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August 4, 2016

Concise Critical Appraisal

Sedatives and Their Associations with VAEs and Time to Extubation

Education

Webcasts: Interprofessional Team Coaching in ICU
Apply for the ICU Design Citation Award

SCCM News

Application Deadline for Research Grants is Approaching
Survey: Management of Death by Neurologic Criteria in Pediatric Patients
ASHP Foundation Accepting Applications for Critical Care Traineeship
Sedatives and Their Associations with VAEs and Time to Extubation

Sedative selection is crucial to outcomes in critically ill patients. While benzodiazepines are known to be associated with a longer duration of mechanical ventilation compared to propofol and dexmedetomidine, little data exist comparing these sedatives in association with ventilator-associated events (VAEs). Klompas et al therefore aimed to evaluate the association between these sedatives, VAEs and time to extubation.

They found that sedatives vary in their associations with VAEs and time to extubation but not in their associations with time to hospital discharge or 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.

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Webcasts: Interprofessional Team Coaching in ICU

Registration is now open for the upcoming two-part webcast, “Interprofessional Team Coaching in the ICU” and “Interprofessional Team Coaching in the ICU: Results,” from the Society of Critical Care Medicine’s (SCCM) ICU Liberation series, which will be moderated by Diane Byrum, RN, MSN, CCRN, CCNS, FCCM. The webcasts will be conducted for interprofessional teams (IPTs) working together to implement the ABCDEF Bundle. For optimal impact, all members of the IPT responsible for bundle implementation (i.e., nurses, pharmacists, physical therapists, physicians, respiratory therapists, and administrative leads or RN managers) are strongly encouraged to attend both sessions. Results from participation will be most effective if attended by the entire team; partial team attendance is also acceptable.

In the first session, Mary Ann Barnes-Daly, MS-L, RN, CCRN, DC, Clinical Performance Improvement Consultant for Sutter Health and Dorothy Lingren, MA, Team Consultant for Sutter Health/Lingren Consulting, will address the role of the IPT and the key abilities of partnership, cooperation, and coordination that make the team successful. Teams who attend will commit to implementing a test of change that they will implement as a team.

The second session will provide an opportunity for teams to share the results of their test of change. In addition, the session will focus on how to address the influence and conflict challenges that frequently arise when working toward full ABCDEF Bundle implementation. At the end of the session, team members will have a preliminary list of activities to continue working collaboratively toward bundle implementation.

Learning Objectives

Session 1

  • Articulate the purpose, key abilities and success factors for the IPT
  • Explore IPT practices that facilitate successful bundle implementation
  • Identify a test of change for your IPT to conduct and report on at a subsequent session

Session 2

  • Report results of test of change and plan next test (partnership)
  • Identify influence and conflict challenges that exist and practice using appropriate tools to address them (cooperation)
  • List activities that the team needs to address for successful ABCDEF Bundle implementation (coordination)

The 60-minute webcasts will take place on Wednesday, August 31, 2016, at 1:00 p.m. and Wednesday, September 21, 2016, at 1:00 p.m. Central Time. Registration is complimentary for all participants. Physicians, nurses and pharmacists are eligible to receive continuing education credits. Please visit the event page for more information.

Register online for “Interprofessional Team Coaching in the ICU” and “Interprofessional Team Coaching in the ICU: Results” using your Customer ID and password. If you have any questions, please contact SCCM Customer Service at +1 847 827-6888.

The ICU Liberation Initiative aims to engage clinicians in improving practice and patient outcomes related to pain, agitation, delirium, and early mobility. This webcast series examines resources and tools for implementing strategies that can help reduce the risk of long-term consequences of an intensive care unit stay.

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Apply for the ICU Design Citation Award

Applications for the ICU Design Citation award are now being accepted. Co-sponsored by the Society of Critical Care Medicine (SCCM), the American Association of Critical-Care Nurses (AACN), and the American Institute of Architects Academy of Architecture for Health, this award honors a critical care unit that combines functional ICU design with the humanitarian delivery of critical care.

Entries are blindly reviewed and evaluated on the following criteria:

  • Commitment to promote a healing environment
  • Safety, security and efficiency of the unit
  • Innovative, unique aesthetic and creative design features

The award is given to the unit that best resolves both functional and humanitarian issues in a unique and complementary manner. The patient bedside area, overall unit design, integration of technology, staff/support areas, and family/waiting areas also are assessed.

The winning unit receives two plaques and one complimentary registration to the annual meetings of SCCM and AACN. Honorable mentions will also be awarded with two plaques. Citation recipients will be notified in November 2016.

Visit www.sccm.org/ICUDesignCitation for requirements and to begin the application process. The deadline to apply is August 15, 2016.

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Application Deadline for Research Grants is Approaching

The Society of Critical Care Medicine (SCCM) is accepting applications for the THRIVE Research Grant to Accelerate Recovery and the SCCM-Weil Research Grant. SCCM member researchers may submit an application by August 12, 2016, to be considered for grant support in 2017.

THRIVE Research Grant to Accelerate Recovery
Through generous funding from SCCM, the THRIVE Grant offers a grant of $50,000 to support members conducting research aimed at improving patient and family support after critical illness. Investigator-initiated research should help advance and improve our understanding of survivorship from critical illness, as well as support and improve the experiences of survivors and their families.

For more information on this grant and other THRIVE initiatives, visit www.sccm.org/THRIVE.

SCCM-Weil Research Grant
Through generous funding from the SCCM-Weil Research Trust, SCCM is offering two grants of $50,000 each to support member researchers. Basic, translational and clinical research submissions are encouraged.

For more information, visit www.sccm.org/WeilResearchGrants. Learn about the recipients of last year’s grants.

To begin the application process for these grants, log in to www.MySCCM.org. Click on “Submit an application for SCCM-Weil Research Grant or THRIVE Grant” located in the right column. Note that you must be a current SCCM member to apply for these grants. You may submit only one grant application.

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ASHP Foundation Accepting Applications for Critical Care Traineeship

The American Society of Health-System Pharmacists (ASHP) Research and Education Foundation is now accepting applications for its 2016-2017 traineeships, including one focused on critical care. All of the traineeships are five-month programs that include distance learning and onsite experiential training.

Critical Care Concentrated is an ACPE-accredited educational experience that enables pharmacists to develop and maintain specialized services for the management of critically ill patients. Trainees will receive intensive distance and experiential training that accelerates their ability to be the medication expert on interdisciplinary teams to optimize the safety, quality and care of critically ill patients.

The deadline to submit applications is September 25, 2016.

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Survey: Management of Death by Neurologic Criteria in Pediatric Patients

You are encouraged to participate in a survey being conducted by a team at Children’s Hospital of Philadelphia and NYU Langone Medical Center that addresses management of death by neurologic criteria (brain death) in pediatric patients. The goals of this survey are to learn about the views and experiences of pediatric intensivists with management of death by neurologic criteria.

If you have any questions about the survey, please contact Matthew Kirschen, MD, at kirschenm@email.chop.edu.

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