 14:00-15:50 Monday 15 oct. Tuesday 16 oct. Area Evora 10:10-12:00 Wednesday 17 oct. Monday 15 oct. Tuesday 16 oct. 14:00-15:50 Monday 15 oct. Tuesday 16 oct. Area Faro Tuesday 16 oct. 24 10:10-12:00 Wednesday 17 oct. Monday 15 oct. 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL 0684 - 0697 CLINICAL OUTCOME PREDICTORS IN SEPSIS 0504 - 0517 NUTRITION & GLUCOSE CONTROL 0962 - 0975 RENAL REPLACEMENT THERAPY IN THE ICU 0238 - 0251 IMPROVING COMMUNICATION IN THE ICU 0698 - 0711 ELECTROLYTES & TRACE ELEMENTS 0059 - 0072 TRAUMA UPDATE 0518 - 0530 CARDIOVASCULAR FAILURE IN THE ICU 0976 - 0989 VENTILATORY SUPPORT 2 0252 - 0265 NON-INVASIVE VENTILATION: INDICATIONS & LIMITS 0712 - 0725 VENTILATORY SUPPORT 1 0531 - 0544 FLUID & HAEMODYNAMICS IN THE SURGICAL PATIENT 0990 - 1003 TECHNOLOGY FOR THE FAILING HEART & KIDNEY Monday 15 oct. Tuesday 16 oct. TECHNOLOGY FOR VENTILATORY SUPPORT 0073 - 0086 ACUTE CORONARY SYNDROME IN THE ICU Wednesday 17 oct. Monday 15 oct. 0224 - 0237 0045 - 0058 SATISFYING METABOLIC DEMAND IN THE ICU Wednesday 17 oct. Monday 15 oct. 0490 - 0503 TECHNOLOGY ASSESSMENT IN ACUTE RESPIRATORY FAILURE 0948 - 0961 ARDS: NEW TRENDS IN TREATMENT 2 Monday 15 oct. Tuesday 16 oct. Session title 14:00-15:50 0266 - 0278 BEDSIDE ASSESSMENT OF HAEMODYNAMICS 0726 - 0739 FLUID RESPONSIVENESS & GOAL DIRECTED THERAPY 0087 - 0100 PREVENTION OF ICU-AQUIRED INFECTIONS 0545 - 0558 RISK FACTORS, PROPHYLAXIS & OUTCOME OF ICU INFECTIONS 1004 - 1017 BUNDLES FOR ICU INFECTIONS 0279 - 0292 ICU INFECTIONS: BIOMARKERS & ANTIMICROBIAL TREATMENT 1 0740 - 0752 AIRWAY CARE & INSTRUMENTATION 0101 - 0114 SEDATION, Analgaesia & DELIRIUM 0559 - 0572 MANAGEMENT OF CARDIOVASCULAR PATIENTS 1018 - 1031 NEURO-INTENSIVE CARE 0293 - 0306 INTENSIVE CARE IN SPECIFIC PATIENT POPULATIONS 0754 - 0764 SEDATION PRACTICES & DELIRIUM 0115 - 0126 ACUTE BRAIN INJURY: THERAPEUTIC COOLING & OUTCOME PREDICTION 0573 - 0585 VENTILATORY SUPPORT IN THE BRAIN-INJURED PATIENT 1032 - 1044 QUALITY & SAFETY IN THE ICU 0307 - 0319 EVALUATING SYSTEMIC & MICRO CIRCULATION 0765 - 0777 OPTIMISING TISSUE OXYGENATION L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Day Time Monday 15 oct. Tuesday 16 oct. Area Fatima 10:10-12:00 Wednesday 17 oct. Monday 15 oct. Tuesday 16 oct. 14:00-15:50 Monday 15 oct. Tuesday 16 oct. 10:10-12:00 Area Funchal Wednesday 17 oct. Monday 15 oct. Tuesday 16 oct. 14:00-15:50 Monday 15 oct. Tuesday 16 oct. 10:10-12:00 Area Guarda Wednesday 17 oct. Monday 15 oct. Tuesday 16 oct. 14:00-15:50 Monday 15 oct. Area Porto Tuesday 16 oct. 10:10-12:00 Wednesday 17 oct. Monday 15 oct. Tuesday 16 oct. 14:00-15:50 Monday 15 oct. Tuesday 16 oct. 10:10-12:00 Area Setubal Wednesday 17 oct. Monday 15 oct. Tuesday 16 oct. 14:00-15:50 Monday 15 oct. Tuesday 16 oct. Area Sintra 10:10-12:00 Tuesday 16 oct. Monday 15 oct. Tuesday 16 oct. Life-Priority Tuesday 16 oct. 0586 - 0599 ARDS: NEW TRENDS IN TREATMENT 1 1045 - 1058 TECHNOLOGY IN THE ICU 0320 - 0332 PHYSIOTHERAPY IN THE ICU 0778 - 0791 PNEUMONIA IN THE ICU: PREVENTION & TREATMENT 0141 - 0154 ACUTE KIDNEY INJURY: EVALUATION & TREATMENT 0600 - 0613 ABDOMINAL COMPLICATIONS IN THE ICU 1059 - 1072 ICU INFECTIONS: BIOMARKERS & ANTIMICROBIAL TREATMENT 2 0333 - 0346 POSTOPERATIVE MANAGEMENT OF CARDIO-SURGICAL PATIENTS 0792 - 0805 NEURO-EMERGENCIES & TRAUMA 0155 - 0167 IMPACT OF SPECIFIC ICU INTERVENTIONS 0614 - 0627 EMERGENCY MEDICINE 1073 - 1085 ACUTE KIDNEY INJURY: PATHOPHYSIOLOGY 0347 - 0360 EVALUATION OF SEPSIS BIOMARKERS 0806 - 0819 EVALUATION OF CARE IN TRAUMA & EMERGENCY MEDICINE 0168 - 0181 INFLAMMATORY RESPONSE IN SEPSIS: NEW INSIGHTS 0628 - 0641 END OF LIFE CARE - ETHICS OF RESEARCH 1086 - 1099 RE-EVALUATION OF SEPSIS THERAPIES 0361 - 0374 ORGAN DYSFUNCTION IN SEPSIS 0820 - 0833 INDICATORS OF COST, QUALITY & OUTCOME 0182 - 0195 PAEDIATRICS 1: NOT SMALL ADULTS! 0642 - 0655 ORGANISATION OF INTENSIVE CARE 1100 - 1113 SCORING & PROGNOSIS IN ICU PATIENTS 0375 - 0387 OUTCOME FROM INTENSIVE CARE 0834 - 0847 SEPTIC SHOCK: METABOLIC MARKERS, ORGAN DYSFUNCTION & THERAPY 10:10-12:00 14:00-15:50 IMPROVING ICU CARE & ORGANISATION 0656 - 0669 PAEDIATRICS 2: NOT SMALL ADULTS! TRAINING ICU TEAMS 0388 - 0401 HAEMORRHAGIC STROKE: INTERVENTIONS & MARKERS 0848 - 0858 NURSING INTERVENTIONS 0210 - 0223 Wednesday 17 oct. Monday 15 oct. IMAGING TO GUIDE TREATMENT OF ACUTE RESPIRATORY FAILURE 1114 - 1127 14:00-15:50 Session title 0127 - 0140 0196 - 0209 Wednesday 17 oct. Monday 15 oct. Abstract Nr POSTER CORNERS Area PNEUMONIA REVISITED 0670 - 0683 EPIDEMIOLOGY OF ICU-RELATED INFECTIONS 1128 - 1140 NURSING ASSESSMENT & TRAINING 0402 - 0415 OUTCOME PREDICTION AFTER CARDIAC ARREST 0859 - 0872 AUDIT & ASSESSMENT OF CRITICAL CARE PRACTICE Try the e-posters experience in the exhibition area L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 25 POSTER CORNERS POSTER CORNERS - REPLAY THEATRE - E-POSTERS Map - Poster Corners LEVEL 0 Level 0 Try the e-posters experience in the exhibition area Berlin PG1 IM6 Stairs Room Berlin IM7 Berlin II PG6 IM8 Lounge Area Catering Area Stairs e-Posters & Replay Theatre Stairs Internet Point Fatima Faro First Aid Evora IM5 Guarda Cascais Geneva Braga IM3 Coimbra ESICM Booth Estoril Catering Area IM4 Funchal IM1 IM2 Stairs Poster Corners Porto, Setubal, Sintra Registration Stairs Poster Corner Check-in Stairs e-Posters Stairs Internet Point Beja Cloak Room Glasgow PG4 Stockholm PG4 Main Entrance CCL LIFEPRIORITY 26 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL LIFE-PRIORITY Area L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Map - Poster Corners POSTER CORNERS POSTER CORNERS - REPLAY THEATRE - E-POSTERS Level 1 LEVEL 1 30 minutes before the next session? Visit the Replay theatre Level 1 - Exhibition Area A - Gallery IM6 Berlin IM7 IM8 Replay Theatre Rome TV Studio PG8 Walkway Vienna PG3 Exhibition Area Exhibiti e-Posters Internet Point Stairs Level 2 Barcelona PG2 Lisbon Members Lounge Sintra Poster Corner Check-in Slide Preview Setubal Athens PG7 Paris PG7 Porto BM 1 BM 2 BM3 PG5 BM 4 L I V E S 2 012 Faculty Lounge BM 5 BM 6 Faculty Restaurant L ink ing Inno vat ion Vi sion E xcel l ence & S cience 27 TO be cOnTinued > The intensive connection for… better performance_ Web-bAsed, e-leArning prOgrAmme FOr inTensive cAre Covers the Critical Care Medical curriculum Quarterly, peer-reviewed, module updates web-based access to • pubmed abstracts and on-line resources • Full text intensive care medicine references • Selected eSicm ‘flash conference’ lectures links to targeted Intensive / Critical Care Medicine textbook extracts • a concise textbook (Hinds and Watson - 2008) • oxford Desk reference (Waldman, Soni, rhodes editors - 2008) EDIC-style self assessment new ‘google-style’ programme search tool fEES_ free for ESICM members non-members - 395 (renewal 95 /yr) Institutions/libraries - 800 (renewal 400 /yr) Attractive introductory offers: institutions/libraries will get a free access to 4 (of 44) modules for a 3-month free trial JOIn uS_ pact@esicm.org http://pact.esicm.org www.esicm.org esicm activities TO BE CONTINUED > The intensive connection as you… Visit the ESICM members lounge_ AN EXCLUSIVE PLACE FOR ESICM MEMBERS Opening hours : Saturday 13 October Sunday 14 October Monday 15 October Tuesday 16 October Wednesday 17 October 08:00 - 18:30 07:30 - 20:30 08:00 - 19:30 08:00 - 19:30 08:00 - 16:00 ENJOY_ ESICM members are welcome in a lounge where they can relax and refresh, network with all the members, access a meeting area, watch live broadcasts from our hottest sessions or surf the internet in the iPad bar. NOT YET A MEMBER ?_ Come to our booth and join us! www.esicm.org ESICM activities LIVES 2012 is a privileged time for ESICM members to meet. Most ESICM Committees, Sections and Working Groups will take advantage of this opportunity to hold meetings and project planning sessions. ESICM also hosts its most important annual meeting during the congress - the General Assembly for all ESICM members. ESICM MEMBERS LOUNGE ESICM members are welcome in the lounge where they can relax and refresh, keep up to date with daily newspapers, chat with other members or go online with free internet access. The opening hours are: Saturday 13th October Sunday 14th October Monday 15th & Tuesday 16th October Wednesday 17th October 08:00-18:30 07:30-20:30 08:00-19:30 08:00-16:00 This comfy place is located in Foyer D, on the 1st floor of the CCL. ESICM BUSINESS MEETINGS ESICM business meetings are scheduled from Saturday 13th October until Wednesday 17th October from 09:00 to 12:00. For a detailed schedule, please contact ESICM Staff (Exhibition Area). PROFESSIONAL DEVELOPMENT ACTIVITIES The Division of Professional Development via the Education & Training committee (ETC) is in charge of developing and promoting the educational and training strategy of ESICM. This entails coordinating the efficient and effective work of EDIC, PACT and the Clinical Training subcommittee. The Committee also has a role in advising on the educational activities within the Society which includes collaborating with the Congress Committee on the educational and competency tracks of the Annual Congress. It will also continue to coordinate developments in the roll-out of the CoBaTrICE programme. EDIC The written examination for the European Diploma in Intensive Care (EDIC) will take place on Monday 15th October 2012, 11:00 - 14:00 Pavilhão Atlântico - Rossio dos Olivais- Lote 2.13.01A 1190-231 Lisbon, Portugal ESICM GENERAL ASSEMBLY The annual General Assembly of the membership will take place in room Stockholm on Tuesday 16th October 2012. A welcome cocktail will be served at 17:30 before the assembly (18:15-19:30). All ESICM/ ESPNIC members are strongly encouraged to participate. RESEARCH ACTIVITIES Research is crucial to the Society, and we are continuing to increase the level of resource we are devoting to its support. Acquiring an eCRF capability to support our researchers is just one example of the type of investment we are making. If you wish to become more involved, visit our website www.esicm.org/research and please use the resources of your section. ESICM ON THE WEB Website Details regarding the Society and its various activities: Applications for membership/EDIC, registration to the Congress, hotel booking, submission of abstracts, flash conferences, the LIFE-PRIORITY fund campaign, Web TV, events, news, and much more are available on the website: http://www.esicm.org. Further information about membership or ESICM activities can also be obtained from the Secretariat based in Brussels via phone or email, please see About US/ Who we are on the ESICM website for contact details. Social Media ESICM keeps in touch with members and fans through their Facebook page (http://www.facebook.com/pages/European-Societyof-Intensive-Care-Medicine-ESICM/218844214848666) and Twitter account (https://twitter.com/ESICM). News, articles, notes, quotes, photos, exam questions, and daily updates on ESICM and research in the field - vital tools to the modern intensive care practitioner can be found on these pages. ESICM also hosts a Twitter account especially for our meetings: Check out https://twitter.com/LIVES_2012 to network with other participants and “Tweet” about your favorite sessions at LIVES 2012. Links to all our pages can be found on the ESICM website and on the LIVES 2012 Smartphone App! CONTINUING MEDICAL EDUCATION CREDITS European / International Participants The 25th ESICM LIVES Annual Congress is accredited by the European Accreditation Council for Continuing Medical Education (EACCME) to provide the following CME activity for medical specialists. The EACCME is an institution of the European Union of Medical Specialists (UEMS), www.uems.net. The 25th ESICM LIVES Annual Congress is designated for a maximum of 27 hours of European external CME credits. Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity. Last year the ESICM Systematic Review Group, led by Djillali Annane, published its first handbook, entitled Clinical Evidence in Intensive Care. It includes summaries of 60 systematic reviews containing expert opinions organised into 14 topical sections, which are directly relevant for intensive care practitioners. If you did not receive a free copy (provided for all members), please visit the ESICM booth and pick one up. Through an agreement between the European Union of Medical Specialists and the American Medical Association, physicians may convert EACCME credits to an equivalent number of AMA PRA Category 1 Credits™. Information on the process to convert EACCME credit to AMA credit can be found at www.ama-assn.org/go/ internationalcme. The activities of the European Critical Care Research Network (ECCRN) are flourishing, and in 2012 we received 76 high quality applications for a total of 7 awards, including two industry-sponsored awards; one from Dräger and a new one this year from Nestlé. The winners will be announced during the Congress. Live educational activities, occurring outside of Canada, recognised by the UEMS-EACCME for ECMEC credits are deemed to be Accredited Group Learning Activities (Section 1) as defined by the Maintenance of Certification Program of The Royal College of Physicians and Surgeons of Canada. The clinical trials activities continue to develop with several studies currently under discussion and for which meetings have been organised. Two priority areas are SDD and SARI (Severe Acute Respiratory Failure). L I V E S 2 012 The credits are divided as follows: - PG Courses: 12 credits (6 per day) - Congress: 15 credits (Monday and Tuesday: 6 per day, Wednesday: 3) L ink ing Inno vat ion Vi sion E xcel l ence & S cience 31 ESICM General Assembly Tuesday 16 October 2012 18:15-19:30 Room Stockholm, LEVEL 0 A welcome cocktail will be served from 17:30 in front of Room Stockholm. AGENDA Welcome / Introduction (Andrew Rhodes) Administrative Affairs Membership; Elections (Philipp Metnitz) Finances (Andrew Rhodes) Division of Scientific Affairs Giuseppe Citerio Division of Professional Development Marco Maggiorini Other matters Questions and answers from the membership NB. All ESICM Members, Associates and Honorary members may attend. 32 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 TO be cOnTinued > The intensive connection for… Full interaction_ SMARTPHOnE APPlICATIOn ESICM lIVES 2012 FOr An inTerAcTive pArTicipATiOn TO The cOngress ESICM releases its lIVES 2012 smartphone app with even more interactivity! With the eSicm liVeS 2012 smartphone app, all the congress info you need to become an active participant in congress sessions and activities will be available at your ‘fingertips’. The ESICM lIVES 2012 smartphone App gives you access to: • Scientific programme • personal planner • list of sponsors and exhibitors • Floor plans • abstracts of the 2012 congress • Webcasts of the 2010 and 2011 congresses • registration barcode for badge printing nEw THIS YEAR!_ Take an active part in the congress via the application by: • Voting in the dedicated sessions • Sending your questions to the chairmen • rating the session • taking part in the networking between registered delegates • Using the social media of the congress Facebook and twitter DOwnlOAD nOw_ on the app Store iPhone user : ESICM lIVES 2012 Smartphone user : app content can be accessed through esicm2go.org www.esicm.org TO be cOnTinued > The intensive connection for… success_ www.esicm.org TO be cOnTinued > The intensive connection for… cutting-edge research_ GET InVOlVED! reseArch AT esicm A JOinT eFFOrT! ESICM aims to foster collaborative research among its members and to promote European Intensive Care Research • We establish networks of investigators and research teams • We provide forums for discussion of research projects • We develop and implement clinical trials • We provide access to methodological help (e.g. meta-analysis group - Srg) • We offer opportunities for education and collegial support for emerging investigators • We foster communication within the icU research community Join our Trials group and give more visibility to your research projects Join on-going research projects or submit proposals for collaborative studies JOIn uS_ To learn more, go to www.esicm.org and visit the Research section www.esicm.org HOw ?_ tHe eUropean critical care reSearcH netWork ECCRn offers you, researcher in the field of ICM, the opportunity to develop your studies and to increase knowledge about how to improve care for critically ill patients. applY For eccrn enDorSement for surveys at national or international level endorsed surveys can be distributed to over 8000 intensive care professionals for studies conducted by individual centres or by research groups applY For enDorSement or SUpport US! JOIn uS_ For more information, please visit our website www.esicm.org or write to researchdept@esicm.org eccrn: connecting you to research ! ESICM & industry research awards 2013 share your ideas and promote your own research! APPlICATIOn fOR THE 2013 AwARDS wIll BE OPEn On fEBRuARY 1ST > all memberS are Welcome to applY. > more DetailS aVailable on www.ESICM.ORG 2012 RESEARCH AwARD wInnERS APPlY In 2013 YOunG InVESTIGATOR Headspace analysis of airway fluid samples for the prediction of ventilator-acquired pneumonia lIEuwE D.J. BOS amsterdam, netherlands rapid and timely diagnosis of Vap by means of biological markers is very much needed, but not yet available. ideally, multiple biomarkers originating from the lung should be sampled when assessing Vap. changes in volatile metabolic composition of balF and/or tracheal aspirates (tas) may reflect bacterial metabolism, increasing number of pathogens in the airways, and/or altered metabolism of the host due to inflammation. Volatile metabolites can be separated, detected and quantified using gas–chromatography and mass–spectrometry (gc/mS) or fingerprinted using an electronic nose. the aim of this study is to build a prediction model for (1) the development of Vap and (2) the causative pathogen using volatile metabolites in headspace air of tas/balF. 200 mechanically ventilated patients were already included in Spain and 30 additional patients with suspected pneumonia will be included as a validation cohort. tas were obtained every second day while a bal was performed when a patient met clinical suspicion criteria for Vap. in this study the Voc in the tas and the balF is analyzed by both gc/mS (amsterdam, the netherlands) and electronic nose analysis. lEVI MOnTAlCInI Effect of continuous haemofiltration on essential nutrients in critically ill patients with acute kidney injury DAnIEllE BEAR london, United kingdom critically ill patients with acute kidney injury (aki) have a high mortality, especially if renal replacement therapy (rrt) is needed. it remains uncertain whether trace elements, vitamins and amino acids are lost during rrt in sufficient amounts to result in clinically significant deficiencies. We plan to serially measure plasma levels of micronutrients and essential amino acids in 30 critically ill patients with severe aki for up to 6 days. the aim is to evaluate whether there are any losses into the filtrate during continuous veno-venous haemofiltration at two different doses (25-35ml/kg/hr and >35ml/kg/hr) and compare these with a control group of patients with aki not receiving rrt. We hope that the completion of this study will further enhance our understanding of the nutritional management of these complex patients and ideally lead towards a randomised controlled intervention trial in the near future. ESTABlISHED InVESTIGATOR use of contrast enhanced ultrasound echo (CEuS) to identify early renal microcirculatory alterations associated with the development of AKI in critically ill patients: A validation study CAn InCE rotterdam, netherlands current experimenta findings have led to the insight that renal microcirculatory flow alterations are key in the development of acute kidney injury (aki). However, monitoring the renal microcirculation in critically ill patients at the bedside has been impossible to date due to the unavailability of suitable technology. in this project we aim to introduce a new modality of ultrasound that uses microbubbles for contrast enhancement (contrast-enhanced ultrasound; ceUS) imaging to identify alterations in microcirculatory perfusion in the renal cortex non-invasively for the early clinical diagnosis and management of aki in critically ill patients. in this project we aim to validate this new technique in porcine models of aki for monitoring the microcirculatory blood flow distribution in the renal cortex as would done in patients. imaging of the cortical perfusion will be done by ceUS imaging through the skin on one kidney (as would be the case in the clinic) and laser speckle imaging (lSi) without skin on the other kidney. lSi is a technique we have previously validated for imaging renal cortical microcirculatory perfusion by comparison to intravital microscopy and laser Doppler velocimetry. models of aki which will be investigated include a normotensive and hypotensive model of septic aki with and without fluid resuscitation, ischemia/reperfusion-induced aki and and isovolemic hemodilution. by performing this study we will validate and further develop ceUS imaging for clinical use for the identification and monitoring alterations in renal microcirculatory perfusion in critically ill patients. it is anticipated that ceUS imaging can be used to study the pathogenesis of aki at the bedside and give real-time feedback on the effects of different resuscitation strategies, such as liberal or restrictive fluid therapy. liSbon 2012 ClInICAl RESEARCH Disproportionate care in the ICu: Impact for the patient, the family, healthcare providers and the society DOMInIQuE BEnOIT ghent, belgium the objective of this project is to assess the impact of postponed end of life decisions in the intensive care Unit on the patient, the relatives, the doctors and nurses, and the society, and to identify the reasons why these decisions are postponed. For this purpose objective and subjective data concerning the patient’s health status will be prospectively collected on a daily base in 10 units in europe during 2 months. the subjective data consist of a daily assessment of the presence of disproportionate (“too much” or “not enough”) care for a given patient as perceived by the doctors and nurses. by relating the time of onset and duration of dis-, partial and full agreement of perception of disproportionate care among doctors and nurses with the time of onset of official decisions to forego life sustaining treatments and the time of death, we will able to assess the incidence and duration of postponed eol decisions and to assess its impact on the society through a health economic analysis. Furthermore, in case of disproportionate care, the severity of the experienced moral distress will be asked as well as the reasons why disproportionate care is still provided according to the health care provider. the impact of postponed eol decisions on the relatives and health care providers will further be explored during one year through validated questionnaires and in depth interviews in a single center. Finally, based upon these data an interventional trial aimed at decreasing the likelihood of disproportionate care and its consequence(s) will be conducted. Prevention of ventilator-associated pneumonia by continuous tracheal cuff pressure control systems : the randomised control “noleak” Study BEnOîT MISSET paris, France Ventilator associated pneumonia are mostly due to the leak of pharyngeal secretions around the tracheal tube and its cuff. a control of the cuff pressure is recommended in most guidelines and usually performed with a manual system. a continuous automated device have been proven better than a manual system in a single center study. We intend to perform a multicenter randomized study testing 4 commercialized devices to control the cuff pressure, of which one is manual and three are automated, either pneumatic or electronic. our primary goal is to objective a reduction in Vap incidence assessed with broncho-alveolar lavage. our secondary goals are to assess the efficiency of the different devices on cuff pressure control, incidence of trachea-bronchial colonization, length of mechanical ventilation, length of stay and mortality. We intend to include 800 patients over 2 years. the tested devices will be provided by the industrials which commercialize them. the funding of activities such as data collection, quality control, biostatistics, administrative issues and legal authorizations will be achieved in part by the eccrn grant. BASIC SCIEnCE Renal microvascular and mitochondrial oxygenation assessed quantitatively during the development of sepsis-induced acute kidney injury and fluid therapy this project concerns the development of a setup for quantitative assessment of microvascular and mitochondrial oxygen tensions in the kidney in vivo during sepsis and fluid resuscitation. Having completed this, pathophysiological animal studies will be conducted to investigate the roles of renal microvascular and mitochondrial oxygen transport and utilization in lipopolysaccharide-induced sepsis and acute kidney injury (aki). We anticipate that such innovative methodology will provide novel insights regarding the role of mitochondrial dysfunction in critically ill patients and renal disease and potentially identify therapeutic opportunities for the prevention and/or treatment of aki in the intensive care unit. RICK BEZEMER amsterdam, netherlands Haemodynamics effects of lung function optimisation in Acute Respiratory Distress Syndrome (HEARDS) ARnAlDO SAnTOS OVIEDO madrid, Spain this experimental research project aims at studying the hemodynamic response to different lung conditions and lung protective ventilation strategies in a porcine model of acute respiratory Distress Syndrome. in particular, the project will describe and explore how and to what extent these conditions and ventilation strategies affect right ventricular function, pulmonary circulation and their coupling together with the resulting effects on systemic circulation. the hemodynamic evaluation will be performed using advanced monitoring that include intra-vascular and transmural pressures monitoring, continuous pulmonary blood flow and velocity, ventricular pressure-volume loops, regional distribution of perfusion by means of electrical impedance tomography and echocardiography. this will allow us to perform a more comprehensive analysis including ventricular-vascular coupling, pulmonary impedance analysis and right ventricular pressure-volume relationships. the compared lung protective ventilation strategies will include the arDSnet strategy of low tidal volume ventilation (permissive atelectasis and hypercapnia) and the open lung ventilation strategy re-expanding the lung and stabilising it with high levels of peep. With this study we intend to get a more in depth knowledge of the mechanisms involved in right ventricular failure and ventricular-vascular coupling during mechanical ventilation and determine which ventilation strategies can, at the same time, best protect the lung and the right ventricle. THE ESICM InDuSTRY reSearcH aWarDS Bernhard Dräger Award for Advanced Treatment of Acute Respiratory failure the bernhard Dräger award allocates a grant of 15,000 to research focusing on developing new knowledge related to advanced non-invasive respiratory monitoring and its application to the field of respiratory support. wInnER 2012 “Stress raisers” in acute respiratory Distress Syndrome Ventilator induced lung injury (Vili) is a well recognised side effect of mechanical ventilation. Volumes needed to induce Vili in healthy animals are in the range of the total lung capacity (~38 ml/kg) while retrospective data from clinical studies suggest that ventilation with low tidal volumes, even below 6 ml/kg, may be harmful. a possible explanation is that, in inhomogeneous materials, forces are locally concentrated at discontinuities, which act as “stress raisers/pressure multiplier”. We developed a software to quantify by ct scan the extent and intensity of the “stress raisers”. We designed this study in order to demonstrate: (1) the time course of stress raisers development during mechanical ventilation in a swine model (2) if the ”stress raisers” location is associated with increased inflammation, as measured with 18-FDg pet (3) Determine a threshold of stress raiser extent beyond which a safe mechanical ventilation is unfeasible. MASSIMO CRESSOnI milan, italY THE PAST wInnERS ARE: FUnctional reSiDUal capacitY gUiDeD alVeolar recrUitment StrategY in patientS WitH acUte reSpiratorY FailUre aFter carDiac SUrgerY inVeStigation oF carDioreSpiratorY coUpling, Heart rate anD breatHto-breatH VariabilitY For Weaning oUtcome aSSeSSment in mecHanicallY VentilateD patientS DR VASIlIOS PAPAIOAnnOu greece 2009 DR HERMAnn HEInZE germanY 2008 intra- anD poStoperatiVe titration oF poSitiVe enDexpiratorY preSSUre (peep) USing electrical impeDance tomograpHY (eit) clinical ValiDation oF electrical impeDance tomograpHY aS a beDSiDe tool to aDJUSt mecHanical Ventilation in arDS DR JEAn-CHRISTOPHE RICHARD France 2010 THOMAS MuDERS germanY 2011 liSbon 2012 THE ESICM InDuSTRY reSearcH aWarDS nestlé Award for Practice Improvement in ICu nutrition the nestlé award allocates a grant amounting to 20,000 to research focusing on developing new knowledge related to nutrition in intensive care units and its applications. wInnER 2012 Can ICu patients utilise extra amino acids to build new proteins? OlAV ROOYACKERS StockHolm, SWeDen the question to feed, or more accurate when and how to feed, icU patients is at the moment very open. in the current sponsored project we will address the question whether icU patients are able to utilize extra amino acids/proteins in the feeding for building new proteins or whether they oxidize them. Stable isotope labelled amino acids will be used to measure in vivo protein turnover and oxidation rates. icU patients will be studied during feeding according to the clinic routines and during an increased amount of amino acids (1.5g/kg/24 h or 2.0g/ kg/24h) while the amount of sugar and fat will be kept the same. We hypothesize that the patients will be able to utilize the extra amino acids/proteins to build new body protein and thereby fight their catabolism. ISf AwARD The International Sepsis forum Research Award (ISf) is a unique collaborative effort between industry and academia. it is the first initiative to focus solely on management of patients with severe sepsis. While sepsis and its sequelae are still associated with high morbidity and mortality rates, new data on patient management are emerging that may ultimately significantly improve the current situation. Such findings need to be evaluated and incorporated, when appropriate, into existing treatment protocols. Headed by a council of international experts and opinion leaders, the iSF is focused exclusively on improving the management of sepsis and, in particular, septic shock by developing an international consensus on the latest understanding of key scientific and clinical issues, and disseminating emerging practice guidelines to researchers, intensivists, and other critical care professionals worldwide. one of their awarded selections is chosen from abstracts submitted to liVeS 2012. Winner 2012 Effects of statins on mitochondrial respiration and outcome during experimental sepsis. JéRôME MOREl France through their anti-oxidant and anti-inflammatory properties, statins may positively impact upon mitochondrial function. However, on the other hand, statins can inhibit ubiquinone, an electron carrier of the mitochondrial respiratory chain and a mitochondrial antioxidant. We thus sought to study the effects of statins on a long-term rat model of sepsis. Faecal peritonitis was induced in instrumented male Wistar rats that were monitored and fluid-resuscitated for 72h. Simvastatin 20mg/kg bd was administrated by gavage, commencing either 3 days’ pre-sepsis [pre-treatment], or from 6h post-sepsis [post-treatment]. a control group received vehicle but no active drug [vehicle]. Survival at 72h (16 per group) was 43.7%, 25% and 12.5% for pre-treatment, vehicle, and post-treatment groups, respectively, (p<0.05). in a second set of experiments, heart and muscle ubiquinone (coQ9) levels and ex vivo muscle oxygen consumption in permeabilized soleus muscle fibres were measured at 24h post sepsis. Ubiquinone was significantly decreased in hearts taken from statin pre-treated animals, however plasma lipid levels were unaffected and organ function significantly improved. the significant reduction in muscle oxygen consumption seen in the untreated septic animals was prevented in both groups receiving simvastatin. We thus confirm the beneficial effect of statins when given before the onset of sepsis. this beneficial effect is likely to be multi-factorial but may be attributed in part to protective effects on mitochondrial respiration. liSbon 2012 THE STOuTEnBEEK AwARD the Stoutenbeek award has been established in memory of professor c.p. Stoutenbeek. He was an all-round clinician, driven by a deep interest to understand the pathogenesis of critical disease. He advocated closed-format intensive care, initiated the foundation of a national intensive care database and the implementation of bedside patient data management systems, all focused on the improvement of clinical treatment and use of intensive care facilities. He died in 1998 at the age of 52. The Stoutenbeek Award is granted to a candidate who: • demonstrates excellence as an intensive care investigator • presents the protocol of a clinical investigation (in preparation or under way) that addresses an issue relevant for clinical practice in intensive care medicine • qualifies through published studies the investigation must meet the requirements of good clinical practice, be in line with the philosophy of chris Stoutenbeek and result in a publication in an international journal. Winner 2012 Tolerance and metabolic effects of a novel lactate buffered dialysis and substitution fluid for citrate anticoagulated continuous renal replacement therapy MARTIn BAlIK StatitUiS We designed an original lactate buffered solution for citrate anticoagulated rrt (“lactocitrate”), in response to the absence of data in current literature and the unavailability of a similar solution. based on the pilot study (to be presented at the 25th eSicm congress in lisbon) and our current continuing research we aim to verify our 6 hypotheses. if they are proved we might estimate that a single chamber polypropylene bag and lactate based fluid is significantly cheaper than a two chamber bicarbonate buffered bag. these findings, alongside our recent data may prove that citrate modality is cheaper than heparin modality. > Advanced haemodynamic monitoring > Lung abdominal and cerebral ultrasounds in ICU > Critical care refresher course > echocardiography > renal replacement therapy > peri-operative care of the high-risk patient: simulation based > Designing, conducting and publishing intensive care research > How to write a systematic review & meta-analysis 10 october saturday pre-congress educational programme PG OVERVIEW Saturday 13 October - PG ROOM Berlin Berlin II Barcelona Glasgow Stockholm 08:15 08:30 CRITICAL CARE REFRESHER COURSE 08:45 09:00 09:15 ACUTE CIRCULATORY FAILURE 09:30 09:45 10:00 10:15 10:30 CRITICAL CARE REFRESHER COURSE 10:45 11:00 11:15 11:30 11:45 12:00 ADVANCED HAEMODYNAMIC MONITORING ECHOCARDIOGRAPHY ACUTE RESPIRATORY FAILURE PHYSIOLOGY AND PATHOPHYSIOLOGY 12:15 saturday 13 OCTOBER 12:30 12:45 13:00 CRITICAL CARE REFRESHER COURSE 13:15 13:30 13:45 14:00 14:15 14:30 ADVANCED HAEMODYNAMIC MONITORING INFECTION AND INFLAMMATION THE TOOLS 14:45 15:00 15:15 15:30 15:45 16:00 16:15 16:30 16:45 ADVANCED HAEMODYNAMIC MONITORING LUNG ABDOMINAL AND CEREBRAL ULTRASOUNDS IN ICU ECHOCARDIOGRAPHY GROUP A NERVOUS SYSTEM ECHOCARDIOGRAPHY CRITICAL CARE REFRESHER COURSE 17:00 LECTURES & INTERACTIVE CLINICAL CASES (ICC) GROUP B CRITICAL CARE REFRESHER COURSE CEREBRAL ULTRASOUND FROM THEORY TO PRACTICE ECHOCARDIOGRAPHY LECTURES & INTERACTIVE CLINICAL CASES (ICC) GROUP A ECHOCARDIOGRAPHY GROUP B NEPHROLOGY, ELECTROLYTES, ACID BASE AND FLUID MANAGEMENT 17:15 17:30 17:45 18:00 PG titles ADVANCED HAEMODYNAMIC MONITORING LUNG ABDOMINAL AND CEREBRAL ULTRASOUNDS IN ICU CRITICAL CARE REFRESHER COURSE ECHOCARDIOGRAPHY 44 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Paris ROOM Vienna BM3 08:15 08:30 08:45 09:00 DESIGNING, CONDUCTING AND PUBLISHING INTENSIVE CARE RESEARCH 09:15 09:30 09:45 PG OVERVIEW Saturday 13 October - PG THE RIGHT DESIGN FOR YOUR RESEARCH QUESTION 10:00 10:15 10:30 DESIGNING, CONDUCTING AND PUBLISHING INTENSIVE CARE RESEARCH 10:45 11:00 11:15 FINANCIAL & REGULATORY ASPECTS 11:30 11:45 12:00 12:15 12:45 13:00 13:15 DESIGNING, CONDUCTING AND PUBLISHING INTENSIVE CARE RESEARCH 13:30 13:45 14:00 HOW TO WRITE A SYSTEMATIC REVIEW & META-ANALYSIS THE ABC OF DATA ACQUISITION AND ANALYSIS 14:15 14:30 14:45 15:00 15:15 15:30 15:45 16:00 saturday 13 OCTOBER 12:30 PERI-OPERATIVE CARE OF THE HIGH-RISK PATIENT: SIMULATION DESIGNING, CONDUCTING AND BASED PUBLISHING INTENSIVE CARE RESEARCH TRAINING IN VENTILATION AND HAEMODYNAMIC MANAGEMENT STATISTICAL ANALYSIS 16:15 16:30 16:45 17:00 17:15 17:30 17:45 18:00 PG titles PERI-OPERATIVE CARE OF THE HIGH-RISK PATIENT: SIMULATION BASED Designing, conducting and publishing intensive care research HOW TO WRITE A SYSTEMATIC REVIEW & META-ANALYSIS L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 45 PG OVERVIEW Sunday 14 October - PG Room Berlin Berlin II Barcelona Rome 08:00 08:15 08:30 08:45 09:00 09:15 09:30 09:45 10:00 10:15 CRITICAL CARE REFRESHER COURSE ADVANCED HAEMODYNAMIC MONITORING IMPROVING PATIENTS’ OUTCOME IN EVERYDAY PRACTICE: HOW TO DO IT ABDOMEN RENAL REPLACEMENT THERAPY ACUTE KIDNEY INJURY LUNG ABDOMINAL AND CEREBRAL ULTRASOUNDS IN ICU ECHOCARDIOGRAPHY LECTURES & INTERACTIVE CLINICAL CASES (ICC) GROUP B LUNG AND PLEURAL 10:30 ULTRASOUND 10:45 11:00 CRITICAL CARE REFRESHER COURSE NUTRITION, METABOLISM, ENDOCRINOLOGY, INTOXICATION 11:15 11:30 RENAL REPLACEMENT THERAPY 11:45 RRT 12:00 SUNDAY 14 OCTOBER Glasgow ECHOCARDIOGRAPHY LECTURES & INTERACTIVE CLINICAL CASES (ICC) GROUP A 12:15 12:30 12:45 13:00 13:15 13:30 ADVANCED HAEMODYNAMIC MONITORING INTERACTIVE CASE BASED DISCUSSION CRITICAL CARE REFRESHER COURSE 13:45 TRAUMA AND SURGERY 14:00 RENAL REPLACEMENT THERAPY ANTICOAGULATION MANAGEMENT 14:15 14:30 14:45 15:00 LUNG ABDOMINAL AND CEREBRAL ULTRASOUNDS IN ICU 15:15 ABDOMINAL ULTRASOUND 15:30 15:45 16:00 CRITICAL CARE REFRESHER COURSE OTHERS (SEDATIONAnalgaesia, PHARMACOLOGY, MANAGEMENT, ETHICS) RENAL REPLACEMENT THERAPY SPECIAL PROBLEMS IN AKI PATIENTS 16:15 ECHOCARDIOGRAPHY LECTURES & INTERACTIVE CLINICAL CASES (ICC) GROUP B ECHOCARDIOGRAPHY LECTURES & INTERACTIVE CLINICAL CASES (ICC) GROUP A 16:30 16:45 17:00 PG titles ADVANCED HAEMODYNAMIC MONITORING LUNG ABDOMINAL AND CEREBRAL ULTRASOUNDS IN ICU CRITICAL CARE REFRESHER COURSE RENAL REPLACEMENT THERAPY ECHOCARDIOGRAPHY 46 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Room Stockholm Paris Vienna BM3 08:00 08:15 DESIGNING, CONDUCTING AND PUBLISHING INTENSIVE CARE RESEARCH 08:30 08:45 CONDUCTING SINGLE CENTRE/ PATHOPHYSIOLOGICAL STUDIES 09:00 09:15 09:30 09:45 PG OVERVIEW Sunday 14 October - PG ECHOCARDIOGRAPHY GROUP A 10:00 DESIGNING, CONDUCTING AND PUBLISHING INTENSIVE CARE RESEARCH 10:15 10:30 CONDUCTING LARGE STUDIES 10:45 11:00 11:15 12:00 12:15 PERI-OPERATIVE CARE OF THE HIGH-RISK PATIENT: SIMULATION BASED 12:30 12:45 TRAINING IN VENTILATION AND HAEMODYNAMIC MANAGEMENT 13:00 13:15 DESIGNING, CONDUCTING AND PUBLISHING INTENSIVE CARE RESEARCH REPORTING & PUBLISHING YOUR STUDY HOW TO WRITE A SYSTEMATIC REVIEW & META-ANALYSIS 13:30 13:45 14:00 14:15 ECHOCARDIOGRAPHY GROUP A 14:30 DESIGNING, CONDUCTING AND PUBLISHING INTENSIVE CARE RESEARCH 14:45 15:00 DO IT YOURSELF 15:15 15:30 15:45 16:00 SUNDAY 14 OCTOBER 11:45 ECHOCARDIOGRAPHY GROUP B ECHOCARDIOGRAPHY GROUP B 16:15 SUMMARY AND COURSE EVALUATION 16:30 16:45 17:00 PG titles TUESDAY 16 OCTOBER 11:30 ECHOCARDIOGRAPHY PERI-OPERATIVE CARE OF THE HIGH-RISK PATIENT: SIMULATION BASED Designing, conducting and publishing intensive care research HOW TO WRITE A SYSTEMATIC REVIEW & META-ANALYSIS L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 47 POSTGRADUATE COURSES ADVANCED HAEMODYNAMIC MONITORING Course directors: Maurizio Cecconi, London, United Kingdom & Christoph Hofer, Zurich, Switzerland Objectives: To understand the importance of haemodynamics in critically ill patients. To recognise and monitor haemodynamic instability in critically ill patients. To understand the different principles and uses of different haemodynamic monitors. ROOM Berlin PHYSIOLOGY AND PATHOPHYSIOLOGY Chair: Maurizio Cecconi, London, United Kingdom 10:50 - 11:00 Course overview Maurizio Cecconi, London, United Kingdom 11:00 - 11:30 Cardiovascular pathophysiology: Understanding functional haemodynamics Michael Pinsky, Pittsburgh, United States 11:30 - 12:00 Venous return: Understanding preload Jan Bakker, Rotterdam, Netherlands 12:00 - 12:30 Completing the picture: Integrating variables at the bedside Jean-Louis Teboul, Kremlin-Bicetre, France 12:30 - 13:30 Lunch Time ROOM Berlin THE TOOLS saturday 13 OCTOBER Chair: Michael Pinsky, Pittsburgh, United States 13:30 - 14:00 Pulmonary artery catheter: Uses and limitations Christoph Hofer, Zurich, Switzerland 14:00 - 14:30 Less invasive technologies: An overview Maurizio Cecconi, London, United Kingdom 14:30 - 15:00 Monitoring the microcirculation Can Ince, Rotterdam, Netherlands 15:00 - 15:30 Coffee Break ROOM Berlin FROM THEORY TO PRACTICE Chair: Jean-Louis Teboul, Kremlin-Bicetre, France 15:30 - 16:00 How to give fluids Jean-Louis Vincent, Brussels, Belgium 16:00 - 16:30 How to use vasoactive drugs Daniel De Backer, Brussels, Belgium 16:30 - 17:00 Summary and open questions to the experts Michael Pinsky, Pittsburgh, United States Maurizio Cecconi, London, United Kingdom Daniel De Backer, Brussels, Belgium Jean-Louis Teboul, Kremlin-Bicetre, France Can Ince, Rotterdam, Netherlands 48 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 IMPROVING PATIENTS’ OUTCOME IN EVERYDAY PRACTICE: HOW TO DO IT 08:30 - 09:00 09:00 - 09:30 How to improve outcome in high risk surgical patients How to improve outcome in patients with shock Technology rotations 09:30 - 09:33 Rotation time 09:33 - 09:48 Technology rotation 1 09:48 - 09:51 Rotation time 09:51 - 10:06 Technology rotation 2 10:06 - 10:09 Rotation time 10:09 - 10:24 Technology rotation 3 10:24 - 10:27 Rotation time 10:27 - 10:42 Technology rotation 4 10:42 - 10:45 Rotation time 10:45 - 11:00 Technology rotation 5 11:00 - 11:30 Coffee Break ROOM Berlin 11:30 - 12:00 Elias Knobel, Sao Paulo, Brazil Jan Bakker, Rotterdam, Netherlands INTERACTIVE CASE BASED DISCUSSION Rotation 1 - How to monitor fluid responsiveness Jean-Louis Teboul, Kremlin-Bicetre, France Xavier Monnet, Kremlin-Bicetre, France 12:00 - 12:30 Rotation 2 - Understanding volumes Christoph Hofer, Zurich, Switzerland Manu Malbrain, Antwerp, Belgium 12:30 - 13:00 Rotation 3 - Optimising the high risk surgical patient Maurizio Cecconi, London, United Kingdom POSTGRADUATE COURSES ROOM Berlin Chair: Maurizio Cecconi, London, United Kingdom SUNDAY 14 OCTOBER ADVANCED HAEMODYNAMIC MONITORING Max Jonas, Southampton, United Kingdom 13:00 - 13:30 Rotation 4 - Optimising the septic patient Michael Pinsky, Pittsburgh, United States Daniel De Backer, Brussels, Belgium 13:30 - 14:00 Rotation 5 - Optimising the microcirculation Can Ince, Rotterdam, Netherlands 14:00 - 15:00 Lunch Time L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience TUESDAY 16 OCTOBER Jan Bakker, Rotterdam, Netherlands 49 POSTGRADUATE COURSES LUNG ABDOMINAL AND CEREBRAL ULTRASOUNDS IN ICU Course directors: Mauro Oddo, Lausanne, Switzerland & Antonio Pesenti, Monza, Italy & Jacques Duranteau, Kremlin-Bicetre , France Objectives: Demonstrate the ability to properly operate an ultrasound machine and make adjustments to obtain adequate image quality. Gain an understanding of how ultrasound can assist in the assessment, diagnosis and intervention in ICU. Practise hands-on of lung, abdominal and cerebral ultrasound under the supervision of experts. ROOM Berlin ii CEREBRAL ULTRASOUND Chairs: Mauro Oddo, Lausanne, Switzerland & Fabio Silvio Taccone, Brussels, Belgium 14:00 - 14:10 Course overview 14:10 - 14:45 Basic cerebral sonographic Marek Czosnyka, Cambridge, United Kingdom 14:45 - 15:00 Vasospasm Fabio Silvio Taccone, Brussels, Belgium 15:00 - 15:15 Coffee break 15:15 - 16:00 Autoregulation and high ICP Frank Rasulo, Brescia, Italy 16:00 - 16:30 Brain death Bernard Vigué, Kremlin-Bicetre, France 16:30 - 17:30 Ultrasound demonstration and technical advice Fabio Silvio Taccone, Brussels, Belgium Bernard Vigué, Kremlin-Bicetre, France Frank Rasulo, Brescia, Italy saturday 13 OCTOBER Marek Czosnyka, Cambridge, United Kingdom 50 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 ROOM Berlin ii LUNG AND PLEURAL ULTRASOUND Chair: Antonio Pesenti, Monza, Italy 08:00 - 09:00 Basic thoracic sonographic Antoine Vieillard-Baron, Boulogne, France 09:00 - 09:45 Pleural ultrasound (pneumothx, pleural effusion, emphymea) Jean-Jacques Rouby, Paris, France 09:45 - 10:00 Coffee break 10:00 - 10:45 Lung ultrasound (consolidations, atelectasis) Paul Mayo, New York, United States 10:45 - 12:45 Ultrasound demonstration and technical advice Paul Mayo, New York, United States Jean-Jacques Rouby, Paris, France Antoine Vieillard-Baron, Boulogne, France 12:45 - 13:30 Lunch Time ROOM Berlin ii POSTGRADUATE COURSES LUNG ABDOMINAL AND CEREBRAL ULTRASOUNDS IN ICU ABDOMINAL ULTRASOUND 13:30 - 14:15 Basic abdominal sonographic Matthieu Legrand, Paris, France 14:15 - 15:00 Focused assessment by sonography for trauma Paul Mayo, New York, United States 15:00 - 15:15 Coffee break 15:15 - 16:00 Kidney ultrasound Jacques Duranteau, Kremlin-Bicetre, France 16:00 - 17:00 Ultrasound demonstration and technical advice Jacques Duranteau, Kremlin-Bicetre, France Matthieu Legrand, Paris, France TUESDAY 16 OCTOBER Paul Mayo, New York, United States SUNDAY 14 OCTOBER Chair: Jacques Duranteau, Kremlin-Bicetre, France L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 51 POSTGRADUATE COURSES Critical care refresher course Course directors: Marco Maggiorini, Zurich, Switzerland & Hans Flaatten, Bergen, Norway Objectives: A two-day pre-congress course structured to cover almost all areas of the European Diploma in Intensive Care (EDIC) part 1 exam over a period of 3 years. To familiarise with the MCQ-type of exam at the end of each presentation a number of MCQs also will be discussed. Top international lecturers/ intensivists from all over Europe will give a 20 minutes overview of selected topics and conclude with a 10 minutes interactive discussion based on the presentation of some key MCQs. ROOM Barcelona ACUTE CIRCULATORY FAILURE Chair: Marco Maggiorini, Zurich, Switzerland 08:30 - 09:00 Cardiac arrest: Management including therapeutic hypothermia Hans Friberg, Lund, Sweden 09:00 - 09:30 Myocardial infarction in the ICU setting Marco Maggiorini, Zurich, Switzerland 09:30 - 10:00 Arrhythmias in the ICU Alexandre Mebazaa, Paris, France 10:00 - 10:30 Coffee Break ROOM Barcelona ACUTE RESPIRATORY FAILURE saturday 13 OCTOBER Chair: Marco Maggiorini, Zurich, Switzerland 10:30 - 11:00 Physiology of mechanical ventilation Franco Valenza, Milan, Italy 11:00 - 11:30 ARDS epidemiology and pathophysiology Claude Guérin, Lyon, France 11:30 - 12:00 ARDS and mechanical ventilation Marco Ranieri, Turin, Italy 12:00 - 13:00 Lunch Time ROOM Barcelona INFECTION AND INFLAMMATION Chair: Geoffrey Bellingan, London, United Kingdom 13:00 - 13:30 Catheter related infections José Artur Paiva, Porto, Portugal 13:30 - 14:00 Ventilator associated pneumonia Jacques-André Romand, Geneva, Switzerland 14:00 - 14:30 Fungal infections in the ICU George Dimopoulos, Athens, Greece ROOM Barcelona NERVOUS SYSTEM Chair: Geoffrey Bellingan, London, United Kingdom 14:30 - 15:00 Traumatic brain injury Mauro Oddo, Lausanne, Switzerland 15:00 - 15:30 Brain death Paulo Maia, Porto, Portugal 15:30 - 16:00 Organ donation Pedro Navarrete Navarro, Granada, Spain 16:00 - 16:30 Coffee Break ROOM Barcelona NEPHROLOGY, ELECTROLYTES, ACID BASE AND FLUID MANAGEMENT Chair: Brian Marsh, Dublin, Ireland 52 16:30 - 17:00 Electrolyte disturbances Armand Girbes, Amsterdam, Netherlands 17:00 - 17:30 Acid-base disorders Brian Marsh, Dublin, Ireland 17:30 - 18:00 Transfusions (RBC, platelets, FOP, synthetic coagulation factors) Geoffrey Bellingan, London, United Kingdom 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 ROOM Barcelona ABDOMEN Chair: Paulo Maia, Porto, Portugal 08:30 - 09:00 Acute liver failure Pierre-François Laterre, Leuven, Belgium 09:00 - 09:30 Chronic liver diseases and transplantation Julia Wendon, London, United Kingdom 09:30 - 10:00 Liver surgery Christian Sitzwohl, Vienna, Austria 10:00 - 10:30 Coffee Break ROOM Barcelona NUTRITION, METABOLISM, ENDOCRINOLOGY, INTOXICATION Chair: Paulo Maia, Porto, Portugal 10:30 - 11:00 Nutrition of the critically ill Jan Wernerman, Stockholm, Sweden 11:00 - 11:30 Nutrition supplements and vitamins Mette Berger, Lausanne, Switzerland 11:30 - 12:00 Complications of enteral and parenteral nutrition Michaël Casear, Leuven, Belgium 12:00 - 13:00 Lunch Time ROOM Barcelona POSTGRADUATE COURSES Critical care refresher course TRAUMA AND SURGERY 13:00 - 13:30 The polytrauma patients Martin Dünser, Salzburg, Austria 13:30 - 14:00 Postoperative intensive care medicine Rupert Pearse, London, United Kingdom 14:00 - 14:30 Transplantation and immunosuppression Christian Sitzwohl, Vienna, Austria 14:00 - 14:30 Coffee Break ROOM Barcelona OTHERS (SEDATION-Analgaesia, PHARMACOLOGY, MANAGEMENT, ETHICS) Chair: Hans Flaatten, Bergen, Norway Ethics and communication with relatives Hans Flaatten, Bergen, Norway 15:30 - 16:00 ICU-management Pascale Gruber, London, United Kingdom 16:00 - 16:30 Paeditatric intensive care: The essentials Mark Peters, London, United Kingdom TUESDAY 16 OCTOBER 15:00 - 15:30 SUNDAY 14 OCTOBER Chair: Hans Flaatten, Bergen, Norway L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 53 POSTGRADUATE COURSES ECHOCARDIOGRAPHY Course director: Bernard Cholley, Paris, France Objectives: To teach intensivists basic skills in echocardiography, lung and abdominal ultrasounds ROOM Glasgow ECHOCARDIOGRAPHY 10:00 - 10:30 Basic views Yanick Beaulieu, Montreal, Canada 10:30 - 12:30 Hands on Nick Fletcher, London, United Kingdom Antoine Vieillard-Baron, Boulogne, France Gorazd Voga, Celje, Slovenia Susanna Price, London, United Kingdom Gwenaël Prat, Brest, France Fernando Clau-Terré, Barcelona, Spain Michelle Chew, Malmö, Sweden Armand Mekontso Dessap, Creteil, France Philippe Vignon, Limoges, France Jan Poelaert, Brussels, Belgium Jean-Luc Canivet, Liège, Belgium saturday 13 OCTOBER Eric Maury, Paris, France Yanick Beaulieu, Montreal, Canada 12:30 - 13:30 Lunch Time ROOM Stockholm ECHOCARDIOGRAPHY - GROUP A Chair: Jean-Luc Canivet, Liège, Belgium 13:30 - 15:00 Hands on Jan Poelaert, Brussels, Belgium Susanna Price, London, United Kingdom Philippe Vignon, Limoges, France Gorazd Voga, Celje, Slovenia Yanick Beaulieu, Montreal, Canada 15:00 - 15:30 Coffee Break ROOM Glasgow LECTURES & INTERACTIVE CLINICAL CASES (ICC) - GROUP A Chair: Jan Poelaert, Brussels, Belgium 54 15:30 - 15:45 How to recognise severe left ventricular dysfunction? Gorazd Voga, Celje, Slovenia 15:45 - 16:00 ICC 1: Clinical case severe LV dysfunction Gwenaël Prat, Brest, France 16:00 - 16:15 How to recognise a dilated right ventricle? Yanick Beaulieu, Montreal, Canada 16:15 - 16:30 ICC 2: Clinical cases showing images of normal and dilated RV Susanna Price, London, United Kingdom 16:30 - 16:45 How to measure and interpret inferior vena cava diameter? Jan Poelaert, Brussels, Belgium 16:45 - 17:00 ICC 3: Clinical cases IVC: Spontaneous breathing and mechanical ventilation Jean-Luc Canivet, Liège, Belgium 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Hands on Gabriele Via, Paiva, Italy Philippe Vignon, Limoges, France Michel Slama, Amiens, France Martin Balik, Prague, Czech Republic Bernard Cholley, Paris, France Antony McLean, Sydney, Australia 10:30 - 11:00 Coffee Break ROOM Glasgow LECTURES & INTERACTIVE CLINICAL CASES (ICC) - GROUP A Chair: Philippe Vignon, Limoges, France 11:00 - 11:15 Echo signs of pneumothorax Roberto Copetti, Tolmezzo, Italy 11:15 - 11:30 ICC1: Clinical case pneumothorax (pleural sliding present and absent, 2D and M-mode, lung point) Roberto Copetti, Tolmezzo, Italy 11:30 - 11:45 Pleural effusion: How to detect it? Antony McLean, Sydney, Australia 11:45 - 12:00 ICC2: Clinical cases of pleural effusion, various importances Philippe Vignon, Limoges, France 12:00 - 12:15 Detection of abdominal effusion: How to do it? What should I look for? Yanick Beaulieu, Montreal, Canada 12:15 - 12:30 ICC3: Examples of abdominal effusion Jean-Luc Canivet, Liège, Belgium 12:30 - 13:30 Lunch Time ROOM Glasgow LECTURES & INTERACTIVE CLINICAL CASES (ICC) - GROUP B Chair: Armand Mekontso Dessap, Creteil, France 09:00 - 09:15 Echo signs of pneumothorax Roberto Copetti, Tolmezzo, Italy 09:15 - 09:30 ICC1: Clinical case pneumothorax (pleural sliding present and absent, 2D and M-mode, lung point) Roberto Copetti, Tolmezzo, Italy 09:30 - 09:45 Pleural effusion: How to detect it? Armand Mekontso Dessap, Creteil, France 09:45 - 10:00 ICC2: Clinical cases of pleural effusion, various importances Armand Mekontso Dessap, Creteil, France 10:00 - 10:15 Detection of abdominal effusion: How to do it? What should I look for? Gwenaël Prat, Brest, France 10:15 - 10:30 ICC3: Examples of abdominal effusion Eric Maury, Paris, France ROOM Stockholm 11:00 - 12:30 ECHOCARDIOGRAPHY - GROUP B Hands on Fernando Clau-Terré, Barcelona, Spain Michelle Chew, Malmö, Sweden Gwenaël Prat, Brest, France Armand Mekontso Dessap, Creteil, France Eric Maury, Paris, France Enrico Storti, Milan, Italy 12:30 - 13:30 POSTGRADUATE COURSES 09:00 - 10:30 ECHOCARDIOGRAPHY - GROUP A SUNDAY 14 OCTOBER ROOM Stockholm TUESDAY 16 OCTOBER ECHOCARDIOGRAPHY Lunch Time L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 55 POSTGRADUATE COURSES ECHOCARDIOGRAPHY Course director: Bernard Cholley, Paris, France Objectives: To teach intensivists basic skills in echocardiography, lung and abdominal ultrasounds ROOM Glasgow LECTURES & INTERACTIVE CLINICAL CASES (ICC) - GROUP B Chair: Martin Balik, Prague, Czech Republic 13:30 - 13:45 How to recognise severe left ventricular dysfunction? Martin Balik, Prague, Czech Republic 13:45 - 14:00 ICC 1: Clinical case severe LV dysfunction Nick Fletcher, London, United Kingdom 14:00 - 14:15 How to recognise a dilated right ventricle? Antoine Vieillard-Baron, Boulogne, France 14:15 - 14:30 ICC 2: Clinical cases showing images of normal and dilated RV Michelle Chew, Malmö, Sweden 14:30 - 14:45 How to measure and interpret inferior vena cava diameter? Michel Slama, Amiens, France 14:45 - 15:00 ICC 3: Clinical cases IVC: Spontaneous breathing and mechanical ventilation Bernard Cholley, Paris, France 15:00 - 15:30 Coffee break ROOM Stockholm Hands on 56 Martin Balik, Prague, Czech Republic Nick Fletcher, London, United Kingdom saturday 13 OCTOBER 15:30 - 17:00 ECHOCARDIOGRAPHY - GROUP B Antoine Vieillard-Baron, Boulogne, France Gabriele Via, Paiva, Italy Michel Slama, Amiens, France Bernard Cholley, Paris, France 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Hands on Michel Slama, Amiens, France Roberto Copetti, Tolmezzo, Italy Susanna Price, London, United Kingdom Jean-Luc Canivet, Liège, Belgium Jan Poelaert, Brussels, Belgium Enrico Storti, Milan, Italy 15:00 - 15:30 Coffee Break ROOM Glasgow LECTURES & INTERACTIVE CLINICAL CASES (ICC) - GROUP A Chair: Bernard Cholley, Paris, France 15:15 - 15:25 Homogeneous/heterogeneous LV contraction Gorazd Voga, Celje, Slovenia 15:25 - 15:35 ICC 1: Regional wall motion abnormalities, obvious cases, major territories (anterior, inferior, lateral) Gorazd Voga, Celje, Slovenia 15:35 - 15:45 Pericardial effusion and tamponade Susanna Price, London, United Kingdom 15:45 - 15:55 ICC2: Clinical case of pericardial effusion. Criteria for tamponade or not Antoine Vieillard-Baron, Boulogne, France 15:55 - 16:05 Massive valvular regurgitation: How to identify the problem? Philippe Vignon, Limoges, France 16:05 - 16:15 ICC 3: Clinical cases of valvular regurgitation (TTE, 2D and color Doppler only) Jan Poelaert, Brussels, Belgium ROOM Glasgow LECTURES & INTERACTIVE CLINICAL CASES (ICC) - GROUP B Chair: Antony McLean, Sydney, Australia 13:30 - 13:45 Homogeneous/heterogeneous LV contraction Armand Mekontso Dessap, Creteil, France 13:45 - 14:00 ICC 1: Regional wall motion abnormalities, obvious cases, major territories (anterior, inferior, lateral) Michelle Chew, Malmö, Sweden 14:00 - 14:15 Pericardial effusion and tamponade Antony McLean, Sydney, Australia 14:15 - 14:30 ICC2: Clinical case of pericardial effusion. Criteria for tamponade or not Bernard Cholley, Paris, France 14:30 - 14:45 Massive valvular regurgitation: How to identify the problem? Fernando Clau-Terré, Barcelona, Spain 14:45 - 15:00 ICC 3: Clinical cases of valvular regurgitation (TTE, 2D and color Doppler only) Martin Balik, Prague, Czech Republic 15:00 - 15:30 Coffee Break ROOM Stockholm 15:15 - 16:45 Hands on ECHOCARDIOGRAPHY - GROUP B Martin Balik, Prague, Czech Republic Roberto Copetti, Tolmezzo, Italy Fernando Clau-Terré, Barcelona, Spain Nick Fletcher, London, United Kingdom POSTGRADUATE COURSES 13:30 - 15:00 ECHOCARDIOGRAPHY - GROUP A SUNDAY 14 OCTOBER ROOM Stockholm TUESDAY 16 OCTOBER ECHOCARDIOGRAPHY Enrico Storti, Milan, Italy Gabriele Via, Paiva, Italy L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 57 The smarter way to check for AKI. NOW AVAILABLE. Stop by Exhibition Area A, Booth 19 to learn more about this revolutionary test. The Astute140™ Meter and the NephroCheCk™ Test are not available in the United States. ©2012 Astute Medical, Inc. Astute Medical™, the AM logo, Astute140™, NephroCheCk™, and the NephroCheCk™ logo are trademarks of Astute Medical, Inc. PN 0088 Rev A 2012/08/13 Course directors: Michael Joannidis, Innsbruck, Austria & Arend Jan Woittiez, Almelo, Netherlands Objectives: To understand the definition epidemiology and risk factors of AKI. To successfully apply preventive measures against AKI. How to initiate, perform and terminate RRT treatment in the ICU. ROOM Rome ACUTE KIDNEY INJURY Chair: Lui Forni, Worthing, United Kingdom 09:00 - 09:30 Case simulation: Work-up Lui Forni, Worthing, United Kingdom 09:30 - 10:00 Epidemiology of AKI Eric Hoste, Ghent, Belgium 10:00 - 10:30 Prevention of AKI Arie Bastiaan Johan Groeneveld, Amsterdam, Netherlands 10:30 - 11:00 Coffee Break POSTGRADUATE COURSES RENAL REPLACEMENT THERAPY ROOM Rome RRT 11:00 - 11:30 Case simulation: Treatment Arend Jan Woittiez, Almelo, Netherlands 11:30 - 12:00 Timing and dosing Anne-Cornelie de Pont, Amsterdam, Netherlands 12:00 - 12:30 Modality, membranes Patrick Honoré, Brussels, Belgium 12:30 - 13:30 Lunch Time ANTICOAGULATION MANAGEMENT Chair: Michael Joannidis, Innsbruck, Austria 13:00 - 13:30 Case simulation: Clotting Catherine Bouman, Amsterdam, Netherlands 13:30 - 14:00 Conventional anticoagulation Frédérique Schortgen, Creteil, France 14:00 - 14:30 Citrate anticoagulation Heleen Oudemans-van Straaten, Amsterdam, Netherlands 14:30 - 15:00 Coffee break ROOM Rome SPECIAL PROBLEMS IN AKI PATIENTS Chair: Olivier Joannes-Boyau, Pessac, France 15:00 - 15:30 Case simulation: Malnutrition Olivier Joannes-Boyau, Pessac, France 15:30 - 16:00 Electrolytes Wilfred Druml, Vienna, Austria 16:00 - 16:30 Nutrition Catherine Bouman, Amsterdam, Netherlands L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience TUESDAY 16 OCTOBER ROOM Rome SUNDAY 14 OCTOBER Chair: Arend Jan Woittiez, Almelo, Netherlands 59 POSTGRADUATE COURSES PERI-OPERATIVE CARE OF THE HIGH-RISK PATIENT: SIMULATION BASED Course director: Torsten Schröder, Berlin, Germany ROOM Paris 13:00 - 18:00 TRAINING IN VENTILATION AND HAEMODYNAMIC MANAGEMENT Postoperative ventilation José-Miguel Alonso-Iñigo, Alzira, Spain Airway management Michael Hiesmayr, Vienna, Austria Haemodynamic management Holger Köth, Berlin, Germany Anders Larsson, Uppsala, Sweden Susanne Marz, Berlin, Germany Rupert Pearse, London, United Kingdom Michael Sander, Berlin, Germany Claudia Spies, Berlin, Germany Steffen Weber-Carstens, Berlin, Germany Willehad Boemke, Berlin, Germany Torsten Schröder, Berlin, Germany Christian Lojewski, Berlin, Germany 15:15 - 15:30 Coffee break saturday 13 OCTOBER LEGEND Module A - Difficult airway management Learning objectives: - Know the incidence of, and recognise a difficult airway (including morbidly obese patients and immobilized cervical spine) Skill stations: - Practice supraglottic access with airway trainer in hands: Use videolaryngoscopy and flexible fibre scope - Practice percutaneous and surgical cricothyrotomy with airway simulator Module B - Difficult airway management: Decision making Learning objectives: - Know airway algorithms Skill station: - Practice airway algorithms with a full scale simulator Module C - Application of haemodynamic monitoring Learning objectives: - Know the physiological basis of haemodynamic - Know the different haemodynamic monitoring options Skill stations: - Practice to set up haemodynamic monitoring - Practice extended haemodynamic monitoring 60 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 ROOM Paris 09:00 - 16:45 TRAINING IN VENTILATION AND HAEMODYNAMIC MANAGEMENT Postoperative ventilation José-Miguel Alonso-Iñigo, Alzira, Spain Airway management Michael Hiesmayr, Vienna, Austria Haemodynamic management Holger Köth, Berlin, Germany Anders Larsson, Uppsala, Sweden Susanne Marz, Berlin, Germany Rupert Pearse, London, United Kingdom Michael Sander, Berlin, Germany Claudia Spies, Berlin, Germany Steffen Weber-Carstens, Berlin, Germany POSTGRADUATE COURSES PERI-OPERATIVE CARE OF THE HIGH-RISK PATIENT: SIMULATION BASED Willehad Boemke, Berlin, Germany Torsten Schröder, Berlin, Germany Christian Lojewski, Berlin, Germany 11:00 - 11:15 Coffee break 13:15 - 14:15 Lunch Time Module D - Algorithm guided haemodynamic treatment - Simulation Case: An 18 year old girl with scoliosis through spinal muscular athrophy, after spondylodesis Th3/S1 Learning objectives: - Know algorithm guided haemodynamic treatment Skill Station: - Practice haemodynamic algorithms with a full scale simulator Module E - Ventilation Learning objectives: SUNDAY 14 OCTOBER LEGEND - Know to set ventilator - Know the different ventilator settings in ARDS or congestive heart failure Skill stations: - Practice ventilator setting in ARDS and congestive heart failure Case: An 18 year old girl with colitis ulcerosa and CMV infection, transport via helicopter to hospital in prone position, acute ARDS with septic shock - Simulation Learning objectives: - Know ventilator influence on haemodynamics and treatment options Skill Station: - Practice ventilator settings and learn what haemodynamic effects should be treated with a full scale simulator L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience TUESDAY 16 OCTOBER Module F - Ventilator settings and effects on haemodynamic treatment 61 POSTGRADUATE COURSES DESIGNING, CONDUCTING AND PUBLISHING INTENSIVE CARE RESEARCH Course directors: Jozef Kesecioglu, Utrecht, Netherlands & Richard Beale, London, United Kingdom Objectives: To understand the different steps inherent to clinical research. To acquire the basic knowledge that is necessary to conduct clinical trials. To learn the essential steps to present and publish results of clinical studies. ROOM Vienna THE RIGHT DESIGN FOR YOUR RESEARCH QUESTION Chairs: Richard Beale, London, United Kingdom & Arjen Slooter, Utrecht, Netherland 09:00 - 09:20 Defining hypothesis (literature search: Critical analysis of the literature/ hypothesis reasonable to achieve) Armand Girbes, Amsterdam, Netherlands 09:20 - 09:40 Defining the right population Richard Beale, London, United Kingdom 09:40 - 10:00 Study design: From observational studies to RCT’s Christian Melot, Brussels, Belgium 10:00 - 10:20 Building the right team Arjen Slooter, Utrecht, Netherlands 10:20 - 10:35 Coffee Break ROOM Vienna FINANCIAL & REGULATORY ASPECTS saturday 13 OCTOBER Chairs: Bertrand Guidet, Paris, France & Colin Ferguson, Plymouth, United Kingdom 10:35 - 10:55 Grant writing: What you should know Arjen Slooter, Utrecht, Netherlands 10:55 - 11:15 How realistic is your budget proposal? Bertrand Guidet, Paris, France 11:15 - 11:35 Navigating the European regulation Colin Ferguson, Plymouth, United Kingdom 11:35 - 11:55 IRB application Jozef Kesecioglu, Utrecht, Netherlands 12:00 - 13:00 Lunch Time ROOM Vienna THE ABC OF DATA ACQUISITION AND ANALYSIS Chairs: Daniel De Backer, Brussels, Belgium & Armand Girbes, Amsterdam, Netherlands 13:00 - 13:20 Establishing primary & secondary endpoints Massimo Antonelli, Rome, Italy 13:20 - 13:40 Sample size calculation (why/how) Christian Melot, Brussels, Belgium 13:40 - 14:00 Data collection: What, how and when? Daniel De Backer, Brussels, Belgium 14:00 - 14:20 The role of Data Safety Monitoring Boards Arjen Slooter, Utrecht, Netherlands 14:20 - 14:40 Assessing protocol compliance & data quality Armand Girbes, Amsterdam, Netherlands 14:40 - 14:55 Coffee Break ROOM Vienna STATISTICAL ANALYSIS Chairs: Kit Roes, Utrecht, Netherlands & Christian Melot, Brussels, Belgium 62 14:55 - 15:15 Planning statistical analysis Christian Melot, Brussels, Belgium 15:15 - 15:35 Randomisation strategies and alternatives Kit Roes, Utrecht, Netherlands 15:35 - 15:55 Statistics for dummies Christian Melot, Brussels, Belgium 15:55 - 16:15 A Bayesian approach to interpreting clinical research Kit Roes, Utrecht, Netherlands 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 ROOM Vienna CONDUCTING SINGLE CENTRE/PATHOPHYSIOLOGICAL STUDIES Chairs: Julie Benbenishty, Jerusalem, Israel & Gordon Doig, Sydney, Australia 08:15 - 08:35 What about the control group? Daniel De Backer, Brussels, Belgium 08:35 - 08:55 Sample size: A balance between power and feasibility Gordon Doig, Sydney, Australia 08:55 - 09:15 Specificities of analytical plan Christian Melot, Brussels, Belgium 09:15 - 09:35 The role of research nurses Julie Benbenishty, Jerusalem, Israel 09:35 - 09:50 Coffee Break ROOM Vienna CONDUCTING LARGE STUDIES POSTGRADUATE COURSES DESIGNING, CONDUCTING AND PUBLISHING INTENSIVE CARE RESEARCH 09:50 - 10:10 Building and running networks Laurent Brochard, Geneva, Switzerland 10:10 - 10:30 Research on databases Bertrand Guidet, Paris, France 10:30 - 10:50 The concept of run-in trials Kit Roes, Utrecht, Netherlands 10:50 - 11:10 International studies: Avoiding pitfalls Massimo Antonelli, Rome, Italy 11:10 - 11:55 Lunch Time ROOM Vienna REPORTING & PUBLISHING YOUR STUDY Chairs: Jean-Daniel Chiche, Paris, France & Elie Azoulay, Paris, France 11:55 - 12:15 Report the data at congresses: Poster & oral presentations Jean-Daniel Chiche, Paris, France 12:15 - 12:35 Publishing your research: What should you know? Massimo Antonelli, Rome, Italy 12:35 - 12:55 How to write a paper? Davide Chiumello, Milan, Italy 12:55 - 13:15 Answering reviewers comments Davide Chiumello, Milan, Italy 13:15 - 13:30 Coffee Break ROOM Vienna SUNDAY 14 OCTOBER Chairs: Massimo Antonelli, Rome, Italy & Kit Roes, Utrecht, Netherlands DO IT YOURSELF 13:30 - 14:00 Workshop A. Design your study 14:00 - 14:30 Workshop B. Interpret the results 14:30 - 15:00 Workshop C. Write the abstract 15:00 - 15:30 Workshop D. Prepare your presentation 15:30 - 16:30 4 group presentations ROOM Vienna 16:30 - 16:45 TUESDAY 16 OCTOBER Chairs: Richard Beale, London, United Kingdom & Massimo Antonelli, Rome, Italy SUMMARY AND COURSE EVALUATION Summary and course evaluation L I V E S 2 012 Richard Beale, London, United Kingdom L ink ing Inno vat ion Vi sion E xcel l ence & S cience 63 Course directors: Djillali Annane, Garches, France & Mark Hamilton, London, United Kingdom & Gihan Abuella, London, United Kingdom Objectives: This course aims at providing attendees with sufficient knowledge to design and conduct a systematic review and meta-analysis. Attendees will be coached by editors from the ESICM Systematic Review Group and write their own protocol for a systematic review and meta-analysis during the 2-day course. ROOM BM3 HOW TO WRITE A SYSTEMATIC REVIEW & META-ANALYSIS 09:30 - 10:00 Welcome and introduction of the aim of the course Djillali Annane, Garches, France 10:00 - 10:20 How to select a topic for SR Djillali Annane, Garches, France 10:20 - 10:40 Problems & pitfalls of writing your first review Gihan Abuella, London, United Kingdom 10:40 - 11:40 How to design a protocol for a systematic review Mark Hamilton, London, United Kingdom 11:40 - 12:00 Candidates are divided into groups 12:00 - 13:00 Lunch Time 13:00 - 16:00 Group working on the protocol 16:00 - 16:15 Coffee Break 16:15 - 18:00 Group feedback: Presentation of the first draft of the protocol saturday 13 OCTOBER POSTGRADUATE COURSES HOW TO WRITE A SYSTEMATIC REVIEW & META-ANALYSIS 64 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 ROOM BM3 HOW TO WRITE A SYSTEMATIC REVIEW & META-ANALYSIS 08:30 - 09:30 How to search the literature? 09:30 - 10:45 Group working on protocol 10:45 - 11:00 Coffee Break 11:00 - 12:15 Group feedback: Presentation of the final protocol 12:15 - 13:00 Lunch Time 13:00 - 14:30 Start of literature search 14:30 - 15:30 Group feedback on first results of the literature search 15:30 - 15:45 Coffee Break 15:45 - 16:20 Designing data extraction forms Djillali Annane, Garches, France Gihan Abuella, London, United Kingdom POSTGRADUATE COURSES HOW TO WRITE A SYSTEMATIC REVIEW & META-ANALYSIS How to analyse & present the data How to write up a high quality SR to maximise chances of publication 16:50 - 17:00 Conclusion of 2 days-course and next agenda Mark Hamilton, London, United Kingdom TUESDAY 16 OCTOBER SUNDAY 14 OCTOBER 16:20 - 16:50 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 65 Up until now I wasn’t informed early enough to react. Decide – for the better From Reaction to Prevention We offer solutions supporting your preventative care initiatives in the ICU and beyond. Our IntelliVue Guardian Solution helps to detect patient deterioration on the general floor earlier, to improve patients’ outcomes sustainably. Decide for the better – IntelliVue Join us at the Philips booth, Block 22 – Booth 54; and don’t miss our symposium session on Monday, October 15, from 12:30-14:00. TUESDAY 16 OCTOBER 1 october saturday SUNDAY 14 OCTOBER scientific programme POSTGRADUATE COURSES For physicians, nurses and other allied healthcare professionals. > abStract SUbmiSSion DeaDline : 19 april 2013 for more information, contact european society of intensive care medicine (esicm) www.esicm.org Congress Department rue belliard 19 - 1040 brussels belgium Tel: +32 (0)2 559 03 75 - Fax: +32 (0)2 559 03 79 paris2013@esicm.org Thematic Session Nurses & AHP 17:00 - 17:15 Welcome address Andrew Rhodes, London, United Kingdom, ESICM President 17:15 - 17:35 Presentation of ESICM Honorary Memberships & Society Medal Award Andrew Rhodes, London, United Kingdom, ESICM President 17:15 Presentation of Honorary Membership to Antonio Artigas Citation to be read by Jean Carlet 17:20 Presentation of Honorary Membership to Warren Zapol Citation to be read by Antonio Pesenti 17:25 Presentation of Honorary Membership to Michael Pinsky Citation to be read by Jean-Louis Vincent 17:30 Presentation of Honorary Membership to Mitchell Levy Citation to be read by Richard Beale 17:30 - 17:35 Presentation of ESICM Medal to Julian Bion Citation to be read by Hans Ulrich Rothen 17:30 - 17:50 Saving Lives: Intensive Care in Evolution Julian Bion, Birmingham, United Kingdom 17:50 - 18:10 Changing lives in the ICU: Doctors or designers? Jozef Kesecioglu, Utrecht, The Netherlands 18:10 - 18:25 Living LIVES 2012 - the ESICM’s 25th Annual Congress Giuseppe Citerio, Monza, Italy ESICM Chair of the Division of Scientific Affairs 18:25 - 18:45 The next 30 years: The intensive connection Jean-Daniel Chiche, Paris, France, ESICM President-Elect SUNDAY 14 OCTOBER room Lisbon Sunday 14 October 2012 TUESDAY 16 OCTOBER Opening session Don’t miss this unique opportunity to get together. Enjoy good food, beverages and have a good time! L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 69 SESSIONS FORMAT ABSTRACT PRESENTATIONS In total, 1330 abstracts have been submitted for the ESICM LIVES 2012, of which, 1140 have been accepted for oral presentations and thematic poster corners sessions. The presentations of research studies and results by intensivists from around the world is an integral part of the ESICM’s Annual Congress. All accepted abstracts have been published in the September supplement issue of Intensive Care Medicine (ESICM’s official journal) which is available online on our website www.esicm.org. Publication in the journal and presentation during the Congress requires registration by one of the authors, and by the person making the presentation. Abstract submitted and selected under the label ECCRN. Abstract selected for the Abstract Award Winning Session. ORAL PRESENTATIONS These sessions include the oral presentation of 5 successive abstracts. Each presenter is allowed a 10-min presentation followed by a 5-min time slot for comments and discussion by the audience and the chairpersons. There are 2 chairpersons for each session. The abstracts presented during these sessions are not displayed as e-posters. POSTER CORNERS These sessions include the presentation of 14 successive e-posters at the Exhibition & Poster Corners Area. This year there will be 2 slots per day (from 10:10 until 12:00 and from 14:00 until 15:50). Each presenter is allowed a 4-min presentation followed by a 3-min time slot for comments and discussion by the audience and the chairpersons. There are 2 chairpersons for each session. E-POSTERS AREA Delegates, authors and chairs will be able to communicate and post comments on the data presented during the Congress (poster corners) via a chat forum during and after the Congress on the ESICM website. Try the e-posters experience in the exhibition area CLINICAL CHALLENGES SESSIONS Training sessions utlilise a “How do I …?” format and include an introductory talk on a specific clinical relevant problem or question followed by illustrative cases/presentations which serve to stimulate interactive discussion. Interaction between the speakers and the audience is strongly encouraged. CONTINUOUS PROFESSIONAL EDUCATION SESSIONS The Congress Committee has set up a full educational track throughout the congress. In these sessions, basic concepts are reviewed. For trainees as well as professionals in the intensive care community (including physicians, nurses and technicians), this programme of educational sessions is an excellent preparation for sitting the European Diploma in Intensive Care (EDIC) written examination on Monday October 15, 2012 (11:00-14:00) at the Pavilhão Atlântico, Rossio dos Olivais, Lote 2.13.01A, 1190-231 Lisbon, Portugal. 70 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 CONTROVERSIES SESSIONS These are debate-style sessions surrounding an area of controversy. The total duration of each is 30 minutes, which allows 10 minutes for each side of the argument and 10 minutes at the end for discussion. FROM BENCH TO BEDSIDE SESSIONS These unique sessions explore interactions between basic research and clinical medicine. They aim to update participants on new lab findings and discuss possible future clinical applications. HOT TOPICS SESSION The Hot Topics Session at the end of the congress is devoted to the presentation of cutting edge research to a very large audience. During the session, the 2012 ESICM/ECCRN Industry Research Awards, ISF and Stoutenbeek Awards will be presented to the winners. INDUSTRY SPONSORED SESSIONS Sessions organised in conjunction with Industry. The educational programme has been reviewed by ESICM. JOINT SESSIONS Sessions organised with other scientific societies on specific topics of interest. POSTGRADUATE COURSES The Congress Committee has organised 7 Postgraduate Courses and one Refresher Course that will be held on Saturday and/or Sunday prior to the core congress programme. STATE OF THE ART SESSIONS State of the art sessions present and update participants on the highest level developments in the scientific field. Speakers are key experts on these up-to-date topics. THEMATIC SESSIONS Key experts and well-known international speakers lecture on topical areas of interest and expertise. L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 71 Session references This standard day planning serves as a basis for the structure of the scientific sessions. There are several simultaneous sessions in each category. The basic principle is that no overlap may occur between the Thematic Sessions and the Abstract Presentations (oral presentations and poster corners). Abstract Award Winning Session 09:40-11:00 Tuesday Clinical Challenges Sessions 11:10-12:00 Monday & Tuesday Continuous Professional Education Sessions Monday until Wednesday Controversies Sessions Monday until Wednesday From Bench to Bedside Sessions Tuesday & Wednesday Hot Topics Session 14:15-16:15 Wednesday Industry Sponsored Sessions 12:30-14:00 18:15-19:15 Monday & Tuesday Monday Joint Sessions Monday until Wednesday Oral presentations 09:40-11:00 10:10-11:30 14:15-15:50 Monday & Tuesday Wednesday Monday & Tuesday Poster Corners 10:10-12:00 14:00-15:50 Monday until Wednesday Monday & Tuesday State of the Art Sessions Monday until Wednesday Thematic Sessions Monday until Wednesday The following final programme is subject to modification after printing. 72 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Sessions of special interest for Nurses and AHP Nurses If you are a nurse or allied health professional (physiotherapist, dietician, pharmacist, etc) working in critical care, there are a number of sessions which may be of particular interest to you. These are listed below and highlighted on each page with the following sign Sunday 14 OCTOBER ROOM Lisbon Thematic Session 17:00-18:35 Opening Session Monday 15 october Nurses & AHP & AHP Tuesday 16 october ROOM Stockholm Thematic Session 08:30-09:30PREPARING THE ICU NURSING WORKFORCE FOR 2020 ROOM Berlin Oral PresentationS 09:40-11:00 PREVENTION OF INFECTIONS IN THE ICU SETTING ROOM Rome Continuous Professional Education Session Area PORTO Poster Corner 10:10-12:00 END OF LIFE CARE - ETHICS OF RESEARCH 08:30-09:30 INTENSIVE CARE IS TEAM WORK! ROOM Paris Thematic Session 08:30-09:30THE LIFE-PRIORITY SESSION. WHO CARES FOR THOSE WHO CARE? ROOM Glasgow Oral Presentations ROOM Glasgow Clinical Challenges Session 11:10-12:00 HOW DO I COUNSEL IN AND BEYOND THE ICU? Area ESTORIL Poster Corner 14:00-15:50 AIRWAY CARE & INSTRUMENTATION 09:40-11:00 COMMUNICATION IN THE ICU 1 ROOM Stockholm Oral PresentationS 09:40-11:00 ASSESSING THE IMPACT OF INTERVENTIONS AND ORGANISATIONS IN INTENSIVE CARE 1 Area ESTORIL Poster Corner 10:10-12:00 PREVENTION OF ICU-ACQUIRED INFECTIONS ROOM Athens Poster Corner 14:00-15:50 IMPROVING COMMUNICATION IN THE ICU 2 ROOM Rome Oral PresentationS ROOM Stockholm Thematic Session 16:00-18:00 ACHIEVING A CULTURE OF SAFETY Clinical Challenges Session 11:10-12:00 HOW DO I REDUCE GUILT DURING FAMILY’S MEETING Area BRAGA ROOM Stockholm 14:15-15:50 END OF LIFE CARE - ETHICS OF RESEARCH 2 Wednesday 17 october ROOM Athens Thematic Session 08:30-10:00 NURSING CARE FOR MY PATIENT WITH… State of the Art Session 14:15-15:50 PATIENT SAFETY - “FIRST DO NO HARM” ROOM Barcelona Thematic Session 16:00-18:00 AN UPDATE ON VAP L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 73 TO be cOnTinued > The intensive connection for… sepsis FrOm bench TO bedside REGIOnAl COnfEREnCE MOnTREuX JulY 4-5, 2013 JOIn uS_ Join us in montreux, just before the Jazz festival, for a unique experience mixing cutting-edge science and education in a relaxed and friendly atmosphere. for more information contact ESICM tel: +32 2 559 03 75 - Fax: +32 2 559 03 79 email: montreux2013@esicm.org Jointly organised with www.esicm.org 30 minutes before the next session? Visit the Replay theatre Level 1 - Exhibition Area A - Gallery Duration Time Session title Presentation title Speaker 09:15 CRITICAL CARE REFRESHER COURSE ACUTE CIRCULATORY FAILURE Cardiac arrest: Management including therapeutic hypothermia Hans Friberg 30 09:45 DESIGNING, CONDUCTING AND PUBLISHING INTENSIVE CARE RESEARCH THE RIGHT DESIGN FOR YOUR RESEARCH QUESTION Defining hypothesis (literature search: Critical analysis of the literature/hypothesis reasonable to achieve) Armand Girbes 20 10:05 CRITICAL CARE REFRESHER COURSE ACUTE RESPIRATORY FAILURE Physiology of mechanical ventilation Franco Valenza 30 10:35 ADVANCED HAEMODYNAMIC MONITORING PHYSIOLOGY AND PATHOPHYSIOLOGY Cardiovascular pathophysiology: Understanding functional haemodynamics Michael Pinsky 30 11:05 ADVANCED HAEMODYNAMIC MONITORING PHYSIOLOGY AND PATHOPHYSIOLOGY Venous return: Understanding preload Jan Bakker 30 11:35 ECHOCARDIOGRAPHY - LECTURES & INTERACTIVE CLINICAL CASES (ICC) - GROUP B How to measure and interpret inferior vena cava diameter? Michel Slama 15 11:50 ADVANCED HAEMODYNAMIC MONITORING THE TOOLS Pulmonary artery catheter: Uses and limitations Christoph Hofer 30 12:20 CRITICAL CARE REFRESHER COURSE NERVOUS SYSTEM Traumatic brain injury Mauro Oddo 30 12:50 LUNG ABDOMINAL AND CEREBRAL ULTRASOUNDS IN ICU LUNG AND PLEURAL ultrasound Basic thoracique sonographic Antoine VieillardBaron 60 13:50 ADVANCED HAEMODYNAMIC MONITORING IMPROVING PATIENTS’ OUTCOME IN EVERYDAY PRACTICE: HOW TO DO IT How to improve outcome in patients with shock Jan Bakker 30 14:20 CRITICAL CARE REFRESHER COURSE NUTRITION, METABOLISM, ENDOCRINOLOGY, INTOXICATION Nutrition of the critically ill Jan Wernerman 30 14:50 DESIGNING, CONDUCTING AND PUBLISHING INTENSIVE CARE RESEARCH REPORTING & PUBLISHING YOUR STUDY Report the data at congresses: Poster & oral presentations Jean-Daniel Chiche 20 15:10 DESIGNING, CONDUCTING AND PUBLISHING INTENSIVE CARE RESEARCH REPORTING & PUBLISHING YOUR STUDY How to write a paper Davide Chiumello 20 15:30 LUNG ABDOMINAL AND CEREBRAL ULTRASOUNDS IN ICU ABDOMINAL ultrasound Basic abdominal sonographic Matthieu Legrand 45 16:15 CRITICAL CARE REFRESHER COURSE OTHERS (SEDATION-Analgaesia, PHARMACOLOGY, MANAGEMENT, ETHICS) Paediatric Intensive Care: The essentials Mark Peters 30 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience Min. MONDAY 15 OCTOBER TUESDAY 16 OCTOBER Could not attend the Critical Refresher Courses or the Postgraduate courses? Could not make a choice between competing sessions? Have some free time before the next session or are simply not in the mood for poster viewing? Then check out the programme of the Replay Theatre and come to experience a novel way to optimise your time during the Congress. Be seated and follow the lectures that have just been given on a large screen with high-fidelity audio. You are in your ESICM lecture hall! REPLAY THEATRE 75 Replay Theatre 75 REPLAY THEATRE TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER 76 Time Duration Session title Presentation title Speaker 09:10 WEANING FROM MECHANICAL VENTILATION How do I predict a successful weaning? Massimo Antonelli 20 09:30 A NIGHTMARE: SEIZURES IN THE ICU EEG monitoring: When, how, how long? Jan Claassen 20 09:50 END-ORGAN CONSEQUENCES OF LIVER FAILURE Hepatorenal syndrome John Kellum 20 10:10 SURVIVING SEPSIS CAMPAIGN: 2012 UPDATE The Surviving Sepsis Campaign: What have we achieved? Mitchell Levy 20 10:30 SURVIVING SEPSIS CAMPAIGN: 2012 UPDATE The new guidelines and bundles Richard Beale 20 10:50 SURVIVING SEPSIS CAMPAIGN: 2012 UPDATE How the new guidelines will impact your practice? Djillali Annane 20 11:10 HOW DO I EVALUATE AND MANAGE A COMATOSE PATIENT? Presentation Tarek Sharshar 50 12:00 HOW DO I MANAGE THE BURN PATIENT? Presentation Philipp Metnitz 50 12:50 PULMONARY EMBOLISM Diagnostic strategies Alain Cariou 20 13:10 SCCM/ESICM - ACTIVATED PROTEIN C: REVEALING THE DEFICITS IN OUR TRANSLATIONAL PARADIGM The rise and fall of a new drug Marco Ranieri 20 13:30 SCCM/ESICM - ACTIVATED PROTEIN C: REVEALING THE DEFICITS IN OUR TRANSLATIONAL PARADIGM Was there sufficient pre-clinical data for the initial Xigris hopes? Mervyn Singer 20 13:50 SCCM/ESICM - ACTIVATED PROTEIN C: REVEALING THE DEFICITS IN OUR TRANSLATIONAL PARADIGM Was there sufficient clinical evidence for the initial Xigris hype? Derek Angus 20 14:10 THERAPEUTIC TARGETS SELECTION IN ACUTE RESPIRATORY FAILURE Targeting normal values in critical illness. What is the rationale? Brian Kavanagh 20 14:30 AN UPDATE ON VAP Non-pharmacologic prevention approaches Stijn Blot 20 14:50 AN UPDATE ON VAP SDD: Value and pitfalls Marc Bonten 20 15:10 ERC/ESICM - POST-CARDIAC ARREST IN 2012 Recent important changes in resuscitation Kjetil Sunde 20 15:30 ERC/ESICM - POST-CARDIAC ARREST IN 2012 Post-resuscitation bundle Jerry Nolan 20 15:50 SHOCK REVISITED From normal physiology to shock Christoph Hofer 20 16:10 SHOCK REVISITED Assessing perfusion and response to treatment Marco Maggiorini 20 16:30 ETHICAL DILEMMAS IN INTENSIVE CARE Donation of organs Beatriz Dominguez-Gil 20 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience Min. L I V E S 2 012 Presentation title Speaker 09:10 MANIPULATING THE MICROCIRCULATION Defining the best perfusion Can Ince 20 09:30 RESPIRATORY MONITORING FOR DUMMIES Presentation Laurent Brochard 50 10:20 HOW DO I DIAGNOSE INTERSTITIAL PNEUMONIA? Presentation Jean-Daniel Chiche 50 11:10 HOW DO I READ HEAD CT AND A MRI SCAN? Presentation Peter Horn 50 12:00 BLOOD SUGAR MONITORING Clinical relevance of glucose control Jean-Charles Preiser 25 12:25 CARDIOVASCULAR MONITORING UPDATE From arterial pressure to cardiac output Maurizio Cecconi 20 12:45 CARING FOR THE LUNGS OF THE HAEMODYNAMICALLY CHALLENGED PATIENT Heart-lung interactions for dummies Michael Pinsky 20 13:05 ASSESSMENT OF LUNG AERATION AND COLLAPSE IN ARDS Lung ultrasound - does it have a role? Paul Mayo 20 13:25 ABC OF Paediatric INTENSIVE CARE FOR THE ADULT INTENSIVIST Paediatric respiratory insufficency Brian Kavanagh 20 Min. REPLAY THEATRE Duration Session title 30 minutes before the next session? Visit the Replay theatre Level 1 - Exhibition Area A - Gallery WEDNSDAY 17 OCTOBERE Time L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 77 Kimberly-Clark is proud to be a partner of “Wheels of Life”, the European campaign of , to promote emergency life support skills. Come and visit the truck during the ESICM LIVES 2012 Congress Helping You Improve Patient Safety For more information about the Kimberly-Clark* KimVent* Solutions please visit www.VAP.kchealthcare.com KimVent* Oral Care Kits KimVent* Closed Suction Systems *Registered Trademark or Trademark of Kimberly-Clark Worldwide, Inc © 2012 KCWW. All rights reserved KimVent* BAL CATH* Bronchial Aspirate Sampling Catheter KimVent* MicroCuff* Endotracheal Tubes TO be cOnTinued > The intensive connection for… An amazing experience! lIfE-PRIORITY COnnECTInG AREA VISIT_ The dynamic connection to Intensive Care Medicine has started! Since last year, liFe-prioritY has toured europe with «Wheels of life» and two respectable aims: train the lay public to cpr and raise awareness about your specialty. We have spotted major public events to bring our event structure and attract everyone’s attention for a day…or more… as we wish you were there, we have decided to make you live this experience again. • come meet us in the 3D tecHno tent to travel europe with Wheels of life. put your helmet, fasten seat belts and find out where we have taken our mobile icU in a mind-blowing 4-min 3D movie • Visit the liFe-prioritY connecting area to attend poster sessions, attend «meet the expert» sessions in the truck, charge your devices or simply relax and enjoy «petiscos». You are in lisbon with eSicm and liFe-prioritY! COnnECTInG AREA 2 1 3 1. 3D techno tent / 2. liFe-prioritY truck / 3. connecting lounge live an amazing experience with the 3D Sony helmet! with its two Oled screens right in your eyes, the helmet offers you a truly amazing immersion in the image! JOIn uS_ Science, connection and fun guaranteed in our Sony-powered 3D TECHnO TEnT, lIfE-PRIORITY truck and Connecting lounge With the support of www.esicm.org Scientific programme MONDAY 15 OCTOBER SCIENTIFIC programme MONday 15 october 80 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Poster corners morning Area Beja Area Braga Area Cascais Area Coimbra Ventilator-induced lung injury Satisfying metabolic demand in the icu Trauma update Acute coronary syndrome in the icu Area Faro Area Fatima Area Funchal Area Guarda Area Porto Area Setubal Acute kidney injury: evaluation & treatment Impact of specific icu interventions Inflammatory response in sepsis: new insights Paediatrics 1: not small adults! Acute brain injury: therapeutic Imaging to guide cooling & treatment of acute outcome respiratory failure prediction Area Sintra Life-Priority Improving icu care & organisation Pneumonia revisited Area Estoril Prevention of icuaquired infections Nurses & AHP Area Evora Sedation, analgaesia & delirium 14:00 - 15:50 Poster corners afternoon Area Beja Area Cascais Area Coimbra Area Estoril Area Evora Nurses & AHP Non-invasive ventilation: indications & limits Bedside assessment of haemodynamics Icu infections: biomarkers & antimicrobial treatment 1 Intensive care in specific patient populations Area Faro Area Fatima Area Funchal Area Guarda Area Porto Area Setubal Evaluating systemic & micro circulation Physiotherapy in the icu Postoperative management of cardio-surgical patients Evaluation of sepsis biomarkers Organ dysfunction in sepsis Outcome from intensive care Area Sintra Life-Priority Haemorrhagic stroke: interventions & markers Outcome prediction after cardiac arrest Technology for ventilatory support Area Braga Improving communication in the icu pOSTER overview 10:10 - 12:00 MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER POSTER OVERVIEW - MONDAY 15 OCTOBER View the poster corner plan on pages 26-27 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 81 programme OVERVIEW Monday 15 October Room Lisbon 08:30 Weaning from mechanical ventilation Acute heart failure in icu: what’s new? Therapeutic targets in traumatic shock Surviving sepsis campaign: 2012 update Crazy heart: rythm disturbances in icu Genetic and molecular basis of ards and vili 09:30 Berlin Barcelona Geneva A nightmare: seizures in the icu Rome Intensive care is team work! Nurses & AHP 09:30-09:40 09:40 11:00 New data on renal replacement therapy Systemic complications of acute brain damage 11:00-11:10 11:10 12:00 How do i prevent ards in patients at risk? How do i evaluate and manage a comatose patient? How do i manage contact isolation for multiresistant bacterias? How do i manage the burn patient? EDWARDS Nestlé FRESENIUS KABI COVIDIEN Good clinical nutrition practice Brain monitoring in icu: Why and how? Ethics of cost containment 12:00-12:30 Gambro 12:30 14:00 New Clinical Perspectives on the Management of Critically Ill Patients with Acute Kidney Injury The future of glucose Individualised monitoring in the nutritional strategies icu in ICU 14:00-14:15 MONDAY 15 OCTOBER 14:15 15:50 Pulmonary embolism Methods to optimise infections outcome in the icu Therapeutic targets selection in acute respiratory failure An update on vap Csccm/esicm - aki from diagnosis to treatment Assessing the impact of interventions and organisations in intensive care 2 Patient safety «First do no harm» 15:50-16:00 16:00 18:00 Sccm/esicm activated protein c: revealing the deficits in our translational paradigm Erc/esicm Post-cardiac arrest in 2012 Shock revisited Nurses & AHP 18:00-18:15 CONVATEC Management of intra-abdominal hypertension: don’t let the pressure take control 18:15 19:00 Session references 82 Thematic session / JOINT SESSION Controversies session Clinical challenges session STATE OF THE ART SESSION Oral presentations Poster corners Continuous Professional Education Sessions from bench to bedside Industry sponsored session 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Stockholm Isf controversies session Candida infections in the icu Communication in the icu 1 Assessing the impact of interventions and organisations in intensive care 1 Nurses & AHP Paris The life-priority session. Who cares for those who care? Nurses & AHP Vienna End-organ consequences of liver failure Athens Inflammation modulation by nutrition Brain injury Shock What junior ICU docs already know Nurses & AHP How do i treat hiv/aids in the antiretroviral therapy era How do i manage cancer patients in the icu? How do i treat muscle weakness in the icu? How do i improve patient-ventilator synchrony How do i reduce guilt during family’s meeting Baxter MAQUET ASTUTE MEDICAL FISHER & PAYKEL Philips The role of betablockers in sepsis Optimising patientventilator interaction and chance of success in niv New aki biomarkers: a revolution in risk assessment Optiflow - Extending the boundaries of oxygen therapy: latest trial results and evolving clinical experience Philips Outcomes for the high-risk surgical patient Nutrition and glycaemic control in icu The best in neurointensive care: acute brain injury Sepsis therapy: new hints from the lab Peripheral perfusion Sdd in my icu Ethical dilemmas in intensive care L I V E S 2 012 Regional citrate anticoagulation for dummies Intensive care in resource-poor settings Rapid response systems revisited FRESENIUS KABI THERMO FISHER Effective glycaemia control Guiding antibiotic therapy to tackle resistance formation L ink ing Inno vat ion Vi sion E xcel l ence & S cience Recovery from traumatic brain injury MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER Glasgow programme OVERVIEW 83 83 Scientific programme ROOM Lisbon Thematic Session WEANING FROM MECHANICAL VENTILATION Chairs: Davide Chiumello, Milan, Italy & Anders Larsson, Uppsala, Sweden 08:30 - 08:50 How do I predict a successful weaning? Massimo Antonelli, Rome, Italy 08:50 - 09:10 Protocol based weaning - does it work? Laurent Brochard, Geneva, Switzerland 09:10 - 09:30 Can I minimise the extubation failure rate? Jordi Mancebo, Barcelona, Spain ROOM Berlin Thematic Session ACUTE HEART FAILURE IN ICU: WHAT’S NEW? Chairs: Gorazd Voga, Celje, Slovenia & Alexandre Mebazaa, Paris, France 08:30 - 08:50 Cardiovascular dysfunction in sepsis Alain Cariou, Paris, France 08:50 - 09:10 Cardiorenal syndrome Claudio Ronco, Vicenza, Italy 09:10 - 09:30 Cardiogenic shock: From medical therapy to mechanical support Alain Combes, Paris, France ROOM Barcelona Thematic Session THERAPEUTIC TARGETS IN TRAUMATIC SHOCK Chairs: Jacques Duranteau, Kremlin-Bicetre, France & Matthieu Legrand, Paris, France 08:30 - 08:50 Blood pressure targets Martin Dünser, Salzburg, Austria 08:50 - 09:10 Haemoglobin and coagulation targets Matthieu Legrand, Paris, France 09:10 - 09:30 Tissue oxygenation targets Jacques Duranteau, Kremlin-Bicetre, France ROOM Geneva Thematic Session A NIGHTMARE: SEIZURES IN THE ICU MONDAY 15 OCTOBER Chairs: Jan Claassen, New York, United States & Fabio Silvio Taccone, Brussels, Belgium 08:30 - 08:50 Initial approach Tarek Sharshar, Paris, France 08:50 - 09:10 EEG monitoring: When, how, how long? Jan Claassen, New York, United States 09:10 - 09:30 ICU management Mauro Oddo, Lausanne, Switzerland ROOM Rome Continuous Professional Education Session INTENSIVE CARE IS TEAM WORK! Chairs: Francesca Rubulotta, London, United Kingdom & Christina Jones, Liverpool, United Kingdom 08:30 - 08:50 Basic principles of team building Maurizia Capuzzo, Ferrara, Italy 08:50 - 09:10 Nurses and allied healthcare professionals: players, coaches or both? Christina Jones, Liverpool, United Kingdom 09:10 - 09:30 Surviving life-long specialist practice in ICM Julian Bion, Birmingham, United Kingdom ROOM Glasgow Nurses & AHP Joint Session ISF CONTROVERSIES SESSION Chairs: Jean-Paul Mira, Paris, France & Konrad Reinhart, Jena, Germany 84 08:30 - 08:40 Fluid resuscitation in septic shock - we should keep our patients wet: Pro Charles Sprung, Jerusalem, Israel 08:40 - 08:50 Fluid resuscitation in septic shock - we should keep our patients wet: Con Konrad Reinhart, Jena, Germany 08:50 - 09:00 The type of haemodynamic monitoring matters: Pro Jean-Louis Vincent, Brussels, Belgium 09:00 - 09:10 The type of haemodynamic monitoring matters: Con Derek Angus, Pittsburgh, United States 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Welcome to the Gambro Lunch Symposium focusing on NeW CLiNiCaL PerSPeCtiveS oN the MaNaGeMeNt of CritiCaLLy iLL PatieNtS With aCute KidNey iNjury Program Chair: Prof. Marco Maggiorini (universitätsSpital, Zürich, Switzerland) The KDIGO AKI Guideline: Implications for Clinical Practice Prof. daniel de Backer (hôpital erasme, Brussels, Belgium) Renal Recovery After Acute Kidney Injury: Clinical and Health Economic Considerations dr. Max Bell (Karolinska university hospital, Stockholm, Sweden) The evidence base pertaining to the management of critically ill patients with acute kidney injury (AKI) continues to evolve. In this symposium, experts will focus on two recent developments specifically in the area of renal replacement therapy (RRT) for AKI. First, RRT-related consensus statements from the recently issued KDIGO AKI Guideline will be discussed, with particular emphasis on modality choice and anticoagulation. In the second presentation, emerging data which strongly suggest a benefit for CRRT over intermittent RRT modalities with respect to renal recovery after AKI will be presented. Both the clinical and health economic implications of these new data will be discussed. Date: Monday, 15 October 2012 Time: 12.30–14.00 Venue: Room Lisbon www.gambro.com Gaining insight. Magnifying results. To see the complete patient picture, having accurate and timely oxygenation information is essential. With a comprehensive portfolio of monitoring technologies, Covidien allows caregivers to detect subtle, yet critical variations in patient status for faster, more informed interventions. BIS™ Brain Monitoring The BIS™ Brain Monitoring System delivers: • Customized titration and anesthesia using processed EEG signals • Reduced anesthetic use for improved emergence and recovery time 1 The INVOS™ Cerebral/Somatic Oximeter facilitates: • Real-time regional oxygen saturation (rSO ) measurement • Reduced cognitive decline and major organ morbidity/mortality • Enhanced detection of oxygen threats associated with neurologic damage 2 INVOS™ 2,3 Cerebral/Somatic Oximetry 4,5 LEARN MORE ABOUT BRAIN MONITORING SOLUTIONS FROM COVIDIEN AT COVIDIEN.COM/RMS THE SENSING SYSTEMS OF COVIDIEN BIS™ Brain Monitoring | INVOS™ Cerebral/Somatic Oximetry | Nellcor™ Pulse Oximetry with OxiMax™ Technology Come and visit our Booth #28, Exhibition Area A 1. Gan TJ, Glass PS, Windsor A, et al. Bispectral index monitoring allows faster emergence and improved recovery from propofol, alfentanil, and nitrous oxide anesthesia. BIS Utility Study Group. Anesthesiology. 1997;87(4):808-815. 2. Murkin JM, Adams SJ, Novick RJ, et al. Monitoring brain oxygen saturation during coronary bypass surgery: a randomized, prospective study. Anesth Analg. 2007;104(1):51-58. 3. Slater JP, Guarino T, Stack J, et al. Cerebral oxygen desaturation predicts cognitive decline and longer hospital stay after cardiac surgery. Ann Thorac Surg. 2009;87(1):36-44. 4. Dent CL, Spaeth JP, Jones BV, et al. Brain magnetic resonance imaging abnormalities after the Norwood procedure using regional cerebral perfusion. J Thorac Cardiovasc Surg. 2006;131(1):190-197. 5. Kussman BD, Wypij D, Laussen PC, et al. Relationship of intraoperative cerebral oxygen saturation to neurodevelopmental outcome and brain magnetic resonance imaging at 1 year of age in infants undergoing biventricular repair. Circulation. 2010;122(3):245-254. COVIDIEN, COVIDIEN with logo, Covidien logo and positive results for life are U.S. and internationally registered trademarks of Covidien AG. Other brands are trademarks of a Covidien company. ©2012 Covidien. All rights reserved. 11-PM-0337e BRAIN GB 08:30 - 08:50 Candida biofilms George Dimopoulos, Athens, Greece 08:50 - 09:10 Immunogenicity of candida infections Michael Bauer, Jena, Germany 09:10 - 09:30 Candida peritonitis: Prophylaxis and treatment Jan De Waele, Ghent, Belgium ROOM Paris Thematic Session THE LIFE-PRIORITY SESSION: WHO CARES FOR THOSE WHO CARE? Chairs: Colin Ferguson, Plymouth, United Kingdom & Jean-Daniel Chiche, Paris, France 08:30 - 08:50 Understanding the concept and relevance Margaret S. Herridge, Toronto, Canada 08:50 - 09:10 Risk factors for burnout: The individual/the environment/the institution Julie Benbenishty, Jerusalem, Israel 09:10 - 09:30 Caring for the family Nancy Kentish-Barnes, Paris, France ROOM Vienna Thematic Session END-ORGAN CONSEQUENCES OF LIVER FAILURE Chairs: Julia Wendon, London, United Kingdom & John Kellum, Pittsburgh, United States 08:30 - 08:50 Liver-induced brain injury Hans Friberg, Lund, Sweden 08:50 - 09:10 Hepatopulmonary syndrome Pierre-François Laterre, Leuven, Belgium 09:10 - 09:30 Hepatorenal syndrome John Kellum, Pittsburgh, United States ROOM Athens Thematic Session INFLAMMATION MODULATION BY NUTRITION Chairs: Mette Berger, Lausanne, Switzerland & Jean-Charles Preiser, Brussels, Belgium 08:30 - 08:50 Omega-3 Mette Berger, Lausanne, Switzerland 08:50 - 09:10 Arginine Olav Rooyackers, Stockholm, Sweden 09:10 - 09:30 Vitamin D and Selenium Karin Amrein, Graz, Austria ROOM Lisbon Thematic Session SURVIVING SEPSIS CAMPAIGN: 2012 UPDATE Chairs: Mitchell Levy, Providence, United States & Andrew Rhodes, London, United Kingdom 09:40 - 10:00 The Surviving Sepsis Campaign: What have we achieved? Mitchell Levy, Providence, United States 10:00 - 10:20 The new guidelines and bundles Richard Beale, London, United Kingdom 10:20 - 10:40 How will the new guidelines impact your practice? Djillali Annane, Garches, France 10:40 - 11:00 What next for the Campaign? Jean-Daniel Chiche, Paris, France ROOM Berlin State of the Art Session Nurses & AHP Scientific programme Thematic Session CANDIDA INFECTIONS IN THE ICU MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER Room Stockholm Chairs: Jean-François Timsit, Grenoble, France & George Dimopoulos, Athens, Greece CRAZY HEART: RYTHM DISTURBANCES IN ICU Chairs: Antoine Vieillard-Baron, Boulogne, France & Gorazd Voga, Celje, Slovenia 09:40 - 10:00 Common rhythm challenges Jan Poelaert, Brussels, Belgium 10:00 - 10:20 Reducing heart rate in ICU: How? Matthieu Legrand, Paris, France 10:20 - 10:40 AF and anticoagulation: When and how much? Gorazd Voga, Celje, Slovenia 10:40 - 11:00 Arrhythmia and intoxications: Nuts and bolts Armand Girbes, Amsterdam, Netherlands L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 87 Scientific programme ROOM Barcelona Oral Presentations GENETIC AND MOLECULAR BASIS OF ARDS AND VILI Chairs: John Laffey, Galway, Ireland & Clifford Deutschman, Philadelphia, United States 09:40 - 09:55 HUMAN MESENCHYMAL STEM CELLS ENHANCE REPAIR FOLLOWING VENTILATOR-INDUCED LUNG INJURY M.B. Hayes, B. Ansari, G. Curley, S. Elliman, D. O’Toole, J.G. Laffey, Galway, Ireland 0001 09:55 - 10:10 PATTERNS OF GENE EXPRESSION IN PATIENTS WITH SEPSIS AND ACUTE RESPIRATORY DISTRESS SYNDROME P. Cardinal-Fernández, A. Ferruelo, M. El-Assar, A. Martín-Pellicer, F. Frutos-Vivar, O. Peñuelas, N. Nin, A. Esteban, J.A. Lorente, Madrid, Spain 0002 10:10 - 10:25 BACTERIAL FLAGELLIN MAY LEAD TO LUNG FIBROSIS THROUGH EPITHELIAL-MESENCHYMAL TRANSITION OF ALVEOLAR EPITHELIAL CELLS Y. Kondo, H. Yamamoto, I. Kukita, Okinawa, Japan 0003 10:25 - 10:40 GENETIC PREDISPOSITION TO ACUTE RESPIRATORY DISTRESS SYNDROME IN PATIENTS WITH SEVERE SEPSIS AND SEPTIC SHOCK P. Cardinal-Fernández, A. Ferruelo, M. El-Assar, C. Santiago, F. Gómez, A. Martín-Pellicer, F. Frutos-Vivar, O. Peñuelas, N. Nin, A. Esteban, J.A. Lorente, Madrid, Spain 0004 10:40 - 10:55 THE ROLE OF ATF3 IN ALI AND VILI-INDUCED APOPTOSIS Y. Shan, A. Gonzalez Lopez, T. Maron Gutierrez, A. Akram, P.R. Rocco, G.M. Albaiceta, C.C. dos Santos, Toronto, Canada 0005 ROOM Geneva Oral Presentations NEW DATA ON RENAL REPLACEMENT THERAPY MONDAY 15 OCTOBER Chairs: Wilfred Druml, Vienna, Austria & Eric Hoste, Ghent, Belgium 09:40 - 09:55 PARATHYROID HORMONE SECRETION DURING CITRATE-BASED RENAL REPLACEMENT THERAPY M. Raimundo, S. Crichton, K. Lei, C. McKenzie, H. Dickie, M. Ostermann, Lisbon, Portugal 0006 09:55 - 10:10 CITRATE TREATMENT REDUCE ENDOTHELIAL DEATH AND INFLAMMATION A. Bryland, G. Godaly, A. Wieslander, O. Carlsson, T. Hellmark, Lund, Sweden 0007 10:10 - 10:25 EARLY INITIATION OF RENAL REPLACEMENT THERAPY IS ASSOCIATED WITH DECREASED RISK FOR HOSPITAL MORTALITY IN THE CRITICALLY ILL S.T. Vaara, A.-M. Korhonen, K.-M. Kaukonen, S. Nisula, O. Inkinen, S. Hoppu, J.J. Laurila, L. Mildh, M. Reinikainen, V. Lund, I. Parviainen, V. Pettilä, Helsinki, Finland 0008 10:25 - 10:40 BLOOD PUMP ALARM ACTIVATION DURING CONTINUOUS RENAL REPLACEMENT THERAPY: EFFECTS ON FILTER LIFESPAN P.J. McCanny, H. Misran, E. O’Connor, Dublin, Ireland 0009 10:40 - 10:55 RENAL REPLACEMENT THERAPY IN ICU- PATIENTS WITH LIVER CIRRHOSIS K. Staufer, A. Drolz, K. Roedl, T. Horvatits, R. Saxa, U. Holzinger, R. Brunner, C. Zauner, G. Heinz, P. Schellongowski, M. Trauner, V. Fuhrmann, Vienna, Austria 0010 ROOM Rome Continuous Professional Education Session DAMAGE SYSTEMIC COMPLICATIONS OF ACUTE BRAIN Chairs: Elisa Zanier, Milan, Italy & Jan Claassen, New York, United States 09:40 - 10:00 The brain is the conductor, the organs are musicians… Paolo Pelosi, Genova, Italy 10:00 - 10:20 Cardio-pulmonary dysfunction after acute brain damage Fabio Silvio Taccone, Brussels, Belgium 10:20 - 10:40 Water and electrolyte homeostasis Jean-François Payen, Grenoble, France 10:40 - 11:00 Endocrine and immune dysfunction Pedro Navarrete Navarro, Granada, Spain ROOM Glasgow Oral Presentations Nurses & AHP COMMUNICATION IN THE ICU 1 Chairs: Colin Ferguson, Plymouth, United Kingdom & Bob Truog, Boston, United States 88 09:40 - 09:55 THE ETHICAL CLIMATE IN EUROPEAN ICUS: RESULTS FROM THE APPROPRICUS STUDY R.D. Piers, E. Azoulay, B. Ricou, F. DeKeyser Ganz, J. Decruyenaere, A. Max, A. Michalsen, P. Depuydt, R. Owczuk, P. Maia, F. Rubulotta, A.K. Reyners, A.-P. Meert, A. Aquilina, D.D. Benoit, Gent, Belgium 0011 09:55 - 10:10 IMPROVING INTERPROFESSIONAL TEAMWORK IN THE ICU: A SINGLE CENTRE INTERVENTION STUDY B. Van den Bulcke, A. Vyt, E. Hoste, S. Oeyen, H. Martens, V. Bosschem, J. Decruyenaere, D. Benoit, Gent, Belgium 0012 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Unknowns in Continuous Glucose Monitoring? Join Edwards Lifesciences to find Clarity in Every Moment. Attend our Lunch symposium: The Future of Glucose Monitoring in the ICU Monday, October 15 – 12.30-14.00, Room Berlin Chairs: Carole Ichai, France & Jean-Charles Preiser, Belgium Frequency of measurement and optimised glycaemic control in the ICU Djillali Annane, France Emerging technologies for automated glucose monitoring Nigel Scawn, UK Clinical experience with the GlucoClear* continuous glucose monitoring system Luc Foubert, Belgium For professional use. *GlucoClear System is not commercially available. Edwards, Edwards Lifesciences, the stylized E logo, Clarity in Every Moment and GlucoClear are trademarks of Edwards Lifesciences Corporation. © 2012 Edwards Lifesciences Corporation. All rights reserved. E3150/08-12/CC Edwards Lifesciences Irvine, USA I Nyon, Switzerland edwards.com I Tokyo, Japan I Singapore, Singapore I São Paulo, Brazil Nestlé Nutrition Institute Is Pleased to invite You to Our Satellite Symposium Individualized Nutritional Strategies in ICU Monday, 15th October • Room Barcelona • 12.30 - 14.00 Chairman: Prof. Jukka Takala, MD, PhD, Switzerland Co-Chair: Martin Dünser, MD, Salzburg, Austria Welcome and Introduction Adequate nutrition: Did we learn enough to change the practice? Prof. Jean-Daniel Chiche, MD, PhD, France Energy requirement: Do we need to measure? Prof. Jan Wernerman, MD, PhD, Sweden Barriers to Enteral Nutrition: GI dysfunction in ICU patients Prof. Stephan Jakob, MD, PhD, Switzerland Can Early Enteral Nutrition prevent gut dysfunction? A/Prof. Gordon Doig, PhD, Australia Question & Answer Session Held in conjunction with the European Society of Intensive Care Medicine 25th Annual Congress Lisbon, October 13-17th In collaboration with M. de Vos, A. Bos, F. Plötz, M. van Heerde, B. de Graaff, K. Tates, D. Willems, Amsterdam, Netherlands 0013 10:25 - 10:40 SPOKEN LANGUAGE DISCORDANCE AND ALL CAUSE MORTALITY IN CRITICALLY ILL PATIENTS: A COHORT STUDY K.B. Christopher, M. Mendu, S. Zager, F.K. Gibbons, Boston, United States 0014 10:40 - 10:55 HOW ARE PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) PREPARED TO THE EVENTUALITY OF AN INTENSIVE CARE UNIT (ICU) ADMISSION? M. Schmidt, T. Similowski, M. Chaize, S. de Miranda, N. Belle, N. Roche, E. Azoulay, A. Demoule, Paris, France 0015 ROOM Stockholm Oral Presentations IN INTENSIVE CARE 1 ASSESSING THE IMPACT OF INTERVENTIONS & ORGANISATIONS Chairs: Maurizia Capuzzo, Ferrara, Italy & Marco Maggiorini, Zurich, Switzerland Nurses & AHP 09:40 - 09:55 THE EFFECT OF THREE INTERVENTIONS TO REDUCE ICU DELAYED DISCHARGE IN A CENTRAL LONDON TEACHING HOSPITAL AND TRAUMA CENTRE C. Ruse, C. Bell, A. Feehan, K. Peters, A. Skorko, Z. Ratansi, D. Green, P.A. Hopkins, London, United Kingdom 0016 09:55 - 10:10 MEASURING FAMILY AND PATIENT SATISFACTION IN THE INTENSIVE CARE UNIT. DOES A CORRELATION EXIST BETWEEN THE ANSWERS OF THE RELATIVES AND THE ANSWERS OF PATIENTS? M.S. Holanda Peña, R. Walkman, M.J. Dominguez Artiga, E. Ots Ruiz, A. García Miguelez, F. Ortiz Melón, Á. Castellanos Ortega, Santander, Spain 0017 10:10 - 10:25 ICU ORGANISATION, VIEWS AND PRACTICES OF CAREGIVERS TO IMPROVE PATIENT’S COMFORT: A FRENCH SURVEY A. Roch, I. Bourgeon-Ghittori, S. Dray, F. Meziani, B. Souweine, I. Vinatier, Paris, France 0018 10:25 - 10:40 INSTRUMENTS TO MEASURE FAMILY SATISFACTION WITH INTENSIVE CARE, A SYSTEMATIC REVIEW J.M. van den Broek, S. Arbous, E. de Jonge, Leiden, Netherlands 0019 10:40 - 10:55 IMPROVING PATIENT SAFETY: USEFULNESS OF REAL TIME AUDITS TO DETECT MEDICAL ERRORS IN CRITICAL CARE UNIT M.J. Asensio Martín, E. Herrero, E. Perales, M. Sanchez, B. Galvan, M. Jiménez, A. García-De Lorenzo, Madrid, Spain 0020 ROOM Paris Oral Presentations BRAIN INJURY Chairs: Giuseppe Citerio, Monza, Italy & Thomas Geeraerts, Toulouse, France 09:40 - 09:55 SODIUM LACTATE INFUSION PREVENTS INTRACRANIAL HYPERTENSIVE EPISODES IN SEVERE TRAUMATIC BRAIN INJURY: A DOUBLE-BLIND RANDOMISED CONTROLLED STUDY C. Ichai, J. C. Orban, H. Quintard, M. Legrand, G. Francony, J.-F. Payen, X. Leverve, Nice, France 0021 09:55 - 10:10 CONTRALATERAL EXTRAAXIAL HAEMATOMAS AFTER URGENT NEUROSURGERY OF A MASS LESION IN PATIENTS WITH TRAUMATIC BRAIN INJURY (TBI). CLINICAL FEATURES AND RISK FACTOR ANALYSIS J.L. Flordelís Lasierra, C. García Fuentes, E. Alted López, M. Chico Fernández, D. Toral Vázquez, R. Lesmes Gómez, S. Bermejo Aznárez, L.D. Umezawa Makikado, I. Sáez de la Fuente, J.C. Montejo González, Madrid, Spain 0022 10:10 - 10:25 IMPACT OF PROGESTERONE ADMINISTRATION ON OUTCOME OF PATIENTS WITH SEVERE TRAUMATIC BRAIN INJURY H. Abokhabar, A. Abouelela, S. Mousa, Alexandria, Egypt 0023 10:25 - 10:40 LATE DECOMPRESSIVE CRANIECTOMY AFTER TRAUMATIC BRAIN INJURY: NEUROLOGICAL OUTCOME AT 6 MONTHS AFTER ICU DISCHARGE G. Cianchi, M. Bonizzoli, M.L. Migliaccio, G. Zagli, S. di Valvasone, S. Biondi, G. Cappuccini, M. Ciapetti, R. Spina, F. Mariotti, A. Peris, Florence, Italy 0024 10:40 - 10:55 SEVERE TRAUMATIC BRAIN INJURY IN A HIGH INCOME COUNTRY: A POPULATION-BASED PROSPECTIVE COHORT STUDY B. Walder, G. Haller, E. Bottequin, P. Schoettker, P. Ravussin, M. Brodmann, M. Zuercher, J. Stover, J. Osterwalder, A. Haller, A. Waeckerlin, C. Haberthur, J. Fandino, C. Haller, Geneva, Switzerland 0025 91 Scientific programme DOCTORS, NOT PARENTS, DECIDE TO FORGO LIFE SUSTAINING TREATMENT IN PAEDIATRIC INTENSIVE CARE MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER 10:10 - 10:25 Try the e-posters experience in the exhibition area L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 91 Scientific programme ROOM Vienna Oral Presentations SHOCK Chairs: Can Ince, Rotterdam, Netherlands & Jan Bakker, Rotterdam, Netherlands 09:40 - 09:55 SYSTEMIC AND MICROCIRCULATORY EFFECTS OF DOBUTAMINE IN SEPTIC SHOCK PATIENTS C. Enrico, V.S. Kanoore Edul, A. Risso Vazquez, M.C. Pein, R.A. Pérez de la Hoz, C. Ince, A. Dubin, Buenos Aires, Argentina 0026 09:55 - 10:10 EFFECTS OF NOREPINEPHRINE ON MEAN SYSTEMIC PRESSURE AND VENOUS RETURN IN HUMAN SEPTIC SHOCK R. Persichini, S. Silva, J.-L. Teboul, M. Jozwiak, D. Chemla, C. Richard, X. Monnet, Le Kremlin Bicetre, France 0027 10:10 - 10:25 RELATIONSHIP OF SYSTEMIC, HEPATOSPLANCHNIC AND MICROCIRCULATORY PERFUSION PARAMETERS WITH SIX-HOUR LACTATE CLEARANCE IN HYPERDYNAMIC SEPTIC SHOCK PATIENTS: AN ACUTE CLINICAL-PHYSIOLOGICAL PILOT STUDY G. Hernandez, T. Regueira, A. Bruhn, R. Castro, M. Rovegno, A. Fuentealba, E. Veas, E. Kattan, C. Martin, D. Berrutti, C. Ince, Santiago, Chile 0028 10:25 - 10:40 SERIAL EVALUATION OF PERIPHERAL PERFUSION TO PREDICT OUTCOME IN CRITICALLY ILL PATIENTS M.E. van Genderen, T. Boerstra, A. Lima, J. Bakker, J. van Bommel, Rotterdam, Netherlands 0029 10:40 - 10:55 VENOUS-ARTERIAL CO2 GAP (DCO2) CAN BE COMPLEMENTARY TO CENTRAL VENOUS OXYGEN SATURATION (SCVO2) AS TARGET END POINTS DURING FLUID RESUSCITATION M. Nemeth, G. Demeter, J. Kaszaki, D. Erces, N. Oveges, N. Frei, L. Matusek, Z. Molnar, Szeged, Hungary 0030 ROOM ATHENS THEMATIC SESSION What junior ICU docs already know Chairs: Mervyn Singer, London, United Kingdom & Antonio Artigas, Sabadell, Spain 09:40 - 10:00 Marco Giani 09:50 - 09:55 Speaker: Peter Schellongowski 09:55 - 10:00 10:00 - 10:20 Katia Donadello Discussion The best way to foster mobility of ICM trainees in Europe is… 10:00 - 10:05 Speaker: 10:05 - 10:10 Speaker: Oliver Wernet 10:10 - 10:15 Speaker: Bernardo Bollen Pinto 10:15 - 10:20 MONDAY 15 OCTOBER The biggest change needed in ICM training is… 09:40 - 09:45 Speaker: 09:45 - 09:50 Speaker: Daniele Bonacina Discussion To improve ICM research prospects in Europe, we must … 10:20 - 10:25 Speaker: 10:25 - 10:30 Speaker: 10:30 - 10:35 Speaker: 10:20 - 10:40 10:35 - 10:40 10:40 - 11:00 Katie Lane Jean-Francois Llitjos Katharina Chalk Discussion To ensure a bright future for ICM in Europe we need to… 10:40 - 10:45 Speaker: 10:45 - 10:50 Speaker: Julia Werner 10:50 - 10:55 Speaker: Lara Prisco 10:55 - 11:00 Area Beja Matthias Hilty Discussion Poster Corner VENTILATOR-INDUCED LUNG INJURY Chairs: Patricia Rocco, Rio de Janeiro, Brazil & Franco Valenza, Milan, Italy 10:10 - 12:00 92 TPL2 KINASE CONTRIBUTES TO VENTILATOR-INDUCED LUNG INJURY IN A MOUSE MODEL E. Kaniaris, K. Vaporidi, E. Vergadi, E. Kondili, D. Georgopoulos, Heraklio, Greece 0031 CONVENTIONAL DENDRITIC CELLS INITIATE AND CONTROL ACUTE LUNG INFLAMMATION BY REGULATING NEUTROPHIL INFILTRATION AND BALANCE OF TH1/TH2 RESPONSE IN ACUTE LUNG INJURY L. Dong, J. Xu, X. Lu, Y. Yang, H. Qiu, Nanjing, China 0032 ANTIOXIDANT EFFECT OF HUMAN ADIPOSE-DERIVED MESENCHYMAL STEM CELLS IN STRETCH-INDUCED ALVEOLAR EPITHELIAL CELL INJURY O. Peñuelas, C. Sanchez Rodriguez, I. Sanchez Muñoz, E. Melo, R. Farré, D. Navajas, N. Nin, A. Esteban, J.A. Lorente, Getafe, Spain 0033 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Visit us at boot h 17 Lunch Symposium Good Clinical Nutrition Practice Monday, 15th October 2012 12:30 – 14:00h, Room Geneva Moderator Prof. Pierre Déchelotte, France Effective Glycaemia Control Is it worth adapting the energy and protein intake to the patient‘s individual requirements? Monday, 15 October 2012 18:15 – 19:15h Room Stockholm Glutamine for the intensivist Satellite Symposium Prof. Mette Berger, Switzerland Prof. John Stover, Switzerland Lunch Symposium Volume Therapy in Surgery and ICU Tuesday, 16 October 2012 12:30 – 14:00h Room Geneva www.fresenius-kabi.com BAXTER SATELLITE SYMPOSIUM, ESICM ANNUAL CONGRESS - LISBON 2012 The role of betablockers in sepsis MONDAY 15TH OCTOBER 2012, 12.30 -14.00 ROOM GLASGOW – GROUND FLOOR Chairmen: Prof. Mervyn Singer and Prof. Jean-François Timsit 12.30 – 12.40 Opening remarks Prof. Mervyn Singer and Prof. Jean-François Timsit 12.40 – 13.00 The physiologic basis of hemodynamic treatment in sepsis and septic shock Prof. Walter Hasibeder 13.00 – 13.20 Preclinical data supporting beta-blockers rationale in sepsis Dr .Alain Rudiger 13.20 – 13.40 Beta-blocker use in septic patient: experience of a single center pilot Dr. Andrea Morelli 13.40 – 13.50 Panel question session 13.50 – 14.00 Concluding comments Pr. Mervyn Singer and Prof. Jean-François Timsit MD AN 306, date of preparation August 2012. 0034 PROTECTIVE EFFECT OF URINARY TRYPSIN INHIBITOR ON SEPTIC RAT LUNGS D.W. Wu, C. Chen, H.N. Lu, H.P. Guo, Jinan, China 0035 HIGH FREQUENCY OSCILLATION AND PRONE POSITION VENTILATION IN EXPERIMENTAL MODEL OF ARDS - HAEMODYNAMIC PARAMETERS CHANGES P. Kosut, J. Zurek, P. Dominik, M. Klimovic, M. Seda, M. Fedora, Brno, Czech Republic 0036 MICRORNA-146A CONTRIBUTES TO VENTILATOR-INDUCED LUNG INJURY K. Vaporidi, E. Vergadi, E. Ieronimaki, C. Tsatsanis, D. Georgopoulos, Heraklio, Greece 0037 EFFECT OF PROTECTIVE VENTILATION ON THE INFLAMMATORY RESPONSE AND NEURONAL ACTIVATION, IN AN EXPERIMENTAL MODEL OF ACUTE LUNG INJURY INDUCED BY INSTILLATION OF LIPOPOLYSACCHARIDE M.E. Quílez, J. López-Aguilar, F. Puig, I. Ferrer, L. Blanch, Madrid, Spain 0038 STUDY ON THE EFFECT OF PACO2 ON PULMONARY ARTERY PRESSURE OF MECHANICALLY VENTILATED RABBITS A. Triantaris, D. Makris, I. Aidonidis, A. Hatziefthimiou, E. Zakynthinos, Larissa, Greece 0039 BAL FLUID (BALF) ACTIVIN A (ACTA) LEVELS IN ARDS PATIENTS VENTILATED WITH CONVENTIONAL MECHANICAL VENTILATION (CMV) VS HIGH FREQUENCY OSCILLATORY VENTILATION (HFOV) C.S. Vrettou, K. Stavrakaki-Kallergi, S.D. Mentzelopoulos, C. Glynos, V. Karavana, S. Zakynthinos, Athens, Greece 0040 TAK-1 SIRNA NORMALISES AUTOPHAGY AND APOPTOSIS IN SEPTIC MOUSE LUNG N. Matsuda, J. Tochikubo, T. Tamura, M. Tsuzuki, K. Murase, Y. Adachi, Nagoya, Japan 0041 ACTIVATION OF CANONICAL WNT PATHWAY PROMOTES MICE BONE MARROW DERIVED MSCS DIFFERENTIATING INTO TYPE II ALVEOLAR EPITHELIAL CELLS, SURVIVAL AGAINST OXIDATIVE STRESS, AND MIGRATING TOWARDS INJURED LUNG TISSUE IN VITRO A. Liu, L. Liu, S. Chen, Y. Yang, L. Liu, F. Guo, X. Lu, H. Qiu, Nanjing, China 0042 PHYSIOLOGIC EFFECTS OF HIGH FREQUENCY POSITIVE PRESSURE VENTILATION (HFPPV) USING A CONVENTIONAL VENTILATOR IN A SEVERE ARDS ANIMAL MODEL R.L. Cordioli, M.B.P. Amato, E.L.V. Costa, M. Park, L.C.P. Azevedo, Sao Paulo, Brazil 0043 CO2 DIALYSIS IN THE TREATMENT OF PATIENT WITH ARDS AND BRAIN TRAUMA: A CASE REPORT A.N. Cracchiolo, D.M. Palma, M.F. Sapuppo, S. Ardizzone, R. Tetamo, Palermo, Italy 0044 Poster Corner SATISFYING METABOLIC DEMAND IN THE ICU Chairs: Annika Reintam Blaser, Tallin, Estonia & Olivier Joannes-Boyau, Pessac, France 10:10 - 12:00 METABOLIC MODULATION BY TETRATHIOMOLYBDATE, A SLOW-RELEASE SULPHIDE DONOR A. Dyson, K. Moore, N. Mongardon, L. Andreeva, J. Martin, M. Singer, London, United Kingdom 0045 CAN INTRAVENOUS N-3 FATTY ACIDS, AS PHARMACONUTRITION, MODIFY PLASMA PHOSPHOLIPIDS COMPOSITION AND CLINICAL OUTCOME IN CRITICALLY ILL ELDERLY? K. Barros, A.P. Cassulino, L. Schalch, E.D.V. Munhoz, J.A. Manetta, M. Rogero, P. Noakes, E.A. Miles, P.C. Calder, V.L.F. Silveira, São Paulo, Brazil 0046 COMPARISON OF DIFFERENT METHODS OF ENERGY EXPENDITURE DETERMINATION IN CRITICALLY ILL PATIENTS WITH INTRACRANIAL HAEMORRHAGE J. Titova, S. Petrikov, A. Ryk, A. Solodov, E. Karapetyan, V. Krylov, Moscow, Russian Federation 0047 LEAKAGE OF ALBUMIN IN MAJOR ABDOMINAL SURGERY Å. Norberg, O. Rooyackers, J. Wernerman, Stockholm, Sweden 0048 PREDICTING ENERGY EXPENDITURE IN SEPSIS - A COMPARATIVE STUDY OF HARRIS-BENEDICT AND SCHOFIELD EQUATIONS VERSUS WEIR DERIVATION IN SEPTIC PATIENTS R. Nagappan, A. Subramaniam, M. McPhee, Melbourne, Australia 0049 ARE THE LEVELS OF GLUCOSE ESTIMATED BY HBA1C THE TRUE GOAL OF GLYCAEMIC CONTROL IN CRITICALLY ILL PATIENTS? R. Chaires Gutiérrez, E. Monares Zepeda, M. Poblano Morales, J. Aguirre Sánchez, J. Franco Granillo, México, Mexico 0050 RESPIRATORY, METABOLIC AND HAEMODYNAMIC EFFECTS OF DEXMEDETOMIDINE IN AGITATED, VENTILATED PATIENTS: PRELIMINARY REPORT V. Tsapas, C. Chaintoutis, E. Koco, A. Pitsoulis, D. Matamis, Thessaloniki, Greece 0051 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 95 Scientific programme K. Timmermans, S.E.I. van der Wal, M. Vaneker, M. Kox, G.J.J. Braak, J.A.W.M. van der Laak, M.G. Netea, J.G. van der Hoeven, L.A.B. Joosten, G.J. Scheffer, Nijmegen, Netherlands MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER Area Braga BYPASSING THE INFLAMMASOME: CRUCIAL ROLE FOR NEUTROPHIL SERINE PROTEASES IN VENTILATOR-INDUCED LUNG INJURY 95 Scientific programme PREDICTORS OF OUTCOME AND COSTS OF ACUTE PANCREATITIS: RESULTS FROM THE EAGLE-TRIAL-GROUP W. Huber, A.-B. Roos, S. Mair, J. Hoellthaler, V. Phillip, A. Herrmann, B. Saugel, R.M. Schmid, C. Trautwein, A. Koch, Munich, Germany 0052 ENERGY TARGET BASED ON ACTUAL OR IDEAL WEIGHT: THE NUTRITIONDAY ICU EXPERIENCE M.J. Hiesmayr, M. Mouhieddine, P. Singer, Vienna, Austria 0053 ARE WE MEETING THE NUTRITIONAL REQUIREMENTS OF OUR CARDIOTHORACIC ADULT ICU PATIENTS? A. Kulendran, S. Patel, J. Mutuyimana, E. Lum, S. Price, London, United Kingdom 0054 THE CALORIC INTAKE OF PATIENTS UNDERGOING CARDIAC SURGERY, HOW MUCH IS IT AND DOES IT COVER THE NEEDS? E. De Waele, K. De Bondt, K. De Brabandere, S. Mattens, D. Nguyen, F. Wellens, L. Huyghens, Jette, Belgium 0055 COMPLIANCE WITH GUIDELINES ON NUTRITION IN SEVERE ACUTE PANCREATITIS K. Girgirah, S. Ghabina, A. Krige, Blackburn, United Kingdom 0056 PREDICTED VS MEASURED ENERGY EXPENDITURE IN CRITICALLY ILL A.D. Marinho, N. Costa, Porto, Portugal 0057 RELATIONSHIP BETWEEN BMI AND O/E RATIO IN CRITICALLY ILL PATIENTS: DATA FROM NUTRITIONDAY B. Mora, P. Singer, S. Ruiz-Santana, A. D´Arienzo, M. Hiesmayr, Vienna, Austria 0058 FIBRINOGEN SYNTHESIS IN A CHRONIC PIG MODEL OF BLUNT LIVER INJURY AFTER FIBRINOGEN SUBSTITUTION C. Zentai, T. Braunschweig, H. Spronk, R. Rossaint, O. Grottke, Aachen, Germany 0059 TACHOSIL IN A PIG MODEL WITH BLUNT LIVER INJURY UNDER SEVERE HYPOTHERMIA C. Zentai, T. Braunschweig, R. Rossaint, R. Tolba, O. Grottke, Aachen, Germany 0060 EFFICACY AND SAFETY OF UNCROSS-MATCHED TYPE-O RED BLOOD CELLS FOR RESUSCITATION OF TRAUMA PATIENTS: AN OBSERVATIONAL STUDY AND PROPENSITY ANALYSIS K. Maekawa, K. Kato, H. Mizuno, K. Sawamoto, S. Uemura, K. Tanno, K. Mori, Sapporo, Japan 0061 TRAUMA RESUSCITATION USING ECHOCARDIOGRAPHY IN A DEPLOYED MILITARY INTENSIVE CARE UNIT P.S.C. Rees, S.D. Hutchings, London, United Kingdom 0062 LOW RATIO OF INTRAVENOUS FLUID ADMINISTRATION TO PACKED RED BLOOD CELL IS ASSOCIATED WITH IMPROVED SURVIVAL IN TRAUMA PATIENTS: AN OBSERVATIONAL STUDY AND PROPENSITY ANALYSIS K. Maekawa, K. Kato, H. Mizuno, K. Sawamoto, S. Uemura, K. Tanno, K. Mori, Sapporo, Japan 0063 TERLIPRESSIN IS SUPERIOR TO LACTATED RINGER SOLUTION FOR CEREBRAL PERFUSION PRESSURE DURING RESUSCITATION IN A MODEL OF HAEMORRHAGIC SHOCK K.K. Ida, D.A. Otsuki, A.T.C. Sasaki, J.O.C. Auler Jr, L.M.S. Malbouisson, São Paulo, Brazil 0064 RESUSCITATION WITH FLUID OR TERLIPRESSIN DOES NOT INFLUENCE COAGULATION STATUS IN A MODEL OF SEVERE CONTROLLED HAEMORRHAGIC SHOCK A.T.C. Sasaki, D.A. Otsuki, K.K. Ida, J.O.C. Auler Jr, L.M.S. Malbouisson, São Paulo, Brazil 0065 THE SURGICAL MANAGEMENT OF SEVERE PENETRATING LIVER TRAUMA: A DYNAMIC APPROACH ACCORDING TO INITIAL RESPONSE TO THERAPY C.A. Ordoñez, M. Badiel, J. Salamea, M. Cepeda, J.H. Loaiza, J.C. Puyana, L. Pino, D. Scavo, W. Botache, Cali, Colombia 0066 PREDICTIVE PERFORMANCE OF A PREHOSPITAL ACTIVATION CODE TO IDENTIFY PATIENTS IN HAEMORRHAGIC SHOCK T. Gauss, S. Hamada, L. Oumakhlouf, A. Harrois, J. Duranteau, J. Mantz, C. Paugam-Burtz, Clichy, France 0067 POLYTRAUMA PATIENTS IN EMERGENCY OF A TERTIARY HOSPITAL. HAVE THEY CHANGED THEIR CHARACTERISTICS? M. Quintana, A.M. Borobia, M. Martí, M.A. Rivera, S. Fabra, M. Sánchez Casado, A.M. Martinez Virto, Madrid, Spain 0068 EFFECT OF PARTIAL BRAIN ISCHAEMIA ON THE METABOLIC AND HAEMODYNAMIC RESPONSES TO HAEMORRHAGE HYPOTENSION MEASURED IN THE BRAIN AND SMALL INTESTINE M. Mandelbaum-Livnat, E. Barbiro-Michaely, A. Mayevsky, Ramat-Gan, Israel 0069 PREHOSPITAL CONTROL OF SYSTOLIC ARTERIAL PRESSURE IN HAEMORRHAGIC SHOCK S. Hamada, T. Gauss, A. Harrois, J. Duranteau, J. Mantz, C. Paugam-Burtz, Clichy, France 0070 PREVENTION OF HYPOTHERMIA IN PRE-HOSPITAL SEVERELY INJURED TRAUMA PATIENTS. A SIMPLE SYSTEM M. Croci, M.F. Panzeri, S. Fracassi, E. Lepera, S. Hudecova, S. Greco, Busto Arsizio, Italy 0071 DEGREE OF NECK IMMOBILISATION, INFLUENCE ON JUGULAR VENOUS PRESSURE AND PATIENT COMFORT: COMPARISON OF FOUR TYPES OF NECK COLLARS S. Karason, K. Reynisson, K. Gunnsteinsson, A.G. Ludviksdottir, K. Sigvaldason, G.H. Sigurdsson, T. Ingvarsson, Reykjavik, Iceland 0072 Area Cascais Poster Corner TRAUMA UPDATE Chairs: Bernard Vigué, France & Rupert Pearse, London, United Kingdom MONDAY 15 OCTOBER 10:10 - 12:00 96 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 SYMPOSIUM 1 OPTIMIZING PATIENT-VENTILATOR INTERACTION AND CHANCE OF SUCCESS IN NIV Welcome to the MAQUET sponsored symposium. Program: Together we will explore the latest development within An overview of NIV ventilation. non-invasive ventilation and Neurally Adjusted Ventilatory Paolo Navalesi, MD, S. Andrea hospital Vercelli, Piemonte Assist (NAVA ). Orientale, Novara, Italy Optimizing patient-ventilator interaction and chance Why does NIV fail? Is there a role for NIV NAVA? of success in NIV Leo M.A. Heunks, MD, UMC St Radboud, Nijmegen, ® Time: Monday October 15, 12:00–14:30 Place: Room Stockholm Chairpersons: Massimo Antonelli, MD, Università Cattolica del Sacro Cuore, Rome, Italy and Paolo Navalesi, MD, S. Andrea hospital Vercelli, Piemonte Orientale, Novara, Italy Maquet Critical Care AB | maquet.com The Netherlands NIV NAVA in the post-operative setting. Mathieu Raux, MD, PhD, Groupe Hospitalier Pitié Salpêtrière, Paris, France An Educational Satellite Symposium at the 25th ESICM LIVES Annual Congress Monday, October 15, 2012 • 12:30 hrs to 14:00 hrs • Paris Room • Centro de Congressos de Lisboa (CCL) • Lisbon, Portugal Register at AKILisbon.com to stay connected and receive updates about the program. There will be additional resources on the website following ESICM. Come visit Astute in Exhibition Area A, Booth 19 to learn more or visit astutemedical.com @ACuteKidneyMan Sponsored by Astute Medical San Diego, CA, USA 92121 Phone: (858) 792-3544 astutemedical.com The NEPHROCHECK™ Test and the ASTUTE140™ Meter are not available in the United States. ©2012 Astute Medical, Inc. Astute Medical™, the AM logo, ASTUTE140™, NEPHROCHECK™ and the NEPHROCHECK™ logo are trademarks of Astute Medical, Inc. PN 0079 Rev A 2012/08/14 New AKI Biomarkers: a revolution in risk assessment 10:10 - 12:00 MYOCARDIAL INFARCTION AND PERCUTANEOUS REVASCULARISATION: SHORT-TERM PROGNOSIS IN > 75 YEARS OLD M. Cano Garcia, D. Gaitan Roman, B. Perez Villardon, I. Vegas Vegas, M.A. Ramirez Marrero, J. Cano Nieto, M. De Mora Martin, Malaga, Spain 0073 STUDY ABOUT SURVIVAL AND QUALITY OF LIFE IN > 75 YEARS OLD WITH ACUTE CORONARY SYNDROME D. Gaitan Roman, B. Perez Villardon, M.A. Ramirez Marrero, I. Vegas Vegas, G. Ballesteros Derbenti, J. Cano Nieto, M. De Mora Martin, Malaga, Spain 0074 INITIAL RISK STRATIFICATION IN PATIENTS WITH ST-ELEVATION MYOCARDIAL INFARCTION BY ECG PATTERN AND TIMI SCORE T. Garcia-Paredes, D. Arias-Verdú, J. MoraOrdóñez, R. Rivera-Fernández, G. Jiménez-Pérez, L. Olivencia-Peña, E. Agular-Alonso, Málaga, Spain 0075 DOES PATIENT GENDER INFLUENCE IN MANAGEMENT OF ACUTE CORONARY SYNDROME WITH ST ELEVATION IN OUR FIELD? M. Colomo Gonzalez, M.R. Diaz Contreras, R. de la Chica Ruiz Ruano, S. Nogueras Guijarro, P. Castan Ribas, L.I. Rodriguez Peralta, A. Sanchez Gonzalez, M.E. Poyatos Aguilera, E. Aguayo de Hoyos, A. Reina Toral, Granada, Spain 0076 BENEFICIAL EFFECTS OF THE PRESCRIPTION OF FIXED DOSE COMBINATION OF BETA-BLOCKER AND DIURETIC IN PATIENTS WITH RENAL FAILURE AND HISTORY OF NON-ST-SEGMENT-ELEVATION ACUTE CORONARY SYNDROME M.A. Ramirez-Marrero, I. Vegas-Vegas, B. PerezVillardon, D. Gaitan-Roman, M. Cano-Garcia, M. de Mora-Martin, Malaga, Spain 0077 DIFFERENCE DIAGNOSIS OF ACUTE ISCHAEMIC STROKE WITH LEFT HEMIPARALSIS AND ACUTE AORTIC DISSOCIATION S.-I. Nihei, H. Arai, K. Nagata, Y. Isa, T. Shinjyo, K. Goto, N. Harayama, K. Aibara, M. Kamochi, Kitakyushu, Japan 0078 PREDICTORS OF INOTROPIC DRUGS UTILISATION IN ADULT CARDIAC SURGERY WITH CARDIOPULMONARY BYPASS G. Raimondi, G. Juliano, S. Gregu, P. Suriano, E. Sisillo, Milan, Italy 0079 QT INTERVAL IN PATIENTS WITH ST-ELEVATION MYOCARDIAL INFARCTION. RELATION WITH MORTALITY AND COMPLEMENTARITY WITH THE TIMI AND APACHE II M. Arias-Verdú, R. Rivera-Fernádez, E. AguilarAlonso, T. García-Paredes, M. Fenández-Zamora, A. Vera-Almazán, G. Quesada-Garcia, Málaga, Spain 0080 FACTORS ASSOCIATED WITH THE DEVELOPMENT OF AN EPISODE OF ACUTE CORONARY SYNDROME IN PATIENTS EVALUATED BY A CHEST PAIN UNIT M.A. Ramirez-Marrero, D. Gaitan-Roman, I. Vegas-Vegas, M. Cano-Garcia, B. LuqueAguirre, G. Ballesteros-Derbenti, M. de MoraMartin, Malaga, Spain 0081 GRACE SCORE AND CARDIAC MAGNETIC RESONANCE FOR PREDICTING CARDIAC EVENTS AFTER HOSPITAL DISCHARGE IN PATIENTS WITH ST SEGMENT ELEVATION ACUTE MYOCARDIAL INFARCTION L. Palacios Gamir, V. Bodí, R. Oltra, C. Bonanad, J. Sanchis, J. Nuñez, R. Huerta, Valencia, Spain 0082 CLINICAL AND EPIDEMIOLOGICAL CHARACTERISTICS OF PATIENTS WITH ACUTE HEART FAILURE: GENDER-ASSOCIATED DIFFERENCES V. Degoricija, I. Potočnjak, T. Bodrožić-Džakic, I. Šmit, M. Milošević, Zagreb, Croatia 0083 FUNCTIONAL OUTCOME AFTER OUT OF HOSPITAL CARDIAC ARREST: A ONE YEAR FOLLOW-UP A. Peskine, E. Bayen, P. Pradat-Diehl, C.-E. Luyt, Paris, France 0084 LONG-TERM PROGNOSIS IN PATIENTS WITH ANGINA WITHOUT CORONARY LESSIONS I. Vegas Vegas, B. Perez Villardon, M.A. Ramirez Marrero, G. Ballesteros Derbenti, J.L. Delgado Prieto, J.M. Perez Ruiz, M. De Mora Martin, Malaga, Spain 0085 IMPROVEMENTS IN THE PROGNOSIS OF PATIENTS WITH HYPERTENSION DISCHARGED FOR NSTEACS WITH THE USE OF FIXED DOSE COMBINATION OF ACE INHIBITOR AND CALCIUM CHANNEL BLOCKER M.A. Ramirez-Marrero, B. Perez-Villardon, D. Gaitan-Roman, I. Vegas-Vegas, M. CanoGarcia, J.L. Delgado-Prieto, M. de Mora-Martin, Malaga, Spain 0086 Area Estoril Poster Corner PREVENTION OF ICU-AQUIRED INFECTIONS Chairs: Otgon Baatar, Ulaanbaatar, Mongolia (TBC) & Francesca Rubulotta, London, United Kingdom 10:10 - 12:00 SELECTIVE DECONTAMINATION OF THE DIGESTIVE TRACT IN A MIXED ICU IN A UNIVERSITY TERTIARY-CARE HOSPITAL: INITIAL 6 MONTHS IMPACT L I V E S 2 012 C. Sánchez Ramírez, M. Cabrera Santana, S. Hípola Escalada, M.A. Hernández Viera, N. Sangil Monroy, A. Bordes Benitez, J.J. Díaz Díaz, J.L. Romero luján, V. Peña Morant, P. Saavedra Santana, S. Ruiz-Santana, Las Palmas de Gran Canaria, Spain L ink ing Inno vat ion Vi sion E xcel l ence & S cience Scientific programme Poster Corner ACUTE CORONARY SYNDROME IN THE ICU MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER Area Coimbra Chairs: Alexandre Mebazaa, Paris, France & Susanna Price, London, United Kingdom Nurses & AHP 0087 99 Scientific programme MONDAY 15 OCTOBER Area Evora R.K. Pande, V. Maurya, P. Khanna, M. Puri, S. Sengupta, New Delhi, India 0088 EARLY INVASIVE FUNGAL INFECTIONS (IFI) AND UNIVERSAL ANTIFUNGAL PROPHYLAXIS (UAP) AFTER LIVER TRANSPLANTATION (LTX): CHANGING THE APPROACH ACCORDING TO THE RISK A. De Gasperi, L. Petrò, M. Prosperi, E. Mazza, L. Perrone, Milan, Italy 0089 THE IMPACT OF GLUTAMINE ON ORGAN FUNCTION AND MORTALITY OF PATIENTS WITH SEVERE SEPSIS G. Xiangdong, L. Xiaoyue, Guangzhou, China 0090 TOWARDS ZERO CENTRAL LINE ASSOCIATED BLOOD STREAM INFECTION (CLABSI) - A SINGLE CENTRE EXPERIENCE K. Krishnareddy, K. Smiley, A. Samuel, S. Weber, H. Hon, A. Khallaf, Abu Dhabi, United Arab Emirates 0091 TIME LAPSE TO IMPLEMENTATION OF ANTIMICROBIAL ADVICE K. Ganeswaran, M. Staber, F. de Villiers, Greenock, United Kingdom 0092 INFLUENCE OF INFECTION DURING THE POSTOPERATIVE PERIOD AFTER HEART TRANSPLANTATION IN IN-HOSPITAL MORTALITY R. Gómez-López, P. Fernández-Ugidos, P. VidalCortés, M.T. Bouza Vieiro, A.V. Aller Fernandez, L. Seoane Quiroga, J. Muñiz, M.A. Solla Buceta, S. Fojon Polanco, J.M. López Pérez, E. Rodriguez Garcia, M.J. Paniagua Martin, E. Barge Caballero, R. Marzoa Rivas, M.G. Crespo Leiro, Ourense, Spain 0093 CHANGING ICU MICROBIOLOGICAL ECOLOGY IN RESPONSE TO NATIONWIDE INFECTION CONTROL CAMPAIGNS R. O’Leary, S. Fletcher, M. Emmott, P. Marsh, L. Campbell, P. Stonelake, Bradford, United Kingdom 0094 A FIVE YEAR STUDY OF COAGULASE NEGATIVE STAPHYLOCCOCUS RESISTANCE PROFILE IN AN ICU OF A GREEK TERTIARY-TRAUMA HOSPITAL P. Sarafidou, A. Stylianakis, V. Kaldis, K. Tsopelas, E. Chatziandreou, D. Argyris, I. Papadakis, K. Mouta, I. Pavlou, Athens, Greece 0095 THE GENE EXPRESSION ANALYSIS OF BLOOD REVEALS S100A11 AND AQP9 AS POTENTIAL BIOMARKERS OF INFECTIVE ENDOCARDITIS J. Textoris, F. Thuny, A. Ben Amara, A. El Filali, C. Capo, G. Habib, D. Raoult, J.-L. Mège, Marseille Cedex, France 0096 EFFECT OF LIPOPOLYSACCHARIDE ON THE MITOCHONDRIAL FUNCTION OF ISOLATED HUMAN MONOCYTES AND PLATELETS T.M. Merz, A.J. Pereira, V. Jeger, V. Madhusudanarao, S.M. Jakob, J. Takala, S. Djafarzadeh, Bern, Switzerland 0097 BACTEREMIA DUE TO ESKAPE MICRORGANISMS: CLINICAL FEATURES AND IMPACT ON OUTCOME J.M. Pereira, J. Cortez, J.A. Paiva, Oporto, Portugal 0098 CLOSTRIDIUM DIFFICILE ASSOCIATED DIARRHOEA IN CRITICAL CARE L.C. Blackbourn, M. Read, M.P. Wise, Cardiff, United Kingdom 0099 BEDSIDE CHEST ULTRASONOGRAPHY COMBINED WITH INTRAPLEURAL UROKINASE FOR TREATING MULTILOCULATED PARAPNEUMONIC EMPYEMA IN CRITICALLY ILL CHILDREN E. Vasilaki, E. Blevrakis, A.M. Spanaki, E. Geromarkaki, S. Ilia, E. Tavladaki, M.D. Fitrolaki, G. Briassoulis, Heraklion, Greece 0100 SEDATION, ANALGAESIA AND DELIRIUM RELATED PRACTICES IN PORTUGUESE INTENSIVE CARE UNITS - NATIONAL SURVEY F.F. Pinto, P.A. Maia, P.P.C. Amorim, Porto, Portugal 0101 EFFECT OF SEDATIVES ON COLON MOTILITY IN VITRO M. Schörghuber, E. Tatzl, P. Holzer, W. Toller, S. Fruhwald, Graz, Austria 0102 EFFECT OF PIRITRAMIDE VS. TRAMADOL ON GUINEA PIG’S SMALL BOWEL MOTILITY IN VITRO M. Schörghuber, E. Tatzl, P. Holzer, W. Toller, S. Fruhwald, Graz, Austria 0103 SEDATION PRACTICE IN NORDIC AND NON-NORDIC ICUS: A EUROPEAN SURVEY I. Egerod, J.W. Albarran, M. Ring, B. Blackwood, Copenhagen, Denmark 0104 EVALUATION OF AN ALGORITHM ASSOCIATED WITH A DAILY ARREST OF SEDATION COMPARED WITH A SINGLE ALGORITHM IN ICU S. Wiramus, M. Haddam, J. Textoris, V. Paone, B. Ragonnet, E. Hammad, F. Antonini, C.D. Martin, M. Leone, Marseille, France 0105 ADVANTAGE OF REMIFENTANIL VS COMBINATION MORPHINE/ PROPOFOL SEDATION OF MECHANICAL VENTILATED PATIENTS V.M. Malenkovic, Belgrade, Serbia 0106 Poster Corner SEDATION, Analgaesia & DELIRIUM Chairs: Claudia Spies, Berlin, Germany & Christina Jones, Liverpool, United Kingdom 10:10 - 12:00 100 HAND HYGIENE COMPLIANCE TOWARDS WHO 5 MOMENTS OF HAND HYGIENE AMONG NURSES & PHYSICIANS IN HIGH RISK AREAS IN A TERTIARY HOSPITAL IN NEW DELHI, INDIA 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Simply Better Oxygen Therapy Extending the boundaries of oxygen therapy Latest trial results and evolving clinical experience > Recent advances in Nasal High Flow with Optiflow J.D. Ricard (Colombes) 25th annual congress – ESICM LIVES 2012 Scientific Symposium > Latest trial results and clinical experience in the cardiothoracic population R. Parke and S. McGuinness (Auckland) > Optiflow during bronchoscopy J. Wink (Porto) Chairmen : S. Maggiore, J. Laffey Monday | October 15 12:30 - 14:00 Lisbon CCL | 1st floor | room Vienna supported by Visit us at boot h 17 Satellite Symposium Effective Glycaemia Control Monday, 15th October 2012 18:15 – 19:15h, Room Stockholm Moderator Prof. Jean-Charles Preiser, Belgium Glycaemia in ICU: State-of-the-art Lunch Symposium Good Clinical Nutrition Practice Monday, 15 October 2012 12:30 – 14:00h Room Geneva Lunch Symposium Volume Therapy in Surgery and ICU Tuesday, 16 October 2012 12:30 – 14:00h Room Geneva www.fresenius-kabi.com Prof. Björn Ellger, Germany Patient-specific glycaemic control software in the ICU setting Alexandre Guerrini, France Computer-assisted glucose regulation in critically ill patients: a proof of concept study Dr. Pierre Kalfon, France 0107 EXPERIENCE IN SEDOANALGAESIA IN CRITICALLY ILL PATIENTS ADMITTED TO AN INTENSIVE CARE UNIT (ICU) IN NEED FOR NONINVASIVE MECHANICAL VENTILATION J.L. Martinez Melgar, E. Moreno Lopez, A. Ortega Montes, T. Sanchez de Dios, A. Pais Almozara, J.I. Cenoz Osinaga, S. Freita Ramos, E. Alemparte Pardavila, C. Galban Rodriguez, Ferrol, Spain 0108 MINIMAL SEDATION PROTOCOL DIMINISHES RATES OF USE OF INVASIVE DEVICES AND DEVICE ASSOCIATED INFECTION IN A GENERAL ICU S.B. Cappi, E.S. Pacheco, L.D. Camargo, S.S. Moura, M. Yoshida, D.T. Noritomi, São Paulo, Brazil 0109 RAMDOMISED CLINICAL TRIAL ON SEDATION FOR ENDOSCOPIC PROCEDURES: KETAMINE VERSUS PROPOFOL A. Quintano, A. Vallejo, B. Fernández-Miret, S. Cabañes, S. Castaño, A. Manzano, E. Corral, J. Maynar, F. Fonseca, Vitoria-Gazteiz, Spain 0110 PROSPECTIVE, RANDOMISED STUDY TO ASSESS THE ROLE OF DEXMEDETOMIDINE IN PATIENTS WITH POSTERIOR FOSSA TUMORS UNDERGOING CRANIOTOMY AND REQUIRING POST OPERATIVE VENTILATION IN ICU S. Mishra, Bhubaneswar, India 0111 TRANSFORMATION IN SEDATION PRACTICE WITH 24-HOUR INTENSIVIST LED CARE FOLLOWING MERGER OF A CARDIAC AND A GENERAL INTENSIVE CARE G. Lau, D. O’Neil, C. Allsager, Leicester, United Kingdom 0112 SLEEP IN THE INTENSIVE CARE UNIT: CHANGING THE CULTURE M.E. Lugarinho, L. Peixoto, P. Castro, Duque de Caxias, Brazil 0113 VALUE OF THE EFFECTIVE ANALGAESIA IN NEAREST POSTOPERATIVE PERIOD SURGERY OF OESOPHAGUS A.S. Arifjanov, L.A. Nazirova, R.A. Ibadov, N.A. Strijkov, Tashkent, Uzbekistan 0114 Poster Corner ACUTE BRAIN INJURY: THERAPEUTIC COOLING & OUTCOME PREDICTION Chairs: Hans Friberg, Lund, Sweden & Alain Cariou, Paris, France 10:10 - 12:00 THERAPEUTIC MILD HYPOTHERMIA AFTER CARDIAC ARREST IN SHOCKABLE AND NONSHOCKABLE RHYTHMS: DOES IT IMPROVE BOTH SURVIVAL AND NEUROLOGICAL OUTCOME? M. Talegaonkar, A.K. Gupta, S. Dewan, A. Varma, New Delhi, India 0115 A COMPARISON OF 2 THERAPEUTIC HYPOTHERMIA COOLING DEVICES ON NEURO INTENSIVE CARE H. Jones, W. Loh, Liverpool, United Kingdom 0116 THE RESULTS OF AN INTERNAL PILOT FOR THE EUROPEAN STUDY OF THERAPEUTIC HYPOTHERMIA (32-35°C) FOR INTRACRANIAL PRESSURE REDUCTION AFTER TRAUMATIC BRAIN INJURY (EUROTHERM3235TRIAL) ISRCTN 34555414 P. Andrews, Edinburgh, United Kingdom 0117 ELECTROCARDIOGRAM AND ELECTROLYTE DISTURBANCES INDUCED BY SURFACE COOLING AFTER CARDIAC ARREST M.C. de Waard, R. de Groot, L.P. Smits, R.H. Driessen, A.R. Girbes, Amsterdam, Netherlands 0118 NEUROPROTECTIVE PROPERTIES OF HYPOTHERMIA A. Butrov, O. Shevelyov, D. Bilibin, N. Hodorovich, I. Kalenova, I. Sharinova, Moscow, Russian Federation 0119 RISK FACTORS ASSOCIATED TO MORBID-MORTALITY PREVIOUS TO STARTING HYPOTHERMIA TREATMENT IN ICU PATIENTS AFTER CARDIAC ARREST J. Cabrera-Arrocha, E. Martín-Sánchez, O. Fariñas-Roman, P. Ravelo-Hernández, P. Saavedra, S. Ruiz-Santana, Las Palmas de Gran Canaria, Spain 0120 NSE FOR ASSESSMENT OF OUTCOME AFTER CARDIAC ARREST- THE IMPACT OF THE ANALYSIS METHOD M. Rundgren, I. Dragancea, T. Cronberg, H. Friberg, A. Isacsson, Lund, Sweden 0121 THE FEASIBILITY OF USING SERUM PROTEOMICS TO IDENTIFY NOVEL BIOMARKERS THAT PREDICT NEUROLOGICAL RECOVERY AFTER CARDIAC ARREST: A PILOT STUDY J.G. Boyd, L. Smithson, C. Petrie, J. Muscedere, D. Howes, M.D. Kawaja, Kingston, Canada 0122 OPTIC NERVE ULTRASOUND TO ASSESS INTRACRANIAL PRESSURES IN CARDIAC ARREST SURVIVORS: A FEASIBILITY STUDY E. Golan, Toronto, Canada 0123 CEREBRAL OXYGEN DESATURATION IS ASSOCIATED WITH NEUROLOGIC COMPLICATIONS AND LONGER INTENSIVE CARE UNIT STAY IN HIGH-RISK CARDIAC SURGERY PATIENTS S. Scolletta, F. Franchi, M. Sampieri, C. Guarino, V. Ialongo, E. Maglioni, L. Marchetti, B. Biagioli, Siena, Italy 0124 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience Scientific programme S. Caroleo, D. Vuoto, F. Tropea, V. Brescia, B. De Leonardis, G. Maltese, G. Alvaro, C. Spaccarotella, C. Indolfi, B. Amantea, Catanzaro, Italy MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER Area Faro PROPOFOL VERSUS REMIFENTANIL FOR THE MANAGEMENT OF ANALGO-SEDATION DURING THE PERCUTANEOUS TRANSCATHETER AORTIC VALVE IMPLANTATION 103 Scientific programme MONDAY 15 OCTOBER REDUCTION OF ISCHAEMIC BRAIN DAMAGE AFTER XENON ADMINISTRATION IN A RAT MODEL OF GLOBAL CEREBRAL ISCHAEMIA V. Metaxa, R. Lagoudaki, L. Oikonomou, S. Meditskou, O. Thomareis, A. Sakantamis, London, United Kingdom 0125 ROLE OF THYROID HORMONE IN HAEMODYNAMIC MANAGEMENT OF ORGAN DONOR A. Sánchez Allueva, C. Prat Llimargas, L. García Huete, E. Oliver Juan, M.E. Décoste, A. Sabaté Pes, Hospitalet de Llobregat, Spain 0126 Area Fatima Poster Corner IMAGING TO GUIDE TREATMENT OF ACUTE RESPIRATORY FAILURE Chairs: Elie Azoulay, Paris, France (TBC) & Luciano Gattinoni, Milan, Italy 10:10 - 12:00 REGIONAL VENTILATION DELAY INHOMOGENEITY MEASURED BY ELECTRICAL IMPEDANCE TOMOGRAPHY DURING PEEP TITRATION IN HEALTHY LUNGS AND DIFFERENT MODELS OF LUNG INJURY T. Muders, S. Huckauf, A. Reske, M. Lutterkord, D. Buchloh, H. Luepschen, C. Putensen, H. Wrigge, Leipzig, Germany 0127 ASSESSMENT OF PULMONARY PERFUSION WITH FLUORODESOXYGLUCOSE AND POSITRON EMISSION TOMOGRAPHY: A VALIDATION STUDY J.-C. Richard, C. Pouzot, A. Gros, D. Le Bars, N. Costes, F. Lavenne, C. Tourvieille, C. Guérin, Lyon, France 0128 EFFECTS OF CYCLIC SHORT RECRUITMENT MANEUVERS (SIGH) IN ACUTE RESPIRATORY FAILURE PATIENTS UNDERGOING PRESSURE SUPPORT VENTILATION: AN ELECTRICAL IMPEDANCE TOMOGRAPHY STUDY T. Mauri, G. Bellani, M. Turella, V. Sala, F. Leone, A. Perri, A. Coppadoro, R. Marcolin, G. Citerio, N. Patroniti, A. Pesenti, Monza, Italy 0129 TOPOGRAPHIC DISTRIBUTION OF LUNG COMPLIANCE ASSESSED BY COMPUTER TOMOGRAPHY IN MECHANICALLY VENTILATED PATIENTS G. Perchiazzi, A. Stabile Ianora, S. Derosa, D. Polieri, L. Pitagora, A. Tannoia, M. Pellegrini, A. Sindaco, N. D’Onghia, G. Altamura, G. Hedenstierna, N. Brienza, Bari, Italy 0130 EFFECT OF HIGH FLOW NASAL CANNULA AND BODY POSITION ON END-EXPIRATORY LUNG VOLUME. A COHORT STUDY OF HEALTHY INDIVIDUALS USING ELECTRICAL IMPEDANCE TOMOGRAPHY J. Riera, P. Pérez, O. Roca, J.R. Masclans, J. Rello, Barcelona, Spain 0131 COMPARISON OF THREE DIFFERENT PEEP TITRATION STRATEGIES IN EXPERIMENTAL ACUTE LUNG INJURY OVER A PERIOD OF 24 HOURS J. Pochert, T. Muders, A. Reske, A. Rau, A. Beilicke, C. Putensen, H. Wrigge, Leipzig, Germany 0132 MAPPING LUNG MECHANICS BY ELECTRICAL IMPEDANCE TOMOGRAPHY M. Bodenstein, S. Boehme, S. Bierschock, A. Vogt, C. Bletz, K. Markstaller, M. David, Mainz, Germany 0133 EFFECTS OF PLEURAL EFFUSION DRAINAGE ON OXYGENATION, RESPIRATORY MECHANICS AND HAEMODYNAMICS: A PHYSIOLOGICAL STUDY K. Razazi, A.W. Thille, A. Mekontso-Dessap, O. Beji, C. Brun Buisson, L. Brochard, Creteil, France 0134 LUNG PATHOLOGY EXTENSION DOES NOT SIGNIFICANTLY INFLUENCE ACCURACY OF QUANTITATIVE COMPUTED TOMOGRAPHY ON TEN SECTION EXTRAPOLATION L. Ball, F. Corradi, C. Brusasco, A. Garlaschi, S. Bazurro, A. De Ferrari, M. Millone, P. Herrmann, P. Pelosi, Genoa, Italy 0135 EFFECTS OF ACUTE HYPOVOLEMIA ON INTRAPULMONARY SHUNT IN A PIG MODEL OF ACUTE RESPIRATORY DISTRESS SYNDROME N. Siegenthaler, R. Giraud, D. Courvoisier, D. Morel, C. Wiklund, L. Brochard, K. Bendjelid, Geneva, Switzerland 0136 BEDSIDE DETECTION OF TIDAL RECRUITMENT BY LUNG ULTRASOUND M. Muñoz, J.B. Borges, A. Santos, G. Tusman, A. Larsson, G. Hedenstierna, F. Suarez-Sipmann, Madrid, Spain 0137 VENTILATION DISTRIBUTION DURING DIFFERENT PRESSURE SUPPORT AND NAVA LEVELS P. Blankman, D. Hasan, D. Gommers, Rotterdam, Netherlands 0138 VENTILATION AREA MEASURED WITH EIT IN ORDER TO OPTIMISE PEEP SETTINGS IN MECHANICALLY VENTILATED PATIENTS P. Blankman, E. Groot Jebbink, C. Preis, I. Bikker, D. Gommers, Rotterdam, Netherlands 0139 Try the e-posters experience in the exhibition area 104 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Poster Corner 0140 ACUTE KIDNEY INJURY: EVALUATION & TREATMENT Chairs: Marlies Ostermann, London, United Kingdom & Heleen Oudemans-van Straaten, Amsterdam, Netherlands 10:10 - 12:00 EMPLOYING ADVANCED ALGORITHMIC METHODS TO PREDICT FUTURE CREATININE P. Singer, E. Grozowski, J. Cohen, O. Fabian, S. Lev, Y. Kiner, Petah Tikva, Israel 0141 EVALUATING THE EFFECT OF INTRAVENOUS CONTRAST ON RENAL FUNCTION IN CRITICALLY ILL PATIENTS UNDERGOING RADIOLOGICAL INVESTIGATIONS - A RETROSPECTIVE COHORT STUDY D.J. Silcock, R. Sundaram, S. Koteeswaran, G. Fletcher, Paisley, United Kingdom 0142 TRAMADOL AS A CYTOCHROME P450 2D6 DRUG PROBE IN THE CRITICALLY ILL: PHARMACOLOGIC AND GENETIC EVIDENCE K. Lane, J.J. Dixon, C.J. Kirwan, D. Mckeown, R. van Schaik, I.A. Macphee, B.J. Philips, London, United Kingdom 0143 A PILOT STUDY TO ASSESS THE EFFICACY AND SAFETY OF CONTINUOUS RENAL REPLACEMENT THERAPY USING A COMMERCIAL CITRATE CONTAINING REPLACEMENT FLUID Y.Y.N. Leung, W.M. Chan, N.W. Tsai, M.F. Lam, Hong Kong, Hong Kong 0144 ACUTE KIDNEY INJURY ASSOCIATED WITH ACETIC ACID POISONING: FIVE YEAR REVIEW K. Brusin, I. Leyderman, Yekaterinburg, Russian Federation 0145 TIME COURSE OF URINARY INDICES AFTER ICU ADMISSION MAY HELP IN DIFFERENTIATING TRANSIENT FROM PERSISTENT AKI B. Pons, F. Vincent, B. Tardy, A. Lautrette, J. Dellamonica, C. Mariat, B. Souweine, Y. Cohen, F. Zeni, M. Darmon, Saint Etienne, France 0146 RISK FACTORS IN THE DEVELOPMENT OF ACUTE RENAL FAILURE AFTER CARDIAC SURGERY T. Akarsu Ayazoğlu, A. Candan, I. Eseoğlu, A. Özensoy, Istanbul, Turkey 0147 INCIDENCE AND PREVENTION OF CONTRAST INDUCED NEPHROPATHY (CIN) IN THE ICU: PREVENTIVE ADMINISTRATION OF NA+BICARBONATE IS NOT EFFECTIVE. SINGLE DOSE AMINO-GLYCOSIDE IS A MAJOR RISK FACTOR J. Juch, J. Le Noble, N. Foudraine, Venlo, Netherlands 0148 ONE YEAR OUTCOME OF ACUTE KIDNEY INJURY IN CRITICALLY ILL SEPTIC PATIENTS ADMITTED TO MEDICAL INTENSIVE CARE UNIT D. Agrawal, W.K. Wong, H. Tay, V. Anantharaman, A. Mukhopadhyay, Singapore, Singapore 0149 COMPARING AKIN AND RIFLE CRITERIA IN DIAGNOSING ACUTE KIDNEY INJURY: A SERUM LACTATE HYPOTHESIS? M. Kompoti, E. Diogou, V. Salma, P. Plantza, M. Michalia, P.-M. Clouva-Molyvdas, Athens, Greece 0150 INCIDENCE OF CONTRAST INDUCED NEPHROPATHY IN PATIENTS WITH ACUTE CARDIAC DISEASE E. Torres, A. Jurado, J.A. Sanchez Izquierdo, L.D. Umezawa, J.L. Flordelis, J.J. Parra, R. Martin, J. Rodriguez, J.C. Montejo, Madrid, Spain 0151 CYSTATINE-C AND NGAL FOR THE EVALUATION OF EARLY KIDNEY INJURY IN SEVERE SEPSIS R. Lozano-Saez, M. Herrera Gutierrez, M.M. Arrebola-Ramirez, M.-J. Diez-de-los-RiosCarrasco, E. Aguiar-Flores, G. Seller-Perez, Malaga, Spain 0152 A COMPARISON OF THE RIFLE AND AKIN CRITERIA FOR ACUTE KIDNEY INJURY IN CRITICALLY ILL PATIENTS A.D. Marinho, R.M. Gil, Porto, Portugal 0153 SIDE EFFECTS OF HYDROXYETHYL STARCH FORMULATIONS: PROBABLY NOT SO EQUAL AT ALL J. Vandeweghe, C. Danneels, J. Decruyenaere, E. Hoste, Gent, Belgium 0154 + L I V E S 2 012 Scientific programme Area Funchal J.M. Lomelí Teran, E. Deloya Tomas, J.J. Martinez Mazariegos, G. Magdaleno Lara, J.S. Leco Romero, F. Jímenez, F. Tendillo, M. Poblano, Mexico City, Mexico MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER ANALYSIS OF ALVEOLAR VENTILATION WITH DIFFERENT DEGREES OF INTRAABDOMINAL HYPERTENSION IN PORCINE MODEL Visit us at the ESICM Members Lounge Level 1 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 105 Scientific programme MONDAY 15 OCTOBER 106 Area Guarda Poster Corner IMPACT OF SPECIFIC ICU INTERVENTIONS Chairs: Bertrand Guidet, Paris, France & Michael Hiesmayr, Vienna, Austria 10:10 - 12:00 Area Porto OPTIMISATION OF EMERGENCY MANAGEMENT IN PATIENTS WITH ACUTE CORONARY SYNDROMES IN BIG URBAN DISTRICT M. Milanova, M. Matveev, K. Atanassov, V. Atanassova, R. Prokopova, Sofia, Bulgaria 0155 BENEFICIAL EFFECTS OF THE PRESCRIPTION OF FIXED DOSE COMBINATION OF BETA-BLOCKER AND DIURETIC IN ELDERLY PATIENTS WITH A HISTORY OF NON-ST-SEGMENT-ELEVATION ACUTE CORONARY SYNDROME M.A. Ramirez-Marrero, D. Gaitan-Roman, M. Cano-Garcia, I. Vegas-Vegas, B. PerezVillardon, B. Luque-Aguirre, G. BallesterosDerbenti, M. de Mora-Martin, Malaga, Spain 0156 A COMPARISON OF CLINICAL AND COST- EFFECTIVENESS OF PRE– VERSUS POSTOPERATIVE GOAL DIRECTED THERAPY C. Ebm, M. Cecconi, A. Rhodes, London, United Kingdom 0157 EFFECTIVENESS OF INSPIRATORY PRESSURE-LIMITED APPROACH TO MECHANICAL VENTILATION IN SEPTIC PATIENTS I. Martin-Loeches, C. de Haro, P. Dellinger, R. Ferrer, G. Phillips, M. Levy, A. Artigas, Sabadell, Spain 0158 ASSESSMENT OF AUTOMATED BLOOD GAS ALERT SYSTEM (REAL TIME AUTOMATED PATIENT ALERT) H. McMillan, S. Bracey, P. Macnaughton, Plymouth, United Kingdom 0159 OUTBREAK OF CA-MRSA IN PATIENTS WITH NEURO-DEVELOPMENT DISORDERS REQUIRING ICU ADMISSION D. Molano, M. Villabon, J. Escobar, N. Vanegas, R. Jordi, Bogota, Colombia 0160 IMPLEMENTATION AND EVALUATION OF A COMMUNICATION PLAN IN AN INTENSIVE CARE UNIT M.C.I. Valdovinos Mahave, J.M. Montón Dito, J.C. Torralba Allué, M.J. Santed Andrés, J. Luz Gómez de Travecedo, Teruel, Spain 0161 ACUTE BRAIN DYSFUNCTION IS A MAJOR PREDICTOR OF HOSPITAL MORTALITY IN MECHANICALLY VENTILATED CANCER PATIENTS I.C. Almeida, M. Soares, C. Shinotsuka, R. Bujokas, V.C. Dantas, J.I. Salluh, Rio de Janeiro, Brazil 0162 ICU STAFF LEVEL OF DEPRESSION DURING ECONOMIC CRISIS A. Vakalos, M. Petkopoulou, D. Jannussis, Xanthi, Greece 0163 INVESTIGATION ON THE QUALITY OF MANAGEMENT FOR THE PATIENTS SUFFERED WITH POST CARDIAC ARREST SYNDROME L. Li-Jun, Z. Yan, Z. Jian-Liang, Suzhou, China 0164 THE USE OF INHALED NITRIC OXIDE IN A TERTIARY PAEDIATRIC INTENSIVE CARE UNIT (PICU) C.L. Durand, S. Mahoney, S. Kerr, N. Shetty, D. Buckley, Liverpool, United Kingdom 0165 SURVEILLANCE OF ICU-ACQUIRED INFECTION IN A TERTIARY HOSPITAL BY ANALYSIS OF A DATABASE BUILT THROUGH A WORKFLOWINTEGRATED SOFTWARE APPLICATION G. Diet, L. De Bus, B. Gadeyne, G. Claeys, P. Vosters, D. Benoit, J. Decruyenaere, F. De Turck, P. Depuydt, Ghent, Belgium 0166 NEGATIVE FLUID BALANCE 48 HOURS AFTER ADMISSION IMPROVES SURVIVAL AT 28 DAYS IN CRITICALLY ILL PATIENTS M. Cuartero, M.V. Nievas, A.J. Betbesé, K. Núñez, J. Baldirà, L. Zapata, Barcelona, Spain 0167 Poster Corner INFLAMMATORY RESPONSE IN SEPSIS: NEW INSIGHTS Chairs: Jean-Paul Mira, Paris, France & Herwig Gerlach, Berlin, Germany 10:10 - 12:00 PROCALCITONIN (PROCT) INDUCES PRO-INFLAMMATORY MEDIATORS AND APOPTOSIS IN MESANGIAL CELLS (MCS) IN VITRO M. Araujo, S.Q. Doi, C.E. Palant, B.C. Bandyopadhyay, E.S. Nylen, K.L. Becker, Washington, DC, United States 0168 PLATELET, BUT NOT SKELETAL MUSCLE, MITOCHONDRIAL FUNCTION IS ALTERED IN PATIENTS WITH SEPTIC SHOCK A. Protti, F. Fortunato, M. Pluderi, L.P. Solimeno, N. Grimoldi, V. Lucchini, P. Tecchio, G.P. Comi, M.L. Caspani, L. Gattinoni, Milan, Italy 0169 ROLE OF IL-10 IN INCREASED S100A8/A9 MRNA EXPRESSIONS DURING ENDOTOXIN-TOLERANCE M. Fontaine, S. Planel, E. Peronnet, V. Barbalat, E. Cerrato, C. Arnaud, F. Wallet, C. Tassin, V. Piriou, A. Pachot, G. Monneret, A. Lepape, F. Venet, Lyon, France 0170 THE GLUCOCORTICOID RECEPTOR EXPRESSION AND FUNCTION IS DECREASED DURING EXPERIMENTAL STAPHYLOCOCCUS AUREUS SEPSIS - A MECHANISM OF STEROID RESISTANCE? M. Bergquist, C. Rylander, G. Hedenstierna, C. Lindholm, Uppsala, Sweden 0171 BACTERIAL CLEARANCE IN SEPTIC MICE IS MODULATED BY MCP-1/CCL2 AND NITRIC OXIDE R.N. Gomes, M.G.A. Teixeira-Cunha, R.T. Figueiredo, P.E. Almeida, S.C. Alves, F.A. Bozza, P.T. Bozza, G.A. Zimmerman, M.T. Bozza, H.C. Castro-Faria-Neto, Rio de Janeiro, Brazil 0172 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 0173 ORGAN-SPECIFIC ALTERATIONS IN MITOCHONDRIAL RESPIRATION IN A PORCINE MODEL OF SEPSIS-INDUCED MULTIPLE ORGAN FAILURE V. Jeger, T.D. Correa, A.J. Pereira, M. Vuda, J. Takala, S. Djafarzadeh, S.M. Jakob, Bern, Switzerland 0174 EXPRESSION OF MONOCYTE PHOSPHODIESTERASES AT THE ICU ADMISSION OF SEPTIC PATIENTS: AN MRNA STUDY C. Lelubre, K. Zouaoui Boudjeltia, M. Piagnerelli, A. Rousseau, P. Biston, M. Vanhaeverbeek, J.L. Vincent, Bruxelles, Belgium 0175 EARLY GENOMIC TSUNAMI IS OBSERVED AT THE ONSET OF SEPTIC SHOCK M.-A. Cazalis, F. Frager, E. Peronnet, A. Pachot, A. Lepape, G. Monneret, F. Venet, Lyon, France 0176 LOW IMMUNOGLOBULIN G LEVELS AT ADMISSION REDUCES THE ODDS FOR 28 DAY MORTALITY COMPARED TO NORMAL LEVELS: PROSPECTIVE COHORT STUDY IN SEVERE SEPSIS M. Shankar-Hari, M. Singer, V. Cornelius, B. Sanderson, A. Gordon, M. Terblanche, K. Rowan, R. Beale, J. Spencer, London, United Kingdom 0177 NEURAMINIDASE MRNA EXPRESSION IS MODIFIED IN MONOCYTES FROM SEPTIC PATIENTS C. Lelubre, K. Zouaoui Boudjeltia, P. Biston, A. Rousseau, M. Vanhaeverbeek, J.-L. Vincent, M. Piagnerelli, Bruxelles, Belgium 0178 EARLY IMPORTANT ROLE OF B LYMPHOCYTES IN PATIENTS WITH SEPTIC SHOCK R. de Pablo, J. Monserrat, A. Prieto, M. Martín, E. Reyes, M. Alvarez-Mon, Alcala de Henares, Spain 0179 PLASMA FROM SEPTIC PATIENTS ENHANCES BACTERIAL PHAGOCYTOSIS BUT IMPAIRS CHEMOTAXIS BY NEUTROPHIL-LIKE HL-60 CELLS C.R.A. Oliveira, V. Nobre, I. Dunn, J. Pugin, Belo Horizonte, Brazil 0180 IMMUNITY IN SEVERE SEPSIS F. Valenzuela-Sanchez, R. Bohollo-Austria, B. Valenzuela-Méndez, J.F. Rodríguez-Gutierrez, M. Recuerda-Núñez, S. Garzón-López, Jerez de la Frontera, Spain 0181 EVALUATION OF THE EFFECT OF THREE DIFFERENT INOTROPIC SUPPORT STRATEGIES IN THE NORMAL AND STUNNED NEWBORN PIGLET HEART ON HAEMODYNAMICS AND MYOCARDIAL METABOLISM J.A. Hyldebrandt, L.M. Kolstrup, P.D. Colding, C.A. Frederiksen, J. Heiberg, S. Rothmann, M.R. Schmidt, H.B. Ravn, Aarhus, Denmark 0182 MODULATION OF THE SYSTEMIC INFLAMMATORY RESPONSE IN CRITICAL ILL CHILDREN AFTER PARENTERAL GLUTAMINE SUPPLEMENTATION. PRELIMINARY RESULTS I. Jordan, M. Balaguer, A. Felipe, E. Esteban, L. Hernandez, M. Villaronga, M. Molero, F.J. Cambra, Barcelona, Spain 0183 PROGNOSIS VALUE OF ADRENOMEDULLIN IN SERIOUS BACTERIAL INFECTION IN CHILDREN ADMITTED AT Paeditatric INTENSIVE CARE UNIT I. Jordan, P. Corniero, J. Ortiz, D. Vila, J. Velasco, M. Balaguer, E. Esteban, F.J. Cambra, Barcelona, Spain 0184 OUTCOMES ANALYSIS OF CHILDREN WITH SEVERE ADENOVIRAL RESPIRATORY INFECTION M.C. Spaeder, Washington, DC, United States 0185 COST ATTRIBUTABLE TO VENTILATOR-ASSOCIATED PNEUMONIAE IN Paeditatric CRITICAL CARE E. Esteban, I. Jordan, G. Gelabert, M. Urrea, D. Suarez, F.J. Cambra, M. Balaguer, R. Ferrer, Esplugues de Llobregat, Spain 0186 UTILISATION OF INO USING A NOVEL VENTILATOR CIRCUIT CONNECTOR UNDER SIMULATED NEONATAL MECHANICAL VENTILATION CONDITIONS AN IN VITRO STUDY J. Mazela, K. Chmura, C. Henderson, T.J. Gregory, M. Keszler, J. Gadzinowski, Poznan, Poland 0187 ACUTE NEUROLOGIC INJURY IN NEONATES SUPPORTED WITH EXTRACORPOREAL MEMBRANE OXYGENATION: AN ANALYSIS OF ELSO REGISTRY DATA A. Polito, C.S. Barrett, R.T. Peter, R. Netto, P.E. Cogo, R.R. Thiagarajan, Roma, Italy 0188 ANAEMIA AMONG PAEDIATRIC CRITICAL CARE SURVIVORS PREVALENCE AND RESOLUTION Q.N. Ngo, D. Matsui, R. Singh, S. Zelcer, A. Kornecki, London, Canada 0189 ORGANISATION AND TRAINING OF THE ACUTE CARE OF CRITICALLY ILL CHILDREN IN GENERAL HOSPITALS IN THE SOUTHEAST NETHERLANDS; WE CAN DO BETTER S.J.V. Sambeeck, S. Martens, G. Vos, Maastricht, Netherlands 0190 Area Setubal Poster Corner PAEDIATRICS 1: NOT SMALL ADULTS! Chairs: Samuel Ajizian, Winston Salem, United States & TBA 10:10 - 12:00 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience Scientific programme J. Textoris, R. Ouedraogo, A. Daumas, E. Ghigo, C. Capo, M. Leone, J.-L. Mège, Marseille Cedex, France MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER IDENTIFICATION OF VARIOUS ACTIVATION STATES OF MACROPHAGES BY MALDI-TOF MASS SPECTROMETRY 107 Scientific programme MONDAY 15 OCTOBER Y. Yamaguchi, G. Inagawa, Y. Horimoto, T. Goto, Yokohama, Japan 0191 EVALUATION OF CORTISOL LEVEL AS PROGNOSTIC FACTOR IN Paeditatric PATIENTS WITH ACUTE SHOCK IN A SINGLE CENTRE E.J. Ha, Y.A. Kim, W.K. Jang, S.J. Park, Seoul, Republic of Korea 0192 STANDARD DEEP HYPOTHERMIC CIRCULATORY ARREST FOR PAEDIATRIC CARDIAC SURGERY IS NOT A RISK FACTOR OF ACUTE KIDNEY INJURY ASSESSED BY NEW BIOMARKERS T. Mroczek, M. Miklaszewska, K. Zachwieja, P. Korohoda, J. Skalski, J. Pietrzyk, Krakow, Poland 0193 STEP - SPECIALISED PAEDIATRIC EMERGENCY TEAM FOR INTERHOSPITAL TRANSPORT OF CRITICALLY ILL CHILDREN A. Dinis, A. Dias, J.F. Farela Neves, L. Carvalho, C. Pinto, T. Dionísio, Coimbra, Portugal 0194 FEASIBILITY OF TRANS-THORACIC ECHOCARDIOGRAPHIC ASSESSMENT TO DETERMINE FLUID RESPONSIVENESS IN CHILDREN WITH SEPTIC SHOCK K. Sasidaran, J. Muralidharan, S.C. Singhi, M.K. Rohit, Chandigarh, India 0195 AN EVALUATION OF CRITICAL CARE REFERRALS USING LEVELS OF CRITICAL CARE AND A MODIFIED SBAR COMMUNICATION TOOL M.M. Tanaka Gutiez, L.M. Holler Sotomayor, D. Waldschutz, O. Rice, D. Harding, M. Jennings, London, United Kingdom 0196 CAN WE YET ASSESS THE QUALITY OF DNAR (DO NOT ATTEMPT RESUSCITATION) ORDERS INSTITUTED BY AN ESTABLISHED MEDICAL EMERGENCY TEAM AT A DISTRICT GENERAL HOSPITAL IN UNITED KINGDOM? AN OBSERVATIONAL STUDY L. Kocierz, I. Walker, J. Bhogal, L. Jones, A. Low, R. Anslow, D. Pandit, Dudley, United Kingdom 0197 THE CHALLENGES OF OFF-SERVICE PATIENTS: EXPLORING PATTERNS OF UTILISATION OF CRITICAL CARE RESPONSE TEAMS (CCRT) I.A. Daley, L.A. Hawryluck, A. Doyle, D. Morris, Toronto, Canada 0198 USE OF HIGH-FIDELITY SIMULATION TRAINING TO IMPROVE DELIVERY OF HIGH QUALITY BLS BY FIRST RESPONDERS N. Wong, K. Allan, T. Aves, P. Dorian, Toronto, Canada 0199 A PROSPECTIVE AUDIT: CENTRAL VENOUS CANNULATION - TECHNIQUES AND COMPLICATIONS AT SULTAN QABOOS UNIVERSITY HOSPITAL, MUSCAT, OMAN S.K. Birur Sadashivaiah, R. Kausalya, D. Dyamanna, Muscat, Oman 0200 INTRODUCTION OF A SEPSIS SCREENING TOOL AND CARE BUNDLE USING A MOULAGE-BASED TRAINING PROGRAM TO IMPROVE RECOGNITION AND MANAGEMENT OF SEVERE SEPSIS T. Stephens, H. Mills, S. Nourse, A. Lillis, G. Mandersloot, J. Hadley, London, United Kingdom 0201 USEFULNESS OF AUTOPSY STUDIES IN ICU P. Fernandez Ugidos, R. Gomez Lopez, M.J. Garcia Monge, M. Mourelo Fariña, P. Vidal Cortes, R. Estevez Loureiro, R. Alvarez Rodriguez, J. Priego Sanz, D. Freire Moar, Ourense, Spain 0202 IMPLEMENTING THE LIVERPOOL CARE PATHWAY FOR THE DYING PATIENT ACROSS A REGIONAL CRITICAL CARE NETWORK D. Parsons, M. Gambles, L. Chapman, Liverpool, United Kingdom 0203 CHEST PAIN UNITS. ARE THEY USEFUL TODAY? M.A. Ramirez-Marrero, I. Vegas-Vegas, M. CanoGarcia, D. Gaitan-Roman, B. Luque-Aguirre, G. Ballesteros-Derbenti, M. de Mora-Martin, Malaga, Spain 0204 BENEFICIAL EFFECTS OF THE PRESCRIPTION OF IVABRADINE IN PATIENTS WITH CHEST PAIN AND ANGIOGRAPHICALLY NORMAL CORONARY ARTERIES M.A. Ramirez-Marrero, B. Perez-Villardon, I. Vegas-Vegas, D. Gaitan-Roman, M. CanoGarcia, G. Ballesteros-Derbenti, M. de MoraMartin, Malaga, Spain 0205 PROFESSIONAL PROFILE OF FEMALE DOCTORS WORKING AT CHILEAN INTENSIVE CARE UNITS C.C. Herrera Contreras, A. Cortes, Santiago, Chile 0206 PRE-ICU UNDERSTANDING OF SODIUM AND WATER PHYSIOLOGY AND MANAGEMENT OF DYSNATREMIA ARE SUBOPTIMAL R. Nagappan, P. Gibson, Melbourne, Australia 0207 INFLUENCE OF LIBERALISATION OF ICU VISITING POLICES ON BURNOUT OF DOCTORS AND NURSES A. Giannini, G. Miccinesi, E. Prandi, M. Audisio, A. Bencivinni, E. Biagioni, E. Castenetto, I. Laganà, R. Oggioni, V. Porta, R. Salcuni, A. Sarti, M.G. Visconti, C. Borreani, Milan, Italy 0208 ASSESSMENT OF NEED FOR TRAINING OF JUNIOR DOCTORS IN INTRA HOSPITAL TRANSFER OF ACUTELY ILL PATIENTS C.N. Prasad, R. Hayes, M. Ranganathan, Nuneaton, United Kingdom 0209 Area Sintra Poster Corner IMPROVING ICU CARE & ORGANISATION Chairs: Hans Flaatten, Bergen, Norway & Jacques-André Romand, Geneva, Switzerland 10:10 - 12:00 108 MANUAL CUFF PALPATION TEST IN CHILDREN 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 PNEUMONIA REVISITED Chairs: Garyfallia Poulakou, Athens, Greece & Geoffrey Bellingan, London, United Kingdom 10:10 - 12:00 PROGNOSTIC BIOMARKERS IN SEVERE COMMUNITY-ACQUIRED PNEUMONIA (SCAP) PATIENTS ADMITTED TO THE ICU O. Omelyanenko, A. Makarevich, P. Jagus, J. Chorostowska-Wynimko, Minsk, Belarus 0210 REDUCTION OF VENTILATOR ASSOCIATED PNEUMONIA (VAP) THROUGH REPOSITIONING IN CRITICALLY ILL PATIENTS M. Colmenero, F. Manzano, M.-R. Mañas-Vera, M.D.M. Jiménez-Quintana, A.M. Pérez-Pérez, E. Fernández-Móndejar, Granada, Spain 0211 FIBEROPTIC BRONCHOSCOPY IN INTENSIVE CARE UNIT: ANALYSIS OF 276 PROCEDURES. A REPORT OF 8 YEARS OF EXPERIENCE A. Estella, Jerez, Spain 0212 A STRATEGY BASED ON GALACTOMANN ANTIGEN DETECTION AND PCR FOR INVASIVE ASPERGILLOSIS FOLLOWING INFLUENZA A (H1N1) PNEUMONIA C. Guervilly, A. Roch, S. Ranque, J.-M. Forel, L. Papazian, Marseille, France 0213 VENTILATOR ASSOCIATED PNEUMONIA (VAP) EPIDEMIOLOGY IN ICU BEFORE THE IMPLANTATION OF ZERO PNEUMONIA PROTOCOL M. Colomo Gonzalez, M.M. Jimenez Quintana, M.S. Monsalve Álvarez de Cienfuegos, M.R. Mañas Vera, L.I. Rodriguez Peralta, M. Barranco Ruiz, Granada, Spain 0214 INCREASED MORTALITY IN NON-AIDS PATIENTS WITH SEVERE PNEUMOCYSTIS PNEUMONIA RECEIVING HIGH DOSE ADJUNCTIVE STEROIDS V. Lemiale, A. Debrumetz, C. Alberti, A. Delannoy, N. Maziers, J.-R. Zahar, C. Declaux, G. Bollée, E. Azoulay, Paris, France 0215 CONTINUOUS INFUSION OF PIPERACILLIN TAZOBACTAM IN PSEUDOMONAS AERUGINOSA INFECTION: A PROPENSITY SCORE MATCHED MULTICENTRE COHORT STUDY B. Serra de Oliveira, J. Gonçalves-Pereira, S. Janeiro, J. Estilita, C. França, Lisboa, Portugal 0216 COST EFFECTIVENESS ANALYSIS OF SDD AND SOD USE IN DUTCH ICUS M. Bakker, A.M.G.A. De Smet, E.A.N. Oostdijk, A. De Wit, M.J.M. Bonten, Utrecht, Netherlands 0217 PREVENTION OF VENTILATOR-ASSOCIATED PNEUMONIA BY EARLY TRACHEOSTOMY IN PATIENTS WITH TRAUMA: PROPENSITY SCORE MATCHING ANALYSIS N. Saito, T. Yagi, Y. Hara, H. Matsumoto, K. Mashiko, Chiba, Japan 0218 PLASMA UBIQUINONE LEVELS ARE UNAFFECETED BY SIMVASTATIN IN ACUTE LUNG INJURY D. Brealey, I. Hargreaves, J. Land, M. Singer, D. Mc Auley, London, United Kingdom 0219 VENTILATOR-ASSOCIATED PNEUMONIA IN CARDIAC INTENSIVE CARE UNITS: A SURVEY OF UK PRACTICE A. Wong, P. Diprose, Southampton, United Kingdom 0220 RISK FACTORS FOR THE DEVELOPMENT OF VENTILATOR ASSOCIATED PNEUMONIA AFTER CARDIAC SURGERY M. Zambon, G. Bertarelli, G. Landoni, G. Borghi, L. Fumagalli, G. Marino, A. Zangrillo, Milan, Italy 0221 IMPACT OF APPLYING VENTILATOR CARE BUNDLE ON VENTILATOR ASSOCIATED PNEUMONIA INCIDENCE RATE. DOES IT WORK IN DEVELOPING COUNTRIES? M. Botros, M.M. Farrag, A.M. Lotfy, S. Farouk, H.M. Mostafa, A.H. Sayed, A. Zaghloul, A.M. Hasanin, H. Azizi, A.M. Mukhtar, Cairo, Egypt 0222 EFFECT OF CYTOMEGALOVIRUS AND HERPES SIMPLEX VIRUS ON THE PROGNOSIS OF MECHANICALLY VENTILATED PATIENTS SUSPECTED TO HAVE VENTILATOR-ASSOCIATED PNEUMONIA Y. Coisel, S. Bousbia, J.-M. Forel, B. Lascola, D. Raoult, S. Jaber, L. Papazian, Montpellier, France 0223 Scientific programme Poster Corner MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER Life-Priority 30 minutes before the next session? Visit the Replay theatre Level 1 - Exhibition Area A - Gallery L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 109 Scientific programme ROOM Lisbon Clinical Challenges Session HOW DO I PREVENT ARDS IN PATIENTS AT RISK? Chair: Claude Guérin, Lyon, France Presentation 11:10 - 12:00 Ognjen Gajic, Rochester, United States ROOM Berlin Clinical Challenges Session HOW DO I EVALUATE AND MANAGE A COMATOSE PATIENT? Chair: Nino Stocchetti, Milan, Italy Presentation 11:10 - 12:00 Tarek Sharshar, Paris, France ROOM Barcelona Clinical Challenges Session HOW DO I MANAGE CONTACT ISOLATION FOR MULTIRESISTANT BACTERIAS? Chair: Antonio Torres, Barcelona, Spain Presentation 11:10 - 11:20 ROOM Geneva Christian Brun-Buisson, Creteil, France Clinical Challenges Session HOW DO I MANAGE THE BURN PATIENT? Chair: Stijn Blot, Ghent, Belgium Presentation 11:10 - 12:00 ROOM Rome Philipp Metnitz, Vienna, Austria Continuous Professional Education Session ETHICS OF COST CONTAINMENT Chairs: Peter Suter, Geneva, Switzerland & Bob Truog, Boston, United States 11:10 - 11:35 Cost containment and ICU activities Jukka Takala, Bern, Switzerland 11:35 - 12:00 Impact of budget reduction on healthcare Peter Suter, Geneva, Switzerland ROOM Glasgow Clinical Challenges Session HOW DO I TREAT HIV/AIDS IN THE ANTIRETROVIRAL THERAPY ERA? MONDAY 15 OCTOBER Chair: Jordi Rello, Barcelona, Spain Presentation 11:10 - 12:00 ROOM Stockholm Fernando Bozza, Rio de Janeiro, Brazil Clinical Challenges Session HOW DO I MANAGE CANCER PATIENTS IN THE ICU? Chair: Manu Malbrain, Antwerp, Belgium Presentation 11:10 - 12:00 ROOM Paris Frédéric Pène, Paris, France Clinical Challenges Session HOW DO I TREAT MUSCLE WEAKNESS IN THE ICU? Chair: Jan Wernerman, Stockholm, Sweden 11:10 - 12:00 Presentation ROOM Vienna Carole Ichai, Nice, France Clinical Challenges Session HOW DO I IMPROVE PATIENT-VENTILATOR SYNCHRONY? Chair: Michael Quintel, Gottingen, Germany 11:10 - 12:00 Presentation ROOM Athens Jordi Mancebo, Barcelona, Spain Clinical Challenges Session HOW DO I REDUCE GUILT DURING family meetings? Chair: Margaret Herridge, Toronto, Canada 11:10 - 12:00 110 Presentation 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL Nurses & AHP Bara Ricou, Geneva, Switzerland L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 12:30 - 12:35 Introduction Marco Maggiorini, Zurich, Switzerland 12:35 - 13:10 The KDIGO AKI Guideline: Implications for Clinical Practice Daniel De Backer, Brussels, Belgium 13:10 - 13:45 Renal Recovery After Acute Kidney Injury: Clinical and Health Economic Considerations Max Bell, Stockholm, Sweden 13:45 - 14:00 Discussion ROOM Berlin Industry Sponsored Session THE FUTURE OF GLUCOSE MONITORING IN THE ICU Chairs: Carole Ichai, Nice, France & Jean-Charles Preiser, Brussels, Belgium 12:30 - 13:00 Frequency of measurement and optimised glycaemic control in the ICU Djillali Annane, Garches, France 13:00 - 13:30 Emerging technologies for automated glucose monitoring Nigel Scawn, Liverpool, United Kingdom 13:30 - 14:00 Clinical experience with the GlucoClear Continuous Glucose Monitoring System Luc Foubert, Aalst, Belgium ROOM BARCELONA Industry Sponsored Session Individualised nutritional strategies in ICU Chairs: Martin Dünser, Salzburg, Austria & Jukka Takala, Bern, Switzerland 12:30 - 12:35 Welcome and introduction 12:35 - 12:55 Adequate nutrition: Did we learn enough to change the practice? Jean-Daniel Chiche, Paris, France 12:55 - 13:15 Energy requirement: Do we need to measure? Jan Wernerman, Stockolm, Sweden 13:15 - 13:35 Barriers to Enteral Nutrition: GI dysfunction in ICU patients Stephan Jakob, Bern, Switzerland 13:35 - 13:55 Can Early Enteral Nutrition prevent gut dysfunction? Gordon Doig, Sydney, Australia 13:55 - 14:00 Question & Answer Session ROOM Geneva Industry Sponsored Session GOOD CLINICAL NUTRITION PRACTICE Chairs: Pierre Dechelotte, Rouen, France & Mette Berger, Lausanne, Switzerland 12:30 - 12:35 Introduction Pierre Dechelotte, Rouen, France 12:35 - 13:15 Is it worth adapting the energy and protein intake to the patient’s individual requirements? Mette Berger, Lausanne, Switzerland 13:15 - 13:55 Glutamine for the intensivist John Stover, Zurich, Switzerland 13:55 - 14:00 Concluding remarks Pierre Dechelotte, Rouen, France ROOM Rome Industry Sponsored Session Scientific programme Chair: Marco Maggiorini, Zurich, Switzerland & TBA 111 MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER room Lisbon Industry Sponsored Session New Clinical Perspectives on the Management of Critically Ill Patients with Acute Kidney Injury BRAIN MONITORING IN ICU: WHY AND HOW? Chairs: Giuseppe Citerio, Monza, Italy & Can Ince, Rotterdam, Netherlands 12:30 - 12:40 Introduction Can Ince, Rotterdam, Netherlands 12:40 - 13:05 Importance of NIRS Monitoring in ICU after cardiac surgery Rudolf Keunen, The Hague, Netherlands 13:05 - 13:30 Monitoring oxygen delivery in high risk surgery: Evidence and new possibilities? Maurizio Cecconi, London, United Kingdom 13:30 - 13:55 Sedation Management in ICU with processed EEG technology Rafael Manez, Barcelona, Spain 13:55 - 14:00 Questions and Conclusion Can Ince, Rotterdam, Netherlands L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 111 Scientific programme ROOM GLASGOW Industry Sponsored Session The role of betablockers in sepsis Chairs: Jean-François Timsit, Grenoble, France & Mervyn Singer, London, United Kingdom 12:30 - 12:40 Opening Remarks Mervyn Singer, London, United Kingdom 12:40 - 13:00 The physiologic basis of haemodynamics treatment in sepsis and septic shock Walter Hasibeder, Ried Im Innkreis, Austria 13:00 - 13:20 Preclinical data suppporting betablockers rationale in sepsis Alain Rudiger, Zurich, Switzerland 13:20 - 13:40 Betablocker use in septic patient: Experience of a single centre pilot Andrea Morelli, Rome, Italy 13:40 - 13:50 Panel question session 13:50 - 14:00 Concluding comments Mervyn Singer, London, United Kingdom ROOM Stockholm Industry Sponsored Session CHANCE OF SUCCESS IN NIV OPTIMISING PATIENT-VENTILATOR INTERACTION AND Chairs: Massimo Antonelli, Rome, Italy & Paolo Navalesi, Alessandria, Italy 12:30 - 13:00 An overview of NIV ventilation Paolo Navalesi, Alessandria, Italy 13:00 - 13:30 Why does NIV fail? Is there a role for NIV NAVA? Leo Heunks, Nijmegen, Netherlands 13:30 - 14:00 NIV NAVA in the post-operative setting Mathieu Raux, Paris, France ROOM Paris Industry Sponsored Session NEW AKI BIOMARKERS: A REVOLUTION IN RISK ASSESSMENT Chairs: Eric Hoste, Ghent, Belgium & Claudio Ronco, Vicenza, Italy MONDAY 15 OCTOBER 12:30 - 12:40 Introduction Claudio Ronco, Vicenza, Italy 12:40 - 13:20 New biomarkers: A revolution in risk assessment John Kellum, Pittsburgh, United States 13:20 - 14:00 Expert panel on AKI and Risk Assessment Eric Hoste, Ghent, Belgium Patrick Honoré, Brussels, Belgium Michael Joannidis, Innsbruck, Austria John Kellum, Pittsburgh, United States Lakhmir Chawla, Washington, United States ROOM Vienna Industry Sponsored Session OPTIFLOW™ - EXTENDING THE BOUNDARIES OF OXYGEN THERAPY: LATEST TRIAL RESULTS AND EVOLVING CLINICAL EXPERIENCE Chairs: John Laffey, Galway, Ireland & Salvatore Maggiore, Rome, Italy 112 12:30 - 13:00 Recent advances in nasal high flow with Optiflow™ Jean-Damien Ricard, Paris, France 13:00 - 13:30 Latest trial results and clinical experience in the cardiothoracic population Rachael Parke, Auckland, New Zealand 13:30 - 13:45 Latest trial results and clinical experience in the cardiothoracic population Shay McGuinness, Auckland, New Zealand 13:45 - 14:00 Optiflow™ during bronchoscopy João Wink, Porto, Portugal 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Scientific programme Industry Sponsored Session Philips 12:30 - 12:50 Bundles of joy - reducing harm on the ICU 12:50 - 13:00 Discussion 13:00 - 13:20 Breaking walls - saving lives! The impact of MET-systems 13:20 - 13:30 Discussion 13:30 - 13:50 Keep it simple, keep it safe: Early recognition of patient deterioration and impact on ICU performance 13:50 - 14:00 Discussion Area Beja Poster Corner Tamas Szakmany, Llantrisant, United Kingdom Jens-Christian Schewe , Bonn, Germany Chris Subbe , Wrexham, United Kingdom TECHNOLOGY FOR VENTILATORY SUPPORT Chairs: Franco Valenza, Milan, Italy & Michael Quintel, Gottingen, Germany 14:00 - 15:50 CHANGES IN SKELETAL MUSCLE NADH REDOX STATE, TISSUE OXYGENATION AND MICROVASCULAR BLOOD FLOW DURING GRADED HYPOXIA N.J. Ekbal, A. Mayevsky, M. Singer, London, United Kingdom 0224 INFLUENCE OF BODY DIMENSIONS IN THE ANALYSIS OF PULMONARY PULSATILITY BY ELECTRICAL IMPEDANCE TOMOGRAPHY F.J. da Silva Ramos, L.C.P. Azevedo, G.P.P. Schettino, M.B.P. Amato, E.L.V. Costa, Sao Paulo, Brazil 0225 COMPARISON OF TWO METHODS FOR ANALYSIS OF PULMONARY PULSATILITY BY ELECTRICAL IMPEDANCE TOMOGRAPHY: APNEA AND ELECTROCARDIOGRAPHY-GATING F.J. da Silva Ramos, L.C.P. Azevedo, G.P.P. Schettino, M.B.P. Amato, E.L.V. Costa, Sao Paulo, Brazil 0226 A PRELIMINARY STUDY ASSESSING THE ACOUSTICAL ENVIRONMENT OF AN INTENSIVE CARE UNIT D. Dawson, G. Memoli, R. Barham, M. Hamilton, M. Grounds, B. Phillips, London, United Kingdom 0227 MONITORING OF THE WEANING PROCESS IN PATIENTS WITH SUCCESSFUL OUTCOME AFTER MECHANICAL VENTILATION M. Matveev, V. Krasteva, I. Jekova, G. Georgiev, L. Todorova, R. Prokopova, Sofia, Bulgaria 0228 TIDAL VOLUME DELIVERY FROM ICU VENTILATORS IN BTPS CONDITION. A BENCH MODEL P. Duchateau, C. Guérin, Lyon, France 0229 IMPLICATIONS OF HEART AND LUNG INTERACTIONS DURING THE FIRST 3 MINUTES OF APNEA TESTING IN CPAP C. González-Fernández, I. Rubio-López, M.A. Ballesteros-Sanz, F.J. Burón-Mediavilla, J.C. Rodríguez-Borregán, M. López-Sánchez, V. Suárez-lópez, A. Quesada-Suescun, Santander, Spain 0230 PERFORMANCE OF AN ICU VENTILATOR AND TWO TURBIN-BASED VENTILATORS DEDICATED TO NON INVASIVE VENTILATION (NIV) IN SIMULATED HIGH INSPIRATORY EFFORT AND RATE: A NIV BENCH-STUDY L. Piquilloud, P. Reichmuth, D. Thevoz, P. Jolliet, J.-P. Revelly, Lausanne, Switzerland 0231 UTILISATION OF A CLOSED LOOP DEVICE TO TITRATE OXYGEN FLOW (FREEO2) IN COPD EXACERBATION. A RANDOMISED CONTROLLED PILOT STUDY F. Lellouche, P.-A. Bouchard, M. Roberge, G. Babin, E. L’Her, F. Maltais, Y. Lacasse, Québec, Canada 0232 BENEFITS OF HIGH FLOW NASAL OXYGEN CANNULA THERAPY AFTER ENDOTRACHEAL EXTUBATION N. Rittayamai, J. Tschiekuna, P. Ruchiwit, Bangkok, Thailand 0233 IN VITRO EVALUATION OF SIX DIFFERENT HEAT MOISTURE EXCHANGERS FOR SPONTANEOUSLY BREATHING TRACHEOSTOMISED PATIENTS C. Brusasco, F. Corradi, F. Simonassi, M. Bona, F. Bruno, M. Marsili, M. Vargas, P. Pelosi, Genoa, Italy 0234 EXTRACORPOREAL CARBON DIOXIDE REMOVAL: A NEW LOW FLOW VENO-VENOUS DEVICE IN LUNG TRANSPLANTATION B. Bergantino, F. Ruberto, F. Pugliese, C. D’Arena, P. Congi, M. Frattini B, Roma, Italy 0235 CLOSE-LOOP OXYGEN TITRATION SYSTEM (FREEO2) DURING NONINVASIVE VENTILATION AND CPAP IN HEALTHY SUBJECT WITH INDUCED HYPOXEMIA P.-A. Bouchard, M.-C. Ferland, G. Babin, E. L’Her, F. Lellouche, Québec, Canada 0236 PLASMAPHERESIS: A REVIEW OF OUR PRACTICE WITH AN UNUSUAL TECHNIQUE IN ICU A. Farinha, I. Gonçalves, R. Ribeiro, Setúbal, Portugal 0237 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER ROOM Athens Chairs: Tamas Szakmany, Llantrisant, United Kingdom & Hans Flaatten, Bergen, Norway 113 Poster Corner Nurses & AHP IMPROVING COMMUNICATION IN THE ICU Chairs: Bara Ricou, Geneva, Switzerland & Andrej Michalsen, Tettnang, Germany 14:00 - 15:50 MONDAY 15 OCTOBER Scientific programme Area Braga A SURVEY OF INTENSIVE CARE UNIT DISCHARGE COMMUNICATION PRACTICES IN THE UNITED KINGDOM D.J.N. Wong, A.J. Wickham, Chertsey, United Kingdom 0238 IMPROVING COMMUNICATION IN A NEURO-TRAUMA CRITICAL CARE UNIT A.A. Waters, D. Bhasker, H. Mcconnell, Newcastle upon Tyne, United Kingdom 0239 FULL DISCLOSURE AFTER A LETHAL, PREVENTABLE MEDICATION ERROR T. van Galen, S.F.M. Evelein-Brugman, Amsterdam, Netherlands 0240 A QUALITATIVE STUDY OF THE HEALTHCARE WORKERS’ EXPERIENCE OF THE ICU DIARIES M. Garrouste-Orgeas, A. Périer, A. RevahLevy, C. Bruel, N. Cousin, S. Angeli, S. Brochon, F. Philippart, B. Misset, Paris, France 0241 A SURVEY OF ICU MEDICAL STAFF ON INTERDISCIPLINARY COMMUNICATION ABOUT END-OF-LIFE CARE AND BURNOUT D. Schwarzkopf, H. Skupin, I. Westermann, R. Pfeifer, M. Fritzenwanger, A. Guenther, B. Kabisch, H.-R. Figulla, O.W. Witte, K. Reinhart, C.S. Hartog, Jena, Germany 0242 SATISFACTION AND EMOTIONAL BURDEN OF RELATIVES ON THE ICU D. Schwarzkopf, S. Behrend, I. Westermann, H. Skupin, R. Pfeifer, M. Fritzenwanger, A. Guenther, B. Kabisch, K. Reinhart, C.S. Hartog, Jena, Germany 0243 PRACTICES OF RELATIONSHIP BETWEEN MEDICAL STAFF AND ICU PATIENTS’ RELATIVES AND ETHICAL DECISIONS IN 66 SOUTHERN FRENCH INTENSIVE CARE UNITS: A ONE-DAY SURVEY C. Roger, M. Leone, S. Jaber, J.-M. Constantin, B. Allaouchiche, J.-Y. Lefrant, Nimes, France 0244 COMMUNICATION WITH RELATIVES - IS IT TIME WE SET STANDARDS? C. Ball, S. Moss, D. Bryden, Sheffield, United Kingdom 0245 DIFFERENCES AMONG ICU DOCTORS AND NURSES FACING END-OF-LIFE DECISIONS ON PORTUGUESE ICU (RESULTS FROM THE DEFIVUCI STUDY) A. Carneiro, Porto, Portugal 0246 “REST IN PEACE”: FORMALISING THE PROCESS OF CONFIRMING DEATH M.N. Kigozi, Y. Cheung, K. Grant, J. Ball, A. Zoumprouli, London, United Kingdom 0247 SOCIO-POLITICAL BACKGROUND FOR ORGAN DONATION IN 4TH MILITARY HOSPITAL IN WROCLAW T. Zawada, Z. Sycz, W. Mielnicki, J. Bartczak, P. Garba, Wroclaw, Poland 0248 ATTITUDES TOWARDS DOCUMENTATION OF TREATMENT LIMITATIONS IN A UK INTENSIVE CARE UNIT S.E. Liu, R.W. Hewson, London, United Kingdom 0249 UTILITY OF WEBCAM FACIAL FEATURE TRACKING AND KINECTTM SENSOR ARM MOVEMENT TRACKING AS HANDS-FREE TEXT COMMUNICATORS FOR PATIENTS IN CRITICAL CARE UNIT WHO CANNOT OTHERWISE COMMUNICATE M.B. Muthuswamy, D. Williams, J. Dingley, Swansea, United Kingdom 0250 COMMUNICATION RELATED TO END OF LIFE CARE DURING SHIFT HANDOVERS IN ICUS IN ISRAEL, THE UK AND AUSTRALIA R. Endacott, F.D.K. Ganz, J. Benbenishty, M. Ben Nunn, H. Ryan, W. Chamberlain, C. Boulanger, K. Davies, A. Schoter, W. Chaboyer, Plymouth, United Kingdom 0251 Area Cascais Poster Corner NON-INVASIVE VENTILATION: INDICATIONS & LIMITS Chairs: Marcelo Amato, Sao Paulo, Brazil & Jean-Jacques Rouby, Paris, France (TBC) 14:00 - 15:50 114 INCREASED USE OF NON-INVASIVE VENTILATION AND CHANGES IN INDICATIONS AMONG FRENCH ICUS: THE 2011 OVNI STUDY A. Demoule, A. Kouatchet, S. Jaber, J. Lambert, F. Meziani, S. Perbet, L. Camous, R. JanssenLangenstein, M. Alves, B. Zuber, F. Collet, J. Messika, X. Favre, O. Guisset, B. Misset, A. Lafabrie, L. Brochard, E. Azoulay, Paris, France 0252 PREDICTIVE FACTORS FOR NONINVASIVE VENTILATION FAILURE IN HYPERCAPNIC ACUTE RESPIRATORY FAILURE D. Contou, C. Fragnoli, A. Cordoba Izquierdo, F. Boissier, C. Brun-Buisson, A.W. Thille, Creteil, France 0253 THE EFFECT OF HIGH FLOW CONDITIONED OXYGEN THERAPY ON PREVENTION OF POST-EXTUBATION FAILURE IN A NON-SELECTED POPULATION OF CRITICALLY ILL PATIENTS. A PRELIMINARY CASECONTROL STUDY G. Hernandez, C. Vaquero, P. Gonzalez, S. Garcia, E. de la Fuente, A. Villasclaras, C. Pardo, R. Cuena, R. Fernandez, Madrid, Spain 0254 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 0255 ACUTE RESPIRATORY DISTRESS SYNDROME IN PATIENTS WITH HAEMATOLOGIC MALIGNANCIES M. Turkoglu, G.U. Erdem, E. Suyanı, M.E. Sancar, M.M. Yalçın, G. Aygencel, Z. Akı, G. Sucak, Ankara, Turkey 0256 EFFECTIVENESS OF NON-INVASIVE VENTILATION IN THE TREATMENT OF SEVERE PNEUMONIA. DIFFERENCES BETWEEN THE COMMUNITYACQUIRED PNEUMONIA AND NOSOCOMIAL PNEUMONIA A. Carrillo, G. Gonzalez, A. Lopez, J.C. Pardo, N. Llamas, M.N. Alcazar, M.A. Fernandez, J. Canovas, Murcia, Spain 0257 RISK FACTORS FOR FAILURE OF NON-INVASIVE VENTILATION IN THE TREATMENT OF RESPIRATORY FAILURE EXACERBATIONS IN OBESITY HIPOVENTILATION SYNDROME G. Gonzalez, A. Carrillo, A. Lopez, N. Llamas, J.C. Pardo, M.N. Alcazar, M.A. Fernandez, A. Ramos, Murcia, Spain 0258 A DIAPHRAGM SONOGRAPHY STUDY OF ALTERATIONS IN BREATHING PATTERN INDUCED BY SWITCH FROM NASAL TO ORAL BREATHING E. Koco, G. Minas, P. Chatzaras, A. Kalakonas, V. Makrakis, C. Chaintoutis, M. Tsagourias, D. Matamis, Thessaloniki, Greece 0259 AVOIDING INVASIVE MECHANICAL VENTILATION BY EXTRACORPOREAL CARBON DIOXIDE REMOVAL IN PATIENTS FAILING NONINVASIVE VENTILATION S. Kluge, S. Braune, M. Engel, A. Nierhaus, D. Frings, H. Ebelt, A. Uhrig, M. Metschke, K. Wegscheider, N. Suttorp, S. Rousseau, Hamburg, Germany 0260 MONITORING OF NONINVASIVE VENTILATION BY THE SOFTWARE OF THE VENTILATORS IN THE ICU PATIENTS WITH HYPERCAPNIC RESPIRATORY FAILURE G. Gursel, M. Aydogdu, M. Turk, Y. Aldag, Ankara, Turkey 0261 BRONCHOSCOPIC INTUBATION DURING NON-INVASIVE VENTILATION FOR REFRACTORY HYPOXEMIC RESPIRATORY FAILURE I.Z. Barjaktarevic, D. Berlin, New York, United States 0262 EXTERNAL NASAL DILATOR STRIP IMPROVE OXYGENATION IN INTENSIVE CARE PATIENTS T. Kimura, S. Mimuro, M. Doi, S. Sato, Hamamatsu, Japan 0263 EFFECTS OF UPPER AIRWAY OBSTRUCTION ON RESPIRATORY MECHANICS IN A VARIABLE COMPLIANCE MODEL S.-H. Yun, J.-C. Park, Jeju, Republic of Korea 0264 IMPACT OF POST-OPERATIVE HYPOXIA AND CPAP USE IN PATIENTS AFTER MAJOR ABDOMINAL SURGERY IN THE CRITICAL CARE UNIT OF A UK TEACHING HOSPITAL V.C. Banks, A. Glossop, Sheffield, United Kingdom 0265 Area Coimbra Poster Corner BEDSIDE ASSESSMENT OF HAEMODYNAMICS Chairs: Michel Slama, Amiens, France & Xavier Monnet, Kremlin-Bicetre, France 14:00 - 15:50 DIASTOLIC LEFT VENTRICULAR FUNCTION BY ECHOCARDIOGRAPHY IN PATIENTS WITH SHOCK: TIME COURSE AND IMPLICATIONS FOR MORTALITY L. Bergenzaun, H. Ohlin, P. Gudmundsson, R. Willenheimer, M.S. Chew, Malmö, Sweden 0266 CAN I PREDICT CARDIAC INDEX USING CENTRAL VENOUS OXYGEN SATURATION IN PATIENTS WITH SEPTIC SHOCK? R. Neira, C. Luengo, Santiago, Chile 0267 ACCURACY OF RESPIRATORY VARIATIONS OF R-WAVE AMPLITUDE IN LEAD II TO PREDICT FLUID RESPONSIVENESS IN CRITICALLY ILL PATIENTS S. Petiot, Y. Mahjoub, E. Lorne, A.-A. Seydi, M. Levrard, N. Ammenouche, N. Airapetian, A. Friggeri, F. Tinturier, H. Dupont, Amiens, France 0268 NON-INVASIVE DETERMINATION OF STROKE VOLUME CHANGES IN RESPONSE TO PASSIVE LEG RAISING MANEUVER. ECHOCARDIOGRAPHY VERSUS NICOM ®. PRELIMINARY RESULTS C. Mora, X. Garcia, C. Sabatier, J. Mesquida, J. Masip, F. Baigorri, A. Artigas, Sabadell, Spain 0269 PREVALENCE OF GLOBAL LEFT VENTRICULAR MECHANICAL DYSSYNCHRONY AS MEASURED BY TOTAL-ISOVOLUMIC TIME IN PATIENTS ON THE CARDIOTHORACIC INTENSIVE CARE G. Tavazzi, E. Ridha, B. Waldron, S. Price, A. Vazir, Pavia, Italy 0270 ASSESSMENT OF PLEURA- AND PERICARDIAL EFFUSION AFTER OPEN HEART SURGERY USING FOCUS ASSESSED TRANSTHORACIC ECHOCARDIOGRAPHY L. Kamstrup Christiansen, C. Alcaraz Frederiksen, J. Fridolf Hermansen, P. Juhl-Olsen, E. Sloth, Aarhus N, Denmark 0271 INITIAL CLINICAL EXPERIENCE WITH A NOVEL, MINIATURISED TRANSOESOPHAGEAL ECHOCARDIOGRAPHY PROBE M. Geisen, F. Caliandro, M.E. Edsell, H. Meeran, M. Cecconi, S.N. Fletcher, London, United Kingdom 0272 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience Scientific programme J.A. De Araujo Neto, R.F. Bomfim, F.B. Lima, A.C. Gouveia, G.F. Amaral, F.M.P. Garrido, J.R. Silva, F.F. Amorim, M.O. Maia, Brasilia, Brazil MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER THE NONINVASIVE VENTILATION IN THE TREATMENT OF ARF IN PATIENTS WITH SEVERE COMMUNITY-ACQUIRED PNEUMONIA 115 Scientific programme PREDICTION OF CARDIAC INDEX (CI) BY BODY SURFACE TEMPERATURES MEASURED WITH TEMPERATURE PROBES AND NON-CONTACT INFRARED THERMOMETER W. Huber, A. Meidert, B. Saugel, V. Phillip, C. Schultheiss, S. Mair, U. Mayr, R. Schmid, Munich, Germany 0273 TEI INDEX AND ENDOMYOCARDIAL LONGITUDINAL STRAIN VALUE IN ACUTE PATIENTS WITH MYOCARDIAL INFARCTION OR PERICARDIAL DISEASE M. Ruiz Bailen, A. Castillo Rivera, A. Gomez Blizniak, D. Matallana Zapata, M.A. Martinez Arco, E. Ranea Ortega, Jaen, Spain 0274 HAEMODYNAMIC ASSESSMENT IN THE ACUTE PHASE OF SEPTIC SHOCK - DO THE RIVERS CRITERIA LAST LONGER THAN SIX HOURS? M.W. Prull, B. Sasko, A. Bittlinsky, T. Butz, G. Plehn, M. van Bracht, H.-J. Trappe, Herne, Germany 0275 ASSESSMENT OF LEFT VENTRICULAR PERFORMANCE IN PATIENTS WITH COPD R.R. Omar, W.A. Radwan, M.M. Khalaf, D.M. Ragab, S.F. Mikhail, Cairo, Egypt 0276 GOAL-DIRECTED HAEMODYNAMIC THERAPY IN CARDIAC SURGICAL PATIENTS: SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMISED CONTROLLED TRIALS H.D. Aya, M. Geisen, C. Ebm, M. Hamilton, A. Rhodes, M. Cecconi, London, United Kingdom 0277 ULTRASONOGRAPHIC INVESTIGATION OF THE EFFECT OF POSITIVE END EXPIRATORY PRESSURE (PEEP) ON THE CROSS-SECTIONAL AREA (CSA) OF THE FEMORAL VEIN IN ADULT PATIENTS WITH MECHANICAL VENTILATION J.-H. Ryu, S.-S. Han, S.-H. Do, Seongnam-si, Republic of Korea 0278 Area Estoril Poster Corner ICU INFECTIONS: BIOMARKERS & ANTIMICROBIAL TREATMENT 1 Chairs: Mitchell Levy, Providence, United States & Susanne Toussaint, Berlin, Germany MONDAY 15 OCTOBER 14:00 - 15:50 116 LIPOPROTEIN PATTERNS RELATED TO NEUTROPHIL CD64-EXPRESSION AND METABOLIC INDICES IN SEVERE SEPSIS AND NON-INFECTIOUS SIRS IN CHILDREN M.D. Fitrolaki, H. Dimitriou, A.-M. Spanaki, E. Tavladaki, S. Ilia, E. Geromarkaki, E. Vasilaki, E. Blevrakis, G. Briassoulis, Heraklion, Greece 0279 ENDOCARDITIS AT ICU: COULD WE PREDICT MORTALITY? P. Fernandez Ugidos, R. Gomez Lopez, P. Vidal Cortes, V. Aller Fernandez, M.T. Bouza Vieiro, L. Seoane Quiroga, G.B. Besteriro Grandio, M. Mourelo Fariña, J.M. Lopez Perez, Ourense, Spain 0280 INFECTIONS IN MECHANICALLY VENTILATED PATIENTS IN CANADIAN INTENSIVE CARE UNITS R. Matta, T. Sinuff, D. Heyland, D. Cook, P. Dodek, X. Jiang, A. Day, J. Muscedere, Kingston, Canada 0281 IMMUNOPHENOTYPIC ANALYSIS AND FUNCTIONAL CHANGES IN SEPTIC ICU PATIENTS:DIAGNOSTIC ACCURACY AND PROGNOSTIC VALUE K. Arvaniti, A. Fleva, C. Chaintoutis, D. Lathyris, A. Mpamzelis, A. Pitsioulis, A. Pavlitou-Tsiontsi, D. Matamis, Thessaloniki, Greece 0282 RELATIONSHIP BETWEEN POLYMORPHONUCLEAR LEUKOCYTE (PMN) COUNT IN BRONCHOALVEOLAR LAVAGE FLUID (BALF) AND FUNGUS CONTENT IN GRAM’S STAIN AND FUNGUS CONTENT IN FINAL MICROBIOLOGICAL REPORT G. Cavric, S. Naumovski Mihalic, M. Bogdanovic Dvorzak, G. Erceg, M. Rehoric Krkusek, D. Ilic, K. Njers, I. Budimir, I. Prkačin, Zagreb, Croatia 0283 ANTIBIOTIC DEESCALATION DURING THERAPY OF POSTOPERATIVE PERITONITIS P. Montravers, H. Houissa, P. Piednoir, N. Allou, R. Bronchard, Paris, France 0284 CORRELATION BETWEEN CARBAPENEM USE DENSITY AND THE INCIDENCE OF IMIPENEM AND MEROPENEM RESISTANT GRAM NEGATIVE ORGANISMS IN A MEDICAL INTENSIVE CARE UNIT A.K. Gupta, A. Gupta, V. Gupta, A. Arora, A. Varma, New Delhi, India 0285 AN EPIDEMIOLOGICAL SURVEY OF HIV TESTING IN A LARGE UNIVERSITY HOSPITAL INTENSIVE CARE DEPARTMENT M. Dodd, A. Tridente, Sheffield, United Kingdom 0286 TIGECYCLINE USE IN CRITICALLY ILL PATIENTS. DO WE NEED HIGHER DOSES? G. De Pascale, L. Montini, V. Bernini, V. Raggi, P. De Santis, A. Moccaldo, A. Occhionero, P. De Santis, E. Piervincenzi, E. Tanzarella, S. Cutuli, M.A. Pennisi, M. Antonelli, Rome, Italy 0287 ANALYSIS OF ALL BACTEREMIA EPISODES CAUSED BY CARBAPENEMASE - PRODUCING KLEBSIELLA IN AN INTENSIVE CARE UNIT (ICU) E.E. Paramythiotou, M. Rizos, A. Antonopoulou, F. Frantzeskaki, T. Panagea, A. Antoniadou, P. Kopteridis, G. Petrikkos, A. Armaganidis, Athens, Greece 0288 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 0289 TIME LAG ANALYSIS TO IDENTIFY A RELATIONSHIP BETWEEN COLISTIN CONSUMPTION AND RESISTANCE IN GRAM NEGATIVE BACTERIA IN A TERTIARY CARE HOSPITAL A. Gupta, A.K. Gupta, V. Gupta, A. Arora, A. Varma, New Delhi, India 0290 MORTALITY OF ACINETOBACTER BAUMANNII BACTEREMIA IN AN INTENSIVE CARE UNIT. THE ROLE OF INADEQUATE EMPIRICAL ANTIBIOTIC TREATMENT AND MUTIRESISTANCE R. Zaragoza, J.J. Camarena, R. González, S. Sancho, J.J. Tamarit, F. Puchades, A. Artero, J.M. Nogueira, Valencia, Spain 0291 OUTCOMES FOR VERY ELDERLY PATIENTS ADMITTED TO INTENSIVE CARE UNITS WITH COMMUNITY ACQUIRED PNEUMONIA: A SINGLE CENTRE EXPERIENCE J. Bramall, B. Hogan, B. Agarwal, A. Walecka, London, United Kingdom 0292 Poster Corner INTENSIVE CARE IN SPECIFIC PATIENT POPULATIONS Chairs: Hans Flaatten, Bergen, Norway & Kathryn Rowan, London, United Kingdom 14:00 - 15:50 MATERNAL ADMISSIONS TO CRITICAL CARE - A 3 YEAR REVIEW N. Bandla, G. Simon, Wolverhampton, United Kingdom 0293 EPIDEMIOLOGY OF HIV-INFECTED PATIENTS ADMITTED TO AN INTENSIVE CARE UNIT: A 20-YEAR STUDY A.S. Santos, A. Ferreira, C. Piñeiro, R. Serrão, C. Alves, M.L. Santos, A. Sarmento, Porto, Portugal 0294 CATHETER-RELATED BACTEREMIA IN A BURN CENTRE INTENSIVE CARE UNIT S. Wiramus, K. Bihi, S. Bordon, P. Ainaud, V. Bernini, J. Albanèse, J. Textoris, Marseille, France 0295 AN EPIDEMIOLOGIC STUDY OF BURN PATIENTS ADMITTED IN A BURN INTENSIVE CARE UNIT C. Guallar, M. Sánchez, L. Cachafeiro, E. Herrero, M.J. Asensio, M. Hernandez, B. Galvan, A. Garciade-Lorenzo, Madrid, Spain 0296 TOO OLD FOR INTENSIVE CARE? DO PATIENTS AGED 80 YEARS OR MORE HAVE A WORSE OUTCOME THAN THE GENERAL POPULATION DURING OR FOLLOWING INTENSIVE CARE ADMISSION? A. Myers, R. Conway, S. Jankowski, London, United Kingdom 0297 THE IMPACT OF AGE ON OUTCOME AFTER MAJOR SURGICAL PROCEDURES Y. Sakr, C. Elia, C. Schoenfeld, O. Bayer, C. Ewald, K. Reinhart, Jena, Germany 0298 SURVIVAL AND FUNCTIONAL AUTOMONY AT 6 MONTH OF PATIENTS OLDER THAN 75 YEARS ADMITTED TO ICU P. Villa, M.-C. Pintado, M. Trascasa, R. Molina, J. Lujan, C. Arenillas, J.-A. Cambronero, Alcala de Henares, Spain 0299 CHARACTERISTICS AND PROGNOSIS OF ELDERLY PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT J. Moreno Quintana, A. Narvaez de Linares, A. López Coronado, R. Rivera Fernández, Málaga, Spain 0300 OCTAGENERIANS ON THE ICU: ARE WE DOING IT RIGHT? H. Rajanna, T. Szakmany, Llantrisant, United Kingdom 0301 ACUTE RESPIRATORY FAILURE IN NEUTROPENIC PATIENTS D. Mokart, E. Azoulay, A. Bourmaud, A. Kouatchet, F. Pene, V. Lemiale, J. Lambert, F. Bruneel, F. Vincent, M. Legrand, A. Rabbat, M. Darmon, Saint-Etienne, France 0302 SHORT AND LONG TERM OUTCOME OF HAEMATOPOIETIC STEM CELL TRANSPLANTATION (HSCT) RECIPIENTS ADMITTED TO THE ICU S. Ajani, M. Litzow, W. Hogan, S. Peters, B. Afessa, Rochester, United States 0303 CHARACTERISTICS AND OUTCOMES OF LONG STAY (>16 DAYS) CANCER PATIENTS IN THE INTENSIVE CARE UNIT A. Achilleos, T. Wigmore, P. Gruber, London, United Kingdom 0304 PATIENTS WITH HAEMATOLOGICAL MALIGNANCY REQUIRING INTENSIVE CARE TREATMENT: A FIVE YEAR REVIEW P. Edmondson, T. Astles, N. Bhuiyan, Liverpool, United Kingdom 0305 EVALUATION OF ONCOLOGICY PATIENTS ADMITTED TO AN INTENSIVE CARE UNIT M. Mesquita Pinto, C. Carvalho, J. Silvestre, J. Gonçalves Pereira, P. Póvoa, Lisboa, Portugal 0306 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience Scientific programme M. Yaroustovsky, M. Abramyan, B. Mamazakirova, D. Popov, M. Plyushch, K. Rogalskaya, H. Nazarova, O. Stupchenko, Moscow, Russian Federation MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER Area Evora COMPLEX METHODS OF EXTRACORPOREAL THERAPY IN PATIENTS WITH SEVERE SEPSIS AFTER CARDIAC SURGERY 117 14:00 - 15:50 MONDAY 15 OCTOBER Scientific programme Area Faro Poster Corner EVALUATING SYSTEMIC & MICRO CIRCULATION Chairs: Azriel Perel, Tel Aviv, Israel & Alain Combes, Paris, France TITRATING MEAN ARTERIAL PRESSURE IN CONSIDERATION OF INTERINDIVIDUAL EFFECT IMPROVES MICROCIRCULATION IN PATIENTS WITH SEPTIC SHOCK Y.J. Xu, Y. Yang, B.H. Qiu, Nanjing, China 0307 TRANSPULMONARY THERMODILUTION (TPTD) MEASUREMENTS WITH FEMORAL INDICATOR INJECTION: IS THERE A DIFFERENCE TO MEASUREMENTS WITH JUGULAR INJECTION? A STUDY IN 43 PATIENTS EQUIPPED WITH A FEMORAL AND A JUGULAR CENTRAL VENOUS CATHETER AT DIFFERENT TIME POINTS W. Huber, S. Mair, S. Götz, J. Tschirdewahn, J. Siegel, B. Saugel, V. Phillip, C. Schultheiss, R.M. Schmid, München, Germany 0308 THE RELATIONSHIP BETWEEN ECHOCARDIOGRAPHIC INDICES AND EXTRAVASCULAR LUNG WATER DURING SPONTANEOUS BREATHING TRIALS D. Bagka, J. Papanikolaou, M. Ziaka, D. Makris, E. Zakynthinos, Larissa, Greece 0309 DIASTOLIC DYSFUNCTION IS AN INDEPENDENT FACTOR OF WEANING FAILURE I. Konomi, A. Tasoulis, I. Kaltsi, P. Politis, S. Sourlas, E. Karatzanos, G. Danalis, S. Nanas, C. Routsi, Athens, Greece 0310 HYPOXIA INDUCIBLE FACTOR (HIF1a) GENE EXPRESSION IN HUMAN SHOCK STATES J. Textoris, N. Beaufils, G. Quintana, S. Wiramus, A. Ben Lassoud, L. Zieleskiewicz, N. Lesavre, C. Martin, J. Gabert, M. Leone, Marseille Cedex, France 0311 POSTOPERATIVE CENTRAL VENOUS OXYGEN SATURATION AND LACTATE LEVELS IN CARDIAC SURGERY PATIENTS: A PROSPECTIVE OBSERVATIONAL STUDY D. Unic-Stojanovic, S. Babic, M. Lukic, M. Milojevic, N. Kalezic, M. Jovic, Belgrade, Serbia 0312 RISK AND PROTECTIVE FACTORS FOR DEVELOPMENT OF HYPOXIC HEPATITIS AND JAUNDICE IN CRITICALLY ILL PATIENTS A. Drolz, T. Horvatits, K. Staufer, K. Roedl, R. Saxa, U. Holzinger, C. Zauner, P. Schenk, P. Schellongowski, G. Heinz, C. Madl, V. Fuhrmann, Vienna, Austria 0313 TRANSPULMONARY THERMODILUTION (TPTD) WITH ROOMTEMPERATURE INJECTATES: A COMPARISON TO ICED INJECTATE IN 402 TPTDS USING THE PICCO-DEVICE W. Huber, T. Kraski, B. Saugel, V. Phillip, C. Schultheiss, A. Herrmann, S. Mair, R.M. Schmid, Munich, Germany 0314 HYPOTHERMIA AMELIORATES GASTRIC MUCOSAL MICROVASCULAR OXYGENATION DURING HYPOXIA C. Vollmer, I. Bauer, S. Weiss, I. Schwartges, O. Picker, Duesseldorf, Germany 0315 USE OF BIOMARKERS IN ACUTE PERICARDITIS M. Recuerda, S. Gamaza, J. Leon, V. Perez, M. Gracia, E. Leal, Cádiz, Spain 0316 TERLIPRESSIN VERSUS NOREPINEPHRINE FOR TREATMENT OF VASODILATORY HYPOTENSION: A META-ANALYSIS OF RANDOMISED CONTROLLED STUDIES G. Borghi, T. Greco, M. Zambon, L. Pasin, L. Mattioli, D. Febres Escalante, G. Landoni, A. Zangrillo, Milan, Italy 0317 CLINICAL AND ELECTROCARDIOGRAPHY MARKERS OF RIGHT VENTRICLE STRAIN AND EARLY ADVERSE OUTCOME IN PATIENTS WITH PULMONARY EMBOLISM: RESULTS OF SINGLE CENTRE PROSPECTIVE STUDY N. Bulj, V. Degoricija, M. Sharma, S. Šefer, B. Baršić, Zagreb, Croatia 0318 SERUM LACTATE AS A PREDICTOR FOR LIFE-THREATENING PNEUMATOSIS INTESTINALIS: RETROSPECTIVE STUDY OF 60 PATIENTS H. Okamoto, T. Fukuoka, Kurashiki Okayama, Japan 0319 IMPACT OF AN AEROBIC REHABILITATION PROGRAMME ON FITNESS AND QOL IN ICU SURVIVORS: AN EXPLORATORY TRIAL (PIX STUDY) B.A. Goodman, S. Bonner, A.M. Batterham, J. Wright, K. Hugill, P. Howard, S. Howell, G. Danjoux, Middlesbrough, United Kingdom 0320 SAFETY AND EFFICACY OF WHOLE-BODY-VIBRATION IN CRITICALLY ILL PATIENTS T. Wollersheim, K. Haas, M. Krebs, J. Malleike, R. Moergeli, S. Weber-Carstens, Berlin, Germany 0321 THE RELATIONSHIP BETWEEN MUSCLE WEAKNESS AND POSTOPERATIVE CATABOLISM AFTER CORONARY ARTERY BYPASS GRAFT SURGERY Y. Iida, K. Iwatsu, T. Kawabe, H. Tsubouchi, A. Usui, S. Yamada, Aichi, Japan 0322 THE INCIDENCE OF SHOULDER DYSFUNCTION IN ICU SURVIVORS O. Gustafson, Oxford, United Kingdom 0323 Area Fatima Poster Corner PHYSIOTHERAPY IN THE ICU Chairs: David McWilliams, Manchester, United Kingdom & Giulia Pelucchi, Monza, Italy 14:00 - 15:50 118 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 0324 IS THE FUNCTIONAL INDEPENDENCE MEASURE (FIM) A USEFUL OUTCOME MEASURE IN CRITICAL CARE REHABILITATION? F. Shaw, C. Purkiss, S. Finney, M. Griffiths, C. Brown, London, United Kingdom 0325 PHYSIOTHERAPY RESOURCE NEEDS OF SEVERE RESPIRATORY FAILURE PATIENTS G. Cork, G. Davies, G. Cox, L. Osman, N. Barrett, London, United Kingdom 0326 LONG-TERM PHYSICAL FUNCTIONING CAN BE PREDICTED 3 MONTHS AFTER DISCHARGE FROM THE INTENSIVE CARE UNIT M. Schaaf van der, D.S. Dettling, A. Beelen, D.A. Dongelmans, F. Nollet, Amsterdam, Netherlands 0327 THE FEASIBILITY OF THE SIX MINUTE WALK TEST AND BARTHELL INDEX TO MEASURE THE EFFECT OF A PHYSIOTHERAPY SERVICE MODEL IN AN INTENSIVE CARE UNIT S. Hanekom, Q. Louw, A. Coetzee, Cape Town, South Africa 0328 IS THE MANCHESTER MOBILITY SCORE A USEFUL TOOL FOR COMPARISON OF CRITICAL CARE REHABILITATION BETWEEN TRUSTS D.J. McWilliams, T. Lea, Birmingham, United Kingdom 0329 EPIDEMIOLOGY AND EARLY DIAGNOSIS OF HETEROTOPIC OSSIFICATION IN CRITICAL ILL PATIENTS. PRELIMINARY DATA A. Christakou, M. Alimantiri, E. Patsaki, A. Kouvarakos, M. Papadopoulos, K. Stefanidis, D. Karakitsos, C.S. Vrettou, V. Markaki, S. Nanas, Athens, Greece 0330 THE EVALUATION OF EARLY-ONSET ELECTRIC STIMULATION OF THE QUADRICEPS MUSCLE AFTER CARDIAC SURGERY IS LIMITED BY A SHORT LENGTH OF STAY AT THE INTENSIVE CARE UNIT M. Spiegl, J.M. Hiesmayr, T. Paternostro-Sluga, K. Altmann, A. Fischer, A. Salamon, A. Winkler, A. Schiferer, Vienna, Austria 0331 IS REHABILITATION AFTER IMPLANTATION OF LEFT VENTRICULAR DEVICES (LVAD) AFFECTED BY THE SEVERITY OF PREOPERATIVE HEART FAILURE? A. Gatehouse, S. Schueler, Newcastle Upon Tyne, United Kingdom 0332 Area Funchal Poster Corner POSTOPERATIVE MANAGEMENT OF CARDIO-SURGICAL PATIENTS Chairs: Michael Sander, Berlin, Germany & Herwig Gerlach, Berlin, Germany 14:00 - 15:50 HIGH TIDAL VOLUMES IN WOMEN AND OBESE PATIENTS AFTER CARDIAC SURGERY. SIZE DOES MATTER! M. Chassé, S. Dionne, A. Bojmehrani, S. Simard, J. Bussières, F. Dagenais, F. Lellouche, Québec, Canada 0333 MONTORING OF REVERSAL OF PROPHYLACTIC AND THERAPEUTIC RIVAROXABAN ANTICOAGULATION WITH PCC AND RFVIIA M.K. Keller, E. Langer, C. Gericke, C. von Heymann, Berlin, Germany 0334 APROTININ VERSUS TRANEXAMIC ACID IN CARDIAC SURGERY M.J. Chaparro Sanchez, R. Rivera, M.D. Arias Verdu, M.D. Fernandez Zamora, J.A. Arboleda, M.A. Prieto Palomino, Málaga, Spain 0335 PERIOPERATIVE COAGULATION PROFILE EVALUATED WITH TEG® IN PATIENTS UNDERGOING CRANIOTOMY FOR PRIMARY BRAIN TUMOR REMOVAL F. Curto, M. Giacomini, M. Mininni, S. Sangion, G. Chevallard, S. Carenini, M. Teruzzi, C. Betto, Milan, Italy 0336 EVALUATION OF SILENT PULMONARY EMBOLISM IN INTENSIVE CARE UNIT S. Wiramus, E. Arnoult, J. Textoris, E. Hammad, L. Zieleskievicz, C.-D. Martin, M. Leone, Marseille, France 0337 THE IMPACT OF CRITICAL CARE NURSE TRAINING ON THROMBOELASTOGRAPHY USAGE TO GUIDE PERIOPERATIVE BLOOD COMPONENT TRANSFUSION IN A CARDIOTHORACIC CRITICAL CARE UNIT A. Shah, P. Chan, R. Broomhead, M. Curtis, D. Farrar, London, United Kingdom 0338 THE OBESITY PARADOX OF MORTALITY IN CARDIAC SURGERY. REALLY, DOES OBESITY INCREASES THE RISK? ANALYSIS ARIAM REGISTRY OF CARDIAC SURGERY V. Olea Jiménez, E. Curiel Balsera, J. Muñoz Bono, R. Rivera Férnandez, M. Álvarez Bueno, T. García Paredes, J.A. Arboleda Sáncez, Málaga, Spain 0339 THE INCREASED RISK OF CARDIAC SURGERY IN ELDERLY PATIENTS. CAN BENEFIT THE OCTOGENARIANS? THE PERIOPERATORY MORTALITY AND POSTOPERATIVE COMPLICATIONS. ANALYSIS ARIAM REGISTRY OF CARDIAC SURGERY V. Olea Jiménez, E. Curiel Balsera, J.M. Mora Ordoñez, R. Rivera Férnandez, M.D. Fernández Zamora, J.C. Escudero Valera, Málaga, Spain 0340 REASONS OF THE POSTOPERATIVE ENCEPHALOPATHY IN CARDIOSURGERY T.V. Klypa, A. Shepelyuk, Moscow, Russian Federation 0341 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience Scientific programme C. Black, M. Grocott, M. Singer, London, United Kingdom MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER THE FEASIBILITY OF MEASURING OXYGEN CONSUMPTION DURING REHABILITATION OF MECHANICALLY VENTILATED PATIENTS 119 Scientific programme IMC IS AN INDEPENDENT PREDICTOR FACTOR OF COMPLICATIONS AFTER CARDIOVASCULAR SURGERY M.N. Parias Ángel, A.M.G.F. García Fernández, F. Prieto Valderrey, P. Font Ugalde, R. Guerrero Pabón, E. Moreno Millán, J. Villegas del Ojo, M. Cid Cumplido, Ciudad Real, Spain 0342 COGNITIVE DYSFUNCTION AFTER CARDIAC ANAESTHESIA IS ASSOCIATED WITH PROLONGED HOSPITAL STAY L.A. Rasmussen, C.-J. Jakobsen, Aarhus N, Denmark 0343 MECHANICAL VENTILATION IN CARDIAC SURGERY: BENEFIT OF OPEN LUNG APPROACH AND CONTINUED VENTILATION DURING CARDIOPULMONARY BYPASS R. Badenes, L. Alcover, M.J. Montero, C. Ferrando, A. Gómez, L. Henao, J. Belda, Valencia, Spain 0344 REDUCING THE LEVEL OF POSTOPERATIVE THROMBOTIC COMPLICATIONS BY USING THE COMBINATION OF LOW MOLECULAR WEIGHT HEPARIN AND EPIDURAL ANAESTHESIA AT THE PATIENTS AFTER TOTAL HYSTERECTOMY O. Tarabrin, V. Dubinina, A. Turenko, S. Tarasenko, S. Shcherbakov, D. Gavrychenko, G. Mazurenko, Odessa, Ukraine 0345 PROLONGED QT INTERVAL AS A PREDICTOR OF MORTALITY IN STELEVATION MYOCARDIAL INFARCTION M.D. Arias-Verdu, J. Arboleda-Sánchez, V. OleaJiménez, R. Rivera-Fernández, T. García-Paredes, M. Alvarez-Bueno, J. Muñoz-Bono, Málaga, Spain 0346 MICROPARTICLES EXPRESSION IN THE EARLY PHASE OF SHOCK S. Wiramus, M. Haddam, J. Textoris, C. Brun, F. Dignat-George, C.-D. Martin, L. Camoin-Jau, M. Leone, Marseille, France 0347 C-REACTIVE PROTEIN (CRP) IS AS USEFUL AS PROCALCITONIN (PCT) TO REDUCE ANTIBIOTIC EXPOSURE IN CRITICALLY-ILL PATIENTS WITH SEPSIS: A RANDOMISED CLINICAL TRIAL C.F. Oliveira, C.A. Oliveira, F.A. Botoni, C.B. Silva, H.A. Pereira, V. Nobre, Belo Horizonte, Brazil 0348 ENDOTOXIN ACTIVITY IN SEPSIS AND SEPTIC SHOCK M.P. Hilty, B. Eberle, M. Maggiorini, Zurich, Switzerland 0349 METABONOMIC STUDY ON PATIENTS DIAGNOSED WITH SEVERE SEPSIS AND SEPTIC SHOCK IN THE INTENSIVE UNIT M. García Simón, J.M. Morales Tatay, D. Monleón Salvado, V. Modesto i Alapont, R. Vento Rehues, A. Jorda Miñana, J. Blanquer Olivas, Valencia, Spain 0350 MR-PROADRENOMEDULLIN AS PROGNOSTIC BIOMARKER IN SEVERE SEPSIS AND SEPTIC SHOCK A. Baró, G. Rognoni, C. Murcia, P. Tejerina, A. Garcia, C. Lorencio, A. Taché, J.-M. Sirvent, Girona, Spain 0351 DIAGNOSTIC AND PREDICTIVE VALUE OF PRESEPSIN (SCD14-ST) IN THE TIME COURSE OF SEPSIS M. Behnes, D. Lepiorz, S. Lang, T. Kälsch, M. Brueckmann, M. Borggrefe, U. Hoffmann, Mannheim, Germany 0352 PROGNOSTIC VALUE OF SUPAR IN SEVERE SEPSIS AND SEPTIC SHOCK PATIENTS B. Suberviola, A. Castellanos-Ortega, D. Iglesias, V. Suarez, F. Ortiz-Melón, L.-H. Marcos, Santander, Spain 0353 VASPIN SERUM LEVELS IN PATIENTS WITH SEPSIS M.C. Motal, G.A. Roth, A. de Abreu Santos, K. Schebesta, D.A. Klaus, C.G. Krenn, Vienna, Austria 0354 DOES THROMBOSPONDIN-1 EXPRESSION IN CIRCULATING MONONUCLEAR CELLS HAVE A PROGNOSTIC INTEREST DURING HUMAN SEPTIC SHOCK? A.-C. Lukaszewicz, S. Gaugain, H. Haloui, M. Grienay, V. Faivre, D. Payen, Paris, France 0355 NEW DIAGNOSTIC STRATEGY OF SEPSIS INDUCED DISSEMINATED INTRAVASCULAR COAGULATION A. Murai, H. Ishikura, T. Nishida, Y. Nakamura, Y. Irie, T. Umemura, T. Kamitani, Fukuoka, Japan 0356 C-REACTIVE PROTEIN PROVIDES AN ESTIMATE OF EXCRETION OF URINARY UREA NITROGEN S. Naruse, Y. Kawashima, H. Kato, C. Ishida, K. Mizuno, S. Mimura, S. Mimuro, Y. Obata, M. Doi, S. Sato, Hamamatsu, Japan 0357 THE LECTIN PATHWAY OF THE COMPLEMENT SYSTEM IN CRITICALLY ILL CHILDREN C.M. Ingels, S. Thiel, I. Derese, L. Jensen, R.N. Steffensen, P.J. Wouters, I. Vanhorebeek, G. Van den Berghe, Leuven, Belgium 0358 Area Guarda Poster Corner EVALUATION OF SEPSIS BIOMARKERS Chairs: Jérôme Pugin, Geneva, Switzerland & Pierre-François Laterre, Leuven, Belgium MONDAY 15 OCTOBER 14:00 - 15:50 120 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 0359 EVALUATION OF SERUM CRP VALUES IN DIFFERENT STAGES OF SEPSIS C. Ece, I. Cankayali, C. Bor, K. Demirağ, M. Uyar, A.R. Moral, İzmir, Turkey 0360 CONNECTION BETWEEN MYOCARDIAL OEDEMA, INFLAMMATION AND FUNCTION DURING SEPSIS: ROLE OF ALPHA1 AMP-ACTIVATED PROTEIN KINASE D. Castanares-Zapatero, C. Sommereyns, B. Gerber, D. Communi, M. Horckmans, C. Oury, C. Lecut, J.-L. Vanoverschelde, L. Bertrand, P.-F. Laterre, S. Horman, C. Beauloye, Brussels, Belgium 0361 PHOSPHODIESTERASE-4-INHIBITION TO ATTENUATE HEPATOCELLULAR INJURY DURING SYSTEMIC INFLAMMATION IN RATS J. Wollborn, C. Wunder, N. Roewer, N. Schlegel, M.A. Schick, Würzburg, Germany 0362 ACCELERATED AEROBIC GLYCOLYSIS - THE HALLMARK OF SEPSIS ASSOCIATED MYOCARDIAL DYSFUNCTION? K. Shekar, B.A. Brand, C. Norin, J.F. Fraser, A. Staib, M.S. Chew, Malmö, Sweden 0363 SEPSIS DECREASES STROKE VOLUME YET INCREASES EX-VIVO CARDIOMYOCYTE OXYGEN CONSUMPTION B. Bollen Pinto, S. Tully, M. Singer, London, United Kingdom 0364 P2X7 RECEPTOR AND SEPSIS- INDUCED ACUTE TUBULAR INJURY N. Arulkumaran, A. Dyson, C. Turner, R.J. Unwin, F.W. Tam, M. Singer, London, United Kingdom 0365 N-ACETYLCYSTEINE EARLY TREATMENT DURING FECAL PERITONITIS PREVENTS KIDNEY CORTICAL MITOCHONDRIAL DYSFUNCTION, BUT IS NOT ASSOCIATED WITH LESS SEPSIS-INDUCED ACUTE KIDNEY INJURY T. Regueira, S.M. Jakob, F. Lillo, M. Zapata, A. Fuentealba, M. Andresen, F. Moraga, A. Meneses, D. Soto, Santiago, Chile 0366 MODULATION OF EXPRESSION AND FUNCTION OF ION CHANNELS IN ATRIAL MYOCYTE FROM SEPTIC GUINEA PIG N. Hatakeyama, Y. Aoki, K. Sakakibara, N. Matsuda, H. Kinoshita, Y. Fujiwara, Nagakute, Aichi, Japan 0367 GENETIC PREDISPOSITION TO ACUTE KIDNEY INJURY INDUCED BY SEVERE SEPSIS AND SEPTIC SHOCK P. Cardinal-Fernández, A. Ferruelo, M. El-Assar, C. Santiago, F. Gómez, A. Martín-Pellicer, F. Frutos-Vivar, O. Peñuelas, N. Nin, A. Esteban, J.A. Lorente, Madrid, Spain 0368 QUINIDINE PROTECTS THE GUT FROM PLATELET ACTIVATING FACTORINDUCED MICROCIRCULATORY DYSFUNCTION AND ORGAN FAILURE I. Lautenschläger, H. Dombrowsky, J. Sarau, Y.L. Wong, P. Zabel, S. Uhlig, I. Frerichs, N. Weiler, Kiel, Germany 0369 AMELIORATION OF ACUTE LIVER INJURY THROUGH THE SUPPRESSION OF UPREGULATED LEVELS OF ENDOTHELIN-1 AND TNF-a IN A RAT MODEL OF ENDOTOXEMIA WITH THE BLOCKADE OF PROTEASE ACTIVATED RECEPTOR-2 (PAR2) S. Jesmin, T. Wada, S. Zaedi, N. Shimojo, S.N. Sultana, M. Moroi, T. Watanebe, S. Gando, Sapporo, Japan 0370 DO SOLUBLE LEVELS OF ENDOTHELIAL ADHESION MOLECULES REFLECT ENDOTHELIAL ACTIVATION? A.G. Kjærgaard, A. Dige, E. Tønnesen, L. Wogensen, J. Krog, Aarhus C., Denmark 0371 TREND ANALYSIS OF URINE BIOCHEMISTRY PATTERN IN PATIENTS WITH SEVERE SEPSIS OR SEPTIC SHOCK C. Dupuis, M. Legrand, C. Simon, J. Mateo, D. Payen, Paris, France 0372 ZONULIN - A NOVEL MARKER OF GUT WALL INTEGRITY DURING SEPSIS D.A. Klaus, G.A. Roth, M.C. Motal, E.M. Schmidt, D. Lebherz-Eichinger, C.G. Krenn, Vienna, Austria 0373 EFFECTS OF TNFα ON MUSCLE MEMBRANE EXCITABILITY: A MODELISATION OF IONS CURRENTS AND MUSCLE ACTION POTENTIAL M. Guillouet, G. Gueret, F. Rannou, M.A. Giroux Metges, V. Nguyen Ba, J.-P. Pennec, Brest, France 0374 Poster Corner ORGAN DYSFUNCTION IN SEPSIS Chairs: Michael Bauer, Jena, Germany & Christian Brun-Buisson, Creteil, France 14:00 - 15:50 Scientific programme L. Bronze, M. Andrade, M. Relvas, I. Arroja, G. Morais, M. Seabra, M. Mendes, A. Aleixo, Lisbon, Portugal MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER Area Porto SYSTEMIC INFLAMMATORY MARKERS AND CARDIAC TROPONIN IN ACUTE MYOCARDIAL INFARCTION 30 minutes before the next session? Visit the Replay theatre Level 1 - Exhibition Area A - Gallery L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 121 14:00 - 15:50 MONDAY 15 OCTOBER Scientific programme Area Setubal Poster Corner OUTCOME FROM INTENSIVE CARE Chairs: Kathleen Puntillo, San Francisco, United States & Bertrand Guidet, Paris, France A POPULATION-BASED STUDY OF ACUTE NEUROMUSCULAR RESPIRATORY FAILURE IN NORTHERN IRELAND: AETIOLOGY AND OUTCOME A.S. Carr, A.I. Hoeritzuar, R. Kee, M. Kinney, J. Campbell, S. Maguire, A. Hutchinson, G.V. Mcdonnell, Belfast, United Kingdom 0375 HEALTH RELATED QUALITY OF LIFE 6 MONTHS AFTER DISCHARGE FROM INTENSIVE CARE UNIT: A COHORT STUDY M. Redondo, F. Manzano Manzano, M.R. Mañas Vera, S. Martínez Ruiz, A.M. Pérez Pérez, M. Colmenero Ruiz, Granada, Spain 0376 EPIDEMIOLOGY OF FUNGAL INFECTIONS IN A GASTROENTEROLOGY AND LIVER TRANSPLANT INTENSIVE CARE UNIT (ICU): AN INDIAN EXPERIENCE S. Gupta, R. Bagga, D. Govil, S. Bhatnagar, S. Srinivasan, S. Patel, K.N. Jagadeesh, P. Pandey, M. Sodhi, P. Singh, U. Baveja, A. Rattan, Y. Mehta, Gurgaon, India 0377 “CASE MIX” CHANGES IN A MEDICAL INTENSIVE CARE UNIT AFTER A GEOGRAPHICAL TRANSFER OF A THIRD LEVEL, UNIVERSITY HOSPITAL J. Cebrián Domènech, F. Monsalve Vila, J. Bonastre Mora, K. Vacacela Córdova, Valencia, Spain 0378 EPIDEMIOLOGY OF ACUTE RESPIRATORY INSUFFICIENCY IN CRITICAL CARE (ERICC TRIAL): A PROSPECTIVE, MULTICENTRE, OBSERVATIONAL STUDY IN BRAZILIAN ICUS L. Azevedo, M. Soares, J. Salluh, M. Park, A. ReaNeto, U. Silva, P. Varaschin, V. Dantas, M. Knibel, G. Schettino, Sao Paulo, Brazil 0379 DIARRHOEA IS ASSOCIATED WITH ADVERSE OUTCOMES IN CRITICAL CARE N. Tirlapur, C. Matejowsky, P. Coen, P. Wilson, R. Moonesinghe, H. Montgomery, London, United Kingdom 0380 SATISFACTION LEVEL OF PATIENTS AFTER ICU DISCHARGE M.C. Guía, C. de Haro, V. Guía, G. Gomá, A. Artigas, F. Baigorri, Sabadell, Spain 0381 SURVIVING SEPSIS CAMPAIGN GUIDELINES AND MORTALITY M.-V. De La Torre-Prados, A. Garcia-De La Torre, C. Trujillano-Fernández, N. Zamboschi, M. NietoGonzalez, A. Garcia Alcantara, C. Reina-Artacho, P. Martinez-Lopez, F. Hidalgo Gómez, F. CotaDelgado, Malaga, Spain 0382 IMPACT OF COMPUTERISED MEWS ON ADULT HOSPITALISED PATIENT CARE R. Oggioni, L. Tadini Buoninsegni, R. Carlà, T. Fratti, Florence, Italy 0383 OUTCOME OF COMPLEX MULTI-SYSTEM DISORDER PATIENTS REQUIRING MULTIPLE ORGAN SUPPORT WITH A PROLONGED ICU LENGTH OF STAY S. Clayton, G. Xia, M. Loftus, A. Ercole, K. Gunning, D. Menon, R. Mahroof, Cambridge, United Kingdom 0384 AGE IMPACT IN MORTALITY AND QUALITY OF LIFE 6 MONTHS AFTER ICU DISCHARGE M.C. Guía, C. de Haro, V. Guía, G. Gili, F. Baigorri, A. Artigas, Sabadell, Spain 0385 DIC (DISSEMINATED INTRAVASCULAR COAGULATION) STATUS ON ADMISSION TO ICU RELATES WITH THE MORTALITY IN CRITICALLY ILL PATIENTS M. Saito, M. Kang, R. Nagai, M. Takeda, T. Harada, R. Moroi, M. Namiki, A. Yaguchi, Tokyo, Japan 0386 EPIDEMIOLOGY AND OUTCOME OF THE SEPTIC PATIENTS IN A GENERAL INTENSIVE CARE UNIT V.F. Moreira, V. Goulão, T. Santos, E. Lafuente, M.J. Fernandes, J.G. Silva, F. Santos, F. Moura, R. Lopes, Penafiel, Portugal 0387 Area Sintra Poster Corner HAEMORRHAGIC STROKE: INTERVENTIONS & MARKERS Chairs: Elisa Zanier, Milan, Italy & Jan Claassen, New York, United States (TBC) 14:00 - 15:50 122 HIGH SENSITIVE TROPONIN-T (HS-TNT) AND BRAIN NATRIURETIC PEPTIDE (BNP) IN PATIENTS WITH SUBARACHNOIDAL HAEMORRHAGE (SAH) J. Oras, C. Grivans, S.E. Ricksten, H. SeemanLodding, Gothenburg, Sweden 0388 ANALYSIS OF CYTOKINE PROFILE, HAEME METABOLISM AND OXIDATIVE STRESS AFTER HAEMORRHAGIC STROKE C. Righy, M.F. Oliveira, H.C.C. Faria Neto, P.T. Bozza, F. Bozza, Rio de Janeiro, Brazil 0389 HYDROXYETHYLSTARCH 130/0.4/9:1 EFFECTS ON CEREBRAL BLOOD FLOW AND METABOLISM IN PATIENTS WITH VASOSPASM DUE TO ANEURISMAL SUBARACHNOID HAEMORRHAGE J. Titova, S. Petrikov, A. Solodov, B. Golubev, V. Krylov, Moscow, Russian Federation 0390 INTRA-ARTERIAL NIMODIPINE FOR THE TREATMENT OF CEREBRAL VASOSPASM IN PATIENTS WITH NON TRAUMATIC SUBARACHNOID HAEMORRHAGE: ANGIOGRAPHIC AND CLINICAL RESULTS M. Martinez, J. Perendreu, S. Lopez, D. Cánovas, A. Carvajal, J. Cabiol, J. Branera, Sabadell, Spain 0391 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 0392 EFFECTS OF SYSTEMIC ADMINISTRATION OF TETANUS TOXIN ON CELL PROLIFERATION AND NEUROBLAST DIFFERENTIATION IN THE MOUSE HIPPOCAMPAL DENTATE GYRUS J.H. Cho, M.H. Won, C.W. Park, M.C. Shin, Chuncheon-si, Republic of Korea 0393 EVALUATION OF SURGICAL INTERVENTION IN PATIENTS WITH INTRAVENTRICULAR EXTENSION OF SUPRATENTORIAL INTRACEREBRAL HAEMORRHAGE R. Rivera-Fernández, F. Guerrero-López, E. Castillo-Lorente, V. Olea-Jiménez, J. MoraOrdóñez, F. Rodriguez-Villanova, G. QuesadaGarcía, M. Arias-Verdú, Málaga, Spain 0394 RISK FACTORS ASSOCIATED TO MORBID-MORTALITY IN ICU PATIENTS WITH SUBARACHNOID HAEMORRHAGE J. Cabrera-Arrocha, D. Linares-Buitrago, J.L. Ramirez-Cardozo, J.M. Gómez-Lama, S. RuízSantana, P. Saavedra, Las Palmas de Gran Canaria, Spain 0395 ACUTE NEUROPHYSIOLOGIC PREDICTORS OF EARLY AND LATE NEUROLOGIC OUTCOMES IN BRAIN INJURED PATIENTS: ASSESSING THE RELIABILITY OF ELECTROENCEPHALOGRAPHY AND EVENT-RELATED POTENTIALS L. Prisco, F. Monti, P. Accardo, M. Cusenza, M. Semencic, G. Romano, M. Ganau, London, United Kingdom 0396 PROPHYLACTIC MAGNESIUM FOR IMPROVING NEUROLOGICAL OUTCOME AFTER ANEURYSMAL SUBARACHNOID HAEMORRHAGE: SYSTEMATIC REVIEW AND META-ANALYSIS E. Golan, D. Vasquez, N.D. Ferguson, N.K. Adhikari, D.C. Scales, Toronto, Canada 0397 ASSOCIATION OF FLUID BALANCE AND DELAYED CEREBRAL ISCHAEMIA AFTER ANEURYSMAL SUBARACHNOID HAEMORRHAGE L. Vergouw, D.W. Dippel, J. Bakker, M. van der Jagt, Rotterdam, Netherlands 0398 MULTIMODAL NEUROMONITORING PROGNOSTIC SIGNIFICANCE IN THE PATIENTS WITH INTRACRANIAL HAEMORRHAGE V. Krylov, S. Petrikov, A. Solodov, B. Golubev, Y. Titova, E. Karapetyan, Moscow, Russian Federation 0399 IMPACT ON FUNCTIONAL OUTCOME AND QUALITY OF LIFE AT 6 AND 12 MONTHS AFTER SPONTANEOUS SUBARACHNOID HAEMORRHAGE M. Argüeso, A. Mesejo, R. Vento, H. Martinez, L. Palacios, J.I. Gil, M.N. Carbonell, Valencia, Spain 0400 BRAIN INJURY BIOMARKERS AND INFLAMMATORY MARKERS IN SPONTANEOUS SUBARACHNOID HAEMORRHAGE´S MORTALITY A. Serrano, M. Juan, A. Mesejo, R. Ortiz, S. Borrás, M.C. Corcobado, A. Bueno, M. Argüeso, M. Sánchez-Casado, M. Quintana, Ciudad Real, Spain 0401 Life-Priority Poster Corner OUTCOME PREDICTION AFTER CARDIAC ARREST Chairs: Jerry Nolan, Bath, United Kingdom & Kjetil Sunde, Oslo, Norway 14:00 - 15:50 DIAGNOSIS PERFORMANCE OF HIGH SENSITIVITY TROPONIN ASSAY IN OUT-OF-HOSPITAL CARDIAC ARREST PATIENTS WITH SUSPECTED RECENT CORONARY OCCLUSION G. Geri, N. Mongardin, C. Chenevier-Gobeaux, F. Dumas, F. Pène, J. Charpentier, J.-D. Chiche, J.-P. Mira, A. Cariou, Paris, France 0402 COPEPTIN LEVEL AT ADMISSION PREDICTS OUTCOMES IN OUT-OFHOSPITAL CARDIAC ARREST SURVIVORS P. Ostadal, M. Prucha, A. Kruger, D. Vondrakova, M. Janotka, Prague, Czech Republic 0403 HEPARIN BINDING PROTEIN AS AN INDICATOR OF CRITICAL ILLNESS AND PREDICTOR OF OUTCOME IN CARDIAC ARREST J. Dankiewicz, M. Annborn, M. Rundgren, H. Friberg, Lund, Sweden 0404 WHICH IS A BETTER PREDICTOR OF SURVIVAL FOLLOWING CARDIAC ARREST - AGE OF THE PATIENT OR FIRST DOCUMENTED RHYTHM? A.K. Gupta, M. Talegaonkar, S. Dewan, A. Varma, New Delhi, India 0405 PROCALCITONIN IN CARDIAC ARREST - AN INDICATOR OF SEVERITY OF ILLNESS AND A PREDICTOR OF OUTCOME M.L. Annborn, J. Dankiewicz, S. Hertel, M. Rundgren, G. Smith, J. Struck, H. Friberg, Lund, Sweden 0406 COMPARING OPEN-CHEST CARDIAC MASSAGE WITH CLOSED-CHEST ONE IN TERMS OF TIME INTERVAL TO DETERMINING TERMINATION OF RESUSCITATION BY IDENTIFYING UNRESUSCITATIVE STATE IN CASES OF TRAUMATIC CARDIAC ARREST N. Kaneko, Tokyo, Japan 0407 + L I V E S 2 012 Scientific programme S. Pawar, V. Grover, H. Bhagat, Sydney, Australia MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER EFFICACY OF STELLATE GANGLION BLOCK IN TREATING POSTOPERATIVE CEREBRAL VASOSPASM FOLLOWING ANEURYSMAL CLIPPING Visit us at the ESICM Booth Exhibition Area A L ink ing Inno vat ion Vi sion E xcel l ence & S cience 123 Scientific programme HYPEROXIA POST CARDIAC ARREST: TOO MUCH OXYGEN FOR TOO LONG? M.N. Crews, T. Hargreaves, H. Kingston, M. Mogk, I. Welters, Liverpool, United Kingdom 0408 EVOLUTION OF PATIENTS SURVIVING A HOSPITAL CARDIORRESPIRATORY ARREST DURING A 10 YEARS PERIOD M. Colomo Gonzalez, R. de la Chica Ruiz-Ruano, A. Sanchez Gonzalez, L.I. Rodriguez Peralta, B. Quirantes Sierra, M. Colmenero Ruiz, Granada, Spain 0409 USEFULNESS OF EARLY PLASMA S-100B PROTEIN AND NSE MEASUREMENTS TO IDENTIFY NEUROVASCULAR ETIOLOGIES OF CARDIAC ARREST N. Mongardon, M. Arnaout, C. GobeauxChenevier, G. Geri, N. Deye, I. Malissin, J. Charpentier, F. Pène, J.-D. Chiche, J.-P. Mira, F. Baud, A. Cariou, Paris, France 0410 INVESTIGATION OF THE CLINICAL BACKGROUND AND OUTCOME IN SURVIVORS WHO WERE IMPLANTED CARDIOVERTER DEFIBRILLATORS AFTER OUT-OF-HOSPITAL CARDIAC ARREST OF CARDIAC ORIGIN S. Uegaki, M. Hayakawa, Y. Yanagida, S. Gando, Sapporo, Japan 0411 THERAPEUTIC HYPOTHERMIA POST CARDIORESPIRATORY ARREST N.J. Truman, J. Wood, Bolton, United Kingdom 0412 OUTCOME OF PATIENTS ADMITTED TO INTENSIVE CARE UNIT AFTER OUT OF HOSPITAL CARDIAC ARREST V.K. Venkatesh, V.K. Sekar, K. Antrolikar, R. Hathotuwa, M. Kyi, Birmingham, United Kingdom 0413 HYPOTHERMIA AFTER IN-HOSPITAL CARDIAC ARREST -HOSPITAL M´BOIMIRIM - SAO PAULO A.H.V. Andrade, A.C. Baruzzi, E.E. Taira, C.M. Junior, S.A.E. Santos, R. Tomiosso, G. Sampaio, A.L. Manoel, B. Taino, T.F. Pinto, S. Abramovici, Sao Paulo, Brazil 0414 DIFFERENCES BETWEEN POST PREHOSPITAL AND INTRAHOSPITAL CARDIAC ARREST ICU PATIENTS A. Vakalos, M. Petkopoulou, D. Jannussis, Xanthi, Greece 0415 ROOM Lisbon Joint Session CSCCM/ESICM - AKI FROM DIAGNOSIS TO TREATMENT MONDAY 15 OCTOBER Chairs: Bin Du, Beijing, China & Jean-Daniel Chiche, Paris, France 14:15 - 14:35 Diagnosis and classification of AKI Xiu Ming Xi, Beijing, China 14:35 - 14:55 Risk assessment and prevention of AKI Eric Hoste, Ghent, Belgium 14:55 - 15:15 Optimising renal perfusion - the best strategies Bin Du, Beijing, China 15:15 - 15:35 Defining early start of RRT Lui Forni, Worthing, United Kingdom 15:35 - 15:50 Choosing the right modality of RRT Penglin Ma, Beijing, China ROOm Berlin State of the Art Session PULMONARY EMBOLISM Chairs: Davide Chiumello, Milan, Italy & Jordi Mancebo, Barcelona, Spain 14:15 - 14:35 Diagnostic strategies Alain Cariou, Paris, France 14:35 - 14:55 Management of RV dysfunction Antoine Vieillard-Baron, Boulogne, France 14:55 - 15:10 Thrombolysis: Where do we stand? Bernd Böttiger, Heidelberg, Germany 15:10 - 15:30 Alternatives to heparin Jacques Duranteau, Kremlin-Bicetre, France 15:30 - 15:50 Catheter and surgical embolectomy Frédéric Baumann, Bern, Switzerland Try the e-posters experience in the exhibition area 124 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 14:15 - 14:30 HIGH REGIMEN OF CONTINUOUS INFUSION OF VANCOMYCIN DURING CONTINOUS RENAL REPLACEMENT THERAPY M. Beumier, H. Kabtouri, F. Cotton, M. Hites, J.-L. Vincent, F. Jacobs, F.S. Taccone, Bruxelles, Belgium 0416 14:30 - 14:45 A RANDOMISED CLINICAL TRIAL OF PERIODIC ASPIRATION OF SUBGLOTTIC SECRETIONS IN PATIENTS RECEIVING MECHANICAL VENTILATION H. Fujimoto, O. Yamaguchi, H. Hayami, M. Shimosaka, S. Tsuboi, M. Sato, S. Morita, M. Saito, Yokohama, Japan 0417 14:45 - 15:00 EFFECTIVENESS OF NEBULISED AMPHOTERICIN B TO ERADICATE CANDIDA COLONISATION FROM THE LOWER RESPIRATORY TRACTS OF ICU PATIENTS D.S.Y. Ong, P.M.C. Klein Klouwenberg, M.J.M. Bonten, O.L. Cremer, Utrecht, Netherlands 0418 15:00 - 15:15 BIOMARKERS KINETICS TO EARLY PREDICT RESPONSE IN SEVERE COMMUNITY-ACQUIRED PNEUMONIA J.M. Pereira, A. Teixeira-Pinto, C. Basílio, C. Sousa-Dias, P. Mergulhão, J.A. Paiva, Porto, Portugal 0419 15:15 - 15:30 SEVERE COMMUNITY-ACQUIRED PNEUMONIA: THREE YEARS RESULTS IN A POLYVALENT ICU M. Nieto Gonzalez, N. Zamboschi, C. Trujillano Fernandez, J. Perez Vacas, A. Puerto Morlan, M.V. de la Torre Prados, A. Garcia de la Torre, Malaga, Spain 0420 15:30 - 15:50 Discussion ROOM Geneva Oral Presentations INTENSIVE CARE 2 ASSESSING THE IMPACT OF INTERVENTIONS AND ORGANISATIONS IN Chairs: Philipp Metnitz, Vienna, Austria & Bernhard Walder, Geneva, Switzerland 14:15 - 14:30 INTENSIVE AND INTERMEDIATE CARE UNITS IN EUROPEAN HOSPITALS M. Capuzzo, T. Tassinati, R.P. Moreno, A. Valentin, B. Guidet, G. Iapichino, C.D. Martin, P. Merlani, A. Rhodes, Ferrara, Italy 0421 14:30 - 14:45 EFFECT OF DISCHARGE TO A STEP-DOWN UNIT AFTER CRITICAL ILLNESS ON MORTALITY AND HOSPITAL LENGTH OF STAY: A PROPENSITY MATCHED ANALYSIS O.T. Ranzani, F.G. Zampieri, D.N. Forte, L.U. Taniguchi, M. Park, L.C. Azevedo, São Paulo, Brazil 0422 14:45 - 15:00 AFTER CRITICAL CARE, THEN WHAT? PATIENT SUPPORT AFTER CRITICAL CARE: A MIXED METHOD LONGITUDINAL STUDY USING A NOVEL RESEARCH TECHNIQUE N.A. Pattison, G. O’Gara, J. Rattray, London, United Kingdom 0423 15:00 - 15:15 FUNCTIONAL STATUS AS A PREDICTOR OF ADMISSION TO CRITICAL CARE IN ACUTELY UNWELL PATIENTS A. Tridente, A. Chick, S. Keep, S. Furmanova, S. Webber, D. Bryden, Sheffield, United Kingdom 0424 15:15 - 15:30 IMPROVED QUALITY PATIENT OUTCOMES WITH THE INTRODUCTION OF A CRITICAL CARE TRACHEOSTOMY MULTIDISCIPLINARY TEAM S. O’Brien, R. Elebert, E. Carton, A. Dunne, B. Marsh, D. Phelan, Dublin, Ireland 0425 15:30 - 15:50 Discussion ROOM Rome State of the Art Session PATIENT SAFETY - «FIRST DO NO HARM» Chairs: Julian Bion, Birmingham, United Kingdom & Patrick Ferdinande, Leuven, Belgium 14:15 - 14:35 Is the ICU a safe place? Andreas Valentin, Vienna, Austria 14:35 - 14:55 Impact of implementing electronic systems Ognjen Gajic, Rochester, United States 14:55 - 15:10 ICU staffing and patient safety Maurizia Capuzzo, Ferrara, Italy 15:10 - 15:30 Delivering best care - the impact of standards and guidelines Rui Paulo Moreno, Lisbon, Portugal 15:30 - 15:50 Quality indicators - a tool to improve patient safety Andrew Rhodes, London, United Kingdom L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience Nurses & AHP Scientific programme Oral Presentations METHODS TO OPTIMISE INFECTION OUTCOMEs IN THE ICU MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER ROOM Barcelona Chairs: Jan De Waele, Ghent, Belgium & Antonio Torres, Barcelona, Spain 125 Scientific programme ROOM Glasgow Oral Presentations OUTCOMES FOR THE HIGH-RISK SURGICAL PATIENT Chairs: Robert Sanders, United Kingdom & Michelle Chew, Malmö, Sweden 14:15 - 14:30 META-ANALYSIS OF GOAL DIRECTED THERAPY IN HIGH-RISK PATIENTS UNDERGOING MAJOR NON-CARDIAC SURGERY G. Abuella, C. Corredor, N. Arulkumaran, M. Hamilton, A. Rhodes, M. Cecconi, London, United Kingdom 0426 14:30 - 14:45 USE OF SURGICAL SAFETY CHECKLIST REDUCED REOPERATIONS FOR SURGICAL SITE INFECTION IN HIGH RISK PATIENTS N. Wickboldt, A. Lübbeke, F. Hovaguimian, C. Barea, F. Clergue, P. Hoffmeyer, B. Walder, Geneva, Switzerland 0427 14:45 - 15:00 EARLY POSTOPERATIVE PROCALCITONIN AND ITS ASSOCIATION WITH MORTALITY IN INTENSIVE CARE UNIT PATIENTS AFTER ELECTIVE SURGERY M. Kott, D. Schädler, G. Elke, G. Zick, I. Frerichs, N. Weiler, Kiel, Germany 0428 15:00 - 15:15 TIME TRENDS, 30-DAY MORTALITY AND QUALITY OF CARE IN 3,438 PATIENTS WITH PEPTIC ULCER PERFORATION. A NATIONWIDE COHORT STUDY FROM THE DANISH NATIONAL INDICATOR PROJECT M.H. Møller, H.L. Larsson, S.P. Johnsen, A.H. Madsen, J. Bendix, S. Rosenstock, H. Jørgensen, S. Adamsen, R.W. Thomsen, Copenhagen, Denmark 0429 15:15 - 15:30 ASSESSING MULTIPLE BIOMARKERS FOR DIAGNOSIS OF ACUTE KIDNEY INJURY AFTER CARDIOPULMONARY BYPASS J.R. Prowle, R. Bellomo, London, United Kingdom 0430 15:30 - 15:50 Discussion ROOM Stockholm Oral Presentations NUTRITION AND GLYCAEMIC CONTROL IN ICU MONDAY 15 OCTOBER Chairs: Jean-Charles Preiser, Brussels, Belgium & Carole Ichai, Nice, France 14:15 - 14:30 CUMULATIVE TIME IN BAND (CTIB): GLYCAEMIC LEVEL, VARIABILITY AND PATIENT OUTCOME ALL IN 1 S. Penning, M. Signal, J.-C. Preiser, G.M. Shaw, A.J. Le Compte, C.G. Pretty, T. Desaive, J.G. Chase, Liege, Belgium 0431 14:30 - 14:45 COMPARISON OF THREE ENTERAL FORMULAS TO GLYCAEMIC AND INFECTIOUS CONTROL IN CRITICALLY ILL PATIENTS UNDER MECHANICAL VENTILATION: HIGH-PROTEIN, HIGH-PROTEIN DISEASE-SPECIFIC AND DISEASE-SPECIFIC DIET SUPPLEMENTED WITH GLUTAMINE M. Juan, A. Mesejo, A. Serrano, C. Corcobado, A. Bueno, L. Yuste, R. Ortiz, C. Espinosa, A. Ambrós, Ciudad Real, Spain 0432 14:45 - 15:00 CAN THE GASTRIC HORMONE GHRELIN ATTENUATE CATABOLISM AND ENHANCE RECOVERY AND REHABILITATION IN A RODENT MODEL OF ZYMOSAN PERITONITIS? N.E. Hill, K.G. Murphy, S. Brett, D.R. Wilson, G. Frost, W. Dhillo, S.R. Bloom, M. Singer, London, United Kingdom 0433 15:00 - 15:15 IS EARLY ENTERAL NUTRITION MORE EFFECTIVE THAN LATE IN REDUCING ORGAN FAILURE RATES IN ICU? V. Moro, M. Pongracz, B. Volgyes, J. Gal, A. Csomos, Budapest, Hungary 0434 15:15 - 15:30 BEING OVERWEIGHT OR OBESE IS ASSOCIATED WITH DECREASED MORTALITY IN CRITICALLY ILL PATIENTS: A POST HOC ANALYSIS OF A LARGE REGIONAL ITALIAN MULTICENTRE COHORT Y. Sakr, C. Elia, L. Mascia, B. Barberis, S. Cardellino, S. Livigni, G. Fiore, C. Filippini, V.M. Ranieri, Jena, Germany 0435 15:30 - 15:50 Discussion ROOM Paris Oral Presentations THE BEST IN NEUROINTENSIVE CARE: ACUTE BRAIN INJURY Chairs: Mauro Oddo, Lausanne, Switzerland & David Menon, Cambridge, United Kingdom 126 14:15 - 14:30 ASSESSING THE CLINICAL AND COST-EFFECTIVENESS OF ALTERNATIVE CARE PATHWAYS FOR CRITICALLY ILL PATIENTS WITH ACUTE TRAUMATIC BRAIN INJURY R. Grieve, M.Z. Sadique, M. Gomes, D.K. Menon, K.M. Rowan, D.A. Harrison, London, United Kingdom 0436 14:30 - 14:45 METABOLIC DISTURBANCES ARE MORE FREQUENT AND SEVERE IN PERILESIONAL THAN IN NORMAL APPEARING BRAIN TISSUE AFTER TRAUMATIC BRAIN INJURY S. Magnoni, M. Macri’, R. Di Rosso, F. Stretti, S. Aresi, P. Scarone, N. Stocchetti, Milan, Italy 0437 14:45 - 15:00 EARLY GASTROSTOMY AND TRACHEOSTOMY PREVENT VENTILATOR ASSOCIATED PNEUMONIA IN TRAUMATIC BRAIN INJURED PATIENTS A.M. Fayed, T.H. Elbadawy, M.A. Gamal, T.N. Habib, Alexandria, Egypt 0438 15:00 - 15:15 EVALUATION OF THE EFFECTS OF INCREASED INTRA-ABDOMINAL PRESSURE (IAP) ON INTRACRANIAL PRESSURE (ICP), BRAIN TISSUE PRESSURE OXYGEN (PBTO2) AND SATURATED JUGULAR BULB (SJO2) IN A PORCINE NORMOVOLEMIC MODEL J.J. Martinez, M. Poblano, J. Leco, F. Tendillo, J. Lomeli, E. Deloya, L. Torres, F. Jimenez, J. Carmona, Mexico, Mexico 0439 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 15:30 - 15:50 Discussion ROOM Vienna Oral Presentations M.L. Leoni, S. Magnoni, A. Colombo, M. Gotti, V. Conte, G. Bertani, N. Stocchetti, Milan, Italy 0440 SEPSIS THERAPY: NEW HINTS FROM THE LAB Chairs: Alexandre Mebazaa, Paris, France & John Kellum, Pittsburgh, United States 14:15 - 14:30 EFFECTS OF STATINS ON MITOCHONDRIAL RESPIRATION AND OUTCOME DURING EXPERIMENTAL SEPSIS J. Morel, I. Hargreaves, B. Bollen Pinto, D. Brealey, J. Backman, A. Dyson, M. Singer, Saint-Etienne, France 0441 14:30 - 14:45 STATINS PROTECTS COGNITIVE IMPAIRMENT IN ANIMAL MODEL OF SEPSIS F.A. Bozza, P. Reis, P.C. Alexandre, M.M. Pitombo, H.C. Castro-Faria-Neto, Rio de Janeiro, Brazil 0442 14:45 - 15:00 TARGETING DEXAMETHASONE TO THE RECEPTOR CD163 ON PORCINE MACROPHAGES. IN VIVO ATTENUATION OF THE INFLAMMATORY RESPONSE TO ENDOTOXIN WITHOUT ENDOGENOUS CORTISOL SUPPRESSION A. Granfeldt, C.L. Hvas, J.H. Graversen, P.A. Christensen, M.D. Petersen, G. Anton, P. Svendsen, C. Sølling, E. Tønnesen, S.K. Moestrup, H.J. Møller, Aarhus, Denmark 0443 15:00 - 15:15 ERYTHROPOIETIN IMPROVES RATS SURVIVAL AND ACTIVATES AKT PATHWAY IN ACUTE SEPSIS A. Blet, M. Sadoune, J. Lemarié, N. Bihry, R. Merval, E. Polidano, J.-L. Samuel, B. Lévy, A. Mebazaa, Nancy, France 0444 15:15 - 15:30 DOSE-RESPONSE ANALYSIS OF LONG TERM ANGIOTENSIN II INFUSIONS AS A VASOPRESSOR AGENT IN EXPERIMENTAL SEPSIS A. Pereira, T.D. Correa, S. Djafarzadeh, J. Takala, S. Jakob, Bern, Switzerland 0445 15:30 - 15:50 Discussion ROOM Athens Oral Presentations PERIPHERAL PERFUSION Chairs: Bernard Cholley, Paris, France & Gorazd Voga, Celje, Slovenia 14:15 - 14:30 SUPERIORITY OF MILD HYPOTHERMIA OVER CONTROLLED NORMOTHERMIA IN BLOOD PRESSURE AND CEREBRAL OXYGENATION MAINTENANCE, RESUSCITABILITY, AND PREVENTION OF ORGAN DAMAGE AFTER CARDIAC ARREST IN PORCINE MODEL P. Ostadal, M. Mlcek, A. Kruger, S. Horakova, F. Holy, M. Janotka, T. Svoboda, J. Belohlavek, O. Kittnar, P. Neuzil, Prague, Czech Republic 0446 14:30 - 14:45 THE HAEMODYNAMIC AND MICROCIRCULATORY EFFECTS OF GRADED HYPOVOLEMIA IN SPONTANEOUSLY BREATHING SUBJECTS E. Zollei, V. Bertalan, A. Nemeth, P. Csabi, I. Laszlo, J. Kaszaki, L. Rudas, Szeged, Hungary 0447 14:45 - 15:00 PERIPHERAL PERFUSION ALTERATIONS AFTER MAJOR ABDOMINAL SURGERY ARE ASSOCIATED WITH POSTOPERATIVE COMPLICATIONS M.E. van Genderen, J. Paauwe, A. Lima, J. Bakker, J. van Bommel, Rotterdam, Netherlands 0448 15:00 - 15:15 NITROGLYCERIN DOSE-DEPENDENT IMPROVES PERIPHERAL PERFUSION IN PATIENTS WITH CIRCULATORY SHOCK: RESULTS OF A PROSPECTIVE, CROSS-OVER STUDY A. Lima, M. Van Genderen, J. Van Bommel, J. Bakker, Rotterdam, Netherlands 0449 15:15 - 15:30 SUBLINGUAL MICROCIRCULATION IN INTENSIVE CARE PATIENTS WITH INTRA-ABDOMINAL HYPERTENSION L. Maddison, J. Karjagin, M. Buldakov, M. Mäll, R. Kruusat, K. Lillemäe, J. Starkopf, Tartu, Estonia 0450 15:30 - 15:50 Discussion ROOM Lisbon Joint Session TRANSLATIONAL PARADIGM Scientific programme GLUCOSE TRANSPORT KINETICS IS PRESERVED IN TRAUMATIC BRAIN INJURY PATIENTS BUT THE MAXIMAL TRANSPORT RATE MIGHT BE REDUCED MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER 15:15 - 15:30 SCCM/ESICM - ACTIVATED PROTEIN C: REVEALING THE DEFICITS IN OUR Chairs: Andrew Rhodes, London, United Kingdom & Clifford Deutschman, Philadelphia, United States 16:00 - 16:20 The rise and fall of a new drug Marco Ranieri, Turin, Italy 16:20 - 16:40 Was there sufficient pre-clinical data for the initial Xigris hopes? Mervyn Singer, London, United Kingdom 16:40 - 17:00 Was there sufficient clinical evidence for the initial Xigris hype? Derek Angus, Pittsburgh, United States 17:00 - 17:20 Better sepsis therapy: Did the ends justify the means? Pierre-François Laterre, Leuven, Belgium 17:20 - 17:40 Relationship between industry, academia and clinicians: Can we get it right? Clifford Deutschman, Philadelphia, United States 17:40 - 18:00 Designing research on ICU syndromes: Lessons learned? Jean-Paul Mira, Paris, France L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 127 Scientific programme ROOM Berlin Thematic Session THERAPEUTIC TARGETS SELECTION IN ACUTE RESPIRATORY FAILURE Chairs: Laurent Brochard, Geneva, Switzerland & Antonio Pesenti, Monza, Italy 16:00 - 16:20 Targeting normal values in critical illness. What is the rationale? Brian Kavanagh, Toronto, Canada 16:20 - 16:40 Oxygenation in ARDS. Time to lower the target? Massimo Antonelli, Rome, Italy 16:40 - 17:00 Hypercapnia. Friend or foe? John Laffey, Galway, Ireland 17:00 - 17:20 Tidal volume or lung strain? Davide Chiumello, Milan, Italy 17:20 - 17:40 Plateau pressure or driving pressure? Marcelo Amato, Sao Paulo, Brazil 17:40 - 18:00 Extracorporeal technologies: Do they change the “rules”? Antonio Pesenti, Monza, Italy ROOM Barcelona Thematic Session Nurses & AHP AN UPDATE ON VAP Chairs: Claude Martin, Marseille, France & Antonio Torres, Barcelona, Spain 16:00 - 16:20 Non-pharmacologic prevention approaches Stijn Blot, Ghent, Belgium 16:20 - 16:40 The prevention bundle approach: Does it work? Jordi Rello, Barcelona, Spain 16:40 - 17:00 SDD: Value and pitfalls Marc Bonten, Utrecht, Netherlands 17:00 - 17:20 New data for old antibiotics: Is there a magic bullet? Jean-François Timsit, Grenoble, France 17:20 - 17:40 Aerosolised antibiotics for VAP due to Gram-negative bacteria: Ready for use? Jean Chastre, Paris, France 17:40 - 18:00 Do we need new treatment guidelines? Antonio Torres, Barcelona, Spain ROOM Geneva Joint Session ERC/ESICM - POST-CARDIAC ARREST IN 2012 MONDAY 15 OCTOBER Chairs: Jacques Duranteau, Kremlin-Bicetre, France & Bernd Böttiger, Heidelberg, Germany 16:00 - 16:20 Recent important changes in resuscitation Kjetil Sunde, Oslo, Norway 16:20 - 16:40 PCI strategy after cardiac arrest Alain Cariou, Paris, France 16:40 - 17:00 Pharmacological approach in post-CA brain protection Bernd Böttiger, Heidelberg, Germany 17:00 - 17:20 Benefits and limits of therapeutic hypothermia Michael Holzer, Vienna, Austria 17:20 - 17:40 Post-cardiac arrest shock Jacques Duranteau, Kremlin-Bicetre, France 17:40 - 18:00 Post-resuscitation bundle Jerry Nolan, Bath, United Kingdom ROOM Rome Continuous Professional Education Session SHOCK REVISITED Chairs: Michael Pinsky, Pittsburgh, United States & Marco Maggiorini, Zurich, Switzerland 16:00 - 16:20 From normal physiology to shock Christoph Hofer, Zurich, Switzerland 16:20 - 16:40 Identify shock etiology Jean-Louis Vincent, Brussels, Belgium 16:40 - 17:00 Pulmonary hypertension Warren Zapol, Boston, United States 17:00 - 17:20 Haemodynamic monitoring to guide treatment Xavier Monnet, Kremlin-Bicetre, France 17:20 - 17:40 From best fluids to best catecholamines Daniel De Backer, Brussels, Belgium 17:40 - 18:00 Assessing perfusion and response to treatment Marco Maggiorini, Zurich, Switzerland + 128 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL Visit us at the ESICM Members Lounge Level 1 L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 ETHICAL DILEMMAS IN INTENSIVE CARE 16:00 - 16:20 Patient autonomy vs. the autonomy of the care taker Bob Truog, Boston, United States 16:20 - 16:40 Claims of patients and families Elie Azoulay, Paris, France 16:40 - 17:00 Centralisation of care - is it better? J. Randall Curtis, Seattle, United States 17:00 - 17:20 Donation of organs Beatriz Dominguez-Gil, Madrid, Spain 17:20 - 17:40 Dealing with staff burnout Andrej Michalsen, Tettnang, Germany 17:40 - 18:00 Triage in the elderly Charles Sprung, Jerusalem, Israel ROOM Stockholm Thematic Session REGIONAL CITRATE ANTICOAGULATION FOR DUMMIES Chairs: Heleen Oudemans-van Straaten, Amsterdam, Netherlands & Eric Hoste, Ghent, Belgium 16:00 - 16:20 Anti-inflammatory properties of citrate Bruce Molitoris, Indiana, United States 16:20 - 16:40 Metabolic aspects of citrate anticoagulation Lui Forni, Worthing, United Kingdom 16:40 - 17:00 How to apply citrate in patients with liver impairment? Thorsten Slowinsky, Berlin, Germany 17:00 - 17:20 Lactate and citrate - competitors or companions? Heleen Oudemans-van Straaten, Amsterdam, Netherlands 17:20 - 17:40 The problems of citrate in high dose CRRT Patrick Honoré, Brussels, Belgium 17:40 - 18:00 CRRT modality influence citrate application Ravindra Mehta, San Diego, United States ROOM Paris Thematic Session INTENSIVE CARE IN RESOURCE-POOR SETTINGS Chairs: Martin Dünser, Salzburg, Austria & Andreas Valentin, Vienna, Austria 16:00 - 16:20 Establishing an ICU service in a resource-poor setting Guillaume Thiery, Paris, France 16:20 - 16:40 Establishing a comprehensive intensive care training course in a resource-poor setting Marcus Schultz, Amsterdam, Netherlands 16:40 - 17:00 Recommendations for sepsis management in resource-poor settings Rashan Haniffa, Colombo, Sri Lanka 17:00 - 17:20 The problem of antimicrobial resistance in resource-poor settings Otgon Baatar, Ulaanbaatar, Mongolia 17:20 - 17:40 Challenges of providing critical care medicine in Africa Arthur Kwizera, Kampala, Uganda 17:40 - 18:00 Critical care aspects during a poliomyelitis epidemic in the 21st century Martin Dünser, Salzburg, Austria ROOM Vienna Thematic Session RAPID RESPONSE SYSTEMS REVISITED Chairs: Hans Flaatten, Bergen, Norway & Maurizia Capuzzo, Ferrara, Italy 16:00 - 16:20 The rationale for Rapid Response Systems Francesca Rubulotta, London, United Kingdom 16:20 - 16:40 Exploring the evidence for Rapid Response Systems Hans Flaatten, Bergen, Norway 16:40 - 17:00 Intensive Care - defined by illness and not by location Bertrand Guidet, Paris, France 17:00 - 17:20 Implementation of a standardised RRS worldwide Maurizia Capuzzo, Ferrara, Italy 17:20 - 17:40 The role of a standardised RRS in Holland Peter van der Voort, Amsterdam, Netherlands 17:40 - 18:00 Rapid Response Systems and end-of-life care Julian Bion, Birmingham, United Kingdom L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience Scientific programme Thematic Session MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER room Glasgow Chairs: J. Randall Curtis, Seattle, United States & Andrej Michalsen, Tettnang, Germany 129 Scientific programme ROOM Athens Controversies Session SDD IN MY ICU Chair: George Dimopoulos, Athens, Greece 16:00 - 16:10 Yes Marc Bonten, Utrecht, Netherlands 16:10 - 16:20 No Anders Perner, Copenhagen, Denmark 16:20 - 16:30 Discussion ROOM Athens State of the Art Session RECOVERY FROM TRAUMATIC BRAIN INJURY Chairs: Javier Provencio, Cleveland, United States & Mauro Oddo, Lausanne, Switzerland 16:40 - 17:00 Neurorestoration after TBI Elisa Zanier, Milan, Italy 17:00 - 17:20 Biomarkers of brain repair and recovery Peter Leroux, Philadelphia, United States 17:20 - 17:40 Neural plasticity after TBI: Evidence from functional neuroimaging David Menon, Cambridge, United Kingdom 17:40 - 18:00 Genetic polymorphism: Does it matter? Javier Provencio, Cleveland, United States ROOM Geneva Industry Sponsored Session MANAGEMENT OF INTRA-ABDOMINAL HYPERTENSION: DON’T LET THE PRESSURE TAKE CONTROL - CONVATEC Chairs: Claudia Spies, Berlin, Germany & Ricardo Matos, Lisbon, Portugal 18:15 - 18:35 Definitions and epidemiology on abdominal hypertension and abdominal compartment syndrome: Past, present and future Manu Malbrain, Antwerp, Belgium 18:35 - 18:55 Clinical experience on management of intra-abdominal hypertension Jordi Rello, Barcelona, Spain 18:55 - 19:15 Medical management of abdominal hypertension: What is new? Manu Malbrain, Antwerp, Belgium ROOM Stockholm Industry Sponsored Session EFFECTIVE GLYCAEMIA CONTROL Chairs: Michael Hiesmayr, Vienna, Austria & Jean-Charles Preiser, Brussels, Belgium MONDAY 15 OCTOBER 18:15 - 18:35 Glycaemia in ICU: State of the art Björn Ellger, Munster, Germany 18:35 - 18:55 Patient-specific glycaemic control software in the ICU setting Alexandre Guerrini, Saint Avertin, France 18:55 - 19:15 Computer-assisted glucose regulation in critically ill patients: A proof of concept study Pierre Kalfon, Chartres, France ROOM Vienna Industry Sponsored Session Thermo Fisher GUIDING ANTIBIOTIC THERAPY TO TACKLE RESISTANCE FORMATION Chairs: Jean Chastre, Paris, France & Tobias Welte, Hanover, Germany 18:15 - 18:20 Introduction - Status of antibiotic resistance in ICUs Tobias Welte, Hanover, Germany 18:20 - 18:45 Antibiotic resistance: From underlying mechanisms to the patients in the ICU Rafael Cantón, Madrid, Spain 18:45 - 19:10 Antibiotic guidance in the ICU Jérôme Pugin, Geneva, Switzerland 19:10 - 19:15 Summary of symposium Tobias Welte, Hanover, Germany 30 minutes before the next session? Visit the Replay theatre Level 1 - Exhibition Area A - Gallery 130 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 “The reduction of ventilation times is bringing down length of stay on the ICU.” Jim, 46, chief doctor e us and se e m o C , M 2012 at ESIC . 18. no boot h At your side in intensive care: Dräger. The intensive care area is one of the most complex and cost-intensive areas in any hospital. Spiralling costs, rising morbidity and a trend towards individualised therapies are increasing the demand for higher levels of efficiency. At Dräger, we have a long history of developing solutions that address not only therapeutic, but also work flow improvement. Our innovative technology can turn an intensive care unit into a healing environment, where your patients feel more comfortable and your staff are naturally motivated. 2830 LEARN MORE ABOUT OUR SOLUTIONS: WWW.DRAEGER.COM/ICU Scientific programme TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER SCIENTIFIC programme tuesday 16 october 132 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 10:10 - 12:00 Poster corners morning Area Beja Area Braga Area Cascais Area Coimbra Area Estoril Area Evora Technology assessment in acute respiratory failure Nutrition & glucose control Cardiovascular failure in the icu Fluid & haemodynamics in the surgical patient Risk factors, prophylaxis & outcome of icu infections Management of cardiovascular patients Area Faro Area Fatima Area Funchal Area Guarda Area Porto Area Setubal Ventilatory support in the brain-injured patient Ards: new trends in treatment 1 Abdominal complications in the icu Area Sintra Life-Priority Paediatrics 2: not small adults! Epidemiology of icu-related infections Emergency medicine End of life care ethics of research Nurses & AHP POSTER overview POSTER OVERVIEW - TUESDAY 16 OCTOBER Organisation of intensive care 14:00 - 15:50 Poster corners afternoon Area Braga Area Cascais Area Coimbra Area Estoril Airway care & instrumentation Area Evora Clinical outcome predictors in sepsis Electrolytes & trace elements Ventilatory support 1 Fluid responsiveness & goal directed therapy Area Faro Area Fatima Area Funchal Area Guarda Area Porto Area Setubal Optimising tissue oxygenation Pneumonia in the icu: prevention & treatment Neuroemergencies & trauma Evaluation of care in trauma & emergency medicine Indicators of cost, quality & outcome Septic shock: metabolic markers, organ dysfunction & therapy Area Sintra Life-Priority Nursing interventions Audit & assessment of critical care practice Nurses & AHP Sedation practices & delirium TUESDAY 16 OCTOBER Area Beja View the poster corner plan on pages 26-27 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 133 programme overview TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER TUeSDAY 16 October Room Lisbon Berlin Barcelona 08:30 Elderly in intensive care Organ failure in sepsis Crrt in specific situations Abstract award winning session Prevention of infections in the icu setting 09:30 Geneva Manipulating the microcirculation Rome Liver emergencies in the icu 09:30-09:40 09:40 Metabolism in icu The best in neurointensive care: encephalopathy and polyneuropathy Transfusion in the icu How do i diagnose interstitial pneumonia? How do i read head ct and a mri scan? Blood sugar monitoring EDWARDS PULSION FRESENIUS KABI ORION PHARMA Haemodymanic monitoring Picco for haemodynamic monitoring: indications, strategies & benefit Volume management in trauma, surgery and icu Emerging therapeutic options for the icu patient Do medical journals modify our practice? Adequate and appropriate treatment of icu infections Difficult infections in the icu 11:00 Nurses & AHP 11:00-11:10 Respiratory monitoring for dummies 11:10 12:00 Cardiovascular monitoring for dummies 12:00-12:30 12:30 14:00 14:00-14:15 14:15 15:45 Ards: defining, monitoring & outcome Cardiovascular monitoring update 15:45-16:00 16:00 18:00 Icm: year in review Caring for the lungs of the haemodynamically challenged patient Early goal-directed therapy Assessment of lung aeration and collapse in ards Fighting multi-drug resistant pathogens 18:00-18:15 18:15-19:30 Session references 134 Thematic session / JOINT SESSION Controversies session Clinical challenges session STATE OF THE ART SESSION Oral presentations Poster corners Continuous Professional Education Sessions from bench to bedside Industry sponsored session 25th Annual 25th Annual Congress Congress 13-1713-17 October October 20122012 ccl -ccl lisbon - lisbon - PORTUGAL - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Sepsis, epidemiology & outcome How do i counsel in and beyond the icu? Nurses & AHP Nurses & AHP Secondary insults in trauma patients Paris Vienna Athens Etco/esicm optimising the icu management of the organ donor From the icu to nobel prize and back Hyponatremia guidelines Cardiovascular ultrasounds Future perspectives in ards treatment Esc/esicm - update on cardiogenic shock How do i manage a How do i find the focus How do i manage chest patient with suspected in my sepsis patient? trauma? acute pulmonary embolism? Pfizer COVIDIEN MAQUET MRSA nosocomial pneumonia today: How can we ensure optimal outcomes On the way to perfect synchrony Co2 reduction, something we should care about! Sepsis, trauma and kidney injury: epidemiology and outcome End of life care - ethics of research 2 Abc of paediatric intensive care for the adult intensivist Achieving a culture of safety Nurses & AHP Nurses & AHP Acute kidney injury Long-term outcome and sequelae from sepsis Therapeutic hypothermia Overfeeding in icu A real problem? General Assembly L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience How do i interpret metabolic acidosis? Molecular mechanisms in sepsis Surveillance of vap is an useful quality indicator End of life decisions programme overview Preventing postoperative infection Stockholm Preparing the icu nursing workforce for 2020 TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER Glasgow 135 Scientific programme TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER ROOM Lisbon Thematic Session ELDERLY IN INTENSIVE CARE Chairs: Charles Sprung, Jerusalem, Israel & Margaret Herridge, Toronto, Canada 08:30 - 08:50 Physiologic changes in the elderly Brian Marsh, Dublin, Ireland 08:50 - 09:10 Intensive care benefit for the elderly Charles Sprung, Jerusalem, Israel 09:10 - 09:30 Benefit comes with specific care Ana Rosa, Lisbon, Portugal ROOM Berlin Thematic Session ORGAN FAILURE IN SEPSIS Chairs: Clifford Deutschman, Philadelphia, United States & Tarek Sharshar, Paris, France 08:30 - 08:50 Sclerosing cholangitis Michael Bauer, Jena, Germany 08:50 - 09:10 Molecular basis of organ failure Mervyn Singer, London, United Kingdom 09:10 - 09:30 Septic encephalopathy Clifford Deutschman, Philadelphia, United States ROOM Barcelona Thematic Session CRRT IN SPECIFIC SITUATIONS Chairs: Claudio Ronco, Vicenza, Italy & Eric Hoste, Ghent, Belgium 08:30 - 08:50 RRT in cardiorenal syndrome Wilfred Druml, Vienna, Austria 08:50 - 09:10 RRT in patients with liver failure Marlies Ostermann, London, United Kingdom 09:10 - 09:30 RRT in sepsis and septic shock Matthieu Legrand, Paris, France ROOM Geneva From Bench to Bedside Session MANIPULATING THE MICROCIRCULATION Chairs: Can Ince, Rotterdam, Netherlands & Daniel De Backer, Brussels, Belgium 08:30 - 08:50 Defining the best perfusion Can Ince, Rotterdam, Netherlands 08:50 - 09:10 Microcirculatory dysfunction after brain injury Fabio Silvio Taccone, Brussels, Belgium 09:10 - 09:30 Microcirculation during surgery and trauma Shaman Jhanji, London, United Kingdom ROOM Rome Continuous Professional Education Session LIVER EMERGENCIES IN THE ICU Chairs: Julia Wendon, London, United Kingdom & Pierre-François Laterre, Leuven, Belgium 08:30 - 08:50 Acute viral hepatitis Julia Wendon, London, United Kingdom 08:50 - 09:10 Alcohol-induced hepatitis and decompensated cirrhosis Pierre-François Laterre, Leuven, Belgium 09:10 - 09:30 Liver emergencies during pregnancy Michael Bauer, Jena, Germany ROOM Glasgow Thematic Session PREVENTING POST-OPERATIVE INFECTION Chairs: Jordi Rello, Barcelona, Spain & Claudia Spies, Berlin, Germany 08:30 - 08:50 New insights in epidemiology and costs of post-operative infection Shaman Jhanji, London, United Kingdom 08:50 - 09:10 Strategies for reducing postoperative infections Michael Sander, Berlin, Germany 09:10 - 09:30 Quality improvement to prevent infection Claudia Spies, Berlin, Germany Try the e-posters experience in the exhibition area 136 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 PREPARING THE ICU NURSING WORKFORCE FOR 2020 Chairs: Christina Jones, Liverpool, United Kingdom & Barbara McLean, Atlanta, United States 08:30 - 08:50 Preparing generation Y for ICU nursing Terry O’Reilly, London, United Kingdom 08:50 - 09:10 Keep the experienced nurse working Julie Benbenishty, Jerusalem, Israel 09:10 - 09:30 E-learning for continuing education Sonia Labeau, Ghent, Belgium ROOM Paris Joint Session Nurses & AHP ETCO/ESICM - OPTIMISING THE ICU MANAGEMENT OF THE ORGAN DONOR Chairs: Giuseppe Citerio, Monza, Italy & Beatriz Dominguez-Gil, Madrid, Spain 08:30 - 08:45 Changing the treatment targets: From the acute phase to donation of organs Francesco Procaccio, Rome, Italy 08:45 - 09:00 Cardiac output monitoring guided haemodynamic therapy in brain dead organ donors Rupert Pearse, London, United Kingdom 09:00 - 09:15 How to improve transplanted organ performance? The process starts in the ICU Alexander Manara, Bristol, United Kingdom 09:15 - 09:30 The impact of ICU treatment on transplanted organs Franco Valenza, Milan, Italy ROOM Vienna From Bench to Bedside Session FROM THE ICU TO NOBEL PRIZE AND BACK Chairs: Fernando Bozza, Rio de Janeiro, Brazil & Jérôme Pugin, Geneva, Switzerland 08:30 - 08:50 Toll-like receptors Jérôme Pugin, Geneva, Switzerland 08:50 - 09:10 Dendritic cells Frédéric Pène, Paris, France 09:10 - 09:30 How does this help to understand pneumonia? Jean-Paul Mira, Paris, France ROOM Athens Thematic Session HYPONATREMIA GUIDELINES Chairs: Michael Joannidis, Innsbruck, Austria & Jan Wernerman, Stockholm, Sweden 08:30 - 08:50 Why guidelines for hyponatremia are needed? How are they generated? Djillali Annane, Garches, France 08:50 - 09:10 My current diagnostic approach for hyponatremia in the ICU Carole Ichai, Nice, France 09:10 - 09:30 My current therapeutic approach for hyponatremia in the ICU Michael Joannidis, Innsbruck, Austria ROOM Lisbon Oral Presentations ABSTRACT AWARD WINNING SESSION Chairs: Giuseppe Citerio, Monza, Italy & Richard Beale, London, United Kingdom 09:40 - 09:55 COMPARISON OF NEW CLINICAL DEFINITION OF ARDS WITH AUTOPSY FINDINGS A.W. Thille, P. Fernández-Segoviano, J.M. Rodriguez, J.A. Aramburu, P. Cardinal, O. Penuelas, J.A. Lorente, F. Frutos-Vivar, A. Esteban, Getafe, Madrid, Spain 0451 09:55 - 10:10 DISTRIBUTION OF LUNG INFLAMMATION AFTER VENTILATION ACCORDING TO ARDSNET IN EXPERIMENTAL LUNG INJURY J.B. Borges, E. Costa, C. Widström, E. Maripuu, M. Bergquist, L. Lucchetta, F. Suarez-Sipmann, A. Larsson, M. Amato, G. Hedenstierna, Uppsala, Sweden 0452 10:10 - 10:25 LECTIN PATHWAY OF COMPLEMENT ACTIVATION AFTER SUBARACHNOID HAEMORRHAGE T. Zoerle, R. Zangari, F. Orsini, S. Parrella, V. Conte, N. Stocchetti, E.R. Zanier, M.-G. De Simoni, Milan, Italy 0453 10:25 - 10:40 DELIRIUM, SUB-SYNDROMAL DELIRIUM, ANTIPSYCHOTIC USE, AND ASSOCIATED CLINICAL OUTCOMES IN CRITICALLY ILL MECHANICALLY VENTILATED PATIENTS ENROLLED IN THE SLEAP MULTICENTRE RANDOMISED TRIAL S. Mehta, J. Devlin, Y. Skrobik, M. Meade, D. Cook, D. Fergusson, M. Steinberg, J. Granton, N. Ferguson, M. Tanios, P. Dodek, R. Fowler, K. Burns, M. Jacka, K. Olafson, S. Keenan, S. Reynolds, J. Kutsogiannis, R. Mallick, L. Burry, Toronto, Canada 0454 10:40 - 10:55 Discussion L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience Scientific programme Thematic Session TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER ROOM Stockholm 137 Scientific programme TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER 138 ROOM Berlin Oral Presentations Nurses & AHP PREVENTION OF INFECTIONS IN THE ICU SETTING Chairs: George Dimopoulos, Athens, Greece & Jean-François Timsit, Grenoble, France 09:40 - 09:55 WHY THE RATES OF MECHANICAL VENTILATION-RELATED PNEUMONIA HAVE DECREASED IN SPAIN? F. Alvarez-Lerma, M. Palomar, P. Olaechea, M.J. López Pueyo, J. Insausti, M.P. Gracia, R. Gimeno, I. Seijas, Barcelona, Spain 0455 09:55 - 10:10 PROTECTIVE EFFECTS OF FCGR2A POLYMORPHISM IN INVASIVE PNEUMOCOCCAL DISEASES A. Bouglé, A. Max, N. Mongardon, D. Grimaldi, F. Pène, C. Rousseau, J.D. Chiche, J.P. Bedos, E. Vicaut, J.P. Mira, Paris, France 0456 10:10 - 10:25 CAN WE PREDICT PNEUMOCOCCAL BACTERAEMIA IN PATIENTS WITH SEVERE COMMUNITY-ACQUIRED PNEUMONIA? J.M. Pereira, A. Teixeira-Pinto, C. Basílio, C. Sousa-Dias, P. Mergulhão, J.A. Paiva, Porto, Portugal 0457 10:25 - 10:40 SURVEILLANCE OF VENTILATOR ASSOCIATED PNEUMONIA IN A DUTCH INTENSIVE CARE AND THE INFLUENCE OF SELECTIVE DECONTAMINATION OF THE DIGESTIVE TRACT E. de Jong, A.M. Kaiser, A. Beishuizen, S.F.M. Evelein-Brugman, M.C. de Waard, J.M. Peppink, C.M.J.E. Vandenbroucke-Grauls, A.R.J. Girbes, Amsterdam, Netherlands 0458 10:40 - 10:55 COST-EFFECTIVENESS OF RISK-BASED STRATEGIES FOR ANTIFUNGAL PROPHYLAXIS AMONG NON-NEUTROPENIC, CRITICALLY ILL ADULT PATIENTS: THE FIRE STUDY D.A. Harrison, R. Grieve, M.Z. Sadique, E. Allen, K.M. Rowan, London, United Kingdom 0459 ROOM Barcelona Oral Presentations METABOLISM IN ICU Chairs: Olav Rooyackers, Stockholm, Sweden & Karin Amrein, Graz, Austria 09:40 - 09:55 DYNAMICS OF SKELETAL MUSCLE ATROPHY AND ATROPHY GENE EXPRESSION IN CRITICALLY ILL PATIENTS DURING ICU STAY T. Wollersheim, S. Weber-Carstens, C. Egbers, A. Luther, M. Krebs, J. Hamati, D. Lodka, C. Kleber, C. Spies, S. Spuler, J. Fielitz, Berlin, Germany 0460 09:55 - 10:10 WHOLE BODY PROTEIN TURNOVER IN MECHANICALLY VENTILATED ICU PATIENTS O. Rooyackers, R. Kouchek-Zadeh, I. Tjäder, Å. Norberg, M. Klaude, J. Wernerman, Huddinge, Sweden 0461 10:10 - 10:25 DOES BODY MASS INDEX INFLUENCE MUSCLE WASTING FOLLOWING CRITICAL ILLNESS? E. Segaran, M. Stotz, L. Wandrag, M. Hickson, London, United Kingdom 0462 10:25 - 10:40 DETERMINATION OF A SIMPLIFIED METHOD FOR ESTIMATING RESTING ENERGY EXPENDITURE IN CRITICALLY ILL PATIENTS J.-C. Preiser, M.H. Simonsen, Brussels, Belgium 0463 10:40 - 10:55 CHANGE OF SERUM ALBUMIN AND RISK OF ALL-CAUSE MORTALITY IN CRITICAL ILLNESS: A COHORT STUDY K.B. Christopher, G.W. Reed, M. Nurok, T. Moromizato, F.K. Gibbons, G.P. Topulos, Boston, United States 0464 ROOM Geneva Oral Presentations POLYNEUROPATHY THE BEST IN NEUROINTENSIVE CARE: ENCEPHALOPATHY & Chairs: Tarek Sharshar, Paris, France & Francesco Procaccio, Rome, Italy 09:40 - 09:55 BRAIN BIOENERGETICS IMBALANCE AND OXIDATIVE STRESS IN SYSTEMIC INFLAMMATION AND SEPSIS F. Bozza, J.C. d’Avila, R. Carnevale, L. GarciaSouza, P.A. Reis, R.G. Novaes, H.C. Castro-FariaNeto, M.F. Oliveira, Rio de Janeiro, Brazil 0465 09:55 - 10:10 EARLY TREATMENT WITH INTRAVENOUS IMMUNOGLOBULINS IN PATIENTS WITH CRITICAL ILLNESS POLYNEUROPATHY ─ A RANDOMISED CONTROLLED, DOUBLE BLINDED STUDY R. Brunner, W. Rinner, R. Kitzberger, T. Sycha, J. Warszawska, U. Holzinger, C. Madl, Vienna, Austria 0466 10:10 - 10:25 EFFECT OF ELECTRICAL MUSCLE STIMULATION IN PREVENTION OF ICU ACQUIRED MUSCLE WEAKNESS AND FACILITATING WEANING FROM MECHANICAL VENTILATOIN H. Abokhabar, A. Abouelela, I. Abdelkarim, Alexandria, Egypt 0467 10:25 - 10:40 RESPIRATORY PARAMETERS IMPROVES DURING DIAPHRAGMATIC PACING IN HIGH SPINAL CORD LESIONS PATIENTS M. Giacomini, F. Curto, C. Betto, T. Redaelli, D. Facchetti, D. Falchetti, E. Mantovani, I. Chiusa, Milan, Italy 0468 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 TRANSFUSION IN THE ICU 09:40 - 10:00 New experimental insights about transfusions Warren Zapol, Boston, United States 10:00– 10:20 Transfusion in the perioperative phase Rupert Pearse, London, United Kingdom 10:20 - 10:40 Transfusion in acute brain damage David Menon, Cambridge, United Kingdom 10:40 - 11:00 Alternatives to transfusion Konrad Reinhart, Jena, Germany ROOM Glasgow Oral Presentations SEPSIS, EPIDEMIOLOGY & OUTCOME Chairs: Derek Angus, Pittsburgh, United States & Martin Dünser, Salzburg, Austria 09:40 - 09:55 HAS MORTALITY DECREASED IN MECHANICALLY VENTILATED PATIENTS WITH SEPSIS IN THE LAST DECADE? N. Nin, O. Peñuelas, N. Ferguson, M. Gonzalez, J. Hurtado, B. Du, A. Ali Zeggwagh, A. Anzueto, F. Frutos-Vivar, A. Esteban, J.Á. Lorente, Madrid, Spain 0470 09:55 - 10:10 INCIDENCE, ORGAN DYSFUNCTION AND MORTALITY IN SEVERE SEPSIS. A SPANISH MULTICENTRE STUDY AND COMPARISON WITH A 2002 COHORT M.M. García García, R. Herrán Monge, A. Muriel Bombín, P.A. Merino García, M.P. Pérez, F. Gandía Martínez, A.M. Domínguez Berrot, S. Moradillo González, B. Álvarez Martínez, S. Macías, C. Tarancón, M.J. López Pueyo, D. Moreno Torres, J. Blanco Varela, Valladolid, Spain 0471 10:10 - 10:25 DEGREE OF COMPLIANCE WITH RECOMMENDATIONS FOR TREATMENT OF SEVERE SEPSIS AFTER 5 YEARS OF CONDUCTING EDUCATIONAL CAMPAIGN. RESULTS OF A SPANISH MULTICENTER STUDY R. Herrán Monge, A. Muriel Bombín, M.M. García García, P.A. Merino García, D. Carriedo Ule, M. Martínez Barrios, S. Moradillo González, N. Albalá, R. Cítores González, D. Moreno Torres, B. Álvarez Martínez, R. Pajares, C. Tarancón, J. Blanco Varela, Valladolid, Spain 0472 10:25 - 10:40 THE SEVERITY OF ORGAN DYSFUNCTION IS ASSOCIATED WITH EARLY DEATH IN SEVERE SEPSIS AND SEPTIC SHOCK PATIENTS F.R. Machado, E.M. Ferreira, P. Schippers, I.C. Paula, J.L.G. Amaral, N.S. Mansur, R. Salomao, Sao Paulo, Brazil 0473 10:40 - 10:55 COHORT OF CRITICALLY ILL PATIENTS WITH MULTI-ORGAN DYSFUNCTION: POST-HOSPITALISATION MORTALITY AND RELATED PROGNOSTIC FACTORS V. Hortigüela Martín, M. Sánchez Casado, S. Rodríguez Villar, C. Marco Shulcke, M. Quintana Díaz, M. Arrese Cosculluela, Toledo, Spain 0474 ROOM Stockholm Oral Presentations SECONDARY INSULTS IN TRAUMA PATIENTS Chairs: Jacques Duranteau, Kremlin-Bicetre, France (TBC) & Kjetil Sunde, Oslo, Norway 09:40 - 09:55 LONG TERM EFFICACY OF HUMAN BONE MARROW MESENCHYMAL STEM CELLS IN TRAUMATISED MICE BRAIN IS NOT AFFECTED BY IMMUNOSUPPRESSIVE TREATMENT E.R. Zanier, F. Pischiuta, D. Giovanna, A. Biondi, E. Biagi, G. Citerio, M.-G. De Simoni, Milan, Italy 0475 09:55 - 10:10 IS SPECIFIC MONITORING OF FIBRINOGEN UPON ADMISSION OF TRAUMA PATIENTS REALLY JUSTIFIED? COHORT OF 663 SEVERE TRAUMA PATIENTS P. Deras, J. Charbit, C. Maury, P. Chardon, J.P. Roustan, X. Capdevila, Montpellier, France 0476 10:10 - 10:25 THE TWIN ATTACKS IN NORWAY ON JULY 22, 2011 - THE TRAUMA CENTRE INTENSIVE CARE UNIT CHALLENGES AND SOLUTIONS T.M. Gundem, N. Meidell, F. Heyerdal, S. Beitland, K. Gaustad, P. Kvandal, A. Bøen, K.M. Kolstadbraaten, C. Gaarder, P.A. Næss, K. Sunde, Oslo, Norway 0477 + L I V E S 2 012 Scientific programme Continuous Professional Education Session TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER room Rome Chairs: Jean-Daniel Chiche, Paris, France & Rupert Pearse, London, United Kingdom Visit us at the ESICM Members Lounge Level 1 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 139 Scientific programme TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER 10:25 - 10:40 EARLY TRANSFUSION OF BLOOD PRODUCTS IN PATIENTS WITH SEVERE BLEEDING IN PENETRATING ABDOMINAL TRAUMA C.A. Ordoñez, M. Badiel, M. Cepeda, M. Granados, J.H. Loaiza, C. Macia, L. Pino, W. Botache, D. Scavo, J.C. Puyana, G. Ospina, Cali, Colombia 0478 10:40 - 10:55 THE USE OF PRE-HOSPITAL END-TIDAL CO2 MONITORING IN MAJOR TRAUMA: IN PATIENTS WITH SEVERE HEAD INJURY AND MAJOR TRAUMA, DOES CAPNOGRAPHY REPRESENT AN ACCURATE AND EFFECTIVE GUIDE TO PRE-HOSPITAL VENTILATION? M. Patterson, M. Conway, London, United Kingdom 0479 ROOM Paris Oral Presentations CARDIOVASCULAR ULTRASOUNDS Chairs: Jan Poelaert, Brussels, Belgium & Antoine Vieillard-Baron, Boulogne, France 09:40 - 09:55 DOPPLER BASED RENAL RESISTIVE INDEX PREDICTS REVERSIBILITY OF ACUTE KIDNEY INJURY AFTER CARDIAC SURGERY P.-G. Guinot, E. Bernard, L. Badoux, O. Abou Arab, H. Dupont, Amiens, France 0480 09:55 - 10:10 QUALITATIVE EVALUATION OF RESPIRATORY CHANGES IN INFERIOR VENA CAVA DIAMETER IN INTENSIVE CARE UNIT: A RELIABLE AND FAST TECHNIQUE A. Duwat, E. Zogheib, P.G. Guinot, F. Trojette, F. Levy, M. Slama, H. Dupont, Amiens, France 0481 10:10 - 10:25 USEFULNESS OF THE TRICUSPID ANNULAR PLANE SYSTOLIC EXCURSION AND OF THE DOPPLER TISSUE IMAGING OF TRICUSPID ANNULAR MOTION TO DETECT RIGHT VENTRICULAR DYSFUNCTION IN PATIENTS WITH ACUTE PULMONARY EMBOLISM O. Hamzaoui, K. Belkhouja, K. Ben Romdhane, J. Ben Khelil, M. Besbes, Clamart, France 0482 10:25 - 10:40 THE DIAGNOSTIC AND THE PROGNOSTIC VALUE OF THE PEAK SYSTOLIC TRICUSPID ANNULAR VELOCITY IN CRITICALLY ILL PATIENTS O. Hamzaoui, K. Ben Romdthane, K. Belkhouja, J. Ben Khelil, M. Besbes, Clamart, France 0483 10:40 - 10:55 SEMI AUTOMATED ESTIMATION OF EJECTION FRACTION WITH AUTOEF AT THE BEDSIDE SHOWS GOOD CORRELATION WITH GOLD STANDARD METHOD C.A. Frederiksen, P. Juhl-Olsen, J.F. Hermansen, E. Sloth, Aarhus, Denmark 0484 ROOM Vienna Oral Presentations FUTURE PERSPECTIVES IN ARDS TREATMENT Chairs: Marco Ranieri, Turin, Italy & Jordi Mancebo, Barcelona, Spain 09:40 - 09:55 RANDOMISED CONTROLLED TRIAL OF TWO METHODS OF NASAL CONTINUOUS POSITIVE AIRWAY PRESSURE (NCPAP) IN PRETERM INFANTS WITH RESPIRATORY DISTRESS SYNDROME: UNDERWATER BUBBLY CPAP VS. MEDIJET SYSTEM DEVICE M.B. Hosseini, M. Heidarzadeh, M. Balila, Tabriz, Iran, Republic of Islamic 0485 09:55 - 10:10 THE VOLATILE ANAESTHETIC SEVOFLURANE ATTENUATES VENTILATORINDUCED LUNG INJURY THROUGH INHIBITION OF ERK1/2 AND AKT SIGNAL TRANSDUCTION C.-Y. Jeong, S.-H. Kwak, S. Chung, Gwangju, Republic of Korea 0486 10:10 - 10:25 LONG-TERM LUNG STABILITY DURING MECHANICAL VENTILATION AFTER ELECTRICAL IMPEDANCE TOMOGRAPHY (EIT) GUIDED PEEPTITRATION IN A PORCINE ACID ASPIRATION MODEL OF ACUTE RESPIRATORY DISTRESS SYNDROME A. Reske, S. Wolf, T. Muders, H. Starke, A. Rau, D. Buchloh, A. Beilicke, S. Hammermüller, C. Putensen, H. Wrigge, Leipzig, Germany 0487 10:25 - 10:40 ASSESSMENT OF REGIONAL LUNG MECHANICS IN SEVERE ARDS USING ELECTRICAL IMPEDANCE TOMOGRAPHY: IMPLICATIONS FOR THE CHOICE OF VENTILATOR STRATEGY L. Camporota, J. Smith, V. Della Torre, V. Specchio, A. Sgobio, S. Reinero, E. Chinelli, D. Arces, N. Barrett, R. Beale, London, United Kingdom 0488 10:40 - 10:55 THE EFFECT OF BLOOD ACIDIFICATION ON EXTRACORPOREAL CARBON DIOXIDE REMOVAL: LONG TERM ANIMAL STUDY P. Mangili, S. Redaelli, V. Scaravilli, M. Giani, S. Abd El Aziz El Sayed Deab, D. Ferlicca, A. Zanella, A. Pesenti, N. Patroniti, Monza, Italy 0489 + 140 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL Visit us at the ESICM Booth Exhibition Area A L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Unknowns in the ICU? Join Edwards Lifesciences to find Clarity in Every Moment. Attend our Lunch symposium: Hemodynamic Monitoring Tuesday, October 16 – 12.30-14.00, Room Berlin Chairs: Jean-Louis Vincent, Belgium & Maurizio Cecconi, UK Hemodynamic optimization: Is it cost-effective? Maurizio Cecconi, UK Integration of hemodynamic data at the bedside Jean-Louis Vincent, Belgium Application of a new transpulmonary thermodilution technique Chris Hofer, Switzerland Edwards, Edwards Lifesciences, the stylized E logo and Clarity in Every Moment are trademarks of Edwards Lifesciences Corporation. © 2012 Edwards Lifesciences Corporation. All rights reserved. E3139/08-12/CC Edwards Lifesciences Irvine, USA I Nyon, Switzerland edwards.com I Tokyo, Japan I Singapore, Singapore I São Paulo, Brazil Invitation to Innovation PULSION Symposium ESICM 2012 - The European Society of Intensive Care Medicine Centro de Congressos de Lisboa (CCL), Lisbon, Portugal 13th - 17th October 2012, Booth number 15 on Block 9 PiCCO for haemodynamic monitoring: Indications, strategies & benefit Tuesday, 16th October 2012 12:30 – 14:00 hrs Room Barcelona, First Floor Panel members: ro p e h c un L lb l i w Javier Belda (Valencia, Spain) Jean-Loius Teboul (Paris, France) • Benefit of early optimized critical care patient management with PiCCO Daniel Reuter (Hamburg, Germany) • Consequences of haemodynamic monitoring strategies in septic shock patients Jean-Loius Teboul (Paris, France) • Solving therapeutic conflicts in ARDS – Clinical case studies Azriel Perel (Tel-Aviv, Israel) PULSION Medical Systems SE • Hans-Riedl-Str. 21 • D-85622 Feldkirchen, Germany Tel. +49-(0)89-45 99 14-0 • Fax +49-(0)89-45 99 14-18 info.DE@pulsion.com • www.PULSION.com d! e vid ESC/ESICM - UPDATE ON CARDIOGENIC SHOCK 09:40 - 10:00 Medical management: An update Johan Lassus, Helsinki, Finland 10:00 - 10:20 When and how to revascularise? Eduardo Oliveira, Lisbon, Portugal 10:20 - 10:40 How to monitor? Susanna Price, London, United Kingdom 10:40 - 11:00 Assist Devices: What, how and when? Alain Combes, Paris, France Area Beja Poster Corner TECHNOLOGY ASSESMENT IN ACUTE RESPIRATORY FAILURE Chairs: Armand Girbes, Amsterdam, Netherlands & Salvatore Maggiore, Rome, Italy 10:10 - 12:00 EXTRA-VASCULAR LUNG WATER IS AN INDEPENDENT PROGNOSTIC FACTOR IN PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME M. Jozwiak, S. Silva, R. Persichini, N. Anguel, D. Osman, C. Richard, J.L. Teboul, X. Monnet, Le Kremlin Bicetre, France 0490 NON INVASIVE MEASUREMENT OF BOHR´S DEAD SPACE USING VOLUMETRIC CAPNOGRAPHY A. Santos, G. Tusman, S. Bohm, M. Muñoz, J.B. Borges, A. Larsson, G. Hedenstierna, F. Suarez-Sipmann, Madrid, Spain 0491 THE EFFECT OF VENTILATION WITH DIFFERENT FRACTIONS OF INSPIRED OXYGEN ON INTRAPULMONARY SHUNT IS ALTERED BY LUNG INJURY A. Reske, S. Hammermüller, S. Wolf, A. Rau, D. Buchloh, H. Starke, S. Huckauf, T. Muders, C. Putensen, H. Wrigge, Leipzig, Germany 0492 USE OF A FULLY CLOSE LOOP VENTILATION MODE IN LONG TERM VENTILATED ICU PATIENT: A PROSPECTIVE FEASABILITY STUDY A. Garnero, J.-M. Arnal, M. Wysocki, D. Demory, L. Ducros, G. Corno, A. Berric, S.-Y. Donati, J. Durand-Gasselin, Toulon, France 0493 EFFECTS OF ANAESTHESIA, MUSCLE PARALYSIS AND CONTROLLED MECHANICAL VENTILATION ON LUNG DIFFUSION FOR CARBON MONOXIDE (DLCO): PRELIMINARY RESULTS D. Bonacina, F. Di Marco, E. Vassena, E. Pitino, A. Bronco, M. Laratta, F. Verga, F. Pozzi, R. Fumagalli, Monza, Italy 0494 RESPONSE CHARACTERISTICS OF PORTABLE VENTILATION SYSTEM: “BOUSSIGNAC VYLIFE” J.M. Serrano Simon, A. Rodriguez Perea, R. Leon Lopez, A. Mula Gomez, M.D. Bautista Rodriguez, A. Pontes Moreno, Cordoba, Spain 0495 MONITORING INTRINSIC PEEP BY DIAPHRAGMATIC ELECTRICAL ACTIVITY DURING ASSISTED SPONTANEOUS BREATHING A. Coppadoro, G. Bellani, M. Turella, T. Mauri, S. Arrigoni Marocco, N. Patroniti, A. Pesenti, Monza, Italy 0496 IMPACT OF NAP4: AN AUDIT INTO AIRWAY MANAGEMENT ON A GENERAL ICU H. Lewis, A. Martin, J. Patel, Birmingham, United Kingdom 0497 HIGH OXYGENATION INDEX: BAD LUNGS OR BAD DOCTORS? R. Gosavi, T. Szakmany, Llantrisant, United Kingdom 0498 IMPACT OF LACTIC ACID AND GLUCOSE SOLUTION INFUSIONS ON CO(2) PRODUCTION: PRELIMINARY DATA FROM AN EXPERIMENTAL STUDY IN PIGS M. Giani, A. Zanella, S. Redaelli, P. Mangili, V. Scaravilli, D. Ferlicca, E. Rezoagli, V. Ormas, S. Sosio, N. Patroniti, A. Pesenti, Monza, Italy 0499 EXTRACORPOREAL MEMBRANE OXIGENATION IN LUNG TRASPLANTATION ON OUR FIRST TWELVE CASES M. López-Sanchez, I. Rubio-López, J.C. Rodríguez-Borregán, C. GonzálezFernández, F.J. Burón-Mediavilla, F. Ortiz-Melón, A. Quesada-Suescun, Santander, Spain 0500 IMPACT OF AIRWAY PRESSURE RELEASE VENTILATION (APRV) AND BIPHASIC INTERMITTENT POSITIVE AIRWAY PRESSURE (BIPAP) MODES ON THE LUNG PROTECTION IN A SPONTANEOUSLY BREATHING LUNG MODEL E. Akoumianaki, J.C. Lefebvre, A. Lyazidi, F. Sferazza Papa, K. Saihi, L. Brochard, J.C.M. Richard, Geneva, Switzerland 0501 AUTOMATED CLOSED-LOOP OXYGEN ADMINISTRATION (FREEO2) DURING THE EMERGENCY CARE OF ACUTE RESPIRATORY FAILURE. A MULTICENTRIC RANDOMISED CONTROLLED STUDY [PRELIMINARY RESULTS] E. L’Her, P.-A. Bouchard, F. Lellouche, Brest Cedex, France 0502 NATIONAL SURVEY OF USE OF OSCILLATOR IN UNITED KINGDOM J. Rees, R. Mccartney, T. Lawy, R. Mosaheb, S. Saha, Romford, United Kingdom 0503 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience Scientific programme Joint Session TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER ROOM Athens Chairs: Alexandre Mebazaa, Paris, France & Eduardo Oliveira, Lisbon, Portugal 143 Scientific programme TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER Area Braga Poster Corner NUTRITION & GLUCOSE CONTROL Chairs: Marcus Schultz, Amsterdam, Netherlands & Michaël Casear, Leuven, Belgium 10:10 - 12:00 EARLY ENTERAL FEEDING IN CRITICALLY ILL SURGICAL PATIENTS UNDERWENT EMERGENCY GASTROINTESTINAL SURGERY J.Y. Kim, H.J. Shim, J.Y. Jang, J.G. Lee, Seoul, Republic of Korea 0504 IMPLEMENTATION OF A PROACTIVE NUTRITION CLINICAL PRACTICE INCREASES THE PROPORTION OF MECHANICALLY VENTILATED PATIENTS ACHIEVING ENTERAL NUTRITION TARGETS IN THE ADULT NEUROINTENSIVE CARE UNIT (NICU) C.T. Chong, B. Lim, J. Tan, H.L. Tan, Singapore, Singapore 0505 CLINICAL AUDIT OF NUTRITIONAL SUPPORT IN GENERAL INTENSIVE CARE UNIT G. Maryem, E. Balakumar, A. Gratrix, Hull, United Kingdom 0506 TIME OF ONSET OF ENTERAL NUTRITION IN THE CARDIAC PATIENT, IMPROVED AFTER THE COUNSEL OF THE NUTRITIONAL TEAM? M.J. Garcia-Monje, A. Ayucar Ruiz de Galarreta, I. Astola, B. Besteiro, A. Vázquez, F. Pita, G. Lugo, A Coruña, Spain 0507 EARLY ENTERAL NUTRITION IN POSTOPERATIVE CARDIAC SURGERY IN PATIENTS WITH HAEMODYNAMIC FAILURE. FINAL RESULTS J.L. Flordelís Lasierra, J.L. Pérez Vela, E. Torres Sánchez, L.D. Umezawa Makikado, L. Colino Gómez, B. Maroto Rodríguez, P. Arribas López, E. Renes Carreño, J. Gutierrez Rodríguez, M.A. Corres Peiretti, N. Perales Rodríguez de Viguri, J.C. Montejo González, Madrid, Spain 0508 NUTRITIONAL SUPPORT IN SURGICAL TREATMENT OF PATIENTS WITH HEAD AND NECK TUMORS M. Pankratova, V. Khoronenko, J. Donskova, Moscow, Russian Federation 0509 DEVELOPMENT OF AN INTENSIVE CARE UNIT “CATCH UP” FEEDING STRATEGY: AN AUDIT OF NUTRITIONAL ADEQUACY A.-C. Glynn, I. De Brito-Ashurst, A. Sharma, J. Wootton, J. Mulae, A. Wypych-Zych, London, United Kingdom 0510 DIAGNOSIS AND MANAGEMENT OF GASTROINTESTINAL (GI)-MOTILITY DISORDERS - RESULTS OF A SURVEY AMONG AUSTRIAN AND ESTONIAN INTENSIVE CARE PHYSICIANS (ICP) NUTRITIONAL MANAGEMENT - A COMPARISON OF AUSTRIAN AND ESTONIAN INTENSIVE CARE UNITS (ICU) M. Schörghuber, A. Reintam Blaser, J. Starkopf, E. Tatzl, S. Fruhwald, Graz, Austria 0511 DURATION OF TIME TILL NORMOGLYCAEMIA WITH STRICT GLYCAEMIC CONTROL IS INDEPENDENTLY ASSOCIATED WITH LENGTH OF STAY IN ICU R.T.M. van Hooijdonk, R.E. Harmsen, S.J. Gesink, F. van Braam Houckgeest, J.P. van der Sluijs, P.E. Spronk, M.J. Schultz, Amsterdam, Netherlands 0512 IMPACT OF HYPOGLYCAEMIA AND MEAN BLOOD GLUCOSE ON MORTALITY IN CRITICALLY ILL PATIENTS - A RETROSPECTIVE COHORT STUDY G. Adelsmayr, R. Brunner, U. Holzinger, Vienna, Austria 0513 EVALUATION OF GLYCAEMIC CONTROL WITH DIFFERENT INTENSIVE INSULINE PROTOCOLS IN CRITICALLY ILL PATIENTS C. Yuruk, B. Bilgili, H.B. Cift, N. Akgun, Istanbul, Turkey 0514 GLUCOSE CONTROL IN CRITICAL CARE: PRELIMINARY EXPERIENCE OF THE B BRAUN SPACE GLUCOSE CONTROL™ SYSTEM R.J. Goss, R.M. Goss, J.J. Paddle, Truro, United Kingdom 0515 GLYCAEMIA MONITORISATION AND MORTALITY IN SEREVE SEPSIS AND SEPTIC SHOCK M.V. De la Torre-Prados, A. Garcia-De la Torre, N. Zamboschi, J. Perez-Vacas, C. TrujillanoFernández, M. Nieto-Gonzalez, A. Garcia Alcantara, A. Vallejo-Baez, C. HernándezSánchez, Malaga, Spain 0516 A SPOONFUL OF SUGAR - GLYCAEMIC CONTROL USING A MODIFIED BATH PROTOCOL IN AN ADULT INTENSIVE CARE UNIT Z. Whitman, N. Flint, S. Das, Leicester, United Kingdom 0517 + 144 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL Visit us at the ESICM Members Lounge Level 1 L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 CARDIOVASCULAR FAILURE IN THE ICU 10:10 - 12:00 EXTRACORPOREAL TREATMENTS AS A RISK FACTORS FOR DEEP VENOUS THROMBOSIS IN CRITICALLY ILL PATIENTS A. Cecchi, G. Zagli, M. Bonizzoli, L. Perretta, R. Cammelli, S. Damiani, L. Tutino, F. Barbani, M. Boddi, A. Peris, Florence, Italy 0518 SAFETY OF PREOPERATIVE USE OF ANGIOTENSIN-CONVERTING ENZYME INHIBITORS/ANGIOTENSIN IN CARDIAC SURGERY A.J. Frenette, Y. Lamarche, É. David, D. Brindamour, J. Bouchard, D.R. Williamson, Montreal, Canada 0519 HAEMODYNAMICS, INFLAMMATION AND MORTALITY IN MEDICAL PATIENTS WITH FIRST DIAGNOSIS ATRIAL FIBRILLATION WITHIN A GENERAL INTENSIVE CARE UNIT K. Tober, T. Quasim, J. Kinsella, Glasgow, United Kingdom 0520 EPIDEMIOLOGY, CAUSES AND OUTCOME OF CARDIAC ARREST IN HIV INFECTED PATIENTS: RESULTS OF THE MULTICENTRIC CARAIDS STUDY G. Geri, N. Mongardon, N. Deye, R. Sonneville, F. Boissier, S. Perbet, L. Camous, V. Lemiale, M. Thirion, A. Mathonnet, L. Bodson, S. Gaudry, A. Kimmoun, S. Legriel, N. Lerolle, D. Luis, C.E. Luyt, J. Mayaux, B. Guidet, J.-P. Mira, A. Cariou, Paris, France 0521 RIGHT VENTRICULAR DYSFUNCTION MAY WORSEN RENAL FUNCTION AFTER CARDIAC SURGERY WITH CARDIOPULMONARY BYPASS O. Abou Arab, P.-G. Guinot, L. Badoux, E. Bernard, H. Dupont, Amiens, France 0522 EFFICACY OF LEVOSIMENDAN IN INTENSIVE CARE UNIT PATIENTS WITH IMPAIRED CARDIAC FUNCTION MANIFESTING FAILURE TO WEAN FROM MECHANICAL VENTILATION K. Tsikritsaki, G. Koukoulitsios, I. Dimitroulis, K. Dimakou, I. Andrianakis, K. Mendrinou, I. Tsiouboutariou, P. Dourou, N. Pentilas, M. Paidonomos, Athens, Greece 0523 DIABETES AND INSULIN: CORONARY ANATOMY AND SURVIVAL IN DIABETIC PATIENTS WITH CARDIOGENIC SHOCK R. Manzanedo, F. Jiménez, J. Blanco, A. Uriarte, J. Medina, E. Gross, V. Nieto, M. SánchezPalacios, Las Palmas de Gran Canaria, Spain 0524 A SURVEY ON THE IMPLEMENTATION OF THE EARLY GOAL-DIRECTED THERAPY FOR THE PATIENTS SUFFERING WITH POST-CARDIAC ARREST SYNDROME IN SUZHOU AREA J. Zhu, L. Liu, Suzhou, China 0525 RESULTS VARIANTS OF INTENSIVE THERAPY OF PULMONARY HYPERTENSION IN PATIENTS WITH CONGENITAL HEART DISEASE AFTER SURGICAL CORRECTION R.A. Ibadov, K.K. Abralov, A.S. Arifjanov, N.Y. Alimdjanova, N.A. Strijkov, Tashkent, Uzbekistan 0526 TRANSCATHETER AORTIC VALVE IMPLANTATION (TAVI) VS. CONVENTIONAL SURGERY (AVR) E. Trujillo-Garcia, E. Curiel-Balsera, C. JoyaMontosa, V. Olea-Jiménez, R. GutierrezRodríguez, A. Narváez-de Linares, J.M. MoraOrdoñez, Málaga, Spain 0527 CLINICAL VALUE REGULATED SUBCLAVIAN-PULMONARY ANASTOMOSIS IN THE EARLY POSTOPERATIVE PERIOD IN PATIENTS WITH FALLOT´S TETRALOGY R.A. Ibadov, H.K. Abrolov, D.I. Zhulamanova, A.S. Arifjanov, N.A. Strijkov, Tashkent, Uzbekistan 0528 SCREENING OF ASYMPTOMATIC PATIENTS PRIOR TO TRASPLANTATION OF SOLID ORGANS: PHARMACOLOGICAL STRESS ECHOCARDIOGRAPHY VALUE D. Gaitan Roman, B. Perez Villardon, M.A. Ramirez Marrero, M. Cano Garcia, M.A. Roldan Jimenez, R. Vivancos Delgado, M. De Mora Martin, Malaga, Spain 0529 T-PIECE IMPROVES ARTERIAL AND CENTRAL VENOUS OXYGENATION IN TRACHEOSTOMISED PATIENTS AS COMPARED TO PRESSURE SUPPORT (PS) VENTILATION A. Lovas, R. Kószó, Z. Molnár, Szeged, Hungary 0530 Area Coimbra Poster Corner FLUID & HAEMODYNAMICS IN THE SURGICAL PATIENT Chairs: Patrick Honoré, Brussels, Belgium & Shaman Jhanji, London, United Kingdom 10:10 - 12:00 RESPIRATORY VARIATION OF STROKE VOLUME MEASURED BY OESOPHAGEAL DOPPLER PREDICT FLUID RESPONSIVENESS DURING LAPAROSCOPY B. De Broca, O. Abou Arab, E. Bernard, L. Badoux, P.-G. Guinot, H. Dupont, Amiens, France 0531 TIDAL VOLUME INSTEAD OF ALVEOLAR PRESSURE VARIATION IS THE MAJOR DETERMINANT FOR PULSE PRESSURE VARIATION C.-H. Lee, H. Chang, J.-Y. Wang, C.-S. Lim, M.C. Lee, C.-C. Lan, K.-M. Chao, Taipei, Taiwan, Republic of China 0532 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience Scientific programme Poster Corner TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER Area Cascais Chairs: Daniel De Backer, Brussels, Belgium & Matthieu Legrand, Paris, France 145 Scientific programme TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER 146 NEITHER DYNAMIC, STATIC NOR VOLUMETRIC VARIABLES CAN ACCURATELY PREDICT FLUID RESPONSIVENESS EARLY AFTER ABDOMINOTHORACIC OESOPHAGECTOMY FOR OESOPHAGEAL CANCER H. Ishihara, E. Hashiba, J. Saito, H. Okawa, T. Kasai, T. Tsubo, K. Hirota, Hirosaki-Shi, Japan 0533 EFFECTS OF CRYSTALLOIDS VERSUS COLLOIDS FOR GOAL DIRECTED FLUID THERAPY ON POSTOPERATIVE PROCALCITONIN LEVELS AFTER MAJOR ABDOMINAL SURGERY M.J. Fas, J.M. Alonso-Iñigo, C. Arbona, S. Tormo, A. Almela, Alzira, Spain 0534 CHANGES IN FLUID VOLUME PARAMETERS IN PATIENTS WITH SUBTOTAL OESOPHAGECTOMY DURING THE FIRST THREE DAYS AFTER THE SURGERY E. Hashiba, H. Ishihara, H. Okawa, T. Tsubo, K. Hirota, Hirosaki, Japan 0535 INFLUENCE OF FLUID MANAGEMENT IN THE PROGNOSIS OF MECHANICALLY VENTILATED PATIENTS M. Recuerda, A. Estella, V. Perez Madueño, M. Gracia, E. Leal, J. Sanchez, M. Jaen, Jerez, Spain 0536 VALUE OF ELEVATED EXTRAVASCULAR LUNG WATER INDEX AND NON-INVASIVE MECHANICAL VENTILATION IN THE POSTOPERATIVE RESPIRATORY FAILURE F.J. Redondo Calvo, R. Villazala, A.S. Yuste, A. Mendiola, N. Bejarano, Ciudad Real, Spain 0537 BALANCED CRYSTALLOID VERSUS BALANCED COLLOID SOLUTION WITHIN A GOAL-DIRECTED ALGORITHM A. Feldheiser, V. Pavlova, T. Bonomo, A. Jones, C. Fotopoulou, J. Sehouli, K.-D. Wernecke, C. Spies, Berlin, Germany 0538 DIFFERENT COMBINATIONS OF COLLOIDS AND CRYSTALLOIDS IN MAJOR ABDOMINAL SURGERY: HAEMODYNAMICS EFFECTS D. Levit, A. Levit, Ekaterinburg, Russian Federation 0539 COLLOID VERSUS CRYSTALLOID TO PRELOAD BEFORE SPINAL ANAESTHESIA AT TRANSURETHRAL RESECTION OF THE PROSTATE: A RANDOMISED TRIAL A.M. Ovezov, D.V. Gorbachev, J.V. Ovcharova, E.D. Nad’kina, A.G. Markov, Moscow, Russian Federation 0540 VOLUMEN ASSESSMET IN PATIENTS DURING MAYOR LIVER RESECTIONS. IS THE BEST THE CENTRAL VENOUS PRESSURE? F.J. Redondo Calvo, R. Villazala, D. Padilla, P. Arenas, A.S. Yuste, P. Villarejo, V. Baladron, Ciudad Real, Spain 0541 COMPARISON OF CENTRAL VENOUS PRESSURE MEASUREMENTS MADE WITH A WATER COLUMN AND A PRESSURE TRANSDUCER IN ICU PATIENTS G. Choutas, V. Ntzani, D. Karapanos, N. Maliahovas, K. Mpakalouli, G. Anthopoulos, Athens, Greece 0542 CONTROVERSY OF THE USE OF ALBUMIN IN CRITICAL PATIENTS S. Giestas, A.R. Ramalho, J.P. Baptista, N. Devesa, P. Martins, A. Simões, A.P. Casanova, J. Pimentel, Coimbra, Portugal 0543 EFFECT OF DIFFERENT THERAPY OPTIONS ON IMMUNOGLOBULIN LEVELS IN PATIENTS SUFFERING FROM LIVER FAILURE D. Lebherz-Eichinger, R. Schwarzer, E.M. Schmidt, M.C. Motal, D.A. Klaus, A. Mangold, H.J. Ankersmit, C.G. Krenn, G.A. Roth, Vienna, Austria 0544 Area Estoril Poster Corner RISK FACTORS, PROPHYLAXIS & OUTCOME OF ICU INFECTIONS Chairs: Jérôme Pugin, Geneva, Switzerland & Claudia Spies, Berlin, Germany 10:10 - 12:00 CURB-65 AND PNEUMONIA SEVERITY INDEX FOR INFLUENZA A H1N1V PNEUMONIA A. Estella, L. Pérez Fontaiña, V. Perez Madueño, M. Recuerda, E. Leal, M. Gracia, J. Sanchez, M. Jaen, Jerez, Spain 0545 DEXAMETHASONE AND SURVIVAL IN PATIENTS WITH SEVERE COMMUNITY-ACQUIRED PNEUMONIA C. Gutu-Bahov, S. Matcovschi, T. Dumitras, L. Sidorenco, C. Zubarev, Chisinau, Moldova 0546 THE IMPACT OF SURFACE CLEANING BY BIOSHIELD®75 ON INFECTION RATES IN INTENSİVE CARE UNIT G. Ersöz, A.A. Altunkan, M. Uğuz, S. Karaçorlu, Z. Kaya, A. Kaya, Mersin, Turkey 0547 CAN ROUTINE CLINICAL CHEMISTRY RESULTS BE RELATED TO THE VOLUME OF DISTRIBUTION OF AMPHOTERICIN B LIPID COMPLEX IN CRITICALLY ILL PATIENTS? M.E. Malone, C. Gowing, M. Barry, E. Deasy, P. Kavanagh, O.I. Corrigan, D.M. D’Arcy, M. Donnelly, Dublin, Ireland 0548 REDUCING CENTRAL VENOUS CATHETER INFECTION - DOES THE STAY SUTURE FOR CVC FIXATION IMPROVE INSERTION SITE COVERAGE? T.E. Williams, S. Jhawar, E. O’ Callaghan, O. Al Rawi, Liverpool, United Kingdom 0549 NURSE-LED QUALITY IMPROVEMENT PROGRAMME TO REDUCE HEALTHCARE RELATED INFECTIONS: 4 YEARS EXPERIENCE A. Hermon, T. Pain, H. Jerrett, P. Beckett, T. Szakmany, Llantrisant, United Kingdom 0550 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 0551 USE OF CDC CRITERIA TO CLASSIFY INFECTIONS IN CRITICALLY ILL PATIENTS: RESULTS FROM AN INTEROBSERVER AGREEMENT STUDY P.M.C. Klein Klouwenberg, D.S.Y. Ong, L.D. Bos, F.M. de Beer, M.A. Huson, M. Straat, L.A. van Vught, L. Wieske, J. Horn, M.J. Schultz, T. van der Poll, M.J.M. Bonten, O.L. Cremer, Utrecht, Netherlands 0552 DURATION OF HYPOTENSION DURING SEPSIS DETERMINES THE EVOLUTION OF ACUTE KIDNEY INJURY K. Janssen van Doorn, W. Verbrugghe, V. De Wit, K. Wouters, P. Jorens, Edegem, Belgium 0553 THE CHRONIC HEPATITIS E INFECTION IS ASSOCIATED WITH A SPECIFIC INTERFERON-RELATED TRANSCRIPTIONAL PROGRAM J. Textoris, V. Moal, A. Ben Amara, V. Mehraj, Y. Berland, P. Colson, C. Capo, J.-L. Mège, Marseille Cedex, France 0554 CLINICAL, LABORATORY AND RADIOLOGICAL DIFFERENCES IN CRITICALLY ILL AND NON-CRITICALLY ILL H1N1 POSITIVE PATIENTS M.E. Kelly, B. Moreton, D. Marriot, G. Masterson, A.S. Brown, M. Mogk, I.D. Welters, Liverpool, United Kingdom 0555 QUALITY OF ANTIBIOTIC USE IN INTENSIVE CARE UNITS: EVALUATION OF PARENTERAL VANCOMYCIN USE IN A DUTCH ICU J. Schouten, I. Verlinden, M. Nabuurs, A. Voss, H. Huntjens-Fleuren, T. Sprong, Nijmegen, Netherlands 0556 CLINICAL OUTCOME AND MICROBIOLOGICAL ASPECTS IN SECONDARY PERITONITIS: THE ROLE OF RECENT ANTIBIOTIC EXPOSURE R. Jiménez, A. Ortín, S. Rebollo, L. Herrera, A. Fernández, M. Galindo, S. Moreno, L. Tárraga, G. Escudero, S. Martínez, A. Ojados, J.M. Castillo, M.M. Ortiz, J.M. Allegue, Cartagena, Spain 0557 ABDOMINAL INFECTIONS IN THE ICU - DATA FROM THE EPIC II STUDY J. De Waele, R. Moreno, J. Lipman, C. Martin, J. Rello, A. Anzueto, Y. Sakr, J. Vincent, Ghent, Belgium 0558 Poster Corner MANAGEMENT OF CARDIOVASCULAR PATIENTS Chairs: Michael Hiesmayr, Vienna, Austria & Barbara McLean, Atlanta, United States 10:10 - 12:00 COMPARATIVE EFFECTS OF DEXMEDETOMIDINE AND CLONIDINE, ALPHA 2 AGONIST, ON CARDIAC FUNCTION, CORONARY VASOACTIVITY AND VENTRICULAR ELECTROPHYSIOLOGY IN GUINEA-PIG S. Shibata, S. Fujisawa, K. Ono, Akita, Japan 0559 CAN CARDIOPULMONARY EXERCISE TESTING HELP TO FAST-TRACK PATIENTS FOR OPEN AAA REPAIR? D. Timbrell, J. Gudgeon, S. Tote, Frimley, Surrey, United Kingdom 0560 COMPARISON OF CUSTODIOL HTK AND REPEATED OXYGENATED WARM BLOOD CARDIOPLEGIA FOR ARTERIAL SWITCH OPERATION IN NEONATES H. Peperstraete, M. Bojan, M. Lilot, L. Tourneur, P. Vouhé, P. Pouard, Paris, France 0561 THE RELATIONSHIP BETWEEN MELATONIN AND SYSTEMIC INFLAMMATORY RESPONSE SYNDROME IN PATIENTS UNDERGOING CARDIOPULMONARY BYPASS H. Yenice, Z. Özer, G. Eskandari, G. Orekici, K. Karaca, D. Yapıcı, Mersin, Turkey 0562 INFLAMMATORY MARKERS IN THE LUNG DURING OPEN AORTIC SURGERY MEASURED BY BRONCHIAL MICRODIALYSIS S.S. Tyvold, S. Gunnes, O. Lyng, S. Dragsund, T. Dahl, E. Solligård, P. Aadahl, Trondheim, Norway 0563 PROPHYLACTIC EFFECT OF DEXMEDETOMIDINE FOR SUPRAVENTRICULAR ARRHYTHMIA IN CARDIAC POSTOPERATIVE PATIENTS T. Niwa, R. Hasegawa, M. Kawase, Y. Nakashima, T. Ichihara, Seto, Japan 0564 HIGH-SENSITIVE TROPONIN T ASSAY IN THE POSTOPERATIVE CARDIAC SURGERY B. Maroto, J.L. Perez, J. Gutierrez, E. Renes, P. Arribas, M.A. Pierreti, N. Perales, Madrid, Spain 0565 ATRIAL FIBRILLATION; HAEMODYNAMICS AND MORTALITY IN POSTOPERATIVE PATIENTS ON A GENERAL INTENSIVE CARE UNIT K. Tober, T. Quasim, J. Kinsella, Glasgow, United Kingdom 0566 PERIOPETARIVE COMPLICATIONS IN ACUTE TYPE A AORTIC SYNDROME R. Gómez-López, P. Fernández-Ugidos, P. VidalCortés, M.T. Bouza Vieiro, A.V. Aller Fernandez, L. Seoane Quiroga, J. Priego Sanz, A. Ceniceros Barros, B. Besteiro Grandio, F.R. Pampin Huerta, S. Fojon Polanco, J.M. Lopez Perez, E. Rodriguez Garcia, Ourense, Spain 0567 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience Scientific programme M. Zambon, G. Bertarelli, G. Landoni, L. Fumagalli, G. Borghi, G. Marino, A. Zangrillo, Milan, Italy TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER Area Evora INCREASED INCIDENCE BUT DECREASED MORTALITY OF METICILLIN RESISTANT STAPHYLOCOCCUS SPECIES (MRS) INFECTIONS IN A CARDIAC SURGICAL INTENSIVE CARE UNIT 147 Scientific programme TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER 148 Area Faro HIGH-SENSITIVE TROPONIN T ASSAY IN THE DIAGNOSIS OF PERIOPERATIVE MYOCARDIAL INFARCTION AFTER HEART SURGERY B. Maroto Rodríguez, J. Gutierrez Rodríguez, J.L. Pérez Vela, P. Arribas López, M.A. Corres Pieretti, N. Pereales Rodríguez de Viguri, Madrid, Spain 0568 EVALUATION OF DEXMEDETOMIDINE HYDROCHLORIDE AS A BASAL AGENT IN CONSERVATIVE THERAPY FOR ACUTE AORTIC DISSECTION S. Naruse, Y. Kawashima, H. Kato, C. Ishida, K. Mizuno, S. Mimura, S. Mimuro, Y. Obata, M. Doi, S. Sato, Hamamatsu, Japan 0569 CLINICAL CHARACTERISTICS AND INITIAL MANAGEMENT OF ACUTE TYPE A AORTIC SYNDROME R. Gómez-López, P. Fernández-Ugidos, P. VidalCortés, M.T. Bouza-Vieiro, A.V. Aller-Fernández, L. Seoane-Quiroga, J. Priego-Sanz, A.I. Suarez Freire, V. Rodriguez Lopez, I. Astola Hidalgo, S. Fojon-Polanco, J.M. López-Pérez, E. Rodriguez García, Ourense, Spain 0570 HAEMODYNAMIC AND OXYGEN TRANSPORT DURING AORTOCORONARY SHUNTING ON THE WORKING HEART R.A. Ibadov, A.A. Mansurov, A.S. Arifjanov, Z.N. Mansurov, N.A. Strijkov, Tashkent, Uzbekistan 0571 HAEMODYNAMIC CHANGES AFTER AORTIC CLAMPING AND UNCLAMPING IN ELECTIVE ABDOMINAL AORTIC SURGERY - AORTIC ANEURYSM DISEASE VERSUS AORTIC OCCLUSIVE DISEASE J. Bisgaard, H.K. Joergensen, T. Gilsaa, Kolding, Denmark 0572 Poster Corner VENTILATORY SUPPORT IN THE BRAIN-INJURED PATIENT Chairs: Bernard Vigué, Kremlin-Bicetre, France & Arjen Slooter, Utrecht, Netherlands 10:10 - 12:00 IS PACO2 MANAGEMENT OPTIMAL UNDER CONTROLLED MECHANICAL VENTILATION (CMV) DURING NEURO-RESUSCITATION? L. Piquilloud, P. Reichmuth, M. Oddo, P. Jolliet, J.-P. Revelly, Lausanne, Switzerland 0573 HIGH FREQUENCY OSCILLATORY VENTILATION (HFO) COMBINED WITH TRACHEAL GAS INSUFFLATION (TGI) AS A RESCUE VENTILATION STRATEGY IN PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS) AND TRAUMATIC BRAIN INJURY (TBI) C.S. Vrettou, S. Malachias, S.G. Zakynthinos, S.D. Mentzelopoulos, Athens, Greece 0574 HIGH-FREQUENCY OSCILLATORY VENTILATION IN PATIENTS WITH CEREBRAL ANEURISMS RUPTURE A. Solodov, S. Petrikov, E. Komardina, E. Karapetyan, Y. Titova, V. Krylov, Moscow, Russian Federation 0575 HAEMODYNAMIC AND OXIMETRIC STABILITY DURING APNEA TESTING IN CPAP C. González-Fernández, I. Rubio-López, M.A. Ballesteros-Sanz, M. López-Sánchez, J.C. Rodríguez-Borregán, F.J. Burón-Mediavilla, E. Miñambres- García, A. Quesada-Suescun, Santander, Spain 0576 SEVOFLURANE SEDATION USING THE ANAESTHETIC CONSERVING DEVICE AFTER NEUROSURGERY R. Badenes, L. Alcover, M. De Fez, M.J. Montero, L. Henao, A. Gómez, V. Quilis, J. Belda, Valencia, Spain 0577 USE OF A HEATED HUMIDIFIER ALLOWS TO SAFELY REDUCE TIDAL VOLUME IN PATIENTS WITH ACUTE BRAIN AND LUNG INJURY F.A. Idone, S. Pitoni, A. Moccaldo, M.T. Santantonio, M.M. Bitondo, A. Caricato, M. Antonelli, S.M. Maggiore, Roma, Italy 0578 TRACHEOSTOMY INSERTION ON THE NEUROCRITICAL CARE UNIT (NCCU): A 3 YEAR RETROSPECTIVE REVIEW D.J. Stubbs, A. Longworth, R. Burnstein, Cambridge, United Kingdom 0579 PREDICTING FACTORS OF PROLONGED MECHANICAL VENTILATION AND NEED OF TRACHEOTOMY IN PATIENTS WITH SEVERE HAEMORRHAGIC STROKE F. Hernandez-Hazañas, M.L. Gascon Castillo, J.J. Egea Guerrero, C. Garcia Alfaro, P.I. Jimenez Fernandez, J.M. Dominguez Roldan, Sevilla, Spain 0580 BENEFITS OF PERFORMING EARLY TRACHEOSTOMY IN THE INTENSIVE CARE UNIT OF A SECONDARY LEVEL HOSPITAL OF NORTH INDIA, OUR TWO YEARS EXPERIENCES D. Dhanda, N.C. Dhanda, Patiala, India 0581 EARLY VERSUS LATE TRACHEOSTOMY IN PATIENTS WITH ACUTE BRAIN INJURY K. Tsikritsaki, G. Koukoulitsios, K. Mendrinou, I. Tsiouboutariou, I. Andrianakis, P. Dourou, M. Mavromati, N. Panagiotopoulou, K. Tsironas, P. Spyrou, M. Paidonomos, Athens, Greece 0582 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Visit us at boot h 17 Lunch Symposium Volume Therapy in Surgery and ICU Tuesday, 16th October 2012 12:30 – 14:00h, Room Geneva Prof. Hugo Van Aken, Germany Moderator Lunch Symposium Good Clinical Nutrition Practice Monday, 15 October 2012 12:30 – 14:00h Room Geneva The use of colloids in patients with head injury Prof. Hugo Van Aken, Germany Safety of modern HES in surgery Prof. Richard Weiskopf, USA Efficacy and safety of HES 130/0.4 in trauma Satellite Symposium Effective Glycaemia Control Monday, 15 October 2012 18:15 – 19:15h Room Stockholm www.fresenius-kabi.com Associate Prof. William Lance Michell, South Africa Role of HES in the ICU Prof. Martin Westphal, Germany [dexmedetomidine hcl] injection Rapid and sustained benefits for the failing heart Cooperative comfortable sedation You are most welcome to join us for the Lunch Satellite Symposium EMERGING THERAPEUTIC OPTIONS FOR THE ICU PATIENT Tuesday 16 October at 12:30 – 14:00 Room Rome, Lisboa Congress Centre CHAIRS Mervyn Singer, London, UK Miguel Tavares, Oporto, Portugal TOPICS AND SPEAKERS DEXMEDETOMIDINE AND LEVOSIMENDAN – NEW STUDIES, NOVEL INSIGHTS Mervyn Singer, London, UK SEDATION, IMMUNOMODULATION AND DELIRIUM Robert Sanders, London, UK PHARMACOLOGICAL STRATEGIES TO IMPROVE WEANING FROM MECHANICAL VENTILATION Leo Heunks, Nijmegen, The Netherlands Welcome! 0583 PHYSIOLOGICAL VARIABLES DERANGEMENTS ARE POWERFUL PREDICTORS OF OUTCOME AFTER TRAUMATIC BRAIN INJURY C. Capisani, C. Guerzoni, C. Bagna, I. Mastromauro, F. Civiletti, C. Filippini, T. Howells, I. Piper, C. Micelli, F. Mafrica, V. Fanelli, L. Mascia, Torino, Italy 0584 ANALYSIS OF ARTIFICIAL RESPIRATION, CONTROLLED VOLUME AND PRESSURE, IN PATIENTS WITH HAEMORRHAGIC STROKE A. Gritsan, A. Gazenkampf, N. Dovbish, Krasnoyarsk, Russian Federation 0585 TREATMENT OF COMBINED BURN AND SMOKE INHALATION INJURY WITH COMBINED ANTICOAGULANTS VS. SOLE ANTITHROMBIN: POTENTIAL BENEFITS AND PITFALLS S. Rehberg, Y. Yamamoto, L. Sousse, D.L. Traber, P. Enkhbaatar, Galveston, United States 0586 IS ABSOLUTE OESOPHAGEAL PRESSURE RELATED TO SEVERITY OF ILLNESS IN ALI/ARDS PATIENTS? D. Chiumello, M. Cressoni, A. Marino, M. Brioni, I. Cigada, F. Menga, M. Amini, L. Gattinoni, Milan, Italy 0587 CHANGES IN THE INCIDENCE, TREATMENT AND MORTALITY OF ARDS IN A WHOLE NATION OVER 23 YEARS OF FOLLOW-UP M.I. Sigurdsson, A.D. Möller, T.S. Gunnarsson, K. Sigvaldason, G.H. Sigurdsson, Reykjavik, Iceland 0588 RECRUTEMENT MANOEUVERS IN ACUTE LUNG INJURY/ACUTE RESPIRATORY DISTRESS SYNDROME. A SYSTEMATIC REVIEW C. Guérin, L. Ayzac, Lyon, France 0589 EXTRACORPOREAL MEMBRANE OXYGENATION IN PATIENTS WITH HAEMATOLOGIC MALIGNANCIES AND SEVERE ACUTE RESPIRATORY DISTRESS SYNDROME P. Schellongowski, R. Ullrich, O. Robak, A. Bojic, A. Hermann, W.R. Sperr, W. Rabitsch, P. Knoebl, V. Fuhrmann, K. Laczika, G.J. Locker, T. Staudinger, Vienna, Austria 0590 PROGNOSIS OF PATIENTS UNDER MECHANICAL VENTILATION WHO NEED EARLY REINTUBATION A. Corrales Cruz, E. Gonzalez, A. Murillo Martin, M.A. Garijo Catalina, J.M. Añón Elizalde, M. Quintana, A. Garcia de Lorenzo, V. Córcoles, C. Martin Delgado, A. García Fernandez, R. Diaz Alersi, J. Montejo, J. López Martinez, Cuenca, Spain 0591 INTUBATION-RELATED TRACHEAL ISCHAEMIC LESIONS: INCIDENCE, RISK FACTORS AND OUTCOME S. Nseir, L. Touat, C. Fourrier, P. Ramon, A. Durocher, Lille, France 0592 A SYSTEMATIC REVIEW OF PHARMACOTHERAPIES FOR ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS) A. Duggal, A. Ganapathy, M. Ratnapalan, J. Tsang, T. Sinuff, K.E. Burns, M.O. Meade, N. Adhikari, Toronto, Canada 0593 HAEMODYNAMIC EFFECTS OF PRONE POSITIONING IN PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME M. Jozwiak, R. Persichini, J.L. Teboul, S. Silva, D. Chemla, N. Anguel, C. Richard, X. Monnet, Le Kremlin Bicetre, France 0594 EVALUATION OF UTILISATION OF INHALED NITRIC OXIDE IN ARDS PATIENTS IN A UNIVERISITY HOSPITAL: ARE THERE SUBGROUPS WHO RESPOND BETTER? R. Sarkar, S. Kudsk-Iversen, J. Walker, L. Poole, Liverpool, United Kingdom 0595 NON-PHARMACOLOGICAL TREATMENTS FOR ALI/ARDS. AN ESICM SYSTEMATIC REVIEW C. Guérin, L. Ayzac, Lyon, France 0596 TIMING OF ARDS RESOLUTION UNVEILED - RELIABILITY OF T.A.R.U. STUDY K. Rahul, M. Vela, M. Biehl, G. Li, A. Ahmed, O. Gajic, E. Bloomfield, Rochester, United States 0597 IMPACT OF THE IMPLEMENTATION OF A PROTOCOL-DIRECTED MANAGEMENT ON THE SURVIVAL OF PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME P. Beuret, N. Pelletier, B. Philippon, X. Fabre, M. Kaaki, S. Quenet, Roanne, France 0598 UTILITY ARDSNET MODEL OF MORTALITY IN PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME M.A. Pomposo, E. Monares, R. Chaires, M. Poblano, J. Aguirre, J. Franco, Mexico, Mexico 0599 Area Fatima Poster Corner ARDS: NEW TRENDS IN TREATMENT 1 Chairs: Anders Larsson, Uppsala, Sweden & Marcelo Amato, Sao Paulo, Brazil 10:10 - 12:00 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience Scientific programme F. Hernandez Hazañas, M.L. Gascon Castillo, P.I. Jimenez Fernandez, C. Garcia Alfaro, J.M. Dominguez Roldan, F. Murillo Cabezas, Sevilla, Spain TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER DIFFUSE AXONAL INJURY AS A PREDICTOR OF NEED OF PROLONGED MECHANICAL VENTILATION IN HEAD INJURED PATIENTS 151 Scientific programme TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER Area Funchal Poster Corner ABDOMINAL COMPLICATIONS IN THE ICU Chairs: Manu Malbrain, Antwerp, Belgium & Bernhard Walder, Geneva, Switzerland 10:10 - 12:00 EFFECT OF THORACIC EPIDURAL ANALGAESIA ON THE INCIDENCE OF COMPLICATIONS IN PATIENTS UNDERGOING COLONIC AND RECTAL CANCER SURGERY: A RETROSPECTIVE ANALYSIS OF DATA FROM 610 PATIENTS D. Levit, A. Podgorbunskikh, A. Levit, Ekaterinburg, Russian Federation 0600 LONG-TERM MORTALITY IN PEPTIC ULCER PERFORATION - A FOLLOWUP STUDY M.H. Møller, M. Vester-Andersen, R.W. Thomsen, Copenhagen, Denmark 0601 DEMOGRAPHICS AND OUTCOME OF PATIENTS SUBMITTED TO MAJOR ABDOMINAL SURGERY R. Rosa, J.A. Lopes, C. Teixeira, N. Rodrigues, R. Branco, I. Mendes, L. Peixoto, S. Dias, A. Gomes da Costa, H. Bicha Castelo, Lisbon, Portugal 0602 POSTOPERATIVE HIGH FREQUENCY CHEST WALL OSCILLATION THERAPY IN CRITICALLY ILL ABDOMINAL SURGERY PATIENTS: RANDOMISED CONTROLLED STUDY S. Kaya, R. Coskun, K. Gundogan, M. Guven, M. Sungur, Kayseri, Turkey 0603 EXTENDED MEASUREMENTS OF INTRA-ABDOMINAL PRESSURE DO NOT INCREASE THE DETECTION RATE OF INTRA-ABDOMINAL HYPERTENSION A. Reintam Blaser, S. Sarapuu, K. Tamme, J. Starkopf, Tartu, Estonia 0604 INTENSIVE CARE UNIT ADMISSION AFTER CYTOREDUCTIVE SURGERY AND HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY. AN INEVITABLE MEASURE? V.M. Piot, M.P. Buise, I.H. deHingh, Eindhoven, Netherlands 0605 HYPERLACTATEMIA PREDICTS POSTOPERATIVE FISTULA AFTER PANCREATIC SURGERY N. De Schryver, X. Wittebole, C. Hubert, J.F. Gigot, P.-F. Laterre, D. Castanares-Zapatero, Brussels, Belgium 0606 THE DEVELOPMENT CHARACTERISTIC OF RESPIRATORY COMPLICATIONS IN THE EARLY POSTOPERATIVE PERIOD AFTER SURGERIES PERFORMED ON OESOPHAGUS A.S. Arifjanov, L.A. Nazirova, R.A. Ibadov, N.A. Strijkov, Tashkent, Uzbekistan 0607 VALUE OF C REACTIVE PROTEIN AND PROCALCITONINE IN THE EVALUATION OF GRAPH FUNCTION AFTER LIVER TRANSPLANT G. Seller-Perez, M. Herrera Gutierrez, R. LozanoSaez, C. Aragon-Gonzalez, E. Aguiar-Flores, G. Quesada-Garcia, Malaga, Spain 0608 DOES INDOCYANINE GREEN (IG) CLEARANCE (IGC R15) PREDICT MORBIDITY AND MORTALITY AFTER HEPATIC RESECTION FOR HEPATOCELLULAR CARCINOMA IN CIRRHOTIC PATIENTS? E. Mazza, D. Kroeller, M. Prosperi, M.C. Grugni, O. Amici, E. Roselli, L. De Carlis, M. Nichelatti, A. De Gasperi, Milan, Italy 0609 PREOPERATIVE CARDIAC RISK EVALUATION (PCRE) IN LIVER TRANSPLANT (LTX) CANDIDATES: REVISITING THE PROCESS TO TARGET THE APPROACH OF THE ASYMPTOMATIC CANDIDATE A. De Gasperi, M. Cova, E. Mazza, G. Pesce, F. Tardini, M. Prosperi, A. Corti, Milan, Italy 0610 EMERGENCY LAPAROTOMIES; OUTCOME ON SURGICAL MORTALITY; THE EFFECT OF A ROUTINE ADMISSION POLICY FOR POSTOPERATIVE PATIENTS TO CRITICAL CARE (ITU AND HDU) FOLLOWING EMERGENCY SURGERY S. Jankowski, L. Mulleague, K. Hornby, M. Lister, J. Denman, Surrey, United Kingdom 0611 AUDIT OF LEVEL OF CARE AND EMERGENCY LAPAROTOMIES B.S. Grewal, A. Ramoutar, P. Patel, M. Dawson, Derby, United Kingdom 0612 EMERGENCY LAPAROTOMY- USE OF CRITICAL CARE RESOURCES AND MORTALITY IN A UK TEACHING HOSPITAL A. Trimmings, M. Paul, S. Tilston, A. Canavan, D. Helm, P. Tinga, Brighton, United Kingdom 0613 30 minutes before the next session? Visit the Replay theatre Level 1 - Exhibition Area A - Gallery 152 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 EMERGENCY MEDICINE 10:10 - 12:00 CLINICAL SIGNIFICANCE OF PROCALCITONIN (PCT) LEVELS IN PATIENTS WITH SUSPECTED INFECTION ADMITTED TO THE EMERGENCY DEPARTMENT T. Mauri, B. Cambiaghi, M. Corciulo, V. Riva, R. Stracka, M. Sandini, A. Pradella, S. Magni, L. Carati, A. Pesenti, C. Giannattasio, Monza, Italy 0614 HAEMOPERITONEUM SEMI-QUANTITATIVE ANALYSIS ON HOSPITAL ADMISSION IMPROVES THE PREDICTION OF MASSIVE TRANSFUSION: A STUDY OF 381 SEVERELY INJURED PATIENTS WITH BLUNT ABDOMINAL TRAUMA J. Charbit, M. Mahul, O. Martinez, I. Millet, P. Taourel, X. Capdevila, Montpellier, France 0615 DETERMINATION OF GAS FLOW VIA AIRWAY EXCHANGE CATHETERS USED FOR AIRWAY EMERGENCIES C. Gore, K. Schebesta, G. Ihra, London, United Kingdom 0616 ARE WE STUCK IN PROFESSIONAL SILOS? A NEEDS ANALYSIS FOR INTERHOSPITAL PATIENT TRANSFER TRAINING A. Muchembled, C. Coyle, H. Snelgrove, G. Mcanulty, M. Teig, E. Ogilvie, A. Toner, London, United Kingdom 0617 EVALUATION OF CONTINUOUS NON-INVASIVE BLOOD PRESSURE MEASUREMENT USING CNAP DURING INTERHOSPITAL TRANSPORTATION OF INTENSIVE CARE PATIENTS F. Reifferscheid, C. Ilies, L. Moikow, R. Hanss, Kiel, Germany 0618 CHARACTERISTICS OF PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT FOLLOWING SELF-POISONING IN AN IRISH HOSPITAL A. Mc Mahon, E. Dunne, G. Fitzpatrick, Dublin, Ireland 0619 THE EFFECTS OF CHANGES TO RESUSCITATION GUIDELINES ON THE INCIDENCE OF SEVERE CHEST WALL INJURY IN COMATOSE SURVIVORS OF OUT OF HOSPITAL CARDIAC ARREST K.S. Ang, N. Young, Edinburgh, United Kingdom 0620 HIGH SENSITIVITY CARDIAC TROPONIN AS A SCREENING TOOL IN A GENERAL EMERGENCY DEPARTMENT L. Bronze, M. Monteiro, A. Dias, L. Almeida, P. Marques, C. Simões, C. Catalão, A. Aleixo, Lisbon, Portugal 0621 A PROSPECTIVE INTERVENTION STUDY TO COMPARE EFFICIENCY OF DIFFERENT COOLING TECHNOLOGIES FOR MILD THERAPEUTIC HYPOTHERMIA P. Sonder, G.N. Janssens, C.L. Henry, C. Dezfulian, J. Rittenberger, C. Callaway, A.R. Girbes, A. Beishuizen, K.H. Polderman, Pittsburgh, United States 0622 INTEGRATION OF A CARDIAC OUTPUT MONITORING SYSTEM INTO A SEPSIS MANAGEMENT BUNDLE IN THE EMERGENCY DEPARTMENT R. Allin-Khan, M. Abu-Habsa, P. Holmes, M. Patterson, T. Harris, London, United Kingdom 0623 THE STRONG ION GAP IN THE EMERGENCY DEPARTMENT J. Grundlingh, V. Jessop, T. Harris, London, United Kingdom 0624 NON-INVASIVE VENTILATION (NPPV/CPAP) IN PATIENTS WITH CHEST TRAUMA: A SYSTEMATIC REVIEW A. Duggal, P. Perez d’Empaire, L. Tremblay, T. Sinuff, Toronto, Canada 0625 HEAD INJURY (TBI) LIGHT: IS IT BE WORSE ANTIPLATELET OR ANTICOAGULATION? M. Quintana, R.E. Rodiles, M. Martí, S. Fabra, A.M. Borobia, M.A. Rivera, A.M. Martinez Virto, Madrid, Spain 0626 USE OF TOLVAPTAN IN INTENSIVE CARE PATIENTS S. Mimuro, T. Kimura, S. Naruse, M. Doi, S. Sato, Hamamatsu, Japan 0627 Area Porto Poster Corner Nurses & AHP END OF LIFE CARE - ETHICS OF RESEARCH Chairs: Julie Benbenishty, Jerusalem, Israel & Paulo Maia, Porto, Portugal 10:10 - 12:00 WHO SHOULD CARE FOR ADVANCE DIRECTIVES? F. Gigon, P. Merlani, B. Ricou, Geneva, Switzerland 0628 END-OF-LIFE DECISION-MAKING IN PATIENTS WITH SEVERE SEPSIS D. Schwarzkopf, I. Westermann, H. Skupin, R. Pfeifer, M. Fritzenwanger, A. Guenther, B. Kabisch, I. Peschel, C. Engel, U. Settmacher, T. Doenst, K. Reinhart, C.S. Hartog, Jena, Germany 0629 PRACTICES AND PERCEPTIONS OF CAREGIVERS IN THE DECISIONMAKING PROCESS (DMP) FOR WITHDRAWING LIFE-SUPPORTING TREATMENTS (LST): A FRENCH SURVEY S. Valera, I. Vinatier, M.-L. Baillot, I. BourgeonGhittori, C. Clec’h, K. Couchoux, V. Franja, S. Jeune, V. Lombardo, S. Lusso, Y. Maetens, C. Mossadegh, E. Rosset, B. Souweine, M. Lloung, Paris, France 0630 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience Scientific programme Poster Corner TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER Area Guarda Chairs: Hans Friberg, Lund, Sweden & Bernd Böttiger, Heidelberg, Germany (TBC) 153 Scientific programme TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER 154 PARENTAL EXPERIENCE OF END-OF LIFE CARE IN THE PAEDIATRIC ICU: A QUALITATIVE STUDY IN THE ITALIAN CONTEXT A. Giannini, G. Lamiani, I. Fossati, E. Prandi, E. Vegni, Milan, Italy 0631 PRELIMINARY EXPERIENCE WITH THE INTRODUCTION OF THE LIMITATION OF LIFE-SUSTAINING THERAPIES IN THE ELECTRONIC MEDICAL RECORD R. Poyo-Guerrero, M. Aranda Perez, A. Mendiguren, L. Socias, M. Borges Sa, G. Rialp, Palma de Mallorca, Spain 0632 COMBINING QUANTITATIVE AND QUALITATIVE METHODOLOGIES: DISCREPANCIES OR SYNERGIES? J.M. Weld, D. Phelan, M. Curran, C. Breen, M. Fitzgibbon, M. Hanlon, M. McGovern, M. Slater, Dublin, Ireland 0633 PROGNOSIS OF PATIENTS WITH NON RESECTABLE LUNG CANCER ADMITTED IN ICU: A 6-YEAR SINGLE-CENTRE SURVEY C. Guervilly, S. Ollier, M. Adda, A. Loundou, A. Roch, J.-M. Forel, L. Papazian, Marseille, France 0634 AGE AND END-OF-LIFE DECISIONS IN PORTUGUESE ICU (RESULTS FROM THE DEFIVUCI STUDY) A. Carneiro, A. Dias, A. Amaro, C. Tapadinhas, F. Esteves, L. Santos, J. Vaz, P. Fernandes, P. Marçal, Z. Costa E Silva, C. Dias, A.T. Pinto, Porto, Portugal 0635 DIFFERENT POINT OF VIEW IN THERAPY RESTRICTION. COMPARISON OF THE OPINIONS OF HUNGARIAN INTENSIVE CARE NURSES AND PHYSICIANS L. Zubek, G. Élő, L. Szabó, O. Szűcs, C. Varga, J. Gál, Budapest, Hungary 0636 TREATMENT OF TERMINAL PATIENTS IN AN INTENSIVE CARE UNIT (ICU/ HU) R.D. Moritz, F.O. Machado, Florianopolis, Brazil 0637 END OF LIFE ISSUES IN EUROPEAN ICU´S L.M. De Giudici, M. Melis, Cagliari, Italy 0638 ETHICS OF HOSPITAL RESUSCITATION - OPINIONS OF DOCTORS J. Bartczak, T. Zawada, W. Mielnicki, Z. Sycz, P. Garba, Wroclaw, Poland 0639 RESULTS OF ORGAN DONATION PROGRAMME IN OUR HOSPITAL FROM 2004 TO 2011 Z. Gavranovic, A. Horvat, A. Gopcevic, M. Vucic, B. Rode, Zagreb, Croatia 0640 VERY ELDERLY PATIENTS IN INTENSIVE CARE UNIT. ANALYSIS AND OUTCOME OF A GROWING POPULATION A. Alvarez Saiz, E. Pino Moya, P. Ortega Zarza, I. Romero Barroso, O. Barakat, H. González Pinero, Minas de Riotinto, Spain 0641 PROJECT ICU WITHOUT WALLS: EFFECT ON MORBIDITY AND MORTALITY OF THE PATIENTS OF INTENSIVE CARE UNIT (ICU) A. Abella, C. Hermosa, V. Enciso, I. Torrejón, I. Salinas, J.J. Sicilia, T. Mozo, E. Calvo, F. Gordo, Coslada, Spain 0642 INCREASED MORTALITY ASSOCIATED WITH BEFORE NOON ADMISSION TO INTENSIVE CARE: A RETROSPECTIVE ANALYSIS J. Moreno Cuesta, T. Prabhahar, H. Runyaro Murwisi, A.-F. Chan, M. Sivarajaratnam, F. Kovari, R. Kumarakulasingam, G. Park, London, United Kingdom 0643 EFFICACY OF AN OUTREACH TEAM IN COMPARING OUR TWO HOSPITAL SITES REGARDING TIME FROM DECISION TO ADMISSION TO INTENSIVE CARE UNIT R. Dhotarkar, J. Ricketts, A. Csomos, High Wycombe, United Kingdom 0644 ESTIMATED TOTAL AND ADVANCED RESPIRATORY SUPPORT BED DAYS FOR PATIENTS WITH TRACHEOSTOMIES IN CRITICAL CARE UNITS IN ENGLAND B. McGrath, R. Templeton, Manchester, United Kingdom 0645 IMPACT OF ICU OCCUPANCY ON SURVIVAL OF SEPSIS PATIENTS ADMITTED VIA THE EMERGENCY DEPARTMENT D. Yergens, P. Faris, R. Jolley, H. Quan, W.A. Ghali, C.J. Doig, Calgary, Canada 0646 RELATIONSHIP BETWEEN DISTANCE TRAVELLED TO AN INTENSIVE CARE UNIT AND HOSPITAL OUTCOMES IN PATIENTS WITH SEPSIS AND SEVERE SEPSIS R. Jolley, A. Patel, D. Yergens, C.J. Doig, Calgary, Canada 0647 INTENSIVE CARE UNIT IN THE EMERGENCY DEPARTMENT: A POSITIVE EXPERIENCE FROM A TAIWAN TERTIARY MEDICAL CENTRE Y.-L. Chan, C.-H. Li, S.-S. Chang, K.-F. Chen, J.-C. Tseng, F.-L. Wang, T.-F. Chiu, J.-C. Chen, Taoyuan, Taiwan, Republic of China 0648 OFF-HOURS ICU ADMISSION AND ITS IMPACT ON MORTALITY: A SINGLE CENTRE EXPERIENCE M. Tay, W.J. Ngerng, T. Kiong, K.C. See, H.J. Khalizah, H.S. Yip, M.Y. Chew, A. Tan, H.F. Lim, R. Capistrano, Y.H. Ting, R. Narendran, W.L. Tan, C.H. Tan, J. Phua, Singapore, Singapore 0649 Area Setubal Poster Corner ORGANISATION OF INTENSIVE CARE Chairs: Arie Bastiaan Johan Groeneveld, Amsterdam, Netherlands & Brian Marsh, Dublin, Ireland 10:10 - 12:00 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 25th European Society of Intensive Care Medicine (ESICM) Annual Congress: Lives 2012 Lisbon, Portugal, 13-17 October 2012 Pfizer International Operations-sponsored satellite symposium MRSA nosocomial pneumonia today: how can we ensure optimal outcomes? Tuesday 16 October 2012, 12:30-14:00 Glasgow Room, Centro de Congressos de Lisboa Programme Co-chairs: Tobias Welte (Hannover, Germany) and Jean-François Timsit (Grenoble, France) 12:30-12:35 Welcome and introduction Tobias Welte 12:35-13:00 How do I ensure appropriate therapy for my patients with MRSA nosocomial pneumonia? Alexander Soriano (Barcelona, Spain) 13:00-13:25 How can I avoid the pitfalls of MRSA VAP diagnosis and treatment? Jean Chastre (Paris, France) 13:25-13:50 What do the MRSA nosocomial pneumonia guidelines mean for me? Tobias Welte 13:50-14:00 Q&A All For Portuguese prescribing information, please consult Zyvoxid SmPC (available upon request) SpecialtyCare Care Speciality EU.ZYVOX.2012.033 SYMPOSIUM 2 CO 2 REDUCTION, SOMETHING WE SHOULD CARE ABOUT! Welcome to the MAQUET sponsored symposium. Program: Introducing a new therapy for CO2 removal with pump How much CO 2 is too much CO 2? assisted lung protection (PALP®). Come visit our booth for Wolfram Windisch, MD, PhD, Cologne State Hospital, product information, one to one talks and more. Cologne, Germany CO 2 reduction, something we should care about! Time: Tuesday October 16, 12:00–14:30 Place: Room Paris Chairpersons: Antonio Pesenti, MD, PhD, University of Milan-Bicocca, Milan, Italy and Alain Combes, MD, PhD, Groupe Hospitalier Pitié-Salpêtrière, Paris, France Maquet Cardiopulmonary AG | maquet.com CO 2 Removal in early ARDS, a paradigm change? Alain Combes, MD, PhD, Groupe Hospitalier PitiéSalpêtrière, Paris, France CO 2 Removal, the fast line in the emergency room? Roberto Roncon de Albuquerque, MD, PhD, Hospital de Sao Joao, Porto, Portugal 0650 FIRST DATA OF ANALYSIS OF HANDOVER FROM INTENSIVE CARE UNIT TO MEDICAL HIGH DEPENDENCY UNIT G. Zagli, G. Toccafondi, M. Bonizzoli, F. Pieralli, R. Tartaglia, C. Nozzoli, A. Peris, Florence, Italy 0651 OBSERVATIONAL PROSPECTIVE STUDY OF WHICH PATIENTS WOULD BENEFIT FROM A FOLLOW UP PROGRAM ON THE WARD AFTER BEING DISCHARGED FROM ICU P. Martinez-Lopez, N. Zamboschi, C. ReinaArtacho, M.V. De la Torre-Prados, Malaga, Spain 0652 INTERHOSPITAL TRANSFERS IN A NON-TERTIARY HOSPITAL - DOES THE PRACTICE MEET THE GUIDELINES? M. Rooms, F. Kovari, London, United Kingdom 0653 ICU MORTALITY RATES IN ADMISSIONS DURING WEEKENDS, NIGHTS AND OUT-OF-HOURS M.S.F. Chong, H. Martin, C. Mearns, P. Morgan, London, United Kingdom 0654 REORGANISATION OF ADMISSION DEPARTMENT AND CREATION THE EMERGENCY DEPARTMENT IN KIPSHIDZE CENTRAL UNIVERSITY HOSPITAL (TBILISI, GEORGIA) V. Kaloiani, Tbilisi, Georgia 0655 MORTALITY EVOLUTION IN THE LAST DECADE IN PAEDIATRIC INTENSIVE CARE - A MULTIDISCIPLINARY UNIT EXPERIENCE C. Carvalho, M. Margatho, F. Neiva, A. Dinis, A. Dias, T. Dionísio, L. Carvalho, J.F. Farela Neves, Coimbra, Portugal 0656 “EARLY LACTATE AREA” AS AN OUTCOME PREDICTOR IN PAEDIATRIC SEPTIC SHOCK Y.A. Kim, E.-J. Ha, W.K. Jhang, S.J. Park, Seoul, Republic of Korea 0657 NOSOCOMIAL INFECTIONS IN THE PAEDIATRIC INTENSIVE CARE UNIT: ANALYSIS OF RISK FACTORS E. Esteban, R. Ferrer, M. Urrea, L. Rozas, M. Balaguer, F.J. Cambra, I. Jordan, Esplugues de Llobregat, Spain 0658 COMPLICATIONS OF EMERGENT ENDOTRACHEAL INTUBATION IN CHILDREN AND ADOLESCENTS IN THE INTENSIVE CARE UNIT AND EMERGENCY ROOM S. Kajihara, F. Shinichi, T. Tanaka, M. Kusumoto, Y. Yamaguchi, Y. Saji, H. Takeda, Y. Uetani, Kobe City, Japan 0659 MENINGOCOCCAL DISEASE ADMISSIONS IN A PAEDIATRIC INTENSIVE CARE UNIT C. Pinto, G. Januario, S. Ferreira, A. Dinis, L. Carvalho, F. Neves, Coimbra, Portugal 0660 EALY GOAL-DIRECTED THERAPY IN PAEDIATRIC PATIENTS WITH SEVERE BURN INJURY A. Lekmanov, D. Azovskiy, S. Pilyutik, M. Astamirov, Moscow, Russian Federation 0661 PAEDIATRIC HYPOTENSION: QUANTIFICATION OF THE DIFFERENCES BETWEEN THE TWO CURRENT DEFINITIONS H.H. Shieh, A.E. Gilio, E.R. Barreira, E.J. Troster, A.M. Cordeiro Ventura, P.F. Goes, D.C. Souza, J.M. Sinimbu Filho, A. Bousso, Sao Paulo, Brazil 0662 INTRA-ABDOMINAL TUMORS IN A PICU E. Blevrakis, T. Tavladaki, A.M. Spanaki, E. Vasilaki, S. Ilia, E. Geromarkaki, M.D. Fitrolaki, G. Briassoulis, Heraklion, Greece 0663 INFLUENZA A (H1N1) VIRUS IN A PICU E. Blevrakis, T. Tavladaki, A.M. Spanaki, M.D. Fitrolaki, S. Ilia, E. Vasilaki, E. Geromarkaki, G. Briassoulis, Heraklion, Greece 0664 ARTERIAL THROMBOPHILIA IN PAEDIATRIC INTENSIVE CARE UNIT T. Tavladaki, E. Blevrakis, A.M. Spanaki, S. Ilia, M.D. Fitrolaki, E. Geromarkaki, E. Vasilaki, G. Briassoulis, Heraklion, Greece 0665 IMMUNE CONDITION IN CHILDREN WITH NEPHROTIC SYNDROME A.M. Sharipov, K.A. Khamzayev, Tashkent, Uzbekistan 0666 ACUTE FLACCID PARALYSIS IN PAEDIATRIC CARE UNIT (PICU) T. Tavladaki, E. Blevrakis, A.M. Spanaki, E. Vasilaki, E. Geromarkaki, D. Fitrolaki, S. Ilia, G. Briassoulis, Heraklion, Greece 0667 PREDICTIVE FACTORS FOR NIV SUCCESS IN ACUTE RESPIRATORY FAILURE AT CHILDREN I. Klironomi, E. Celaj, E. Kola, R. Lluka, A. Vula, D. Sala, G. Sallabanda, S. Sallabanda, Tirana, Albania 0668 ONCOLOGIC CASES NEEDED HOSPITALISATION IN PICU AT UNIVERSITY HOSPITAL DURING 2005 TO 2011 PERIOD T. Tavladaki, E. Blevrakis, M. Marinaki, A.M. Spanaki, S. Ilia, G. Briassoulis, Heraklion, Greece 0669 Area Sintra Poster Corner PAEDIATRICS 2: NOT SMALL ADULTS! Chairs: Samuel Ajizian, Winston Salem, United States & Maria Karantza, Athens, Greece 10:10 - 12:00 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience Scientific programme R. Lowsby, E. Harvey, C. Downes, K. Sim, Liverpool, United Kingdom TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER OUT OF HOURS ADMISSION TO INTENSIVE CARE: DOES IT MAKE A DIFFERENCE? 157 Scientific programme TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER Life-Priority Poster Corner EPIDEMIOLOGY OF ICU-RELATED INFECTIONS Chairs: Christian Brun-Buisson, Creteil, France & Jean-Louis Teboul, Kremlin-Bicetre, France 10:10 - 12:00 ANALYSIS OF RISK FACTORS FOR CRBSI IN A HOSPITAL-WIDE TPN POPULATION - AN ASSOCIATION WITH LIPID ADMINISTRATION E. Fitzgerald, K. Boner, J. Bourke, M. Lynch, M. McGovern, C.M. Walshe, D. Phelan, Dublin, Ireland 0670 COMPLICATIONS OF PERIPHERALLY INSERTED CENTRAL CATHETERS (PICC) R. Varghese, K. Krishnareddy, U. Edke, V. Redona, S. Sara, Abu Dhabi, United Arab Emirates 0671 NO DIFFERENCE IN THE CATHETER RELATED INFECTION (CRI) RATES BETWEEN TOTAL PARENTERAL NUTRITION (TPN) AND STANDARD INTENSIVE CARE UNIT / HIGH DEPENDENCY UNIT (ICU / HDU) CENTRAL VENOUS CATHETERS (CVCS) E. Fitzgerald, C. Walshe, J. Bourke, L. Maureen, M. Foley, C. O’Loughlin, D. Phelan, Dublin, Ireland 0672 RISK FACTORS FOR IN-HOSPITAL MORTALITY IN CRITICALLY ILL PATIENTS WITH BACTEREMIA J.M. Pereira, J. Cortez, J.A. Paiva, Oporto, Portugal 0673 VENTILATOR ACQUIRED PNEUMONIA IN A NEUROSURGICAL ICU: A PROSPECTIVE STUDY B. Lund, P.H. Conroy, J. O’Rourke, Dublin, Ireland 0674 USE OF TIGECYCLINE IN INTENSIVE CARE: A FRENCH PROSPECTIVE OBSERVATIONAL STUDY P. Montravers, H. Dupont, J.-P. Bedos, Paris, France 0675 COLONISATION OF INLINE SUCTION CATHETER AT 72 HOURS U. Borg, Boulder, United States 0676 STREAMLINING OF ANTIBIOTIC THERAPY AND OUTCOME OF ICU PATIENTS A. Ancion, N. Layios, N. Monique, V. Christel, P. Damas, Liège, Belgium 0677 MODIFICATION OF LOCAL ECOLOGY AND GUIDELINES DEVIATION EXPLAIN FAILURE OF EMPIRIC ANTIMICROBIAL THERAPY IN INTRAABDOMINAL INFECTIONS J. Textoris, S. Wiramus, C. Contargyris, B. Ragonnet, F. Antonini, C. Martin, M. Leone, Marseille Cedex, France 0678 MANAGING CONTINUOUS VANCOMYCIN INFUSION M. Fernandes, R. Pinho, P. Reis, P. Campos, A. Dagge, P. Marçal, P. Amaro, Santa Maria da Feira, Portugal 0679 PREVALENCE OF ANTIBIOTIC USE AGAINST MULTI-DRUG RESISTANT GRAM-POSITIVES (MDR-GP) IN ICUS IN THE REGION OF MADRID M. Nieto, M. Sanchez, Madrid, Spain 0680 CHARACTERISTICS OF EXTENDED-SPECTRUM BETA-LACTAMASE (ESBL) PRODUCERS ISOLATED IN A JAPANESE UNIVERSITY HOSPITAL S. Uegaki, M. Hayakawa, Y. Yanagida, S. Gando, Sapporo, Japan 0681 IMMUNITY IN SEPTIC PATIENTS WITH PNEUMONIA F. Valenzuela-Sánchez, J.F. Rodríguez-Gutierrez, B. Valenzuela-Sánchez, R. Bohollo-Austria, V. Pérez-Madueño, M. Recuerda-Núñez, Jerez de la Frontera, Spain 0682 COST-EFFECTIVENESS ANALYSIS OF IMMUNONUTRITION FOR UPPER GASTROINTESTINAL CANCER PATIENTS UNDERGOING SURGERY IN BRITISH HOSPITALS H. Chevrou-Séverac, L. Weijers, I. Eijgelshoven, Vevey, Switzerland 0683 ROOM Lisbon Clinical Challenges Session RESPIRATORY MONITORING FOR DUMMIES Chair: Marco Maggiorini, Zurich, Switzerland 11:10 - 12:00 Presentation ROOM Berlin Laurent Brochard, Geneva, Switzerland Clinical Challenges Session CARDIOVASCULAR MONITORING FOR DUMMIES Chair: Elias Knobel, Sao Paulo, Brazil 11:10 - 12:00 Presentation ROOM Barcelona Azriel Perel, Tel Aviv, Israel Clinical Challenges Session HOW DO I DIAGNOSE INTERSTITIAL PNEUMONIA? Chair: Antonio Pesenti, Monza, Italy 11:10 - 12:00 158 Presentation 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL Elie Azoulay, Paris, France L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 HOW DO I READ HEAD CT AND A MRI SCAN? 11:10 - 12:00 Presentation ROOM Rome Peter Horn, Berlin, Germany Continuous Professional Education Session BLOOD SUGAR MONITORING Chairs: Annika Reintam Blaser, Tallin, Estonia & Pierre-François Laterre, Leuven, Belgium 11:10 - 11:35 Clinical relevance of glucose control Jean-Charles Preiser, Brussels, Belgium 11:35 - 12:00 Glucose measurements and monitoring Olav Rooyackers, Stockholm, Sweden ROOM Glasgow Clinical Challenges Session HOW DO I COUNSEL IN AND BEYOND THE ICU? Chair: Maurizia Capuzzo, Ferrara, Italy 11:10 - 12:00 Presentation ROOM Stockholm Christina Jones, Liverpool, United Kingdom Clinical Challenges Session HOW DO I FIND THE FOCUS IN MY SEPSIS PATIENT? Chair: José Artur Paiva, Porto, Portugal 11:10 - 12:00 Presentation ROOM Paris Susanne Toussaint, Berlin, Germany Clinical Challenges Session HOW DO I MANAGE CHEST TRAUMA? Chair: Paolo Pelosi, Genova, Italy 11:10 - 12:00 Presentation Jacques Duranteau, Kremlin-Bicetre, France ROOM Vienna Clinical Challenges Session PULMONARY EMBOLISM? HOW DO I MANAGE A PATIENT WITH SUSPECTED ACUTE Chair: Fabio Silvio Taccone, Brussels, Belgium 11:10 - 12:00 Presentation ROOM Athens Christoph Hofer, Zurich, Switzerland Clinical Challenges Session HOW DO I INTERPRET METABOLIC ACIDOSIS? Chair: Thorsten Slowinsky, Berlin, Germany 11:10 - 12:00 Presentation Lui Forni, Worthing, United Kingdom + L I V E S 2 012 Visit us at the ESICM Booth Exhibition Area A L ink ing Inno vat ion Vi sion E xcel l ence & S cience Nurses & AHP Scientific programme Clinical Challenges Session TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER ROOM Geneva Chair: Peter Leroux, Philadelphia, United States 159 Scientific programme TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER 160 ROOM Berlin Industry Sponsored Session HAEMODYMANIC MONITORING Chairs: Maurizio Cecconi, London, United Kingdom & Jean-Louis Vincent, Brussels, Belgium 12:30 - 13:00 Haemodynamic optimisation: Is it cost-effective? Maurizio Cecconi, London, United Kingdom 13:00 - 13:30 Integration of haemodynamic data at the bedside Jean-Louis Vincent, Brussels, Belgium 13:30 - 14:00 Application of a new transpulmonary thermodilution technique Christoph Hofer, Zurich, Switzerland ROOM Barcelona Industry Sponsored Session STRATEGIES & BENEFIT PICCO FOR HAEMODYNAMIC MONITORING: INDICATIONS, Chairs: Jean-Louis Teboul, Kremlin-Bicetre, France & Javier Belda, Valencia, Spain 12:30 - 13:00 Benefit of early optimised critical care patient management with PiCCO Daniel Reuter, Hamburg, Germany 13:00 - 13:30 Consequences of haemodynamic monitoring strategies in septic shock patients Jean-Louis Teboul, Kremlin-Bicetre, France 13:30 - 14:00 Solving therapeutic conflicts in ARDS - clinical case studies Azriel Perel, Tel Aviv, Israel ROOM Geneva Industry Sponsored Session VOLUME MANAGEMENT IN TRAUMA, SURGERY, AND ICU Chairs: Charles Sprung, Jerusalem, Israel & Hugo Van Aken, Munster, Germany 12:30 - 13:00 Volume management in trauma William Lancelot Michell, Cape Town, South Africa 13:00 - 13:30 Volume management in acute resuscitation Richard Weiskopf, Tiburon, United States 13:30 - 14:00 Volume management in ICU Martin Westphal, Munster, Germany ROOM Rome Industry Sponsored Session EMERGING THERAPEUTIC OPTIONS FOR THE ICU PATIENT Chairs: Miguel Tavares, Leça da Palmeira, Portugal & Mervyn Singer, London, United Kingdom 12:30 - 13:00 Dexmedetomidine and levosimendan - new studies, novel insights Mervyn Singer, London, United Kingdom 13:00 - 13:30 Sedation, immunomodulation and delirium Robert Sanders, United Kingdom 13:30 - 14:00 Pharmacological strategies to improve weaning from mechanical ventilation Leo Heunks, Nijmegen, Netherlands ROOM GLASGOW Industry Sponsored Session we ensure optimal outcomes? MRSA nosocomial pneumonia today: how can Chairs: Jean-François Timsit, Grenoble, France & Tobias Welte , Hanover, Germany 12:30 - 12:35 Welcome and introduction Tobias Welte, Hanover, Germany 12:35 - 13:00 How do I ensure appropriate therapy for my patients with MRSA nosocomial pneumonia? Alexander Soriano, Barcelona, Spain 13:00 - 13:25 How can I avoid the pitfalls of MRSA VAP diagnosis and treatment? Jean Chastre, Paris, France 13:25 - 13:50 What do the MSRA nosocomial pneumonia guidelines mean for me? Tobias Welte, Hanover, Germany 13:50 - 14:00 Q&A 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Scientific programme Industry Sponsored Session ON THE WAY TO PERFECT SYNCHRONY 12:30 - 13:00 Diaphragm dysfunction at ICU (VIDD) - clinical implications Samir Jaber, Montpellier, France 13:00 - 13:30 PAV+ - what European experts think about it Jean-Christophe Richard, Geneva, Switzerland 13:30 - 14:00 Patient ventilator synchrony - intensivists daily nightmare? Case presentation and interactive discussion Laurent Brochard, Geneva, Switzerland ROOM Paris Industry Sponsored Session CO2 REDUCTION, SOMETHING WE SHOULD CARE ABOUT! Chairs: Antonio Pesenti, Monza, Italy & Alain Combes, Paris, France 12:30 - 13:00 How much CO2 is too much CO2? Wolfram Windisch, Cologne, Germany 13:00 - 13:30 CO2 Removal in early ARDS, a paradigm change? Alain Combes, Paris, France 13:30 - 14:00 CO2 Removal, the fast line in the emergency room? Roberto Roncon de Albuquerque, Porto, Portugal Area Beja Poster Corner CLINICAL OUTCOME PREDICTORS IN SEPSIS Chairs: Jan Bakker, Rotterdam, Netherlands (TBC) & Akos Csomos, Budapest, Hungary 14:00 - 15:50 TIMING OF DECOMPRESSION IN SEVERE ACUTE PANCREATITIS COMBINED WITH ABDOMINAL COMPARTMENT SYNDROME: A MATTER OF LIFE OR DEATH L. Ke, H.-B. Ni, W. Li, Nanjing, China 0684 LACTATE CLEARANCE WITHIN THE FIRST 24 HOURS OF SEPSIS C. de Haro, E. Torrents, R. Ferrer, A. Navas, M.L. Martinez, A. Artigas, Sabadell, Spain 0685 IMPROVED OUTCOME OF SEVERE ACUTE PANCREATITIS IN THE INTENSIVE CARE UNIT P. Pavlidis, S. Crichton, J. Lemmich Smith, D. Morrison, C. McKenzie, S. Atkinson, D. Wyncoll, M. Ostermann, London, United Kingdom 0686 RECTUS ABDOMINIS MUSCLE TISSUE METABOLISM IN PATIENTS WITH INTRA-ABDOMINAL HYPERTENSION L. Maddison, J. Karjagin, J. Tenhunen, J. Starkopf, Tartu, Estonia 0687 HIGH SENSITIVITY TROPONIN-T AS PROGNOSTIC BIOMARKER AND RELATION WITH MYOCARDIAL DISFUNCTION IN SEVERE SEPSIS AND SEPTIC SHOCK C. Murcia, G. Rognoni, A. Baró, A. Ochagavía, C. Ferri, C. Pedrós, A. Álvarez, J.-M. Sirvent, Girona, Spain 0688 THE PIRO CONCEPT: RESPONSE-ASSOCIATED CONDITIONS FOR COMMUNITY-ACQUIRED SEVERE SEPSIS AND SEPTIC SHOCK RELATEDMORTALITY (RESULTS FROM THE SACIUCI STUDY) C. Granja, P. Póvoa, A. Carneiro, C. Lobo, A. Teixeira-Pinto, A. Costa-Pereira, Porto, Portugal 0689 OUTCOMES FOLLOWING SEVERE ACUTE PANCREATITIS IN A HPB REFFERAL HOSPITAL ICU A. Krige, S. Ghabina, K. Girgirah, Blackburn, United Kingdom 0690 SEARCH FOR THE HOLY GRAIL: TISSUE MARKERS FOR SEPSIS N. Jain, Indore, India 0691 THE PROGNOSTIC VALUE OF CENTRAL VENOUS TO ARTERIAL PCO2-GAP IN PATIENTS ADMITTED TO ICU WITH SEVERE SEPSIS OR SEPTIC SHOCK: TIME DOES MATTER M.C. Lont, P.A. van Beest, N.D. Holman, B. Loef, M.A. Kuiper, E.C. Boerma, Leeuwarden, Netherlands 0692 PROGNOSTIC VALUE OF INFECTION MARKERS IN SEPTIC PATIENTS ADMITTED TO ICU N.J. Ferreira, A. Raimundo, A. Marques, S. Beirão, P. Coutinho, Coimbra, Portugal 0693 OXYGEN EXTRACTION FRACTION IS ASSOCIATED WITH PROGNOSIS OF PATIENTS WITH SEPTIC SHOCK K.M. You, W.Y. Kwon, G.J. Suh, K.S. Kim, H.J. Lee, Y.S. Jung, Seoul, Republic of Korea 0694 THE PIRO CONCEPT: ORGAN DYSFUNCTION-ASSOCIATED CONDITIONS FOR COMMUNITY-ACQUIRED SEVERE SEPSIS AND SEPTIC SHOCK RELATED-MORTALITY (RESULTS FROM THE SACIUCI STUDY) C. Granja, P. Póvoa, A. Carneiro, C. Lobo, A. Teixeira-Pinto, A. Costa-Pereira, Porto, Portugal 0695 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER ROOM Stockholm Chairs: Massimo Antonelli, Rome, Italy & Laurent Brochard, Geneva, Switzerland 161 Scientific programme TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER Area Braga IMPACT OF FLUID BALANCE IN THE OUTCOME OF SEPTIC CRITICALLY ILL PATIENTS A.S. Raimundo, N. Ferreira, A. Marques, S. Beirão, P. Coutinho, Coimbra, Portugal 0696 MITOCHONDRIAL FUNCTION EVALUATION IN PERIPHERAL BLOOD LYMPHOCYTES AND THEIR RELATION WITH MULTIPLE ORGAN DYSFUNCTION AND OUTCOME IN SEPTIC PATIENTS IN CRITICAL CARE UNITS, MEDELLÍN COLOMBIA J. Bejarano Botero, L.M. Martinez Sanchez, D.P. Cuesta Castro, L.E. Botero Palacio, A.E. Marin Castro, J.A. Castañeda Alvarez, M. Rojas Lopez, I.C. Ortiz Trujillo, Medellin, Colombia 0697 THE ASSOCIATION BETWEEN HYPERPHOSPHATEMIA AND MORTALITY IN CRITICALLY ILL PATIENTS J.S. Hundert, A.B. Braun, M. Mendu, F.K. Gibbons, K.B. Christopher, Boston, United States 0698 THE ASSOCIATION OF MALNUTRITION AND MORTALITY FOLLOWING CRITICAL ILLNESS: A REGISTRY BASED COHORT STUDY K.M. Mogensen, T. Moromizato, F.K. Gibbons, K.B. Christopher, Boston, United States 0699 ACUTE VARIATION OF URINARY PH AND AMMONIUM DURING CONTROLLED HYPO- AND HYPER-VENTILATION: A PRELIMINARY REPORT P. Caironi, L. Zazzeron, C. Rovati, E. Scotti, M. Ferrari, D. Ottolina, M. Chiodi, C. Marenghi, L. Gattinoni, Milan, Italy 0700 IS VITAMIN D DEFICIENCY ASSOCIATED WITH DEVELOPMENT OF ACINETOBACTER BAUMANNII INFECTION IN CRITICALLY ILL PATIENTS? M. Turkoglu, G. Aygencel, M. Dizbay, A.F. Tuncel, B. Aslan Candır, Y. Deligoz Bildeci, H. Paşaoğlu, Ankara, Turkey 0701 RELATIONSHIP BETWEEN ZINC, MAGNESIUM AND SUPEROXIDE DISMUTASE AS ANTIOXIDANT BIOMARKERS IN CRITICALLY ILL PATIENT J.I. Martín López, J. Molina, D. Florea, L. Sáez, E. Millán, M. Navarro, A. Pérez De la Cruz, E. Planells, Motril, Spain 0702 CHANGES ON SELENIUM BIOMARKERS IN CRITICAL CARE PATIENTS DURING ICU STAY J.I. Martín López, R. García del Moral, E. Millán, J. Molina, D. Florea, L. Sáez, M. Rodriguez Elvira, E. Planells, Motril, Spain 0703 PROGNOSTIC CONSEQUENCES OF BORDERLINE DYSNATREMIA: PAY ATTENTION TO MINIMAL SERUM SODIUM CHANGE M. Darmon, E. Diconne, B. Souweine, S. Ruckly, C. Adrie, E. Azoulay, C. Clec’h, M. GarrousteOrgeas, C. Schwebel, D. Goldgran-Toledano, H. Khallel, A.-S. Dumenil, S. Jamali, C. Cheval, B. Allaouchiche, F. Zeni, J.-F. Timsit, SaintEtienne, France 0704 ASSOCIATION OF VITAMIN D DEFICIENCY AND THE DEVELOPMENT OF SEPSIS: A REGISTRY BASED COHORT STUDY K.B. Christopher, T. Moromizato, A.A. Litonjua, A.B. Braun, F.K. Gibbons, E. Giovannucci, Boston, United States 0705 INCIDENCE AND CLINICAL CONSEQUENCES OF ACUTE TUMOR LYSIS SYNDROME IN HIGH RISKS HAEMATOLOGICAL MALIGNANCY AT THE ERA OF URATE OXIDASE: RESULTS OF A MULTICENTRE COHORT STUDY M. Darmon, F. Vincent, L. Camous, C. Thieblemont, C. Bonmati, T. Braun, D. Caillot, J. Cornillon, S. Dimicoli, L. Galicier, A. Garnier, S. Girault, D. Rousseau, J.-P. Marolleau, P. Moreau, E. Raffoux, C. Recher, A. Thiebaud, E. Azoulay, Saint-Etienne, France 0706 THE EFFECT OF HIGH DOSE OF ZINC AND SELENIUM ON SERUM LEVELS OF INTERLEUKIN-2 AND T-LYMPHOCYTE IN SURGICAL CANCER PATIENTS W.T. Salem, R.M. Aboelmagd, M.K. Helaly, Cairo, Egypt 0707 ELECTROLYTE SUPPLEMENTATION IN CRITICALLY ILL ADULTS: ARE WE KEEPING UP? M. Crews, A. Carins, S. Arshad, M. Mogk, I. Welters, Liverpool, United Kingdom 0708 HYPOPHOSPHATAEMIA: AN UNDERESTIMATED COMPLICATION IN TREATMENT OF SEVERE DIABETIC KETOACIDOSIS P. Tesinsky, J. Gojda, A. Jirka, J. Svanda, Prague, Czech Republic 0709 ABNORMAL POTASSIUM LEVELS IN ICU PATIENTS: RELATION WITH OUTCOME E.J. Mijzen, M. Hoekstra, M.W. Nijsten, Groningen, Netherlands 0710 THE INFLUENCE OF TWO POTASSIUM TARGET LEVELS ON THE FLUID BALANCE IN CRITICALLY ILL PATIENTS L. Hessels, M. Hoekstra, L. Yeh, M.W. Nijsten, Groningen, Netherlands 0711 Poster Corner ELECTROLYTES & TRACE ELEMENTS Chairs: Karin Amrein, Graz, Austria & Patrick Ferdinande, Leuven, Belgium 14:00 - 15:50 + 162 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL Visit us at the ESICM Members Lounge Level 1 L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 VENTILATORY SUPPORT 1 14:00 - 15:50 INTRA-THORACIC PRESSURE DISTRIBUTION DURING MECHANICAL VENTILATION: INFLUENCE OF TIDAL VOLUME AND THORACIC COMPLIANCE B. Lansdorp, C. Hofhuizen, M. van Lavieren, J. Lemson, H. van Swieten, J. van der Hoeven, P. Pickkers, Nijmegen, Netherlands 0712 OUTCOMES OF PATIENTS RECEIVING INVASIVE MECHANICAL VENTILATION REFERRED TO A NATIONAL WEANING UNIT IN THE UK M.A. Pittman, S.K. Banerjee, R. Chadwick, N. Oscroft, M.G. Davies, T.G. Quinnell, I.E. Smith, Cambridge, United Kingdom 0713 TISSUE INHIBITOR OF METALLOPROTEINASES-1 (TIMP-1) IS ASSOCIATED WITH DISEASE SEVERITY AND MORTALITY IN ACUTE RESPIRATORY FAILURE J. Hästbacka, T. Tervahartiala, R. Linko, T. Sorsa, T. Varpula, V. Pettilä, Helsinki, Finland 0714 PREDICTIVE FACTORS FOR EXTUBATION FAILURE IN MEDICAL ICU PATIENTS F. Boissier, H. Ben Ghezala, K. Razazi, C. BrunBuisson, A.W. Thille, Creteil, France 0715 STATIC AIRWAY, LUNG AND CHEST WALL PRESSURE-VOLUME CURVES IN HEALTHY AND LAVAGE INJURED LUNGS AND AT INCREASED INTRAABDOMINAL PRESSURE IN PIGS S. Lundin, O. Stenqvist, A. Larsson, Gothenburg, Sweden 0716 THE PULMONARY VASCULAR PERMEABILITY INDEX PVPI IS DEPENDENT ON AGE AND BODY HEIGHT OF A PATIENT S. Wolf, P. Friederich, J. Landscheidt, C. Lumenta, L. Schuerer, A. Riess, Berlin, Germany 0717 FIRST REPORT OF REVERSE TRIGGERING (RESPIRATORY ENTRAINMENT) IN CRITICALLY ILL ADULTS: AN OBSERVATIONAL STUDY E. Akoumianaki, N. Rey, A. Lyazidi, N. PerezMartinez, L. Brochard, J.C.M. Richard, Geneva, Switzerland 0718 LUNG HYPERINFLATION MAY DEPRESS RIGHT VENTRICULAR FUNCTION AND LEFT VENTRICULAR DIASTOLIC FUNCTION IN POST CARDIAC SURGERY PATIENTS F. Turani, M. Falco, R. Barchetta, F. Candidi, C. Di Corato, F. Leonardis, Roma, Italy 0719 PULMONARY ADMINISTRATION OF ACTIVATED RECOMBINANT FACTOR VII IN DIFFUSE ALVEOLAR HAEMORRHAGE IN PULMONARY LYMPHANGIOLEIOMYOMATOSIS: A CASE REPORT I. Zýková, L. Žihlová, L. Picmaus, P. Sedlák, P. Švancar, D. Morman, Liberec, Czech Republic 0720 INTRABDOMINAL PRESSURE IN DIFFERENT LEVELS OF BED POSITION AND PEEP IN ICU PATIENTS E. Papacrivou, D. Makris, E. Manoulakas, D. Bagka, K. Matzarlis, E. Zakinthinos, Larissa, Greece 0721 THE ROLE OF RESIDUAL PULMONARY FUNCTION DURING VV-ECMO SUPPORT IN AN EXPERIMENTAL MODEL OF MULTIORGAN FAILURE ASSOCIATED WITH SEVERE RESPIRATORY FAILURE M. Park, L. Azevedo, E. Costa, M. Amato, C. Carvalho, G. Schettino, Sao Paulo, Brazil 0722 HIGH MOPRTALITY IN SEVERE ARDS- IS THE ASSOCIATED CIRCULATORY FAILURE THE CULPRIT? S. Jog, R. Prasad, A. Prasad, P. Balasaheb, B. Bhagyashri, P. Divyesh, P. Monika, S. Safal, Pune, India 0723 COMPARISON OF TWO METHODS OF WEANING OF MECHANICAL VENTILATION (T TUBE AND PSV ZEEP) DURING A FIRST TEST OF WEANING S. Perbet, A. Soummer, B. Pereira, S. CayotConstantin, M. Jabaudon, Q. Lu, J.-E. Bazin, J.-J. Rouby, J.-M. Constantin, Clermont-Ferrand, France 0724 ADVERSE RESPIRATORY EVENTS IN THE POST-ANAESTHETIC CARE UNIT D. Xará, H. Pereira, J. Mendonça, A. Santos, F. Abelha, Porto, Portugal 0725 Area Coimbra Poster Corner FLUID RESPONSIVENESS & GOAL DIRECTED THERAPY Chairs: Michael Pinsky, Pittsburgh, United States & Michel Slama, Amiens, France 14:00 - 15:50 THE EFFECT OF SEMIRECUMBENT POSITION ON HAEMODYNAMIC STABILITY IN VENTILATED CRITICALLY ILL PATIENTS - PROSPECTIVE MULTIVARIATE ANALYSIS I. Goecze, F. Strenge, F. Zeman, M. Creutzenberg, B.M. Graf, H.J. Schlitt, T. Bein, Regensburg, Germany 0726 FLUID RESPONSIVENESS INCREASED AFTER PROPOFOL INFUSION IN CRITICALLY ILL PATIENTS T. Yu, Y.Z. Huang, F.M. Guo, Y. Yang, J.-L. Teboul, D. Burkhoff, H.B. Qiu, Nanjing, China 0727 TISSUE PERFUSION INDICATORS PREDICT AND DEPEND ON SYSTEMIC FLUID RESPONSIVENESS IN CRITICALLY ILL SEPTIC PATIENTS WITH PRESUMED HYPOVOLEMIA E. Klijn, M.H.N. van Velzen, A.B.J. Groeneveld, A.P. Lima, J. Bakker, J. van Bommel, Rotterdam, Netherlands 0728 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience Scientific programme Poster Corner TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER Area Cascais Chairs: Salvatore Maggiore, Rome, Italy & Michael Quintel, Gottingen, Germany 163 Scientific programme TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER 164 GOAL-DIRECTED THERAPY FOLLOWING CARDIAC SURGERY IMPROVES RENAL FUNCTION AND REDUCES DURATION OF STAY IN INTENSIVE CARE R.E. Thomson, H. Meeran, M. Cecconi, N. AlSubaie, London, United Kingdom 0729 DRAINAGE OF PLEURAL EFFUSIONS MAY INCREASE PRELOAD AND BE PART OF HAEMODYNAMIC OPTIMISATION J.F. Hermansen, P. Juhl-Olsen, C.A. Frederiksen, L.K. Christiansen, E. Sloth, Aarhus N, Denmark 0730 NON-INVASIVE ASSESSMENT OF HAEMODYNAMIC RESPONSE TO A FLUID CHALLENGE USING FEMORAL DOPPLER IN CRITICALLY ILL VENTILATED PATIENTS A. Luzi, P. Marty, A. Mari, J.-M. Conil, T. Geeraerts, B. Lepage, O. Fourcade, S. Silva, V. Minville, Toulouse, France 0731 CHANGES IN ARTERIAL BLOOD PRESSURE INDUCED BY PASSIVE LEG RAISING PREDICT HYPOTENSION DURING INDUCTION OF SEDATION T. Yu, Y.Z. Huang, F.M. Guo, Y. Yang, H.B. Qiu, Nanjing, China 0732 VALIDITY OF CORRECTED FLOW TIME (FTC) AS A PREDICTOR OF FLUID RESPONSIVENESS IN PATIENTS WITH SEPSIS-INDUCED HYPOTENSION S.-M. Jung, S. Ryu, Y.-C. Cho, S.-H. Lee, J.-S. Lim, S.-Y. Yun, I.-S. Yoo, Daejeon, Republic of Korea 0733 THE DIAMETER AND COLLAPSIBILITY OF THE INFERIOR VENA CAVA DO NOT CORRELATE WITH CHANGES IN CARDIAC OUTPUT DURING EARLY HAEMORRHAGE: A CONTROLLED STUDY IN HEALTHY BLOOD DONORS P. Juhl-Olsen, C.A. Frederiksen, S.T. Vistisen, L.K. Christiansen, E. Sloth, Aarhus N, Denmark 0734 COMPARING HAEMODYNAMIC EFFECTS DURING TWO METHODS OF EXTERNAL LEG COMPRESSION VERSUS PASSIVE LEG RAISING AFTER CARDIAC SURGERY M. Helmi, R. de Wilde, J. Jansen, B. Geerts, P. van den Berg, M. Versteegh, D. Gommers, A. Groeneveld, Rotterdam, Netherlands 0735 MODIFICATION OF STROKE VOLUME VARIATION WITH INCREASED INTRA-ABDOMINAL PRESSURE IN NORMOVOLEMIC PORCINE MODEL E. Deloya Tomas, J.M. Lomelí Teran, J.J. Martinez Mazariegos, T. Mondragon Labelle, M. Quintero Amaya, J.S. Leco Romero, D. Hernandez, F. Tendillo, M. Poblano, Mexico City, Mexico 0736 COMPARISON OF CENTRAL VENOUS CATHETER AND PULMONARY ARTERY CATHETER GOAL DIRECTED THERAPY IN PATIENTS WITH SEVERE SEPSIS AND SEPTIC SHOCK R. Coskun, K. Gundogan, G. Altinyurt, M. Guven, M. Sungur, Kayseri, Turkey 0737 PULSE PRESSURE AND STROKE VOLUME VARIATION ARE GOOD PREDICTORS OF FLUID RESPONSIVENESS IN SEVERE SEPSIS PATIENTS Z. Drvar, R. Baronica, B. Tomasevic, M. Pavlek, M. Miric, M. Peric, Zagreb, Croatia 0738 PROTOCOLISED GOAL-DIRECTED HAEMODYNAMIC MANAGEMENT INCREASES AVAILABLE HEART DONORS I. Rubio-López, C. González-Fernádez, M.A. Ballesteros-Sanz, J.C. Rodríguez-Borregán, M. López-Sánchez, D. Iglesias-Posadilla, F.J. Burón-Mediavilla, E. Miñambres- García, A. Quesada-Suescun, Santander, Spain 0739 Area Estoril Poster Corner Nurses & AHP AIRWAY CARE & INSTRUMENTATION Chairs: Barbara McLean, Atlanta, United States & Giulia Pelucchi, Monza, Italy 14:00 - 15:50 CLINICAL PROFILE OF PATIENTS REFERRED TO CHEST PAIN UNIT FROM EMERGENCY HOSPITAL DEPARTMENT M.A. Ramirez-Marrero, I. Vegas-Vegas, M. CanoGarcia, D. Gaitan-Roman, B. Luque-Aguirre, G. Ballesteros-Derbenti, M. de Mora-Martin, Malaga, Spain 0740 CAN FIXED NO. 7.5 ET TUBE SAVE LIVES BETTER IN EMERGENCY? V. Joshi, Indore, India 0741 THE EFFECTS AND SAFETY OF CLOSED TRACHEAL SUCTION SYSTEM VERSUS OPEN TRACHEAL SUCTION SYSTEM FOR MECHANICALLY VENTILATED PATIENTS: A META-ANALYSIS L. Dong, T. Yu, Y. Yang, H. Qiu, Nanjing, China 0742 MULTICENTRE OBSERVATIONAL STUDY ON PRACTICE OF TRACHEAL SUCTIONING IN PATIENTS UNDER MECHANICAL VENTILATION P. Beuret, C. Roux, A. Constan, Roanne, France 0743 PERCUTANEOUS TRACHEOSTOMY: AN AUDIT OF A GREEK MILITARY FORCES ICU G. Choutas, V. Ntzani, D. Karapanos, A. Kostantinou, H. Skotra, G. Anthopoulos, Athens, Greece 0744 FEASIBILITY AND SAFETY OF BRONCHOSCOPE-AIDED PERCUTANEOUS DILATATION TRACHEOSTOMY IN OBESE CRITICALLY ILL PATIENTS K. Tsikritsaki, G. Koukoulitsios, K. Mendrinou, I. Tsiouboutariou, N. Pentilas, P. Dourou, I. Andrianakis, P. Spyrou, K. Tsironas, M. Paidonomos, Athens, Greece 0745 PERCUTANEOUS TRACHEOSTOMY PERFORMED WITHOUT BRONCHOSCOPIC GUIDANCE: EXPERIENCE IN 310 PATIENTS R. Avila, N. Carrizo, A. Gamboa, I. Ponzo, Santa Fe, Argentina 0746 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 0747 DEVELOPMENT OF POST EXTUBATION PNEUMONIA: ROLE OF 24 HOURS OF ENDOTRACHEAL INTUBATION AND MECHANICAL VENTILATION. AN EXPERIMENTAL STUDY A. Zanella, E. Rezoagli, M. Cressoni, D. Ferlicca, L. Berra, T. Kolobow, Monza, Italy 0748 THE IMPACT OF CRITICAL CARE ON ORAL HEALTH. AN OBSERVATIONAL STUDY I. Needleman, J. Ryu, S. Boluda, G. Bercades, J. Nagle, D. Brealey, M. Sachdev, D. MoskalFitzpatrick, K. Lewis, E. Agudo, J. Suvan, N. Donos, A. Petrie, M. Singer, London, United Kingdom 0749 ORAL CARE AND COLONISATION IN A MULTIDISCIPLINARY ICU S. Chatzispyrou, M. Parisi, E. Kampisiouli, E. Mpaloiti, D. Panopoulou, A. Argyropoulou, S. Nanas, Athens, Greece 0750 A RESEARCH ON PREDICTIVE FACTORS OF TRACHEOSTOMY FOR PATIENT WITH ACUTE ORGANOPHOSPHATE INSECTICIDE POISONING PATIENTS N.S. Cho, S.P. Kim, S.J. Kim, S.H. Cho, Y.J. Park, Gwang Ju, Republic of Korea 0751 AUDIT REGARDING THE REQUIREMENT OF CHEST X–RAYS FOLLOWING PERCUTANEOUS DILATATIONAL TRACHEOSTOMY K. Girgirah, J. Garbaino, J.C. Watts, Manchester, United Kingdom 0752 INCIDENCE, SEVERITY AND TREATMENT OF DELIRIUM IN CARDIAC SURGERY PATIENTS: AN OBSERVATIONAL STUDY S.S. Pedersen, V.L. Jørgensen, Copenhagen, Denmark 0754 THE USE OF HOPANTENIC ACID FOR THE CORRECTION OF POSTOPERATIVE COGNITIVE DYSFUNCTION IN SCHOOL-AGE CHILDREN: A RANDOMISED TRIAL A.M. Ovezov, M.A. Lobov, A.V. Lugovoy, M.V. Panteleeva, M.N. Borisova, I.E. Gus’kov, P.S. Myatchin, E.D. Nad’kina, Moscow, Russian Federation 0755 DELIRIUM INCIDENCE AND OUTCOMES OF OCTOGENARIANS ADMITTED TO A UK TEACHING HOSPITAL CRITICAL CARE UNIT AFTER EMERGENCY SURGERY OVER A 3 YEAR PERIOD V.C. Banks, Sheffield, United Kingdom 0756 INCIDENCE OF INADEQUATE EMERGENCE AFTER ANAESTHESIA: EMERGENCE DELIRIUM AND HYPOACTIVE EMERGENCE IN THE POSTANAESTHESIA CARE UNIT D. Xará, A. Silva, J. Mendonça, F. Abelha, Porto, Portugal 0757 IS DELIRIUM IN OLDER INTENSIVE CARE PATIENTS AN INDEPENDENT PREDICTOR OF HOSPITAL LENGTH OF STAY? V. Gherghina, G. Nicolae, Constanta, Romania 0758 BIOMARKERS AND ASSOCIATED FACTORS FOR ICU DELIRIUM R. Tsuruta, K. Kaneda, Y. Oda, Y. Kawamura, M. Fujita, M. Todani, R. Tanaka, T. Nakahara, Y. Koga, C. Oshima, Y. Ogino, S. Fukuda, S. Kasaoka, Ube, Japan 0759 THE WHITE STUFF: USAGE AND MONITORING FOR COMPLICATIONS AT THE ROYAL LONDON HOSPITAL ICU F. Yau, A. Lam, M. Healy, London, United Kingdom 0760 LONG-TERM OUTCOME OF DELIRIUM IN CRITICALLY ILL PATIENTS A.E. Wolters, D. van Dijk, O.L. Cremer, D.W. de Lange, A.J.C. Slooter, Utrecht, Netherlands 0761 HEART RATE VARIABILITY IN INTENSIVE CARE UNIT PATIENTS WITH DELIRIUM I.J. Zaal, A.W. van der Kooij, L.J. van Schelven, P.L. Oey, A.J.C. Slooter, Utrecht, Netherlands 0762 IT MUST SEDATE PATIENTS ON EXTRA CORPOREAL LIFE SUPPORT (ECLS) A. Bataillard, A. Hebrard, M. Casez-Brasseur, D. Michel, P. Albaldejo, J.F. Payen, Grenoble, France 0763 RESPIRATORY TOXICITY OF BUPRENORPHINE RESULTS FROM THE BLOCKAGE OF P-GLYCOPROTEIN-MEDIATED EFFLUX OF NORBUPRENORPHINE AT THE BLOOD-BRAIN BARRIER IN MICE B. Mégarbane, H. Alhaddad, S. Cisternino, P. Risède, F.J. Baud, Paris, France 0764 Poster Corner SEDATION PRACTICES & DELIRIUM Chairs: Margaret Herridge, Toronto, Canada & Torsten Schröder, Berlin, Germany (TBC) 14:00 - 15:50 + L I V E S 2 012 Scientific programme L. Ruff, Liverpool, United Kingdom TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER Area Evora LOW PRESSURE HIGH VOLUME CUFFED ENDOTRACHEAL TUBES IN EMERGENCY SURGERY Visit us at the ESICM Booth Exhibition Area A L ink ing Inno vat ion Vi sion E xcel l ence & S cience 165 Scientific programme TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER 166 Area Faro Poster Corner OPTIMISING TISSUE OXYGENATION Chairs: Can Ince, Rotterdam, Netherlands & Didier Payen de La Garanderie, Paris, France 14:00 - 15:50 VARIABILITY OF DIFFERENTIAL INVASIVE BLOOD PRESSURE MEASUREMENTS AT RADIAL AND FEMORAL SITES IN HIGH DOSE NOREPINEPHRINE-REQUIRING SEPTIC SHOCK S. Clayton, R.A. Parker, R. Parkhill, A. Ercole, D. Menon, R. Mahroof, Cambridge, United Kingdom 0765 INCREASED HEPATIC ARTERIAL BLOOD FLOW COMPENSATION FOR PORTAL FLOW REDUCTION (HEPATIC ARTERIAL BUFFER RESPONSE) WITH ANGIOTENSIN II DESPITE DECREASED HEPATIC ARTERIAL CONDUCTANCE A. Pereira, S. Djafarzadeh, J. Takala, S. Jakob, Bern, Switzerland 0766 MYCOPHENOLATE MOFETIL REDUCED RENAL INFLAMMATION AND PROTECTED RENAL CORTICAL OXYGENATION AFTER ISCHAEMIA/ REPERFUSION INJURY R. Bezemer, B. Ergin, A. Kandil, E. Almac, C. Demirci, C. Ince, Amsterdam, Netherlands 0767 HYPOTHERMIA IMPROVES MICROVASCULAR OXYGENATION DURING HAEMORRHAGIC CONDITIONS O. Picker, I. Bauer, I. Schwartges, M. Swertz, C. Vollmer, Duesseldorf, Germany 0768 HYPEROXIA ALTERS MUSCLE MICROVASCULATURE AND METABOLISM IN HEALTHY INDIVIDUALS F. Puflea, D. Orbegozo Cortes, K. Donadello, F.S. Taccone, D. De Backer, L. Gottin, J.-L. Vincent, J. Creteur, Brussels, Belgium 0769 METHYLENE BLUE IN HYPOTENSIVE CRITICALLY ILL PATIENTS. A METAANALYSIS OF RANDOMISED CONTROLLED STUDIES M. Zambon, L. Pasin, T. Greco, M. Crivellari, G. Borghi, G. Landoni, A. Zangrillo, Milan, Italy 0770 THE CARDIOVASCULAR EFFECTS OF SODIUM HYDROGEN SULFIDE (NAHS) IN ANAESTHETISED MECHANICALLY VENTILATED PIGS D.M.J. Milstein, M.C. Dirkes, C. Ince, T.M. van Gulik, Amsterdam, Netherlands 0771 NO AGREEMENT OF MIXED VENOUS AND CENTRAL VENOUS PCO2-GAP IN SEPSIS M.C. Lont, P.A. van Beest, N.D. Holman, B. Loef, M.A. Kuiper, E.C. Boerma, Leeuwarden, Netherlands 0772 HYPERCAPNIA IMPROVES MICROCIRCULATORY OXYGENATION IN SEPTIC RATS BY RESTORING FLOW-OXYGENATION RELATIONSHIP C. Beck, F. Barthel, C. Stuebs, C. Vollmer, O. Picker, Duesseldorf, Germany 0773 THE RULE OF LTB4/BLT1 SIGNALING IN THE ISCHAEMIA REPERFUSION INJURY OF LIVER H. Saito, Y. Kosaka, M. Majima, Y. Nara, T. Takehiko, Y. Nagahara, T. Otsuka, M. Toda, H. Okamoto, Sagamihara, Japan 0774 SIGNIFICANCE OF AN ABNORMALLY LOW OR HIGH RESTING STO2 VALUES IN PREDICTING HIGH RISK OF MORTALITY IN CRITICALLY ILL PATIENTS A. Lima, M. van Genderen, T. Boerstra, J. van Bommel, J. Bakker, Rotterdam, Netherlands 0775 WHAT PART OF CARDIAC FUNCTION IS REPRESENTED BY CENTRAL VENOUS OXYGEN SATURATION? M.W. Prull, A. Bittlinsky, B. Sasko, G. Plehn, T. Butz, M. van Bracht, H.-J. Trappe, Herne, Germany 0776 VENOUS TO ARTERIAL PCO2 DIFFERENCE (PCO2-GAP) CANNOT BE USED AS PREDICTOR OF CARDIAC INDEX IN SEPTIC PATIENTS M.C. Lont, P.A. van Beest, N.D. Holman, B. Loef, M.A. Kuiper, E.C. Boerma, Leeuwarden, Netherlands 0777 Area Fatima Poster Corner PNEUMONIA IN THE ICU: PREVENTION & TREATMENT Chairs: Garyfallia Poulakou, Athens, Greece & Marc Bonten, Utrecht, Netherlands 14:00 - 15:50 COMMUNITY ACQUIERED PNEUMONIA IN THE ICU: SOMETHING TO FEAR? A.M. Lubombo, P. Carcelén, Z.E. Aray, S.M. Cortés, A. Marcos, F.C. Tarancón, T.L. Álvarez, A.C. Caballero, Zamora, Spain 0778 PROCALCITONIN AND D-DIMER IN PREDICTING CLINICAL OUTCOMES AND PROGNOSIS IN SEVERE COMMUNITY-ACQUIRED PNEUMONIA (SCAP) PATIENTS O. Omelyanenko, A. Makarevich, P. Jagus, J. Chorostowska-Wynimko, Minsk, Belarus 0779 THE DIAGNOSIS OF HOSPITAL ACQUIRED PNEUMONIA (HAP) IN A CARDIOTHORACIC HIGH DEPENDENCY UNIT (HDU) B.E. Garfield, S. Weiss, C. Morgan, P. Marino, London, United Kingdom 0780 EFFICACY OF IMPLEMENTING A CARE BUNDLE TO PREVENT VENTILATOR-ASSOCIATED PNEUMONIA (VAP) A. Socias Mir, L. Gutiérrez Madroñal, J. Barceló Planas, G. Rialp Cervera, P. Ibáñez Lucia, Palma de Mallorca, Spain 0781 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 0782 HYPERBARIC OXYGEN THERAPY: A FORGOTTEN TOOL IN THE TREATMENT OF SEVERE SOFT TISSUE INFECTIONS? R. Fernandes, S. Jordão, E. Molinos, T. Fernandes, E. Gomes, O. Camacho, R. Araújo, Matosinhos, Portugal 0783 THE ROLE OF C-REACTIVE PROTEIN AND THE SOFA SCORE AS PARAMETER FOR CLINICAL DECISION MAKING IN SURGICAL PATIENTS DURING THE INTENSIVE CARE UNIT COURSE Z.C. Meyer, J.M.J. Schreinemakers, P.G.H. Mulder, R.A.L. de Waal, A.A.M. Ermens, L. van der Laan, Breda, Netherlands 0784 CLINICAL AND MICROBIOLOGICAL FEATURES OF INFECTIONS DURING POST-OPERATIVE PERIOD AFTER HEART TRANSPLANTATION P. Fernandez Ugidos, R. Gomez Lopez, R. Marzoa Rivas, E. Barge Caballero, M.J. Paniagua Martin, J. Muñiz, Z. Grille Cancela, M.A. Solla Buceta, P. Vidal Cortes, M.J. García Monge, A.V. Aller Fernandez, A. Castro Beiras, M.G. Crespo Leiro, Ourense, Spain 0785 AUTONOMIC DYSFUNCTION IN INFANTS WITH RSV INFECTION C. Liebrand, M. Bouwman, I. Ahout, M. Kox, C. Neeleman, Nijmegen, Netherlands 0786 HEALTHCARE-ASSOCIATED BACTEREMIA IN A UNIVERSITY HOSPITAL IS DIFFERENT FROM COMMUNITY-ACQUIRED BACTEREMIA L. De Bus, P. Depuydt, G. Coessens, J. Boelens, G. Claeys, J. Decruyenaere, Ghent, Belgium 0787 UTILITY OF MONITORING PROCALCITONIN, INTERLEUKIN-6 AND COMPLEMENT-5A IN THE PREDICTION OF ANASTOMOTIC LEAKAGE AFTER ABDOMINAL SURGERY U. Zielińska-Borkowska, N. Dib, T. Skirecki, Warsaw, Poland 0788 APPLICATION OF CHARLSON COMORBIDITY INDEX IN ICU PATIENTS WITH BACTERAEMIA AND MORTALITY PREDICTION M. Couto, R. Pimentel, A. Leitão, P. Mergulhão, J.A. Paiva, Porto, Portugal 0789 “IF YOU CANNOT MEASURE IT, YOU CANNOT IMPROVE IT”: A SURVEY OF DATA COLLECTION SYSTEMS TO MONITOR AND GUIDE INFECTION PREVENTION EFFORTS ICUS M.-L. Lambert, M. Palomar, A. Ingenbleek, M. Hiesmayr, U. Frank, Barcelona, Spain 0790 CATHETER-RELATED BLOODSTREAM INFECTION (CRBSI) ERADICATION: A FAILED TRY C. Vannucci, P. Burtin, P. Mion, P. André, A. Granier, M. Parneix, Montpellier, France 0791 THE CRITICAL ILLNESS POLYNEUROPATHY IN SEPTIC PATIENTS WITH PROLONGED WEANING FROM MECHANICAL VENTILATION. IS THE DIAPHRAGM ALSO AFFECTED? A PILOT STUDY R.P. Oliveira, P. Santos, C. Teixeira, A. Savi, F. Neres, A.S. Machado, J.G. Maccari, M. Ribeiro, F. Rotta, Porto Alegre, Brazil 0792 NEUROLOGICAL DISEASE IN HIV-INFECTED PATIENTS - A 20-YEAR RETROSPECTIVE STUDY IN AN ICU A. Santos, S. Xerinda, P. Figueiredo, C. Abreu, R. Poinhos, M.L. Santos, S. António, Porto, Portugal 0793 USE XANTHINE OXIDASE ACTIVITY IN OPTIMIZATION OF TREATMENT PATIENTS WITH ACUTE CEREBRAL STROKE E. Oreshnikov, S. Oreshnikova, Cheboksary, Russian Federation 0794 SEVERE CEREBRAL VENOUS THROMBOSIS IN ICU: 32 PATIENTS IN A RETROSPECTIVE COHORT STUDY B. Soyer, M. Rusca, A.-C. Lukaszewicz, I. Crassard, D. Bresson, J.-P. Guichard, J. Mateo, D. Payen, Paris, France 0795 INCIDENCE AND OUTCOME OF PATIENTS DIAGNOSED OF ICU-ACQUIRED WEAKNESS O. Peñuelas, F. Frutos-Vivar, A.W. Thille, N.D. Ferguson, F. Rios, S.M. Maggoire, A. Villagomez, M. Gonzalez, A. Anzueto, A. Esteban, Getafe, Spain 0796 LONG TERM PROGNOSIS OF PATIENTS WITH ACUTE STROKE TREATED WITH SYSTEMIC THROMBOLYSIS. A REPORT OF 6 YEARS OF EXPERIENCE IN A COMMUNITY HOSPITAL V. Pérez Madueño, Á. Estella García, M. Recuerda Núñez, M. Gracia Romero, E. Leal Roca, J. Sánchez Ruiz, M. Jaén Franco, F. Delgado, A. Jareño Chaumel, Jerez de la Frontera, Spain 0797 CLINICAL CHARACTERISTICS, RISK FACTORS ASSOCIATED WITH MORTALITY AND OUTCOMES IN A COHORT OF ADULT ICU PATIENTS WITH REFRACTORY STATUS EPILEPTICUS R. Soley, D. Gutiérrez, L. Sanchez, M. Koborzan, L. Conde, L. Corral, J.I. Herrero, M. Falip, J. Miró, M. Veciana, R. Mañez, Hospitalet de Llobregat, Spain 0798 Area Funchal Poster Corner NEURO-EMERGENCIES & TRAUMA Chairs: Tarek Sharshar, Paris, France & Pedro Navarrete Navarro, Granada, Spain 14:00 - 15:50 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience Scientific programme C.M. Ramírez Martín, M.D. Milán Rodríguez, M.A. De La Torre Acosta, E. Hernández Mendoza, B. Yanez Quintana, Las Palmas de Gran Canaria, Spain TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER APPLICATION OF A SELECTIVE DECONTAMINATION OF THE DIGESTIVE TRACT PROTOCOL IN A MIXED UNIVERSITY HOSPITAL ICU DURING 6 MONTHS: PRELIMINARY RESULTS 167 Scientific programme TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER 168 BRAIN ABSCESSES IN ICU. EPIDEMIOLOGICAL STUDY AND ANALYSIS OF MORTALITY DETERMINANTS A.V. Aller-Fernández, M. Mourelo-Fariña, I. Astola-Hidalgo, P. Vidal Cortés, M.T. BouzaVieiro, L. Seoane-Quiroga, M.J. García Monje, La Coruña, Spain 0799 POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME (PRES) AFTER LIVER TRANSPLANTATION: A STUDY OF SEVEN CASES A. Sawamura, Y. Yanagida, Y. Honma, H. Yamamoto, T. Honma, N. Kubota, S. Uegaki, M. Hayakawa, S. Gando, Sapporo City, Japan 0800 RISK FACTORS FOR DEATH IN STROKE PATIENTS WITHOUT SUPRANORMAL LEVEL OF URIC ACID IN BLOOD AND / OR CEREBROSPINAL FLUID E. Oreshnikov, S. Oreshnikova, Cheboksary, Russian Federation 0801 INFRATENTORIAL STROKES: AN ALTERNATIVE APPROACH T.G. Loza, D. Batista, I. Maia, E. Monteiro, S. Silva, A. Cerejo, C. Dias, J.A. Paiva, Porto, Portugal 0802 FUNCTIONAL OUTCOME AFTER DECOMPRESSIVE CRANIECTOMY IN MALIGNANT MIDDLE CEREBRAL ARTERY INFARCTION D. Arias-Verdú, R. Rivera-Fernández, M.J. Chaparro-Sánchez, A. Muñoz-López, D. Fernandez-Zamora, G. Quesada-García, Málaga, Spain 0803 MUCORMYCOSIS AFTER SEVERE TRAUMA I. Saez de la Fuente, M. Fernández Chico, A. Robles Alonso, Z. Molina Collado, C. García Fuentes, E. Alted López, Madrid, Spain 0804 PELVIC BONE FRACTURES ASSOCIATED WITH INTRA-ABDOMINAL SOLID ORGAN INJURY S.H. Kim, Ulsan, Republic of Korea 0805 Area Guarda Poster Corner EVALUATION OF CARE IN TRAUMA & EMERGENCY MEDICINE Chairs: Geoffrey Bellingan, London, United Kingdom & Claude Martin, Marseille, France 14:00 - 15:50 RECOMBINANT FACTOR VIIA (RFVIIA) IN A PIG MODEL OF COAGULOPATHY WITH BLUNT LIVER INJURY UNDER SEVERE HYPOTHERMIA S. Loubele, T. Braunschweig, R. Rossaint, H. ten Cate, H. Spronk, B. Lauritzen, O. Grottke, Maastricht, Netherlands 0806 NOT ONLY ADMISSION HYPERGLYCAEMIA BUT BLOOD GLUCOSE VARIABILITY ARE RELIABLE OUTCOME PREDICTORS IN SEVERE TRAUMATIC PATIENTS T. Kamitani, H. Ishikura, R. Yuge, R. Ichiki, M. Mizunuma, K. Hoshino, A. Murai, Fukuoka, Japan 0807 EVALUATION OF CENTRAL VENOUS AND ARTERIAL CATHETERISATION FOR SEVERE TRAUMA PATIENTS IN THE TRAUMA BAY S. Hamada, M. Fromentin, M. Ronot, T. Gauss, A. Harrois, J. Duranteau, J. Mantz, C. PaugamBurtz, Clichy, France 0808 IS THE RENAL ANGIOEMBOLISATION AN AGGRAVATING FACTOR OF RENAL FUNCTION FOR TRAUMA PATIENTS WITH HIGH-GRADE RENAL TRAUMAS? M. Saour, J. Charbit, J. Manzanera, L. Barral, I. Millet, P. Taourel, X. Capdevila, Montpellier, France 0809 TETRATHIOMOLYBDATE, A SLOW RELEASE SULPHIDE DONOR, IMPROVES SURVIVAL IN A RAT MODEL OF HAEMORRHAGE/REPERFUSION INJURY A. Dyson, L. Andreeva, J. Martin, M. Singer, London, United Kingdom 0810 CID SCORE IN TRAUMATIC AND NON-SCHEDULED SURGICAL PATIENTS ON ADMISSION OF A GENERAL INTENSIVE CARE UNIT HAS PROGNOSTIC VALUE T. Santos, V. Moreira, V. Goulão, E. Lafuente, M.J. Fernandes, J.G. Silva, F. Santos, F. Moura, R. Lopes, Penafiel, Portugal 0811 USING THE INTRA-OSSEOUS ACCESS IN ADULT PATIENTS IN 2012: WHAT ABOUT TWO YEARS AFTER THE RECOMMENDATIONS OF ILCOR 2010? S. Perbet, B. Abbal, S. Colomb, S. Ehrmann, J. Schmidt, J.-E. Bazin, J.-M. Constantin, Clermont-Ferrand, France 0812 USE OF INTRACRANIAL PRESSURE MONITORING IN FRANCE: PHRC FIRST DESCRIPTIVE DATA S. Mirek, J.-M. Yeguiayan, N. Opprecht, C. Bonithon-Kopp, M. Freysz, Dijon, France 0813 INSULIN RESISTANCE IN SEVERE TRAUMA WITHOUT HEAD INJURY AS EARLY PREDICTOR OF ICU LENGTH OF STAY: A PROSPECTIVE, PILOT STUDY M. Bonizzoli, C. Lazzeri, S. Degl’Innocenti, G. Zagli, J. Parodo, P. Dammiano, M. Solaro, G. Gensini, A. Peris, Florence, Italy 0814 SEDATION, VENTILATION AND CARDIOVASCULAR SUPPORT IN BURNS INTENSIVE CARE UNIT PATIENTS S. Palazzo, C. Wall, E. James, P. McCabe, M. Hayes, M. Takata, M. Vizcaychipi, London, United Kingdom 0815 MORTALITY IN EXTRADURAL HAEMATOMAS - IS TIME TO THEATRE A FACTOR? L. Ruff, F. Lecky, Liverpool, United Kingdom 0816 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 0817 EVALUATION OF CARE IN TRAUMATIC SEVERE ILLNESS BY TRAUMA SCORE (TS) - INJURY SEVERITY SCORE (ISS) (TRISS). EXPERIENCE IN ONE TRAUMA CENTRE IN SPAIN DURING 9 YEARS M. Chico Fernandez, C. García Fuentes, D. Toral Vazquez, F. Maimir Jane, S. Bermejo Aznarez, E. Alted López, Madrid, Spain 0818 IN-HOSPITAL PAEDIATRIC TRAUMA DEATHS: EPIDEMIOLOGY, TRAUMA MECHANISM, SEVERITY, LOCATION, TYPE OF INJURY, SURVIVAL PROBABILITY, PRE-HOSPITAL CARE AND EMERGENT MANAGEMENT R. Kvederiene, V. Zilinskaite, A. Radziunas, Vilnius, Lithuania 0819 Poster Corner INDICATORS OF COST, QUALITY & OUTCOME Chairs: Maurizia Capuzzo, Ferrara, Italy & Christina Jones, Liverpool, United Kingdom 14:00 - 15:50 THE PHYSIOTHERAPY SERVICE MODEL USED IN A SURGICAL INTENSIVE CARE UNIT AFFECTS NURSING WORKLOAD: A PRELIMINARY STUDY S. Hanekom, Q. Louw, A. Coetzee, Cape Town, South Africa 0820 MOBILITY STATUS AT ICU DISCHARGE PREDICTS HOSPITAL DISCHARGE DESTINATION IN LONG-TERM INTENSIVE CARE UNIT (ICU) PATIENTS M. Green, I.A. Leditschke, N. Williams, M. Murray, M. Walker, I.A. Mitchell, B. Bissett, Canberra, Australia 0821 IN-HOSPITAL CARTOGRAPHY OF CARDIAC ARREST C. Vannucci, P. Burtin, P. Courant, J.Y. Bigeon, D. Bessou, E. Hatterer, Montpellier, France 0822 THE ECONOMIC IMPACT OF CRITICAL CARE FELLOWSHIP TRAINING J.E. Carter, D.L. Johnson, R.E. Stafford, P.B. Rich, Chapel Hill, United States 0823 CRITICAL CARE OUTREACH TEAMS: A REVIEW OF CRITICAL CARE OUTREACH SERVICE PROVISION IN THE NHS R.L. McCartney, S. Saha, J. Rees, R. Mosaheb, T. Lawy, Romford, United Kingdom 0824 DOES THE CANCER DIAGNOSIS MATTER ON EMOTIONAL DISTRESS IN AN ICU POPULATION? R.R. Fumis, P. Martins, G. Schettino, Sao Paulo, Brazil 0825 VARIABLE, INDIVIDUALISED COST OF A GREEK ICU D. Karabatsou, E. Boutzouka, E. Tsigou, M. Tsironi, G. Baltopoulos, Athens, Greece 0826 CORRELATION OF QUALITY OF LIFE INSTRUMENTS AND FUNCTIONAL STATUS INSTRUMENTS IN CRITICALLY ILL PATIENT C. de Haro, M.C. Guia, V. Guia, F. Baigorri, A. Artigas, Sabadell, Spain 0827 EVALUATION OF STRESS LEVELS IN INTENSIVE CARE DOCTORS IN INDIA R. Amte, P.B. Gopal, K. Munta, S.P. Haranath, Hyderabad, India 0828 QUALITY OF CARE AND OUTCOME IN PATIENTS ADMITTED TO ICU WITH ACUTE KIDNEY INJURY S. Lane, J.W. Zwaal, A. Blyth, Kingston Upon Thames, United Kingdom 0829 EVIDENCE AS A BASIS FOR CLINICAL PRACTICE GUIDELINES ON MECHANICAL VENTILATION IN INTENSIVE CARE IN SWEDEN G. Vogel, A.C. Eldh, Stockholm, Sweden 0830 COMPARATIVE ANALYSIS BETWEEN PATIENTS WITH LONG ICU STAY DEPENDING ON A YEAR SURVIVAL L. Santana-Cabrera, R. Lorenzo-Torrent, M. Sánchez-Palacios, J.D. Martin-Santana, C. Rodríguez-Escot, B. del Amo Nolasco, G. PérezAcosta, Las Palmas de Gran Canaria, Spain 0831 GLOBAL AND HIDDEN MORTALITY OF PATIENTS ADMITTED AFTER CARDIAC ARREST UNDER THERAPEUTIC HYPOTHERMIA M.J. Garcia-Monje, I. Astola, A. Ceniceros, A. Lopez, V. Rodriguez, V. Aller, J.M. Lopez Perez, J.M. Gulias, D. Freire, A Coruña, Spain 0832 INDICATORS OF REINSTITUTION OF VENTILATORY SUPPORT AFTER EXTUBATION FAILURE N. Umei, K. Atagi, H. Okuno, Y. Seino, Y. Otsuka, A. Ujiro, H. Shimaoka, Osaka, Japan 0833 Scientific programme L. Thakuria, M. Nel, A. Radhakrishan, C. Gomez, London, United Kingdom TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER Area Porto A RETROSPECTIVE REVIEW OF SURGICAL AIRWAY MANAGEMENT IN MAJOR TRAUMA PATIENTS ON THE INTENSIVE CARE UNIT (ICU) Try the e-posters experience in the exhibition area L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 169 Scientific programme TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER 170 area Setubal Poster Corner SEPTIC SHOCK: METABOLIC MARKERS, ORGAN DYSFUNCTION & THERAPY Chairs: Frédérique Schortgen, Creteil, France & Anders Perner, Copenhagen, Denmark 14:00 - 15:50 ENDOTHELIAL-SPECIFIC ARGININOSUCCINATE-SYNTHETASE KNOCK-OUT MICE HAVE IMPAIRED ARGININE DE NOVO SYNTHESIS, NO PRODUCTION AND MICROCIRCULATION DURING ENDOTOXEMIA K.A.P. Wijnands, N.M.S. van den Akker, M. Ghosh, D.M. Meesters, J.J. Briedé, E.S. Köhler, M.A.M.J. van Zandvoort, W.H. Lamers, D.G.M. Molin, M. Poeze, Maastricht, Netherlands 0834 NOREPINEPHRINE VERSUS ANGIOTENSIN-II AS VASOPRESSORS IN SEPTIC SHOCK: EFFECTS ON INFLAMMATORY RESPONSE, TISSUE PERFUSION AND ORGAN FUNCTION IN A PORCINE MODEL OF FECAL PERITONITIS T.D. Correa, V. Jeger, M. Vuda, S. Djafarzadeh, J. Takala, S.M. Jakob, Bern, Switzerland 0835 CHANGES IN HEPATIC AND RENAL PERFUSION DURING SEPSIS IN ICU PATIENTS K. Staufer, E. Kometer, D. Reichhold, A. Drolz, C. Zauner, M. Trauner, V. Fuhrmann, Vienna, Austria 0836 INFLAMMATION-INDUCED INCREASE IN WHOLE BLOOD VISCOSITY DURING HUMAN ENDOTOXEMIA A.S.E. John, J. Zwaag, M.J. Dorresteijn, L.T. van Eijk, G. Pop, J.G. van der Hoeven, P. Pickkers, Nijmegen, Netherlands 0837 RED BLOOD CELL TRANSFUSION AND MORTALITY IN PATIENTS WITH SEVERE SEPSIS AND SEPTIC SHOCK I. Jaffer Sathick, R. Kashyap, J. Valerio-Rojas, R. Cartin-Ceba, Rochester, United States 0838 CLINICAL ASSESSMENT OF THE ENDOTHELIAL GLYCOCALYX TO MONITOR VASCULAR DYSFUNCTION IN SEPTIC SHOCK PATIENTS H. Vink, S. Hubble, K.A. Wijnands, C. Thorn, D. Mawson, S. Roos, M. Poeze, A. Shore, Maastricht, Netherlands 0839 HISTOLOGIC INDICATORS OF CATECHOLAMINE-INDUCED CARDIOTOXICITY IN SEPTIC SHOCK C.A. Schmittinger, M.W. Dünser, C. Torgersen, C.M. Steger, Lucerne, Switzerland 0840 ESMOLOL EFFECTS ON HEART RATE VARIABILITY IN SEPTIC SHOCK J. Aboab, R. De Olivera, V. Sebille, A. Mansart, J. Mangalaboyi, M. Jourdain, D. Annane, Garches, France 0841 LEUCO-DEPLETED BLOOD TRANSFUSION DOES NOT PRODUCE AN INFLAMMATORY RESPONSE IN CRITICALLY ILL ADULTS: RESULTS FROM A RANDOMISED CONTROLLED TRIAL Z. Jiwaji, K.P. Nunn, A. Conway Morris, A.J. Simpson, A. Rossi, T.S. Walsh, Edinburgh, United Kingdom 0842 VASOPRESSIN IMPACT IN MICROCIRCULATORY FLOW IN SEPTIC SHOCK PATIENTS A.P.M. Nascente, F.G.R. Freitas, A.T. Bafi, F.R. Machado, Sao Paulo, Brazil 0843 TRANSFUSION REQUIREMENTS IN SEPTIC SHOCK (TRISS) TRIAL - PROTOCOL OF AN ONGOING SCANDINAVIAN MULTICENTRE, RANDOMISED CLINICAL TRIAL OF THE EFFICACY AND SAFETY OF RED BLOOD CELL TRANSFUSION IN PATIENTS WITH SEPTIC SHOCK L.B. Holst, J. Wetterslev, P. Johansson, J. Wernerman, A. Åneman, A.B. Guttormsen, S. Karlsson, G. Klemenzson, N. Haase, A. Perner, Copenhagen, Denmark 0844 SHOCK INDEX (SI) IS THE BEST PREDICTOR OF MORTALITY IN SEPTIC SHOCK P. Barriga, E. Monares, R. Chaires, I. Galvan, M. Poblano, J. Aguirre, G. Camarena, J. Franco, Mexico, Mexico 0845 EFFECTS OF HYDROXYETHYLSTARCHES WITH DIFFERENT CONCENTRATIONS AND MOLECULAR WEIGHTS ON HAEMODYNAMICS AND RENAL FUNCTION IN A PORCINE TWO HIT MODEL OF SHOCK C. Thiele, T.-P. Simon, F. Stadermann, T. Schürholz, K.U. Amann, G. Marx, Aachen, Germany 0846 IS LACTATE THE CULPRIT IN SEPSIS ASSOCIATED METABOLIC ACIDOSIS? R. Tuffin, S. Fletcher, Bradford, United Kingdom 0847 Area Sintra Poster Corner Nurses & AHP NURSING INTERVENTIONS Chairs: Paul Mayo, New York, United States & Bernard Vigué, France 14:00 - 15:50 PICC: PASSPORT TO DISCHARGE?: NURSE LED PERIPHERALLY INSERTED CENTRAL CATHETERS CAN PROVIDE EFFECTIVE VASCULAR ACCESS ASSESSMENT AND PLACEMENT, WITH THE CAPACITY TO SUPPORT PATIENTS´ ACCESS NEEDS TO DISCHARGE H. Baker, C. Boulanger, V. Shawyer, C. Courtice, J. Nixon, S. Hill, Exeter, Devon, United Kingdom 0848 THE QUALITY OF NURSING PRACTICE IN THE DETECTION AND INITIAL MANAGEMENT OF THE DETERIORATING WARD PATIENT M. Odell, Reading, United Kingdom 0849 USE OF PHYSICAL RESTRAINT IN DUTCH INTENSIVE CARE UNITS: PREVALENCE AND MOTIVES R.J. Raijmakers, R.L. Vroegop, M. van den Boogaard, A.W. van der Kooi, A.J. Slooter, Utrecht, Netherlands 0850 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 0851 VISUAL Q-CPR® FEEDBACK DURING CPR BY EXPERIENCED ICU NURSES INCREASES CONSISTENCY OF RATE OF CHEST COMPRESSIONS E.A. Icke, H.P.M.M. Gelissen, Amsterdam, Netherlands 0852 EVALUATION TO STUDY THE EFFECT OF A SPECIAL MATTRESS ON THE INCIDENCE OF SACRAL PRESSURE ULCER W. Groetelaers, M. van den Boogaard, Nijmegen, Netherlands 0853 THE IMPLEMENTATION OF A NURSE DRIVEN GLUCOSE REGULATION INTENSIVE CARE PATIENTS (GRIP) AS A FULLY-AUTOMATED FEATURE OF METAVISION A.M. Morreale-Tulleken, J. Boer, A.J. Wignand, A. Beishuizen, M.C. de Waard, R. Driessen, Amsterdam, Netherlands 0854 CRITICAL CARE OUTREACH: CHANGING THE GAME J. Burke, S. Wood, L. Smith, A. Hermon, T. Szakmany, Llantrisant, United Kingdom 0855 INTERMITTENT ASPIRATION OF SUBGLOTTIC SECRETIONS AND TRACHEAL MUCOSA DAMAGE E. Suys, K. Nieboer, W. Stiers, L. Huyghens, J. De Regt, H. Spapen, Brussels, Belgium 0856 ENHANCING EARLY CRITICAL ILLNESS RECOVERY THROUGH THE USE OF A ‘USER CENTRED CRITICAL CARE DISCHARGE INFORMATION PACK’ S. Bench, P. Griffiths, P. Hopkins, T. Day, P. Milligan, L. Yardley, K. Heelas, C. White, London, United Kingdom 0857 LOWERING OF SINUSITIS INCIDENCE BY INTRODUCTION OF A SINUSITIS PROPHYLAXIS M. Hout van der, L. Duijn, A.-M. Kaiser, J. Peppink, C. Vandenbroucke-Grauls, A. Girbes, Amsterdam, Netherlands 0858 Life-Priority Poster Corner AUDIT & ASSESSMENT OF CRITICAL CARE PRACTICE Chairs: Julian Bion, Birmingham, United Kingdom & Peter van der Voort, Amsterdam, Netherlands 14:00 - 15:50 OVERESTIMATION OF MORTALITY AFTER APPLYING THE EUROSCORE TO ELDERLY PATIENTS. ANALYSIS OF THE DATABASE ARIAM OF CARDIAC SURGERY G. Jimenez-Perez, J. Muñoz-Bono, E. CurielBalsera, R. Rivera-Fernandez, M.D. Arias-Verdu, E. Marquez-Alvarez, F.J. Gomez-Carrero, Malaga, Spain 0859 ASSESSING OUTCOME AFTER CRITICAL ILLNESS BY USE OF A NATIONAL INTENSIVE CARE REGISTRY (SIR) L. Orvelius, S. Walther, H. Gren, C. Mårdh, G. Karlström, F. Sjöberg, Linköping, Sweden 0860 MODIFIED EARLY WARNING SCORE (MEWS) IS A POOR DISCRIMINATOR IN ONCOLOGY PATIENTS OF THE NEED FOR CRITICAL CARE ADMISSION AND 30 DAY MORTALITY T. Cooksley, E. Kitlowski, P. Haji-Michael, Manchester, United Kingdom 0861 EARLY ADMISSION IMPROVES LONG TERM OUTCOME IN PATIENTS DIAGNOSED WITH ACUTE PANCREATITIS ADMITTED TO ICU P. Vidal-Cortés, P. Lameiro-Flores, M. MoureloFariña, A.V. Aller-Fernández, P. FernándezUgidos, R. Gómez-López, M.T. Alves-Pérez, E. Rodríguez-García, Ourense, Spain 0862 AN AUDIT ON VENOUS THROMBOEMBOLISM PROPHYLAXIS PRESCRIPTION IN HIGH RISK PATIENTS D. Turner, L. Ma, S. McAuliffe, C. Peters, London, United Kingdom 0863 CHANGING PATTERNS OF CRITICAL INCIDENTS IN A UK HOSPITAL CRITICAL CARE UNIT: 2010 - 2012 N. Jain, S. Singh, E. Christie, Chester, United Kingdom 0864 CHEST X RAY INDICATIONS AND DOCUMENTATION IN INTENSIVE CARE: REAUDIT AND PROGRESS H. Aladin, R. Puttaswamy, S. McCormick, J. Bleasdale, M. Patel, Birmingham, United Kingdom 0865 TRANSFUSION PRACTICE IN THE INTENSIVE CARE UNIT L.D. Umezawa Makikado, M. Chico Fernandez, C. García Fuentes, C. Grande García, Z. Molina Collado, C. Mudarra Reche, J.L. Flordelís Lasierra, J.A. Sánchez-Izquierdo Riera, J.C. Montejo González, Madrid, Spain 0866 EFFECTIVE EYE CARE PREVENTS CORNEAL COMPLICATION IN VENTILATED PATIENTS IN MEDICAL INTENSIVE CARE UNIT M.F. Azfar, Riyadh, Saudi Arabia 0867 SEQUENTIAL AUDIT OF VENTILATOR CARE BUNDLE COMPLIANCE IN A UK GENERAL ICU H. Morton, M. Carpenter, Newcastle Upon Tyne, United Kingdom 0868 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience Scientific programme M. Colmenero, F. Manzano, A.M. Pérez-Pérez, D. Roldan, M.-A. Del Moral, M.-A. Sanchez-Moya, M.-R. Mañas-Vera, E. Fernández-Móndejar, Granada, Spain TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER EFFECTIVENESS OF A REGIMEN OF REPOSITIONING EVERY 2 HOURS VERSUS EVERY 4 HOURS USING ALTERNATING PRESSURE MATTRESSES IN PREVENTING PRESSURE ULCERS IN PATIENTS ON MECHANICAL VENTILATION. THE PUPPAS RANDOMISED CONTROLLED TRIAL 171 Scientific programme TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER CAN A CERTIFIED INTENSIVIST AND ICU RENOVATION IMPROVE PATIENT OUTCOMES AFTER CARDIAC SURGERY? Y. Onodera, R. Akimoto, T. Kobayashi, M. Iwabuchi, S. Oda, M. Nakane, K. Kawamae, Yamagata City, Japan 0869 CRITICAL CARE FACTORS AFFECTING POST OPERATIVE MORTALITY IN ABDOMINAL AORTIC ANEURYSMS(AAA) - A FIVE YEAR RETROSPECTIVE ANALYSIS S.D. Chaudhry, S. Anipindi, Stafford, United Kingdom 0870 H1N1 - ONE YEAR FOLLOW UP STUDY A. Biswas, F. Alam, K. Hattery, A. O Brien, S. Mahdy, J. O Driscall, C. Motherway, Limerick, Ireland 0871 A SERVICE ANALYSIS OF ROUTINE PATHOLOGY INVESTIGATIONS ON A CRITICAL CARE UNIT K. Bailey, R. Davidson, S. Beards, Manchester, United Kingdom 0872 room Lisbon Oral Presentations ARDS: DEFINING, MONITORING AND OUTCOME Chairs: Antonio Pesenti, Monza, Italy & Laurent Brochard, Geneva, Switzerland 14:15 - 14:30 IMPACT OF INFLAMMATION BIOMARKERS ON THE ARDS DEFINITION S. Mrozek, M. Jabaudon, L. Roszyk, S. Jaber, Q. Lu, C. Paugham, K. Asehnoune, J.-Y. Lefrant, J.M. Constantin, Clermont-Ferrand, France 0873 14:30 - 14:45 MINIMALLY INVASIVE SHUNT ESTIMATION USING VOLUMETRIC CAPNOGRAPHY A. Santos, F. Suarez-Sipmann, S. Bohm, J.B. Borges, M. Muñoz, A. Larsson, G. Hedenstierna, G. Tusman, Madrid, Spain 0874 14:45 - 15:00 VENTILATORY RATIO A BEDSIDE TOOL TO MONITOR VENTILATORY EFFICIENCY- PHYSIOLOGICAL ANALYSIS AND CLINICAL USE IN ARDSNET DATABASE P. Sinha, M.K. Vukoja, O. Gajic, N. Fauvel, P. Singh, N. Soni, London, United Kingdom 0875 15:00 - 15:15 QUANTIFICATION OF DEAD SPACE AS A PREDICTOR OF MORTALITY IN PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME IN EARLY STAGE M.E. Plazolles Delgado, M.V. Nievas, H. Aguirre Bermeo, L. Zapata Fenor, J. Mancebo Cortes, I. Moran Chorro, Barcelona, Spain 0876 15:15 - 15:30 INCREASED MORTALITY IN PATIENTS OVER 75 YEARS WITH MECHANICAL VENTILATION FOR MORE THAN 7 DAYS M. Redondo Orts, F. Manzano Manzano, M.D.M. Jimenez, M. Monsalve-Alvarez Cienfuegos, J. Castaño, Granada, Spain 0877 15:30 - 15:50 Discussion room BERLIN Thematic Session DO MEDICAL JOURNALS MODIFY OUR PRACTICE? Chairs: Howard Bauchner, Chicago, United States & Marco Ranieri, Turin, Italy 14:15 - 14:35 The editor’s mandate: From impact factor to clinical impact Howard Bauchner, Chicago, United States 14:35 - 14:50 The editor’s headache: Duplicate publications, salami publication & fraud Massimo Antonelli, Rome, Italy 14:50 - 15:05 The clinician’s mandate: Implementing evidence into clinical practice Derek Angus, Pittsburgh, United States 15:05 - 15:20 The clinician’s headache: Selecting and reading the best literature Elie Azoulay, Paris, France (TBC) 15.20 - 15:35 The researcher’s challenge: Publishing negative, industry-funded trials Marco Ranieri, Turin, Italy 15.35 - 15.50 Discussion 30 minutes before the next session? Visit the Replay theatre Level 1 - Exhibition Area A - Gallery 172 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 ADEQUATE AND APPROPRIATE TREATMENT OF ICU INFECTIONS 14:15 - 14:30 EVIDENCE-BASED RECOMMENDATIONS TO INCREASE THE APPROPRIATE USAGE OF ANTIBIOTICS IN ICU PATIENTS: A 5-DAY BUNDLE J. Schouten, G. de Angelis, T. Sprong, M. Nabuurs, M. Antonelli, H. van Groningen, A. Voss, M. Hulscher, E. Taconelli, Nijmegen, Netherlands 0878 14:30 - 14:45 THE ANTI-INFLAMMATORY EFFECT OF PENTOXIFYLLINE IN LPS-INDUCED ACUTE LUNG INJURY IS A2A-DEPENDENT F.M. Konrad, G. Neudeck, I. Vollmer, K.C. Ngamsri, M. Thiel, J. Reutershan, Tübingen, Germany 0879 14:45 - 15:00 CURRENT TREATMENT FOR SEVERE COMMUNITY-ACQUIRED PNEUMONIA: LESSONS FROM THE N1H1 PADEMIC C. Lluch Candal, B. Sánchez González, C. Cabeza, E. Piacentini, S. Quintana, R. Ferrer Roca, Terrassa, Spain 0880 15:00 - 15:15 LUNG ULTRASONOGRAPHY FAILS DETECTION OF NON-SUBPLEURAL COMMUNITY ACQUIRED PNEUMONIA F. Corradi, L. Ball, C. Brusasco, M. Vargas, A. Garlaschi, F. Altomonte, P. Moscatelli, P. Pelosi, Genoa, Italy 0881 15:15 - 15:30 EFFICIENCY OF A PNEUMATIC DEVICE IN CONTROLLING CUFF PRESSURE OF POLYURETHANE-CUFFED TRACHEAL TUBES: A RANDOMISED CONTROLLED STUDY S. Nseir, E. Jaillette, F. Zerimech, J. De Jonckheere, M. Balduyck, A. Durocher, Lille, France 0882 15:30 - 15:50 Discussion room Geneva Oral Presentations DIFFICULT INFECTIONS IN THE ICU Chairs: Jordi Rello, Barcelona, Spain & Frédéric Pène, Paris, France 14:15 - 14:30 IMPAIRED VIRULENCE OF A CLINICAL STRAIN OF ACINETOBACTER BAUMANNII RESISTANT TO COLIMYCINE IN A RAT MODEL OF ACUTE PNEUMONIA S. Hraiech, A. Roch, T. Atieh, L. Papazian, J.M. Rolain, D. Raoult, F. Brégeon, Marseille, France 0883 14:30 - 14:45 IMPROVING HAND HYGIENE IN INTENSIVE CARE UNITS: A MULTI-CENTRE INTERVENTION STUDY L. Derde, R. Stellato, C. Brun Buisson, M. Bonten, Utrecht, Netherlands 0884 14:45 - 15:00 RANDOMISED CONTROLLED TRIAL OF CHLORHEXIDINE DRESSING AND HIGHLY ADHESIVE DRESSING FOR PREVENTING CATHETER-RELATED INFECTIONS IN THE ICU J.-F. Timsit, O. Mimoz, B. Mourvillier, S. Ruckly, J.-C. Lucet, Grenoble, France 0885 15:00 - 15:15 TDM BASED DOSE OPTIMISATION OF PIPERACILLIN AND MEROPENEM: A RANDOMISED CONTROLLED TRIAL J. De Waele, S. Carrette, M. Carlier, V. Stove, E. Hoste, P. Depuydt, J. Decruyenaere, A. Verstraete, Ghent, Belgium 0886 15:15 - 15:30 CLINICAL FEATURES AND OUTCOMES OF CRITICALLY ILL PATIENTS WITH SHIGATOXIN-INDUCED HAEMOLYTIC UREMIC SYNDROME S. Braune, D. Wichmann, M. von Heinz, A. Nierhaus, H. Becker, G. Meyer, M. MüllerSchulz, J. Fricke, A. de Weerth, W. Hoepker, J. Fiehler, T. Magnus, C. Gerloff, U. Panzer, R. Stahl, S. Kluge, Hamburg, Germany 0887 15:30 - 15:50 Discussion room Berlin State of the Art Session CARDIOVASCULAR MONITORING UPDATE Chairs: Daniel De Backer, Brussels, Belgium & Xavier Monnet, Kremlin-Bicetre, France 14:15 - 14:35 Absolute values vs. changes at the bedside Azriel Perel, Tel Aviv, Israel 14:35 - 14:55 From arterial pressure to cardiac output Maurizio Cecconi, London, United Kingdom 14:55 - 15:10 Doppler techniques Mervyn Singer, London, United Kingdom 15:10 - 15:30 Completely non invasive technologies Bernard Cholley, Paris, France 15:30 - 15:50 Volumetric monitoring Jean-Louis Teboul, Kremlin-Bicetre, France L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience Scientific programme Oral Presentations TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER room Barcelona Chairs: Jeff Lipman, Brisbane, Australia & Christian Brun-Buisson, Creteil, France 173 Scientific programme TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER 174 room Glasgow Oral Presentations SEPSIS, TRAUMA AND KIDNEY INJURY: EPIDEMIOLOGY AND OUTCOME Chairs: Wilfred Druml, Vienna, Austria & Penglin Ma, Beijing, China 14:15 - 14:30 PROSPECTIVE EXTERNAL VALIDATION OF RISK PREDICTION MODELS FOR ACUTE TRAUMATIC BRAIN INJURY IN UK CRITICAL CARE UNITS: THE RAIN STUDY D.A. Harrison, K.A. Griggs, M. Gomes, D.K. Menon, K.M. Rowan, London, United Kingdom 0888 14:30 - 14:45 NATIONAL TRENDS IN SEVERE SEPSIS HOSPITAL INCIDENCE IN SPAIN: A POPULATION BASED STUDY, 1999-2009 C. Bouza, T. Lopez-Cuadrado, J.M. Amate, Madrid, Spain 0889 14:45 - 15:00 SEPTIC ACUTE KIDNEY INJURY IN THE CRITICALLY ILL M. Poukkanen, S. Karlsson, K.-M. Kaukonen, A.-M. Korhonen, S.T. Vaara, S. Hovilehto, O. Inkinen, R. Laru-Sompa, T. Kaminski, V. Pettilä, Rovaniemi, Finland 0890 15:00 - 15:15 EARLY TRACHEOSTOMY INCREASES HOSPITAL MORTALITY AFTER TRAUMATIC BRAIN INJURY R. Schmutz, H. Hochrieser, P. Bauer, W. Mauritz, P.G.H. Metnitz, Vienna, Austria 0891 15:15 - 15:30 INCIDENCE, RISK FACTORS, AND MORTALITY OF ACUTE KIDNEY INJURY IN FINNISH INTENSIVE CARE UNITS: THE FINNAKI STUDY S. Nisula, K.-M. Kaukonen, S.T. Vaara, A.M. Korhonen, M. Poukkanen, S. Karlsson, M. Haapio, O. Inkinen, I. Parviainen, R. Suojaranta-Ylinen, J.J. Laurila, J. Tenhunen, M. Reinikainen, T. Ala-Kokko, E. Ruokonen, A. Kuitunen, V. Pettilä, Helsinki, Finland 0892 15:30 - 15:50 Discussion room Stockholm Oral Presentations Nurses & AHP END OF LIFE CARE - ETHICS OF RESEARCH 2 Chairs: Charles Sprung, Jerusalem, Israel & J. Randall Curtis, Seattle, United States 14:15 - 14:30 PREDICTION OF DEATH IN LESS THAN 60 MINUTES FOLLOWING WITHDRAWAL OF CARDIO-RESPIRATORY SUPPORT IN INTENSIVE CARE UNITS: THE PREDICT STUDY J. Brieva, N. Coleman, J. Lacey, P. Harrigan, T. Lewin, G. Carter, New Lambton, Australia 0893 14:30 - 14:45 PRACTICES IN LIFE-SUSTAINING TREATMENT AND PERCEPTIONS OF CAREGIVERS: A FRENCH SURVEY I. Vinatier, S. Valéra, M.-L. Baillot, I. BourgeonGhittori, C. Clec’h, K. Couchoux, V. Franja, S. Jeune, M. Lloung, V. Lombardo, S. Lusso, Y. Maetens, C. Mossadegh, E. Rosset, B. Souweine, Paris, France 0894 14:45 - 15:00 END OF LIFE CARE IN THE ICU: CAN A GUIDELINE FOR WITHHOLDING AND WITHDRAWING THERAPY IMPROVE INTERDISCIPLINARY COLLABORATION AND PATIENT CARE? H.I. Jensen, J. Ammentorp, H. Ørding, Vejle, Denmark 0895 15:00 - 15:15 CHANGES IN END-OF-LIFE DECISION MAKING IN A CENTRAL LONDON ADULT INTENSIVE CARE UNIT FOLLOWING THE INTRODUCTION OF THREE END-OF-LIFE INTERVENTION TOOLS. ENRICH INVESTIGATORS P. Hopkins, C. Bell, A. Feehan, K. Peters, C. Rumble, C. Shipman, S. Heenan, J. Noble, O. Dampier, W. Prentice, S. Leonard, R. Burman, J. Koffman, I. Higginson, London, United Kingdom 0896 15:15 - 15:30 OPIOIDS AND SEDATIVES DO NOT SEEM TO CONTRIBUTE TO TIME TILL DEATH AFTER WITHDRAWAL OF LIFE SUSTAINING THERAPY IN DUTCH CRITICALLY ILL ICU PATIENTS J.L. Epker, E.J.O. Kompanje, Rotterdam, Netherlands 0897 15:30 - 15:50 Discussion room Paris Oral Presentations ACUTE KIDNEY INJURY Chairs: Lui Forni, Worthing, United Kingdom & Claude Guérin, Lyon, France 14:15 - 14:30 COMBINATION OF RENAL BIOMARKERS PREDICTS ACUTE KIDNEY INJURY IN CRITICALLY ILL ADULTS S. Kokkoris, M. Parisi, S. Ioannidou, E. Douka, C. Pipili, M. Mitsogianni, T. Kyprianou, A. Kotanidou, S. Nanas, Athens, Greece 0898 14:30 - 14:45 PREDICTIVE VALUE OF NEUTROPHIL GELATINASE-ASSOCIATED LIPOCALIN (NGAL) FOR ACUTE KIDNEY INJURY IN INTENSIVE CARE PATIENTS - A SYSTEMATIC REVIEW P.B. Hjortrup, N. Haase, M. Wetterslev, A. Perner, København Ø, Denmark 0899 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 M. Raimundo, S. Crichton, M. Ostermann, Lisbon, Portugal 0900 15:00 - 15:15 HUMAN ALBUMIN VERSUS ISOTONIC SODIUM BICARBONATE IN PREVENTION OF CONTRAST INDUCED NEPHROPATHY IN CRITICALLY ILL PATIENTS A.M. Fayed, Alexandria, Egypt 0901 15:15 - 15:30 PREVALENCE OF KIDNEY DYSFUNCTION IN THE ICU. RESULTS OF THE COFRADE MULTICENTRE STUDY M. Herrera Gutierrez, G. Seller-Perez, J.A. Sanchez-Izquierdo-Riera, J. Maynar-Moliner, R. Lozano-Saez, A. Roglan-Piqueras, C. BenitoPuncel, E. Casanoves-Laparra, R. SierraCamerino, F. Guerrero-Lopez, Malaga, Spain 0902 15:30 - 15:50 Discussion room Vienna Oral Presentations THERAPEUTIC HYPOTHERMIA Chairs: Bernd Böttiger, Heidelberg, Germany (TBC) & Alain Cariou, Paris, France 14:15 - 14:30 BRAIN DAMAGE IN NON-SURVIVORS AFTER CARDIAC ARREST AND THERAPEUTIC HYPOTHERMIA B. Erik, E. Englund, Lund, Sweden 0903 14:30 - 14:45 USE OF THERAPEUTIC HYPOTHERMIA IN THE ICU PREDICTS SURVIVAL IN UNCONSCIOUS OUT-OF-HOSPITAL CARDIAC ARREST PATIENTS INDEPENDENT OF AGE, ORIGIN AND INITIAL RHYTHM E. Søreide, T.W. Lindner, J. Langørgen, K. Sunde, J.T. Kvaløy, Stavanger, Norway 0904 14:45 - 15:00 CHANGES OF INFLAMMATORY MEDIATORS DURING REWARMING PERIOD AFTER MILD THERAPEUTIC HYPOTHERMIA H.J. Lee, G.J. Suh, W.Y. Kwon, K.S. Kim, Y.S. Jung, Y.H. Kwak, Seoul, Republic of Korea 0905 15:00 - 15:15 MONITORING OF BACTERAEMIA IN POST-CARDIAC ARREST PATIENTS TREATED WITH MILD THERAPEUTIC HYPOTHERMIA M.C. de Waard, E. de Jong, A.M. Kaiser, A.R. Girbes, Amsterdam, Netherlands 0906 15:15 - 15:30 COMPARISON OF TWO DIFFERENT COOLING TECHNIQUES TO ACHIEVE MILD THERAPEUTIC HYPOTHERMIA IN POST-CARDIAC ARREST PATIENTS P. Banwarie, M.C. de Waard, A.R. Girbes, A.B. Groeneveld, Amsterdam, Netherlands 0907 15:30 - 15:50 Discussion room Athens Oral Presentations MOLECULAR MECHANISMS IN SEPSIS Chairs: Brian Kavanagh, Toronto, Canada & Jérôme Pugin, Geneva, Switzerland 14:15 - 14:30 ASSESSMENT OF THE SAFETY AND FEASIBILITY OF ADMINISTERING ANTI-PYRETIC THERAPY IN CRITICALLY ILL ADULTS: A RANDOMISED CLINICAL TRIAL D.J. Niven, H.T. Stelfox, P. Kubes, K.B. Laupland, Calgary, Canada 0908 14:30 - 14:45 TIMING OF INTUBATION IN SEPTIC SHOCK PATIENTS: THE BREATHE SURVEY J. Aboab, E. de Montmollin, R. Ferrer, E. Azoulay, D. Annane, Garches, France 0909 14:45 - 15:00 THE EFFECTS OF ANTI-PYRETIC THERAPY ON THE IMMUNOLOGY OF FEVER IN CRITICALLY ILL ADULTS: SECONDARY ANALYSIS FROM A RANDOMISED CLINICAL TRIAL D.J. Niven, C. Jenne, P. Kubes, H.T. Stelfox, K.B. Laupland, Calgary, Canada 0910 15:00 - 15:15 A POSITIVE FLUID BALANCE AND USED LOOP DIURETICS AMOUNT ARE ASSOCIATED INCREASED MORTALITY IN INTENSIVE CARE UNIT C.W. Kim, S.J. Lee, M.K. Lee, J.H. Lee, S.J. Yong, K.C. Shin, W.Y. Lee, Wonju, Republic of Korea 0911 15:15 - 15:30 OXYGEN DELIVERY AND DEMAND DURING FEVER AND NORMOTHERMIC CONDITIONS IN SEPTIC PATIENTS G. Choutas, V. Ntzani, D. Karapanos, A. Katsika, M. Pra, G. Anthopoulos, Athens, Greece 0912 15:30 - 15:50 Discussion + L I V E S 2 012 Scientific programme LOWER MEAN ARTERIAL BLOOD PRESSURE AND SYSTEMIC OXYGEN DELIVERY ON DAY OF EARLY AKI ARE ASSOCIATED WITH INCREASED RISK OF PROGRESSIVE AKI AND MORTALITY TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER 14:45 - 15:00 Visit us at the ESICM Booth Exhibition Area A L ink ing Inno vat ion Vi sion E xcel l ence & S cience 175 Scientific programme TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER 176 room Lisbon Thematic Session ICM: YEAR IN REVIEW Chairs: Massimo Antonelli, Rome, Italy & Andrew Rhodes, London, United Kingdom 16:00 - 16:20 Intensive care medicine in 2012 Massimo Antonelli, Rome, Italy 16:20 - 16:40 The best in mechanical ventilation Salvatore Maggiore, Rome, Italy 16:40 - 17:00 The best in infections Jean Chastre, Paris, France 17:00 - 17:20 The best in neuro intensive care Giuseppe Citerio, Monza, Italy 17:20 - 17:40 The best in nephrology and epidemiology Michael Joannidis, Innsbruck, Austria 17:40 - 18:00 The best in cardiovascular intensive care Maurizio Cecconi, London, United Kingdom room Berlin Thematic Session CARING FOR THE LUNGS OF THE HAEMODYNAMICALLY CHALLENGED PATIENT Chairs: Didier Payen de La Garanderie, Paris, France & Michael Pinsky, Pittsburgh, United States 16:00 - 16:20 Heart-lung interactions for dummies Michael Pinsky, Pittsburgh, United States 16:20 - 16:40 Optimising ventilation strategies in right-heart failure Didier Payen de La Garanderie, Paris, France 16:40 - 17:00 Open lung strategies during shock: Balancing competing priorities Brian Kavanagh, Toronto, Canada 17:00 - 17:20 Fluid management in septic ARDS patient Davide Chiumello, Milan, Italy 17:20 - 17:40 When heart failure compromises ventilation weaning Jean-Louis Teboul, Kremlin-Bicetre, France 17:40 - 18:00 Can novel imaging modalities help optimise the heart-lung interaction? Antoine Vieillard-Baron, Boulogne, France rooM Barcelona Thematic Session EARLY GOAL-DIRECTED THERAPY Chairs: Daniel De Backer, Brussels, Belgium & Jean-Louis Vincent, Brussels, Belgium 16:00 - 16:20 What is the evidence for early goal-directed therapy? Kathryn Rowan, London, United Kingdom 16:20 - 16:40 EGDT in sepsis Jukka Takala, Bern, Switzerland 16:40 - 17:00 EGDT in high risk surgical patients Rupert Pearse, London, United Kingdom 17:00 - 17:20 How early is not too late? Jean-Louis Vincent, Brussels, Belgium 17:20 - 17:40 Less invasive devices for EGDT Christoph Hofer, Zurich, Switzerland 17:40 - 18:00 First do not harm: When to stop? Mervyn Singer, London, United Kingdom room Geneva Continuous Professional Education Session COLLAPSE IN ARDS ASSESSMENT OF LUNG AERATION AND Chairs: Luciano Gattinoni, Milan, Italy & Michael Quintel, Gottingen, Germany 16:00 - 16:20 Assessing lung function - don’t forget the basics! Anders Larsson, Uppsala, Sweden 16:20 - 16:40 Should we use œsophageal pressure monitoring? Davide Chiumello, Milan, Italy 16:40 - 17:00 How useful are lung volume measurements? Laurent Brochard, Geneva, Switzerland 17:00 - 17:20 What can we learn from exhaled breath analysis? Warren Zapol, Boston, United States 17:20 - 17:40 Lung ultrasound - does it have a role? Paul Mayo, New York, United States 17:40 - 18:00 Electrical Impedance Tomography Michael Quintel, Gottingen, Germany 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 FIGHTING MULTI-DRUG RESISTANT PATHOGENS 16:00 - 16:20 KPC-producers: What’s new in epidemiology and treatment Garyfallia Poulakou, Athens, Greece 16:20 - 16:40 How to manage untreatable infections with Gram-negative pathogens? Jean-François Timsit, Grenoble, France 16:40 - 17:00 Extensive drug and pandrug resistance organisms: What does the pipeline hold? Garyfallia Poulakou, Athens, Greece 17:00 - 17:20 Antimicrobial combinations with colistin: What to expect? Jeff Lipman, Brisbane, Australia 17:20 - 17:40 Inhaled colistin: An update of indications and effectiveness Claude Martin, Marseille, France 17:40 - 18:00 Colistin resistance in the clinical setting: A nightmare without dawn Marc Bonten, Utrecht, Netherlands room Glasgow Thematic Session ABC’s OF PAEDIATRIC INTENSIVE CARE FOR THE ADULT INTENSIVIST Chairs: Samuel Ajizian, Winston Salem, United States & Mark Peters, London, United Kingdom 16:00 - 16:20 Comparative adult and paediatric physiology Mark Peters, London, United Kingdom 16:20 - 16:40 Stabilisation and transport Samuel Ajizian, Winston Salem, United States 16:40 - 17:00 Diabetic Ketoacidosis (DKA) Maria Karantza, Athens, Greece 17:00 - 17:20 Paediatric trauma Thomas Geeraerts, Toulouse, France 17:20 - 17:40 Paediatric respiratory insufficency Brian Kavanagh, Toronto, Canada 17:40 - 18:00 PICU monitoring: The differences TBA room Stockholm Thematic Session ACHIEVING A CULTURE OF SAFETY Chairs: Sonia Labeau, Ghent, Belgium & Julie Benbenishty, Jerusalem, Israel Nurses & AHP 16:00 - 16:20 Essential conditions to achieve a culture of patient safety Barbara McLean, Atlanta, United States 16:20 - 16:40 Defining safety indicators Rui Paulo Moreno, Lisbon, Portugal 16:40 - 17:00 Increasing safety through care bundles implementation Sonia Labeau, Ghent, Belgium 17:00 - 17:20 Avoiding readmissions Maurizia Capuzzo, Ferrara, Italy 17:20 - 17:40 Prevention of pressure sores Terry O’Reilly, London, United Kingdom 17:40 - 18:00 Avoiding accidental extubation David McWilliams, Manchester, United Kingdom room Paris Thematic Session LONG-TERM OUTCOME AND SEQUELAE FROM SEPSIS Chairs: Margaret Herridge, Toronto, Canada & Fernando Bozza, Rio de Janeiro, Brazil 16:00 - 16:20 What does long-term survival mean after sepsis? Derek Angus, Pittsburgh, United States 16:20 - 16:40 Protracted critical illness: The chronic ICU patient after sepsis Susanne Toussaint, Berlin, Germany 16:40 - 17:00 Physical disability of sepsis survivors Anders Perner, Copenhagen, Denmark 17:00 - 17:20 Mental disability after sepsis Fernando Bozza, Rio de Janeiro, Brazil 17:20 - 17:40 Rehabilitation after Severe Critical Illness Margaret Herridge, Toronto, Canada 17:40 - 18:00 Help to self-help: the German sepsis AID Konrad Reinhart, Jena, Germany Scientific programme Continuous Professional Education Session TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER rooM Rome Chairs: José Artur Paiva, Porto, Portugal & Laurent Papazian, Marseille, France Try the e-posters experience in the exhibition area L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 177 Scientific programme TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER 178 rooM Vienna Thematic Session OVERFEEDING IN ICU - A REAL PROBLEM? Chairs: Jan Wernerman, Stockholm, Sweden & Mette Berger, Lausanne, Switzerland 16:00 - 16:20 Caloric mismatch in the early phase Michaël Casear, Leuven, Belgium 16:20 - 16:40 Does type of calories matter? Jean-Charles Preiser, Brussels, Belgium 16:40 - 17:00 Is it possible to overfeed enterally? Annika Reintam Blaser, Tallin, Estonia 17:00 - 17:20 How dangerous is caloric deficit? Mette Berger, Lausanne, Switzerland 17:20 - 17:40 Is fat-free nutrition the option? Gordon Doig, Sydney, Australia 17:40 - 18:00 The protein requirement in the early phase Jan Wernerman, Stockholm, Sweden rooM Athens Controversies Session SURVEILLANCE OF VAP IS AN USEFUL QUALITY INDICATOR Chair: Francesca Rubulotta, London, United Kingdom 16:00 - 16:10 Yes Hans Flaatten, Bergen, Norway 16:10 - 16:20 No Akos Csomos, Budapest, Hungary 16:20 - 16:30 Discussion room Athens State of the Art Session END OF LIFE DECISIONS Chairs: Jozef Kesecioglu, Utrecht, Netherlands & Charles Sprung, Jerusalem, Israel 16:40 - 17:00 End of life decisions are not an ethical issue Armand Girbes, Amsterdam, Netherlands 17:00 - 17:20 Withdrawal of care is not euthanasia Jozef Kesecioglu, Utrecht, Netherlands 17:20 - 17:40 Implementing shared decision making J. Randall Curtis, Seattle, United States 17:40 - 18:00 Financial resources will play a role in EoL decisions in the near future Bob Truog, Boston, United States 30 minutes before the next session? Visit the Replay theatre Level 1 - Exhibition Area A - Gallery 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Live the Dimar™* ZIP helmet experience Booth #28, Exhibition Area A NONINVASIVE VENTILATION... COMFORTABLY Dimar™* Helmet Range for CPAP and noninvasive mechanical ventilation The Dimar ZIP helmet range features a unique patented 240 degrees zip system offering: Patient safety, compliance and comfort during installation Patient access without the need to remove the helmet Newport HT70 Plus™ Ventilator Puritan Bennett™ 840 Ventilator The Dimar ZIP helmet range is available in CPAP, NIMV, neonatal and pediatric versions and in six sizes with unique advantages for the patient and caregiver. The Dimar ZIP helmet range is specially suited for use with the Puritan Bennett™ 840 ventilator, the Newport™ e360 and HT70 Plus™ ventilators from Covidien, and the Dimar™* Easyflow CPAP generator. Dimar™* Easyflow CPAP Generator Newport™ e360 Ventilator Covidien is the exclusive distributor of Dimar products in the EMEA. Dimar Srl. is the manufacturer of record for the Dimar product line and is responsible for maintaining all governmental and regulatory authorizations for the DimAir product line. Dimar and DimAir are trademarks of Dimar Srl. IIMPORTANT : Please refer to the package insert for complete instructions, contraindications, warnings and precautions COVIDIEN, COVIDIEN with logo, Covidien logo and “positive results for life” are U.S. and internationally registered trademarks of Covidien AG. Other brands are trademarks of a Covidien company. ™* are trademarks of their respective owners. ©2012 Covidien. - 12 TSE 0003 ESICM12 GB - 08/2012 Scientific programme TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER SCIENTIFIC programme WEDNESDAY 17 october 180 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Poster corners morning Area Beja Area Braga Area Cascais Ards: New trends in treatment 2 Renal replacement therapy in the icu Ventilatory support 2 Area Faro Area Fatima Quality & safety in the icu Technology in the icu Area Funchal Icu infections: biomarkers & antimicrobial treatment 2 Area Sintra Life-Priority Nursing assessment & training Training icu teams Area Coimbra Technology for the failing heart & kidney Area Guarda Area Estoril Area Evora Bundles for icu infections Neuro-intensive care Area Porto Area Setubal Acute kidney injury: pathophysiology Re-evaluation of sepsis therapies Scoring & prognosis in icu patients View the poster corner plan on pages 26-27 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience POSTER OVERVIEW 10:10 - 12:00 WEDNESDAY 17 OCTOBER POSTER OVERVIEW - WEDNESDAY 17 OCTOBER 181 programme OVERVIEW WEDNESDAY 17 October Room 08:30 10:00 Lisbon Berlin Barcelona Geneva Rome Challenging the updated ards definition Assessing intravascular volume and tissue perfusion Difficulties in antibiotic dosing: data from dali Understanding sepsis Neurological emergencies for dummies: when do we need neurosurgery? Inflammatory pathways in ards Multi-drug resistant bacteria in the icu: lessons from mosar Dali and mosar studies Specific lung infections: diagnosis and treatment Dealing with high icp: everything you need to know President’s session: shaping the next 30 years Mechanical ventilation: hot topics 2012 Optimal tissue perfusion Fluid therapy in septic shock The burn patient 10:00 - 10:10 10:10 11:30 11:30-12:00 12:00 14:00 14:00-14:15 14:15 16:30 Hot topics Session Controversies session Session references Oral presentations STATE OF THE ART SESSION From bench to bedside Continuous Professional Education Sessions Poster corners WEDNESDAY 17 OCTOBER Thematic session / JOINT SESSION 182 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Stockholm Difficult decisons in icu Esa/esicm perioperative care in europe The changing face of aki Regenerative medicine The future for ards? Therapeutic cooling and outcome after cardiac arrest Understanding icu delirium Future therapies of systemic inflammation Predictors of outcome in critical illness Oxygen and the brain: new insights Post-cardiac arrest management: answering the important questions Vienna Thinking globally to improve patient care Athens Nursing care for my patient with… Nurses & AHP Exploring hypoperfusion Emerging therapeutic options for aki The icu physician is an endangered spieces WEDNESDAY 17 OCTOBER Sedation, analgaesia and delirium in critical care Paris programme OVERVIEW Glasgow L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 183 Scientific programme ROOM Lisbon Thematic Session CHALLENGING THE UPDATED ARDS DEFINITION Chairs: Marco Ranieri, Turin, Italy & Antonio Pesenti, Monza, Italy 08:30 - 08:50 The rationale for a new ARDS definition Antonio Pesenti, Monza, Italy 08:50 - 09:10 ARDS new definition: The consensus process Marco Ranieri, Turin, Italy 09:10 - 09:30 Validy of the new ARDS Criteria: Insights from prior datasets Luciano Gattinoni, Milan, Italy 09:30 - 09:50 How the criteria will shape future research and clinical Care? Jean-Daniel Chiche, Paris, France 09:50 - 10:00 Discussion ROOM Berlin Thematic Session ASSESSING INTRAVASCULAR VOLUME AND TISSUE PERFUSION Chairs: Jean-Louis Teboul, Kremlin-Bicetre, France & Daniel De Backer, Brussels, Belgium 08:30 - 08:50 Do we need cardiac output monitoring? Maurizio Cecconi, London, United Kingdom 08:50 - 09:10 What is fluid responsiveness? Jean-Louis Vincent, Brussels, Belgium 09:10 - 09:30 Cardiac output monitoring: Where are we? Jean-Louis Teboul, Kremlin-Bicetre, France 09:30 - 09:50 Do we need tissue perfusion monitoring? Daniel De Backer, Brussels, Belgium 09:50 - 10:00 Discussion ROOM Barcelona Thematic Session DIFFICULTIES IN ANTIBIOTIC DOSING: DATA FROM DALI Chairs: George Dimopoulos, Athens, Greece & Jordi Rello, Barcelona, Spain 08:30 - 08:50 How PK/PD can help dosing? Jeff Lipman, Brisbane, Australia 08:50 - 09:10 PK/PD of antifungal drugs George Dimopoulos, Athens, Greece 09:10 - 09:30 Dosing in CRRT Claude Martin, Marseille, France 09:30 - 09:50 Dosing in MODS Jan De Waele, Ghent, Belgium 09:50 - 10:00 Discussion ROOM Geneva Continuous Professional Education Session UNDERSTANDING SEPSIS Chairs: Herwig Gerlach, Berlin, Germany & Richard Beale, London, United Kingdom 08:30 - 08:50 Current epidemiologic patterns Djillali Annane, Garches, France 08:50 - 09:10 Pathophysiology of the host response Herwig Gerlach, Berlin, Germany 09:10 - 09:30 Lifesaver 1: Early diagnosis José Artur Paiva, Porto, Portugal 09:30 - 09:50 Lifesaver 2: Early aggressive therapy. Focus control, antibiotics and fluids Michael Pinsky, Pittsburgh, United States 09:50 - 10:00 Discussion ROOM Rome Continuous Professional Education Session WHEN DO WE NEED NEUROSURGERY? NEUROLOGICAL EMERGENCIES FOR DUMMIES: WEDNESDAY 17 OCTOBER Chairs: Peter Horn, Berlin, Germany & Elisa Zanier, Milan, Italy 184 08:30 - 08:50 Intra-parenchymal haemorrhage Peter Leroux, Philadelphia, United States 08:50 - 09:10 Intraventricular haemorrhage: Drainage vs. clot lysis? Peter Horn, Berlin, Germany 09:10 - 09:30 Acute ischaemic stroke Javier Provencio, Cleveland, United States 09:30 - 09:50 Traumatic brain injury Nino Stocchetti, Milan, Italy 09:50 - 10:00 Discussion 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Thematic Session Scientific programme ROOM Glasgow DIFFICULT DECISIONS IN ICU Chairs: Jozef Kesecioglu, Utrecht, Netherlands & Charles Sprung, Jerusalem, Israel 08:30 - 08:50 Family members make decisions Julie Benbenishty, Jerusalem, Israel 08:50 - 09:10 Medical staff makes decisions Jozef Kesecioglu, Utrecht, Netherlands 09:10 - 09:30 How to apply measures impossible to benefit Andrej Michalsen, Tettnang, Germany 09:30 - 09:50 Informing the family members Bara Ricou, Geneva, Switzerland 09:50 - 10:00 Discussion ROOM Stockholm Joint Session ESA/ESICM - PERIOPERATIVE CARE IN EUROPE Chair: Andrew Rhodes, London, United Kingdom 08:30 - 08:50 Standards of perioperative care in Europe Bernhard Walder, Geneva, Switzerland 08:50 - 09:10 Determinants of ICU admission after surgery Claudia Spies, Berlin, Germany 09:10 - 09:30 European Surgical Outcomes Study (EuSOS) Rupert Pearse, London, United Kingdom 09:30 - 09:50 Looking forward: Optimisation of ICU resources Andrew Rhodes, London, United Kingdom 09:50 - 10:00 Discussion ROOM Paris Thematic Session THE CHANGING FACE OF AKI Chairs: Ravindra Mehta, San Diego, United States & Marlies Ostermann, London, United Kingdom 08:30 - 08:50 Fluid overload: The key factor of AKI? Bin Du, Beijing, China 08:50 - 09:10 Fluid responsiveness of AKI: Does it exist? Arie Bastiaan Johan Groeneveld, Amsterdam, Netherlands 09:10 - 09:30 It is all inflammation Bruce Molitoris, Indiana, United States 09:30 - 09:50 Is loss of renal function in AKI really reversible? Marlies Ostermann, London, United Kingdom 09:50 - 10:00 Discussion ROOM Vienna From Bench to Bedside Session REGENERATIVE MEDICINE - THE FUTURE FOR ARDS? Chairs: John Laffey, Galway, Ireland & Paolo Pelosi, Genova, Italy Stem cells for ALI/ARDS John Laffey, Galway, Ireland 08:50 - 09:10 Stem cells for other lung diseases Patricia Rocco, Rio de Janeiro, Brazil 09:10 - 09:30 Tissue engineering towards organ replacement Paolo Macchiarini, Florence, Italy 09:30 - 09:50 Translating to the clinical setting: Potential and Pitfalls Paolo Pelosi, Genova, Italy 09:50 - 10:00 Discussion ROOM Athens Thematic Session NURSING CARE FOR MY PATIENT WITH… Chairs: Stijn Blot, Ghent, Belgium & Ana Rosa, Lisbon, Portugal Nurses & AHP 08:30 - 08:50 Deep venous thrombosis Sonia Labeau, Ghent, Belgium 08:50 - 09:10 Uncontrolable diarrhoea Barbara McLean, Atlanta, United States 09:10 - 09:30 Non-invasive ventilation David McWilliams, Manchester, United Kingdom 09:30 - 09:50 Extracorporeal support Giulia Pelucchi, Monza, Italy 09:50 - 10:00 Discussion L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience WEDNESDAY 17 OCTOBER 08:30 - 08:50 185 Scientific programme ROOM Lisbon Oral Presentations INFLAMMATORY PATHWAYS IN ARDS Chairs: Brian Kavanagh, Toronto, Canada & Franco Valenza, Milan, Italy 10:10 - 10:25 ANGIOGENIC FACTORS AND THEIR SOLUBLE RECEPTORS IN ACUTE LUNG INJURY (ALI)/ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS) IN CRITICALLY ILL PATIENTS T. Wada, S. Jesmin, S. Gando, A. Mizugaki, Y. Yanagida, H. Yokota, Sapporo, Japan 0913 10:25 - 10:40 USEFULNESS OF PROCOLLAGEN III IN THE DIAGNOSIS OF BIOPSYPROVEN LUNG FIBROSIS COMPLICATING ARDS J.-M. Forel, F. Voillet, A. Roch, S. Hraiech, F. Xéridat, C. Guervilly, C. Farnarier, A.-M. Tasei, L. Papazian, Marseille, France 0914 10:40 - 10:55 CISATRACURIUM DECREASES IN VITRO PRODUCTION OF PROINFLAMMATORY MEDIATORS J.-M. Forel, C. Farnarier, S. Hraiech, C. Guervilly, V. Marin, F. Xeridat, M. Adda, L. Papazian, Marseille, France 0915 10:55 - 11:10 THE ROLE OF PROCALCITONIN IN DISCRIMINATING BETWEEN SEPTIC AND NON-SEPTIC CAUSES OF ARDS AND ASSESSING CLINICAL PROGNOSIS I. Tsangaris, A. Tsantes, P. Kopterides, F. Drakopanagiotakis, A. Antonopoulou, P. Papadopoulos, K. Kaziani, S. Karabi, N. Nikitas, S. Assoti, E. Vrigkou, G. Tsaknis, A. Pappas, A. Zerva, A. Armaganidis, Athens, Greece 0916 11:10 - 11:25 LUNG INJURY INDUCED EX VIVO BY HIGH TIDAL VOLUME VENTILATION. EFFECTS OF THE PRESENCE OF BLOOD ELEMENTS L. Martínez-Caro, L. Smit, C. Sánchez-Rodríguez, P. Fernández-Segoviano, A. Ferruelo, N. Nin, A. Esteban, J.A. Lorente, Getafe, Spain 0917 ROOM Berlin MOSAR State of the Art Session MULTI-DRUG RESISTANT BACTERIA IN THE ICU: LESSONS FROM Chairs: Jeff Lipman, Brisbane, Australia & Garyfallia Poulakou, Athens, Greece 10:10 - 10:30 Preventing transmission: Can we improve adherence to standard precautions? Christian Brun-Buisson, Creteil, France 10:30 - 10:50 Screening for MRSA in high-risk surgery patients Stephan Harbarth, Geneva, Switzerland 10:50 - 11:10 Screening and isolation for MDRB in ICUs: How, when and for whom? Armand Girbes, Amsterdam, Netherlands 11:10 - 11:30 Cost-effectiveness of alternative approaches to control MDRB in ICUs Marc Bonten, Utrecht, Netherlands ROOM Barcelona Oral Presentations DALI AND MOSAR STUDIES WEDNESDAY 17 OCTOBER Chairs: Jean Chastre, Paris, France & Jean-Paul Mira, Paris, France 186 10:10 - 10:25 DALI: DEFINING ANTIBIOTIC LEVELS IN INTENSIVE CARE UNIT PATIENTS: PIPERACILLIN MULTI-CENTRE POINT PREVALENCE PHARMACOKINETIC STUDY J.A. Roberts, M. Bassetti, J.J. DeWaele, G. Dimopoulos, D. Koulenti, C. Martin, P. Montravers, J. Rello, A. Rhodes, T. Starr, S.C. Wallis, J. Lipman, Brisbane, Australia 0918 10:25 - 10:40 DALI: DEFINING ANTIBIOTIC LEVELS IN INTENSIVE CARE UNIT PATIENTS: MEROPENEM MULTI-CENTRE POINT PREVALENCE PHARMACOKINETIC STUDY J.A. Roberts, J.J. De Waele, M. Bassetti, G. Dimopoulos, D. Koulenti, C. Martin, P. Montravers, J. Rello, A. Rhodes, T. Starr, S.C. Wallis, J. Lipman, Ghent, Belgium 0919 10:40 - 10:55 DALI: DEFINING ANTIBIOTIC LEVELS IN INTENSIVE CARE UNIT PATIENTS: CEFEPIME MULTI-CENTRE POINT PREVALENCE PHARMACOKINETIC STUDY J.A. Roberts, F. Rubulotta, M. Bassetti, J.J. DeWaele, G. Dimopoulos, D. Koulenti, C. Martin, P. Montravers, J. Rello, A. Rhodes, T. Starr, S.C. Wallis, J. Lipman, London, United Kingdom 0920 10:55 - 11:10 DALI: DEFINING ANTIBIOTIC LEVELS IN INTENSIVE CARE UNIT PATIENTS: VANCOMYCIN MULTI-CENTRE POINT PREVALENCE PHARMACOKINETIC STUDY J.A. Roberts, D. Koulenti, M. Bassetti, J.J. DeWaele, G. Dimopoulos, C. Martin, P. Montravers, J. Rello, A. Rhodes, T. Starr, S.C. Wallis, J. Lipman, Athens, Greece 0921 11:10 - 11:25 MASTERING HOSPITAL ANTIBIOTIC RESISTANCE (MOSAR): A EUROPEAN CLUSTER-RANDOMIZED TRIAL ON REDUCING ACQUISITION OF RESISTANT BACTERIA IN INTENSIVE CARE UNITS L. Derde, B. Cooper, C. Brun Buisson, M. Bonten, Utrecht, Netherlands 0922 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Continuous Professional Education Session Scientific programme ROOM Geneva TREATMENT SPECIFIC LUNG INFECTIONS: DIAGNOSIS & Chairs: Jordi Rello, Barcelona, Spain & George Dimopoulos, Athens, Greece 10:10 - 10:30 Lung infection in the immunocompromised Elie Azoulay, Paris, France 10:30 - 10:50 Other fungal infections José Artur Paiva, Porto, Portugal 10:50 - 11:10 Pneumocystis jirovecii Frédéric Pène, Paris, France 11:10 - 11:30 Mycobacterial infections in the ICU Stephan Harbarth, Geneva, Switzerland ROOM Rome Continuous Professional Education Session NEED TO KNOW DEALING WITH HIGH ICP: EVERYTHING YOU Chairs: Peter Horn, Berlin, Germany & Pedro Navarrete Navarro, Granada, Spain 10:10 - 10:30 Brain compliance Peter Horn, Berlin, Germany 10:30 - 10:50 ICP monitoring: Indications and techniques Giuseppe Citerio, Monza, Italy 10:50 - 11:10 ICP therapy: First-tier therapies Jean-François Payen, Grenoble, France 11:10 - 11:30 ICP therapy: Second-tier therapies Nino Stocchetti, Milan, Italy ROOM Glasgow Oral Presentations THERAPEUTIC COOLING AND OUTCOME AFTER CARDIAC ARREST Chairs: Hans Friberg, Lund, Sweden & Fabio Silvio Taccone, Brussels, Belgium 10:10 - 10:25 TARGET TEMPERATURE MANAGEMENT AFTER OUT-OF-HOSPITAL CARDIAC ARREST, AN INTERNATIONAL, MULTI-CENTRE, RANDOMISED, PARALLEL GROUPS, ASSESSOR BLINDED CLINICAL TRIAL: NCT01020916 N. Nielsen, Helsingborg, Sweden 0923 10:25 - 10:40 EFFECTS OF HYPOTHERMIA ON CEREBRAL MICROCIRCULATION K. Donadello, F. Su, F. Pulea, S. Scolletta, X. He, O. De Witte, L. Gottin, J. Creteur, D. De Backer, F.S. Taccone, Bruxelles, Belgium 0924 10:40 - 10:55 PROCALCITONIN AS A PREDICTOR OF POSTRESUSCITATION DISEASE AND OUTCOME AFTER CARDIAC ARREST K. Portmann*, H. Engel*, F. Feihl, P. Eggimann, A. Rossetti, M. Oddo, Lausanne, Switzerland 0925 10:55 - 11:10 A PROSPECTIVE INTERVENTION STUDY TO COMPARE EFFICACY AND RELIABILITY OF DIFFERENT COOLING TECHNOLOGIES FOR FEVER CONTROL G.N. Janssens, P. Sonder, A. Beishuizen, C.L. Henry, J. Rittenberger, C. Callaway, A.R. Girbes, K.H. Polderman, Pittsburgh, United States 0926 11:10 - 11:25 PREDICTORS OF POOR NEUROLOGICAL OUTCOME IN PATIENTS AFTER CARDIAC ARREST TREATED WITH THERAPEUTIC HYPOTHERMIA: SYSTEMATIC REVIEW AND EVIDENCE BASED GUIDELINES E. Golan, D.C. Scales, Toronto, Canada 0927 ROOM Stockholm Oral Presentations UNDERSTANDING ICU DELIRIUM 10:10 - 10:25 SEDATION AND Analgaesia IN PATIENTS WITH NON-INVASIVE VENTILATION. OBSERVATIONAL, MULTICENTRE AND INTERNATIONAL STUDY O. Peñuelas, F. Frutos-Vivar, A.C. Arroliga, F. Rios, F. Gordo, S.M. Maggoire, A.W. Thille, N.D. Ferguson, A. Anzueto, A. Esteban, Getafe, Spain 0928 10:25 - 10:40 ICU PAIN RECALL AND COGNITIVE DYSFUNCTION IN ICU SURVIVORS: THE MEMORY STUDY A. Max, K. Puntillo, M. Chaize, A. Lafabrie, I. Villard, E. Azoulay, Paris, France 0929 10:40 - 10:55 ACTIVE NOISE REDUCTION ON INTENSIVE CARE UNITS S. Kirfel, A. Follmann, J. Kaliciak, R. Rossaint, M. Vorländer, M. Czaplik, Aachen, Germany 0930 10:55 - 11:10 SLEEPMONITORING BY POLYSOMNOGRAPHY AND DELIRIUM ASSESSMENT WITH THE CONFUSION ASSESMENT METHOD FOR THE INTENSIVE CARE UNIT (CAM-ICU) IN UN-SEDATED, MECHANICALLY VENTILATED PATIENTS: DELIRIOUS PATIENTS DO NOT SHOW ELECTROPHYSIOLOGIC SLEEP-CHARACTERISTICS H.C. Boesen, J.H. Andersen, H.L. Leonthin, A. Bendtsen, P. Jennum, Glostrup, Denmark 0931 11:10 - 11:25 COSTS OF ICU-DELIRIUM U. Guenther, F. Koegl, J. Oyen, C. Putensen, Bonn, Germany 0932 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience WEDNESDAY 17 OCTOBER Chairs: Claudia Spies, Berlin, Germany & Christina Jones, Liverpool, United Kingdom 187 Scientific programme ROOM Paris Oral Presentations FUTURE THERAPIES OF SYSTEMIC INFLAMMATION Chairs: Didier Payen de La Garanderie, Paris, France & Susanne Toussaint, Berlin, Germany 10:10 - 10:25 EFFECTIVE TREATMENT OF OEDEMA AND ENDOTHELIAL BARRIER DYSFUNCTION WITH IMATINIB J. Aman, J. van Bezu, S.M. Vogel, S. Huveneers, A. Vonk Noordegraaf, A.B.J. Groeneveld, V.W.M. van Hinsbergh, G.P. van Nieuw Amerongen, Amsterdam, Netherlands 0933 10:25 - 10:40 REVERSAL OF IMMUNOPARALYSIS IN HUMANS IN VIVO, A DOUBLEBLIND PLACEBO-CONTROLLED RANDOMISED PILOT-STUDY J. Leentjens, M. Kox, R.M. Koch, L.A.B. Joosten, F. Preijers, J.G. van der Hoeven, M.G. Netea, P. Pickkers, Nijmegen, Netherlands 0934 10:40 - 10:55 EFFECTS OF A BRADYKININ-B2 RECEPTOR ANTAGONIST ON PLASMA VOLUME, INFLAMMATORY RESPONSE AND PULMONARY OEDEMA IN A SEPTIC ANIMAL MODEL T.-P. Simon, T. Schürholz, S. Kern, C. Forberger, G. Marx, Aachen, Germany 0935 10:55 - 11:10 INTERLEUKIN-7 RESTORES LYMPHOCYTE FUNCTIONS IN SEPTIC SHOCK PATIENTS: A PRECLINICAL REPORT F. Venet, A.-P. Foray, A. Villars-Mechin, C. Malcus, F. Poitevin-Later, A. Lepape, G. Monneret, Lyon, France 0936 11:10 - 11:25 INFLAMMATORY RESPONSE AND IMMUNOMODULATION DURING COUPLED PLASMA FILTRATION ADSORPTION IN SEPTIC SHOCK PATIENTS: CHARACTERISATION OF CYTOKINE ADSORPTION F. Ferrari, M. Maio, D. Silengo, L. Sereni, M.L. Wratten, M. Pozzato, S. Livigni, Torino, Italy 0937 ROOM Vienna Oral Presentations PREDICTORS OF OUTCOME IN CRITICAL ILLNESS Chairs: Rui Paulo Moreno, Lisbon, Portugal & Bertrand Guidet, Paris, France 10:10 - 10:25 THE ASSOCIATION OF RED CELL DISTRIBUTION WIDTH AT HOSPITAL DISCHARGE AND MORTALITY FOLLOWING CRITICAL ILLNESS: A COHORT STUDY S.W. Purtle, T. Moromizato, C.K. McKane, F.K. Gibbons, K.B. Christopher, Boston, United States 0938 10:25 - 10:40 INCIDENCE, CHARACTERISTICS AND OUTCOMES OF PREGNANCYRELATED CRITICAL ILLNESS OVER TIME IN CANADA K. Aoyama, R.A. Fowler, S.E. Lapinsky, D.C. Scales, R. Pinto, Toronto, Canada 0939 10:40 - 10:55 CHRONIC CRITICAL ILLNESS: SHORT TERM OUTCOME IN A LARGE COHORT OF PATIENTS Y.A. Cavayas, H.T. Wang, M.J. Dubois, Montreal, Canada 0940 10:55 - 11:10 GASTROINTESTINAL (GI) SYMPTOMS DURING THE FIRST WEEK OF INTENSIVE CARE ARE ASSOCIATED WITH POOR OUTCOME A. Reintam Blaser, M.L.N.G. Malbrain, M. Björck, M. Poeze, J. Starkopf, Tartu, Estonia 0941 11:10 - 11:25 WHAT IS THE BEST DEFINITION OF CHRONIC CRITICAL ILLNESS? A MULTICENTRIC STUDY IN SOUTH OF BRAZIL R.P. Oliveira, S.H. Loss, C. Marchese, M. Boniatti, P.C. Balzano, A. Savi, E.S. Oliveira, C. Teixeira, J.G. Maccari, A. Torelly, J. Höher, Porto Alegre, Brazil 0942 ROOM Athens Oral Presentations EXPLORING HYPOPERFUSION WEDNESDAY 17 OCTOBER Chairs: Jean-Louis Teboul, Kremlin-Bicetre, France & Christoph Hofer, Zurich, Switzerland 188 10:10 - 10:25 ADMINISTRATION OF INSULIN LIMITS NO REFLOW PHE¬NOMENON AND IMPROVES CORONARY BLOOD FLOW IN A PORCINE ISCHAEMIAREPERFUSION MODEL I. Karellas, K. Chalkias, I. Terrovitis, E. Tsagalou, E. Tsolakis, M. Bonios, I. Nanas, Athens, Greece 0943 10:25 - 10:40 NORMOBARIC HYPEROXIA ALTERS THE MICROCIRCULATION IN HEALTHY SUBJECTS D. Orbegozo Cortes, F. Puflea, K. Donadello, F.S. Taccone, J. Creteur, J.-L. Vincent, D. De Backer, Brussels, Belgium 0944 10:40 - 10:55 ASCORBIC ACID PROTECTS RENAL OXYGENATION AND OXIDATIVE STRESS AFTER ISCHAEMIA/REPERFUSION INJURY B. Ergin, R. Bezemer, A. Kandil, E. Almac, C. Demirci, C. Ince, Amsterdam, Netherlands 0945 10:55 - 11:10 COMPARISON OF THE HAEMODYNAMIC EFFECT OF TWO “ENDOTHELINLIKE” PEPTIDES DERIVED FROM VENOM OF SNAKES OF THE GENUS ATRACTASPIS S. Malaquin, Y. Mahjoub, E. Lorne, A. Salomon, G. Mourier, F. Ducancel, Z. Massy, H. Dupont, Amiens, France 0946 11:10 - 11:25 PROPOFOL MAY REDUCE FLUID LOADING AND FLUID EXTRAVASATION DURING TEPID CPB, COMPARED TO ISOFLURANE- AN EXPERIMENTAL STUDY IN PIGS H.K. Brekke, S. Lundemoen, V. Kvalheim, P. Husby, Bergen, Norway 0947 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Poster Corner ARDS: NEW TRENDS IN TREATMENT 2 10:10 - 12:00 METABOLOMIC ANALYSIS AS A DIAGNOSTIC TOOL FOR ACUTE RESPIRATORY DISTRESS SYNDROME CAUSED BY VIRAL OR BACTERIAL PNEUMONIA IN HUMANS N. Nin, J.L. Izquierdo, P. Cardinal, I. SanchezMuñoz, S. López-Cuenca, J. Ruiz-Cabello, A. Esteban, J.Á. Lorente, Madrid, Spain 0948 NEUTROPHIL PHOSPHOLIPID PROFILING IN PATIENTS WITH ARDS A. Dushianthan, R. Cusack, V. Goss, M. Grocott, A. Postle, Southampton, United Kingdom 0949 PHENOTYPIC CHARACTERISATION OF PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS) ACCORDING TO SURFACTANT SYNTHETIC FUNCTION A. Dushianthan, R. Cusack, V. Goss, J. Pappachan, A. Postle, M. Grocott, Southampton, United Kingdom 0950 ADHERENCE TO A PROTECTIVE VENTILATION STRATEGY FOR PATIENTS AT RISK OF ACUTE LUNG INJURY E. Joynes, S. Dalay, J. Patel, S. Fayek, Birmingham, United Kingdom 0951 RESCUE ECMO THERAPY IN THE TREATMENT OF REFRACTORY ARDS: 35 PATIENTS IN A FRENCH HOSPITAL E. Zogheib, C. Buchalet, P. Guinot, A. Benamar, M. Detave, M. Moubarak, V. Hubert, T. Caus, H. Dupont, Amiens, France 0952 PROGNOSTIC FACTORS DURING EXTRACORPOREAL MEMBRANE OXYGENATION FOR ARDS: INTEREST OF THE SEQUENTIAL ORGAN FAILURE (SOFA) SCORE A. Roch, S. Ollier, C. Guervilly, J.-M. Forel, M. Adda, S. Hraiech, F. Xeridat, L. Papazian, Marseille, France 0953 CAN INITIAL INFLAMMATORY AND COAGULATION PARAMETERS PREDICT DURATION AND OUTCOME OF VV-ECMO THERAPY IN ADULTS? J. Rulíšek, P. Leden, M. Zakharchenko, H. Bartakova, J. Belohlavek, J. Kunstyr, M. Balik, Prague, Czech Republic 0954 RECRUITED VOLUME INDUCED BY POSITIVE END-EXPIRATORY PRESSURE IN SUPINE AND PRONE POSITION IN PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME H. Aguirre-Bermeo, S. Italiano, M. Bitondo, J. Grandjean, M. Turella, I. Morán, F. RocheCampo, J. Mancebo, Barcelona, Spain 0955 VARIATION IN FUNCTIONAL RESIDUAL CAPACITY AND END-EXPIRATORY LUNG VOLUME WITH THE CHANGE OF SUPINE TO PRONE POSITION IN PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME H. Aguirre-Bermeo, J. Grandjean, M. Bitondo, S. Italiano, M. Turella, I. Morán, F. Roche-Campo, J. Mancebo, Barcelona, Spain 0956 ACUTE RESPIRATORY DISTRESS SYNDROME, AND PRONE POSITION: INCREASED PACO2 AS EARLY PREDICTOR OF MORTALITY X. Sanchez, E. Monares, R. Chaires, M.A. Pomposo, M. Poblano, J. Aguirre, J. Franco, Mexico, Mexico 0957 PROGNOSTIC FACTORS OF MORTALITY IN PATIENTS WITH ACUTE RESPIRATORY DISTRES SYNDROME P. García Olivares, C. Caciano Reategui, C. Ramírez, C. Bocanegra, D.O. Stanescu, L. Tang, J.I. Montero, M. Zurita, M.A. Estévez, A. Hernangómez, M. Díaz, I. De Sousa, J. Sagra, B. Orville, Madrid, Spain 0958 CLINICAL AND ECONOMIC OUTCOME OF MECHANICALLY VENTILATED PATIENTS UNDER DRG 475: ANALYSIS OF A NATIONAL DATABASE C. Bouza, T. Lopez-Cuadrado, J. Amate, Madrid, Spain 0959 HIGH FREQUENCY OSCILLATORY VENTILATION AND MINIMALLY INVASIVE EXTRACORPOREAL CO2 REMOVAL IN SEVERE ARDS PATIENTS V. Fanelli, F. Forfori, M. Pennisi, L. Del Sorbo, U. Simonetti, R. Urbino, L. Mascia, F. Giunta, M. Antonelli, V.M. Ranieri, Torino, Italy 0960 USE OF VENO-VENOUS EXTRACORPOREAL MEMBRANE OXYGENATION (V.-V. ECMO) TO ENSURE THE LUNG PROTECTIVE VENTILATION IN TRAUMA PATIENTS J. Swol, D. Buchwald, T.A. Schildhauer, Bochum, Germany 0961 Area Braga Poster Corner Scientific programme Area Beja Chairs: Warren Zapol, Boston, United States & Paolo Pelosi, Genova, Italy RENAL REPLACEMENT THERAPY IN THE ICU 10:10 - 12:00 EDUCATION OF NURSES ON PRACTICAL ASPECTS OF CONTINUOUS RENAL REPLACEMENT TREATMENT CAN LEAD TO AN INCREASED CIRCUIT LIFE SPAN M.D. van Dam-Noort, P.J. Thoral, T. van Galen, Amsterdam, Netherlands 0962 PHARMACOKINETICS OF GANCICLOVIR DURING CONTINUOUS VENOVENOUS HAEMODIAFILTRATION T. Horvatits, R. Kitzberger, A. Drolz, K. Staufer, W. Jäger, M. Miksits, V. Fuhrmann, P. Schenk, Vienna, Austria 0963 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience WEDNESDAY 17 OCTOBER Chairs: Catherine Bouman, Amsterdam, Netherlands & Miet Schetz, Leuven, Belgium 189 Scientific programme PLASMA CONCENTRATIONS AND SIEVING COEFFICIENT OF PROCALCITONIN DURING CONTINUOUS VENO-VENOUS HAEMODIALYSIS WITH HIGH CUT OFF MEMBRANES IN SEPTIC PATIENTS: A PRELIMINARY REPORT C. Chelazzi, C. Giannoni, G. Villa, D. Giugni, A.L. Caldini, A.R. De Gaudio, Firenze, Italy 0964 ACUTE KIDNEY INJURY AND RENAL REPLACEMENT THERAPY IN CRITICALLY ILL PATIENTS WITH HYPOXIC HEPATITIS A. Drolz, K. Staufer, K. Roedl, H. Herkner, T. Horvatits, R. Saxa, C. Zauner, G. Heinz, P. Schellongowski, M. Trauner, V. Fuhrmann, Vienna, Austria 0965 RENAL REPLACEMENT CATHETER PLACEMENT ON A GENERAL INTENSIVE CARE UNIT M.W. Lyons, T. Miller, Liverpool, United Kingdom 0966 PREDICTION OF ICU-MORTALITY AND REQUIREMENT OF RENAL REPLACEMENT THERAPY BY RIFLE, AKIN AND SERUM CREATININE ON ADMISSION IN MEDICAL ICU PATIENTS W. Huber, J. Schneider, B. Saugel, C. Schultheiss, V. Phillip, A. Herrmann, S. Mair, R. Schmid, Munich, Germany 0967 THE SAFETY OF FEMORAL VEIN INSERTION OF CRRT DIALYSIS CATHETERS M. Lipcsey, H.R. Chua, A.G. Schneider, R. Bellomo, Uppsala, Sweden 0968 NOVEL LACTATE BUFFERED DIALYSIS AND SUBSTITUTION FLUID FOR CITRATE ANTICOAGULATED CONTINUOUS RENAL REPLACEMENT THERAPY M. Balik, M. Zakharchenko, P. Leden, J. Rulíšek, P. Herda, M. Otahal, H. Brodska, Prague 2, Czech Republic 0969 HIGH VOLUME HAEMOFILTRATION AND VERY HIGH VOLUMEN IMPROVES HAEMODYNAMICS AND RESPIRATORY VARIABLES AND PROBABLY INCREASE SURVIVING IN SEPTIC SHOCK PATIENTS F. Cota Delgado, C. Salazar Ramirez, M.V. De La Torre Prados, Malaga, Spain 0970 INDICATIONS AND OUTCOMES FOR PATIENTS RECEIVING HAEMOFILTRATION ON THE INTENSIVE CARE UNIT AT GOOD HOPE HOSPITAL A. Sykes, M. Kyi, Sutton Coldfield, United Kingdom 0971 INTERMITTENT HAEMODIALYSIS VERSUS CONTINUOUS VENO-VENOUS HAEMOFILTRATION: POTENTIAL COST SAVINGS FOR THE INTENSIVE CARE UNIT B. O’Farrell, B. Agarwal, A. Davenport, C. Laing, S. Shaw, M. Thacker, London, United Kingdom 0972 EARLY TIMING IN SEPTIC SHOCK PATIENTS X. Pérez, J. Sabater, M. Huguet, E. Santafosta, J.C. López, V. Alonso, P. Sastre, L´Hospitalet de Llobregat, Spain 0973 PROADRENOMEDULLIN LEVELS CHANGES AND CONTINUOUS VENOVENOUS HAEMOFILTRATION IN CRITICALLY ILL PATIENT WITH SEPTIC SHOCK AND ACUTE RENAL FAILURE OR MULTIPLE ORGAN FAILURE THAT INVOLVES THE RENAL SYSTEM G. Choutas, V. Ntzani, D. Karapanos, V. Petkidi, V. Agelidou, G. Anthopoulos, Athens, Greece 0974 IL-6 IL10 AND CRP LEVELS ON PATIENTS WITH SEPTIC SHOCK AND RENAL FAILURE UNDERGOING CONTINUOUS VENOVENOUS HAEMOFILTRATION G. Choutas, V. Ntzani, D. Karapanos, K. Pavlias, G. Pavlopoulou, G. Anthopoulos, Athens, Greece 0975 TO EXTUBATE OR NOT TO EXTUBATE: A PROSPECTIVE OBSERVATIONAL STUDY OF FAILURE TO EXTUBATE DESPITE SUCCESSFULLY PASSING SPONTANEOUS BREATHING TRIALS (SBT) A. Kee, D. Huang, J. Phua, L. Azul, S.J. Magada, T.K. Lim, A. Mukhopadhyay, Singapore, Singapore 0976 EVALUATION OF A NEW TOOL TO MEASURE PATIENT’S HEIGHT DURING MECHANICAL VENTILATION: IMPACT ON PROTECTIVE VENTILATION IMPLEMENTATION A. Bojmehrani, P.-A. Bouchard, E. L’Her, F. Lellouche, Québec, Canada 0977 THE COMPARISON OF SPONTANEOUS BREATHING AND MUSCLE PARALYSIS IN TWO DIFFERENT SEVERITIES OF EXPERIMENTAL LUNG INJURY T. Yoshida, A. Uchiyama, N. Matsuura, Y. Fujino, São Paulo, Brazil 0978 PREVALENCE OF PATIENT-VENTILATOR ASYNCHRONY IN CRITICALLY ILL PATIENTS A. Villagra, B. Sales, J. Montanya, R. Fernandez, E. Chacon, A. Estruga, U. Lucangello, O. GarciaEsquirol, G. M Albaiceta, A. Hernandez-Abadia, E. Fernandez Mondejar, M.J. Burgueño, J.C. Oliva, J. Villar, R.B. Kacmareck, G. Murias, L. Blanch, Sabadell, Spain 0979 Area Cascais Poster Corner VENTILATORY SUPPORT 2 Chairs: Massimo Antonelli, Rome, Italy & Patricia Rocco, Rio de Janeiro, Brazil WEDNESDAY 17 OCTOBER 10:10 - 12:00 190 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 M.M. Bitondo, H.M. Aguirre, A. Moccaldo, D. Grieco, F. Roche-Campo, M. Antonelli, J. Mancebo Cortes, S.M. Maggiore, Roma, Italy 0980 COMPARISON OF SETTINGS AUTOMATICALLY DETERMINED BY A FULLY CLOSE LOOP VENTILATION MODE WITH CLINICIAN MANUAL SETTINGS IN ICU PATIENTS J.-M. Arnal, A. Garnero, M. Wysocki, D. Demory, L. Ducros, G. Corno, A. Berric, Y.S. Donati, J. Durand-Gasselin, Toulon, France 0981 CAN WE EARLY IDENTIFY PATIENTS WITH A HIGH RISK OF PROLONGED MECHANICAL VENTILATION IN INTENSIVE CARE UNIT? S. Malaquin, N. Ammenouche, Y. Mahjoub, M. Levrard, N. Airapetian, A. Seydi, F. Tinturier, H. Dupont, Amiens, France 0982 CURRENT OXYGENATION PRACTICE IN MECHANICALLY VENTILATED PATIENTS IN AN AUSTRALIAN TEACHING HOSPITAL R. Panwar, N. Schmutz, D. Baguley, D. Pilcher, A. Davies, M. Bailey, R. Bellomo, J. Cooper, G. Capellier, Besançon, France 0983 ACCEPTABLE VENTILATOR SETTING AND MONITORING PARAMETER RANGES FOR INITIATION OF CONTROLLED MECHANICAL VENTILATION A CLINICIAN SURVEY L. Rose, L. Kenny, G. Tait, S. Mehta, Toronto, Canada 0984 DELIVERY OF TIDAL VOLUME FROM FOUR ANAESTHESIA VENTILATORS DURING VOLUME-CONTROLLED VENTILATION: A BENCH STUDY G. Wallon, A. Bonnet, C. Guérin, Lyon, France 0985 CAN LUNG ULTRASONOGRAPHY HELP IN WEANING FROM MECHANICAL VENTILATION? R.P. Oliveira, A.C.P. Antonio, P.S. Castro, L.F. Schulz, J.G. Maccari, C. Teixeira, E.S. Oliveira, Porto Alegre, Brazil 0986 REDUCTION IN THE DURATION OF MECHANICAL VENTILATION THROUGH BIESPECTRAL INDEX MONITOR. PRELIMINARY STUDY S. Altaba Tena, L. Mateu Campos, A. Belenguer Muncharaz, M.D. Ferrándiz Sellés, G. Cebrián Graullera, L. Albert Rodrigo, I. Catalán Monzón, J. De León Belmar, Castellon, Spain 0987 ICU CLINICIAN UNDERSTANDING OF PLEURAL PATHOPHYSIOLOGY AND MANAGEMEMNT OF INTERCOSTAL CHEST DRAINS ARE SUB-OPTIMAL R. Nagappan, A. Subramaniam, Melbourne, Australia 0988 UTILITY, SAFETY AND COMPLICATIONS OF ULTRASOUND-AIDED PLEURAL ASPIRATION AND CHEST DRAIN INSERTION IN MECHANICALLY VENTILATED PATIENTS K. Tsikritsaki, G. Koukoulitsios, I. Poularas, I. Dimitroulis, K. Mendrinou, I. Tsiouboutariou, I. Andrianakis, P. Dourou, N. Pentilas, P. Spyrou, K. Tsironas, M. Paidonomos, Athens, Greece 0989 Area Coimbra Poster Corner Scientific programme PATIENT- VENTILATOR ASYNCHRONY DURING CONVENTIONAL OR AUTOMATED PRESSURE SUPPORT VENTILATION IN DIFFICULT-TO-WEAN PATIENTS TECHNOLOGY FOR THE FAILING HEART & KIDNEY 10:10 - 12:00 LEFT VENTRICLE DISCHARGE DURING ECLS BY IMPELLA® MICROAXIAL PUMP IN CARDIOGENIC SHOCK PATIENTS P. Gaudard, J. Eliet, G. Culas, C. Legoux, P. Colson, Montpellier, France 0990 MANAGEMENT OF HAEMODYNAMICALLY COMPROMISED PATIENTS USING THE IMACOR CLARITEE PROBE - A FEASIBILITY STUDY T.M. Merz, L. Cioccari, H.-R. Baur, J. Takala, Bern, Switzerland 0991 LINEAR CORRELATION BETWEEN THE ACCURACY OF CARDIAC OUTPUT MEASUREMENT WITH FLOTRAC/VIGILEO SYSTEM AND SYSTEMIC VASCULAR RESISTANCE Y. Sotomi, K. Abe, J. Yoshida, R. Okamura, K. Iwakura, T. Masai, K. Fujii, Osaka, Japan 0992 CHANGES IN SKELETAL MUSCLE NADH REDOX STATE, TISSUE OXYGENATION AND MICROVASCULAR BLOOD FLOW DURING GRADED HAEMORRHAGE N.J. Ekbal, A. Mayevsky, M. Singer, London, United Kingdom 0993 PROGNOSIS VALUE OF TISSUE OXYGEN SATURATION RECOVERY SLOPE DURING A VASCULAR OCCLUSION TEST IN CARDIOGENIC SHOCK PATIENTS P. Gaudard, A.C. Saour, J. Eliet, G. Culas, R. Coves, P. Colson, Montpellier, France 0994 THE PAC STRIKES BACK. A STUDY OF PULMONARY ARTERY CATHETER (PAC) USE IN THE SOUTH WEST REGION OF THE UK C. Gibson, R. Sinclair, Truro, United Kingdom 0995 THE ESTIMATION OF CARDIAC OUTPUT BY THE NEXFIN DEVICE IS OF POOR RELIABILITY FOR TRACKING THE EFFECTS OF A FLUID CHALLENGE X. Monnet, F. Picard, E. Lidzborski, M. Mesnil, J. Duranteau, C. Richard, J.-L. Teboul, Le KremlinBicetre, France 0996 THE PLETH VARIABILITY INDEX IS A WEAK PREDICTOR OF FLUID RESPONSIVENESS IN PATIENTS RECEIVING NOREPINEPHRINE X. Monnet, L. Guérin, M. Jozwiak, A. Bataille, F. Julien, C. Richard, J.-L. Teboul, Le KremlinBicetre, France 0997 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience WEDNESDAY 17 OCTOBER Chairs: Michael Pinsky, Pittsburgh, United States & Alain Combes, Paris, France 191 Scientific programme REPRODUCIBILITY OF TRANSPULMONARY THERMODILUTION CARDIAC OUTPUT MEASUREMENTS IN CLINICAL PRACTICE: A SYSTEMATIC REVIEW R. Giraud, N. Siegenthaler, P. Merlani, L. Brochard, K. Bendjelid, Genève, Switzerland 0998 GLUTAMYL AMINOPEPTIDASE IS A PREDICTIVE MARKER OF EARLY ACUTE RENAL FAILURE IN PATIENTS UNDERGOING CARDIAC SURGERY M. Redondo Orts, F. Manzano Manzano, M.D.M. Jimenez, R. Wangensteen, A. Quesada, S. Nogueras Guijarro, F. Rodríguez Alemán, A. Osuna, Granada, Spain 0999 COMPARING INVASIVE AND LESS-INVASIVE CARDIAC OUTPUT MEASUREMENT DEVICES DURING EXTERNAL LEG COMPRESSION M. Helmi, R. de Wilde, J. Jansen, B. Geerts, P. van den Berg, D. Gommers, A. Groeneveld, Rotterdam, Netherlands 1000 HAEMODYNAMIC ASSESSMENT IN CRITICALLY ILL DURING ALBUMIN DIALYSIS T. Zawada, W. Mielnicki, Z. Sycz, Wroclaw, Poland 1001 NON-INVASIVE CONTINUOUS DETERMINATION OF MEAN ARTERIAL BLOOD PRESSURE USING THE T-LINE TL-200PRO DEVICE IN CRITICALLY ILL MEDICAL PATIENTS B. Saugel, A.S. Meidert, A. Hapfelmeier, R.M. Schmid, W. Huber, München, Germany 1002 A NOVEL COMPUTER-CONTROLLED HIGH RESOLUTION VIDEO MICROSCOPY IMAGING SYSTEM ENABLES MEASURING MUCOSAL SUBSURFACE FOCAL DEPTH FOR RAPID ACQUISITION OF ORAL MICROCIRCULATION VIDEO IMAGES D.M.J. Milstein, E. Romay, C. Ince, Amsterdam, Netherlands 1003 SOME STRAINS OF HOSPITAL-ASSOCIATED METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS HAVE POTENTIALITY TO DAMAGE PRIMARY HUMAN KERATINOCYTE TO INDUCE RECURRENT INFECTIONS M. Fukuda, T. Baba, K. Hiramatsu, Tokyo, Japan 1004 OPTIMISATION OF PREVENTIVE INSULATION IN INTENSIVE CARE UNIT A. Rey Perez, A. Garcia, J. Granado, R. Herrera, C. Salvat, C. Lopez, R. Balaguer, I. Dot, J.P. Horcajada, F. Alvarez-Lerma, Barcelona, Spain 1005 IMPROVING ICU DOCUMENTATION AND REDUCING BLOOD STREAM INFECTIONS L. Ruff, T. Neal, Liverpool, United Kingdom 1006 FUNGAL INFECTION IN GASTROINTESTINAL PERFORATION S. Dias, C. Albino, I. Moniz, C. França, Lisbon, Portugal 1007 EPIDEMIOLOGICAL TRENDS OF FUNGAL INFECTIONS IN ADULT ICU PATIENTS T. Aslanidis, I. Soultati, A. Kontos, I. Chytas, E. Anastasiou, E. Geka, K. Ethimiou, V. Ourailoglou, M. Giannakou-Peftoulidou, Thessaloniki, Greece 1008 CAN BIOMARKERS (CRP,WBC) DETECT INFECTION DURING MILD THERAPEUTIC HYPOTHERMIA? I. Voigt, C.K. Naber, Essen, Germany 1009 COMPLIANCE WITH GUIDELINES ON ANTIBIOTIC USAGE IN SEVERE ACUTE PANCREATITIS AND ASSOCIATED OUTCOMES K. Girgirah, A. Krige, Blackburn, United Kingdom 1010 VANCOMYCIN PHARMACOKINETICS IN CRITICALLY ILL PATIENTS RECEIVED CRRT D.W. Wu, H.S. Wang, T.C. Shan, R.C. Guo, Jinan, China 1011 AUDIT AND ANTIMICROBIOGRAM OF ISOLATES OF CENTRAL VENOUS CATHETER BLOOD STREAM INFECTIONS IN A NINE BED CRITICAL CARE UNIT F. Fuerstenberg, C. Spencer, M. Reay, L. Mohankumar, S. Raybould, Dudley, United Kingdom 1012 SYSTEMIC INFLAMATORY RESPONSE IN CRITICALLY ILL PATIENTS M. Palomar, F. Alvarez lerma, P. Olaechea, M.J. Lopez Pueyo, J.J. Otal, X. Nuvials, R. Jimeno, M.P. Gracia, I. Seijas, Barcelona, Spain 1013 THE IMPACT OF A WARD BASED PERIPHERALLY INSERTED CENTRAL CATHETER (PICC) LINE SERVICE A.L. Sykes, M. Kyi, Sutton Coldfield, United Kingdom 1014 AGE AND ETIOLOGY OF INFECTIONS IN CRITICALLY ILL PATIENTS M. Palomar, P. Olaechea, F. Alvarez Lerma, M.J. Lopez Pueyo, J.J. Otal, R. Alcaraz, I. Seijas, M.P. Gracia, R. Jimeno, Barcelona, Spain 1015 Area Estoril Poster Corner BUNDLES FOR ICU INFECTIONS Chairs: Jean-François Timsit, Grenoble, France & Arthur Kwizera, Kampala, Uganda WEDNESDAY 17 OCTOBER 10:10 - 12:00 192 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 1016 INFLUENCE OF INFECTION CONTROL IMPROVEMENT ACTIVITIES ON MORTALITY RATE IN ICU V. Kaloiani, Tbilisi, Georgia 1017 PROSPECTIVE IDENTIFICATION OF HIGH-RISK NEUROLOGIC PATIENTS OUTSIDE THE CRITICAL CARE UNIT. THE BRESCIA EXPERIENCE OF AN INTENSIVIST-LED CRITICAL CARE OUTREACH TEAM F.A. Rasulo, N. Fagoni, S. Piva, E. Grespi, P. Turati, A. Padovani, M. Fontanella, M. Magoni, L. Antonini, G. Tomasoni, N. Latronico, Brescia, Italy 1018 USE OF HIGH RESOLUTION DIFFUSION TENSOR IMAGING IN ACUTE TRAUMATIC BRAIN INJURY: FEASIBILITY AND INITIAL CLINICAL RESULTS V. Newcombe, M. Correia, T. Veenith, E. Carter, J. Outtrim, J. Coles, P. Hutchinson, G. Williams, D. Menon, Cambridge, United Kingdom 1019 EVALUATION OF VENTRICULOSTOMY MANAGEMENT PROTOCOL IN NEURORITICAL CARE UNIT (NCCU) D.F. Batista, T. Loza, E. Pereira, S. Barbosa, A. Cerejo, C. Dias, J.A. Paiva, Porto, Portugal 1020 THE NEURO-PROTECTIVE EFFECT OF CITICHOLINE (CDP CHOLINE) IN PATIENTS WITH TRAUMATIC BRAIN INJURY E.M. El Reweny, A. Okasha, A. Hafez, Alexandria, Egypt 1021 USE OF TRANSCRANIAL DOPPLER IN PATIENTS WITH SEVERE TRAUMATIC BRAIN INJURY D. Ziegler, G. Cravens, R. Gandhi, P. Cho, M. Tellez, Fort Worth, United States 1022 CEREBROSPINAL FLUID LEVELS OF HIGH MOBILITY GROUP BOX 1 IN PATIENTS WITH VENTRICULOSTOMY-RELATED INFECTION S. Piva, F. Albani, E. Monti, L. Baini, L. Signorini, F. Pecori, N. Fagoni, F. Rasulo, D. Ricotta, B. Cesana, P. Antonelli, G. Tomasoni, N. Latronico, Brescia, Italy 1023 RISK FACTORS FOR INFECTION OF THE EXTERNAL VENTRICULAR DRAINAGE G. Maria Pilar, I. Dot, A. Rey, Barcelona, Spain 1024 THE ROLE OF PLASMA D DIMER AS A PROGNOSTIC MARKER IN TRAUMATIC BRAIN INJURY E.M. El Reweny, H. Abo Khabar, S. Mourad, Alexandria, Egypt 1025 REPEATED EVENT-RELATED POTENTIALS TECHNIQUE IN ACUTE BRAIN INJURED PATIENTS: DIFFERENT NEUROPHYSIOLOGIC EVOLUTIONS OF DISORDERS OF CONSCIOUSNESS L. Prisco, M. Ganau, W. Calligaris, A. Draisci, G. Romano, M. Semencic, F. Monti, London, United Kingdom 1026 IS FEVER STILL A BURDEN IN NEUROINTENSIVE CARE UNIT (NICU)? M.G. Abate, A. Vargiolu, A. Patruno, M. Fontana, F.A. Villa, D. Bonacina, G.C. Citerio, Monza, Italy 1027 HYPOPHOSPHATEMIA IN SEVERE BRAIN INJURY A. Pires, C. Dias, J. Pinho, I. Milet, T. Veiga, Viseu, Portugal 1028 ADMINISTRATION OF FLUIDS TO TRAUMATIC HEAD INJURY PATIENTS IN A NEURO-INTENSIVE CARE UNIT. ARE WE GIVING THEM TOO MUCH? S.G. Kulkarni, S. Griffiths, G. Sundaram, Liverpool, United Kingdom 1029 DECOMPRESSIVE CRANIECTOMY FOR TRAUMA BRAIN INJURY. FUNCTIONAL OUTCOME SIX MONTHS AFTER HOSPITAL DISCHARGE D. Arias-Verdu, G. Seller-Perez, M. Herrera Gutierrez, M.-J. Chaparro-Sanchez, R. RiveraFernandez, D. Fernandez-Zamora, Malaga, Spain 1030 INTRACRANIAL PRESSURE AND BIS MONITORING CHANGES IN RELATION TO SODIUM DECREASE IN SEVERE TRAUMATIC BRAIN INJURY M. Horst ter, M. Jagt van der, I. Haitsma, J. Bommel van, Rotterdam, Netherlands 1031 Area Evora Poster Corner NEURO-INTENSIVE CARE Chairs: Javier Provencio, Cleveland, United States & Carole Ichai, Nice, France 10:10 - 12:00 Try the e-posters experience in the exhibition area L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience Scientific programme A.H.V. Andrade, S. Aparecida Eleodoro Santos, A.C. Baruzzi, E.E. Taira, B. Taino, L.P. Vasconcelos, R. Puzzo Bortoleto, L. Erthal de Burgo, L. Ferreira Lima, M. Bracco, S. Abramovici, Sao Paulo, Brazil WEDNESDAY 17 OCTOBER SUCCESSEFUL STRATEGY TO REDUCE VENTILATOR-ASSOCIATED PNEUMONIA - HOSPITAL M´BOIMIRIM - SAO PAULO 193 Scientific programme Area Faro Poster Corner QUALITY & SAFETY IN THE ICU Chairs: Kathryn Rowan, London, United Kingdom & Akos Csomós, Budapest, Hungary 10:10 - 12:00 ANALYSIS OF THE UTILISATION OF THE NURSING ACTIVITIES SCORE IN TWO SPANISH CRITICAL CARE UNITS F.J. Carmona Monge, S. García Gómez, C. Quirós Herranz, I. Uria Uranga, A. Jara Pérez, M. Bergaretxe Bengoetxea, G. Etxabe Unanue, A. Iribarren Martin, M. Echepetelecu Hernando, E. Badiola Saralegui, M. Auzmendi Irazoqui, Alcorcón, Spain 1032 IMPLEMENTATION OF SURVIVING SEPSIS CAMPAIGN IN A GROUP OF PRIVATE HOSPITALS IN BRAZIL: EFFECTS ON OUTCOMES, COSTEFFECTIVENESS AND TEMPORAL TRENDS IN A PROPENSITY ANALYSIS O.T. Ranzani, D.T. Noritomi, M. Barbosa, F.R. Machado, E.M. Ferreira, I.C. Paula, F. Leibel, Sao Paulo, Brazil 1033 STANDARDISED DRUG LABELLING IN INTENSIVE CARE - RESULTS OF AN INTERNATIONAL SURVEY AMONG ESICM MEMBERS F. Balzer, N. Wickboldt, C. Spies, B. Walder, J. Goncerut, G. Citerio, A. Rhodes, M. Kastrup, W. Boemke, Berlin, Germany 1034 PRELIMINARY ASSESSMENT OF THE FEASIBILITY AND FULFILLMENT OF PROCESSES OF CARE IN AN ICU TO EVALUATE QUALITY IN ACCORDANCE WITH THE DECLARATION OF VIENNA J. Farinha, J. Ribeiro, C. França, Lisbon, Portugal 1035 CLINICAL AUDIT ON CENTRAL VENOUS CATHETER (CVC) PLACEMENT E. Balakumar, B. Ramalingam, R. Ferguson, P. Venkatesan, Hull, United Kingdom 1036 ROUTINE COAGULATION SCREENING IN THE INTENSIVE CARE UNIT - AN AUDIT OF CURRENT PRACTICE J. Bedford, E. Balakumar, M. Abdulahi, Hull, United Kingdom 1037 ARE WE GIVING A FAST HUG ONCE A DAY? R. Pinho, M. Fernandes, A. Dagge, P. Reis, P. Campos, P. Marçal, P. Amaro, Santa Maria da Feira, Portugal 1038 DAILY DATA RECORDING IN A NATIONAL COMPARATIVE CLINICAL DATABASE TARGETING CONTINUOUS QUALITY IMPROVEMENT OF THE UNIVERSITY HOSPITAL SINGLE INTENSIVE CARE UNIT PERFORMANCE V. Degoricija, M. Milošević, M. Sharma, I. Šmit, S. Šefer, Zagreb, Croatia 1039 IMPACT OF THE USE OF COMPUTERISED RECORD KEEPING ON PATIENT CARE MANAGEMENT E. Kadosh, L. Duchovna, J. Golan, A. Eden, S.A. Bursztein-De Myttenaere, Haifa, Israel 1040 ADULT DEPENDANCY AND ILLNESS SEVERITY SURVEY (ADISSEY) IN A LARGE UK DISTRICT GENERAL HOSPITAL A.J. Garland, K. Burt, G. Humphries, R. Sinclair, Truro, United Kingdom 1041 LESSONS LEARNED FROM CRITICAL INCIDENT REPORTING: TIME FOR A CENTRALISED CRITICAL INCIDENT REPORTING SYSTEM? N. Jain, S. Singh, E. Christie, Chester, United Kingdom 1042 QUALITY INDICATORS COMPLIANCE SURVEY IN INDIAN ICU P.B. Gopal, R. Amte, K. Munta, R. Nagoria, Hyderabad, India 1043 ANALYSING THE SAFETY CLIMATE IN THE ICU: A TOOL FOR PATIENT SAFETY M.E. Lugarinho, S. Reis, L. Peixoto, P.P. Castro, Duque de Caxias, Brazil 1044 EFFECTS OF HYPEROXIA, HYPOXAEMIA AND HAEMORRHAGE ON BLADDER TISSUE OXYGEN TENSION IN PIGS A. Dyson, F. Simon, A. Seifritz, O. Zimmerling, J. Matallo, E. Calzia, P. Radermacher, M. Singer, London, United Kingdom 1045 AGREEMENT BETWEEN HB AND SO2 MEASUREMENTS IN DIFFERENT VASCULAR COMPARTMENTS USING A HUMAN HAEMOGASOMETER AND A CALIBRATED DEVICE FOR PIGS: CALIBRATION FOR ANIMAL SPECIES NECESSARY? A. Pereira, S. Jakob, S. Djafarzadeh, J. Takala, Bern, Switzerland 1046 REGIONAL ANTICOAGULATION WITH CITRATE DURING MARS TREATMENT - PREELIMINARY RESULTS W. Mielnicki, T. Zawada, Z. Sycz, J. Bartczak, P. Garba, Wroclaw, Poland 1047 THE ACCURACY AND PRECISION OF A DISPOSABLE NON INVASIVE CORE THERMOMETER IN PATIENTS UNDER GENERAL OR SPINAL ANAESTHESIA O. Kimberger, J. Koch, I.P. Sanchez, S. Dizili, L. Saager, A. Kurz, Vienna, Austria 1048 Area Fatima Poster Corner TECHNOLOGY IN THE ICU Chairs: Thomas Geeraerts, Toulouse, France & Manu Malbrain, Antwerp, Belgium WEDNESDAY 17 OCTOBER 10:10 - 12:00 194 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 K. Yamashita, T. Kawano, T. Yatabe, H. Abe, M. Yokoyama, Kochi, Japan 1049 IMPACT OF ARTERIAL LOAD ON RELIABILITY OF PULSE CONTOURDERIVED CARDIAC OUTPUT MEASUREMENTS M.I. Monge García, Jerez de la Frontera, Spain 1050 STUDY ON THE FEASIBILITY OF QUANTITATIVE MITOCHONDRIAL OXYGENATION MEASUREMENTS IN THE RENAL CORTEX R. Bezemer, J. Kramer, B. Ergin, P. van Horssen, J. Stap, M. Heger, C. Ince, Amsterdam, Netherlands 1051 INTEROBSERVER RELIABILITY OF THE TRANSTHORACIC ECHOCARDIOGRAPHY IN INTENSIVE CARE UNIT A. Snauwaert, J. Allyn, N. Allou, H. Houissa, R. Bronchard, P. Montravers, Paris, France 1052 RELIABILITY OF PULSE CONTOUR METHOD-BASED HAEMODYNAMIC MEASUREMENTS ASSESSED BY DIFFERENT OPERATORS F. Franchi, A. Faltoni, V. De Palo, S. Cecchini, L. Cubattoli, P. Mongelli, P. Giomarelli, Siena, Italy 1053 EARLY EXPERIENCE WITH INTEGRATION OF A NOVEL CONTINUOUS GLUCOSE MANAGEMENT SYSTEM IN HOSPITAL CRITICAL CARE R. Joshi, R. Gottlieb, M. Kosiborod, Northridge, United States 1054 THROMBOELASTOGRAPHY ON THE INTENSIVE CARE UNIT: AN OBSERVATIONAL STUDY OF INITIAL USE, BENEFITS AND IMPACT ON DIAGNOSIS AND TREATMENT P. Davies, J. Ball, M. Cecconi, Morden, United Kingdom 1055 COMPARISON OF TWO DIFFERENT ADSORPTIVE THERAPIES FOR THE TREATMENT OF ENDOTOXEMIA D. Arias-Verdu, M.E. Herrera Gutierrez, G. SellerPerez, P. Benitez-Moreno, E. Aguiar-Flores, G. Quesada-Garcia, Malaga, Spain 1056 COMPARISON OF A UNIT-USE BLOOD GAS ANALYZER (BGA) WITH A STANDARD LAB BGA DEVICE AS TWO OPTIONS FOR POINT-OF-CARE TECHNIQUE (POCT) DURING ROUTINE PRACTICE ON A SURGICAL ICU DATA QUALITY, DEVIATIONS, FEASIBILITY, AND IMPACT FACTORS S. Toussaint, D. von Wachsmann, H. Gerlach, Berlin, Germany 1057 USE OF NOVEL NONINVASIVE CARDIAC HAEMODYNAMIC (NICHETM) MONITORING SYSTEM IN MECHANICALLY VENTILATED PATIENTS PRELIMINARY REPORT S. Preisman, G. Lancaster, I. Hay, M. Eldar, H. Berkenstadt, Ramat Gan, Israel 1058 Area Funchal Poster Corner Scientific programme CAN PULSE WAVE TRANSIT TIME VARIATION PREDICT A FLUID RESPONSIVENESS MORE PRECISELY COMPARED WITH PULSE PRESSURE VARIATION? ICU INFECTIONS: BIOMARKERS & ANTIMICROBIAL TREATMENT 2 10:10 - 12:00 USE OF COLISTIN TO TREAT MULTIDRUG RESISTANT (MDR) GRAM NEGATIVE PATHOGENS- A SINGLE CENTRE EXPERIENCE K. Krishnareddy, A. Salem, M. Attia, Abu Dhabi, United Arab Emirates 1059 PERIOPERATIVE MANAGEMENT AND EARLY OUTCOME AFTER SURGERY FOR ACTIVE INFECTIVE ENDOCARDITIS H. Murayama, Ichihara, Chiba, Japan 1060 COPEPTIN UTILITY IN ICU COMMUNITY-ACQUIRED PNEUMONIA (CAP) PATIENTS O. Omelyanenko, A. Makarevich, P. Jagus, J. Chorostowska-Wynimko, Minsk, Belarus 1061 CLINICAL OUTCOMES OF TIGECYCLINE MONOTHERAPY AND COMBINATION THERAPY IN HAP/VAP WITH CARBAPENEM-RESISTANT ACINETOBACTER BAUMANNII J.Y. Moon, S.H. Park, Y.-P. Chong, S.O. Ha, J.S. Park, J.W. Huh, C.-M. Lim, Y. Koh, S.B. Hong, Seoul, Republic of Korea 1062 HAND-WASHING OBSERVATION IN AN ICU WITH CONTROLLED MRSA CROSS-COLONISATION D. Zafimahazo, S. Touati, F. Faibis, N. Picard, H. Ittah-Desmeulles, P. Le Toumelin, M.C. Demachy, A. Fiacre, S. Agogue, A. Combes, X. Forceville, Meaux, France 1063 INFLUENCE OF INFECTION DURING POST-OPERATIVE PERIOD AFTER HEART TRANSPLANTATION IN ONE-YEAR MORBIDITY AND MORTALITY R. Gómez-López, P. Fernández-Ugidos, P. VidalCortés, M.T. Bouza Vieiro, L. Seoane Quiroga, A.V. Aller Fernández, J. Muñiz, J.M. Lopez Perez, S. Fojon Polanco, M.J. Garcia Monge, E. Rodriguez Garcia, M.J. Paniagua Martin, E. Barge Caballero, R. Marzoa Rivas, M.G. Crespo Leiro, Ourense, Spain 1064 ELEVATED PROCALCITONIN PREDICTS GRAM-NEGATIVE SEPSIS IN ONCOLOGICAL CRITICAL PATIENTS I. Ribeiro, F. Coelho, F. Faria, Porto, Portugal 1065 IMPACT OF ANTIBIOTIC APPROPRIATENESS IN OUTCOME AND EARLY C-REACTIVE PROTEIN EVOLUTION IN ICU PATIENTS WITH BACTERAEMIA R. Pimentel, M. Couto, A. Leitão, P. Mergulhão, J. Paiva, Porto, Portugal 1066 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience WEDNESDAY 17 OCTOBER Chairs: Fernando Bozza, Rio de Janeiro, Brazil & Claude Martin, Marseille, France (TBC) 195 Scientific programme THE IMMUNE STATUS OF PATIENTS WITH PROLONGED STAYING IN THE INTENSIVE CARE UNIT A. Kondratiev, R. Nazarov, E. Kondratieva, N. Domnina, St. Petersburg, Russian Federation 1067 VENTILATOR ASSOCIATED PNEUMONIA CAUSED BY MULTIDRUG RESISTANT ACINETOBACTER BAUMANNII: COLISTIN MONOTHERAPY VERSUS COMBINATION THERAPY WITH COLISTIN AND HIGH DOSES AMPICILLINE-SULBACTAME F. Frantzeskaki, E. Paramythiotou, N. Nikitas, C. Diakaki, S. Karabi, G. Dimopoulos, A. Armaganidis, Athens, Greece 1068 ACINETOBACTER AND THE CRITICALLY-ILL PATIENT: RISK FACTORS AND PATIENT OUTCOME- CASE SERIE’S ANALYSIS IN A SAUDI INTENSIVE CARE UNIT Y.S. AlMakadma, O. Shaer, T.H. Ibrahim, S. AlObeid, Riyadh, Saudi Arabia 1069 PROGRAMME CONTROL FOR VENOUS CATHETER RELATED INFECTIONS IN A BRAZILIAN ICU: THE PURSUIT OF EXCELLENCE IN THE REAL WORLD M.E. Lugarinho, P. Castro, L. Peixoto, Duque de Caxias, Brazil 1070 MICROBIOLOGICAL PROFILE AND ANTIMICROBIAL SUSCEPTIBILITY OF ISOLATES IN CULTURES IN THE INTENSIVE CARE UNIT AT A UNIVERSITY HOSPITAL IN BRAZIL E. Apinagés-Santos, M.G. Menegueti, M. Auxiliadora-Martins, A.C. Teixeira, E.A. Nicolini, J.M. Viana, G.C. Teixeira, M. Puga, C. Ferrarini, K.T. Muniz, R. Martinez, A. BasileFilho, F. Bellissimo-Rodrigues, Ribeirão Preto, Brazil 1071 ANALYSIS OF MORTALITY IN URINARY SEPSIS C. Joya-Montosa, E. Trujillo-García, E. CurielBalsera, M.C. Martinez-González, V. OleaJiménez, M.P. Benítez-Moreno, E.E. AguiarFlores, Málaga, Spain 1072 Area Guarda Poster Corner ACUTE KIDNEY INJURY: PATHOPHYSIOLOGY Chairs: Bernard Cholley, Paris, France & Michael Bauer, Jena, Germany WEDNESDAY 17 OCTOBER 10:10 - 12:00 196 BALANCED 6% HES 130/0.4 IMPAIRED KIDNEY FUNCTION IN HEALTHY RODENTS W. Baar, C. Wunder, C. Held, R. Schneider, N. Roewer, M.A. Schick, Würzburg, Germany 1073 THE IMPACT OF HYDROXETHYLSTARCH 130/0.4 ON HUMAN PROXIMAL TUBULAR CELLS IN VITRO R.R. Bruno, W. Neuhaus, A. Neuhoff, N. Roewer, M.A. Schick, C. Wunder, Würzburg, Germany 1074 CONTINUED VENTILATION DURING OPEN HEART SURGERY REDUCES SYSTEMIC SECRETION OF SOLUBLE ST2 AND INHIBITS POLYMORPHONUCLEAR CELL ACTIVATION L. Beer, T. Szerafin, A. Mitterbauer, T. Haider, M. Dworschak, B. Steinlechner, G. Roth, H.J. Ankersmit, Vienna, Austria 1075 A POPULATION PHARMACOKINETIC-PHARMACODYNAMIC MODEL OF CARDIOVASCULAR EFFECTS OF MAGNESIUM IN PATIENTS WITH SEVERE PREECLAMPSIA G.G. Lugo, D.Y. Guillen, México, Mexico 1076 CONTINUED LUNG VENTILATION DURING OPEN HEART SURGERY ATTENUATES SYSTEMIC HEAT-SHOCK PROTEIN 70 RELEASE L. Beer, T. Szerafin, A. Mitterbauer, T. Haider, B. Steinlechner, M. Dworschak, G. Roth, H.J. Ankersmit, Vienna, Austria 1077 ACUTE KIDNEY INJURY (AKI) AFTER LIVER TRANSPLANTATION (LTX): A SINGLE CENTRE EXPERIENCE A. De Gasperi, R. Collini, F. Garrone, M. Prosperi, E. Mazza, A. Corti, Milan, Italy 1078 NEUTROPHIL GELATINASE ASSOCIATED LIPOCALCIN (NGAL) IS A RELIABLE BIOMARKER OF DIALYSIS-DEPENDENT ACUTE KIDNEY INJURY AFTER INFRARENAL AORTIC SURGERY H.K. Joergensen, J. Bisgaard, T. Gilsaa, Kolding, Denmark 1079 ACUTE KIDNEY INJURY FOLLOWING EMERGENCY SURGERY IN A UNIVERSITY TEACHING HOSPITAL E. Precious, L. Blackbourn, M. Vijayakumar, S. Halder, M. Heneghan, E. Barton, M.P. Wise, Cardiff, United Kingdom 1080 RENAL FAILURE AND MORTALITY IN POSTOPERATIVE CARDIAC SURGERY. WHAT FACTORS INFLUENCE? ANALYSIS ARIAM REGISTRY OF CARDIAC SURGERY V. Olea Jiménez, J.M. Mora Ordoñez, J. Muñoz Bono, R. Rivera Férnandez, R. Gómez Calvo, T. García Paredes, Málaga, Spain 1081 INCIDENCE AND OUTCOMES OF RED BLOOD CELL TRANSFUSION IN SURGICAL INTENSIVE CARE UNIT AT SIRIRAJ HOSPITAL A. Piriyapatsom, O. Chaiwat, J. Sak-Aroonchai, W. Suwannasri, S. Kanavitoon, Bangkok, Thailand 1082 CD4+/CD8+ RATIO AS A USEFUL INDICATOR FOR POSTOPERATIVE SEVERE SEPSIS IN CRITICALLY ILL PATIENTS UNDERGOING ELECTIVE ABDOMINAL OPERATIONS G. Xiangdong, L. Xiaoyue, Guangzhou, China 1083 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 1084 BLOCKADE OF LEUKOTRIENE B4/BLT1 PATHWAY PREVENTS ISCHaEMIA REPERFUSION INJURY OF KIDNEY Y. Kosaka, M. Majima, Y. Nara, T. Yokomizo, Y. Yamada, Y. Kondo, M. Kuroiwa, H. Okamoto, Sagamihara, Japan 1085 RANDOMISED CONTROLLED TRIAL OF NOVEL RECOMBINANT HUMAN SOLUBLE THROMBOMODULIN (RTM) FOR SEPSIS WITH DISSEMINATED INTRAVASCULAR COAGULATION PATIENTS IN JAPAN H. Ushizawa, E. Isotani, H. Takahashi, T. Sera, Y. Otomo, Tokyo, Japan 1086 REQUIEM FOR XIGRIS®: ITS USE IN SEPSIS-ASSOCIATED ARDS REQUIRING ECMO SUPPORT S. Biondi, G. Cianchi, M. Bonizzoli, S. Matano, V. Anichini, A. Franci, G. Zagli, A. Peris, Florence, Italy 1087 SERUM SOLUBLE ICAM-1 IS A RELIABLE BIOMARKER OF INFECTION IN PATIENTS WITH SYSTEMIC INFLAMMATORY RESPONSE SYNDROME R. de Pablo, J. Monserrat, A. Prieto, T. Carolina, E. Reyes, M. Alvarez-Mon, Alcalá de Henares, Spain 1088 RECOGNITION AND MANAGEMENT OF SEVERE SEPSIS: A RETROSPECTIVE AUDIT J.R. Richardson, R. Daniels, Birmingham, United Kingdom 1089 THE ROLE OF RECOMBINANT HUMAN SOLUBLE THROMBOMODULIN (RHS-TM) IN SEPTIC DIC (DISSEMINATED INTRAVASCULAR COAGULATION) R. Nagai, M. Kang, M. Saito, M. Takeda, T. Harada, R. Moroi, M. Namiki, A. Yaguchi, Tokyo, Japan 1090 IMPLEMENTATION OF A SEPTIC SHOCK CODE TRACK BY A MULTIDISCIPLINARY TEAM C. Cabeza, E. Piacentini, M.C. Nicolás, G. Muñoz, A. Álvarez, R. Ferrer, Terrassa, Spain 1091 THE MIS-FIRED MAGIC BULLET? RECOMBINANT ACTIVATED PROTEIN C (RHAPC) USE IN PATIENTS WITH DECOMPENSATED LIVER DISEASE OR GRAFT DYSFUNCTION FOLLOWING LIVER TRANSPLANTATION R. Roplekar, W. Bernal, C. Willars, L. Sizer, J. Wendon, G. Auzinger, London, United Kingdom 1092 EFFECTS OF COMBINATION THERAPY OF RECOMBINANT HUMAN SOLUBLE THROMBOMODULIN AND ANTITHROMBIN ON DISSEMINATED INTRAVASCULAR COAGULATION WITH SEVERE SEPSIS K. Ikeda, Tokyo, Japan 1093 EVALUATION OF THE INITIAL ATTENTION OF SEVERE SEPSIS AND SEPTIC SHOCK IN DAILY CLINICAL PRACTICE P. García Olivares, J.I. Roblas, P. Santa Teresa, J.C. Sotillo, J. Peral, M. Sancho, E. Bermejo, J.M. Gómez, S. Arenal, A. Jaspe, Madrid, Spain 1094 OXYGEN THERAPY FOR SEPSIS PATIENTS IN THE EMERGENCY DEPARTMENT; A LITTLE LESS? R.M. Stolmeijer, J.C. ter Maaten, J.G. Zijlstra, J.J. Ligtenberg, Groningen, Netherlands 1095 CORRECTION OF THE HAEMOCOAGULATION DISORDERS AND REDUCING THE LEVEL OF THE SEPTIC COMPLICATIONS BY USING EPIDURAL ANAESTHESIA AT PATIENTS WITH ACUTE NECROTISING PANCREATITIS O. Tarabrin, V. Dubinina, S. Shcherbakov, D. Gavrychenko, G. Mazurenko, Odessa, Ukraine 1096 PROGNOSTIC FACTORS OF SEPSIS WITH DISSEMINATED INTRAVASCULAR COAGULATION (DIC) PATIENTS UNDER ADMINISTRATION OF ANTITHROMBIN III IN JAPAN T. Sera, E. Isotani, H. Ushizawa, H. Takahashi, Y. Otomo, Tokyo, Japan 1097 GLYCAEMIC CONTROL IN CRITICALLY ILL. A TERTIARY DUBLIN HOSPITAL EXPERIENCE H. Elfil, L. Borovickova, S.M.G. Ahmed, N. Dervan, C. Hickey, Dublin, Ireland 1098 EARLY WARNING SCORES IN SEPSIS - UTILITY OF A SINGLE EARLY WARNING SCORE IN THE EMERGENCY DEPARTMENT? A.R. Corfield, F. Lees, G. Houston, I. Zealley, S. Dickie, K. Ward, C. McGuffie, Kilmarnock, United Kingdom 1099 Area Porto Poster Corner RE-EVALUATION OF SEPSIS THERAPIES Chairs: Mitchell Levy, Providence, United States & Herwig Gerlach, Berlin, Germany 10:10 - 12:00 + L I V E S 2 012 Visit us at the ESICM Members Lounge Level 1 L ink ing Inno vat ion Vi sion E xcel l ence & S cience Scientific programme K. Ueta, N. Iguchi, A. Uchiyama, N. Watanabe, K. Hosotsubo, Y. Fujino, Suita, Japan WEDNESDAY 17 OCTOBER NEUTROPHIL GELATINASE-ASSOCIATED LIPOCALIN (NGAL) AS AN EARLY BIOMARKER FOR ACUTE KIDNEY INJURY AFTER ENDOVASCULAR STENT GRAFT REPAIR OF AORTIC ANEURYSM 197 Poster Corner 10:10 - 12:00 198 SCORING & PROGNOSIS IN ICU PATIENTS THE ASSOCIATION BETWEEN ELEVATED CREATINE PHOSPHOKINASE AND ACUTE KIDNEY INJURY IN CRITICALLY ILL PATIENTS: A COHORT STUDY K.B. Christopher, G.W. Reed, T. Moromizato, C.K. McKane, M. Mendu, F.K. Gibbons, Boston, United States 1100 HOW WELL DO PHYSICIANS ESTIMATE MORTALITY AT DISCHARGE FROM ICU? S. Ley, R. Sundaram, Paisley, United Kingdom 1101 SAPS3 SCORE MULTICENTRE MORTALITY EVALUATION STUDY IN SPAIN C. Lopez-Caler, M. García-Delgado, J. CarpioSanz, E. Aguilar-Alonso, F.J. Gómez-Jiménez, J.-E. Barrueco-Francionni, F. Lobato-Madueño, R. Rivera-Fernández, Málaga, Spain 1102 COMPARISON OF RANSON AND BISAP PROGNOSTIC INDICES FOR PREDICTING ORGAN FAILURE, COMPLICATIONS AND MORTALITY IN SEVERE ACUTE PANCREATITIS A. Lagos, A. Rego, E. Barjas, L. Correia, A. Valente, R. Palma, P. Alexandrino, J. Velosa, Lisbon, Portugal 1103 AUGMENTED CREATININE RENAL CLEARANCE IN CRITICALLY ILL PATIENTS: IS THERE A PLACE FOR A NEW PROGNOSTIC MARKER? J.P. Baptista, L. Teixeira, L. Rodrigues, M. Neves, J. Pimentel, Coimbra, Portugal 1104 PROSPECTIVE ANALYSIS OF CRITICAL CARE REFERRAL PATTERNS PRIOR TO THE INTRODUCTION OF A NATIONAL EARLY WARNING SCORE (EWS) E. Dunne, I. Conrick-Martin, F. Colreavy, B. Marsh, Dublin, Ireland 1105 DEVELOPMENT OF A POINT OF CARE MODEL TO PREDICT INTENSIVE CARE UNIT (ICU) ADMISSION B. Kidane, S.A. Chadi, A. Di Labio, F. Priestap, W. Haddara, T. Mele, J. Murkin, London, Canada 1106 THE COMPARISON OF GCS, PSS, SAPS III SCORING SYSTEMS OF ORGANOPHOSPHATE POISONED PATIENTS, TREATED IN AN INTERNAL CARE UNIT T.E. Bilgin, K. Akoz, A.A. Altunkan, Z. Ozer, Mersin, Turkey 1107 AGGRAVATING FACTORS FOR ACUTE KIDNEY INJURY IN THE INTENSIVE CARE UNIT J.J. Zaragoza Galvan, E.R. Vidal Andrade, R. Martinez Zubieta, U.W. Ceron Diaz, A.F. Sierra Unzueta, Distrito Federal, Mexico 1108 THE BUNCRE INDEX AS A PREDICTOR TOOL FOR PROLONGED INTENSIVE CARE UNIT’S LENGTH OF STAY IN POSTOPERATIVE CARDIAC SURGERY PATIENTS M.G. Teixeira Junior, R.M. Hatum, Rio de Janeiro, Brazil 1109 RISK STRATIFICATION OF PATIENTS ATTENDING TO THE EMERGENCY HOSPITAL DEPARTMENT BY AN EPISODE OF SYNCOPE. INITIAL EXPERIENCE OF A SYNCOPE UNIT M.A. Ramirez-Marrero, I. Vegas-Vegas, D. Gaitan-Roman, M. Cano-Garcia, G. Ballesteros-Derbenti, M. de Mora-Martin, Malaga, Spain 1110 INTRODUCING THE NEW CARDIAC POST-OPERATIVE MORBIDITY SCORE (C-POMS) INTO CLINICAL PRACTICE: A PILOT STUDY COMPARING POSTOPERATIVE TOTAL MORBIDITY BURDEN IN PATIENTS UNDERGOING SURGICAL AORTIC VALVE REPLACEMENT (AVR) AND TRANS-CATHETER AORTIC VALVE IMPLANTS (TAVI) A. Shah, H. Brambley, M. Curtis, M. Mullen, N. Delahunty, J. Yap, A. Smith, J. Sanders, London, United Kingdom 1111 PREDICTING OUTCOME OF PATIENTS WITH SEVERE ACUTE PANCREATITIS A. Fernández Carmona, A. Díaz Redondo, J.C. Frías Pareja, S. Ramos Saez, Granada, Spain 1112 SAPS3 SCORE MULTICENTRE MORTALITY EVALUATION STUDY IN CORONARY PATIENTS IN SPAIN C. López Caler, J.E. Barrueco-Francioni, E. Aguilar-Alonso, M. García-Delgado, R. Sánchez-Rico, J.A. Arboleda-Sánchez, G. Quesada-García, R. Rivera-Fernández, Malaga, Spain 1113 WEDNESDAY 17 OCTOBER Scientific programme Area Setubal Chairs: Patrick Ferdinande, Leuven, Belgium & Eric Hoste, Ghent, Belgium 30 minutes before the next session? Visit the Replay theatre Level 1 - Exhibition Area A - Gallery 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Poster Corner TRAINING ICU TEAMS 10:10 - 12:00 PRE-ICU UNDERSTANDING OF RENAL PHYSIOLOGY AND MANAGEMENT OF ACUTE RENAL FAILURE ARE SUBOPTIMAL R. Nagappan, P. Gibson, Melbourne, Australia 1114 SURVEY OF NURSES. RECOGNITION OF CAPNOGRAPH TRACES S. Bengeri, Darlington, United Kingdom 1115 RECENTLY GRADUATED DOCTORS’ SELF-REPORTED PREPAREDNESS IN THE MANAGEMENT OF ACUTELY ILL PATIENTS. A 5 YEAR REVIEW OF LONDON DEANERY´S FOUNDATION PROGRAMME SIMULATION TRAINING - A CLINICAL CHALLENGE FOR MEDICAL EDUCATION? G.T. Bird, C. Swampillai, O. Lacey, I. Curran, London, United Kingdom 1116 THE BENEFITS OF A SIMPLIFIED METHOD FOR CPR TRAINING OF MEDICAL PROFESSIONALS: A RANDOMIsED CONTROLLED STUDY K.S. Allan, N. Wong, T. Aves, P. Dorian, Toronto, Canada 1117 PRE-ICU UNDERSTANDING OF SEPSIS AND MANAGEMENT OF SEPSIS AND SEPTIC SHOCK ARE SUBOPTIMAL R. Nagappan, P. Gibson, A. Subramaniam, Melbourne, Australia 1118 VENTILATOR-ASSOCIATED PNEUMONIA PREVENTION EDUCATION IN THE EMERGENCY DEPARTMENT K. Grall, L.A. DeLuca, J. Peraza, W. Larson, A. Westergard, J. Gonzaga, L. Stoneking, J. Rosell, J. Sakles, K. Denninghoff, Tucson, United States 1119 INTERNATIONAL COLOUR CODED SYRINGE LABELS. A PROGRAMME OF EDUCATION AND ASSISTANCE TO IMPROVE PATIENT SAFETY AT LEEDS TEACHING HOSPITALS (LTHT) L. Hudman, J.K. Gordon, Leeds, United Kingdom 1120 PERCEIVED BENEFITS OF SIMULATION TRAINING FOR FOUNDATION DOCTORS IN MANAGING MEDICAL EMERGENCIES P. Patel, V. Fox, I. Sockalingam, Stevenage, United Kingdom 1121 DOES THE COLLABORATOR COMPETENCY MEAN THE SAME THING TO ALL PEOPLE? A DISCOURSE ANALYSIS OF INTERPROFESSIONAL COLLABORATION W. Haddara, L. Lingard, London, Canada 1122 CRITICAL INCIDENT REPORTING SYSTEMS AS FEEDERS FOR HIGH FIDELITY SIMULATION TRAINING M. Abu-Habsa, J. Grundlingh, Oxford, United Kingdom 1123 DEVELOPMENT OF A NEW CRITICAL CARE AND APPLIED PHYSIOLOGY TEACHING PROGRAMME SPECIFICALLY DESIGNED FOR THE SURGICAL TRAINEE C. Carle, B. Mcgrath, P. Alexander, J. Barker, J. Moore, D. Atkinson, Peterborough, United Kingdom 1124 DESIGNING A PERFORMANCE ASSESSMENT STRATEGY FOR A POSTGRADUATE PHARMACIST INTENSIVE CARE SPECIALIST ROTATION C. Gowing, M. Donnelly, J. Strong, E. Deasy, Dublin, Ireland 1125 IMPROVING COMMUNICATION SKILLS FOR JUNIOR DOCTORS THROUGH SIMULATION: WHEN, WHOM AND HOW TO CALL FOR HELP P. Patel, V. Fox, I. Sockalingam, Stevenage, United Kingdom 1126 COGNITION REGARDING DO-NOT-ATTEMPT-RESUSCITATE (DNAR) OF HEALTH CARE PROVIDER IN THE EMERGENCY DEPARTMENT OF KOREA CHANGE OF PATIENT MANAGEMENT AFTER DNAR S.-H. Lee, S. Ryu, J.-S. Lim, Y.-C. Cho, I.-S. Yoo, Daejeon, Republic of Korea 1127 USE OF ASSESSMENT TOOL BY CRITICAL CARE OUTREACH NURSE PRACTITIONERS IMPROVES ASSESSMENT AND DOCUMENTATION OF THE PHYSIOLOGICAL STATUS OF ACUTELY UNWELL PATIENTS J. Peacock, C.E. Fox, C.A. Mukherjee, M.A. Pittman, Basildon, United Kingdom 1128 VALIDATION OF THE CONFUSION ASSESMENT METHOD FOR INTENSIVE CARE UNIT IN THE ITALIAN CONTEXT I. Comisso, P. Gaspardo, L. Peressoni, Udine, Italy 1129 NURSES ATTITUDES TOWARDS THE CONDUCT OF ICU RESEARCH: A MULTI-CENTRE SURVEY O. Smith, C. Dale, C. Filice, J. Filice, D. Foster, C. Jones, Y. Lee, A. Matte, E. McDonald, K. Porretta, M. Steinberg, R. Ward, K. Wheeler, S. Mehta, R. Pinto, L. Rose, Toronto, Canada 1130 SPIRITUAL DISTRESS ASSESSMENT TOOL A VALID INSTRUMENT FOR ELDERLY PATIENTS IN THE INTENSIVE CARE UNIT V. Gherghina, G. Nicolae, Constanta, Romania 1131 SLEEP IN THE ICU: PATIENTS AND NURSES PERCEPTION S. Calvino, Grenoble, France 1132 Life-Priority Poster Corner Scientific programme Area Sintra Chairs: Marco Maggiorini, Zurich, Switzerland & Brian Marsh, Dublin, Ireland NURSING ASSESSMENT & TRAINING 10:10 - 12:00 L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience WEDNESDAY 17 OCTOBER Chairs: Ana Rosa, Lisbon, Portugal & Terry O’Reilly, London, United Kingdom 199 Scientific programme PTSD AND MEMORY OF SYMPTOMS DURING ICU STAY S. Quossine, J.S. Benbenishty, Jerusalem, Israel 1133 RELATIVES’ EXPERIENCES OF CONFUSION AND AGITATION IN CRITICAL CARE PATIENTS M. Buckel, C. Roberts, J. Baldwin, S. Laha, Preston, United Kingdom 1134 WORKLOAD OF REGISTRATION OF VENTILATOR-ASSOCIATED PNEUMONIA IN THE ICU WITH AND WITHOUT THE USE OF A PATIENT DATA MANAGEMENT SYSTEM M. Hout van der, L. Duijn, A.M. Kaiser, J. Peppink, C. Vandenbroucke-Grauls, A. Girbes, Amsterdam, Netherlands 1135 PREFERRED CONTENT AND USEFULNESS OF A PHOTO-DIARY E. Åkerman, A. Ersson, B. Fridlund, K. Samuelson, Malmö, Sweden 1136 DETERMINATION OF RELATIVES NEEDS WHOSE PATIENTS HAVE BEEN TREATED IN ICU A. Yava, B. Tosun, Ö. Kızılca, N. Bayram, Y. Çırak, Ankara, Turkey 1137 THE IMPACT ON PATIENT CARE AND SAFETY OF COMPREHENSIVE EDUCATIONAL EFFORTS AT AN INTENSIVE CARE UNIT R. Soderlund, E.M. Wallin, Stockholm, Sweden 1138 COMPUTER APPLICATION IN INTENSIVE CARE UNIT A. González, Manresa, Spain 1139 THE KNOWLEDGE AND ATTITUDES OF NURSES ON PHLEBITIS IN A TRAINING AND RESEARCH HOSPITAL A. Koyuncu, A. Yava, A. Güler, U. Demirkılıç, Ankara, Turkey 1140 ROOM Lisbon Thematic Session PRESIDENT’S SESSION: SHAPING THE NEXT 30 YEARS Chairs: Jean-Daniel Chiche, Paris, France & Andrew Rhodes, London, United Kingdom 12:00 - 12:20 Defining the specialty Andrew Rhodes, London, United Kingdom 12:20 - 12:40 Refining diagnostics & therapeutics Mervyn Singer, London, United Kingdom 12:40 - 13:00 Redefining the ICU environment Jozef Kesecioglu, Utrecht, Netherlands 13:00 - 13:20 Reinventing clinical trials Derek Angus, Pittsburgh, United States 13:20 - 13:40 Funding research, education and bedside translation Jean-Daniel Chiche, Paris, France 13:40 - 14:00 Attracting and mentoring the stars Margaret Herridge, Toronto, Canada ROOM Berlin Thematic Session MECHANICAL VENTILATION: HOT TOPICS 2012 Chairs: Marco Ranieri, Turin, Italy & Marcelo Amato, Sao Paulo, Brazil 12:00 - 12:20 Monitoring diaphragmatic function during assisted ventilation Antonio Pesenti, Monza, Italy 12:20 - 12:40 Automatised modes. Where do they fit in? Laurent Brochard, Geneva, Switzerland 12:40 - 13:00 Is prone positioning evidence-based? Claude Guérin, Lyon, France 13:00 - 13:20 Should we use muscle relaxants in early ARDS? Laurent Papazian, Marseille, France 13:20 - 13:40 What is the optimal respiratory monitoring strategy in ALI/ARDS? Luciano Gattinoni, Milan, Italy 13:40 - 14:00 Prevention is better than treatment. Changing the ARDS paradigm Patricia Rocco, Rio de Janeiro, Brazil ROOM Barcelona Thematic Session OPTIMAL TISSUE PERFUSION WEDNESDAY 17 OCTOBER Chairs: Can Ince, Rotterdam, Netherlands & Rupert Pearse, London, United Kingdom 200 12:00 - 12:20 Tissue perfusion: Optimising global haemodynamics Jukka Takala, Bern, Switzerland 12:20 - 12:40 Tissue perfusion: Optimising microvascular flow Can Ince, Rotterdam, Netherlands 12:40 - 13:00 Tissue perfusion in sepsis Daniel De Backer, Brussels, Belgium 13:00 - 13:20 Tissue perfusion after high-risk surgery Shaman Jhanji, London, United Kingdom 13:20 - 13:40 Tissue perfusion in trauma Jacques Duranteau, Kremlin-Bicetre, France 13:40 - 14:00 How do we know we are treating poor perfusion? Michael Sander, Berlin, Germany 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Thematic Session FLUID THERAPY IN SEPTIC SHOCK 12:00 - 12:20 Albumin Luciano Gattinoni, Milan, Italy 12:20 - 12:40 Fluid resuscitation vs. GDT: Are they the same thing? Michael Pinsky, Pittsburgh, United States 12:40 - 13:00 HES Anders Perner, Copenhagen, Denmark 13:00 - 13:20 Acid base and fluids: Do they really matter? John Kellum, Pittsburgh, United States 13:20 - 13:40 CVP 8-12 mmHg for everybody? Konrad Reinhart, Jena, Germany 13:40 - 14:00 So… do we know what to do with fluids? Xavier Monnet, Kremlin-Bicetre, France room Rome Continuous Professional Education Session THE BURN PATIENT Chairs: Stijn Blot, Ghent, Belgium & Jeff Lipman, Brisbane, Australia 12:00 - 12:20 Injury assessment Stijn Blot, Ghent, Belgium 12:20 - 12:40 Early ICU management: What you should do Alexandre Mebazaa, Paris, France 12:40 - 13:00 Burn wound infection Jeff Lipman, Brisbane, Australia 13:00 - 13:20 Metabolic needs and nutrition Mette Berger, Lausanne, Switzerland 13:20 - 13:40 Acute kidney injury: Anything special? Eric Hoste, Ghent, Belgium 13:40 - 14:00 Discussion room Glasgow Thematic Session Scientific programme ROOM Geneva Chairs: Richard Beale, London, United Kingdom & Anders Perner, Copenhagen, Denmark SEDATION, ANALGAESIA & DELIRIUM IN CRITICAL CARE Chairs: Jean-Louis Vincent, Brussels, Belgium & Claudia Spies, Berlin, Germany 12:00 - 12:20 Altering intensive care sedation paradigms to improve patient outcomes Jean-Louis Vincent, Brussels, Belgium 12:20 - 12:40 Analgaesia in intensive care Kathleen Puntillo, San Francisco, United States 12:40 - 13:00 Sedation and delirium: An intriguing relationship Claudia Spies, Berlin, Germany 13:00 - 13:20 Sedation in neurological patients: Any difference? Giuseppe Citerio, Monza, Italy 13:20 - 13:40 New drugs: Appreciable advantages? Jukka Takala, Bern, Switzerland 13:40 - 14:00 New guidelines needed? Carol Thompson, Memphis, United States room Stockholm Thematic Session OXYGEN & THE BRAIN: NEW INSIGHTS 12:00 - 12:20 Basic principles: Coupling of oxygen consumption with cerebral blood and energy flow Nino Stocchetti, Milan, Italy 12:20 - 12:40 Acute brain injury: Ischaemia is not the only problem Javier Provencio, Cleveland, United States 12:40 - 13:00 Acute brain injury: Oxygen utilisation is the problem David Menon, Cambridge, United Kingdom 13:00 - 13:20 Non-invasive monitoring of brain oxygen: Is it possible? Jean-François Payen, Grenoble, France 13:20 - 13:40 Invasive monitoring of brain oxygen Mauro Oddo, Lausanne, Switzerland 13:40 - 14:00 What clinical targets should we use? Peter Leroux, Philadelphia, United States + L I V E S 2 012 Visit us at the ESICM Booth Exhibition Area A L ink ing Inno vat ion Vi sion E xcel l ence & S cience WEDNESDAY 17 OCTOBER Chairs: Jean-François Payen, Grenoble, France & Nino Stocchetti, Milan, Italy 201 Scientific programme room Paris QUESTIONS Thematic Session POST-CARDIAC ARREST MANAGEMENT: ANSWERING THE IMPORTANT Chairs: Bernd Böttiger, Heidelberg, Germany & Alain Cariou, Paris, France 12:00 - 12:20 Cooling: How early? Fabio Silvio Taccone, Brussels, Belgium 12:20 - 12:40 Cooling: Does the technique matter? Kjetil Sunde, Oslo, Norway 12:40 - 13:00 Defining targets for brain perfusion and oxygenation Bernd Böttiger, Heidelberg, Germany 13:00 - 13:20 What is the optimal organ support? Martin Dünser, Salzburg, Austria 13:20 - 13:40 Should we add antibiotic prophylaxis? Alain Cariou, Paris, France 13:40 - 14:00 Neurological prognostication in the era of hypothermia Hans Friberg, Lund, Sweden room Vienna Thematic Session THINKING GLOBALLY TO IMPROVE PATIENT CARE Chairs: Andreas Valentin, Vienna, Austria & Rui Paulo Moreno, Lisbon, Portugal 12:00 - 12:20 Intensive care as one step in the clinical course of critical illness Margaret Herridge, Toronto, Canada 12:20 - 12:40 Basic requirements for ICU structure Patrick Ferdinande, Leuven, Belgium 12:40 - 13:00 Basic organisational requirements for ICUs Andreas Valentin, Vienna, Austria 13:00 - 13:20 Human interaction - the key to successful intensive care Elie Azoulay, Paris, France 13:20 - 13:40 How to improve time-dependent processes in the ICU Peter van der Voort, Amsterdam, Netherlands 13:40 - 14:00 Learning from others: ICU networks Bertrand Guidet, Paris, France room Athens State of the Art Session EMERGING THERAPEUTIC OPTIONS FOR AKI Chairs: Michael Joannidis, Innsbruck, Austria & Ravindra Mehta, San Diego, United States 12:00 - 12:20 Albumin Michael Joannidis, Innsbruck, Austria 12:20 - 12:40 Bicarbonate Eric Hoste, Ghent, Belgium 12:40 - 13:00 Alkaline Phosphatase and iNOS inhibition Arie Bastiaan Johan Groeneveld, Amsterdam, Netherlands 13:00 - 13:20 Renal Vasodilators Ravindra Mehta, San Diego, United States room Athens Controversies Session THE ICU PHYSICIAN IS AN ENDANGERED SPECIES Chair: Hans Flaatten, Bergen, Norway Yes Francesca Rubulotta, London, United Kingdom 13:40 - 13:50 No Julian Bion, Birmingham, United Kingdom 13:50 - 14:00 Discussion WEDNESDAY 17 OCTOBER 13:30 - 13:40 202 Try the e-posters experience in the exhibition area 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Hot Topics Session HOT TOPICS SESSION 14:15 - 14:30 Awards winners Richard Beale, London, United Kingdom 14:30 - 14:50 Tight glycaemic control in children influences neurocognitive function after ICU Greet Van den Berghe, Leuven, Belgium 14:50 - 15:10 Daily sedation holidays vs. protocolised sedation: Any difference? Sangeeta Mehta, Toronto, Canada 15:10 - 15:30 The PROSEVA trial: Effect of prone positioning in patients with severe and persistent ARDS. Claude Guérin, Lyon, France 15:30 - 15:50 Albumin for volume replacement in severe sepsis. The ALBIOS trial Luciano Gattinoni, Milan, Italy 15:50 - 16:10 Fluid resuscitation with 6% hes (130/0.4) vs. normal saline. The CHEST trial. John Myburgh, Sydney, Australia 16:10 - 16:30 Standards of care and clinical outcomes for patients undergoing noncardiac surgery. The EuSOS study Rupert Pearse, London, United Kingdom Scientific programme room Lisbon Chairs: Jean-Daniel Chiche, Paris, France & Howard Bauchner, Chicago, United States 30 minutes before the next session? Visit the Replay theatre WEDNESDAY 17 OCTOBER Level 1 - Exhibition Area A - Gallery L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 203 ESICM Faculty List ESICM Declaration of potential conflict of interests The Society wishes to ensure that all those who participate in the Society’s professional, administrative, scientific and educational activities, including speakers and chairpersons at the Annual Congress, have the opportunity to declare any interests they may have which could influence, or might be perceived to influence, their judgement or behaviour. Competing interests may arise from academic, financial, or professional activities and ambitions. These are inevitable, and in many instances do not adversely affect behaviour. Similarly, research and educational relationships with industry are desirable and essential for progress in health care. However, these tensions and relationships provide opportunities for abuse and inappropriate influence. Faculty disclosures are listed below as of 12 September 2012. Abuella, Gihan Bell, Max Chastre, Jean Dünser, Martin London, United Kingdom Stockholm, Sweden Paris, France Salzburg, Austria Ajizian, Samuel Bellingan, Geoffrey Duranteau, Jacques Winston Salem, United States London, United Kingdom Honoraria fees for lectures from Nektar-Bayer Consulting, Covidien. No conflict for session. Benbenishty, Julie Chew, Michelle LFB - Fresenius Kabi. Alonso-Iñigo, José-Miguel Alzira, Spain I have received funds for teaching conferences during last year. Vygon Amato, Marcelo Sao Paulo, Brazil Amrein, Karin Graz, Austria I am investigator in a RCT that is in part funded by Fresenius Kabi. Angus, Derek Pittsburgh, United States Berger, Mette Lausanne, Switzerland Chiche, Jean-Daniel Paris, France Unrestricted research grant. Fresenius Kabi. Chiumello, Davide Bion, Julian Cholley, Bernard Birmingham, United Kingdom Paris, France Blot, Stijn Citerio, Giuseppe Ghent, Belgium Monza, Italy Boemke, Willehad Speakers Bureau. Codman Milan, Italy Berlin, Germany Claassen, Jan Bonten, Marc New York, United States Ferdinande, Patrick Leuven, Belgium Ferguson, Colin Plymouth, United Kingdom Flaatten, Hans Bergen, Norway Fletcher, Nick London, United Kingdom Forni, Lui Worthing, United Kingdom Friberg, Hans Lund, Sweden I am PI of a multicenter NIH trial of EGDT.NIH. I served on the DSMB of PROWESS Shock and I was involved in the initial evaluation of Xigris. Eli Lilly. I study long-term follow-up of sepsis. I have current NIH funds to conduct this work. I conduct RCTs in the critically ill. NIH. Utrecht, Netherlands Clau-Terré, Fernando Böttiger, Bernd Barcelona, Spain Speaker’s bureau, Sponsor of Nicolet Monitors. Carefusion Inc Heidelberg, Germany Combes, Alain Gajic, Ognjen Bouman, Catherine Paris, France Rochester, United States PI of a study supported by MAQUET Patent application for ICU Dashboard, no personal financial relationship or benefit at present Annane, Djillali Brochard, Laurent Amsterdam, Netherlands Bozza, Fernando Rio de Janeiro, Brazil Garches, France Geneva, Switzerland I was a member of the experts panel who revised the guidelines. I’ve been the PI of one RCT on vasopressin antagonist. Leader Of The European Research Reva Network. Reva. Research Grants To The Laboratory. Drager- Maquet- CovidienRespironics Philips- General Electric. Research Grants For Working On The Smartcare Algorithm- For Asv. Drager- Hamilton. Antonelli, Massimo Rome, Italy Azoulay, Elie Paris, France Brun-Buisson, Christian Baatar, Otgon Ulaanbaatar, Mongolia Bakker, Jan Rotterdam, Netherlands Balik, Martin Prague, Czech Republic Bauchner, Howard Chicago, United States Bauer, Michael MOSAR coordinator. EC funded study (FP-6). Canivet, Jean-Luc Liège, Belgium Capuzzo, Maurizia Ferrara, Italy Cariou, Alain Scientifc advisor. Lilly France Baumann, Frédéric Bern, Switzerland Casear, Michaël Leuven, Belgium Beale, Richard London, United Kingdom Beaulieu, Yanick Montreal, Canada Creteil, France Paris, France Jena, Germany 204 Jerusalem, Israel Malmö, Sweden Kremlin-Bicetre, France Cecconi, Maurizio London, United Kingdom Honoraria, travel expenses, advisory board. dwards Lifesciences, LiDCO, Cheetah, Deltex, Applied Physiology, Masimo, Bmeye. 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL Copetti, Roberto Tolmezzo, Italy Csomós, Akos Budapest, Hungary Curtis, J. Randall Seattle, United States Czosnyka, Marek Cambridge, United Kingdom De Backer, Daniel Brussels, Belgium Gattinoni, Luciano Milan, Italy Geeraerts, Thomas Toulouse, France Gerlach, Herwig Berlin, Germany Girbes, Armand Amsterdam, Netherlands Research grants and material for studies.Edwards Lifescience / Vytech. Groeneveld, Arie Bastiaan Johan de Pont, Anne-Cornelie London, United Kingdom Amsterdam, Netherlands De Waele, Jan Ghent, Belgium Deutschman, Clifford Philadelphia, United States Dimopoulos, George Athens, Greece Doig, Gordon Sydney, Australia Dominguez-Gil, Beatriz Madrid, Spain Druml, Wilfred Amsterdam, Netherlands Gruber, Pascale Guérin, Claude Lyon, France Guidet, Bertrand Paris, France Hamilton, Mark London, United Kingdom Haniffa, Rashan Colombo, Sri Lanka Harbarth, Stephan Geneva, Switzerland Coinvestigator of the MOSAR consortium Vienna, Austria Herridge, Margaret S. Du, Bin Toronto, Canada Beijing, China Hiesmayr,Michael Vienna, Austria L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Hofer, Christoph Legrand, Matthieu Mira, Jean-Paul Pinsky, Michael Zurich, Switzerland Paris, France Paris, France Pittsburgh, United States Lecturing fees & research grants. Pulsion Medical Systems/Edwards Lifesciences. Leroux, Peter Honorarium. Eli Lilly Inventor of a US Patent held by the University of Pittsburgh on functional haemodynamic monitoring. US government. Consultant. Edwards, LiDCO, Applied Physiology. Resuscitation mechanisms of tissue injury.NIH Philadelphia, United States Molitoris, Bruce Research Funding. Integra distributes brain oxygen monitor in US Indiana, United States Sponserd Clinical Trials. Velomedix, Philips Levy, Mitchell Honoré, Patrick Providence, United States Member of the medical advisory board of Pulsion Medical Systems Lipman, Jeff Moreno, Rui Paulo Brisbane, Australia Lisbon, Portugal Lojewski, Christian Myburgh, John Berlin, Germany Sydney, Australia Ma, Penglin Navarrete Navarro, Pedro Beijing, China Granada, Spain Macchiarini, Paolo Nolan, Jerry Florence, Italy Bath, United Kingdom Maggiore, Salvatore Oddo, Mauro Rome, Italy Lausanne, Switzerland I have been an advocate of the importance of the microcirculation and have developed tools for monitring it which is why I have conflict of interest Maggiorini, Marco Oliveira, Eduardo Zurich, Switzerland Lisbon, Portugal Mai,a Paulo O’Reilly ,Terry Porto, Portugal London, United Kingdom Jhanji, Shaman Malbrain, Manu Ostermann, Marlies Antwerp, Belgium London, United Kingdom I do research on inflammation in SAH. NIH and Brain Aneurysm Foundation Joannes-Boyau, Olivier Member medical advisory board Pulsion Medical systems Oudemans-van Straaten, Heleen Pugin, Jérôme Geneva, Switzerland Pessac, France Manara, Alexander Amsterdam, Netherlands Joannidis, Michael Bristol, United Kingdom Paiva, José Artur Puntillo, Kathleen Innsbruck, Austria Mancebo, Jordi Jonas, Max Barcelona, Spain Southampton, United Kingdom Marsh, Brian Jones, Christina Dublin, Ireland Liverpool, United Kingdom Martin, Claude Karantza, Maria Marseille, France Athens, Greece Marz, Susanne Kavanagh, Brian Berlin, Germany Toronto, Canada Maury, Eric Kellum, John Paris, France Pittsburgh, United States Mayo, Paul Holzer, Michael Vienna, Austria Brussels, Belgium Consultant. Gambro, Pfizer. Horn, Peter Berlin, Germany Hoste, Eric Ghent, Belgium Ichai, Carole Nice, France Ince, Can Rotterdam, Netherlands London, United Kingdom Grant support. Baxter. New York, United States Kentish-Barnes, Nancy McLean, Antony Paris, France Sydney, Australia Kesecioglu, Jozef McLean, Barbara Utrecht, Netherlands Atlanta, United States Knobel, Elias McWilliams, David Sao Paulo, Brazil Manchester, United Kingdom Köth, Holger Mebazaa, Alexandre Berlin, Germany Paris, France Kwizera, Arthur Mehta, Ravindra Kampala, Uganda San Diego, United States Labeau, Sonia Mehta, Sangeeta Ghent, Belgium Galway, Ireland Larsson, Anders Uppsala, Sweden Lassus, Johan Helsinki, Finland Laterre, Pierre-François Leuven, Belgium Advisory Board, consultant. Kenta, AstraZeneca, Ageenix. L I V E S 2 012 Kremlin-Bicetre, France Poelaert, Jan Brussels, Belgium Poulakou, Garyfallia Athens, Greece Prat, Gwenaël Brest, France Preiser, Jean-Charles Brussels, Belgium Price, Susanna London, United Kingdom Procaccio, Francesco Rome, Italy Provencio, Javier Cleveland, United States Porto, Portugal San Francisco, United States Papazian, Laurent Quintel, Michael Marseille, France Payen, Jean-François Grenoble France Payen de La Garanderie, Didier Paris, France Pearse, Rupert London, United Kingdom Research funding and honoraria. LiDCO Ltd, Circassia Holdings, Covidien Inc, Pulsion Medical Systems, Edwards Lifesciences Pelosi, Paolo Genova, Italy Pelucchi, Giulia Monza, Italy Pène, Frédéric Paris, France Perel, Azriel Tel Aviv, Israel Medical Advisory Board, PulsionConsultant to BMEYE, Perner, Anders Copenhagen, Denmark Gottingen, Germany Advisor of the Dräger, Covidien and Philips Company. Advisor honorarium Ranieri, Marco Turin, Italy Chair of the SC of the prowess shock study- supported by Eli-Lilly. Member of the advisory board of Maquet and Hemodec Rasulo, Frank Brescia, Italy Reinhart, Konrad Jena, Germany Reintam Blaser, Annika Tallin, Estonia Rello, Jordi Barcelona, Spain Ad board or/and speaker bureau. Pfizer, Astellas, Jansen, KENTA, Cubicin, Novartis. Rhodes, Andrew London, United Kingdom Mekontso Dessap, Armand Support for research. B Braun Medical and Fresenius Kabi. Steering committee. Steering committee member of Prowess Shock. Lilly Creteil, France Pesenti, Antonio Monza, Italy Ricou, Bara Melot, Christian Brussels, Belgium Peters, Mark Menon, David London, United Kingdom Toronto, Canada Laffey, John Monnet, Xavier Geneva, Switzerland Rocco, Patricia Rio de Janeiro, Brazil Cambridge, United Kingdom Roes, Kit Metnitz, Philipp Utrecht, Netherlands Vienna, Austria Romand, Jacques-André Michalsen, Andrej Geneva, Switzerland Tettnang, Germany L ink ing Inno vat ion Vi sion E xcel l ence & S cience 205 Ronco, Claudio Sprung, Charles Vincent, Jean-Louis Vicenza, Italy Jerusalem, Israel Brussels, Belgium Rooyackers, Olav Stocchetti, Nino Voga, Gorazd Stockholm, Sweden Milan, Italy Celje, Slovenia Rosa, Ana Storti, Enrico Walder, Bernhard Lisbon, Portugal Milan, Italy Geneva, Switzerland Rothen, Hans Ulrich Sunde, Kjetil Weber-Carstens, Steffen Bern, Switzerland Oslo, Norway Berlin, Germany Rouby, Jean-Jacques Suter, Peter Wendon, Julia Paris, France Geneva, Switzerland London, United Kingdom Rowan, Kathryn Taccone, Fabio Silvio Wernerman, Jan London, United Kingdom Brussels, Belgium Stockholm, Sweden Chief Investigator for ongoing early, goal-directed, resuscitation trial. Hold academic research grant for above. Grant Research. Benechill Takala, Jukka Woittiez Arend, Jan Rubulotta, Francesca London, United Kingdom Sander, Michael Berlin, Germany Sanders, Robert United Kingdom I have spoken on the same topic at the canadian society of anesthesiologists meeting. This was supported by Hospira. Schortgen, Frédérique Creteil, France Schröder, Torsten Berlin, Germany Amsterdam, Netherlands Sharshar, Tarek Singer, Mervyn London, United Kingdom Years ago I sat on a UK advisory board and got occasional speaker’s fees. Lilly. Have received speaker fees and sat on advisory board from manufacturer. Orion UCL hold shares in the company. I get unrestricted grants into my research fund and I receive consultancy fees from them. Deltex Medical. Am a clinical PI in the UK PROMISE multicentre trial on EGDT. UK Dept of Health. Am doing studies with UK Ministry of Defence and Immunexpress on early diagnostics in sepsis, and Oxford Optronix for early diagnosis of organ hypoperfusion Sitzwohl, Christian Vienna, Austria Beijing, China Zanier, Elisa Milan, Italy Zapol, Warren Boston, United States I Receive Royalties on inhaled NO. Linde and Ikaria Corps.. Teboul, Jean-Louis Kremlin-Bicetre, France Member of the medical advisory board of Pulsion Medical Systems Thiery, Guillaume Paris, France Memphis, United States Timsit, Jean-François Research grants from Astellas, Gilead, and Merck. university Grenoble 1 Torres, Antonio Barcelona, Spain Research grant from Pfizer. Toussaint, Susanne Berlin, Germany Truog, Bob Boston, United States Valentin, Andreas Vienna, Austria Valenza, Franco Milan, Italy Van den Berghe, Greet Leuven, Belgium van der Voort, Peter Amsterdam, Netherlands Via, Gabriele Paiva, Italy Slama, Michel Vieillard-Baron, Antoine Amiens, France Boulogne, France Slooter, Arjen Utrecht, Netherlands Slowinsky, Thorsten Berlin, Germany Received speaking fees and grants. Fresenius Medical Care, Germany 206 Xi Xiu, Ming Grenoble, France Paris, France Berlin, Germany My deparatment has had a research contract on three clinical trials on demedetomidine- I have no personal conflict of interest, and I have received no financial benefits from any source in context of this topic. Orion Pharmaceuticals (my department’s source of research contract) Almelo, Netherlands Thompson, Carol Schultz, Marcus Spies, Claudia Bern, Switzerland GE, Maquet, Lilly Vignon, Philippe Limoges, France Vigué, Bernard Kremlin-Bicetre, France Loan of transcranial Doppler machine in the departement. Atis medical 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 industry sponsored sessions L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 207 FACULTY LIST - INDUSTRY SPONSORED SESSIONS 208 Javier Belda Valencia Spain Max Bell Stockholm Sweden Rafael Cantón Madrid Spain Lakhmir Chawla Washington United States Pierre Dechelotte Rouen France Björn Ellger Munster Germany Luc Foubert Aalst Belgium Alexandre Guerrini Saint Avertin France Walter Hasibeder Ried Im Innskrels Austria Leo Heunks Nijmegen Netherlands Carole Ichai Nice France Samir Jaber Montpellier France Pierre Kalfon Chartres France Rudolf W.M. Keunen The Hague Netherlands Rafael Manez Barcelona Spain Ricardo Matos Lisbon Portugal Shay McGuinness Auckland New Zealand William Lancelot Michell Cape Town South Africa Andrea MorellI Rome Italy Paolo Navalesi Alessandria Italy Rachael Parke Auckland New Zealand Mathieu Raux Paris France Daniel Reuter Hamburg Germany Jean-Damien Ricard Paris France Jean-Christophe Richard Geneva Switzerland Roberto Roncon de Albuquerque Porto Portugal Alain Rudiger Zurich Switzerland Nigel Scawn Liverpool United Kingdom Alexander Soriano Barcelona Spain John Stover Zurich Switzerland Miguel Tavares Leça da Palmeira Portugal Hugo Van Aken Munster Germany Richard Weiskopf Tiburon United States Tobias Welte Hanover Germany Martin Westphal Munster Germany Wolfram Windisch Cologne Germany João Wink Porto Portugal 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Chair: Marco Maggiorini, Zurich, Switzerland & TBA 12:30 - 12:35 Introduction Marco Maggiorini, Zurich, Switzerland 12:35 - 13:10 The KDIGO AKI Guideline: Implications for Clinical Practice Daniel De Backer, Brussels, Belgium 13:10 - 13:45 Renal Recovery After Acute Kidney Injury: Clinical and Health Economic Considerations Max Bell, Stockholm, Sweden 13:45 - 14:00 Discussion ROOM Berlin Industry Sponsored Session THE FUTURE OF GLUCOSE MONITORING IN THE ICU Chairs: Carole Ichai, Nice, France & Jean-Charles Preiser, Brussels, Belgium 12:30 - 13:00 Frequency of measurement and optimised glycaemic control in the ICU Djillali Annane, Garches, France 13:00 - 13:30 Emerging technologies for automated glucose monitoring Nigel Scawn, Liverpool, United Kingdom 13:30 - 14:00 Clinical experience with the GlucoClear Continuous Glucose Monitoring System Luc Foubert, Aalst, Belgium ROOM BARCELONA Industry Sponsored Session Individualised nutritional strategies in ICU Chairs: Martin Dünser, Salzburg, Austria & Jukka Takala, Bern, Switzerland 12:30 - 12:35 Welcome and introduction 12:35 - 12:55 Adequate nutrition: Did we learn enough to change the practice? Jean-Daniel Chiche, Paris, France 12:55 - 13:15 Energy requirement: Do we need to measure? Jan Wernerman, Stockolm, Sweden 13:15 - 13:35 Barriers to Enteral Nutrition: GI dysfunction in ICU patients Stephan Jakob, Bern, Switzerland 13:35 - 13:55 Can Early Enteral Nutrition prevent gut dysfunction? Gordon Doig, Sydney, Australia 13:55 - 14:00 Question & Answer Session ROOM Geneva Industry Sponsored Session GOOD CLINICAL NUTRITION PRACTICE Chairs: Pierre Dechelotte, Rouen, France & Mette Berger, Lausanne, Switzerland 12:30 - 12:35 Introduction Pierre Dechelotte, Rouen, France 12:35 - 13:15 Is it worth adapting the energy and protein intake to the patient’s individual requirements? Mette Berger, Lausanne, Switzerland 13:15 - 13:55 Glutamine for the intensivist John Stover, Zurich, Switzerland 13:55 - 14:00 Concluding remarks Pierre Dechelotte, Rouen, France ROOM Rome Industry Sponsored Session SPONSORED SESSIONS room Lisbon Industry Sponsored Session New Clinical Perspectives on the Management of Critically Ill Patients with Acute Kidney Injury MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER 209 INDUSTRY SPONSORED SESSIONS BRAIN MONITORING IN ICU: WHY AND HOW? Chairs: Giuseppe Citerio, Monza, Italy & Can Ince, Rotterdam, Netherlands 12:30 - 12:40 Introduction Can Ince, Rotterdam, Netherlands 12:40 - 13:05 Importance of NIRS Monitoring in ICU after cardiac surgery Rudolf Keunen, The Hague, Netherlands 13:05 - 13:30 Monitoring oxygen delivery in high risk surgery: Evidence and new possibilities? Maurizio Cecconi, London, United Kingdom 13:30 - 13:55 Sedation Management in ICU with processed EEG technology Rafael Manez, Barcelona, Spain 13:55 - 14:00 Questions and Conclusion Can Ince, Rotterdam, Netherlands L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 209 SPONSORED SESSIONS ROOM GLASGOW Industry Sponsored Session The role of betablockers in sepsis Chairs: Jean-François Timsit, Grenoble, France & Mervyn Singer, London, United Kingdom 12:30 - 12:40 Opening Remarks Mervyn Singer, London, United Kingdom 12:40 - 13:00 The physiologic basis of haemodynamics treatment in sepsis and septic shock Walter Hasibeder, Ried Im Innkreis, Austria 13:00 - 13:20 Preclinical data suppporting betablockers rationale in sepsis Alain Rudiger, Zurich, Switzerland 13:20 - 13:40 Betablocker use in septic patient: Experience of a single centre pilot Andrea Morelli, Rome, Italy 13:40 - 13:50 Panel question session 13:50 - 14:00 Concluding comments Mervyn Singer, London, United Kingdom ROOM Stockholm Industry Sponsored Session CHANCE OF SUCCESS IN NIV OPTIMISING PATIENT-VENTILATOR INTERACTION AND Chairs: Massimo Antonelli, Rome, Italy & Paolo Navalesi, Alessandria, Italy 12:30 - 13:00 An overview of NIV ventilation Paolo Navalesi, Alessandria, Italy 13:00 - 13:30 Why does NIV fail? Is there a role for NIV NAVA? Leo Heunks, Nijmegen, Netherlands 13:30 - 14:00 NIV NAVA in the post-operative setting Mathieu Raux, Paris, France ROOM Paris Industry Sponsored Session NEW AKI BIOMARKERS: A REVOLUTION IN RISK ASSESSMENT Chairs: Eric Hoste, Ghent, Belgium & Claudio Ronco, Vicenza, Italy MONDAY 15 OCTOBER 12:30 - 12:40 Introduction Claudio Ronco, Vicenza, Italy 12:40 - 13:20 New biomarkers: A revolution in risk assessment John Kellum, Pittsburgh, United States 13:20 - 14:00 Expert panel on AKI and Risk Assessment Eric Hoste, Ghent, Belgium Patrick Honoré, Brussels, Belgium Michael Joannidis, Innsbruck, Austria John Kellum, Pittsburgh, United States Lakhmir Chawla, Washington, United States ROOM Vienna Industry Sponsored Session OPTIFLOW™ - EXTENDING THE BOUNDARIES OF OXYGEN THERAPY: LATEST TRIAL RESULTS AND EVOLVING CLINICAL EXPERIENCE Chairs: John Laffey, Galway, Ireland & Salvatore Maggiore, Rome, Italy 210 12:30 - 13:00 Recent advances in nasal high flow with Optiflow™ Jean-Damien Ricard, Paris, France 13:00 - 13:30 Latest trial results and clinical experience in the cardiothoracic population Rachael Parke, Auckland, New Zealand 13:30 - 13:45 Latest trial results and clinical experience in the cardiothoracic population Shay McGuinness, Auckland, New Zealand 13:45 - 14:00 Optiflow™ during bronchoscopy João Wink, Porto, Portugal 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 Philips 12:30 - 12:50 Bundles of joy - reducing harm on the ICU 12:50 - 13:00 Discussion 13:00 - 13:20 Breaking walls - saving lives! The impact of MET-systems 13:20 - 13:30 Discussion 13:30 - 13:50 Keep it simple, keep it safe: Early recognition of patient deterioration and impact on ICU performance 13:50 - 14:00 Discussion Tamas Szakmany, Llantrisant, United Kingdom Jens-Christian Schewe , Bonn, Germany Chris Subbe , Wrexham, United Kingdom ROOM Geneva Industry Sponsored Session MANAGEMENT OF INTRA-ABDOMINAL HYPERTENSION: DON’T LET THE PRESSURE TAKE CONTROL - COVATEC Chairs: Claudia Spies, Berlin, Germany & Ricardo Matos, Lisbon, Portugal 18:15 - 18:35 Definitions and epidemiology on abdominal hypertension and abdominal compartment syndrome: Past, present and future Manu Malbrain, Antwerp, Belgium 18:35 - 18:55 Clinical experience on management of intra-abdominal hypertension Jordi Rello, Barcelona, Spain 18:55 - 19:15 Medical management of abdominal hypertension: What is new? Manu Malbrain, Antwerp, Belgium ROOM Stockholm Industry Sponsored Session EFFECTIVE GLYCAEMIA CONTROL Chairs: Michael Hiesmayr, Vienna, Austria & Jean-Charles Preiser, Brussels, Belgium 18:15 - 18:35 Glycaemia in ICU: State of the art Björn Ellger, Munster, Germany 18:35 - 18:55 Patient-specific glycaemic control software in the ICU setting Alexandre Guerrini, Saint Avertin, France 18:55 - 19:15 Computer-assisted glucose regulation in critically ill patients: A proof of concept study Pierre Kalfon, Chartres, France ROOM Vienna Industry Sponsored Session THERMO FISHER GUIDING ANTIBIOTIC THERAPY TO TACKLE RESISTANCE FORMATION Chairs: Jean Chastre, Paris, France & Tobias Welte, Hanover, Germany 18:15 - 18:20 Introduction - Status of antibiotic resistance in ICUs Tobias Welte, Hanover, Germany 18:20 - 18:45 Antibiotic resistance: From underlying mechanisms to the patients in the ICU Rafael Cantón, Madrid, Spain 18:45 - 19:10 Antibiotic guidance in the ICU Jérôme Pugin, Geneva, Switzerland 19:10 - 19:15 Summary of symposium Tobias Welte, Hanover, Germany L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience SPONSORED SESSIONS Industry Sponsored Session MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER ROOM Athens Chairs: Tamas Szakmany, Llantrisant, United Kingdom & Hans Flaatten, Bergen, Norway 211 SPONSORED SESSIONS TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER 212 ROOM Berlin Industry Sponsored Session HAEMODYMANIC MONITORING Chairs: Maurizio Cecconi, London, United Kingdom & Jean-Louis Vincent, Brussels, Belgium 12:30 - 13:00 Haemodynamic optimisation: Is it cost-effective? Maurizio Cecconi, London, United Kingdom 13:00 - 13:30 Integration of haemodynamic data at the bedside Jean-Louis Vincent, Brussels, Belgium 13:30 - 14:00 Application of a new transpulmonary thermodilution technique Christoph Hofer, Zurich, Switzerland ROOM Barcelona Industry Sponsored Session STRATEGIES & BENEFIT PICCO FOR HAEMODYNAMIC MONITORING: INDICATIONS, Chairs: Jean-Louis Teboul, Kremlin-Bicetre, France & Javier Belda, Valencia, Spain 12:30 - 13:00 Benefit of early optimised critical care patient management with PiCCO Daniel Reuter, Hamburg, Germany 13:00 - 13:30 Consequences of haemodynamic monitoring strategies in septic shock patients Jean-Louis Teboul, Kremlin-Bicetre, France 13:30 - 14:00 Solving therapeutic conflicts in ARDS - clinical case studies Azriel Perel, Tel Aviv, Israel ROOM Geneva Industry Sponsored Session VOLUME MANAGEMENT IN TRAUMA, SURGERY, AND ICU Chairs: Charles Sprung, Jerusalem, Israel & Hugo Van Aken, Munster, Germany 12:30 - 13:00 Volume management in trauma William Lancelot Michell, Cape Town, South Africa 13:00 - 13:30 Volume management in acute resuscitation Richard Weiskopf, Tiburon, United States 13:30 - 14:00 Volume management in ICU Martin Westphal, Munster, Germany ROOM Rome Industry Sponsored Session EMERGING THERAPEUTIC OPTIONS FOR THE ICU PATIENT Chairs: Miguel Tavares, Leça da Palmeira, Portugal & Mervyn Singer, London, United Kingdom 12:30 - 13:00 Dexmedetomidine and levosimendan - new studies, novel insights Mervyn Singer, London, United Kingdom 13:00 - 13:30 Sedation, immunomodulation and delirium Robert Sanders, United Kingdom 13:30 - 14:00 Pharmacological strategies to improve weaning from mechanical ventilation Leo Heunks, Nijmegen, Netherlands ROOM GLASGOW Industry Sponsored Session we ensure optimal outcomes MRSA nosocomial pneumonia today: how can Chairs: Jean-François Timsit, Grenoble, France & Tobias Welte , Hanover, Germany 12:30 - 12:35 Welcome and introduction Tobias Welte, Hanover, Germany 12:35 - 13:00 How do I ensure appropriate therapy for my patients with MRSA nosocomial pneumonia? Alexander Soriano, Barcelona, Spain 13:00 - 13:25 How can I avoid the pitfalls of MRSA VAP diagnosis and treatment Jean Chastre, Paris, France 13:25 - 13:50 What do the MSRA nosocomial pneumonia guidelines mean for me? Tobias Welte, Hanover, Germany 13:50 - 14:00 Q&A 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 ON THE WAY TO PERFECT SYNCHRONY 12:30 - 13:00 Diaphragm dysfunction at ICU (VIDD) - clinical implications Samir Jaber, Montpellier, France 13:00 - 13:30 PAV+ - what European experts think about it Jean-Christophe Richard, Geneva, Switzerland 13:30 - 14:00 Patient ventilator synchrony - intensivists daily nightmare? Case presentation and interactive discussion Laurent Brochard, Geneva, Switzerland ROOM Paris Industry Sponsored Session CO2 REDUCTION, SOMETHING WE SHOULD CARE ABOUT! Chairs: Antonio Pesenti, Monza, Italy & Alain Combes, Paris, France 12:30 - 13:00 How much CO2 is too much CO2? Wolfram Windisch, Cologne, Germany 13:00 - 13:30 CO2 Removal in early ARDS, a paradigm change? Alain Combes, Paris, France 13:30 - 14:00 CO2 Removal, the fast line in the emergency room? Roberto Roncon de Albuquerque, Porto, Portugal L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience SPONSORED SESSIONS Industry Sponsored Session TUESDAY 16 OCTOBER MONDAY 15 OCTOBER SUNDAY 14 OCTOBER saturday 13 OCTOBER ROOM Stockholm Chairs: Massimo Antonelli, Rome, Italy & Laurent Brochard, Geneva, Switzerland 213 O T T O N ! S IS M Highlights of the Congress Level 0 WI-FI CAFÉS POSTER CORNERS Exhibition Areas (A & B) Exhibition Area A & B and on Level 1 and in the LIFE-PRIORTY Area Looking for a Wi-Fi access? Then go down to the Exhibition Area, where you can sit down, relax and have a coffee while using our connection! Berlin Exhibition Area A Between 10:10 until 12:00 and 14:00 until 15:50, abstract presenters will discuss their data in Poster Corner sessions moderated by world-class experts. Presenters will be allowed a 4-minutes presentation followed by a 3-minutes time window for comments and discussion by the audience and the chairpersons. Exhibition Area B Main Entrance LIFE-PRIORITY Connecting Area INTERACTION in front of the Congress Centre Come live all the stages of the “Wheels of Life” tour in the 3D TECHNO TENT of LIFE-PRIORITY! An amazing tour and thousands of lives saved! in Rooms Athens, Berlin, Rome O T T O N ! S IS M Highlights of the Congress Level 1 REPLAY THEATRE OVERFLOW AREAS In front of Room Athens, in front of Room Rome and on Level 2 Exhibition Area A (on the Gallery) Start by checking out the programme of the Replay Theatre. Then take the opportunity to watch lectures, which have recently been given, on a large screen with high-fidelity audio. Replay Theatre powered by CYIM In the interest of allowing optimal access for all sessions, we offer overflow spaces. When session in Rooms Paris & Athens are full, we transmit audio/video from these session Rooms in front of Room Athens. The same process applies for Rooms Rome & Berlin in front of Room Rome and for Rooms Vienna & Barcelona on Level 2. e-POSTERS Exhibition Area A (on the Gallery) Look into posters of your choice or let the “most viewed” statistics direct you to the hot topics of the Congress. Post comments, ask questions on the data presented, and engage in scientific communication with authors through a userfriendly interface. Rome Level 2 Exhibition Area A Athens ESICM Members Lounge Main Foyer Visit the ESICM Members Lounge! Relax, refresh and network with other members. Special Highlight: Watch LIVE broadcasts in the iPad Bar. INTERACTION in Rooms Athens, Berlin, Rome exhibition list & guide LIST OF EXHIBITORS COMPANY Area Booth A/B N° COMPANY Area Booth A/B N° ALERE B 48 IMDSOFT A 1 ALUNG TECHNOLOGIES A 40 INTEGRA B 53 ASTELLAS FARMA B 65 INTENSIVE CARE MONITOR B 63 ASTUTE MEDICAL A 19 INTENSIVE CARE SOCIETY B 56 B. BRAUN MELSUNGEN A 14 INTERSURGICAL A 27 BARD A 9 ISICEM B 62 BAXTER HEALTHCARE A 7 KARL STORZ A 6 BELLCO A 39 KIMAL A 44 BIOTEST B 57 KIMBERLY-CLARK HEALTH CARE A 29 BRAEDIUS MEDICAL B 67 LIDCO A 33 CNSYSTEMS MEDIZINTECHNIK A 34 LINET GROUP A 21 CODMAN - JOHNSON&JOHNSON B 58 MAQUET A 30 CONVATEC A 4 MEDTRONIC A 35 COOK MEDICAL A 38 MITSUBISHI PHARMA EUROPE B 64 COVIDIEN A 28 NESTLÉ HEALTH SCIENCE A 12 CYTOSORBENTS EUROPE A 43 NIHON KOHDEN EUROPE A 22 DRAEGERWERK A 18 NOVALUNG B 51 EDWARDS LIFESCIENCES A 11 ORION PHARMA A 10 ESA B 61 PHILIPS MEDICAL SYSTEMS B 54 ESICM A 5 PULSION MEDICAL SYSTEMS A 15 ESTOR A 36 SCCM B 59 FISHER & PAYKEL HEALTHCARE A 24 SIEMENS A 45 FRESENIUS KABI DEUTSCHLAND A 17 SPRINGER B 52 FRESENIUS MEDICAL CARE A 31 STARMED A 26 GAMBRO LUNDIA A 16 SWISSTOM B 47 GE HEALTHCARE A 13 TELEFLEX A 3 GLYCOCHECK A 32 TERUMO EUROPE A 42 HAMILTON MEDICAL A 23 THE JAMA NETWORK B 49 HILL-ROM B 55 THERMO FISHER SCIENTIFIC A 25 HOLLISTER A 20 TORAY MEDICAL A 37 HOSPITECH RESPIRATION A 41 WFSICCM CONGRESS B 60 ICU MANAGEMENT B 66 WISEPRESS MEDICAL BOOKSHOP B 46 IMACOR A 8 ZOLL MEDICAL B 50 MAP EXHIBITION LEVEL 0 Level 0 Exhibitor Booth Poster Corner Exhibitor Booth Poster Corner Catering Catering Exhibitor Helpdesk 25 24 27 26 45 Lounge Area Faro 23 22 20 21 19 9 8 Fatima First Aid Evora First Aid 44 7 63 62 61 43 28 Area B18 6 10 Exhibition Exhibition Area A 42 34 33 32 Cascais54 15 55 59 60 11 58 Guarda Geneva Coimbra 64 30 65 66 67 14 Beja 31 L I V E S 2 012 12 IM1 3 IM5 IM450 49 48 46 47 51 52 53 54 57 56 Funchal IM2 Guarda 59 60 IM4 Geneva 55 Braga 4 61 IM3 35 58 17 57 56 16 29 51 Estoril 52 53 62 IM5 Exhibition Area B IM3 41 40 50 39 49 48 46 47 38 37 36 63 Catering Area Catering Area ESICM Booth Catering Area Map - Exhibition ion Funchal 64 65 66 67 IM1 IM2 2 13 1 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 217 GUIDE TO EXHIBITION BoothArea Name It is the exhibitor’s responsability to submit a description with no errors in grammar and spelling. BoothArea Name 48BALERE ALERE primary areas of focus are cardiology, infectious disease, women’s health, oncology and toxicology. We see several opportunities to develop innovative health management programs in these areas, supported by advanced diagnostic and monitoring tools, that will help people look after themselves better. We also expect to acquire technologies and products that, over time, will allow for our expansion into new medical issues, but our efforts will continue to be focused on enabling individuals to take charge of their health at home. ARD pioneered the development of single-patient-use medical products for hospital procedures; today BARD is dedicated to pursuing technological innovations that offer superior clinical benefits while helping to reduce overall costs. 40AALUNG TECHNOLOGIES BARD’s core values of Quality, Integrity, Service, and Innovation represent our reality and our aspirations. These four values prepare us for the challenges ahead and guide our everyday activities and align us to our mission. They are central to how we behave and want to be viewed by our fellow co-workers, customers, shareholders and communities. ALung Technologies has developed the Hemolung Respiratory Assist System (RAS), a dialysis-like alternative or supplement to mechanical ventilation. The Hemolung RAS provides Respiratory DialysisTM, a simple, less invasive form of extracorporeal CO2 removal. By removing carbon dioxide and delivering oxygen directly to the blood, the Hemolung RAS allows the patient’s lungs to rest and heal. Applications of the device include preventing intubation in acute exacerbation of chronic obstructive pulmonary disease (COPD) and enabling ultraprotective ventilation in acute respiratory distress syndrome (ARDS). Baxter International Inc., through its subsidiaries, develops, manufactures and markets products that save and sustain the lives of people with hemophilia, immune disorders, infectious diseases, kidney disease, trauma and other chronic and acute medical conditions. As a global, diversified healthcare company, Baxter applies a unique combination of expertise in medical devices, pharmaceuticals and biotechnology to create products that advance patient care worldwide. 65 BASTELLAS FARMA 39ABELLCO Astellas is one of the leading pharmaceutical companies in the world. As a young, forward thinking company with a rich heritage, Astellas is dedicated to improving peoples’ lives through the introduction of innovative and reliable pharmaceutical products. In everything we do we are guided by our ethos of CHANGING TOMORROW to create a brighter future for all our stakeholders - above all for patients. In Europe, Astellas’ strategic focus and core expertise lie in the therapy areas of Transplantation, Urology, Dermatology, Anti-Infective and Pain Management. In addition, Astellas is committed to growing a strong presence in the field of Oncology. Bellco. The right therapy way 19AASTUTE MEDICAL Astute Medical is committed to improving patient outcomes through the identification and validation of unique biomarkers. Our measurement methods help rapidly assess high-risk acute conditions and diseases. By incorporating useful clinical tools, we help healthcare professionals provide rapid, accurate and life-saving responses. 14AB. BRAUN MELSUNGEN New Concepts for safer Infusion Therapy and Acute Dialysis B. Braun, a globally operating family owned company with more than 43,000 employees. With innovative & state-of-the-art products focused on clinical safety, B. Braun leads the changing demands in health care around the world. 218 9ABARD C. R. Bard, Inc. is a leading multinational developer, manufacturer, and marketer of innovative, life-enhancing medical technologies in the product fields of: Vascular, Urology, Oncology and Surgical Speciality. 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL 7ABAXTER HEALTHCARE Bellco offers worldwide therapeutic systems for blood purification in Dialysis, Intensive Care and Cardiology. Bellco focus is on personalised treatments. Customised therapeutic options are common to the three new devices: AMPLYA (Acute); FLEXYA (Chronic); CARPE DIEM (Neonatal). Bellco stands out for the Collaborative Research with the goal of sharing innovation with the medical-scientific community. Upon these premises, Bellco provides its contribution to the Collaborative Research Club. Complex clinical conditions, such as those of patients in Intensive Care, require a really integrated approach. The Bellco’s all-embracing offer provides a completely new outlook on acute patients. 57BBIOTEST Biotest is a developing pharmaceutical and biotherapeutic company, with headquarters in Germany, which specialises in the areas of immunology and haematology. Biotest produces plasmaproteins which are used in the treatment of diseases of the immune and haematopoietic systems and has a worldwide distribution network. As the global market leader in hyperimmunoglobulins and the exclusive manufacturer of an IgM-enriched immunoglobulin, Biotest considers itself as a provider of special solutions for the prevention and therapy of life-treatment of haemophilia A and B. Currently our research is focussed on a number of monoclonal antibodies which will have a place in the treatment of various autoimmune diseases. Biotest employs more than 1,600 people worldwide. L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 BoothArea Name 34A BoothArea Name CNSYSTEMS MEDIZINTECHNIK CNSystems is technology leader in the development of non-invasive medical devices designed for real-time evaluation of all medical conditions characterised by rapid and short-term changes in haemodynamics. With its CNAP® Monitor 500, the company succeeded in revolutionizing the method of non-invasive continuous blood pressure monitoring in Anaesthesiology and perioperative care. CNAP® PPV is CNSystems’ latest non-invasive development and provides essential information on the fluid status of the patient for an even better haemodynamic optimization during surgery. 58B CODMAN - JOHNSON&JOHNSON 43A CYTOSORBENTS EUROPE CytoSorbents Corp., USA,is a therapeutic device company using blood purification to modulate the immune system and fight multi-organ failure in life-threatening illnesses. Its purification technology is based on biocompatible, highly porous polymer beads that can actively remove toxic substances from blood by pore capture and adsorption. In 2011, CytoSorb® achieved CE approval as an extracorporeal cytokine filter, and can now be sold under the CE Mark to be used in clinical situations where cytokines are elevated. The goal of CytoSorb® is to modulate the immune system by reducing “cytokine storm” in critically ill patients that could otherwise lead to deadly inflammation, multiple organ failure, immune dysfunction, and often death in sepsis, trauma, burn injury, ARDS, pancreatitis and other SIRSyndromes. Our Mission: To deliver life-saving neuro solutions and support you can count on 18A Codman, a division of Johnson & Johnson, is a global neuroscience company that develops and markets a wide range of devices and solutions for the diagnosis and treatment of neurological disorders including: · critical care, · trauma and tumour, · adult and paeditatric hydrocephalus, · pain & spasticity, · aneurysms and acute ischemic stroke. Draeger. Technology for Life® The Draegerwerk AG & Co. KGaA is an international leader in the fields of medical and safety technology. Draeger products protect, support and save lives. The current product range of the medical division includes anaesthesia workstations, ventilators for emergency and critical care as well as warming therapy for premature infants. Patient monitoring, IT solutions, accessories and consumables, ceiling supply units, light systems and central supply systems for medical gases complete the portfolio. The Draeger Group is currently present in more than 190 countries and has about 11,000 employees worldwide. www.draeger.com The company’s leading solutions include programmable as well as fixed pressure shunt systems, antimicrobial impregnated catheters, intra-cranial pressure monitoring devices, electro-surgery and cranial closure products, drug pumps, interventional neurovascular coils, catheters, vascular reconstruction and thrombectomy devices. 4A CONVATEC ConvaTec is a leading developer of innovative medical technologies that have helped improve the lives of millions of people worldwide. In Ostomy Care, Wound Therapeutics, Continence and Critical Care, and Infusion Devices - ConvaTec products support health care professionals from hospital to community health settings. 38A COOK MEDICAL A global pioneer in medical breakthroughs, Cook Medical is committed to creating effective solutions that benefit millions of patients worldwide. Today, we combine medical devices, drugs, biologic grafts and cell therapies across more than 16,000 products serving more than 40 medical specialties. Cook manufactures the Dolphin BT Ciaglia Balloon-Assisted Tracheostomy Introducer, the Tiger 2Self-Advancing Nasal Jejunal Feeding Tube and Spectrum® Minocycline/Rifampin catheters. We look forward to meeting you at ESICM 2012. 28A COVIDIEN Covidien is a leading global healthcare products company that creates innovative medical solutions for better patient outcomes and delivers value through clinical leadership and excellence. Covidien manufactures, distributes and services a diverse range of industry-leading product lines in three segments: Medical Devices, Pharmaceuticals and Medical Supplies. With 2011 revenue of $11.6 billion, Covidien has 41,000 employees worldwide in more than 65 countries, and its products are sold in over 140 countries. L I V E S 2 012 DRAEGERWERK 11AEDWARDS LIFESCIENCES At Edwards Lifesciences, we strive to provide you with the valuable information you need for tailored perioperative optimization and haemodynamic management of the ICU patient. From the very first Swan-Ganz pulmonary artery catheter to the FloTrac sensor and PediaSat oximetry catheter, to the latest VolumeView set and EV1000 clinical platform, our goal remains the same.. to provide you with the choice in how you manage the haemodynamics of your critically ill population. 61BEUROPEAN SOCIETY OF ANAESTHESIOLOGY (ESA) 5AEUROPEAN SOCIETY OF INTENSIVE CARE MEDICINE (ESICM) The European Society of Intensive Care Medicine (ESICM) is an international non profit-making association of doctors, nurses, physiotherapists and other allied healthcare professionals. The Society, which has over 6,000 active members, is devoted to the promotion of intensive care medicine, the advancement of scientific research, as well as the provision of educational courses and professional development in the field. More information about ESICM’s objectives and activities (including Membership, EDIC, PACT, Educational Courses and ongoing Research and Scientific studies / projects) is available at the ESICM booth. All ESICM members are also welcome to visit the ESICM Members Lounge: An exclusive meeting place reserved for ESICM members to network, refresh and relax. L ink ing Inno vat ion Vi sion E xcel l ence & S cience 219 BoothArea Name BoothArea Name 36AESTOR 13AGE HEALTHCARE Estor S.p.A. is a medical device company specialised in the promotion and sales of high-quality biomedical devices in the fields of haemodialysis, ICU and haemodynamics. GE Healthcare provides transformational medical technologies and services that are shaping a new age of patient care. Our broad expertise in medical imaging and information technologies, medical diagnostics, patient monitoring systems, drug discovery, biopharmaceutical manufacturing technologies, performance improvement and performance solutions services help our customers to deliver better care to more people around the world at a lower cost. In addition, we partner with healthcare leaders, striving to leverage the global policy change necessary to implement a successful shift to sustainable healthcare systems. Estor S.p.A. is committed in enhancing the quality of life giving its contribution to the clinical research in the perspective of reaching the correct scientific and marketing positioning of the whole assortment. Estor S.p.A. was created in 1999 with the aim to expand the offer of the medical Supply department of Hoechst, from which it is born through a spin-off. ESTOR S.p.A. created ProLUNG®, an innovative extracorporeal CO2 removal system concerned for patients with acute respiratory failure. 24A FISHER & PAYKEL HEALTHCARE Fisher & Paykel Healthcare has been specialised in respiratory humidification for 40 years. Based in New-Zealand, our company develops and produces innovative solutions for both hospital care and homecare: heated humidifiers and single use patient kits and interfaces for respiratory therapies, from invasive ventilation to oxygen therapy. One of our last innovations consists in the new respiratory support system Optiflow. Optiflow is a simply better oxygen therapy 17A FRESENIUS KABI DEUTSCHLAND Fresenius Kabi is dedicated to the therapy and care of critically and chronically ill patients inside and outside the hospital by providing intravenously administered drugs, infusion therapies, clinical nutrition and related medical devices. The company applies its long-standing expertise in pharmaceuticals and medical devices to support clinical staff and care professionals in the best therapy of patients. For more information about Fresenius Kabi, visit the company’s website at www.fresenius-kabi.com. 31A FRESENIUS MEDICAL CARE Fresenius Medical Care is the world’s largest integrated provider of products and services for individuals undergoing dialysis because of kidney failure, a condition that affects more than 2.1 million individuals worldwide. The company also provides a wide range of products for hemodialysis and peritoneal dialysis such as hemodialysis machines, dialyzers and related disposable products. With innovative dialysis products and therapies we define highest standards for the treatment of the patients. 16AGAMBRO LUNDIA Gambro is a global medical technology company and a leader in developing, manufacturing and supplying products and therapies for Kidney and Liver dialysis, Myeloma Kidney Therapy, and other extracorporeal therapies for Chronic and Acute patients. For decades, Gambro has been first to market with many groundbreaking innovations. By designing and delivering solutions to dialysis clinics and intensive care units, Gambro offers not just improved treatment quality, but also improved efficiency. Gambro was founded in 1964 and has today 7 500 employees, 13 production facilities in 9 countries, and sales in more than 100 countries. 220 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL For more information about GE Healthcare, visit our website at http:// www.gehealthcare.com. 32AGLYCOCHECK GlycoCheck is a leading provider of imaging solutions based on an innovative measurement system of the Glycocalyx layer. GlycoCheck solutions facilitate the accurate, reliable and non-invasive selection, detection & monitoring of patients in intensive care, cardiology and internal medicine. GlycoCheck ICU is an innovative software solution that measures this Glycocalyx layer accurately, in real time. The measurement itself is performed non-invasively with a camera device that is placed under the patient’s tongue. What does that mean for you? •You will be able to assess microcirculation more accurately as well as a patient’s response to current and new treatments •You can perform the measurements non-invasively •GlycoCheck ICU provides you with a unique parameter to monitor a patient’s well-being over time 23AHAMILTON MEDICAL HAMILTON MEDICAL was born from a passion to improve the lives of ventilated patients and the people who care from them. HAMILTON MEDICAL began 1983 with a new generation of intelligent microprocessor controlled intensive care ventilators featuring revolutionary new modes and diagnostic tools. Today HAMILTON MEDICAL maintains this tradition with the world’s finest ICU ventilation technologies and a total dedication to Intelligent Ventilation by offering a full range of ventilation solutions, from clinical to mobile ICU. Intelligent Ventilation respiratory care solutions from HAMILTON MEDICAL deliver a unique combination of: ease of use, improved patient outcome and efficiency through innovation resulting into World’s first full closed loop ventilation INTELLiVENT-ASV. 55BHILL-ROM Hill-Rom® is a leading worldwide manufacturer and provider of medical technologies and related services for the health care industry, including patient support systems, safe mobility and handling solutions, non-invasive therapeutic products for a variety of acute and chronic medical conditions, medical equipment rentals, and information technology solutions. Hill-Rom’s comprehensive product and service offerings are used by health care providers across the health care continuum and around the world in hospitals, extended care facilities and home care settings to enhance the safety and quality of patient care. L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 BoothArea Name BoothArea Name 20AHOLLISTER 1AIMDSOFT Hollister Incorporated is recognised for its innovation in the manufacture of quality Critical Care, Ostomy, Continence Care, and Wound Care products in over 90 countries. iMDsoft is a leading provider of Clinical Information Systems for critical, perioperative, and acute care environments. The company’s flagship family of solutions, the MetaVision Suite, was first implemented in 1999. It captures, documents, analyzes, reports and stores the vast amount of patient-related data generated in a hospital. iMDsoft products demonstrate a 100% customer retention rate. Hospitals worldwide including 4 of the top 10 US hospitals and 13 of the top 50 European hospitals - use MetaVision to improve care quality, enhance financial results, support research and promote compliance with government, payor, and hospital protocols. Hollister Critical Care partners with healthcare providers to help optimise patient care and reduce costs related to skin health and infection control. The AnchorFast® Oral Endotracheal Tube Fastener is designed to help prevent the formation of lip ulcers and optimise oral care. The InstaFlo® Bowel Catheter System is designed to be easy to use, and to help minimise the need for clinician intervention. In every line of our company’s products, our overriding goal and commitment is to make a difference in the journey of life. 41AHOSPITECH RESPIRATION HOSPITECH RESPIRATION focuses on developing a platform technology and products aiming at improving the mechanical ventilation procedure and reducing the rate of mechanical ventilation complications. The ANAPNOGUARD technology by Hospitech provides continuous, closed-loop control of air leakage and optimization of the ET tube’s cuff pressure. The control is based on CO2 monitoring above the cuff, where high CO2 level above the cuff indicates a leak. It also provides automated, effective evacuation of secretions from above the cuff. The device and ET tubes are CE cleared & the tubes are FDA cleared. 1st pilot clinical study has been successfully completed in Europe, a 2nd study is ongoing and a multi centre study is planned for end of 2011 through 2012. Initial sales in Europe are expected to start in 2012. 66BICU MANAGEMENT ICU Management is the Official Management and Practice Journal of the International Symposium on Intensive Care and Emergency Medicine (ISICEM) and is working in close collaboration with the most important international associations and congresses. Based on the most recent clinical developments, the journal focuses on best practice, efficiency, better value-for-money investments, cost savings, ethics, optimal patient and staff satisfaction. Produced four times per year under the stewardship of Prof. Jean-Louis Vincent and international editorial board, the journal has become the point of reference in the increasingly sophisticated area of critical care and emergency medicine. 8AIMACOR ImaCor, an innovator in critical care solutions, has developed the first and only haemodynamic transesophageal echocardiography (hTEE™) device designed for management of haemodynamically unstable patients. ImaCor’s hTEE is the only technology which provides direct visualization and is continuously available to optimise cardiac performance for advanced patient care and decreased overall cost. Designed with perioperative specialists in mind, hTEE facilitates superior utilization of hospital resources and complies with performance-based measures of effectiveness in critical care. hTEE has rapidly become the foremost haemodynamic assessment and management tool by clinicians at leading hospitals around the world. 53BINTEGRA Integra develops, manufactures and markets implants and surgical instruments used in neurosurgery, spine surgery, reconstructive surgery, orthopaedic surgery and general surgery. Integra was founded in 1989, as the result of innovation in the first artificial dermal regeneration matrix composed of collagen. From this initial technological achievement, Integra went on to develop the first dural regeneration matrix, a pioneer step into the domain of neurosurgery which established Integra one of the key player in this field. With leading products and brands in Neurosurgery and Neuro Critical Care, (Mayfield®, Cusa Excel®, DuraGen®, OSVII®, Licox®, Camino®, Accudrain®, Radionics®), Integra is one of the professional’s preferred partner. 63BINTENSIVE CARE MONITOR Intensive Care Monitor is an evidence-based, current awareness journal for the busy intensivist. Each issue has specially written, extended abstracts of original papers which impact on critical care, mainly RCTs, meta-analyses and systematic reviews. Papers are graded for evidence level, with an expert comment from a leading international specialist, summed up by a ‘bottom line’. Symbols denote papers of special interest, such as ‘hot topic’, bright idea’ et. Every issue carries selfassessment questions, making it ideal for Journal Clubs. Now in its 19th year, ICM is available six times a year in either a printed or e-version or a combination of both. An index is published for each year. Subscriptions can be taken out or renewed using our website. The journal is a must for the clinician who wants to be better informed. 56BINTENSIVE CARE SOCIETY The Intensive Care Society is the oldest intensive care society in the world with a growing membership of around 3000 members. It is the UK representative body for intensive care professionals, patients and relatives. The Society is dedicated to the delivery of the highest quality of critical care to patients in the UK and support and education to its members. 27AINTERSURGICAL Intersurgical manufacture & supply a complete range of respiratory care products for use in Intensive Care & Emergency areas. The Intersurgical product range covers all respiratory requirements from the patient connection through to the equipment offering the complete solution to your needs. - A complete range of breathing systems for adults, paediatrics and neonatesavailable in Smoothbore, Flextube and Compact tube - Active humidification systems - Patient connections - Resuscitation systems - Breathing Filters & Heat & Moisture Exchangers - Oxygen & Aerosol Therapy Products - A new range of CPAP Breathing Sytems & C-PEEP value valves The Intersurgical range for Quality, Innovation & Choice. L I V E S 2 012 L ink ing Inno vat ion Vi sion E xcel l ence & S cience 221 BoothArea Name BoothArea Name 62BINTERNATIONAL SYMPOSIUM ON INTENSIVE CARE AND EMERGENCY MEDICINE (ISICEM ) LiDCO develops manufactures and markets medical devices primarily for Critical Care and Anaesthesia patients. The objective of this four day symposium is to review concepts and technology and present recent advances in the management of the critically ill patients. The symposium includes formal presentations as well as practical discussions such as tutorials, round tables, pro-con debates, “meet the experts”, etc. Original scientific posters will also be presented. The meeting is open to all physicians, nurses and other allied health professionals interested in intensive care and emergency medicine. Language: English 6AKARL STORZ KARL STORZ is a renowned manufacturer that is well established in all fields of endoscopy and can be considered as market leader in rigid endoscopy. The still family held company was founded in 1945 in Tuttlingen, Germany, and has grown to one with a worldwide presence and 5800 employees. KARL STORZ offers a range of both rigid and flexible endoscopes for a broad variety of applications. Today’s product range also includes fully integrated concepts for the OR and servicing. 44AKIMAL KIMAL is a leading supplier of medical products in over 70 countries worldwide. At ESICM we are launching our revolutionary ranges of ALTIUS and ALTIUS Ultra Central Venous Catheters. These offer unparalleled flexibility - higher flow rates with no increase in size or CT capability. Our Ultra range is designed to guarantee contrast media delivery at 10ml/sec under 300 psi. All sets come complete with the Altius Guidewire Introducer for both adult and paediatric guidewires there is no easier or smoother introducer available. We offer sets with a choice of guidewires made of stainless steel or Nitinol. We invite you to see how we are moving Central Venous Catheters into the 21st Century! 29AKIMBERLY-CLARK HEALTH CARE Kimberly-Clark understands the complex issues you face to prevent, diagnose and manage VAP. We are committed to help you protect your patients from VAP, by providing effective clinical solutions to address the risk factors: - Keeping the ventilator circuit closed Promoting comprehensive & routine oral care Lowering the risk of micro-aspiration of secretions past the ETT cuff Facilitating a distal airway sample for the diagnosis of VAP Kimberly-Clark* KimVent* VAP Solutions: a wide range of innovative products & solutions, clinical education, in-service training, web-based resources & compliance programs - all designed to help you provide consistent & comprehensive care for your patients. 33A LIDCO The LiDCOplus™ monitor provides a range of haemodynamic parameters including beat to beat cardiac output (CO), oxygen delivery (DO2), stroke volume (SV), systemic vascular (SVR), blood pressure (BP) and dynamic preload parameters (PPV and SVV). LiDCO also offers the LiDCOrapid™ Haemodynamic Monitor which is designed to facilitate fast and effective fluid management across the perioperative environment. LiDCO’s validated technology has been shown to reduce complications by 40% and length of stay by an average of 12 days for high risk surgical patients (Pearse et al Critical Care). 21A LINET GROUP LINET Group is a leading manufacturer and worldwide distributor of a diverse portfolio of hospital and nursing care beds, mattresses, furniture and complete service solutions to hospitals, nursing and retirement homes. With a yearly production of more than 66,000 beds and sales in over 100 countries, Group belongs to leaders on the European market. The company’s long-standing success is above all based on its innovations, which help define the standard of quality in modern medical care. LINET Multicare bed for ICU & CCU ward is equipped with several unique features and functions. It aids in the prevention of pulmonary complications in long term immobile patients, and facilitates many therapeutic and diagnostic procedures. It eases physically demanding procedures, saving time and reducing caregiver workload. 30AMAQUET MAQUET is a global leader in medical systems; surgical interventions, cardiovascular procedures and critical care. MAQUET develops and designs innovative products and therapeutic applications for OR, hybrid OR/cath lab, ICU and patient transport within acute care hospitals. MAQUET offers CARDIOHELP as the main ICU product, used as a platform for several disposables: HLS for veno-venous membrane oxygenation and veno-arterial heart lung support; PALP (pump assisted lung protection) for CO2 removal. The Critical Care portfolio includes market-leading intensive care ventilators SERVO-i® and anaesthesia solutions FLOW-i®. MAQUET also equips Surgical Workplaces flexible room design for OR and ICU. www.maquet.com MAQUET - The Gold Standard. 35AMEDTRONIC Medtronic is the global leader in medical technology- alleviating pain, restoring health, and extending life for millions of people around the world. Medtronic develops and manufactures a wide range of products and therapies with emphasis on providing a complete continuum of care to diagnose, prevent and monitor chronic conditions. Every five seconds, somewhere in the world, a person’s life is saved or improved by a Medtronic product or therapy. Medtronic Hospital Critical Care develops and manufactures subcutaneous continuous glucose monitoring technology. By utilizing 10 years of glucose management expertise and engineering technology focused on the critical care patient, the business is well placed to distinguish itself as a global leader in glucose management within the hospital setting. 222 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 BoothArea Name BoothArea Name 64BMITSUBISHI PHARMA EUROPE 54BPHILIPS MEDICAL SYSTEMS Mitsubishi Pharma Europe is the European Headquarters of one of Japan’s largest pharmaceutical companies, Mitsubishi Tanabe Pharma Corporation. Philips is one of the world’s leading technology companies, with a long history of practical innovation and visionary design. In healthcare, we are committed to understanding the human and technological needs of patients and caregivers. We believe this understanding will help us deliver solutions that not only enable more confident diagnoses and more efficient delivery of care, but also improve the overall experience of care. We offer equipment, software, and services for imaging, patient monitoring, resuscitation and much more. People focused. Healthcare simplified. Based in London, Mitsubishi Pharma Europe is engaged in the clinical development of new drugs for the European markets. Mitsubishi Pharma Europe is conducting trials in Europe in the following therapy areas; cardiovascular, diabetes and renal conditions. The staff include regulatory, QA, clinical, biostatistics, medical information, pharmacovigilance, pharmaceutical technology and marketing. 12ANESTLÉ HEALTH SCIENCE Nestlé Health Science makes a positive difference to the nutritional health, well-being and quality of life of people through innovative, medically recognised nutritional solutions. Our solutions help optimise the nutritional intake of people who aim to combat disease, recover or stay healthy. Our range addresses various nutritional needs and related services including patient and healthcare professional education and training. Innovations are developed with Nestlé Institute of Health Sciences and the Nestlé R&D network. The Institute enables a deeper understanding of interactions between chronic disease, lifestyle and nutrition, which enables Nestlé Health Science to develop new products. 22ANIHON KOHDEN EUROPE NIHON KOHDEN is one of Japan’s leading players in medical technology development and manufacturing, and has subsidiaries and representative offices in Europe, the US, and the Middle and Far East. “Fighting Disease with Electronics” - our corporate philosophy - reflects the high standards we have set ourselves in combating disease by developing medical systems, contributing to higher quality of life for patients. Our product range focuses on patient monitoring, cardiology (ECG equipment and defibrillators) as well as neurology (EEG, EMG and EP). NIHON KOHDEN electronic medical equipment is known for its high quality, ease of use and safe, secure handling. 51BNOVALUNG “Solutions for Lung Failure”: Novalung’s mission is to create new solutions for the treatment of lung failure with innovative artificial lungs that “breathe” outside the patient’s body. Imagine a world in which many patients in the Intensive Care Unit are not placed in an artificial coma so that they can tolerate mechanical ventilation, but rather experience their treatment while awake and breathing easily and spontaneously. Patients who can communicate, eat and drink. This can become reality when an iLA® therapy is used to support the breathing process. The new allrounder for lung failure, iLA activve®, covers the full range of respiratory support: from highly effective carbon dioxide elimination to complete oxygenation. 10AORION PHARMA Orion is an innovative European R&D-based pharmaceuticals and diagnostics company with an emphasis on developing medicinal treatments and diagnostic tests for global markets. Orion Pharma’s critical care product portfolio includes two own proprietary molecules, the cardioprotective inodilator levosimendan (Simdax®) for treatment of acute heart failure, and the alpha2-agonist dexmedetomidine (Dexdor®) for sedation of patients in intensive care units. L I V E S 2 012 15APULSION MEDICAL SYSTEMS Founded more than 20 years ago in Munich Pulsion has become a leading specialist in haemodynamic monitoring since many years and provides the clinician with a variety of technologies to optimise the haemodynamic management of patients on ICU and in the OR: · Transpulmonary thermodilution technique for cardiac output, preload and lung water measurements (PiCCO) · Fiberoptic continuous measurement of the central venous oxygen saturation via standard CVC (CeVOX) · Non-invasive evaluation of the liver function and the splanchnic perfusion with indocyanine green dye (LiMON) · Non-calibrated CO Trend measurement via standard arterial line (ProAQT) · Monitoring platform with a modular concept enables patient centred flexibility (PulsioFlex) 45ASIEMENS Siemens Healthcare Diagnostics is the leading clinical diagnostics company in the world. We are committed to providing clinicians with the vital information they need for the accurate diagnosis, treatment and monitoring of patients. Our comprehensive portfolio of performance-driven systems, unmatched menu offering and IT solutions, in conjunction with highly responsive service, is designed to streamline workflow, enhance operational efficiency and support improved patient care. The depth and breadth of our diagnostic solutions chemistry, immunoassay, automation, hematology, hemostasis, microbiology, diabetes, urinalysis, blood gas and molecular testing are designed to meet the growing demands of our customers, today and tomorrow. 59BSOCIETY OF CRITICAL CARE MEDICINE (SCCM) The Society of Critical Care Medicine is the only multiprofessional, international organization devoted to securing the highest quality care for all critically ill and injured patients. With 16,000 members worldwide, the Society is the only professional organization devoted exclusively to ensuring excellence in the practice of critical care through education, research and advocacy. 52BSPRINGER Springer is one of the leading international scientific publishing companies, publishing some 2,000 journals and more than 7,00 new book titles every year in the STM sector. Springer publishes “Intensive Care Medicine,” the official journal of the ESICM, and many more relevant books and journals in this interesting field. L ink ing Inno vat ion Vi sion E xcel l ence & S cience 223 BoothArea Name BoothArea Name 26ASTARMED 25ATHERMO FISHER SCIENTIFIC STARMED, located in the most advanced biomedical district in Europe (the Mirandola Area / North Italy) is among the companies that have been developing for decades high tech medical devices for the benefit of millions of patients all over the world. Since its foundation in 1992, the company’s mission was to develop efficient devices for CPAP and non-invasive ventilation therapies, continuously improving the technical / functional features of its product: The Helmet, the most comfortable interface for CPAP therapy and N.I.V. available in adult, children and infant models. BRAHMS GmbH, Part of Thermo Fisher Scientific, specialises in innovative products which facilitate earlier diagnosis of diseases and better control of therapy, thus enabling doctors to provide more efficient and economic patient care. STARMED also created the “Ventumask”, an innovative device for easy CPAP also in ambulance and emergency. 47BSWISSTOM Swisstom´s innovative electrical impedance tomography (EIT) displays the breathing lung directly on a monitor screen, making it visible to everyone. Like watching a movie, caregives can, for the first time, see precisely what is going on in their patient’s chest. Right at the bedside, they get real-time feedback on therapeutic measures they take. Unlike other systems, Swisstom’s EIT hugs the patient’s chest like a second skin. 37ATORAY MEDICAL Toray Medical is a medical device company. Major business field is intensive care medicine, hemodialysis and cardiovascular. Our products are originated from Toray’s polymer chemistry and nanotechnology. A medical device for acute blood purification is one of the major products. Toraymyxin, blood endotoxin adsorption device for the treatment of severe sepsis and septic shock has been used clinically since 1994 in Japan. Clinical application has been progressing in some EU countries and Asian countries. Two multicentric randomised control studies, EUPHRATES in North America and ABDO-MIX in France are now enrolling the patients. 60B 3ATELEFLEX Teleflex is a leading global provider of specialty medical devices for diagnostic and therapeutic procedures in critical care, urology and surgery. Our mission is to provide solutions that enable healthcare providers to improve outcomes and enhance patient and provider safety. We specialise in devices for general and regional anaesthesia, cardiac care, respiratory care, urology, vascular access and surgery, serving healthcare providers in more than 130 countries. WFSICCM CONGRESS Newly designed NON-DEHP-free ETT, ISIS convertible ETT and laryngeal masks with integrated Cuff Pilot complement our extensive range in airway management (ET and tracheostomy tubes). We also offer products for humidification & filtration; oxygen and aerosol therapy; temperature management; regional anaesthesia and vascular access. The 11th Congress of the World Federation of Societies of Intensive and Critical Care Medicine which will take place in Durban, South Africa from August 28 and September 1, 2013. South Africa has long been a centre of excellence in the field of Intensive and Critical Care in Africa. Our Scientific Committee has combined the local talent with a list of international experts to create what promises to be an exceptional programme. The focus of the programme is “Critical Care for all - providing more for less”. We hope to highlight the need for rational utilization of precious critical care resources, thus making it accessible to as many patients as possible. This will undoubtedly be one of the best medical conferences in 2013. It will provide an unprecedented opportunity to learn more about critical care in different contexts. 42ATERUMO EUROPE 46B Terumo, a global medical devices company of Japanese origin, is renowned for the high quality and technical innovation of its products. By supplying innovative IV treatment devices with a strong emphasis on safety, easiness-of-use and quality, Terumo Europe Medical Products is putting healthcare professionals in the pole position when treating their patients. Wisepress.com, Europe’s leading conference bookseller, has a complete range of relevant books and journals which can be purchased at the stand or, if you would rather not carry them, posted to you - Wisepress will deliver worldwide. We also have a comprehensive medical and scientific online bookshop with great offers. With a vast and innovative product range for both anaesthesia and intensive care, Terumo Europe Medical Products supports healthcare professionals all over Europe. ZOLL Medical Corporation develops and markets medical devices and software solutions that help advance emergency care and save lives, while increasing clinical and operational efficiencies. With products for defibrillation and monitoring, circulation and CPR feedback, data management, fluid resuscitation, and therapeutic temperature management, ZOLL provides a comprehensive set of technologies which help clinicians, EMS and fire professionals, and lay rescuers treat victims needing resuscitation and critical care. ZOLL develops and manufactures its products in the United States. More than 400 direct sales and service representatives, 1,100 business partners, and 200 independent representatives serve our customers in over 140 countries around the globe. Please visit Terumo’s booth for your personal appointment to learn more. 49BTHE JAMA NETWORK The JAMA Network is a consortium of peer-reviewed print and online medical publications, published by the AMA Publishing Group, that includes JAMA and 9 specialty Archives Journals, including Archives of Internal Medicine, Archives of Paeditatrics & Adolescent Medicine, Archives of Dermatology, Archives of General Psychiatry, Archives of Neurology, Archives of Ophthalmology, Archives of OtolaryngologyHead & Neck Surgery, Archives of Surgery, and Archives of Facial Plastic Surgery. 224 Major fields of activity are diagnosis of infectious and thyroid diseases, cardiology and pneumology as well as sepsis, tumors, and Down’s syndrome. 25th Annual Congress 13-17 October 2012 ccl - lisbon - PORTUGAL 50B WISEPRESS MEDICAL BOOKSHOP ZOLL MEDICAL L ink ing Inno vat ion Vi sion E xcel l ence & S cience L I V E S 2 012 INTRODUCING A NEW ERA IN ICU SEDATION: Effective sedation. Effective response. Depend on dexdor ®: • Maintain light-to-moderate sedation* • Improve patient manageability* [dexmedetomidine hcl] injection • Facilitate better patient communication* • Decrease time to extubation* * Jakob S et al. JAMA 2012;307(11):1151-1160, Riker RR et al. JAMA 2009; 301(5):489-99 Cooperative comfortable sedation Indication: Sedation of adult ICU patients requiring sedation level not deeper than arousal in response to verbal stimulation (RASS 0 to -3). Dosage and administration: Hospital use only, by healthcare professionals skilled in management of patients requiring intensive care. Administer only as diluted intravenous infusion using controlled infusion device. Dexmedetomidine is very potent and the infusion rate is given per hour. Switch patients already intubated and sedated to dexmedetomidine with initial infusion rate of 0.7 micrograms/kg/h and adjust stepwise within range 0.2 to 1.4 micrograms/kg/h to achieve desired sedation level. Consider lower starting infusion rate for frail patients. After dose adjustment, new steady state sedation level may not be reached for up to one hour. Do not exceed maximum dose of 1.4 micrograms/kg/h. Switch patients failing to achieve an adequate level of sedation with maximum dose to an alternative sedative agent. Loading dose not recommended. Administer propofol or midazolam if needed until clinical effects of dexdor ® established. No experience in use of dexdor ® for more than 14 days. Use for longer than this period should be regularly reassessed. Elderly: No dosage adjustment required. Renal impairment: No dosage adjustment required. Hepatic impairment: Caution advised; consider reduced dose. Children aged 0-18 years: Safety and efficacy not established. Contraindications: Hypersensitivity to dexmedetomidine or the excipients. Advanced heart block (grade 2 or 3) unless paced. Uncontrolled hypotension. Acute cerebrovascular conditions. Warnings and precautions: Intended for use in intensive care setting, use in other environments not recommended. Continuous cardiac monitoring required. Monitor respiration in non-intubated patients. Do not use as induction agent for intubation or to provide sedation during muscle relaxant use. dexdor ® reduces heart rate and blood pressure but at higher concentrations causes peripheral vasoconstriction and hypertension. Not suitable in patients who will not tolerate lack of deep sedation and easy rousability. Users should be ready to use alternative sedative for acute control of agitation or during procedures, especially during the first few hours of treatment. Caution with: pre-existing bradycardia; high physical fitness and slow resting heart rate; pre-existing hypotension, hypovolaemia, chronic hypotension or reduced functional reserve; severe ventricular dysfunction; the elderly; impaired peripheral autonomic activity (e.g. due to spinal cord injury); ischaemic heart disease or severe cerebrovascular disease; severe hepatic impairment; severe neurological disorders such as head injury and after neurosurgery. Reduce dose or discontinue if signs of myocardial or cerebral ischaemia. Additive effects may occur with other substances with sedative or cardiovascular actions. Some patients receiving dexdor ® have been observed to be arousable and alert when stimulated; this alone should not be considered as evidence of lack of efficacy. Do not use as sole treatment in status epilepticus. Consider possibility of withdrawal reaction if patient develops agitation and hypertension shortly after stopping dexmedetomidine. Not recommended in malignant hyperthermia-sensitive individuals. Discontinue treatment in event of sustained unexplained fever. Undesirable effects: Very common (>1/10): Bradycardia, hypotension, hypertension. Common (1>100 to <1/10): Hyperglycaemia, hypoglycaemia, agitation, myocardial ischaemia or infarction, tachycardia, nausea, vomiting, dry mouth, withdrawal syndrome, hyperthermia. Uncommon (1>1,000 to <1/100): Metabolic acidosis, hypoalbuminaemia, hallucination, atrioventricular block first degree, cardiac output decreased, dyspnoea, abdominal distension, drug ineffective, thirst. See SPC for further details. Pack sizes: 5 x 2 ml ampoules; 25 x 2 ml ampoules;4 x 4 ml vials; 4 x 10 ml vials Marketing authorisation holder: Orion Corporation, Orionintie 1, FI-02200 Espoo, Finland. dexdor ® is a registered trademark. Date of Prescribing Information: Sep 2011. www.dexdor.eu dexdor_ad-276x210-CompText.indd 1 14.08.12 10:21 For physicians, nurses and other allied healthcare professionals. > abStract SUbmiSSion DeaDline : 19 april 2013 for more information, contact european society of intensive care medicine (esicm) www.esicm.org Congress Department rue belliard 19 - 1040 brussels belgium Tel: +32 (0)2 559 03 75 - Fax: +32 (0)2 559 03 79 paris2013@esicm.org