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December 4, 2014

Concise Critical Appraisal

Diastolic Dysfunction in Children with Fluid Refractory Septic Shock

Education

Webcast: Comprehensive Patient-Centered Care in the ICU
Online Registration Ending Soon for Critical Care Ultrasound – Pediatric

SCCM News

Advance Registration for Congress Ends Soon
Project Dispatch Offers Complimentary Educational Material
Listen to the Latest iCritical Care Podcasts
Diastolic Dysfunction in Children with Fluid Refractory Septic Shock

The presence of cardiac dysfunction in patients with septic shock has been described for decades. However, the true prevalence or ultimate effect of diastolic dysfunction has only been described in septic children in limited fashion. Sankar et al analyzed 56 children (all between three months and 17 years of age) with fluid refractory septic shock, before inotropes or mechanical ventilation were initiated. The primary objectives of this study were to determine the prevalence of diastolic dysfunction in children with fluid refractory septic shock and to determine if there was an association between diastolic dysfunction and mortality.

The authors demonstrated that diastolic dysfunction in children with fluid refractory septic shock is relatively common, similar to some adult findings. Interestingly, children with diastolic dysfunction and those with no cardiac dysfunction had higher mortality rates than those with systolic dysfunction (43%, 37% and 15%, respectively), though these differences were not statistically significant. In the wake of this study, questions still linger about the true prevalence of diastolic dysfunction in children with fluid refractory septic shock. Further studies are needed to confirm these findings.

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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Webcast: Comprehensive Patient-Centered Care in the ICU

Patient- and family-centered care considers and anticipates the needs of patients and their families, all of whom are important members of the support and care team. The multidisciplinary team in a mixed medical-surgical adult intensive care unit (ICU) at Memorial Sloan Kettering Cancer Center (MSKCC) in New York received the ICU Design Citation award in 2009 for creation of an ICU that focuses on this approach.

On Thursday, December 11, 2014, at 12:00 p.m. Central Time, the webcast Comprehensive Patient-Centered Care in the ICU will feature the MSKCC team discussing this approach during the latest offering from the Society of Critical Care Medicine’s (SCCM) Project Dispatch series. Neil A. Halpern, MD, FCCM, Chief, Critical Care Medicine Service at MSKCC, will describe how his unit developed a calming, healthy, safe, and healing ICU environment by ensuring shared decision making and frequent communications with patients and families through the ICU stay to end of life. He will discuss innovative programs and technologies linked to direct patient care, such as advanced alarm management systems, early mobility programs for ventilated patients and integrative medicine consultation for bedside massage, music therapy and meditation.

Learning Objectives

  • Describe the comprehensive program at MSKCC
  • Formulate plans to implement elements of the MSKCC program in the participants’ own organizations
  • Evaluate the impact these types of programs have on patient and family satisfaction

Register online today using your customer ID and password. Complimentary registration is made possible by a grant from the Agency for Healthcare Research and Quality (AHRQ).

This webcast was organized by SCCM’s Project Dispatch. Project Dispatch focuses on the patient and family experience. The initiative highlights a number of patient-centered care approaches to encourage awareness and adoption at the bedside among SCCM’s members. This project is supported by grant number R18HS21940 from AHRQ. The content is solely the responsibility of the authors and does not necessarily represent the official views of AHRQ.

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Online Registration Ending Soon for Critical Care Ultrasound – Pediatric

Secure your spot with online registration for the Society of Critical Care Medicine’s (SCCM) popular Critical Care Ultrasound – Pediatric course by Wednesday, December 10, 2014. Critical Care Ultrasound has already sold out, and this course is soon expected to sell out as well.

Learn how to perform and interpret pediatric ultrasound imaging with SCCM’s comprehensive, two-day Critical Care Ultrasound – Pediatric course. Participants benefit from guided, focused skill stations and interactive presentations to reinforce key learning points. Extensive faculty coverage ensures a significant hands-on experience for each participant.

Learning Objectives

  • Demonstrate a foundation of ultrasound knowledge
  • Practice acquisition of high quality images via hands-on exercises
  • Demonstrate image interpretation and utilization of ultrasound as a diagnostic tool

Critical Care Ultrasound – Pediatric will be held January 21 and 22, 2015, at the Sheraton Phoenix Downtown Hotel in Phoenix, Arizona, USA. Register online today to reserve your seat.

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Advance Registration for Congress Ends Soon

Wednesday, December 10, 2014, is the last day to take advantage of advance registration discounts for the Society of Critical Care Medicine’s (SCCM) 44th Critical Care Congress, to be held in Phoenix, Arizona, USA, January 17 to 21, 2015. Thereafter, registration will be accepted on site only.

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 12; make your hotel reservation online today!

This five-day event will offer opportunities to make valuable connections and draw diverse perspectives from all members of the multiprofessional critical care team. Learn about the latest developments in critical care by attending the always popular abstract presentations and Poster Hall events offered at Congress:

Oral Presentations
Oral presentations will be scheduled, unopposed, on Sunday, January 18, 2015, from 3:45 p.m. to 5:45 p.m. These presentations will highlight the top 64 abstracts submitted.

Poster Discussions and Awards Presentations
Discuss original scientific research findings with abstract authors in the Poster Hall, which will be open Sunday, January 18, through Tuesday, January 20, 2015. Winners of SCCM’s abstract-based awards will be recognized during a ceremony on Tuesday, January 20, 2015, from 1:30 p.m. to 2:00 p.m. in room 222 at the Phoenix Convention Center.

ePosters
In addition to the standard Poster Hall, attendees will have the opportunity to view all posters in an electronic format via computers, screens and other mobile views. These posters will be searchable and will include enhanced information to provide the most recent critical care research available.

Professor Walk Rounds
Select poster presentations will be assigned by category to noted faculty and experts who will facilitate the exchange of ideas and commentary between younger scientists and established clinicians. Presentations will be scheduled during the lunch breaks on Sunday, January 18, through Tuesday, January 20, 2015.

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

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Project Dispatch Offers Complimentary Educational Material

The Society of Critical Care Medicine’s (SCCM) Project Dispatch initiative aims to put a spotlight on efforts to improve patient- and family-centered care by disseminating the latest research in this exciting field. Complimentary educational material is consequently made available with regularity. Recently released offerings include the following webcasts:

Comprehensive Patient-Centered Care in the Pediatric ICU

Patient-Centered Approach to Community Transition after Catastrophic Injury

The “Tree of Life” Memorial Event: Meaningful for Families

Collaborating with Families to Improve Patient Care and Transitions

Project Dispatch is supported by grant number R18HS21940 from the Agency for Healthcare Research and Quality (AHRQ). The content is solely the responsibility of the authors and does not necessarily represent the official views of AHRQ.

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Listen to the Latest iCritical Care Podcasts

If you haven’t checked out our iCritical Care Podcasts, listen to the latest releases and subscribe! Loyal listeners and newcomers, be sure to rate us on iTunes. Learn more at www.sccm.org/iCriticalCare.

The latest releases feature experts discussing: the interaction of fluids and vasoactive agents during the treatment of sepsis; early mobility implementation strategies in the pediatric intensive care unit (PICU); and implementation of an enteral nutrition algorithm that significantly improved enteral nutrition delivery and decreased reliance on parenteral nutrition in critically ill children.

SCCM Pod-248 Achieving Nutrient Delivery Goals with a Stepwise Enteral Nutrition Algorithm

SCCM Pod-247 Early Mobilization in the PICU

SCCM Pod-246 Interaction Between Fluids and Vasoactive Agents on Mortality in Septic Shock

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Emergency Neurological Life Support (ENLS): What to Do in the First Critical Hour of a Neurological Emergency

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