EIP Prolongation in ARDS Patients

End-inspiratory pause (EIP) prolongation decreases dead space-to-tidal volume ratio and partial pressure of carbon dioxide in arterial blood (PaCO2). We do not know the physiological benefits of this approach to improve respiratory system mechanics in acute respiratory distress syndrome (ARDS) patients when mild hypercapnia is of no concern. Aguirre-Bermeo et al, therefore, set out to address this unknown.

They found that prolonging EIP allowed a significant decrease in tidal volume without changes in PaCO2 in passively ventilated ARDS patients. This produced a significant decrease in plateau pressure and driving pressure and significantly increased respiratory system compliance, which suggests less overdistension and less dynamic strain.

Read the full Concise Critical Appraisal by logging into the SCCM eCommunity. Concise Critical Appraisal is a regular feature aimed at highlighting the best and most relevant literature from a variety of academic journals and encouraging discussion around recent studies and research.

Examining Pantoprazole or Placebo for Stress Ulcer Prophylaxis

Pantoprazole is frequently administered to critically ill patients for prophylaxis against gastrointestinal bleeding. However, comparison to placebo has been inadequately evaluated, and pantoprazole has the potential to cause harm. Therefore, Selvanderan and colleagues set out to evaluate benefit or harm associated with pantoprazole administration.

They found no evidence of benefit or harm with the prophylactic administration of pantoprazole to mechanically ventilated critically ill patients anticipated to receive enteral nutrition.

Read the full Concise Critical Appraisal by logging into the SCCM eCommunity. Concise Critical Appraisal is a regular feature aimed at highlighting the best and most relevant literature from a variety of academic journals and encouraging discussion around recent studies and research.

Donate to SCCM and Your Gift is Doubled

The end of the year is a great time to think about making a charitable donation to the Society of Critical Care Medicine (SCCM) so that it can continue to provide programs and projects that are all designed to improve care of the critically ill and injured worldwide.

Thanks to a generous donation from La Jolla Pharmaceutical Company, they will match every dollar you donate to SCCM until the end of the year 100%, to a max of $100,000.

Because your gift will double, the Society is asking that you consider being more generous this holiday season in your giving to SCCM. If you normally give $50, consider giving $100 – which will really equal $200 when it’s doubled. If you normally give $100, please consider giving $250 or more. The more you give, the more impact it will have on achieving our shared vision of better patient outcomes.

It’s easy and fast to make a tax-deductible contribution; simply click on the “Donate Now” button that accompanies this article and select a donation level that best meets your needs. You may target your gift to a wide-range of focus areas. Further information about the donation process is also available on the SCCM website.

Please donate to SCCM today so that the Society can reach, or even exceed, its fundraising goal before the end of the year. Every dollar you give will help ensure the Society can continue to secure the highest quality care for all critically ill and injured patients.donate now

Secure Your Spot for January Ultrasound Courses

A limited number of seats remain for the Society of Critical Care Medicine’s (SCCM) Critical Care Ultrasound and Critical Care Ultrasound: Pediatric courses. These comprehensive, two-day courses will be held at the Hilton Hawaiian Village in Honolulu, Hawaii, USA, on January 25 and 26, 2017, and are expected to sell out soon.

Registration for the ultrasound courses includes a complimentary copy of SCCM’s Comprehensive Critical Care Ultrasound eBook. The text covers the entire body and encompasses various views and diagnoses that clinicians will encounter at the bedside in both adult and pediatric populations. This book is a must-have for healthcare professionals who are interested in or currently practicing critical care ultrasound.

Participants of each course benefit from guided, focused skill stations and interactive presentations to reinforce key learning points.

Benefits of the ultrasound courses include:

  • Immediate integration of learned skills into your clinical practice.
  • Increased diagnostic skills and scanning proficiency.
  • Continuing medical education credit hours available to physicians and nurses.
  • A review from field experts on the latest strategies in ultrasound image interpretation and diagnostic challenges, as well as new innovations and procedures.
  • High-quality education from prominent faculty, including nurse practitioners, physician assistants and more.
  • A significant hands-on experience, ensured by a five-to-one faculty ratio.

Both courses will take place following SCCM’s 46th Critical Care Congress. If you wish to attend an ultrasound course and not attend Congress, register online today for Critical Care Ultrasound or Critical Care Ultrasound: Pediatric with your customer ID and password. If you plan to attend an ultrasound course in conjunction with Congress, register at www.sccm.org/Congress.

If you have any questions, please contact SCCM Customer Service at +1 847 827-6888

Discount Registration for Congress Ends December 14

Wednesday, December 14, 2016, is the last day to take advantage of advance registration discounts for the Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress, to be held January 21 to 25, 2017, in Honolulu, Hawaii, USA.

Register online using your customer ID and password, or contact SCCM Customer Service at +1 847 827-6888. In addition, discounted hotel rates end December 14, 2016; make your hotel reservation online today!

Network and collaborate with critical care leaders, and explore new tools, technologies and processes. The 2017 Congress will include plenary sessions, which will feature presentations by authorities across disciplines on a wide array of clinical and research topics. Attendees can participate in cutting-edge educational sessions, hands-on workshops and an interactive debate theater.

Pre- and Post-Congress Educational Sessions

Enhance your experience by attending a pre- or postcourse. Each course is packed with essential clinical information to keep you well informed on a variety of critical care topics. An additional registration fee is required to attend.

This year’s courses include:

  • Advances in Veterinary Critical Care
  • ACCP/SCCM Critical Care Pharmacy Preparatory Review and Recertification Course
  • Current Concepts in Adult Critical Care
  • Current Concepts in Pediatric Critical Care
  • ECMO Management Workshop
  • Adult Airway Management in the Critically Ill
  • Adult Multidisciplinary ICU Simulation Bootcamp
  • Fundamentals Faculty Academy
  • Hemodynamic Monitoring: From Cardiovascular Physiology to Applied Intensive Care Medicine
  • Ho‘ola hou (Revive): Resuscitation Officers Training Program (Code Blue and Medical Emergency Teams)
  • Liver Failure in the ICU: Key Concepts and Management Principles
  • Nutrition Research Workshop: From Bench to Bedside
  • What You Need to Know to Manage the Neurologically Critically Ill Patient
  • Critical Care Ultrasound
  • Critical Care Ultrasound: Pediatric

For more information on Congress and to view the advance program, visit www.sccm.org/Congress.

Assessing Impact of Conservative vs. Conventional Oxygen Therapy

Among critically ill patients, is a conservative oxygenation strategy aimed to maintain arterial saturation within physiologic limits more beneficial than a conventional strategy? Girardis et al set out to answer this question.

They found that among critically ill intensive care unit patients with a length of stay of 72 hours or longer, a conservative protocol for oxygen therapy may be beneficial; however, because the trial they initiated was terminated early, these findings must be considered preliminary.

Read the full Concise Critical Appraisal by logging into the SCCM eCommunity. Concise Critical Appraisal is a regular feature aimed at highlighting the best and most relevant literature from a variety of academic journals and encouraging discussion around recent studies and research.

Sepsis on the Wards Manuscript Available Open Access

Surviving Sepsis Campaign supporter, the Gordon and Betty Moore Foundation, recently funded open access with its Sepsis on the Wards grant for original research describing a multipronged approach to improve severe sepsis outcomes.

This manuscript by Schorr et al entitled, “Implementation of a multicenter performance improvement program for early detection and treatment of severe sepsis in general medical–surgical wards,” appears in the November 2016 supplement of the Journal of Hospital Medicine.

The Sepsis on the Wards project, from the Society of Critical Care Medicine and the Gordon and Betty Moore Foundation, seeks to ensure every patient is screened for sepsis on every shift, every day so that when a patient screens positive, teams can intervene with the Surviving Sepsis Campaign bundle.

Voting Now Underway for SCCM Council and ACCM

Voting is now underway for the Council of the Society of Critical Care Medicine (SCCM) and the American College of Critical Care Medicine.

Login using your SCCM credentials and cast your ballot online at http://www.sccm.org/elections. The deadline to vote is November 19, 2016 at 11:59 P.M. CT.

Your involvement in the process is encouraged, welcomed, and necessary for the Society to thrive as a member-driven organization. If you need assistance, contact SCCM customer service via e-mail or 847-827-6888.

Attend Popular Congress Events and Sessions

Network and collaborate with critical care leaders, and explore new tools, technologies and processes at the Society of Critical Care Medicine’s (SCCM’s) 46th Critical Care Congress. There is still time to save on registration rates. Register online using your Customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

The Society’s annual Congress will take place January 21-25, 2017, in Honolulu, Hawaii, USA. Learn about the latest developments in critical care by attending the always-popular abstract presentations offered at Congress:

Star Research Presentations
These presentations will be scheduled, unopposed, for two hours on Sunday, January 22, 2017. The top 64 abstracts submitted will be highlighted.

Research Snapshot Theaters
Research Snapshot award winners and authors of all accepted abstracts and case reports will present their submissions with time for questions and answers. Sessions will be moderated by noted faculty and experts to facilitate the exchange of ideas and commentary. Presentations will be held in designated sections of the Exhibit Hall on Sunday, January 22, through Tuesday, January 24, 2017.

Awards Presentations
Winners of SCCM’s abstract-based awards will be recognized during a ceremony on Tuesday, January 24, 2017.

For more information about Congress, or to view the Advance Program, visit www.sccm.org/Congress.

Early Registration Deadline Approaching for MCCKAP

Register by November 16, 2016, to receive the lowest rates on registration for the Society of Critical Care Medicine’s (SCCM) 2017 Multidisciplinary Critical Care Knowledge Assessment Program (MCCKAP). The examination will be administered from February 28 to March 7, 2017. Register online using your customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

The MCCKAP online examination assesses critical care fellowship programs nationally. Held annually, the MCCKAP examination helps program directors:

  • Prepare fellows for the subspecialty board examinations in critical care
  • Identify specific areas of strength and weakness with lists of references and key terms for missed questions
  • Assess results for each individual fellow and the overall program, as well as the institution’s national ranking

Available in both adult and pediatric formats, the examination is offered exclusively online and consists of 200 multiple-choice questions pertaining to critical care knowledge and patient management. Examination content is developed by critical care professionals experienced in examination preparation and analysis.

Immediate preliminary scores and analysis are available to the examinee and the program director upon completion of the test. Final results will be available through the program director’s MySCCM account approximately five weeks following the examination.

Receive the early bird rate when you register by November 16, 2016. Please contact SCCM Customer Service at +1 847 827-6888 with any questions.

Assessing Tissue Oxygenation and Microvascular Reactivity in ICU Patients

Impaired microcirculatory perfusion and tissue oxygenation during critical illness are associated with adverse outcome. The aim of a study by Donati et al was to detect alterations in tissue oxygenation or microvascular reactivity and their ability to predict outcome in critically ill patients using thenar near-infrared spectroscopy (NIRS) with a vascular occlusion test (VOT).

They found that in critically ill patients, NIRS with a VOT enables identification of alterations in tissue oxygen extraction capacity and microvascular reactivity that can predict mortality.

Read the full Concise Critical Appraisal by logging into the SCCM eCommunity. Concise Critical Appraisal is a regular feature aimed at highlighting the best and most relevant literature from a variety of academic journals and encouraging discussion around recent studies and research.

The AMA Outlines Medicare Access and CHIP Reauthorization Act

The Centers for Medicare and Medicaid Services released a final rule detailing regulations for the implementation of the Medicare Access and CHIP Reauthorization Act (MACRA).

The American Medical Association (AMA) has outlined the major provisions of Medicare’s new Quality Payment Program for physicians that was created by MACRA. Access these AMA resources to learn more about this historic Medicare reform law and its various components and key policy improvements.

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