Supplement 2 September 2010
Abstracts 23rd ESICM Annual Congress Barcelona, Spain 9–13 October 2010 This supplement issue of the official ESICM/ESPNIC journal Intensive Care Medicine contains abstracts of scientific papers presented at the 23rd Annual Congress of the European Society of Intensive Care Medicine. The abstracts appear in order of presentation from Monday 11 October to Wednesday 13 October 2010. The same abstract numbering is used in the Congress final programme.
CONGRESS COMMITTEE
PERI-OPERATIVE INTENSIVE CARE Claudia Spies, Berlin, Germany
CHAIRMAN Jean-Daniel Chiche, Paris, France
SYSTEM INFLAMMATION AND SEPSIS Susanne Toussaint, Berlin, Germany
ACUTE RESPIRATORY FAILURE Anders Larsson, Uppsala, Sweden
TECHNOLOGY ASSESSMENT AND HEALTH INFORMATICS Max Jonas, Southampton, United Kingdom
CARDIOVASCULAR DYNAMICS Jan Poelaert, Brussels, Belgium
NURSES AND ALLIED HEALTHCARE PROFESSIONALS Christina Jones, Liverpool, United Kingdom
ETHICS Elie Azoulay, Paris, France
RESEARCH COMMITTEE
HEALTH SERVICES RESEARCH AND OUTCOMES Maurizia Capuzzo, Ferrara, Italy
CHAIRMAN Daniel De Backer, Brussels, Belgium
INFECTION George Dimopulos, Athens, Greece
EDUCATION
METABOLISM, ENDOCRINOLOGY, NEPHROLOGY, Jan Wernerman, Stockholm, Sweden NEURO-INTENSIVE CARE AND EMERGENCY Giuseppe Citerio, Monza, Italy
AND NUTRITION
MEDICINE
AND
TRAINING COMMITTEE
CHAIRMAN Hans Flaatten, Bergen, Norway
Table of Contents Monday 11 October 2010 Oral Sessions Improving tissue perfusion . . . . . . . . Acute renal failure in the critically ill . Advances in sepsis therapies . . . . . . . Safety and quality in the ICU . . . . . . Acquired infections in the critically ill
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Poster Sessions Monitoring patients with acute respiratory failure Cardiac output monitoring . . . . . . . . . . . . . . . . Analgesia, sedation and cognitive dysfunction 1. . . . Ventilator-associated pneumonia . . . . . . . . . . . . Advances in mechanical ventilation . . . . . . . . . . Progress in ventilatory support . . . . . . . . . . . . . Noninvasive ventilation. . . . . . . . . . . . . . . . . . . Microcirculation: monitoring and treatment . . . . Hemodynamics in special conditions . . . . . . . . . Caring for coronary artery and valvular diseases . Bloodstream infections . . . . . . . . . . . . . . . . . . . Uncommon infectious diseases . . . . . . . . . . . . . Diagnosis and treatment of infections in critically ill patients . . . . . . . . . . . . . . . . . . . H1N1 infection in the ICU 1. . . . . . . . . . . . . . . Blood and electrolytes disturbances in the ICU . . General perioperative care . . . . . . . . . . . . . . . . . Perioperative care: transplantation . . . . . . . . . . . Education and training 1. . . . . . . . . . . . . . . . . . Technology assessment . . . . . . . . . . . . . . . . . . . Improving family centered care . . . . . . . . . . . . . Disease-related outcome . . . . . . . . . . . . . . . . . . Cost and cost-effectiveness . . . . . . . . . . . . . . . .
0001–0005 0006–0010 0011–0015 0016–0020 0021–0025
0026–0039 0040–0051 0052–0065 0066–0079 0080–0093 0094–0107 0108–0121 0122–0133 0134–0147 0148–0161 0162–0175 0176–0189 0190–0200 0201–0214 0215–0224 0225–0238 0239–0250 0251–0260 0261–0271 0272–0284 0285–0298 0299–0311
Before and after ICU admission. . . . . . . . . . . . . Basic research in sepsis: new therapeutic approaches. . . . . . . . . . . . . . . . . . . . . . . . . . . . Glycaemic control 1 . . . . . . . . . . . . . . . . . . . . . Acute kidney injury . . . . . . . . . . . . . . . . . . . . . Cardiac arrest 1 . . . . . . . . . . . . . . . . . . . . . . . . Subarachnoid hemorrhage and cerebrovascular events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Traumatic brain injury . . . . . . . . . . . . . . . . . . . Patient and family experience . . . . . . . . . . . . . . Activated protein C and haemofiltration in sepsis Preventing adverse events . . . . . . . . . . . . . . . . .
0312–0325
0380–0393 0394–0407 0408–0420 0421–0432 0433–0443
Oral Sessions Pathophysiology of ventilator-induced lung injury Sepsis-induced immuno-endocrine dysfunction . . From infection diagnosis to therapy . . . . . . . . . . Fluids and volume: monitoring and side effects . Outcome-related factors . . . . . . . . . . . . . . . . . . Cardiac arrest: in-hospital management . . . . . . .
0444–0448 0449–0453 0454–0458 0459–0463 0464–0468 0469–0473
0326–0339 0340–0351 0352–0365 0366–0379
Tuesday 12 October 2010 Oral Sessions Abstract Award Winning Session: the best selected abstracts submitted to the congress . . . . . . . . . . Ventilatory management in ARDS . . . . . . . . . . . Bloodstream and catheter infections . . . . . . . . . . Sepsis: from microcirculation to outcome. . . . . . Looking out of the ICU door . . . . . . . . . . . . . . Organ donation . . . . . . . . . . . . . . . . . . . . . . . . Assessing consciousness disorders. . . . . . . . . . . .
0474–0477 0478–0482 0483–0487 0488–0492 0493–0497 0498–0502 0503–0507
Poster Sessions Respiratory mechanics and lung volume measurements . . . . . . . . . . . . . . . . . . . . . . . . Glycaemic control 2 . . . . . . . . . . . . . . . . . . . . Analgesia, sedation and cognitive dysfunction 2 Tracheostomy and airway management . . . . . . Improving outcome in COPD and ARDS . . . . . Community- and ventilator-associated pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . Experiences from the H1N1 influenza pandemics . . . . . . . . . . . . . . . . . . . . . . . . . . . Optimalization of hemodynamics. . . . . . . . . . . Hemodynamics of septic shock . . . . . . . . . . . . Antimicrobial treatment . . . . . . . . . . . . . . . . . Perioperative infections . . . . . . . . . . . . . . . . . . Infections in the immunosuppressed host . . . . . Nosocomial infections. . . . . . . . . . . . . . . . . . . ICU nutrition 1 . . . . . . . . . . . . . . . . . . . . . . . Coagulation disorders: monitoring and treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . Perioperative care: cardiac and thoracic surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Education and training 2. . . . . . . . . . . . . . . . . Ethical aspects of organ donation and research . Improving monitoring use . . . . . . . . . . . . . . . Pediatric intensive care . . . . . . . . . . . . . . . . . . Outcome related to gender, age and obesity . . . ICU organization . . . . . . . . . . . . . . . . . . . . . . Prognostic scores . . . . . . . . . . . . . . . . . . . . . . Basic research in sepsis: pathophysiology 1 . . . . Renal replacement therapy . . . . . . . . . . . . . . . Cardiac arrest 2 . . . . . . . . . . . . . . . . . . . . . . . Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Emergency medicine . . . . . . . . . . . . . . . . . . . . Quality of care . . . . . . . . . . . . . . . . . . . . . . . . Epidemiology and clinical course of sepsis . . . . Sepsis: procalcitonin and routine biomarkers . . Sepsis therapies . . . . . . . . . . . . . . . . . . . . . . .
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Oral Sessions H1N1 pneumonia: experience across the world . . From cardiovascular monitoring to treatment . . .
Vascular and traumatic neuro-emergencies . . . . . Communication in the ICU . . . . . . . . . . . . . . . 0508–0521 ICU management . . . . . . . . . . . . . . . . . . . . . . . 0522–0535 0536–0549 0550–0563 Wednesday 13 October 2010 0564–0577 Oral Sessions 0578–0591 Improving treatment and outcome in respiratory failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0592–0605 Sedation and ventilation strategies in 0606–0619 perioperative intensive care . . . . . . . . . . . . . . . . 0620–0631 Education and training in intensive care. . . . . . . 0632–0645 Improving nursing care. . . . . . . . . . . . . . . . . . . 0646–0655 Nutritional support in the critically ill . . . . . . . . 0656–0667 0668–0681 0682–0695 Poster Sessions 0696–0709 Echocardiography in the ICU . . . . . . . . . . . . . . Assessment of volume responsiveness . . . . . . . . . 0710–0723 Challenges in nursing . . . . . . . . . . . . . . . . . . . . 0724–0733 Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . 0734–0742 Weaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0743–0753 Hemodynamic monitoring . . . . . . . . . . . . . . . . 0754–0767 Acute lung injury: experimental studies . . . . . . . 0768–0781 ECMO for ARDS . . . . . . . . . . . . . . . . . . . . . . . 0782–0795 Cardiac surgery and regional 0796–0809 hemodynamics . . . . . . . . . . . . . . . . . . . . . . . . . 0810–0823 Prognosis and outcome of infections . . . . . . . . . 0824–0836 Using PK/PD properties . . . . . . . . . . . . . . . . . . 0837–0850 H1N1 infection in the ICU 2. . . . . . . . . . . . . . . 0851–0863 ICU nutrition 2 . . . . . . . . . . . . . . . . . . . . . . . . 0864–0877 Fluid and temperature management . . . . . . . . . . 0878–0890 Liver diseases . . . . . . . . . . . . . . . . . . . . . . . . . . 0891–0900 Perioperative care: abdominal problems . . . . . . . 0901–0914 End of life care. . . . . . . . . . . . . . . . . . . . . . . . . 0915–0928 Physiotherapy in the ICU . . . . . . . . . . . . . . . . . Short and long-term outcomes after ICU discharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Staff work conditions and well-being . . . . . . . . . Safety and safety attitudes . . . . . . . . . . . . . . . . . 0929–0933 Prevention and diagnosis of kidney injury . . . . . 0934–0938 Miscellaneous. . . . . . . . . . . . . . . . . . . . . . . . . .
0939–0943 0944–0949 0950–0954
0955–0959 0960–0964 0965–0969 0970–0974 0975–0979
0980–0993 0994–1007 1008–1020 1021–1034 1035–1048 1049–1060 1061–1074 1075–1088 1089–1102 1103–1116 1117–1123 1124–1137 1138–1151 1152–1165 1166–1177 1178–1191 1192–1204 1205–1214 1215–1228 1229–1240 1241–1254 1255–1267 1268–1280
Basic research in sepsis: pathophysiology 2 . . . . . Drug intoxications and poisoning . . . . . . . . . . . Outcome, scoring and performance in emergency medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Neurological conditions . . . . . . . . . . . . . . . . . . Work environment and organisational issues . . . Protocol-guided therapy in sepsis. . . . . . . . . . . . Sepsis: microcirculation and tissue oxygenation. . Sepsis: novel biomarkers . . . . . . . . . . . . . . . . . .
1281–1294 1295–1306 Abstract submitted and selected under label ECCRN. Displayed as 1307–1320 e-poster on dedicated screen at ESICM booth for whole duration of 1321–1334 congress (CCIB, level 0, Entrance Hall). 1335–1347 1348–1359 Abstract selected for the Abstract Award Winning 1360–1373 Session. Displayed as paper poster at the Awarded 1374–1386 Posters Corner for whole duration of congress (CCIB, level 0, Exhibition & Poster Area).