Effects of Epinephrine on Cerebral Oxygenation during CPR

Epinephrine has been presumed to improve cerebral oxygen delivery during cardiopulmonary resuscitation (CPR), but animal and registry studies suggest that epinephrine-induced capillary vasoconstriction may decrease cerebral capillary blood flow and worsen neurological outcome. The effect of epinephrine on cerebral oxygenation during CPR has not been documented in the clinical setting. Therefore, Deakin et al examined the effect of epinephrine on cerebral brain oxygenation during in-hospital cardiac arrest.

They found that 1 mg intravenous epinephrine, administered during advanced life support resuscitation, was not associated with a clinically significant change in cerebral tissue oxygenation.

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.

Airway Driving Pressure and Lung Stress in ARDS Patients

Since the first description of acute respiratory distress syndrome (ARDS) in the 1960s, numerous studies have sought the optimal tidal volume, positive end-expiratory pressure, plateau pressure, and inspired fraction of oxygen to reduce ventilator-induced lung injury. Chiumello et al set out to evaluate if airway driving pressure could accurately predict lung stress in ARDS patients.

They found that airway driving pressure can detect lung overstress with an acceptable accuracy.

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.

Critical Connections Live Broadcast from Congress

Can’t come to this year’s Critical Care Congress? View live sessions, interactive interviews and highlights at Critical Connections Live. Tune in Monday, January 23, 2017, beginning at 1:00 p.m. Eastern Standard Time (EST) (see more time zones). Join us at www.sccm.org/Live and follow the hashtag #SCCMLive.

To receive a reminder to tune in, please provide your contact information.

Critical Connections Live Program Schedule

1:00 p.m. – 1:30 p.m. EST
Congress highlights and interviews with key members of the critical care community, SCCM leaders and attendees.

1:30 p.m. – 2:45 p.m. EST
Hot Topics and Late-Breaking Science: Physician-Assisted Suicide and Euthanasia in the Intensive Care Unit: A Dialogue on Core Ethical Issues
A pro/con debate and panel discussion with Jan Bakker, MD, PhD, FCCP, and E. Wesley Ely, MD, MPH, FCCM, featuring their late-breaking article to be released at Congress in Critical Care Medicine just before the session.

Live Post-Session Discussion Panelist #SCCMLive
Mitchell M. Levy, MD, MCCM
Professor of Medicine
Division Chief, Pulmonary and Critical Care Medicine
Brown University School of Medicine
Providence, Rhode Island, USA

2:45 p.m. – 4:30 p.m. EST
Congress highlights and interviews featuring key sessions from Sunday’s opening session, including:

  • 2017 Presidential Address by Ruth M. Kleinpell, RN-CS, PhD, FCCM
  • Plenary session: “Fallen”: A Transdisciplinary Tale of Disturbance and Recovery, by Nalini Nadkarni, PhD

4:30 p.m. – 5:45 p.m. EST
International Guidelines for the Management of Sepsis and Septic Shock: 2016
Laura E. Evans, MD, FCCM, Andrew Rhodes, FRCP, FRCA, FFICM, and Mitchell M. Levy, MD, MCCM, review the methodology and what’s new in the Surviving Sepsis Campaign Guidelines, to be released at Congress in Critical Care Medicine just before the session.

Live Post-Session Discussion Panelists #SCCMLive
Lauren Epstein, MD
Medical Officer
Centers for Disease Control and Prevention
Atlanta, Georgia, USA

R. Phillip Dellinger, MD, MCCM
Chairman/Chief, Department of Medicine
Senior Critical Care Attending Physician
Cooper University Hospital
Camden, New Jersey, USA

Live from Congress Hosts
Richard H. Savel, MD, FCCM
Professor of Clinical Medicine and Neurology
Albert Einstein College of Medicine
New York, New York, USA

Christopher L. Carroll, MD, MS, FCCM
Connecticut Children’s Medical Center
Hartford, Connecticut, USA

Participate in Industry Education at Congress

The Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress will be packed with essential clinical information to keep you informed on the latest groundbreaking research and developments in critical care. Each year, industry partners invest significant resources in research and development, placing them at the cutting edge of clinical practice. Take advantage of one of the many industry education opportunities offered.

Promotional Symposia
These non-continuing medical education programs are directly sponsored by industry partners and provide insight into the latest developments, such as super-refractory status epilepticus, resistant gram-negative organisms, perioperative nutrition, and catecholamine-resistant hypotension.

Promotional symposia take place in a relaxed off-site setting, and attendance is complimentary.

In-Booth Education
Visit the Exhibit Hall to gain new ideas and a heightened level of awareness on clinical topics and new technologies through in-booth learning opportunities. In-booth education will take place during normal Exhibit Hall hours:

Sunday, January 22, 2017 – 7:30 a.m. – 2:00 p.m.
Monday, January 23, 2017 – 7:15 a.m. – 1:45 p.m.
Tuesday, January 24, 2017 – 7:15 a.m. – 1:45 p.m.

Exhibitor-Sponsored Industry Education Workshops
Attend a session on the show floor at the exhibitor-sponsored industry education workshops, located in the Exhibit Hall. Increase your learning opportunities and gain insight on a late-breaking technology or clinical technique.

For full details, visit the Congress Industry Education Web page.

Carry the Entire Congress Program in the Palm of Your Hand

Get ready for the Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress by downloading the Congress App.

  • Access the most current listings of the sessions, business meetings, abstracts, research snapshot theaters, and more.
  • Check in to your attended sessions to expedite claiming continuing education credit.
  • Build your own schedule.
  • View faculty disclosures.
  • Connect with colleagues.
  • Access floor plans.

The Congress App is sponsored by Sage Therapeutics and is available within the SCCM App. Download the SCCM App and navigate to the SCCM Events icon.

Log in to get the most out of the Congress App. To log in, use your confirmation code, which is your SCCM Customer ID.

Apps designed specifically for the iPhone, iPad and Android are available now! Search “SCCM” in Google Play or the iTunes store. You can also download the SCCM App at www.sccm.org/SCCMApp.

All of SCCM’s resources are in one central location with the SCCM App! The SCCM App provides access to the 46th Critical Care Congress App, the new Critical Care Quiz, Surviving Sepsis Campaign App, iCritical Care episodes, SCCM Member Directory, Guidelines, News, Career Central, and much more!

Register for Congress online today using your Customer ID and password or contact SCCM Customer Service at +1 847 827-6888. The 2017 Congress curriculum will be packed with world-renowned speakers, interactive workshops, thought-provoking panel discussions, stimulating educational sessions, and the opportunity to earn continuing education credits.

Few Seats Remain for January Pediatric Ultrasound Course

Just a few seats remain for the Society of Critical Care Medicine’s (SCCM) comprehensive, two-day Critical Care Ultrasound: Pediatric course, which will be held at the Hilton Hawaiian Village in Honolulu, Hawaii, USA, on January 25 and 26, 2017, following SCCM’s 46th Critical Care Congress.

If you wish to attend the ultrasound course and not attend Congress, register online for Critical Care Ultrasound: Pediatric with your customer ID and password. If you plan to attend the ultrasound course in conjunction with Congress, register at www.sccm.org/Congress.

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

Benefits of the ultrasound course 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-to-learner ratio.

Registration for the course 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.

Registration for Critical Care Ultrasound: Adult has sold out. If you have any questions or would like to be added to the wait list, please contact SCCM Customer Service at +1 847 827-6888.

Discounted Registration for 2017 MCCKAP Examination Ending Soon

Register by January 11, 2017, to receive the discounted rate 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.

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.

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

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 discounted rate when you register by January 11, 2017. Register online using your customer ID and password, or contact SCCM Customer Service at +1 847 827-6888.

Attend an Afternoon Symposium at Congress

Learn about clinical breakthroughs and advances in patient care during the educational symposia at the Society of Critical Care Medicine’s (SCCM) 46th Critical Care Congress. Each stimulating session is presented by leading experts in critical care and offers a thorough analysis of the developments and issues affecting most intensive care unit (ICU) environments. These sessions are complimentary for all Congress registrants, and no additional registration is needed to attend.

Evidence-Based Management of Hepatorenal Syndrome Type 1 in Critical Care: Preserving Renal Function in Patients with Portal Hypertension
Supported by an educational grant from Mallinckrodt Pharmaceuticals
This session will review the current knowledge on pathology and definitions for hepatorenal syndrome (HRS) as well as assessment and differential diagnosis of HRS in cirrhotic patients. Critical care team decision-making regarding plasma revolumization and timing of pharmacologic options will also be discussed.

The Modern Approach to the Diagnosis and Treatment of Shock
Supported by an educational grant from La Jolla Pharmaceutical Company
This symposium will explore emerging therapeutic strategies, preserving end-organ perfusion and volumetric assessment in shock.

Anticoagulant Therapy: Where We Are and Where We Are Heading
This activity is supported by an independent educational grant from Boehringer Ingelheim Pharmaceuticals, Inc.
This session will discuss n
on-vitamin K antagonist oral anticoagulants, new antiplatelet agents (thienopyridines), and emergent management of bleeding and reversal of anticoagulant and antiplatelet agents.

These symposia will be held Sunday, January 22, 2017, at the Hilton Hawaiian Village in the Tapa Tower Ballrooms. Seating is on a first-come, first-served basis. Light refreshments and beverages will be available before each symposium, beginning at 3:00 p.m. The sessions will start promptly at 3:30 p.m. More information is available at www.sccm.org/AfternoonSymposia.

Register for Congress online today using your Customer ID and password. For details, visit www.sccm.org/Congress.

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.

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