Webcasts featuring the sponsored sessions from the Society’s Critical Care Congress in Houston, Texas, USA, still are available at LearnICU.org. Access these complimentary presentations before they expire and earn continuing education credits:
The deadline to nominate colleagues for the American College of Critical Care Medicine’s (ACCM) Master of Critical Care Medicine (MCCM) designation is approaching. Those with the MCCM designation have distinguished themselves through outstanding contributions in research and education, as well as through service to the Society and the field. They have achieved national and international professional recognition due to personal character, leadership and eminence in clinical practice. To be eligible, candidates must have been Fellows of the ACCM for at least five years. Nominations for the MCCM designation are due April 15, 2013.
Interested in applying for the 2013 Vision Grant? The 2013 recipient, Azra Bihorac, MD, MS, FCCM, FASN, summarizes her research project and offers insight into the grant application process. Her work also is featured in the February/March issue of Critical Connections.
The Vision Grant offers up to $50,000 in funding to an SCCM member whose work supports education, teamwork, outcomes measures, and reporting and continuous improvement. The deadline to submit an application is August 31, 2013. For more information, please contact SCCM staff partner Sharon Plenner at email@example.com.
Although anemia may cause an increase in morbidity and mortality rates in critically ill pediatric patients, transfusion of packed red blood cells (pRBCs) carries significant risks, which have also been demonstrated in pediatric cardiac surgery patients. However, studies related to these risks have had problems with confounding and the use of pRBCs that were not leukoreduced. Kneyber et al address these concerns in their study testing whether transfusion of leukocyte-depleted pRBCs within the first 48 hours after cardiac surgery would be independently associated with prolonged duration of mechanical ventilation. Results were published in the March 2013 issue of Pediatric Critical Care Medicine.
Kneyber and colleagues retrospectively analyzed data from 335 children between the ages of 0 months to 18 years who underwent cardiac surgery between 2007 and 2010. Of these subjects, 111 were transfused, 86 of them within the first 48 hours of admission to the pediatric intensive care unit. The author then compared the outcomes of these 86 patients to those of the 249 who were not transfused within 48 hours. Patients who received pRBCs within the first 48 hours had a longer duration of ventilation and inotropic support, longer ICU stay, and a higher rate of ventilator-associated pneumonia. However, after adjusting for the severity of illness, the transfusion of pRBCs within the first 48 hours remained independently associated with only the prolonged duration of mechanical ventilation. This study provides more evidence against arbitrary decisions to transfuse blood products. Prospective studies are necessary to determine which transfusion triggers will provide more benefit than cost. Read the full Concise Critical Appraisal.
A new coronavirus is on the loose, and Hong Kong and world health authorities are taking notice. The virus has killed 11 of the 17 people known to have contracted it, a death rate much higher than that of severe acute respiratory syndrome (SARS). Unlike SARS, which affected the respiratory system, this new virus, dubbed “novel coronavirus,” attacks multiple organs. The most likely source of this new disease is bats, though monkeys, pigs, civet cats and even rabbits can also harbor it. To be prepared, Hong Kong officials have started conducting simulations in the event of an outbreak, including quarantines and treatment protocols. The new potential outbreak seems to be centered in the Middle East, with several cases linked to travelers who visited Qatar, Jordan and Saudi Arabia. The Society will continue to monitor this situation and will keep members abreast of any new information.