21 S T A NNUAL C ONGRESS L ISBON , P ORTUGAL , 21–24 S EPTEMBER 2008
Supplement September 2009
Abstracts 22nd ESICM Annual Congress Vienna, Austria 11–14 October 2009 This supplement issue of the official ESICM/ESPNIC journal Intensive Care Medicine contains abstracts of scientific papers presented at the 22nd Annual Congress of the European Society of Intensive Care Medicine. The abstracts appear in order of presentation from Monday 11 October until Wednesday 14 October 2009. The same abstract numbering is used in the Congress final programme.
21 S T A NNUAL C ONGRESS L ISBON , P ORTUGAL , 21–24 S EPTEMBER 2008
CONGRESS COMMITTEE CHAIRMAN Jean-Daniel Chiche, Paris, France
PERI-OPERATIVE INTENSIVE CARE Claudia Spies, Berlin, Germany
ACUTE RESPIRATORY FAILURE Anders Larsson, Uppsala, Sweden
SYSTEMIC INFLAMMATION AND SEPSIS Konrad Reinhart, Jena, Germany
CARDIOVASCULAR DYNAMICS Jan Poelaert, Brussels, Belgium
TECHNOLOGY ASSESSMENT AND HEALTH INFORMATICS Max Jonas, Southampton, United Kingdom
ETHICS Elie Azoulay, Paris, France
NURSES AND ALLIED HEALTHCARE PROFESSIONALS Christina Jones, Liverpool, United Kingdom
HEALTH SERVICES RESEARCH AND OUTCOMES Maurizia Capuzzo, Ferrara, Italy
RESEARCH COMMITTEE CHAIRMAN Daniel De Backer, Brussels, Belgium
INFECTION Claude Martin, Marseille, France
EDUCATION
METABOLISM, ENDOCRINOLOGY, NEPHROLOGY, Michael Joannidis, Innsbruck, Austria NEURO-INTENSIVE CARE AND EMERGENCY Giuseppe Citerio, Monza, Italy
AND NUTRITION
MEDICINE
AND
TRAINING COMMITTEE
CHAIRMAN Hans Flaatten, Bergen, Norway
21 S T A NNUAL C ONGRESS L ISBON , P ORTUGAL , 21–24 S EPTEMBER 2008
Congress Abstract book
Contents Monday 12 October 2009 Oral Sessions Sepsis care . . . . . . . . . . . . . . . . . . . . . Acute lung injury: Innovative therapies. Fluid management . . . . . . . . . . . . . . . Severe infections 1 . . . . . . . . . . . . . . . Neuro/emergency medicine 1 . . . . . . . Resource consumption in ICU. . . . . . .
. . . . . .
. . . . . .
. . . . . .
. . . . . .
. . . . . .
. . . . . .
. . . . . .
Poster Corners Haemodynamic assessment technologies . . . . . . . VAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ventilatory modes and side effects . . . . . . . . . . .
Poster Sessions Education and training . . . . . . . . . . . . . Perfusion failure and support . . . . . . . . Macro and microcirculation . . . . . . . . . Sepsis guidelines. . . . . . . . . . . . . . . . . . Sepsis: Pathophysiology 1 . . . . . . . . . . . Acute Kidney Injury: Risk-assessment, prognosis, treatment . . . . . . . . . . . . . . . RRT and plasmapheresis . . . . . . . . . . . . Acute respiratory failure: Miscellaneous . Acute lung injury: Experimental models, pathophysiology and comorbidities . . . . Weaning and tracheotomy . . . . . . . . . . Management of major surgery . . . . . . . . Analgesia and sedation . . . . . . . . . . . . . Emergency medicine . . . . . . . . . . . . . . . Transfusion practices . . . . . . . . . . . . . . Neurotrauma . . . . . . . . . . . . . . . . . . . . Cardiac surgical issues. . . . . . . . . . . . . . Haemodynamics of septic shock . . . . . . Biomarkers . . . . . . . . . . . . . . . . . . . . . Severe sepsis and septic shock . . . . . . . .
. . . . .
. . . . .
0072–0083 0084–0097 0098–0111 0112–0125 0126–0139
...... ...... ......
0140–0153 0154–0167 0168–0181
. . . . . . . . . . .
0182–0193 0194–0207 0208–0221 0222–0235 0236–0249 0250–0263 0264–0277 0278–0290 0291–0304 0305–0318 0319–0332
. . . . . . . . . . .
. . . . .
. . . . . . . . . . .
. . . . .
0031–0044 0045–0058 0059–0071
. . . . .
. . . . . . . . . . .
. . . . .
0001–0005 0006–0010 0011–0015 0016–0020 0021–0025 0026–0030
. . . . . . . . . . .
. . . . . . . . . . .
Pneumonia . . . . . . . . . . . . . . . . . . Clinical and biological assessments in ICU patients . . . . . . . . . . . . . . . Outcome prediction . . . . . . . . . . . . Warning systems and rapid response
.........
0333–0346
......... ......... team . . . . .
0347–0360 0361–0374 0375–0388
Oral Sessions Acute lung injury: Diagnosis and lung mechanics . . . . . . . . . . . . . . . . . SIRS and sepsis . . . . . . . . . . . . . . . . . . . . Mental disorders from ICU to long-term follow-up. . . . . . . . . . . . . . . . . . . . . . . . . News in cardiac intensive care and sedation Neuro/emergency medicine 2 . . . . . . . . . . Monitoring and assessment of the cardiovascular system . . . . . . . . . . . . . . . .
.... ....
0389–0393 0394–0398
.... .... ....
0399–0404 0405–0409 0410–0414
....
0415–0419
Tuesday 13 October 2009 Oral Sessions Abstract award winners: The best pre-selected abstracts submitted to the congress . . . . . . . . Education and training in intensive care. . . . . Sepsis: Current insights in supportive and adjunctive therapies . . . . . . . . . . . . . . . . Experimental AKI, electrolyte disturbance . . . . Quality care . . . . . . . . . . . . . . . . . . . . . . . . . Risk assessment from ED to the first ICU day. At the boarder of the ICU. . . . . . . . . . . . . . .
.. ..
0420–0423 0424–0427
. . . . .
0428–0432 0433–0437 0438–0442 0443–0447 0448–0452
. . . . .
Poster Corners Glucose and glucose control . . . . . . . . . . . . . . . Ventilatory modes and positioning. . . . . . . . . . . Obstructive lung disease and non-invasive ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0453–0466 0467–0480 0481–0494
21 S T A NNUAL C ONGRESS L ISBON , P ORTUGAL , 21–24 S EPTEMBER 2008
Poster Sessions General perioperative care . . . . . . . . . . . . . . Fluid management and general perioperative care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Neurological emergencies . . . . . . . . . . . . . . Cardiac arrest and brain damage . . . . . . . . . Neurointensive care . . . . . . . . . . . . . . . . . . Nutrition 1 . . . . . . . . . . . . . . . . . . . . . . . . Electrolytes, endocrinology, intoxications . . . Microcirculation and fluid responsiveness. . . Heart failure . . . . . . . . . . . . . . . . . . . . . . . Coagulation . . . . . . . . . . . . . . . . . . . . . . . . Sepsis: Pathophysiology 2 . . . . . . . . . . . . . . Genomics and proteomics . . . . . . . . . . . . . . ICU economics and management. . . . . . . . . ICU performance and benchmarking . . . . . . Short- and long-term outcomes . . . . . . . . . . Caring for patients . . . . . . . . . . . . . . . . . . . Acute respiratory failure: Prognosis and outcome . . . . . . . . . . . . . . . . . . . . . . . Acute lung injury: Adjuvant therapies. . . . . . Complicated infections . . . . . . . . . . . . . . . . Fungal infections and novel diagnostic approaches. . . . . . . . . . . . . . . . . . . . . . . . . Multiresistant infections . . . . . . . . . . . . . . . Airway management and weaning strategies .
Oral Sessions From microcirculation to tissue perfusion . . Nosocomial infections. . . . . . . . . . . . . . . . . Communication in the ICU . . . . . . . . . . . . Muscle metabolism and endocrinology . . . . . Neuro/emergency medicine 3 . . . . . . . . . . . Information from wide sample observational studies. . . . . . . . . . . . . . . . . . . . . . . . . . . .
...
0495–0508
. . . . . . . . . . . . . . .
. . . . . . . . . . . . . . .
0509–0522 0523–0536 0537–0550 0551–0564 0565–0577 0578–0591 0592–0604 0605–0615 0616–0626 0627–0640 0641–0654 0655–0668 0669–0682 0683–0696 0697–0710
... ... ...
0711–0724 0725–0736 0737–0749
... ... ...
0750–0763 0764–0777 0778–0791
. . . . .
. . . . . . . . . . . . . . .
. . . . .
. . . . .
0792–0796 0797–0801 0802–0806 0807–0811 0812–0816
...
0817–0821
Poster Sessions Paediatrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . Impact of technologies and health informatics . . Sepsis therapies . . . . . . . . . . . . . . . . . . . . . . . . Biomarkers . . . . . . . . . . . . . . . . . . . . . . . . . . . SIRS, sepsis, and MODS . . . . . . . . . . . . . . . . . . Infection in the neuro ICU/Trauma . . . . . . . . . . Subarachnoid and intracranial haemorrhage . . . . Experimental neurology/miscellaneous . . . . . . . . ICU careflow and processes . . . . . . . . . . . . . . . . End-of-life in the ICU . . . . . . . . . . . . . . . . . . . Antimicrobial treatments. . . . . . . . . . . . . . . . . . Infection control . . . . . . . . . . . . . . . . . . . . . . . Perioperative stress, inflammation and organ dysfunction. . . . . . . . . . . . . . . . . . . . . . . Coagulation disorders and therapeutic techniques for the ICU . . . . . . . . . . . . . . . . . . . . . . . . . . . Cardiovascular failure in the ICU: Causes and markers. . . . . . . . . . . . . . . . . . . . . . . . . . . Cardiac arrest and coronary artery disease . . . . . Nutrition 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . Clinical outcome in specific ICU populations . . . ICU admissions and readmissions . . . . . . . . . . . Safety in the ICU . . . . . . . . . . . . . . . . . . . . . . . Monitoring during mechanical ventilation . . . . . Teaching to improve safety . . . . . . . . . . . . . . . .
0852–0865 0866–0879 0880–0893
0894–0907 0908–0921 0922–0935 0936–0949 0950–0963 0964–0977 0978–0991 0992–1005 1006–1018 1019–1029 1030–1043 1044–1057 1058–1070 1071–1084 1085–1098 1099–1112 1113–1125 1126–1139 1140–1153 1154–1167 1168–1181 1182–1195
Abstracts submitted and selected under the label ECCRN. To be displayed during the three-day congress at the Best Abstract & ECCRN corner (ACV, Exhibition Hall XL, blue level–lower level) and ESICM booth (ACV, blue level–lower level).
Wednesday 14 October 2009 Oral Sessions Haemodynamic optimization. . . . . . . . . . . Acute lung injury: Pathophysiology . . . . . . Early diagnosis and epidemiology of AKI . . Impact of technology and drugs in the ICU Severe infections 2 . . . . . . . . . . . . . . . . . . Paediatrics . . . . . . . . . . . . . . . . . . . . . . . .
Poster Corners Acute kidney injury: Early diagnosis, epidemiology, outcome . . . . . . . . . . . . . . . . . . . Lung recruitment, PEEP and open lung approach . . . . . . . . . . . . . . . . . . . . . . . . . Haemodynamic monitoring. . . . . . . . . . . . . . . .
. . . . . .
. . . . . .
. . . . . .
. . . . . .
0822–0826 0827–0831 0832–0836 0837–0841 0842–0846 0847–0851
Abstracts pre-selected for the Poster Awards. To be displayed during the three-day congress at the Best Abstract & ECCRN corner (ACV, Exhibition Hall XL, blue level–lower level) and ESICM booth (ACV, blue level–lower level).