pOster OVerVIeW WeDNesDAY 1 OCtOber
Transcription
pOster OVerVIeW WeDNesDAY 1 OCtOber
! NHEIS YW EAR T scIEntific Programme - WEDNESDAY 1 october POSTER OVERVIEW WEDNESDAY 1 OCTOBER Area Bilbao Area Cadiz Area Cartagena Area Granada Area Las Palmas QUALITY ASSESSMENT & PATIENT-CENTERED OUTCOMES TOXICOLOGY & PHARMACOLOGY IN THE CRITICALLY ILL PERI-OPERATIVE INTENSIVE CARE SEPSIS MISCELLANEA ALI & ARDS: EXPERIMENTAL STUDIES PROCESS IMPROVEMENT IN THE ICU Area Madrid Area Malaga Area Murcia Area Oviedo Area Seville Area Tenerife SEPSIS PROGNOSIS II CARDIAC ARREST: MANAGEMENT & COMPLICATIONS CRITICAL CARE NURSING & ICU ORGANISATION PAEDIATRIC INTENSIVE CARE TRAUMA CARE: FROM BENCH TO BEDSIDE IMPACT OF PATIENT CHARACTERISTICS ON OUTCOME Area Valencia Area Vigo BLEEDING, SEDATION & HAEMODYNAMIC INSTABILITY SEDATION OF THE CRITICALLY ILL Difficult to chose between competing sessions? Want to look at sessions while you commute? Then come and experience our new REPLAY TOWER: a novel way to optimise your time! YOU decide when and where to watch the most recent LIVES 2014 lectures... Session of special interest for Nurses and AHP SCIENTIfic programme You missed the Critical Refresher Courses and Postgraduate Courses? MORNING 10:10 - 12:00 Area Alicante The intensive connection to… The Replay Tower_ POSTER CORNERS MONDAY 29 september WEDNESDAY 1 Oct. View a selection of top presentations onsite on 6 touch screens or download them on your Smartphone or tablet to watch later! This amazing access to our user-friendly interface is available to all participants during the Congress... Afterwards, all Flash-Conferences will be accessible to only ESICM members. Powered by Not yet a member? Become a member today and ensure you receive all of the benefits of membership in our ICM network. MORE INFORMATION_ Come and visit us at our ESICM Booth 100: Exhibition Area. TO BE CONTINUED > www.esicm.org Page 154 Option 2 Page 155 PROGRAMME OVERVIEW WEDNESDAY 1 OCTOBER Room 08:00 08:25 Barcelona Vienna Berlin Athens Rome Stockholm Geneva Paris Glasgow Amsterdam INNOVATIVE THERAPIES IN SEPSIS FLUIDS: THE GOOD AND THE BAD NEUROPROGNOSTICATION FOLLOWING CARDIAC ARREST NEW FRONTIERS FOR ACUTE KIDNEY INJURY MANAGEMENT (RE)MODELLING OF ICU ORGANISATION: A PATIENT CENTERED ANALYSIS CRITICAL CARE IN THE PRE-HOSPITAL SETTING HOW TO WALK OUT OF THE ICU: MUSCLE LOSS & FUNCTION GUIDELINES ON PAIN, SEDATION AND DELIRIUM MANAGEMENT MDR MICRORGANISMS: BAD BUGS, NO DRUGS? ELECTROLYTE DISTURBANCE: FROM UNDERSTANDING TO SMART CORRECTION WHAT'S NEW IN CARDIOVASCULAR DYNAMICS AND CARDIAC ARREST? PNEUMONIA INSIGHTS INTO PATHOGENESIS OF AKI ACUTE LUNG INJURY: EXPERIMENTAL STUDIES WHAT'S NEW IN SEPSIS AND INFECTION? SEVERITY ASSESSMENT THERAPEUTIC MANIPULATIONS OF THE INJURED BRAIN PREVENTING DELIRIUM IN CRITICAL ILLNESS TISSUE PERFUSION IN TRAUMA ICU OUTCOMES: BEYOND HOSPITAL MORTALITY MECHANICAL VENTILATION AND ARDS IMPROVING PERFUSION: FROM PRESSURE TO FLOW THE DIGITAL PATIENT CAN THE GUT ADAPT TO CRITICAL ILLNESS? 08:30 10:00 10:10 11:30 NEXT Lounge ICU ACQUIRED WEAKNESS: CLINICAL PHENOTYPES AND DETERMINANTS JOINT WITH NCS - RESISTING THE STORM AFTER BRAIN INJURY THERE WILL BE BLEEDING WORKING CONDITIONS OF INTENSIVISTS: AN UNSOLVED CHALLENGE ICU MANAGEMENT OF THE BURN VICTIM NEXT - DEBATE NEXT - MEET THE EXPERT DOGMATA DEBATED 2014 INFECTION CONTROL AS A NURSING CHALLENGE 12:00 14:00 HOT TOPICS SESSION 14:10 16:30 Session references : Keynote Lecture Session Thematic Sessions Sessions of special interest for Nurses and AHP Oral Presentations Page 156 WEDNESDAY 1 OCTOBER SCIENTIfic programme WEDNESDAY 1 OCTOBER State of the Art Session Live voting using your own smartphone SCIENTIfic programme Continuous Professional Education Session Page 157 ICU ACQUIRED WEAKNESS: CLINICAL PHENOTYPES AND DETERMINANTS 08:00 – 08:25 Presentation ROOM Barcelona Margaret Herridge, Toronto, Canada Thematic Session INNOVATIVE THERAPIES IN SEPSIS Chairs: Laurent Papazian, Marseille, France & Claude Martin, Marseille, France 08:30 – 08:45 Statins 08:45 – 08:48 Discussion 08:48 – 09:03 Cellular effects of corticosteroids 09:03 – 09:06 Discussion 09:06 – 09:21 Erythropoietin 09:21 – 09:24 Discussion 09:24 – 09:39 Selenate 09:39 – 09:42 Discussion 09:42 – 09:57 Beta-blockers 09:57 – 10:00 Discussion ROOM Vienna Thematic Session Laurent Papazian, Marseille, France Karim Asehnoune, Nantes, France Carole Ichai, Nice, France Anne-Cornélie de Pont, Amsterdam, Netherlands Andrea Morelli, Rome, Italy FLUIDS: THE GOOD AND THE BAD Chairs: Anders Perner, Copenhagen, Denmark & Maurizio Cecconi, London, United Kingdom 08:30 – 08:45 Crystalloids: As good as you think? 08:45 – 08:48 Discussion 08:48 – 09:03 Artificial colloids: Only bad? 09:03 – 09:06 Discussion 09:06 – 09:21 Albumin: The good and the bad 09:21 – 09:24 Discussion 09:24 – 09:39 Other blood products: Only good? 09:39 – 09:42 Discussion 09:42 – 09:57 Paediatric patients: All good? 09:57 – 10:00 Discussion ROOM Berlin Thematic Session Anders Perner, Copenhagen, Denmark Konrad Reinhart, Jena, Germany Luciano Gattinoni, Milan, Italy Gernot Marx, Aachen, Germany Mark Peters, London, United Kingdom NEUROPROGNOSTICATION FOLLOWING CARDIAC ARREST Chairs: Fabio Silvio Taccone, Brussels, Belgium & Romergriko Geocadin, Baltimore, United States 08:30 – 08:45 Clinical examination 08:45 – 08:48 Discussion 08:48 – 09:03 EEG and evoked potentials Tarek Sharshar, Paris, France Mauro Oddo, Lausanne, Switzerland 09:03 – 09:06 Discussion 09:06 – 09:21 Neurological outcome after paediatric cardiac arrest 09:21 – 09:24 Discussion 09:24 – 09:39 Neuroimaging and biomarkers 09:39 – 09:42 Discussion 09:42 – 09:57 A practical recommendation 09:57 – 10:00 Discussion ROOM Athens Thematic Session Mark Peters, London, United Kingdom Raimund Helbok, Innsbruck, Austria Romergriko Geocadin, Baltimore, United States SCIENTIfic programme WEDNESDAY 1 OCTOBER 08:45 – 08:48 Discussion 08:48 – 09:03 AKI in the trauma patient 09:03 – 09:06 Discussion 09:06 – 09:21 Preventing AKI after emergency abdominal surgery 09:21 – 09:24 Discussion 09:24 – 09:39 Fluid management for the AKI patient 09:39 – 09:42 Discussion 09:42 – 09:57 Preventing chronic kidney disease after AKI 09:57 – 10:00 Discussion Page 158 (RE)MODELLING OF ICU ORGANISATION: A PATIENT CENTERED ANALYSIS 08:30 – 08:45 Relative's perspective 08:45 – 08:48 Discussion Hans Ulrich Rothen, Bern, Switzerland 08:48 – 09:03 What is the effect of more or less ICUs in a country? 09:03 – 09:06 Discussion 09:06 – 09:21 What is the effect of centralisation of ICU resources? 09:21 – 09:24 Discussion 09:24 – 09:39 The impact of changes in the ICU workforce 09:39 – 09:42 Discussion 09:42 – 09:57 Which factors have the largest impact on cost and patient outcomes? 09:57 – 10:00 Discussion ROOM Stockholm Thematic Session Pre-hospital trauma care: The Londons' air ambulance experience Discussion 08:48 – 09:03 Pre-hospital management of vascular injuries 09:03 – 09:06 Discussion 09:06 – 09:21 Sonography in the pre-hospital setting: Meaningful tool or toy? 09:21 – 09:24 Discussion 09:24 – 09:39 Management of the intoxicated patient in the pre-hospital setting 09:39 – 09:42 Discussion 09:42 – 09:57 Controversies in prehospital airway management 09:57 – 10:00 Discussion ROOM Geneva Thematic Session David Lockey, Bristol, United Kingdom Dietmar Fries, Innsbruck, Austria Jacques Duranteau, Kremlin-Bicetre, France Bruno Mégarbane, Paris, France Karim Asehnoune, Nantes, France HOW TO WALK OUT OF THE ICU: MUSCLE LOSS & FUNCTION Chairs: Steffen Weber-Carstens, Berlin, Germany & Sergio Ruiz Santana, Las Palmas de Gran Canaria, Spain 08:30 – 08:45 Functional assessment 08:45 – 08:48 Discussion 08:48 – 09:03 Comprehensive exercise testing & muscle function 09:03 – 09:06 Discussion 09:06 – 09:21 Imaging techniques: US, CT, MRI 09:21 – 09:24 Discussion 09:24 – 09:39 Morphological changes 09:39 – 09:42 Discussion 09:42 – 09:57 How to promote recovery 09:57 – 10:00 Discussion ROOM Paris Thematic Session Nicholas Hart, London, United Kingdom Julia Wendon, London, United Kingdom Michael Hiesmayr, Vienna, Austria Michaël Casear, Leuven, Belgium Steffen Weber-Carstens, Berlin, Germany GUIDELINES ON PAIN, SEDATION AND DELIRIUM MANAGEMENT Chairs: Sangeeta Mehta, Toronto, Canada & Michael Sander, Berlin, Germany 08:45 – 08:48 Discussion 08:48 – 09:03 Guidelines on analgesia, sedation and delirium monitoring 09:03 – 09:06 Discussion Heleen Oudemans-van Straaten, Amsterdam, Netherlands 09:06 – 09:21 Which sedatives are safe? 09:21 – 09:24 Discussion 09:24 – 09:39 Local strategies to increase guideline adherence Martin Dünser, Salzburg, Austria 09:39 – 09:42 Discussion 09:42 – 09:57 Using e-media for education and implementation 09:57 – 10:00 Discussion Eric Hoste, Ghent, Belgium Akos Csomos, Budapest, Hungary Chairs: Hans Friberg, Lund, Sweden & David Lockey, Bristol, United Kingdom 08:45 – 08:48 Julian Bion, Birmingham, United Kingdom CRITICAL CARE IN THE PRE-HOSPITAL SETTING 08:30 – 08:45 Peter van der Voort, Amsterdam, Netherlands Stephen J. Brett, London, United Kingdom Bedside assessment of ICU delirium NEW FRONTIERS FOR ACUTE KIDNEY INJURY MANAGEMENT Will my patient develop AKI after surgery? Thematic Session Chairs: Peter van der Voort, Amsterdam, Netherlands & Akos Csomos, Budapest, Hungary 08:30 – 08:45 Chairs: Lui Forni, Worthing, United Kingdom & John Prowle, London, United Kingdom 08:30 – 08:45 ROOM Rome Arjen Slooter, Utrecht, Netherlands Hannah Wunsch, New York, United States Sangeeta Mehta, Toronto, Canada Tarek Sharshar, Paris, France Claudia Spies, Berlin, Germany Rupert Pearse, London, United Kingdom John Prowle, London, United Kingdom Visit us at the ESICM Booth Exhibition Area WEDNESDAY 1 OCTOBER Keynote Lecture SCIENTIfic programme ROOM Barcelona Chair: Marco Ranieri, Turin, Italy Page 159 08:30 – 08:45 Epidemiology and resistance worldwide: Where are we now? 08:45 – 08:48 Discussion 08:48 – 09:03 How to limit MDR spread 09:03 – 09:06 Discussion 09:06 – 09:21 How resistant bugs may kill patient? 09:21 – 09:24 Discussion 09:24 – 09:39 Treatment strategies: Gram negative bacterias 09:39 – 09:42 Discussion 09:42 – 09:57 Treatment strategies: Gram positive bacterias 09:57 – 10:00 Discussion Sodium Discussion 08:48 – 09:03 Chloride 09:03 – 09:06 Discussion 09:06 – 09:21 Phosphate Jean-François Timsit, Paris, France George Dimopoulos, Athens, Greece Wilfred Druml, Vienna, Austria Annika Reintam Blaser, Tartu, Estonia Discussion Magnesium 09:39 – 09:42 Discussion 09:42 – 09:57 How all electrolytes fit in the Stewart equation 09:57 – 10:00 Discussion ROOM Barcelona WHAT'S NEW IN CARDIOVASCULAR DYNAMICS AND CARDIAC ARREST? 0888 MITOCHONDRIAL DYSFUNCTION CONTRIBUTES TO SEPSIS-INDUCES ACUTE KIDNEY INJURY E. Greco, N. Arulkumaran, M. Sixma, H. Courtneidge, M. Duchen, F. Tam, R.J. Unwin, M. Singer, London, United Kingdom 0889 A RE-AUDIT OF APPROPRIATE ANTIBIOTIC DOSING ACCORDING TO RENAL FUNCTION OR RENAL REPLACEMENT THERAPY IN CRITICAL CARE K.D. Donnelly, K. Patel, J.J. Coleman, D. Westwood, K. England, Birmingham, United Kingdom 0890 EARLY TUBULAR CELLULAR STRESS DETECTED BY URINARY BIOMARKERS TIMP-2 AND IGFBP7 IS ASSOCIATED WITH INCREASED 28-DAYS MORTALITY I. Gocze, F. Zeman, M.H. Dahlke, H.J. Schlitt, J.A. Kellum, T. Bein, Regensburg, Germany, Pittsburgh, United States 0891 MICROPARTICLE-BOUND ENDOGLIN (CD105-MPS) IS ASSOCIATED WITH ACUTE RENAL FAILURE DURING SEPTIC SHOCK X. Delabranche, J. Boisramé-Helms, L. Stiel, P. Asfar, Y. Mootien, A. Monnier, T. Lavigne, F. Toti, F. Meziani, Strasbourg, France, Angers, France, Mulhouse, France, IllkirchGraffenstaden, France 0892 HIGH RESPIRATORY RATE FAVORS PULMONARY EDEMA IN AN EXPERIMENTAL MODEL OF ACUTE LUNG INJURY J. Retamal, J.B. Borges, F. Suarez-Sipmann, A. Bruhn, G. Hedenstierna, A. Larsson, Uppsala, Sweden, Santiago, Chile 0893 0878 TIME COURSE OF VILI DEVELOPMENT: A CT SCAN STUDY C. Chiurazzi, M. Gotti, M. Amini, C. Rovati, I. Algieri, M. Brioni, A. Cammaroto, C. Bacile di Castiglione, K. Nikolla, C. Montaruli, S. Luoni, B. Comini, G. Rossignoli, G. Conte, T. Langer, M. Cressoni, L. Gattinoni, Milano, Italy 0894 ARTERIAL CARBON DIOXIDE LEVELS PREDICT IN-HOSPITAL MORTALITY INDEPENDENT OF ARTERIAL OXYGEN AFTER RESUSCITATION FROM CARDIAC ARREST H.J.F. Helmerhorst, M.-J. Blom, D.J. van Westerloo, A. Abu-Hanna, N.F. de Keizer, E. de Jonge, Leiden, Netherlands, Amsterdam, Netherlands 0879 IDENTIFICATION AND VALIDATION OF A MIRNA AS A DIAGNOSTIC BIOMARKER OF DIFFUSE ALVEOLAR DAMAGE IN AN ANIMAL MODEL OF ACUTE LUNG INJURY AND ADULT RESPIRATORY DISTRESS SYNDROME IN MECHANICALLY VENTILATED PATIENTS P. Cardinal-Fernández, A. Ferruelo, N. Rego, Y. Rojas, A. Ballén-Barragán, R. Granados, C. Jaramillo, E. Lopez-Hernández, L. MartínezCaro, N. Nin, R. Herrero, M.A. de la Cal, A. Esteban, J.A. Lorente, Getafe, Spain, Montevideo, Uruguay, Madrid, Spain 0895 ACUTE KIDNEY INJURY AFTER OUT-OF-HOSPITAL CARDIAC ARREST: PREVALENCE, RISK FACTORS AND OUTCOME L. Guillemet, G. Geri, F. Dumas, J. Charpentier, M. Antona, V. Lemiale, W. Bougouin, J.-P. Mira, C. Vinsonneau, A. Cariou, J.-P. Empana, Paris, France, Melun, France 0880 PRELOAD-DEPENDENCE INDICES TO TITRATE VOLUME EXPANSION DURING SEPTIC SHOCK: A RANDOMIZED CONTROLLED TRIAL J.-C. Richard, F. Bayle, B. Gaël, V. Leray, S. Debord, B. Delannoy, A. Stoian Cividjian, F. Wallet, H. Yonis, C. Guerin, Lyon, France 0881 TEMPORAL CHANGES IN TIDAL RECRUITMENT COMPARED TO HISTOLOGIC OUTCOME IN EXPERIMENTAL ACUTE RESPIRATORY DISTRESS SYNDROME J. Haase, S. Hammermüller, A. Beilicke, P. Spieth, D. Buchloh, S. Haska, K. Noreikat, T. Muders, A. Reske, H. Wrigge, Leipzig, Germany, Dresden, Germany, Bonn, Germany 0896 PULMONARY HYPERTENSION POSSIBLY LINKED TO LEFT HEART DISEASE IN COPD D. Lepida, E. Galiatsou, A. Papathanasiou, V. Koulouras, C. Katsouras, G. Nakos, Ioannina, Greece 0882 MECHANISMS OF PULMONARY INFLATION DURING LUNG INJURY ASSESSED BY SYNCHROTRON RADIATION COMPUTED TOMOGRAPHY G. Perchiazzi, J.B. Borges, G. Hedenstierna, L. Porra, L. Broche, M. Pellegrini, A. Sindaco, A.P. Tannoia, S. Derosa, F.F.M. Todisco, T. Fiore, A. Larsson, S. Bayat, Bari, Italy, Uppsala, Sweden, Helsinki, Finland, Grenoble, France, Amiens, France 0897 IN PATIENTS WITH SEVERE SEPSIS MICROPARTICLE PROFILES DIFFER ACCORDING TO THE SOURCE OF INFECTION H. Lashin, S. Nadkarni, C. Hinds, M. Perretti, London, United Kingdom 0898 PERFORMANCE OF NEW HIGH PERFORMANCE DRESSINGS AS COMPARED TO TRADITIONAL ONES IN PREVENTION INFECTION AND NON INFECTION COMPLICATIONS OF CATHETERS IN ICU: A RANDOMIZED CONTROLLED STUDY S. Calvino Gunther, M. Chautemps, C. Schwebel, E. Sengel, S. Ruckly, M.-R. Djaguidi, A. Vésin, J.-F. Timsit, Grenoble, France 0899 EFFECTS OF OXYGEN STATUS ON THE INNATE IMMUNE RESPONSE IN HUMANS IN VIVO D. Kiers, A. John, E. Janssen, G.J. Scheffer, H. van der Hoeven, P. Pickkers, M. Kox, Nijmegen, Netherlands 0900 CLINICAL SIGNIFICANCE OF PERIPHERAL VENOUS OXYGEN SATURATION IN PATIENTS WITH SEVERE SEPSIS OR SEPTIC SHOCK AFTER INITIAL RESUSCITATION H. Chung, J.H. Lee, K. Kim, Y.H. Jo, J.K. Kim, Sungnam-si, Republic of Korea 0901 MEROPENEM AND PIPERACILLIN CONCENTRATIONS IN ICU PATIENTS TREATED WITH CONTINUOUS RENAL REPLACEMENT THERAPY J. Petersson, C.G. Giske, E. Eliasson, Stockholm, Sweden 0902 Oral Presentations ACUTE LUNG INJURY: EXPERIMENTAL STUDIES Chairs: Samir Jaber, Montpellier, France & Salvatore Maggiore, Rome, Italy 10:10 – 11:30 P.M.C. Klein Klouwenberg, S. Kuipers, M.J. Schultz, L.M. Peelen, M.J. Bonten, O.L. Cremer, Utrecht, Netherlands, Amsterdam, Netherlands Oral Presentations L. Rahmania, F. Su, D. Orbegozo Cortés, E.H. Post, C. Santacruz, F.S. Taccone, J.L. Vincent, D. De Backer, Brussels, Belgium John Kellum, Pittsburgh, United States INCIDENCE, RISK FACTORS AND OUTCOMES OF NEW-ONSET ATRIAL FIBRILLATION IN CRITICALLY ILL PATIENTS WITH SEPSIS ROOM Vienna ADMINISTRATION OF TETRAHYDROBIOPTERIN (BH4) PROTECTS RENAL MICROCIRCULATION AFTER ISCHEMIA AND REPERFUSION ROOM Athens Oral Presentations PNEUMONIA Chairs: Antonio Torres, Barcelona, Spain & Mercedes Palomar, Barcelona, Spain 10:10 – 11:30 0887 INSIGHTS INTO PATHOGENESIS OF AKI Kenneth Christopher, Boston, United States Chairs: Alain Cariou, Paris, France & Olaf Cremer, Utrecht, Netherlands 10:10 – 11:30 Oral Presentations F. Alvarez-Lerma, M. Palomar, M. Sanchez Garcia, L. Lorente, F. Gordo, J. Alvarez, J.M. Añón, R. Garcia, R. Jam, S. Arias, M. Vazquez-Calatayud, Barcelona, Spain, Lleida, Spain, Madrid, Spain, Santa Cruz de Tenerife, Spain, Cuenca, Spain, Vizcaya, Spain, Sabadell, Spain, Pamplona, Spain Chairs: Heleen Oudemans-van Straaten, Amsterdam, Netherlands & Marlies Ostermann, London, United Kingdom 10:10 – 11:30 Carole Ichai, Nice, France 09:21 – 09:24 SCIENTIfic programme ROOM Berlin ELECTROLYTE DISTURBANCE: FROM UNDERSTANDING TO SMART CORRECTION 09:24 – 09:39 Page 160 Jordi Vila Estape, Barcelona, Spain Chairs: Valentin Fuhrmann, Hamburg, Germany & John Kellum, Pittsburgh, United States 08:30 – 08:45 Steve Opal, Pawtucket, United States Christian Brun-Buisson, Créteil, France Thematic Session 08:45 – 08:48 FINAL REPORT OF THE “PNEUMONIA ZERO” PROJECT Chairs: Jean Carlet, Paris, France & Jan De Waele, Ghent, Belgium ROOM Amsterdam WEDNESDAY 1 OCTOBER MDR MICRORGANISMS: BAD BUGS, NO DRUGS? DIAGNOSING PNEUMONIA ON THE INTENSIVE CARE UNIT WITH SERUM 1H NMR D. Antcliffe, B. Jiménez, K. Veselkov, E. Holmes, SPECTROSCOPY G. Hanna, M. Takata, A.C. Gordon, London, United Kingdom 0883 RISKS AND PROGNOSTIC FACTORS FOR ICU-ACQUIRED PNEUMONIA DUE TO PSEUDOMONAS AERUGINOSA WITH AND WITHOUT MULTIDRUG RESISTANCE F. De Rosa, L. Fernandez-Barat, M. Ferrer, A. Gabarrus, M. Esperatti, S. Terraneo, M. Rinaudo, L.F. Difrancesco, G. Li Bassi, A. Torres, Milan, Italy, Barcelona, Spain 0884 SERUM LEVELS OF IMMUNOGLOBULINS (IG) AND SEVERITY OF COMMUNITYACQUIRED PNEUMONIA (CAP) M.C. de la Torre, P. Toran, E. Palomera, M. Serra-Prat, A. Albís, E. Güell, M. Solsona, G. Miró, J.C. Yébenes, J. Almirall, R. Martínez, Mataro, Spain, Barcelona, Spain, Mataró, Spain 0885 CONTRIBUTION OF TRACHEAL PH IN THE EARLY DIAGNOSIS OF VENTILATORASSOCIATED PNEUMONIA (VAP) – PRELIMINARY RESULTS M. Ben Romdhane, A. Ben Souissi, M. Karoui, S. Kamoun, A. Riahi, W. Laaribi, M.S. Mebazaa, Sidi Daoued, Tunisia 0886 ROOM Rome Oral Presentations WHAT'S NEW IN SEPSIS AND INFECTION? Chairs: Richard Beale, London, United Kingdom & Jean Carlet, Paris, France 10:10 – 11:30 WEDNESDAY 1 OCTOBER Thematic Session SCIENTIfic programme ROOM Glasgow Page 161 SEVERITY ASSESSMENT ROOM Glasgow LONG TERM CHANGES IN DYSNATREMIA INCIDENCE IN THE ICU. A SWITCH FROM HYPONATREMIA TO HYPERNATREMIA A. Oude Lansink, E.J. Hoorn, M.W. Nijsten, Groningen, Netherlands, Rotterdam, Netherlands 0903 CAN STRONG ION DIFFERENCE-WITHOUT LACTATE (SIDWL) BE USED AS A PROGNOSTIC INDICATOR FOR MORTALITY AT THE INTENSIVE CARE UNIT ADMISSION? B. Gucyetmez, H.K. Atalan, A. Ogan, A. Cimet Ayyildiz, B. Yalcin Guder, S. Cobanoglu, N. Cakar, L. Telci, Istanbul, Turkey 0904 INFLUENCE OF HOSPITAL BED DESIGN ON PATIENT MIGRATION K. Davis, S. Kotowski, M. Coombs, S. Meyer, Cincinnati, United States 0905 IMPACT OF BODY MASS INDEX, PERFORMANCE STATUS, COMORBIDITIES AND THEIR INTERPLAY ON THE SHORT TERM PROGNOSIS OF MEDICAL ADMISSIONS TO THE ICU F.G. Zampieri, F. Colombari, São Paulo, Brazil 0906 COMPARISON BETWEEN REVISED ATLANTA CLASSIFICATION AND DETERMINANT-BASED CLASSIFICATION FOR ACUTE PANCREATITIS IN INTENSIVE CARE MEDICINE F. Zubia Olaskoaga, E. Maravi Poma, L. Bordejé Laguna, R. Ramírez Puertas, M. Mourelo Fariña, Donostia- San Sebastian, Spain, Pamplona, Spain, Badalona, Spain, Granada, Spain, A Coruña, Spain ROOM Geneva Oral Presentations 0907 THERAPEUTIC MANIPULATIONS OF THE INJURED BRAIN 0918 EFFECT OF CATECHOLAMINE IMMEDIATELY AFTER BLAST LUNG INJURY CAUSED BY LASER-INDUCED SHOCK WAVE IN A MOUSE MODEL H. Miyawaki, D. Saitoh, K. Hagisawa, M. Noguchi, S. Satoh, M. Kinoshita, H. Miyazaki, Y. Satoh, T. Sakamoto, Tokorozawa, Japan 0919 CEREBROVASCULAR AUTOREGULATION IN NORMOTENSIVE HYPOVOLAEMIA: A STUDY COMBINING LOWER BODY NEGATIVE PRESSURE AND MRI S.C. Beards, S. Brodie, J. Cain, L.M. Parkes, A. Jackson, Manchester, United Kingdom 0920 EFFECT OF NOREPINEPHRINE ON INTESTINAL OXYGENATION DURING FLUID RESUSCITATION OF HEMORRHAGIC SHOCK IN MICE A. Harrois, N. Baudry, E. Vicaut, J. Duranteau, Le Kremlin Bicêtre, France, Paris, France 0921 IMMUNE PARALYSIS IN TRAUMA PATIENTS; IMPLICATIONS FOR PRE-HOSPITAL INTERVENTION K. Timmermans, M. Kox, M. Vaneker, P. Pickkers, G.J. Scheffer, Nijmegen, Netherlands 0922 ONE-YEAR MORTALITY RATE IN ELDERLY PATIENTS: THE PICTURE OF A NORTHERN ITALY ICU AND A COMPARISON WITH GENERAL POPULATION F. Boni, F. Cipulli, L. Giuntoli, A. Giugni, Bologna, Italy 0923 M.G. Abate, A. Grassi, A. Patruno, A. Vargiolu, F. Sala, E. Zanotto, M. Panzeri, B. Cadore, G. Citerio, Monza, Italy 0908 LONG-TERM MORTALITY AMONG ELDERLY SURVIVORS OF INTENSIVE CARE A. Hill, D. Scales, R. Pinto, R. Fowler, Toronto, Canada 0924 EFFECTS OF TIGHT COMPUTERIZED GLUCOSE CONTROL ON NEUROLOGICAL OUTCOME IN SEVERE BRAIN-INJURED PATIENTS. A MULTI-CENTER SUBGROUP ANALYSIS OF THE RANDOMIZED-CONTROLLED OPEN-LABEL CGAOREA STUDY R. Cinotti, C. Ichai, J.-C. Orban, P. Kalfon, F. Feuillet, A. Roquilly, B. Riou, Y. Blanloeil, K. Asehnoune, B. Rozec, Nantes, France, Nice, France, Chartres, France, Paris, France 0909 3-MONTHS FOLLOW UP OF 289 ICU PATIENTS: EVALUATION OF EMOTIONAL DISORDERS AND HEALTH-RELATED QUALITY OF LIFE IN 24-HS VISITING POLICY UNIT R.R.L. Fumis, O.T. Ranzani, P.S. Martins, G.P.P. Schettino, São Paulo, Brazil 0925 LONG TERM MORTALITY IN CHILDREN ADMITTED TO PEDIATRIC INTENSIVE CARE IN SWEDEN 2008-2010 H. Kalzen, B.A. Larsson, S. Eksborg, L. Lindberg, C.-E. Edberg, C. Frostell, Stockholm, Sweden 0926 VASOSPASM WORSENING RELATED TO SWITCH OF NIMODIPINE ADMINISTRATION IN SPONTANEUS SUBARACHNOIDAL HEMORRAGE S. Valles Angulo, M.P. Gracia Arnillas, I. Dot Jordana, A. Zapatero Ferrandiz, I. Navalpotro Gomez, E. Cuadrado Godiva, A. Ois Santiago, G. Villalba Martínez, T. Sola Martinez, E. Vivas Diaz, Barcelona, Spain 0910 EARLY PREDICTION OF NEW-ONSET PHYSICAL DISABILITY AFTER INTENSIVE CARE UNIT STAY A. Schandl, M. Bottai, U. Holdar, E. Hellgren, P. Sackey, Stockholm, Sweden 0927 HYPEROXIA IS ASSOCIATED WITH INCREASED CEREBRAL DAMAGE AFTER SEVERE TBI H. Quintard, C. Patet, T. Suys, P. Marques-Vidal, M. Oddo, Lausanne, Switzerland 0911 HYPEROXAEMIA IS ASSOCIATED WITH INCREASED ALL-CAUSE INTENSIVE CARE UNIT MORTALITY IN SPONTANEOUS SUBARACHNOID HAEMORRHAGE B.A. Shuker, C.R. Bassford, Coventry, United Kingdom 0912 NEXT Lounge 10:10 – 11:10 SCIENTIfic programme WEDNESDAY 1 OCTOBER PREVENTING DELIRIUM IN CRITICAL ILLNESS Chairs: Sangeeta Mehta, Toronto, Canada & Tarek Sharshar, Paris, France 10:10 – 11:30 Page 162 Oral Presentations PROPHYLACTIC LOW-DOSE DEXMEDETOMIDINE DECREASES THE INCIDENCE OF DELIRIUM IN CRITICALLY ILL ELDERLY PATIENTS AFTER NONCARDIAC SURGERY: A RANDOMIZED CONTROLLED TRIAL X. Su, Z.-T. Meng, Y.-Y. Feng, X.-H. Wu, F. Cui, D.-X. Wang, Beijing, China FACTORS ASSOCIATED WITH RESTRAINT USE IN THE SLEAP TRIAL: A MULTICENTER RANDOMIZED TRIAL COMPARING PROTOCOLIZED SEDATION WITH DAILY SEDATION INTERRUPTION VERSUS PROTOCOLIZED SEDATION ALONE IN MECHANICALLY VENTILATED ADULTS L. Rose, L. Burry, R. Mallick, E. Luk, D. Cook, D. Fergusson, M. Meade, M. Herridge, P. Dodek, K. Burns, J. Granton, N. Ferguson, J. Devlin, M. Steinberg, M. Tanios, R. Fowler, M. Jacka, K. Olafson, Y. Skrobik, S. Mehta, Toronto, Canada, Ottawa, Canada, Hamilton, Canada, Vancouver, Canada, Boston, United States, Long Beach, United States, Edmonton, Canada, Winnipeg, Canada, Montreal, Canada 0914 EFFECT OF PROPOFOL COMBINED WITH OPIOIDS ON GUINEA PIG'S SMALL BOWEL MOTILITY IN VITRO M. Schörghuber, E. Tatzl, P. Holzer, W. Toller, S. Fruhwald, Graz, Austria 0915 A PROSPECTIVE EVALUATION OF PSYCHOACTIVE MEDICATIONS AND DELIRIUM IN CANADIAN CRITICALLY ILL ADULTS: INTERIM RESULTS L. Burry, S. Mehta, D. Williamson, M. Perreault, I. Mantas, D. Fergusson, O. Smith, A. Day, M. Anan, A. Cho, S. Dupuis, E. Fan, L. Rose, Toronto, Canada, Montreal, Canada, Ottawa, Canada 0916 Y. Yamaguchi, T. Mihara, M. Taguri, O. Yamaguchi, T. Goto, Yokohama, Japan 0917 MELATONIN RECEPTOR AGONIST FOR THE PREVENTION OF POSTOPERATIVE DELIRIUM IN ELDERLY PATIENTS: A RANDOMIZED, DOUBLE-BLIND, PLACEBOCONTROLLED TRIAL Thematic Session NEXT – DEBATE Simulation and e-learning: New frontiers Poster Corner Michael Sander, Berlin, Germany Claudia Spies, Berlin, Germany QUALITY ASSESSMENT & PATIENT-CENTERED OUTCOMES Chairs: Rik Gerritsen, Leeuwarden, Netherlands & Francesca Rubulotta, London, United Kingdom 10:10 – 12:00 0913 ICU OUTCOMES: BEYOND HOSPITAL MORTALITY Chair: Bjoern Weiss, Berlin, Germany Area Alicante ROOM Paris Oral Presentations Chairs: Wilfred Druml, Vienna, Austria & Diederik van Dijk, Utrecht, Netherlands 10:10 – 11:30 AN EFFECTIVE AND SAFE STRATEGY TO TARGET NORMOTHERMIA IN NEUROCRITICAL PATIENTS WITH FEVER TISSUE PERFUSION IN TRAUMA GREY MATTER PERFUSION IS PRESERVED DURING NORMOTENSIVE S.C. Beards, J.R. Cain, L.M. Parkes, A. Jackson, HYPOVOLAEMIA, DESPITE REDUCTIONS IN TOTAL CEREBRAL BLOOD FLOW: Manchester, United Kingdom EVIDENCE OF LOCAL, PRESSURE INDEPENDENT, INTRA-CEREBRAL VASCULAR AUTOREGULATORY RESPONSE ROOM Amsterdam Chairs: Peter LeRoux, Philadelphia, United States & Elisa Zanier, Milan, Italy 10:10 – 11:30 10:10 – 11:30 Oral Presentations Chairs: Marc Léone, Marseille, France & Can Ince, Amsterdam, Netherlands COMPARING FAMILY SATISFACTION WITH CARE BETWEEN THE INTENSIVE CARE AND HIGH DEPENDENCY UNITS IN A UNIVERSITY HOSPITAL M. Cadd, K. Regan, Brighton, United Kingdom 0928 COMMUNICATION WITH PRIMARY CARE DOCTORS: A SURVEY OF UK INTENSIVE CARE PRACTICES R. Gray, J. Highgate, O. Boyd, Brighton, United Kingdom 0929 CALL 4 CONCERN: PATIENT AND FAMILY ACTIVATED CRITICAL CARE OUTREACH M. Odell, Reading, United Kingdom 0930 USING PHONE SURVEYS FOR GATHERING POST ICU FEEDBACK AS A MANAGEMENT TOOL T. van Galen, S.F.M. Evelein-Brugman, J. Krull, Amsterdam, Netherlands 0931 QUALITY OF ANTHROPOMETRIC MEASUREMENTS IN SPANISH INTENSIVE CARE UNITS (CAMIES STUDY). PRELIMINARY RESULTS M.Á. García-Martínez, A. Arrascaeta Llanes, T. Cherednichenko, Y. Hidalgo Encinas, A.I. Catalá Espinosa, E. Herrero Gutiérrez, I. Flores Lucas, Alicante, Spain 0932 SATISFACTION OF PATIENTS' FAMILIES WITH CARE RECEIVED DURING STAY IN CARDIOTHORACIC INTENSIVE CARE UNIT: A SURVEY OF PRACTICE A. Vlachou, C. Chamos, A. Roshdy, C. Vaity, A. Crerar-Gilbert, London, United Kingdom 0933 HOW LARGE IS THE PROPORTION OF PATIENTS THAT SHOW A SIGNIFICANT IMPROVEMENT IN HEALTH RELATED QUALITY OF LIFE AFTER EXTENDED PERIOD OF CRITICAL ILLNESS? L. Orvelius, C. Mårdh, C. Agvald-Öhman, C.J. Wickerts, S. Walther, F. Sjöberg, Linköping, Sweden, Kristiandstad, Sweden, Stockholm, Sweden 0934 THE POST INTENSIVE CARE SYNDROME: PRIMARY RESULTS FROM AN ICU FOLLOW-UP CLINIC R. Drexhage, F.J. Schoonderbeek, E. Leter, S. Vink, A.F.C. Schut, Rotterdam, Netherlands 0935 EARLY REALITY-ORIENTING ASSURING AND SLEEP ASSURANCE FOR DELIRIUM S.Y. Park, H.S. Kim, Y.H. Choe, S.R. Kim, IN INTENSIVE CARE UNIT(ICU): A QUALITY IMPROVEMENT(QI) PROJECT S.J. Park, Y.C. Lee, H.B. Lee, Jeonjusi, Republic of Korea 0936 USE OF META-ANALYSES TO SUPPORT CLINICAL DECISION MAKING IN THE ICU: P.T. Heighes, G.S. Doig, Sydney, Australia POOR TECHNICAL KNOWLEDGE OF META-ANALYSES LEADS TO LOWER THAN EXPECTED USE 0937 WEDNESDAY 1 OCTOBER 10:10 – 11:30 Oral Presentations Chairs: Hannah Wunsch, New York, United States & Jan Wernerman, Stockholm, Sweden SCIENTIfic programme ROOM Stockholm Page 163 CENTRAL VENOUS CATHETER INSERTION PRACTICES: ARE WE STILL A. Wong, H. Wilkins, Portsmouth, United MATCHING MICHIGAN? – A NATIONAL PILOT PROJECT ACROSS 9 HOSPITALS OF Kingdom THE WESSEX REGION 0938 CARDIAC SURGERY IN DIALYSIS-DEPENDENT CHRONIC RENAL FAILURE PATIENTS F. Ampatzidou, M. Sileli, C.-P. Koutsogiannidis, K. Diplaris, T. Karaiskos, A. Baddour, G. Drossos, Thessaloniki, Greece 0961 CHEST COMPRESSION EVALUATION WITH TRUECPR® DEVICE 0939 CARDIAC SURGERY IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE F. Ampatzidou, M. Sileli, C.-P. Koutsogiannidis, K. Diplaris, N. Michail, A. Ntenta, G. Drossos, Thessaloniki, Greece 0962 0940 EFFICIENCY OF HEART RATE VARIABILITY MEASUREMENT IN ASSESSMENT OF NOCICEPTION IN INTENSIVE CARE UNIT PATIENTS C. Broucqsault, J. De Jonckheere, M. Jeanne, C. Lemaire, S. Nseir, Roubaix, France, Loos, France, Lille, France 0963 DEGREE OF ADHERENCE TO RECOMMENDED ANTIVIRAL TREATMENT DURING L. Canadell, I. Martín-loeches, E. Díaz, S. Trefler, THE PANDEMIC AND POST-PANDEMIC PERIODS OF INFLUENZA A (H1N1) PDM09 S. Grau, J.C. Yebenes, A. Rodriguez, Tarragona, IN 148 UCIS IN SPAIN Spain, Sabadell, Spain, Barcelona, Spain, Mataro, Spain 0964 SHOULD YOU HAVE A LIBRARIAN ON YOUR WARD ROUND? – EXPERIENCE AND IMPACT A. Kaliappan, T. Ellis, L. Hunwick, S. Lanney, Basildon, United Kingdom 0941 EFFECTS OF PROLONGED SEDATION ON THE DELAY OF ENTERAL NUTRITION IN R. Gutierrez-Rodriguez, I. Macias-Guarasa, PATIENTS FOLLOWING EMERGENCY DIGESTIVE SURGERY IN ICU F.J. de Miguel-Aparicio, R. Rivera-Fernandez, Malaga, Spain THE USE OF PROCALCITONIN (PCT) FOR IDENTIFICATION OF POSTOPERATIVE COMPLICATIONS AFTER CORONARY ARTERY BYPASS SURGERY WITH CARDIOPULMONARY BYPASS (CPB) A. Baysal, M. Dogukan, H. Toman, Istanbul, Turkey, Adıyaman, Turkey, Çanakkale, Turkey 0965 F. Sjövall, S. Piel, J. Ehinger, R. Ford, H. Fliri, E. Elmér, M.J. Hansson, Lund, Sweden, Ongar, United Kingdom INTERNAL ENVIRONMENT DISTURBANCES AFTER HYPERTHERMIC INTRAPERITONEAL CHEMOTERAPY (HIPEC). INTENSIVE CARE UNIT (ICU) MANAGEMENT M. Fuentes Salazar, F. Afamefule, A. Escribá Bárcena, M.Á. de la Torre Ramos, C. Velayos del Amo, J. Álvarez Rodríguez, Fuenlabrada, Spain 0966 0942 VANCOMYCIN IS UNDERDOSED IN PATIENTS WITH HIGH ESTIMATED GLOMERULAR FILTRATION RATE J. Weigel, M. Egal, A. Lima, B. Koch, N.G. Hunfeld, T. van Gelder, J.W. Mouton, A.B.J. Groeneveld, Rotterdam, Netherlands DEPTH OF ANAESTHESIA DURING ENDOTRACHEAL INTUBATION IN AN INTENSIVE CARE UNIT PHARMACIST´S INTERVENTIONS IN THE INTENSIVE CARE UNIT J. Landa, C. Mckenzie, A. Jones, R.S. Bourne, M. Tomlin, I. Bates, R. Shulman, London, United Kingdom, Sheffield, United Kingdom, Southampton, United Kingdom 0944 B. Lobo-Valbuena, M.A. Romera-Ortega, N. Martínez-Sanz, I. Fernández-Simón, B. Balandín-Moreno, J. Palamidessi Domínguez, M.A. Pérez-Lucendo, P. Matía-Almudevar, M. Valdivia-de la Fuente, J.J. Rubio-Muñoz, P. Galdós-Anuncibay, Madrid, Spain 0967 0943 THE INFLUENCE OF HYPOTHERMIA AND CATECHOLAMINES ON GUINEA PIG'S SMALL BOWEL MOTILITY IN VITRO M. Schörghuber, E. Tatzl, P. Holzer, W. Toller, S. Fruhwald, Graz, Austria 0968 STUDY OF PATIENTS ADMITTED TO THE INTENSIVE CARE UNITS FOR INTOXICATION I. Macías-Guarasa, M.D. Arias-Verdu, E. Banderas-Bravo, R. Gutierrez-Rodriguez, E. Aguilar-Alonso, R. Rivera-Fernández, Málaga, Spain, Baza, Granada, Spain 0945 INCIDENCE AND OUTCOMES OF CARDIAC SURGERY-ASSOCIATED ACUTE KIDNEY INJURY (CSA-AKI) REQUIRING CONTINUOUS RENAL REPLACEMENT THERAPY (CRRT) A.I. Hurtado-Doce, T.C. Barnes, C. HernandezCaballero, D. Hall, London, United Kingdom 0969 APPRAISAL OF LATE PHASE ENDOSCOPY IN CAUSTIC POISONING J. Go, O.H. Kim, Y.S. Cha, K.H. Lee, H. Kim, Wonju City, Republic of Korea 0946 PREVALENCE OF DRUG INTERACTIONS AT INTENSIVE CARE UNIT ADMISSION P.A. Lopéz Garzón, J.C. Suarez-Montero, P. Riera Armengol, E. Martinez Fernández de Gamarra, I. Morán Chorro, Barcelona, Spain 0947 PATHOGEN IDENTIFICATION IN SEPTIC PATIENTS: CLINICAL IMPORTANCE OF PCR AND BLOOD CULTURES V. Vrsajkov, J. Pejaković, Z. Dragić, B. Radanović, Novi Sad, Serbia 0970 T.T.S. Paary, A.S. Arunkumar, M.S. Kalaiselvan, M.K. Renuka, Chennai, India 0948 DOES STAFF EDUCATION STILL REDUCES VAP WITHOUT TOP MANAGEMENT SUPPORT AND DEFICIENT SUPPLIES IN EGYPT? A.M. Elmenshawy, T.H. Elbadawy, H.A.A. Abu Khabar, S.F. Hafez, E.E.M.H. Ibrahim, A.M. Fayed, Alexandria, Egypt 0971 ADULT SUICIDAL ORGANOCOMPOUND POISONING. HOW DO THEY FARE? EXPERIENCE FROM AN INDIAN MULTIDISCIPLINARY ICU DO SEROTONIN REUPTAKE INHIBITORS WORSEN OUTCOME OF PATIENTS REFERRED TO THE EMERGENCY DEPARTMENT FOR DELIBERATE MULTIDRUG EXPOSURE? S. Beaune, E. Curis, E. Casalino, P. Juvin, B. Mégarbane, Paris, France 0949 SEVERE COMMUNITY-ACQUIRED PNEUMONIA (SCAP): 15 YEARS EXPERIENCE IN A SINGLE CENTER N. Bacelar Martínez, E. Diaz, P. Saludes, I. Martín-Loeches, M.J. Burgueño, J. Lema, A. Artigas, J. Valles, Sabadell, Spain 0972 LITHIUM POISONING IN THE INTENSIVE CARE UNIT: A DESCRIPTIVE STUDY AND D. Vodovar, E. Curis, S. El-Bakhli, I. Malissin, ANALYSIS OF THE PREDICTIVE FACTORS OF HEMODIALYSIS N. Deye, F. Baud, B. Mégarbane, Paris, France 0950 TUBERCULOSIS IN THE INTENSIVE CARE UNIT: A RETROSPECTIVE COHORT STUDY V. Moneti, N. Luís, L. Pássaro, C. Silva, S. Paulo, C. Mimoso Santos, Lisbon, Portugal 0973 DESIGNER DRUGS – NEW CHALLENGES: AN UPDATE ON MANAGEMENT OF NOVEL PSYCHOACTIVE SUBSTANCE TOXICITY IN THE CRITICAL CARE SETTING C.D. Smith, S. Robert, London, United Kingdom 0951 VALIDATION OF A NEW SENSITIVE POINT OF CARE DEVICE FOR RAPID MEASUREMENT OF PROCALCITONIN IN EMERGENCY DEPARTMENT PATIENTS 0974 CHRONIC EFFECTS OF ACUTE ORGANOPHOSPHATE POISINING IN ENDOCRINE SYSTEM R. Coskun, K. Gundogan, M. Sevim, F. Tanriverdi, I. Bahar, G. Elay, H. Mumcuoglu, Y. Simsek, F. Kelestemur, M. Sungur, M. Guven, Kayseri, Turkey 0952 A. Kutz, M. Alan, E. Grolimund, P. Hausfater, C. Gast, C. Alonso, C. Wissmann, M. Oppert, C. Kuehn, M. Bernard, P. Schuetz, Aarau, Switzerland, Paris, France, Hennigsdorf, Germany, Potsdam, Germany Y. Kim, Seoul, Republic of Korea 0953 COMMUNITY-ACQUIRED PNEUMONIA IN INTENSIVE CARE – A SINGLE CENTER´S 4-YEAR EXPERIENCE E. Espada, E. Florova, S. Pires, I. Mocanu, A. Figueiredo, F. Barros, A. Ramos, Alcabideche, Cascais, Portugal 0975 CLINICAL ASPECTS OF DRUG POISONING IN CHILDREN AND ADOLESCENTS WHO VISIT EMERGENCY DEPARTMENT TRAMADOL HYPOCHLORIDE POISONING H. Ben Ghezala, H. Lariani, T. Hafedh, Zaghouan, Tunisia, Tunis, Tunisia 0954 SIMILAR EFFECT OF ALBUMIN GIVEN EITHER AS A RAPID BOLUS OR SLOW INFUSION IN A LARGE ANIMAL MODEL OF SEPSIS 0976 PREVALENCE OF IATROGENIC HYPERKALEMIA IN THE EMERGENCY DEPARTMENT ICU Z. Kálmán, A. Szakáll, K. Csupor, A. Juhász, N. Fülöp, C. Varga, Kaposvár, Hungary 0955 M. von Seth, P. Engström, A. Larsson, L. Hillered, E. Maripuu, C. Widström, M. Lipcsey, J. Sjölin, Uppsala, Sweden, Hudiksvall, Sweden PRELIMINARY RESULTS FROM THE USE OF ANAPNOGUARD 100 SYSTEM IN INTUBATED CRITICAL CARE PATIENTS G. De Pascale, M.S. Vallecoccia, D. Giacobelli, A. Autunno, V. Di Gravio, E. Gasperin, S.L. Cutuli, D. Silvestri, M.A. Pennisi, M. Antonelli, Rome, Italy 0977 A. Ovezov, M. Lobov, A. Lugovoy, S. Bragina, P. Prokoshev, M. Panteleeva, A. Knyazev, E. Nad'kina, Moscow, Russian Federation 0956 SPECTRUM OF PATHOGENS IN MEDICAL INTENSIVE CARE UNIT PATIENTS WITH T. Lahmer, M. Messer, S. Rasch, C. Schnappauf, LIVER CIRRHOSIS: AN OBSERVATIONAL STUDY A. Schmidt, R. Schmid, W. Huber, Munich, Germany 0978 THE POSSIBILITY OF USING L-CARNITINE FOR ORGAN PROTECTION DURING TOTAL INTRAVENOUS ANESTHESIA: DOUBLE-BLIND, RANDOMIZED CLINICAL TRIAL V. Olea-Jiménez, M.E. Banderas-Bravo, E. Curiel-Balsera, Málaga, Spain 0958 A SURVEY OF INTRAVENOUS ANTIBIOTIC ADMINISTRATION PRACTICES IN UK CRITICAL CARE UNITS G. Barton, N. Henney, C. Morecroft, Liverpool, United Kingdom 0979 POSTOPERATIVE MANAGEMENT OF PNEUMONECTOMY IN ICU S. Abbas, J. Bannard-Smith, J. Eddleston, C. Fullwood, S. Ingleby, S. Jones, Manchester, United Kingdom 0959 DOES PROCALCITONIN USE IMPROVE ACCURACY OF ANTIBIOTIC DECISION MAKING? P.D. Levin, E. Carmi, C.L. Sprung, M.J. Cohen, S. Benenson, Jerusalem, Israel 0980 INFLUENCE OF TIME OF ADMISSION AND MORTALITY RISK IN A SURGICAL POPULATION AT A LARGE TERTIARY CENTRE Å.S. Askim, A. Mehl, J. Paulsen, B.O. Åsvold, J.K. Damås, E. Solligård, Trondheim, Norway 0981 0960 EPIDEMIOLOGY AND OUTCOME OF SEPSIS IN ADULT PATIENTS WITH STREPTOCOCCUS PNEUMONIAE INFECTION IN NORD-TRØNDELAG COUNTY, NORWAY 1993-2011 Area Cadiz SCIENTIfic programme WEDNESDAY 1 OCTOBER METFORMIN-ASSOCIATED LACTIC ACIDOSIS – CAUSE AND POTENTIAL TREATMENT WITH CELL-PERMEABLE SUCCINATES Poster Corner Area Cartagena Poster Corner SEPSIS MISCELLANEA Chairs: Patrick Honoré, Brussels, Belgium & Mitchell Levy, Providence, United States 10:10 – 12:00 PERI-OPERATIVE INTENSIVE CARE Chairs: Paolo Pelosi, Genova, Italy & Deborah Dawson, London, United Kingdom 10:10 – 12:00 Page 164 TOXICOLOGY & PHARMACOLOGY IN THE CRITICALLY ILL RISK FACTORS FOR ACUTE KIDNEY INJURY POST OFF PUMP CORONARY T.C. Barnes, C. Hernandez-Caballero, ARTERY BYPASS GRAFT (OP-CABG) SURGERY AND ITS IMPACT ON SHORT-TERM A.I. Hurtado-Doce, D. Hall, London, United MORTALITY Kingdom WEDNESDAY 1 OCTOBER 10:10 – 12:00 Poster Corner Chairs: Bruno Mégarbane, Paris, France & Martin Dünser, Salzburg, Austria SCIENTIfic programme Area Bilbao I. Fernández Simón, S. Alcántara Carmona, M. Valdivia de la Fuente, H. Villanueva Fernández, D. Palacios Castañeda, J. Palamidessi Domínguez, Madrid, Spain Page 165 0982 MULTI-ORGAN DYSFUNCTION – A RELEVANT ENDPOINT FOR FUTURE SEPSIS STUDIES I. Gocze, Y. Soeder, C. Johnson, F. Zeman, T. Bein, H.J. Schlitt, M.H. Dahlke, Regensburg, Germany 0983 Area Granada Poster Corner PERFUSATE FROM LUNGS VENTILATED EX-VIVO WITH HIGH TIDAL VOLUMEN INDUCE IN VITRO ENDOTELIAL DYSFUNCTION REVERSED BY SUPEROXIDE DISMUTASE AND TEMPOL L. Martínez-Caro, I. Ortiz, A. SanchezFerrer, Y. Rojas, L. Smit, B. de Olaiz-Navarro, A. Ferruelo, N. Nin, A. Esteban, J.A. Lorente, Getafe, Spain, Madrid, Spain 0984 OPEN LUNG VENTILATION IMPROVES CONDITIONS FOR RIGHT VENTRICLE PERFORMANCE BY DECREASING PULMONARY VASCULAR WAVE REFLECTIONS IN AN EXPERIMENTAL MODEL OF ARDS A. Santos, E. Gomez Peñalver, J.B. Borges, J. Retamal, M.I. Monge García, G. Tusman, A. Larsson, G. Hedenstierna, F. SuarezSipmann, Uppsala, Sweden, Madrid, Spain, Jerez de la Frontera, Spain, Mar del Plata, Argentina 0985 THE EFFECT OF ERITORAN ON THE SEVERITY OF LUNG INJURY IN TWO DIFFERENT RAT LUNG INJURY MODELS A. Kundakci, H. Verdi, E. Ozturan Ozer, O. Ozen Isiksacan, F.B. Atac, S. Turkoglu, A. Pirat, Ankara, Turkey 0986 FAS ACTIVATION ALTERS TIGHT JUNCTION PROTEINS IN PULMONARY ALVEOLAR EPITHELIAL CELLS R. Herrero, F. Puig, R. Guillamat, L. Prados, Y. Rojas, A. Artigas, A. Esteban, J.A. Lorente, Getafe, Spain, Sabadell, Spain 0987 F. Pozzi, M. Parotto, R. Molinaro, D. Islam, A. Pesenti, A.S. Slutsky, H. Zhang, Toronto, Canada, Milan, Italy 0988 HUMAN NEUTROPHIL PEPTIDES PLAY AN IMPORTANT ROLE IN THE PATHOGENESIS OF ARDS ACCURACY OF DELIVERED AIRWAY PRESSURE DURING PROPORTIONAL ASSIST F. Beloncle, N. Rittayamai, E. Akoumianaki, VENTILATION +. A BENCH STUDY L. Brochard, Toronto, Canada, Leipzig, Germany 0989 ROLE OF AMPLITUDE AND RATE OF DEFORMATION IN VENTILATOR-INDUCED LUNG INJURY A. Protti, D.T. Andreis, M. Milesi, P. Pugni, F. Nicosia, T. Maraffi, V. Melis, M. Monti, E. Votta, L. Gattinoni, Milan, Italy 0990 NEBULIZED HEPARIN REDUCES PULMONARY INFLAMMATORY RESPONSES IN A RAT MODEL OF ACUTE LUNG INJURY L. Chimenti, R. Guillamat, M.N. Gomez, J. Tijero, T. Lebouvier, L. Blanch, A. Artigas, Sabadell, Spain, Rennes, France 0991 HEME OXYGENASE – 1 ATTENUATES ACUTE PULMONARY INFLAMMATION BY DECREASING THE RELEASE OF SEGMENTED NEUTROPHILS FROM THE BONE MARROW F. Konrad, S. Braun, I. Vollmer, K.-C. Ngamsri, J. Reutershan, Tübingen, Germany 0993 DEVELOPMENT OF VENTILATORY-INDUCED LUNG INJURY DEPENDS ON ENERGY DISSIPATED INTO RESPIRATORY SYSTEM M. Gotti, C. Chiurazzi, M. Amini, C. Rovati, M. Brioni, A. Cammaroto, S. Luoni, C. Bacile di Castiglione, G. Rossignoli, C. Montaruli, K. Nikolla, M. Monti, D. Dondossola, I. Algieri, T. Langer, M. Cressoni, L. Gattinoni, Milano, Italy 0994 U. Imran Hamid, J. Conlon, S. Spence, A. Krasnodembskaya, A. Kissenpfennig, D.F. McAuley, C.M. O'Kane, Belfast, United Kingdom 0995 IMPROVENTMENT OF METHOD PRIMARY CULTIVATION AND IDENTIFICATION OF L. Yong-Jun, M. Jie, W. Ping-Ping, O. Bin, RAT PULMONARY MICROVASCULAR ENDOTHELIAL CELLS C. Juan, G. Xiang-Dong, Guangzhou, China 0996 THE UNRECOGNIZED EFFECTS OF PHOSPHODIESTERASE 4 ON EPITHELIAL CELLS IN PULMONARY INFLAMMATION 0997 SCIENTIfic programme WEDNESDAY 1 OCTOBER PROCESS IMPROVEMENT IN THE ICU Chairs: Peter van der Voort, Amsterdam, Netherlands & Paulo Maia, Porto, Portugal 10:10 – 12:00 Page 166 Poster Corner F. Konrad, A. Bury, M.A. Schick, K.-C. Ngamsri, I. Vollmer, J. Reutershan, Tübingen, Germany, Würzburg, Germany INTERHOSPITAL TRANSFERS IN A NON-TERTIARY HOSPITAL. HOW HAVE WE IMPROVED THE PRACTICE S. Sevastru, M. Rooms, F. Kovari, London, United Kingdom 1003 CONSUMPTION OF RESOURCES (CR) IN CRITICALLY ILL PATIENTS (CIP) WITH RENAL REPLACEMENT THERAPY (RRT)) J. Ruiz Moreno, E. González Marín, R. Corcuera Romero de la Devesa, M.J. Esteve Paños, M.J. Ribas Ribalta, S. Godayol Arias, N. Suárez Álvarez, Barcelona, Spain 1004 IMPLEMENTING A VENTILATOR ASSOCIATED PNEUMONIA PREVENTION BUNDLE IN INTENSIVE CARE AT UNIVERSITY TEACHING HOSPITAL, ZAMBIA – CHALLENGES OF INFECTION CONTROL IN A LOW-RESOURCE ENVIRONMENT C.A. McCue, L. Bowen, S. Brosnan, J. Kinnear, Lusaka, Zambia, Westcliff-on-Sea, United Kingdom 1005 ADVANTAGES AND RESULTS OF WARD DRIVEN EDUCATIONAL PROGRAMS W. Veugen, T. van Galen, Amsterdam, Netherlands 1006 MONITORING OF CONSULTATIONS TO THE INTENSIVE CARE UNIT: EVALUATION OF 3 MONTHS C. Martín Dal Gesso, J.A. Silva Obregón, S. Saboya Sánchez, M.A. Romera Ortega, J.E. Romo Gonzales, J.M. Borrallo Pérez, Guadalajara, Spain, Madrid, Spain 1007 NOVEL REAL-TIME DATA TRANSMISSION SYSTEM FOR PRE-HOSPITAL EMERGENCY CARE: EXPERIENCES OF HIROSHIMA-CITY EMERGENCY MEDICAL SERVICES S. Kusunoki, T. Sadamori, K. Une, J. Itai, K. Suzuki, H. Giga, T. Otani, S. Yamaga, Y. Kida, K. Ota, S. Ohshimo, Y. Iwasaki, N. Hirohashi, T. Yamanoue, K. Tanigawa, Hiroshima, Japan 1008 A SIMPLIFIED SCREENING ALGORITHM TO MONITOR COMPLIANCE WITH LUNG PROTECTIVE VENTILATION IN ARDS G. McCreath, A. Amaral, Toronto, Canada 1009 ICU OUTREACH SERVICES IN A PROVINCIAL HOSPITAL IN NORTHERN GREECE I. Chouris, M. Stougianni, M. Georgiou, V. Radu, D. Lagonidis, Giannitsa, Greece 1010 THE EMERGENCY ROOM AT THE CENTER OF THE EMERGENCY CHAIN INSIDE THE HOSPITAL A.O. Gomes, L. Proença, C. Carvalho, I. Aragão, R. Antunes, Porto, Portugal 1011 Poster Corner SEPSIS PROGNOSIS II Chairs: Anne-Cornélie de Pont, Amsterdam, Netherlands & Ricard Ferrer Roca, Sabadell, Spain 10:10 – 12:00 0992 Area Las Palmas 1002 Area Madrid EFFECTS OF INHALED AEROSOLIZED INSULIN ON ACUTELY INJURED LUNGS M. Senda, W. Fan, K. Nakazawa, K. Makita, UNDER NORMOGLYCEMIA: INSULIN MAY CONTRIBUTE TO ENHANCE ALVEOLAR Tokyo, Japan, Inner Mongolia, China LIQUID CLEARANCE THROUGH EPITHELIAL SODIUM CHANNEL EXPRESSION ASPIRIN REDUCES NEUTROPHILIC PULMONARY INFLAMMATION IN A HUMAN MODEL OF ACUTE RESPIRATORY DISTRESS SYNDROME INDUCED BY INHALED LIPOPOLYSACCHARIDE C.-W. Yang, S.-L. Tsai, Y.-Y. Chen, C.-C. Yeh, T.-S. Chu, S.-C. Chang, Taipei, Taiwan, Province of China ALI & ARDS: EXPERIMENTAL STUDIES Chairs: John Laffey, Galway, Ireland & Yasser Sakr, Jena, Germany 10:10 – 12:00 A TEAMWORK MODEL “A-C-L-S (AIRWAY-CIRCULATION-LEADERSHIPSUPPORT)” APPLIED IN IN-SITU HIGH-FIDELITY SIMULATION TO IMPROVE RESUSCITATION QUALITY AND TEAMWORK IN A CARDIAC CARE UNIT RISK FACTORS FOR MORTALITY IN ELDERLY PATIENTS (>75 YEARS OLD) WITH INVASIVE ASPERGILLOSIS D.K. Matthaiou, G. Dimopoulos, T. Christodoulopoulou, D. Vogelaers, S. Blot, Athens, Greece, Ghent, Belgium 1012 INCREASED CU/ZNSOD PLASMA LEVELS IN NON-SURVIVORS SEPTIC PATIENTS M. Karapetsa, V. Tsolaki, I. Tsilioni, VS SURVIVORS DURING SEPSIS E. Zakynthinos, Larissa, Greece 1013 PROGNOSTIC IMPACT OF MICRONUTRIMENTS SERUM LEVEL AT THE EARLY PHASE OF SEPTIC SHOCK A. Behouche, J. Arnaud, V. Ducros, C. AraSomohano, P. Faure, C. Schwebel, J.-F. Timsit, Grenoble, France 1014 RETROSPECTIVE STUDY OF PATIENTS ADMITTED WITH SUBMANDIBULAR SPACE INFECTIONS TO THE INTENSIVE CARE UNIT K. Sundararajan, J. Gopaldas, H. Somehsa, D. Shaw, Adelaide, Australia 1015 DETERMINANTS OF OUTCOME IN BURN ICU PATIENTS WITH SEPTIC SHOCK A. Lavrentieva, V. Karali, M. Konoglou, C. Nakou, P. Koukiasa, G. Vasiliadou, M. Bitzani, Thessaloniki, Greece 1016 A MULTICENTER STUDY OF SEPTIC SHOCK DUE TO CANDIDEMIA: OUTCOMES AND PREDICTORS OF MORTALITY L. Lagunes, J. Garnacho-Montero, M. Antonelli, J. Rello, M. Tumbarello, M. Bassetti, Barcelona, Spain, Sevilla, Spain, Rome, Italy, Udine, Italy 1017 PROGNOSTIC VALUE OF PROCALCITONIN CLEARANCE IN SEVERE SECONDARY PERITONITIS S. Rebollo, R. Jiménez, A. Ortín, L. Garcia de Guadiana, A. Ojados, L. Tárraga, M.J. Del Amor, L. Herrera, S. Moreno, A. Hernando, R. Carbonell, A. De Bejar, J. Pedregosa, O.M. Téllez, J.M. Castillo, Cartagena, Spain 1018 EPIDEMIOLOGY AND OUTCOME OF SEPSIS WITH STAPHYLOCOCCUS AUREUS IN A NORWEGIAN COUNTY 1996-2011 J. Paulsen, A. Mehl, Å. Askim, E. Solligård, B.O. Åsvold, J.K. Damås, Trondheim, Norway, Levanger, Norway 1019 INFLUENCE OF SOURCE OF INFECTION IN SEPTIC PATIENTS: CLINICAL OUTCOME AND MORTALITY A. Estella, M. Recuerda, E. Moreno, L. Pérez Bello Fontaiña, Jerez de la Frontera, Spain 1020 THE VALUE OF PROADRENOMEDULLIN IN CRITICALLY ILL PATIENTS WITH SEVERE COMMUNITY-ACQUIRED PNEUMONIA: AN EARLY MARKER OF RESPONSE? J.M. Pereira, A. Azevedo, J.A. Paiva, Porto, Portugal 1021 A. Estella, M. Jaén, Jerez de la Frontera, Spain 0998 BLOOD SAMPLING ON THE INTENSIVE CARE UNIT M.E. Packer, C.J. Thorne, N. Arora, Birmingham, United Kingdom 0999 IMPACT OF STATINS IN OUTCOMES OF SEPTIC PATIENTS: A SYSTEMATIC REVIEW A. Tralhão, V.C. Souza-Dantas, J. Salluh, P. Póvoa, Lisbon, Portugal, Rio de Janeiro, Brazil 1022 EVALUATION OF CLINICIAN PERFORMANCE IN THE ASSESSMENT AND MANAGEMENT OF ACUTELY DECOMPENSATED PATIENTS WITH AND WITHOUT ELECTRONIC CHECKLIST: A SIMULATION STUDY R.A. Sevilla Berrios, J.C. O’Horo, C. Schmickl, A. Erdogan, X. Chen, L.Y. Garcia Arguello, R. Kashyap, B. Pickering, Y. Dong, O. Gajic, Rochester, United States 1000 EVALUATION OF SEVERITY IN CRITICALLY ILL PATIENTS CIPS) WITH SEPSIS 1023 COMMONLY ASKED QUESTIONS BY CRITICALLY ILL PATIENTS RELATIVES IN ARABIC COUNTRIES T. Zaytoun, A. Abouelela, M. Malak, Alexandria, Egypt 1001 R. Corcuera Romero de la Devesa, J. Ruiz Moreno, E. González Marín, M.J. Esteve Paños, S. Godayol Arias, N. Conesa Folch, M. Rinaudo Videla, A. Artigas Raventós, Barcelona, Spain, Sabadell, Spain FOLLOW UP OF CRITICALLY ILL PATIENTS AFTER DISCHARGE FROM ICU WEDNESDAY 1 OCTOBER N. Öveges, D. Trásy, M.F. Németh, K. Tánczos, A. Osztroluczki, J. Fazakas, P. Hankovszky, E. Hajdú, Z. Molnár, Szeged, Hungary, Budapest, Hungary SCIENTIfic programme INCREASING PROCALCITONIN KINETICS MAY BE A GOOD INDICATOR OF INFECTION IN CRITICALLY ILL PATIENTS Page 167 1024 PREDICTING CLINICAL DETERIORATION IN SEVERE SEPSIS PATIENTS WITH CRYPTIC SHOCK S. Patolia, S. Subramanian, J. Kasal, K. Iyer, B. Malte, R. Taylor, St Louis, United States 1025 GRAM-NEGATIVE RESISTANCE IS HIGHLY PREVALENT IN INITIAL OUT-OFHOSPITAL CARDIAC ARREST RESPIRATORY ISOLATES J.L.C. Wong, K.B. Bamford, H.F. Harb, A. Ramesh, R. Stumpfle, P. Patel, London, United Kingdom 1026 TIME POST OUT-OF-HOSPITAL CARDIAC ARREST DETERMINES THE PREVALENCE OF DIFFERENT PATHOGENIC ORGANISMS FROM RESPIRATORY SECRETIONS J.L.C. Wong, H.F. Harb, K.B. Bamford, A. Ramesh, R. Stumpfle, P. Patel, London, United Kingdom 1027 WHO GETS COOLED? FACTORS ASSOCIATED WITH INITIATION OF MILD INDUCED HYPOTHERMIA IN SURVIVORS OF IN-HOSPITAL CARDIAC ARREST S.F. Schmidbauer, J. Dankiewicz, N. Nielsen, D. Seder, B.T. Unger, H. Friberg, Lund, Sweden, Portland, United States, Minneapolis, United States 1028 EARLY CORONARY ANGIOGRAPHY DOES NOT IMPROVE SURVIVAL AFTER OUTOF-HOSPITAL CARDIAC ARREST IN PATIENTS WITHOUT STEMI J. Dankiewicz, N. Nielsen, M. Annborn, C. Hassager, J. Kjaergaard, D. Erlinge, H. Friberg, Lund, Sweden, Helsingborg, Sweden, Copenhagen, Denmark 1029 COMPARISON OF TRACHEAL INTUBATION USING CONVENTIONAL DIRECT LARYNGOSCOPE AND VIDEO LARYNGOSCOPE DURING UNEXPECTED CARDIOPULMONARY RESUSCITATION D.H. Lee, M. Han, J.Y. Jung, J.Y. An, Y. Koh, C.-M. Lim, J.W. Huh, S.-B. Hong, J. Jin, Seoul, Republic of Korea 1030 THE OVERPRODUCTION OF NITRIC OXIDE INDUCED BY ANGIOGENIC AND COAGULATION FACTORS LEADS TO MULTIPLE ORGAN DYSFUNCTION SYNDROME ASSOCIATED WITH POST-CARDIAC ARREST SYNDROME T. Wada, S. Jesmin, A. Mizugaki, K. Katabami, Y. Ono, K. Maekawa, D. Miyamoto, Y. Yanagida, M. Hayakawa, A. Sawamura, S. Gando, Sapporo, Japan, Tsukuba, Japan 1031 INCIDENCE AND CLINICAL FEATURES OF SUBARACHNOID HEMORRHAGE FOLLOWING THE RETURN OF SPONTANEOUS CIRCULATION AFTER CARDIAC ARREST J. Shin, K. Jang, H.J. Lee, J.H. Jung, K.J. Hong, Y.J. Son, J.S. Seo, Seoul, Republic of Korea 1032 CARDIAC COMPLICATIONS DUE TO CHEST COMPRESSIONS IN CARDIOPULMONARY ARREST PATIENTS T. Sugimura, Y. Asaka, Y. Nagasaki, M. Sono, K. Ariyoshi, Kobe, Japan 1033 ARTERIAL OXYGEN PARTIAL PRESSURE IN PATIENTS AFTER CARDIAC ARREST I. Belloni, A. Dell’Anna, K. Donadello, J.L. Vincent, F.S. Taccone, Brussels, Belgium 1034 Area Malaga 1035 COMPARISON OF THE HEMODYNAMIC PARAMETERS OF TWO EXTERNAL CHEST C. Pantazopoulos, I. Floros, A. Mega, C. Rigas, COMPRESSION DEVICES (LUCAS VERSUS AUTOPULSE) IN A SWINE MODEL OF I. Pavleas, P. Vernikos, N. Archontoulis, VENTRICULAR FIBRILLATION D. Xanthis, N. Iacovidou, T. Xanthos, Athens, Greece 1036 EXPRESSION OF SERUM INFLAMMATORY MARKERS IN POST CARDIAC ARREST PATIENTS DURING AND AFTER TREATMENT WITH MILD THERAPEUTIC HYPOTHERMIA 1037 M. de Waard, A. Spoelstra-de Man, N. Witsen, T. Opstal, I. van den Hul, E. Alberts, A. Girbes, Amsterdam, Netherlands EFFECTIVENESS OF ´DO NOT ATTEMPT RESUSCITATION´ (DNAR) EDUCATION J.C. Murley, E. Parkinson, B. Scoones, ON REDUCING THE INCIDENCE OF INAPPROPRIATE RESUSCITATION ATTEMPTS K.J. Turner, Ipswich, United Kingdom 1038 VENTILATION PRACTICES DURING CARDIO-PULMONARY RESUSCITATION: AN INTERNATIONAL OPINION SURVEY 1039 Poster Corner R. Cordioli, L. Suppan, V. Garelli, A. Lyazidi, F. Templier, A. Khoury, S. Delisle, D. Savary, L. Brochard, J.C.M. Richard, Geneva, Switzerland, Angers, France, Besançon, France, Montréal, Canada, Annecy, France, Toronto, Canada CRITICAL CARE NURSING & ICU ORGANISATION A.-S. Debue, S. Cabon, J. Charpentier, A. Marincamp, C. Augustin, C. Boulila, S. Ben Abdallah, H. Le Goff, F. Daviaud, J.-D. Chiche, Paris, France 1040 THE HIGHER WORK-LOAD THE WORSEN SLEEP QUALITY IN NURSES; WHAT ABOUT THE RISKS? V. Inal, D. Yaylak, Edirne, Turkey 1041 EFFECT OF ICU FOLLOW-UP CONSULTATIONS VERSUS STANDARD CARE ON QUALITY OF LIFE AND BURDEN OF SYMPTOMS: A SYSTEMATIC REVIEW AND META-ANALYSIS J.F. Jensen, D. Overgaard, T. Thomsen, M.H. Bestle, D.F. Christensen, I. Egerod, Hillerød, Denmark, Copenhagen, Denmark 1042 THE IMPACT OF PSYCHOLOGICAL MORBIDITY ON THE EFFECTIVESS OF STRUCTURED REHABILITATION CLASSES FOR SURVIVORS OF CRITICAL ILLNESS D. Mcwilliams, H.E. Garratt-Kirk, Birmingham, United Kingdom 1043 ALARM REDUCTION IN THE ICU: CAN TECHNOLOGY DO IT ALL? OUTCOMES AND NURSING WORKLOAD RELATED TO OBESE PATIENTS IN THE INTENSIVE CARE UNIT F.S.A. Carrara, I.Y. Whitaker, S.S.V. Zanei, M.F. Cremasco, Sao Paulo, Brazil 1045 NURSING INTENSIVE CARE SKILLS TRAINING (NICST); A STRUCTURED, PRACTICAL, NURSE LED TRAINING PROGRAMME, DEVELOPED AND TESTED IN A RESOURCE LIMITED SETTING T. Stephens, A.P. de Silva, J. Welch, C. Sigera, L. Peiris, A. Dondorp, I. Karunathilake, K.S.A. Jayasinghe, R. Haniffa, London, United Kingdom, Colombo, Sri Lanka, Bangkok, Thailand 1046 DELIRIUM AND EARLY PHYSICAL THERAPY (DEPTH): A QUALITY IMPROVEMENT (QI) PROJECT IN CORONARY CARE UNIT (CCU): INITIATING EARLY PHYSICAL THERAPY S.J. Lee, D.R.S. Reddy, P.K. Guru, J.K. Pannu, M.O. Al-Qadi, L.M. Welper, M.P. Disdier Moulder, J.P. Bois, T.H. Tajouri, R.J. Le, R. Kashyap, M.D. Pyfferoen, B.J. Selim, Rochester, United States 1047 ISOLATION MEASURES FOR PREVENTION OF NOSOCOMIAL INFECTIONS IN BURN PATIENTS: A SYSTEMATIC REVIEW AND META-ANALYSIS K. Raes, K. Blot, S. Labeau, S. Blot, Ghent, Belgium 1048 PATIENT FLOW MANAGEMENT IN AN INTENSIVE CARE UNIT: A PROCESS OF CONTINUOUS IMPROVEMENT A. Mauro Azevedo, R. Baptista Martins Porfirio, E. Cristina Bergamasco, A. Capone Neto, B. Murata Murakami, São Paulo, Brazil 1049 CRITICAL CARE NURSES' KNOWLEDGE OF EVIDENCE-BASED PRACTICE ON THORACIC DRAINAGE: AN EVALUATION QUESTIONNAIRE S. Demeulemeester, S. Labeau, S. Blot, Ghent, Belgium 1050 DEMAND FOR NURSING CARE IN THE INTENSIVE CARE UNIT G. Moraes de Oliveira, E. Ribeiro dos Santos, B. Murata Murakami, São Paulo, Brazil 1051 CRITICAL CARE NURSES' KNOWLEDGE OF EVIDENCE-BASED PRACTICE ON THORACIC DRAINAGE S. Demeulemeester, S. Labeau, S. Blot, Ghent, Belgium 1052 RISK FACTORS FOR NEONATAL HEALTHCARE-ASSOCIATED BLOODSTREAM INFECTIONS IN A NEONATAL INTENSIVE CARE UNIT E.H. Verstraete, K. De Coen, D. Vogelaers, P. Vanhaesebrouck, S. Blot, Ghent, Belgium 1053 Poster Corner PAEDIATRIC INTENSIVE CARE Chairs: Samuel Ajizian, Winston Salem, United States & Dick Tibboel, Rotterdam, Netherlands 10:10 – 12:00 Chairs: Elsa Afonso, London, United Kingdom & Ruth Endacott, Plymouth, United Kingdom 10:10 – 12:00 SCIENTIfic programme WEDNESDAY 1 OCTOBER 1044 Area Oviedo EXTRA CORPOREAL MEMBRANE OXYGENATION IN CARDIAC ARREST PATIENTS A. Le Gall, A. Bouglé, G. Geri, F. Daviaud, WITH POST-CARDIAC ARREST SHOCK: THE ECCAR STUDY D. Grimaldi, P. Leprince, J.-P. Mira, A. Cariou, Paris, France, Le Chesnay, France Area Murcia Page 168 CARDIAC ARREST: MANAGEMENT & COMPLICATIONS M.A. Riera, E. Gallart, E. Afonso, J. Gomez, A. Vicalvaro, A. Solsona, M. Lolo, L. Calleja, E. Olivera, A. Mont, Barcelona, Spain, London, United Kingdom Chairs: Marco Maggiorini, Zurich, Switzerland & Alain Combes, Paris, France 10:10 – 12:00 Poster Corner STRESSFUL PERCEPTIONS OF TRACHEOSTOMIZED PATIENTS IN THE INTENSIVE CARE UNIT D.S. Hsia, S.G. Tarai, A. Alimi, J.A. Coss-Bu, M.W. Haymond, Houston, United States 1054 EFFECT OF NEONATAL INTENSIVE CARE ON IMPROVEMENT OF MORTALITY AND T. Sung, J.W. Lee, Y.J. Lee, Y.J. Oh, K.H. Lee, MORBIDITY OF VERY LOW BIRTH WEIGHT INFANTS Seoul, Republic of Korea 1055 EFFICACY OF AN IGM PREPARATION IN THE TREATMENT OF PATIENTS WITH SEPSIS: A DOUBLE-BLIND RANDOMIZED CLINICAL TRIAL IN A PEDIATRIC INTENSIVE CARE UNIT E. Kola, E. Celaj, I. Bakalli, R. Lluka, D. Sala, S. Sallabanda, Tirana, Albania 1056 CD64 INDEX ON NEUTROPHILS VS. CRP, PROCALCITONIN, HEMOSCORE, AS A SEPSIS DIAGNOSTIC MARKERS IN INFANTS AFTER CORRECTION OF CONGENITAL HEART DISEASE WITH CARDIOPULMONARY BYPASS A.A. Krivoshapkina, A.I. Subbotovskaya, O.V. Strunin, A.N. Shilova, A.A. Efimov, I.A. Kornilov, V.S. Kozireva, Novosibirsk, Russian Federation 1057 IS RED BLOOD CELL DISTRIBUTION WIDTH A USEFUL OUTCOME PREDICTOR IN CRITICALLY ILL PEDIATRIC PATIENTS? M.-Y. Oh, E.J. Ha, S.J. Park, W.K. Jhang, Seoul, Republic of Korea 1058 EVALUATION OF THE EFFECTIVENESS OF A MULTIPLE INTERVENTION AIMING TO IMPROVE EARLY EMPIRICAL ANTIBIOTIC TREATMENT FOR SEVERE SEPSIS IN CHILDREN. ABISS-EDUSEPSIS PEDIATRIC STUDY E. Esteban, M. Iglesias, V. Bonil, P. García, J.C. De Carlos, M. Pino, V. Murga, F. Gómez, J.D. López, J. Flores, R. Ferrer, Esplugues de Llobregat, Spain, Masrid, Spain, Sabadell, Spain, Málaga, Spain, Mallorca, Spain, Valladolid, Spain, Salamanca, Spain, Burgos, Spain, Sevilla, Spain, Cádiz, Spain, Terrassa, Spain 1059 CONSENT FOR PAEDIATRIC CENTRAL VENOUS CATHETER (CVC) INSERTION IN A TERTIARY SPECIALIST PAEDIATRIC HOSPITAL R.P. Measuria, N. Jain, C. Moores, Liverpool, United Kingdom 1060 PROLONGED MECHANICAL VENTILATION (PMV) IN PAEDIATRIC INTENSIVE CARE UNIT A. Pavalascu, S. Pérez Quesada, C. Zazo Sanchidrian, R. Reig Saenz, Alicante, Spain 1061 INDICATIONS AND COMPLICATIONS OF TRACHEOSTOMY IN PAEDIATRIC INTENSIVE CARE UNIT A. Pavalascu, C. Zazo Sanchidrian, S. Pérez Quesada, R. Reig Saenz, Alicante, Spain 1062 PREVALENCE AND CHARACTERISTICS OF CHILDREN WITH COMPLEX CHRONIC CONDITIONS IN A PICU E. Vasilaki, E. Geromarkaki, S. Ilia, A.M. Spanaki, D.M. Fitrolaki, T. Tavladaki, E. Blevrakis, G. Briassoulis, Heraklion, Greece 1063 MORTALITY OF PAEDIATRIC PATIENTS WITH NEUROLOGICAL COMPLICATIONS ADMITTED TO A NEUROSURGICAL ICU (NICU) P. Volpi, M.G. Abate, F. Sala, E. Colombo, M. Saini, D. Savo, P. Gilardi, A. Biondi, G. Citerio, Monza, Italy 1064 FLUID MANAGEMENT AND CEREBRAL EDEMA IN CHILDREN WITH DIABETIC KETOACIDOSIS QUALITY OF PALLIATIVE CARE AND BARRIERS TO PROVIDING PALLIATIVE CARE B. Sapir, Jerusalem, Israel AT THE END OF LIFE AMONG INTENSIVE CARE UNIT NURSES 1065 EFFICACY OF SUPPLEMENTAL PARENTERAL NUTRITION IN CRITICALLY ILL PATIENTS WITH INTRACRANIAL HEMORRHAGE 1066 J. Titova, S. Petrikov, E. Klychnikova, E. Tazina, M. Godkov, A. Solodov, V. Krylov, A. Ryk, Moscow, Russian Federation WEDNESDAY 1 OCTOBER M.-V. de la Torre-Prados, A. García-de la Torre, C. Trujillano-Fernández, J. Perez-Vacas, A. Puerto-Morlán, E. Camara-Sola, P. NuevoOrtega, T. Tsvetanova-Spasova, A. GarcíaAlcántara, Málaga, Spain, Cádiz, Spain SCIENTIfic programme SEVERE SEPSIS, SEPTIC SHOCK, CORTICOSTEROIDS AND 28-DAY MORTALITY Page 169 Chairs: Dietmar Fries, Innsbruck, Austria & Stijn Blot, Ghent, Belgium 10:10 – 12:00 SCIENTIfic programme WEDNESDAY 1 OCTOBER Page 170 1090 IMPACT OF TOTAL SERUM BILE ACIDS IN CRITICALLY ILL PATIENTS K. Rutter, T. Horvatits, A. Drolz, G. Fauler, G. Heinz, M. Hülsmann, M. Trauner, V. Fuhrmann, Hamburg, Germany, Graz, Austria, Vienna, Austria 1091 C.A. Reich, A. Glaum, J. Weimann, Berlin, Germany 1067 MICRORNA-REGULATED IMMUNOSUPPRESSION IN SEVERELY INJURED POLYTRAUMA PATIENTS H.C. Owen, H.D. Torrance, K. Brohi, C.J. Hinds, M.J. O'Dwyer, London, United Kingdom 1068 B. Zhao, J. Fei, Y. Chen, X.-Q. Song, L. Ma, L. Wang, E.-Z. Chen, E.-Q. Mao, Shanghai, China 1069 MORTALITY AND LONG-TERM FUNCTIONAL STATUS AFTER DISCHARGE FROM A MEDICAL ICU: A COMPARISON BETWEEN ELDERLY (≥80 YEARS) AND YOUNG (< 80 YEARS) ICU PATIENTS R.P. Oliveira, C. Teixeira, J.G. Maccari, J.S. Haas, C.R. Cabral, T.F. Tonietto, J.H.D. Barth, A. Savi, N.B.D. Silva, Porto Alegre, Brazil 1092 PHARMACOLOGICAL PRECONDITIONING WITH VITAMIN C ATTENUATES INTESTINAL INJURY VIA THE INDUCTION OF HEME OXYGENASE-1 AFTER HEMORRHAGIC SHOCK IN RATS S. Hammermüller, N. Carvalho, S. Huckauf, S. Kobelt, M. Baunack, K. Noreikat, A. Beda, A. Reske, H. Wrigge, A.W. Reske, Leipzig, Germany, Belo Horizonte, Brazil, Coswig, Germany 1070 OUTCOME AND IMPROVEMENT OF SOME LABORATORY PARAMETERS FOLLOWING POLYMYXIN B-IMMOBILIZED FIBER TREATMENT IN SEPTIC SHOCK Y. Sakamoto, Saga, Japan 1093 EFFECTS OF TWO DIFFERENT MECHANICAL VENTILATION STRATEGIES ON LUNG CONDITIONS AFTER EXPERIMENTAL ARDS FOLLOWING BLUNT CHEST TRAUMA AND PULMONARY CONTUSION IN PIGS EVALUATION OF PROGNOSTIC LABORATORY DATA ON SURVIVAL DURING PROLONGED EXTRACORPOREAL LIFE SUPPORT H.S. Son, H.J. Kim, J.S. Jung, K. Sun, Seoul, Republic of Korea 1094 IMPACT OF VOLUME RESUSCITATION ON HEART RATE VARIABILITY IN A MODEL OF HEMORRHAGIC SHOCK IN PIGS E. Salomão Jr, D.A. Otsuki, A.L. Corrêa, D.T. Fantoni, J.O.C. Auler Jr, São Paulo, Brazil 1071 RED BLOOD CELL TRANSFUSION IN ACUTE CEREBRAL INJURIES: A SYSTEMATIC REVIEW OF PRECLINICAL ANIMAL STUDIES M. Laflamme, A. Boutin, H. Haghbayan, M. Shemilt, F. Lauzier, L. Moore, R. Zarychanski, J. Lacroix, F. Lamontagne, D.A. Fergusson, P. Desjardins, A.F. Turgeon, Québec, Canada, Winnipeg, Canada, Montréal, Canada, Sherbrooke, Canada, Ottawa, Canada 1072 NON-PHARMACOLOGICAL INTERVENTIONS FOR COGNITIVE DISORDERS FOLLOWING TRAUMATIC BRAIN INJURY: A SCOPING REVIEW J. Larochelle, M.-È. Lamontagne, G. Sirois, R. Laforce Jr., L. François, Y. Lachance, D. Griesdale, A.F. Turgeon, Québec, Canada, Vancouver, Canada 1073 PREVALENCE, RISK FACTORS, AND PROGNOSIS OF HYPONATREMIA ASSOCIATED WITH TRAUMATIC BRAIN INJURY IN EMERGENCY INTENSIVE CARE UNIT T. Yumoto, A. Iida, E. Knaup, N. Nosaka, S. Morisada, T. Hirayama, N. Shiba, K. Tsukahara, H. Yamanouchi, Y. Kinami, M. Terado, K. Sato, T. Ugawa, S. Ichiba, Y. Ujike, Okayama, Japan 1074 ELEVATED SERUM NEUTORPHIL GELATINASE-ASSOCIATED LIPOCALIN (NGAL) IS AN EARLY MARKER OF ACUTE KIDNEY INJURY AND ASSOCIATED WITH MORTALITY IN CRITICALLY ILL MAJOR TRAUMA PATIENTS S.J. Kim, Seoul, Republic of Korea 1075 FLUID ADMINISTRATION AND ITS EFFECT ON ELECTROLYTES IN CRITICALLY ILL TRAUMA PATIENTS N. Amin, J.R. Prowle, C.J. Kirwan, London, United Kingdom 1077 THROMBIN GENERATION IN PATIENTS AFTER SEVERE BURN INJURY D. Adelmann, M. Wiegele, D. Bauer, S. KozekLangenecker, E. Schaden, Vienna, Austria 1079 PATIENT-CONTROLLED EPIDURAL ANALGESIA IS A BETTER PAIN MANAGEMENT IN THE SICU??? W.-Y. Huang, H.-C. Lao, Taipei, Taiwan, Province of China 1080 Poster Corner Area Valencia Poster Corner BLEEDING, SEDATION & HAEMODYNAMIC INSTABILITY Chairs: Theodoros Kyprianou, Nicosia, Cyprus & Sameer Jog, Pune, India 10:10 – 12:00 IMPACT OF REMOTE ELECTRONIC MONITORING AND TELE-INTENSIVE CARE UNIT BASED ALGORITHM IN MONITORING PACKED RED CELL TRANSFUSION BEHAVIOR FOR ANEMIA OF CRITICAL ILLNESS: LONGITUDINAL MULTI-YEAR EXPERIENCE FROM A SINGLE COMMUNITY HEALTH SYSTEM IN THE UNITED STATES OF AMERICA N. Li, D. Simonds, R. Alva, T. Wyatt, M. Ramaswamy, Greensboro, United States 1095 UTILITY OF EMPIRICAL MODELS OF HEMORRHAGE IN DETECTING AND QUANTIFYING BLEEDING M. Guillame-Bert, A. Dubrawski, L. Chen, A. Holder, M.R. Pinsky, G. Clermont, Pittsburgh, United States 1096 PRE-OPERATIVE PROGNOSIS OF PREDISPOSITION FOR BLEEDING-INDUCED CRASH A. Dubrawski, L. Chen, F. Liu, G. Clermont, M.R. Pinsky, Pittsburgh, United States 1097 IMPLEMENTATION OF A DELIRIUM DAILY SCREENING TOOL AND CLINICAL OUTCOMES R.D.S. Townsend, F.S. Neres, J.M.S.d. Andrade, A.C.T. Raupp, F.L. Dexheimer Neto, M.C. Prestes, A.M. Santana, R.V. Cremonese, Porto Alegre, Brazil 1098 THE TRADITIONAL HERBAL MEDICINE YOKUKANSAN AS AN ADJUNCTIVE SEDATIVE IN THE INTENSIVE CARE UNIT T. Tsubo, E. Hashiba, H. Okawa, K. Hirota, Hirosaki, Japan 1099 A NATIONAL SURVEY OF SEDATION AMONG JUNIOR ANAESTHETISTS M. Khpal, A. Myers, D. Konu, London, United Kingdom 1100 MULTI-TIER GROUND TRUTH ELICITATION FRAMEWORK WITH APPLICATION TO ARTIFACT CLASSIFICATION FOR PREDICTING PATIENT INSTABILITY D. Wang, L. Chen, M. Fiterau, A. Dubrawski, M. Hravnak, E. Bose, D. Wallace, M. Kaynar, G. Clermont, M. Pinsky, Pittsburgh, United States 1101 DECREASES IN EXHALED CARBON MONOXIDE IN PATIENTS EXPERIENCING MULTI-ORGAN FAILURE M. Kida, Y. Shima, N. Shibata, M. Tanaka, T. Nakashima, K. Miyamoto, Y. Kawazoe, T. Yonemitu, K. Ueda, Y. Iwasaki, S. Yamazoe, S. Kato, Wakayama, Japan 1102 DEVELOPMENTAL STUDY OF THE EFFECTS OF BALANCED RESUSCITATION IN POST-OPERATIONAL PATIENTS AFTER DIGESTIVE SURGERY IN ICU R. Gutierrez-Rodriguez, I. Macias-Guarasa, M.D. Arias-Verdu, R. Rivera-Fernandez, Malaga, Spain 1103 ARTIFACT ADJUDICATION FOR VITAL SIGN STEP-DOWN UNIT DATA CAN BE IMPROVED USING ACTIVE LEARNING WITH LOW-DIMENSIONAL MODELS M. Fiterau, A. Dubrawski, L. Chen, M. Hravnak, M.R. Pinsky, G. Clermont, Pittsburgh, United States 1104 MORTALITY PROGNOSTIC FACTORS OF PATIENTS WITH SYSTEMIC AUTOIMMUNE DISEASE ADMITTED TO THE INTENSIVE CARE UNIT P.I. Doti, E. Coloma Bazán, I. Rodríguez Pintó, S. Fernández Mendez, O. Escoda, P. Castro Rebollo, G. Espinosa Garriga, J.M. Nicolás, Barcelona, Spain 1105 IMPACT OF PATIENT CHARACTERISTICS ON OUTCOME Chairs: Giovanni Landoni, Milan, Italy & Hans Flaatten, Bergen, Norway 10:10 – 12:00 OUTCOMES OF SEVERE ACUTE PANCREATITIS IN A REGIONAL INTENSIVE CARE G. Jones, A. Watkins, A.R. Wilkes, L. Middleton, UNIT M. Vijayakumar, Swansea, United Kingdom, Cardiff, United Kingdom 24 HOUR-ACCURACY OF CONTINUOUS NON-INVASIVE HEMOGLOBIN MEASUREMENT BY PULSE CO-OXIMETRY (SPHB) IN ICU PATIENTS WITH DIFFERENT INFLAMMATORY STATES Area Tenerife TRAUMA CARE: FROM BENCH TO BEDSIDE PSYCHIATRIC DISORDERS IN A UK TERTIARY HOSPITAL INTENSIVE CARE UNITTHE TIP OF THE ICEBERG? M. Adlam, V. Metaxa, London, United Kingdom 1081 POTENTIAL ASSOCIATION BETWEEN LOWER BODY MASS INDEX AND HOSPITAL T. Yatabe, T. Tamura, K. Yamashita, M. Yokoyama, MORTALITY IN CRITICALLY ILL JAPANESE PATIENTS Nankoku, Japan 1082 COMPLICATIONS AND TREATMENT IN THE INTENSIVE CARE UNIT FOLLOWING BARIATRIC SURGERY 1083 T. Pasgaard, E. Tonnesen, H.L. Nibro, Randers, Denmark, Aarhus, Denmark THORACIC PATIENTS ADMITTED TO CARDIOTHORACIC INTENSIVE CARE UNIT: A M.S.W. Parkin, London, United Kingdom RETROSPECTIVE AUDIT 1084 PERFORMANCE STATUS AND LONG TERM OUTCOMES OF PATIENTS WITH S. Tanna, P.C. Gruber, London, United Kingdom HAEMATOLOGICAL MALIGNANCY ADMITTED TO A SPECIALIST INTENSIVE CARE UNIT 1085 ACUTE PANCREATITIS- CASUISTRY OF 4 YEARS IN AN INTENSIVE CARE UNIT S.C. Alves, B. Amaral, M. Isidoro, R. Carvalho, C. Diogo, A. Ramos, Cascais, Portugal 1106 D. Lebherz-Eichinger, G.A. Roth, B.-A. Tudor, C.G. Krenn, R. Seemann, Vienna, Austria 1086 ARE THERE ANY PREDICTORS FOR A PATHOLOGICAL CRANIAL CT SCAN IN MEDICAL ICU PATIENTS? M. Messer, T. Lahmer, R.M. Schmid, W. Huber, München, Germany 1107 IMPACT OF DIFFERENT SEDATION PROTOCOLS AND PERIOPERATIVE PROCEDURES ON PATIENTS ADMITTED TO ICU AFTER MAXILLOFACIAL TUMOUR SURGERY G. Rajendran, A. Hughes, B. Maddison, K. Kiff, Chelmsford, United Kingdom 1087 H. Miyazaki, T. Sakai, S. Mochizuki, R. Furuya, Yokohama, Japan 1108 OUTCOMES OF OESOPHAGEAL MALIGNANCY AT A REGIONAL UNIT THE NEW HANDHELD INFRARED PUPILLOMETER MAY BE FAVORABLE IN MONITORING PUIPL DIAMETER, RATHER THAN CONVENTIONAL MEASUREMENT A REVIEW OF RESPIRATORY MANAGEMENT IN SPINAL CORD INJURIES R. Haylett, O. Gustafson, V. Fox, G. Barker, Oxford, United Kingdom 1088 RETROSPECTIVE OBSERVATIONAL STUDY OF OBSTETRIC ADMISSIONS AND F. Kavanagh, A. Kumar, I. Browne, O. Roseag, OUTCOMES TO HIGH DEPENDENCY UNIT IN AN IRISH TERTIARY HOSPITAL 2011- Dublin, Ireland 2013 1089 SCIENTIfic programme Poster Corner WEDNESDAY 1 OCTOBER Area Seville Page 171 10:10 – 12:00 J.R. Azevedo, W.S. Montenegro, C.C. Oliveira, D.P. Rodrigues, S.C. Souza, V.F. Araujo, Sao Luis, Brazil 1109 AGE-RELATED EFFECTS OF DEXMEDETOMIDINE, AN ALPHA-2 AGONIST, ON CORONARY VASOACTIVITY AND CARDIAC FUNCTION IN GUINEA-PIG HEARTS M. Hongo, S. Fujisawa, T. Adachi, T. Shimbo, S. Shibata, T. Ohba, K. Ono, Akita City, Japan, Iwate, Japan 1110 EARLY PREDICTION OF DELIRIUM IN ICU PATIENTS (E-PRE-DELIRIC): MULTINATIONAL DEVELOPMENT AND VALIDATION OF AN EARLY DELIRIUM PREDICTION MODEL FOR INTENSIVE CARE PATIENTS A. Wassenaar, M. van den Boogaard, T. van Achterberg, A. Slooter, M. Kuiper, M. Hoogendoorn, K. Simons, E. Maseda, N. Pinto, C. Jones, A. Luetz, A. Schandl, W. Verbrugghe, L. Aitken, F. van Haren, R. Donders, L. Schoonhoven, Nijmegen, Netherlands, Utrecht, Netherlands, Leeuwarden, Netherlands, Zwolle, Netherlands, ’s-Hertogenbosch, Netherlands, Madrid, Spain, Kent, United Kingdom, Prescot, United Kingdom, Berlin, Germany, Stockholm, Sweden, Edegem, Belgium, Brisbane, Australia, Canberra, Australia 1111 COMPARATIVE PERFORMANCE OF THREE RISK PREDICTION MODELS FOR DELIRIUM IN THE INTENSIVE CARE UNIT AFTER CARDIAC SURGERY, AND ASSOCIATION WITH FAST-TRACK FAILURE J.L. Mu, A. Lee, P.P.N. Leung, C.H. Chiu, M.J. Underwood, G.M. Joynt, Hong Kong, Hong Kong, China 1112 ONGOING CHALLENGES IN USING RASS AND CAM ICU K. Zamoscik, C. Whitley, J. Preller, Cambridge, United Kingdom 1113 PREVALENCE OF CEREBRAL AUTOREGULATION IMPAIRMENT IN NONNEUROLOGICAL MECHANICALLY VENTILATED PATIENTS AND ITS RELATIONSHIP WITH DELIRIUM, SEPSIS AND SEDATION C. Subira, C. Dominguez, S. Cano, I. Catalan, O. Rubio, G. Rognoni, J.M. Alcoverro, R. Fernandez, Manresa, Spain 1114 INCIDENCE AND RISK FACTORS OF DELIRIUM IN A SURGICAL INTENSIVE CARE UNIT S. Oh, H. Lee, H.G. Ryu, Seoul, Republic of Korea 1115 DELIRIUM AS A PREDICTOR OF MORTALITY IN ELDERLY CARDIOVASCULAR PATIENTS K. Sato, T. Taniguchi, Kanazawa, Japan ELIMINATION KINETICS OF PROPOFOL IN THOSE RECEIVING LONG TERM PROPOFOL INFUSIONS J.H. Ryu, R. Shulman, D. Brealey, London, United Kingdom EFFICACY AND SAFETY OF DEXMEDETOMIDINE IN AGITATED ICU PATIENTS C. Iasonidou, S. Papoti, P. Ioannidis, S. Kehagias, G. Roidos, N. Kapravelos, Thessaloniki, Greece 1118 RISK FACTORS ASSOCIATED WITH DELIRIUM IN MECHANICAL VENTILATED PATIENTS M. Busico, D. Intile, N. Irastorza, A.L. Alvarez, G. Plotnikow, F. Villarejo, P. Desmery, Buenos Aires, Argentina 1119 DEXMEDETOMIDINE IN CRITICALLY ILL PATIENTS: AN 11 MONTH -EXPERIENCE C. Chapuis, C. Catoire, J. Picard, P. Lavagne, J.F. Payen, Grenoble, France 1120 1121 DELIRIUM AND EARLY PHYSICAL THERAPY (DEPTH): A QUALITY IMPROVEMENT D.R.S. Reddy, S.J. Lee, J.K. Pannu, P.K. Guru, (QI) PROJECT IN CORONARY CARE UNIT (CCU): AN IMPROVEMENT IN ATTITUDES M.O. Al-Qadi, L.M. Welper, M.P. Disdier Moulder, THROUGH EDUCATION T.H. Tajouri, J.P. Bois, R.J. Le, R. Kashyap, B.J. Selim, Rochester, United States 1122 How to cope with mistakes? ROOM Barcelona SCIENTIfic programme Thematic Session Jean-Daniel Chiche, Paris, France MECHANICAL VENTILATION AND ARDS Chairs: Alain Mercat, Angers, France & Samir Jaber, Montpellier, France 12:00 – 12:15 WEDNESDAY 1 OCTOBER NEXT – MEET THE EXPERT ARDS beyond the Berlin definition: What else to define ARDS? 12:15 – 12:20 Discussion 12:20 – 12:35 ARDS, the golden hours: Neuromuscular blockade and prone position 12:35 – 12:40 Discussion 12:40 – 12:55 Open lung ventilation: Is this the best strategy? 12:55 – 13:00 Discussion 13:00 – 13:15 What is the optimal recruitment manoeuvre in ALI/ARDS? 13:15 – 13:20 Discussion 13:20 – 13:35 Assessing lung aeration in ARDS 13:35 – 13:40 Discussion 13:40 – 13:55 Hypoxia in ARDS – Avoid or tolerate? 13:55 – 14:00 Discussion Page 172 Jesus Villar, Las Palmas de Gran Canaria, Spain Claude Guérin, Lyon, France Jean-Daniel Chiche, Paris, France Antonio Pesenti, Monza, Italy Nicolo Patroniti, Lissone, Italy Understanding venous return 12:15 – 12:20 Discussion IMPROVING PERFUSION: FROM PRESSURE TO FLOW Jan Bakker, Rotterdam, Netherlands 12:20 – 12:35 Arterial blood pressure targets 12:35 – 12:40 Discussion 12:40 – 12:55 What is arterial elastance 12:55 – 13:00 Discussion 13:00 – 13:15 Putting pressures and flow together: The intelligent way 13:15 – 13:20 Discussion Jean-Louis Teboul, Kremlin-Bicetre, France Ignacio Monge Garcia, Jerez de la Frontera, Spain 13:20 – 13:35 The combined effect of flow and pressure on perfusion 13:35 – 13:40 Discussion 13:40 – 13:55 Non invasive assessment of perfusion 13:55 – 14:00 Discussion Continuous Professional Education Session Jukka Takala, Bern, Switzerland JOINT WITH NCS – RESISTING THE STORM AFTER BRAIN INJURY Chairs: Giuseppe Citerio, Monza, Italy & Claude Hemphill, San Francisco, United States Pathophysiology of autonomic dysfunction after brain injury 12:15 – 12:20 Discussion 12:20 – 12:35 Stressed myocardium and lung injury after SAH 12:35 – 12:40 Discussion 12:40 – 12:55 Paroxysmal sympathetic hyperactivity after TBI 12:55 – 13:00 Discussion 13:00 – 13:15 Diagnosis and monitoring 13:15 – 13:20 Discussion 13:20 – 13:35 Treatment options 13:35 – 13:40 Discussion 13:40 – 13:55 Prognostic implications 13:55 – 14:00 Discussion ROOM Athens 371 Mauro Oddo, Lausanne, Switzerland 373 Pedro Navarrete Navarro, Granada, Spain 375 Jan Claassen, New York, United States 377 David Menon, Cambridge, United Kingdom 379 Claude Hemphill, San Francisco, United States 381 Geert Meyfroidt, Leuven, Belgium Thematic Session THERE WILL BE BLEEDING Chairs: Jacques Duranteau, Kremlin-Bicetre, France & Christian Von Heymann, Berlin, Germany 12:00 – 12:15 Patient blood management in the ICU 12:15 – 12:20 Discussion Paul Hébert, Ottawa, Canada 12:20 – 12:35 Heparin induced thrombocytopaenia: What's new? 12:35 – 12:40 Discussion 12:40 – 12:55 Point of care coagulation testing 12:55 – 13:00 Discussion 13:00 – 13:15 Steroids in reducing blood transfusion in cardiac surgery 13:15 – 13:20 Discussion 13:20 – 13:35 How to manage bleeding in the cardiothoracic patient Discussion 13:40 – 13:55 How to manage bleeding in the trauma patient 13:55 – 14:00 Discussion ROOM Rome Thematic Session Dietmar Fries, Innsbruck, Austria Christian Von Heymann, Berlin, Germany 13:35 – 13:40 Bernard Cholley, Paris, France Can Ince, Amsterdam, Netherlands 12:00 – 12:15 PREVALENCE, RECOGNITION AND MANAGEMENT OF DELIRIUM IN A J. Bailes, M. Moore, A. Crerar-Gilbert, London, CARDIOTHORACIC INTENSIVE CARE UNIT (CTICU) WITHIN A LONDON TEACHING United Kingdom HOSPITAL Thematic Session 12:00 – 12:15 1116 Thematic Session Chairs: Maurizio Cecconi, London, United Kingdom & Xavier Monnet, Kremlin-Bicetre, France ROOM Berlin 1117 Chair: Katia Donadello, Brussels, Belgium 11:15 – 12:00 ROOM Vienna THE RELATIONSHIP BETWEEN DELIRIUM AND LONG-TERM COGNITIVE DYSFUNCTION IN CRITICALLY ILL PATIENTS NEXT Lounge SEDATION OF THE CRITICALLY ILL Diederik van Dijk, Utrecht, Netherlands Michael Sander, Berlin, Germany Jacques Duranteau, Kremlin-Bicetre, France WORKING CONDITIONS OF INTENSIVISTS: AN UNSOLVED CHALLENGE Chairs: Rui Paulo Moreno, Lisbon, Portugal & Andreas Valentin, Vienna, Austria 12:00 – 12:15 Who we are: Demographics of ICM in Europe 12:15 – 12:20 Discussion Rui Paulo Moreno, Lisbon, Portugal 12:20 – 12:35 Working patterns and the intensivist in training 12:35 – 12:40 Discussion Bernardo Bollen Pinto, London, United Kingdom 12:40 – 12:55 How different working patterns affect effectiveness and cost of ICM 12:55 – 13:00 Discussion 13:00 – 13:15 Is burnout affected by different working patterns? 13:15 – 13:20 Discussion 13:20 – 13:35 Is the outcome constant over the 24 hours of the day? 13:35 – 13:40 Discussion 13:40 – 13:55 Putting patients at risk: Working conditions and medical error 13:55 – 14:00 Discussion Jukka Takala, Bern, Switzerland Hans Flaatten, Bergen, Norway Andrew Rhodes, London, United Kingdom Andreas Valentin, Vienna, Austria WEDNESDAY 1 OCTOBER Poster Corner Chairs: Nicholas Hart, London, United Kingdom & Arjen Slooter, Utrecht, Netherlands SCIENTIfic programme Area Vigo Kenneth Palmer, Stockholm, Sweden 1234 = Voting presentation ID Page 173 ROOM Stockholm Update on current practices in fluid resuscitation of the burn victim 12:15 – 12:20 Discussion 12:20 – 12:35 Management of inhalational injury 12:35 – 12:40 Discussion 12:40 – 12:55 The top 10 secrets of burn ICU care 12:55 – 13:00 Discussion 13:00 – 13:15 Managing the first 24 hours correctly 13:15 – 13:20 Discussion 13:20 – 13:35 Outcome from burn injuries: Changes over the last 10 years 13:35 – 13:40 Discussion 13:40 – 13:55 High voltage and lightning injuries 13:55 – 14:00 Discussion Thematic Session 12:15 – 12:20 Discussion 12:20 – 12:35 Using technology to safeguard the Digital Patient 12:35 – 12:40 Discussion 12:40 – 12:55 Matthieu Legrand, Paris, France Philipp Metnitz, Vienna, Austria Anne Berit Guttormsen, Bergen, Norway Martin Dünser, Salzburg, Austria Big data: New horizons and potential pitfalls in critical care research Discussion 13:00 – 13:15 Modeling and monitoring haemodynamics in silico 13:15 – 13:20 Discussion 13:20 – 13:35 Designing a clinically helpful PDMS 13:35 – 13:40 Discussion 13:40 – 13:55 Telemedicine: Improving quality and sharing expertise 13:55 – 14:00 Discussion ROOM Paris Thematic Session Theodoros Kyprianou, Nicosia, Cyprus Pierre Squara, Neuilly-sur-Seine, France Olaf Cremer, Utrecht, Netherlands Marius Terblanche, London, United Kingdom CAN THE GUT ADAPT TO CRITICAL ILLNESS? Chairs: Juan Carlos Montejo Gonzales, Madrid, Spain & Carole Ichai, Nice, France 12:00 – 12:15 Hormones modulate feeding intolerance 12:15 – 12:20 Discussion 12:20 – 12:35 Gut exocrine failure: Treat or observe 12:35 – 12:40 Discussion 12:40 – 12:55 How enteral nutrition modulates GI function 12:55 – 13:00 Discussion 13:00 – 13:15 Gut failure, motility and liver injury: A field for prevention 13:15 – 13:20 Discussion 13:20 – 13:35 Risk and benefit of pre- and probiotics 13:35 – 13:40 Discussion 13:40 – 13:55 Parenteral nutrition supports gut integrity 13:55 – 14:00 Discussion ROOM Glasgow Thematic Session 12:00 – 12:15 Who is responsible? 12:15 – 12:20 Discussion INFECTION CONTROL AS A NURSING CHALLENGE Jos Latour, Plymouth, United Kingdom 12:20 – 12:35 Value and limitations of e-learning to enhance infection prevention 12:35 – 12:40 Discussion 12:40 – 12:55 Achieving a culture of quality in reducing infections 12:55 – 13:00 Discussion 13:00 – 13:15 Organising infection surveillance 13:15 – 13:20 Discussion 13:20 – 13:35 Empowering relatives and patients Discussion 13:40 – 13:55 Hand hygiene compliance 13:55 – 14:00 Discussion Hot Topics Session Sonia Labeau, Ghent, Belgium Mireia Llaurado, Tarragona, Spain Elsa Afonso, London, United Kingdom 13:35 – 13:40 Max Jonas, Southampton, United Kingdom Thematic Session Chairs: Carole Boulanger, Exeter, United Kingdom & Dani Martí Romeu, Barcelona, Spain ROOM Barcelona Michael Hiesmayr, Vienna, Austria 12:55 – 13:00 Ruth Endacott, Plymouth, United Kingdom Julie Benbenishty, Jerusalem, Israel HOT TOPICS SESSION Chairs: Daniel De Backer, Brussels, Belgium & Howard Bauchner, Boston, United States 14:10 – 14:30 Award winners 14:30 – 14:45 The effects of decontamination of the oropharynx and intestinal tract on antibiotic Evelien Oostdijk, Utrecht, Netherlands resistance in ICUs Jacques Duranteau, Kremlin-Bicetre, France 14:45 – 14:50 Discussion 14:50 – 15:05 The VITdAL@ICU trial: Correction of vitamin D deficiency in critically ill patients 15:05 – 15:10 Discussion 15:10 – 15:25 Early high-dose erythropoietin therapy after out-of-hospital cardiac arrest: A multicentre, randomized controlled trial (EPO-ACR 02) 15:25 – 15:30 Discussion 15:30 – 15:45 Early goal directed therapy in sepsis: The ARISE trial 15:45 – 15:50 Discussion 15:50 – 16:05 Transfusion threshold in septic shock: The TRISS trial 16:05 – 16:10 Discussion 16:10 – 16:25 Calories: A phase III multicentre RCT comparing early nutritional support with parenteral versus enteral routes 16:25 – 16:30 Discussion Karin Amrein, Graz, Austria Alain Cariou, Paris, France Sandra Peake, Adelaide, Australia Lars Holst, Copenhagen, Denmark Kathy Rowan, London, United Kingdom Adam Deane, Adelaide, Australia Annika Reintam Blaser, Tartu, Estonia Sonja Fruhwald, Graz, Austria Juan Carlos Montejo Gonzales, Madrid, Spain Wilfred Druml, Vienna, Austria Michaël Casear, Leuven, Belgium DOGMATA DEBATED 2014 Chairs: Charles Sprung, Jerusalem, Israel & Andrej Michalsen, Tettnang, Germany 12:00 – 12:15 "Thou shalt not kill" – The Sixth Commandment stands 12:15 – 12:20 Discussion 12:20 – 12:35 "Doctor, help me die!" – The Sixth Commandment has fallen 12:35 – 12:40 Discussion 12:40 – 12:55 The dead-donor rule is irrefutable 12:55 – 13:00 Discussion 13:00 – 13:15 The dead-donor rule is outdated 13:15 – 13:20 Discussion 13:20 – 13:35 Patient autonomy is paramount 13:35 – 13:40 Discussion 13:40 – 13:55 Patient autonomy is overrated 13:55 – 14:00 Discussion Page 174 Marc Léone, Marseille, France Chairs: Theodoros Kyprianou, Nicosia, Cyprus & Max Jonas, Southampton, United Kingdom The digital patient: A new entity? Anne Berit Guttormsen, Bergen, Norway THE DIGITAL PATIENT 12:00 – 12:15 ROOM Amsterdam Charles Sprung, Jerusalem, Israel Armand Girbes, Amsterdam, Netherlands Dominique Benoit, Ghent, Belgium Bob Truog, Boston, United States J. Randall Curtis, Seattle, United States Andrej Michalsen, Tettnang, Germany Visit us at the ESICM Members Lounge Entrance Foyer WEDNESDAY 1 OCTOBER SCIENTIfic programme ICU MANAGEMENT OF THE BURN VICTIM 12:00 – 12:15 ROOM Geneva WEDNESDAY 1 OCTOBER State of the Art Session Chairs: Anne Berit Guttormsen, Bergen, Norway & Matthieu Legrand, Paris, France SCIENTIfic programme Page 175