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Agenda

 

9 - 12 March 2010

ISICEM International Symposium on Intensive Care and Emergency Medicine - Brussels (Belgium)

ISICEM

 

9 -11 June 2010

EACTA European Association of Cardiothoracic Anaesthesiologists - Edinburgh (UK)

EACTA

 

12-15 June 2010

ESA European Society of Anaesthesiology - Helsinki (Finland)

ESA

 

18-22 September 2010

ERS European Respiratory Society - Barcellona (Spain)

ERS

 

9 -13 October 2010

ESICM European Society of Intensive Care Medicine - Barcellona (Spain)

ESICM

  

 

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Articles - blog
VAPAWAY SURVEY PDF Print E-mail
Monday, 14 June 2010
Survey on Endotracheal Tube Cuff Management in ICUs

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Last Updated ( Monday, 14 June 2010 )
 
DERIVATION AND VALIDATION OF A CLINICAL PREDICTION RULE FOR NOSOCOMIAL PNEUMONIA AFTER CORONARY ARTE PDF Print E-mail
Monday, 12 April 2010

Kinlin LM et al 

About this article:"In this large population study authors derived and validated a predictive rule to develop pneumonia in coronary artery by pass graft surgery patients. The AUCs for the derivation and validation cohorts were 0.78 and 0.75, respectively. This study allows to detect patients with a high risk to develop VAP after this type of surgery and consequently to implement special measures of prevention."
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PREVENTIVE EFFICACY AND COST EFFECTIVENESS OF POINT OF USE WATER FILTRATION IN A SUBACUTE CARE UNIT PDF Print E-mail
Monday, 12 April 2010

Holms C et al 

About this article: "Pseudomonas and other waterborne pathogens are a frequent cause of microbial infections in critically ill patients. In the present study about a subacute care unit authors show a reduction of colonization and infection by these types of pathogens when using a point of care water filtration. Water filtration is a measure frequently overhelmed by personnel dedicated to prevent nosocomial infections."

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CONTINUOUS LATERAL ROTATION THERAPY TO PREVENT VAP PDF Print E-mail
Monday, 12 April 2010

Staudinger T et al 

About this article: "Continuous lateral rotation therapy is a measure that facilitates mucous clearance. In this randomized study patients were allocated to continuous lateral rotation using special beds or standard care with semirecumbent position. The incidence of VAP was significantly reduced from 23% to 11% when using lateral rotation therapy. This study confirms the utility of this measure that has the rationale of improving mucous clearance."

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IMPACT OF A HOSPITAL ACQUIRED/VENTILATOR ASSOCIATED /HEALTHCARE ASSOCIATED PNEUMONIA PRACTICE GUIDEL PDF Print E-mail
Monday, 12 April 2010

Worral CL et al 

About this article:"ATS/IDSA guidelines about nosocomial pneumonia were published in 2005. This a retrospective/prospective study comparing two cohorts before and after the implementation of and adaptation of this guidelines for post-surgery patients. Using a multivariate analyses an important decrease on ICU stay, hospital stay and days of mechanical ventilation were observed. Five% decrease on mortality was also observed but this difference was not significantly different. Implementation of guidelines of nosocomial pneumonia is a cost effective measure to improve outcomes in VAP."
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PREVENTION OF VAP: "WHAP" SHOULD WE DO? PDF Print E-mail
Monday, 12 April 2010
Schultz MJ, Juffermans NP.
Crit Care Med. 2010 Feb;38(2):706-7.

Publication Types: Comment Editorial

This an editorial comment about the manuscript from Staundinger and cols published in the same issue of Crit Care Med. The rationale of using kinetic beds is commented. Differences with previous negative studies are also commented. Intolerance to kinetic beds may reach 40% of patients and this may an important barrier to systematically implement these type of beds

 
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