Anaesthesia, Pharmacology, Intensive Care and Emergency A.P.I.C.E.: Proceedings of the 25th Annual Meeting - International Symposium on Critical Care Medicine

253 Pages·2014·3.147 MB·English

by  Younsuck Koh (auth.), Antonino Gullo (eds.)

Anaesthesia,
Pharmacology, Intensive
Care and Emergency
A.P. I.C.E. 25
Proceedings of the
25th Annual Meeting –
International
Symposium on
Critical Care Medicine
Antonino Gullo
Editor
123
APICE 25
Antonino Gullo
Editor
Anaesthesia,
Pharmacology, Intensive
Care and Emergency
A.P.I.C.E.
Proceedings of the 25th Annual
Meeting – International Symposium
on Critical Care Medicine
123
Editor
Antonino Gullo
Department of Anesthesiaand Intensive Care,
School ofMedicine
Catania UniversityHospital
Catania
Italy
ISBN 978-88-470-5515-5 ISBN 978-88-470-5516-2 (eBook)
DOI 10.1007/978-88-470-5516-2
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Contents
Part I Advances on Intensive and Critical Care Medicine
1 Combining Clinical Practices and Technology
in Critical Care Medicine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Younsuck Koh
2 Ultrasound in Critical Care: A Holistic Discipline. . . . . . . . . . . . 13
Daniel A. Lichtenstein
3 Assessment and Management of Circulatory Failure . . . . . . . . . . 23
Kamen Valchanov
4 Simulation in Anaesthesia and Intensive Care. . . . . . . . . . . . . . . 39
Paolo Persona and Carlo Ori
Part II Trauma
5 Trauma Care Organisation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Roderick Mackenzie, Simon Lewis and Basil F. Matta
Part III Cardiovascular System
6 Cardiovascular Risk in Non-cardiac Surgery. . . . . . . . . . . . . . . . 75
Luca Ferdinando Lorini and Lorenzo Filippo Mantovani
Part IV Kidney
7 Continuous Renal Replacement Therapy:
Challenges and Evidences. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Giorgio Berlot and Antoinette Agbedjro
v
vi Contents
Part V Lung
8 Postoperative Respiratory Complications. . . . . . . . . . . . . . . . . . . 99
Maria Vargas, Yuda Sutherasan and Paolo Pelosi
9 Old and New Strategies on Artificial Ventilation
in ARDS Patients. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Paolo Pelosi, Maria Vargas and Iole Brunetti
10 Minimally Invasive Thoracic Surgery . . . . . . . . . . . . . . . . . . . . . 121
Marcello Migliore
Part VI Severe Infections, Sepsis and MODS
11 Diagnosis of Ventilator-Associated Pneumonia. . . . . . . . . . . . . . . 135
Luciano Silvestri, Hendrick K. F. van Saene and Serena Tomasino
12 Rationale of Antibiotics Anti-MRSA in Pneumonia . . . . . . . . . . . 143
Francesco Scaglione
13 The Role of Microbiology for Diagnosis of Fungal Infections. . . . 149
Salvatore Oliveri and Laura Trovato
14 Sepsis and Organ(s) Dysfunction. . . . . . . . . . . . . . . . . . . . . . . . . 157
A. Gullo, C. M. Celestre, A. L. Paratore, L. Silvestri
and H. K. van Saene
15 Immunoglobulin as Adjunctive Therapy in Sepsis . . . . . . . . . . . . 193
Massimo Girardis, Giulia Serafini and Ilaria Cavazzuti
Part VII Cardiac Arrest: Optimization of Current Protocols
16 Determinants for More Efficient Defibrillation Waveforms. . . . . . 203
Yongqin Li and Bihua Chen
17 Post-Resuscitation Hypothermia and Monitoring. . . . . . . . . . . . . 219
Tommaso Pellis, Filippo Sanfilippo, Andrea Roncarati
and Vincenzo Mione
Contents vii
Part VIII Humanization
18 Palliative Care in Pediatric Patients . . . . . . . . . . . . . . . . . . . . . . 233
Marinella Astuto, Giuliana Arena, Rita Scalisi and Carmelo Minardi
19 End of Life Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 243
Cristina Santonocito
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 253
Acronyms
ABA American Board of Anaesthesiologists
ACCP American College of Chest Physicians
ACHF Advanced congestive heart failure
ACS American College of Surgeons
AECC American–European Consensus Conference
AEDs Automatic external defibrillators
AKI Acute kidney injury
ALF Alveolar lining fluid
AND Allow natural death
APACHE Acute physiology and chronic health evaluation
APACHE II Acute physiology and chronic health evaluation II
APRV Airway pressure release ventilation
ARDS Acute respiratory distress syndrome
ASA American Society of Anesthesiologists
ATIII Antithrombin III
AUC/MIC Area under the concentration-time curve and the minimum
inhibitory concentrations
BAL Bronchoalveolar lavage
BCs Blood cultures
BG 1,3-beta-d-glucan antigen
BLUE-protocol Bedside lung ultra sound in emergency
BMI Body mass index
BNP Brain natriuretic peptide
BSIs Bloodstream infections
BTE Biphasic truncated exponential
CA Cardiac arrest
CAGTA Candida albicans IFA IgG for germ tube antibody detection
CA-MRSA Community-acquired MRSA
CDC Centers of disease control and prevention
CFU Colonies forming units
CHF Congestive heart failure
CHVVVH High volume continuous veno-venous hemofiltration
CI Confidence interval
CO Cardiac output
ix
x Acronyms
COPD Chronic obstructive pulmonary disease
CPAP Continuous positive airway pressure
CPIS Clinical pulmonary infection score
CPP Coronary perfusion pressure
CPR Cardiopulmonary resuscitation
CRRT Continuous renal replacement therapy
CRRT Continuous renal replacement treatments
CTARP Cambridgeshire trauma audit and research project
CUH Cambridge university hospitals
CVP Central venous pressure
CVVH Continuous veno-venous hemofiltration
CXR Chest radiograph
DFT Defibrillation threshold
DM Diabetes mellitus
DNR Do-not-resuscitate
DPAHC Durable power of attorney for health care
DVT Deep venous thrombosis
EAPC European association for palliative care
EBM Evidence based medicine
ECG Electrocardiogram
ECMO Extracorporeal membrane oxygenation
ED Emergency department
EEG Electroencephalography
EFISG European Fungal Infection Study Group
EGDT Early goal directed therapy
ELISA Enzyme-linked immunosorbent assay
EMRs Electronic medical records
EMS Emergency medical service
EoE East of England
EORTC/MSG European Organization for Research in the Treatment of
Cancer/Mycosis Study Group
ER Emergency rooms
ERC European Resuscitation Council
ESBL Extended-Spectrum-b-Lactamase
ESCMID European Society of Clinical Microbiology and Infectious
Diseases
EtCO2 End-tidal CO
2
EUSOS European surgical outcomes study
FALLS-protocol Fluid administration limited by lung sonography
FEVI Forced expiratory volume (in 0.1 sec)
FRC Functional residual capacity
GCS Glasgow coma scale
GERD Gastroesophageal reflux disease
GM Galactomannan
GUCH Grown up congenital heart disease
Acronyms xi
HAP Hospital-acquired pneumonia
HCAP Health care-associated pneumonia
HF Heart failure
HPE Hemodynamic pulmonary edema
HPS Human patient simulator
hrAPC Human recombinant activated protein C
IABP Intra-aortic balloon pump
IAP Intraabdominal pressure
IC Invasive candidiasis
ICD Implantable cardioverter-defibrillator
ICPCN International children’s palliative care network
ICU Intensive care units
IFD Invasive fungal diseases
IFIs Invasive fungal infections
Ig Immunoglobulin
IHD Intermittent haemodialysis
IL-1 Interleukin 1
IL-4 Interleukin 4
IL-6 Interleukin 6
IL-8 Interleukin 8
ILCOR International Liaison Committee on Resuscitation
IMPaCCT International meeting for palliative care in children, Trento
IRT Intermittent renal treatments
IS Incentive spirometry
ISS Injury severity score
IT Information technology
LAS VEGAS Local assessment of ventilatory management during general
anaesthesia for surgery
LUCI-FLR Lung ultrasound in the critically Ill favoring limitation of
radiographies
LUS Lung ultrasound
LWMH Low weight molecular heparin
MAP Mean arterial pressure
METs Metabolic Equivalent
MIC Minimum inhibitory concentration
MIE Mini-invasive esophagectomy
MITS Minimally invasive thoracic surgery
MODS Multiple organ dysfunction syndrome
MRSA Meticillin-resistant S. aureus
MSSA Methicillin-susceptible S. aureus
MTC Major Trauma Centre
MW Molecular weight
NAO National Audit Office
NCAG Clinical Advisory Groups
NCCN National comprehensive cancer network