P171 The use of extracorporeal membrane oxygenation for ventricular septal rupture complicated by refractory cardiogenic shock
D Rob, R Špunda, J Lindner, J Šmalcová, O Šmíd, T Kovárník, A Linhart, J Bìlohlávek
First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic, Prague, Czech Republic
P172 Feasibility of cerebral circulatory arrest diagnosis by TCD in VA ECMO patients
MM Marinoni1, G Cianchi2, S Trapani2, ML Migliaccio2, L Gucci2, M Bonizzoli2, A Cramaro2, M Cozzolino2, S Valente2, A Peris2
1University of Florence, Florence, Italy; 2Careggi Teaching Hospital, Florence, Italy
Patient (Pt) | ECMO flow rate (L/min) | IABP (ratio) | LVEF (%) | TCD before CCA |
---|---|---|---|---|
Pt 1 | 3.0 | NO | 40 | NO |
Pt 2 | 2.97 | NO | 45 | YES |
Pt 3 | 3.1 | NO | 25 | NO |
Pt 4 | 3.9 | YES (1:1) | 45 | YES |
Pt 5 | 3.5 | YES (1:1) | <20 | NO |
P173 A dysbalance in t-cell response predicts in-house mortality in VA-ECMO patients
E Grins1, E Kort2, M Weiland3, N Manandhar Shresta2, P Davidson3, L Algotsson1, S Fitch2, G Marco2, J Sturgill2, S Lee2, M Dickinson2, T Boeve2, A Khaghani2, P Wilton2, S Jovinge2
1Scania Univ Hospital Lund, Lund, Sweden; 2Spectrum Health Hospitals, Grand Rapids, MI, United States; 3Van Andel Institute, Grand Rapids, MI, United States
P174 ENCOURAGE…ing results for veno-arterial ECMO in myocardial infarction
AN Ahmad, R Loveridge, S Vlachos, S Patel, E Gelandt, L Morgan, S Butt, M Whitehorne, V Kakar, C Park, M Hayes, C Willars, T Hurst, T Best, A Vercueil, G Auzinger
King´s College Hospital, London, United Kingdom
P175 Veno-arterial extracorporeal membrane oxygenation for cardiac support: a single center experience
B Adibelli, N Akovali, A Torgay, P Zeyneloglu, A Pirat, Z Kayhan
Ankara Baskent Hospital, Ankara, Turkey
P176 Use of automated chest compression devices after out-of-hospital cardiac arrest in Sweden
SS Schmidbauer1, J Herlitz2, T Karlsson3, H Friberg1
1Skåne University Hospital, Lund, Lund, Sweden; 2PreHospen, University of Borås, The Pre-hospital Research Centre of Western Sweden, Borås, Sweden; 3Health Metrics, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
All patients (n = 24316) | ACC-CPR (n = 7877) | Manual CPR (n = 16439) |
p
| |
---|---|---|---|---|
Age (years, 10th-90th decentile) | 71 (48-87) | 71 (48-87) | 71 (48-88) | .10 |
Female sex (%) | 33.6 | 31.4 | 34.6 | <.001 |
Shockable rhythm (%) | 22.3 | 24.3 | 21.3 | <.001 |
Crew witnessed event (%) | 14.6 | 10.9 | 16.4 | <.001 |
Bystander witnessed event (%) | 51.1 | 55.3 | 49.1 | <.001 |
Adrenaline (%) | 79.8 | 92.3 | 73.7 | <.001 |
Antiarrhythmics (%) | 11.5 | 15.1 | 9.7 | <.001 |
Intubation (%) | 33.9 | 38.9 | 31.5 | <.001 |
P177 Mechanical ventilation during CPR
R Knafelj, P Radsel
Rihard Knafelj, Ljubljana, Slovenia
P178 New system to control FDO2 with bag valve mask for premature infants
F Duprez1, T Bonus1, G Cuvelier2, S Mashayekhi1, M Maka1, S Ollieuz1, G Reychler3
1Epicura, Hornu, Belgium; 2Condorcet, Tournai, Belgium; 3UCL, Bruxelles, Belgium
P179 Could echocardiography have prognostic value in patients after successful resuscitation?
R Mosaddegh, S Abbasi, S Talaee
Iran University of Medical Sciences, Tehran, Iran
P180 Diagnostic and therapeutic value of coronary angiography and ct-scan after extracorporeal cardiopulmonary resuscitation (eCPR) – a single center registry study
VZ Zotzmann, DS Staudacher, TW Wengenmayer, DD Dürschmied, CB Bode
Heart Center, Freiburg, Germany
P181 Comparison of FiO2 50% or 100% on brain oxygenation and cardiac mitochondrial function in experimental cardiac arrest
A Nelskylä1, J Nurmi2, M Jousi2, A Schramko1, E Mervaala2, G Ristagno3, M Skrifvars1
1Helsinki University Hospital, Helsinki, Finland; 2Helsinki University Hospital and University of Helsinki, Helsinki, Finland; 3Istituto di Ricerche Farmacologiche “Mario Negri”, Milan, Italy
P182 Pediatric extracorporeal cardiopulmonary resuscitation experiences of a pediatric intensive care unit
G Ozsoy, T Kendirli, E Azapagasi, O Perk, U Gadirova, E Ozcinar, M Cakici, C Baran, S Durdu, A Uysalel, M Dogan, M Ramoglu, T Ucar, E Tutar, S Atalay, R Akar
Ankara Univercity, Ankara, Turkey
P183 Midazolam is an independent risk factor for prolonged awakening after cardiac arrest
M Kamps1, G Leeuwerink2, J Hofmeijer2, O Hoiting3, J Van der Hoeven1, C Hoedemaekers1
1Radboudumc, Nijmegen, Netherlands; 2Rijnstate, Arnhem, Netherlands; 3Canisius Wilhelmina Ziekenhuis, Nijmegen, Netherlands
P184 The influences of ketamine or morphine on hemodynamics, acid-base status and early survival in rats after asphyxia cardiac arrest: a pilot study
A Konkayev1, V Kuklin2, T Kondratyev3, M Konkayeva1, N Akhatov1, M Sovershaev4, T Tveita3, V Dahl2
1Astana Medical University, Astana, Kazakhstan; 2Akershus University Hospital, Oslo, Norway; 3The Arctic University of Norway, Tromsø, Norway; 4University Hospital of Northern Norway, Tromsø, Norway
P185
Withdrawn
P186 Ubiquitin c-terminal hydrolase l1 as a predictor of neurological outcome after cardiac arrest and resuscitation
L Wihersaari1, MB Skrifvars2, S Bendel3, KM Kaukonen4, J Vaahersalo4, J Romppanen5, V Pettilä4, M Reinikainen1
1North Karelia Central Hospital, Joensuu, Finland; 2Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia; 3Kuopio University Hospital, Kuopio, Finland; 4Helsinki University and Helsinki University Hospital, Helsinki, Finland; 5Eastern Finland Laboratory Centre, Kuopio, Finland
Poor outcome | Good outcome | p | AUROC (95% CI) | |
---|---|---|---|---|
UCHL1 at 24 h | 19.8 ± 27.3 | 10.8 ± 9.5 | 0.001 | 0.66 (0.60-0.73 |
UCHL1 at 48 h | 22.6 ± 20.7 | 15.6 ± 15.9 | 0.006 | 0.66 (0.59-0.74) |
NSE at 24 h | 31.1 ± 65.2 | 11.0 ± 10.6 | 0.001 | 0.65 (0.58-0.72) |
NSE at 48 h | 42.8 ± 58.8 | 10.5 ± 8.3 | <0.001 | 0.72 (0.65-0.80) |
P187 Time to awakening after cardiac arrest and target temperature management
A Lybeck1, T Cronberg1, N Nielsen2, H Friberg1
1Skane University Hospital, Lund University, Lund, Sweden; 2Helsingborg Hospital, Lund University, Helsingborg, Sweden
P188 Target temperature management in comatose survivors of cardiac arrest - comparison of endovascular, esophageal and surface cooling
M Rauber, K Steblovnik, A Jazbec, M Noc
University Medical Centre Ljubljana, Ljubljana, Slovenia
P189 Influence of an esophageal cooling and warming device on patient temperature in the operating room
P Kalasbail1, F Garrett2, E Kulstad3
1Cleveland Clinic, Cleveland, OH, United States; 2Garrett Technologies, Northbrook, IL, United States; 3Advocate Christ Medical Center, Oak Lawn, IL, United States
P190 Outcomes and interventions among out-of-hospital cardiac arrest patients transported to hospital with ongoing cardiopulmonary resuscitation
DJ Bergström, HR Olsson, S Schmidbauer, H Friberg
Skåne University Hospital, Lund, Lund, Sweden
P191 Hypoxic and hyperoxic preconditioning in organ protection against ischemia-reperfusion injury: the experimental study
I Mandel1, S Mikheev2, Y Podoxenov2, I Suhodolo3, A Podoxenov2, J Svirko2, A Sementsov2, L Maslov2, V Shipulin2
1City Clinical Hospital No 83 of FMBA of Russia, Moscow, Russia; 2Cardiology Research Institute, Tomsk, Russia; 3Siberian State Medical University, Tomsk, Russia
P192 Diabetes in an animal model worsens neurological outcome following cardiac arrest
LV Vammen1, SR Rahbek2, NS Secher1, JP Povlsen3, NJ Jessen4, BL Løfgren1, AG Granfeldt1
1Aarhus University Hospital, Aarhus C, Denmark; 2Regional Hospital of Randers, Randers, Denmark; 3Regional Hospital of Horsens, Horsens, Denmark; 4Aarhus University, Aarhus, Denmark
P193 Increased energy required to reach target temperature in post-cardiac arrest patients is associated with better outcomes
A Grossestreuer1, S Perman2, P Patel1, S Ganley1, J Portmann1, M Cocchi1, M Donnino1
1Beth Israel Deaconess Medical Center, Boston, MA, United States; 2University of Colorado, Denver, CO, United States
P194
Withdrawn
P195 Clinical outcomes of patients with different co-morbideties witnessed in cardiac arrests inside the intensive care unit
Y Nassar, S Fathy, A Gaber, S Mokhtar
Cairo University, Giza, Egypt
-
ROSC increased with CNS comorbidities (p0.05), Shock (p0.008), Low MPM0-III (p 0.015) While ROSC decreased with and Respiratory failure (p 0.01)
-
Long term survival increased with Low MPM0-III score (p0.018), Low Sofa score (p 0.01), and Rapidly correctable causes (Hypoxia, Hypovolemia, Hydrogen ion acidosis, Hypokalemia, Hyperkalemia, Hypoglycemia, Hypothermia, Toxins, Cardiac Temponade, Tension pneumothorax, Thrombosis and Trauma) (p0.004), while Long term survival decreased with CNS comorbidities (p0.02), Shock (p,0.01), Respiratory Failure post-arrest (p0.02) and Mechanical ventilation post-arrest (p < 0.001)
-
ROSC increased with AF Rhythm (p0.03),less duration of CPR (p0.03), number of cycles of CPR < 2 (p < 0.001), number of DC shocks <2 (p0.02), EF >50% (p0.01), Low HCO3 pre-arrest (p0.009), low HCO3 during arrest (p0.03) and Noradrenaline post-arrest (p0.003).ROSC decreased with high PaCO2 pre-arrest (p 0.002) and high PaCO2 during arrest (p 0.001).
-
Long term survival increased with RBBB (p < 0.001) and frequent PVCs (p < 0.001). Long term survival decreased with Asystole (p 0.01).
P196 Outcomes of non-traumatic out-of-hospital cardiac arrests witnessed by layperson
YC Chia
Tan Tock Seng Hospital, Singapore, Singapore
P197 Reducing the risk of a poor outcome: considering the ‘other’ victim of out-of-hospital cardiac arrest (OOHCA) following unsuccessful resuscitation
R Lewis-Cuthbertson1, K Mustafa2, A Sabra2, A Evans2, P Bennett1
1Swansea University, Swansea, United Kingdom; 2Abertawe Bro Morgannwg Health Board, Swansea, United Kingdom
P198
Withdrawn
P199 he use of the bispectral index and suppression ratio to predict poor neurological outcome in post-cardiac arrest patients treated with targeted temperature management at 33°c
W Eertmans, C Genbrugge, W Boer, J Dens, C De Deyne, F Jans
Ziekenhuis Oost-Limburg, Genk, Belgium
P200 Retrospective analysis of trends in outcome following Out of Hospital Cardiac Arrest from a UK regional cardiac arrest centre, with a focus on haematological parameters
A Skorko, M Thomas
Bristol Royal Infirmary, Bristol, United Kingdom
Survivors | non survivors | Mann-Whitney u test | |
---|---|---|---|
Median Haemoglobin (IQR) | 12.90 (11.8 – 14.1) | 12.90 (11.8 – 14.1) 12.60 (10.9-13.9) | P = 0.03 |
Median platelets (IQR) | 187.00 (142.75 – 226) | 181.00 (137 – 234) | P = 0.861 |
Median APTT (IQR) | 35.40 (26.52 - 80.6) | 32.70 (27.75-68.1) | P = 0.689 |
Median PT (IQR) | 11.50 (10.8 -13.5) | 12.10 (11-16.9) | P = 0.01 |
P201 Organ donation after brain death in refractory cardiac arrest treated with extracorporeal CPR
M Casadio1, A Coppo2, A Vargiolu2, J Villa1, M Rota1, L Avalli2, G Citerio1
1University of Milano-Bicocca, Monza, Italy; 2San Gerardo Hospital, Monza, Italy
HAEMODYNAMICS AND BIOCHEMICAL DATA | CBC AND COAGULATION | ||||
---|---|---|---|---|---|
Day of BD diagnosis | 4.68 ± 3.5 | MAP (mmHg) | 60.7 ± 13.8 | WBC (x109/L) | 11.7 ± 6.9 |
ARTERIAL BLOOD GASES | NE max dose (mcg/kg/min) | 0.2 ± 0.2 | Hb(g/dl) | 10.9 ± 1.9 | |
pH | 7.35 ± 0.1 | DBT max dose (mcg/kg/min) | 5.3 ± 3.09 | Hct | 26.43 ± 4.06 |
P/F | 173.8 ± 225.9 | Creatinine (mg/dL) | 1.8 ± 0.7 | PTLs (x103/L) | 91.5 ± 70.6 |
pCO2(mmHg) | 47.3 ± 10.7 | Urea (mg/dl) | 65.9 ± 34.2 | INR | 1.3 ± 0.4 |
Lactate(mmol/L) | 3.5 ± 4.5 | Bilirubin(mg/d) | 0.8 ± 0.8 | aPTT ratio | 1.4 ± 0.2 |
P202
Withdrawn
P203
Withdrawn
P204 Effects of long-term post-ischemic treadmill exercise on gliosis in the aged gerbil hippocampus induced by transient cerebral ischemia
JB Moon, JH Cho, CW Park, TG Ohk, MC Shin, MH Won
Kangwon National University, Chuncheonsi, South Korea
P205 Predictors of need for critical care support after stroke thrombolysis in an intensive care unit
P Papamichalis1, V Zisopoulou1, E Dardiotis2, S Karagiannis1, D Papadopoulos1, T Zafeiridis1, D Babalis1, A Skoura1, I Staikos1, A Komnos1
1General Hospital of Larissa, Larissa, Greece; 2University Hospital of Larissa, Larissa, Greece
P206 A life threatening emergency: PRES - cases series and literature review
S Silva Passos, F Maeda, L Silva Souza, A Amato Filho, T Araújo Guerra Granjeia, M Schweller, D Franci, M De Carvalho Filho, T Martins Santos, P De Azevedo
University of Campinas, Campinas, Brazil
P207 A case report: chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (CLIPPERS)
R Wall, I Welters
Royal Liverpool University Hospital, Liverpool, United Kingdom
P208 Comparison of successful rate between ultrasound guided lumbar puncture and surface landmark method for difficult LP patients in ED; a randomized controlled trial
P Tansuwannarat, P Sanguanwit
Ramathibodi hospital, Bangkok, Thailand
Characteristics | US Guided LP(20) | Surface landmark LP(20) | P value |
---|---|---|---|
Sex(Male) | 9(45%) | 12(60%) | 0.342 |
Age > 50 | 17(85%) | 13(65%) | 0.144 |
BMI | 27.14 | 27.48 | 0.497 |
Underlying disease(Yes) | 14(70%) | 17(85%) | 0.451 |
Parameters | US Guided LP(20) | Surface landmark LP(20) | P value |
---|---|---|---|
Success rate in 1st attempt | 16(80%) | 7(35%) | 0.009 |
Time to success median(range) | 5 (3-18) | 13.5(5-30) | 0.002 |
Complication(Yes) | 2(10%) | 6(30%) | 0.235 |
P209 Acid-base characteristics of the cerebrospinal fluid of patients with subarachnoid hemorrhage and in control subjects according to Stewart’s approach
T Langer 1, M Carbonara2, A Caccioppola1, C Ferraris Fusarini2, E Carlesso1, E Paradiso1, M Battistini1, E Cattaneo1, F Zadek1, R Maiavacca2, N Stocchetti1, A Pesenti1
1University of Milan, Milan, Italy; 2Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milan, Italy
Variables | SAH patients | Control subjects | p-value |
---|---|---|---|
CSF PCO2 [mmHg] | 37 ± 6 | 47 ± 3 | <0.001 |
CSF SID [mEq/L] | 22.0 ± 1.7 | 27.0 ± 1.4 | <0.001 |
CSF ATOT [mmol/L] | 1.3 ± 0.9 | 1.2 ± 0.2 | 0.13 |
CSF pH | 7.38 ± 0.08 | 7.35 ± 0.03 | 0.53 |
Plasma SID [mEq/L] | 34.4 ± 1.8 | 36.5 ± 1.6 | 0.02 |
Δ SID [mEq/L] | 12.3 ± 2.1 | 9.5 ± 2.2 | 0.02 |
P210 Polyuria and natriuresis after aneurysmal subarachnoid haemorrhage
A Ramos1, F Acharta1, J Toledo1, M Perezlindo1, L Lovesio1, A Dogliotti2, C Lovesio1
1Sanatorio Parque, Rosario, Argentina; 2Grupo Oroño, Rosario, Argentina
P211 Coma in late night amsterdam; do not forget the travel history
N Schroten1, B Van der Veen2, MC De Vries2, J Veenstra2
1VUMC, Amsterdam, Netherlands; 2OLVG, Amsterdam, Netherlands
P212 Healthcare-associated infections in the neurological intensive care unit: 6-year surveillance study at a major tertiary care center
YB Abulhasan1, S Rachel1, M Châtillon-Angle1, N Alabdulraheem1, I Schiller2, N Dendukuri2, M Angle1, C Frenette1
1Montreal Neurological Institute and Hospital, Montreal, Canada; 2McGill University, Montreal, Canada
P213 Paradoxical cerebrovascular hemodynamic changes with nicardipine
S Lahiri1, K Schlick1, SA Mayer2, P Lyden1
1Cedars-Sinai Medical Center, Los Angeles, CA, United States; 2Mount Sinai Medical Center, New York, United States
P214 Clinical manifestations and diagnosis of patients with cerebral venous thrombosis: retrospective study and literature review
M Akatsuka1, J Arakawa1, M Yamakage2
1Japanese Red Cross Kitami Hospital, Kitami, Japan; 2Sapporo Medical University School of Medicine, Sapporo, Japan
P215 Diaphragmatic electric activity during apnea testing for brain death determination
J Rubio1, JA Rubio Mateo-Sidron2, R Sierra1, M Celaya1, L Benitez1, S Alvarez-Ossorio1
1Hospital Universitario Puerta del Mar, Cadiz, Spain; 2Hospital Xanit, Benalmadena, Malaga, Spain
P216 Usefulness of a method for doing apnea testing during brain death determination
J Rubio1, JA Rubio Mateo-Sidron2, R Sierra1, A Fernandez1, O Gonzalez1
1Hospital Universitario Puerta del Mar, Cadiz, Spain; 2Hospital Xanit, Benalmadena, Malaga, Spain
(mean ± SD) | T1 | T2 | T3 |
---|---|---|---|
pH | 7,43 ± 0,06 | 7,39 ± 0,06 | 7,2 ± 0,08 |
PaO2 (mmHg) | 114 ± 45,9 | 298 ± 90,9 | 149 ± 129,2 |
PaCO2 (mmHg) | 37 ± 5,6 | 39,7 ± 7,6 | 67 ± 12,2 |
SpO2 (%) | 99 ± 0,8 | 99,9 ± 0,5 | 98,7 ± 4,8 |
P217 Effect of HHH therapy on CBF after severe subarachnoid hemorrhage: regional cerebral blood flow studied by bedside Xenon-enhanced CT
H Engquist, E Rostami, P Enblad
Uppsala University, Dpt of Neuroscience/Neurosurgery, Uppsala, Sweden
P218 Spontaneous primary intracerebral hemorrhage: factors influencing poor outcome. A two-centers series
J Toledo1, A Ramos1, F Acharta1, L Canullo1, J Nallino1, A Dogliotti2, C Lovesio1
1Sanatorio Parque, Rosario, Argentina; 2Grupo Oroño, Rosario, Argentina
P219 Agitation after mild to moderate traumatic brain injury in the intensive care unit
M Perreault 1, J Talic2, AJ Frenette3, L Burry4, F Bernard3, DR Williamson3
1The Montreal General Hospital, Montreal, Canada; 2University of Geneva, Geneva, Switzerland; 3Hôpital Sacré-Coeur de Montreal, Montreal, Canada; 4Mount Sinai Hospital, Toronto, Canada
P220 Acute subdural hematoma after isolated traumatic brain injury: associated factors and prediction of lethal outcome
D Adukauskiene1, J Cyziute2, A Adukauskaite3, L Malciene4
1Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania; 2Lithuanian University of Health Sciences, Kaunas, Lithuania; 3Innsbruck Medical University Hospital, Innsbruck, Austria; 4Klaipeda University Hospital, Klaipeda, Lithuania
P221 Multimodal monitoring in critically ill polytrauma patient with traumatic brain injury (TBI)
L Luca1, A Rogobete1, O Bedreag1, M Papurica1, M Sarandan2, C Cradigati2, S Popovici1, C Vernic1, D Sandesc1
1University of Medicine and Pharmacy ”Victor Babes” Timisoara, Timisoara, Romania; 2Emergency County Hospital ”Pius Brinzeu”, Clinic of Anesthesia and Intensive Care ”Casa Austria”, Timisoara, Romania
P222 Hypothermia in management of traumatic brain injury
V Avakov1, I Shakhova2
1Tashkent Medical Academy, Tashkent, Uzbekistan; 2Université de Strasbourg, Strasbourg, France
P223 Citicoline in severe brain trauma: matched pair analysis suggests improved outcome
H Trimmel 1, M Majdan2, GH Herzer1
1Landesklinikum Wr. Neustadt, Wiener Neustadt, Austria; 2Department of Public Health, 91701 Trnava, Slovakia
Variable | Citicoline WNH (N = 67) | Control Austrian centers (N = 67) | p |
---|---|---|---|
Sex, N (% male) | 52 (78%) | 50 (75%) | 0.839 |
ISS, mean (SD) | 27.4 (12.4) | 31.7 (17.3) | 0,1 |
Total GCS assessed at admission, mean (SD) | 6.4 (4.7) | 6.0 (4.2) | 0.662 |
Pupillary reactivity in field, N (%) | 0.702 | ||
Both reactive | 41 (61%) | 36 (54%) | |
One reactive | 2 (3%) | 2 (3%) | |
None reactive | 3 (5%) | 6 (9%) | |
Unknown | 21 (31%) | 23 (34%) | |
Pupillary reactivity at admission, N (%) | 0.416 | ||
Both reactive | 28 (42%) | 29 (43%) | |
One reactive | 2 (3%) | 5 (8%) | |
None reactive | 1 (2%) | 3 (5%) | |
Unknown | 36 (54%) | 30 (45%) | |
Rotterdam CT score, N (%) | 0.052 | ||
1 | 2 (3%) | 2 (3%) | |
2 | 22 (34%) | 19 (31%) | |
3 | 31 (48%) | 17 (28%) | |
4 | 7 (11%) | 19 (31%) | |
5 | 2 (3%) | 3 (5%) | |
6 | 0 | 1 (2%) | |
Subarachnoid hemorrhage, N (% Yes) | 39 (58%) | 41 (61%) | 0.861 |
Epidural hematoma, N (% Yes) | 8 (12%) | 13 (19%) | 0,342 |
Subdural hematoma, N (% Yes) | 37 (55%) | 43 (64%) | 0.379 |
Prehospital hypotension, N (% Yes) | 1 (2%) | 4 (6%) | 0.328 |
Prehospital hypoxia, N (% Yes) | 5 (8%) | 12 (18%) | 0.19 |
Prehospital intubation, N (% Yes) | 33 (49%) | 40 (60%) | 0.057 |
Predicted six months mortality, mean % (SD) | 30.7% (18.6) | 33.4% (21.7) | 0.682 |
Predicted six months unfav. outcome, mean % (SD) | 51.8% (21.6) | 53.9% (23.7) | 0.626 |
Variable | Citicoline (N = 67) | Control (N = 67) | p |
---|---|---|---|
ICU mortality, % (N) | 5% (3) | 24% (16) | <0.01 |
Hospital mortality, % (N) | 9% (6) | 24% (16) | 0.035 |
Six months mortality, % (N) | 13% (9) | 28% (19) | 0.031 |
Predicted six months mortality, mean % (SD) | 30.7% (18.6) | 33.4% (21.7) | 0.682 |
Observed vs. expected ratio for mortality | 0.42 | 0.84 | |
Six months unfavorable outcome, % (N) | 34% (23) | 57% (38) | 0.015 |
Predicted six months unfav. outcome, mean % (SD) | 51.8% (21.6) | 53.9% (23.7) | 0.626 |
Observed vs. expected ratio for unfav. outcome | 0.66 | 1.06 |
P224 Early measurement of low cerebral blood flow is associated with brain hypoxemia after traumatic brain injury
CS Sokoloff1, M Albert1, D Williamson1, C Odier2, J Giguère1, E Charbonney1, F Bernard1
1Hôpital du Sacré-Coeur de Montréal, Montréal, Canada; 2Centre Hospitalier Universitaire de Montréal, Montreal, Canada
P225 The prognostic role of tractography in the management of traumatic brain injury
Z Husti, T Kaptás, Z Fülep, Z Gaál, M Tusa
Bács- Kiskun County Hospital, Kecskemét, Hungary
P226 Optimal cerebral perfusion pressure; bedside application after severe traumatic brain injury
J Donnelly1, M Aries2, M Czosnyka1, C Robba3, M Liu1, A Ercole3, D Menon3, P Hutchinson4, P Smielewski1
1Brain Physics Laboratory, Division of Neurosurgery, Department of Clinical Neurosciences, Cambridge Biomedical Campus, University of Cambridge, Cambridge, United Kingdom; 2MUMC, Maastricht, Netherlands; 3Division of Anaesthesia, Department of Medicine, Addenbrooke’s Hospital, University of Cambridge, Cambridge, United Kingdom; 4Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke’s Hospital, University of Cambridge, Cambridge, United Kingdom
P227 Regional brain tissue oxygen tension normalized to arterial oxygen tension predicts outcome in traumatic brain injury
R López, J Graf, JM Montes
Clínica Alemana de Santiago, Santiago, Chile
GOSE > =5 | GOSE < 5 | p value | |
---|---|---|---|
Patients, N | 7 | 7 | |
Male, N | 4 | 4 | n/s |
Age, mean (SD) | 35 (20) | 59(21) | n/s |
Decompressive Craniotomy, N | 2 | 3 | n/s |
%t High ICP (SD) | 10(20) | 1(2) | n/s |
%t CPP < 60 mmHg (SD) | 5(7) | 4(6) | n/s |
%t PbtO2 < 15 mmHg (SD) | 37(31) | 6(14) | 0.03 |
PbtO2N at 24 h (SD) | 0.85 (0.07) | 0.72(0.09) | 0.01 |
P228 Predictive value of common intensive care severity scores in traumatic brain injury
M Kenawi1, A Kandil2, K Husein1, A Samir1
1Cairo university hospital, Cairo, Egypt; 2Helal hospital, Cairo, Egypt
P229 Development of a process indicator-based plan-do-act-check cycle to improve quality of care in severe traumatic brain injury patients
J Heijneman, J Huijben, F Abid-Ali, M Stolk, J Van Bommel, H Lingsma, M Van der Jagt
Erasmus Medical Center, Rotterdam, Netherlands
P230 Skin cover plasty after decompression craniectomy, as a method of solving intracranial hypertension – case history
RC Cihlar
Nemocnice Ceske Budejovice, C eske Budejovice, Czech Republic
P231
Withdrawn
P232 Haemorrhagic shock in war wounded: mortality at a surgical center for war victims in Afghanistan
G Mancino, P Bertini, F Forfori, F Guarracino
Azienda Ospedaliero Universitaria Pisana, Anaesthesia And Intensive Care Department, Pisa, Italy
P233 Late versus early surgical fixation of femoral bone fracture could increase the neurocognitive dysfunction and postoperative morbidity of the eldery patients
D Pavelescu, I Grintescu, L Mirea
Emergency Hospital Floreasca, Bucharest, Romania
P234 The effictiveness of prophylactic inferior vena cava filters insertion in trauma patients
S Alamri1, M Tharwat1
1Riyadh National Hospital, Riyadh, Saudi Arabia
P235 Complications following resuscitative endovascular balloon occlusion of the aorta in patients with polytrauma
N Kono, H Okamoto, H Uchino, T Ikegami, T Fukuoka
Kurashiki Central Hospital, Kurashiki City, Japan
P236 Evaluation of trauma patients admitted to ICU with trauma and injury severity score (TRISS)
M Simoes, E Trigo, P Coutinho, J Pimentel
Centro Hospitalar e Universitario de Coimbra, Coimbra, Portugal
P237 Management of major bleeding trauma in ICU: preliminary data on the use of thromboelastometry in a tertiary care hospital
A Franci, D Basagni, M Boddi, M Cozzolino, V Anichini, A Cecchi, A Peris
Careggi Teaching Hospital, Florence, Italy
Mean ± SD | Group A | Group B | p |
---|---|---|---|
RBC total (U) | 12.79 ± 7.77 | 6.58 ± 2.67 | p = .0028 |
FFP total (U) | 10.36 ± 6.38 | 5.00 ± 4.27 | p = .0069 |
PLT total (U) | 7.50 ± 7.55 | 2.95 ± 3.36 | p = .0258 |
Fibrinogen total (g) | 4.29 ± 3.02 | 1.63 ± 1.46 | p = .0022 |
PCC total (ml) | 2000.00 ± 1951.33 | 500.00 ± 816.50 | p = .0050 |
P238 How inflammatory markers are correlated with the onset of fever in ICU trauma patients; preliminary results
D Markopoulou, K Venetsanou, I Papanikolaou, T Barkouri, D Chroni, I Alamanos
Kat Hospital Athens, Kifisia, Greece
P239 The ECS algorithm application in trauma patients: a pre-post analysis
E Cingolani1, MG Bocci2, L Pisapia2, A Tersali2, SL Cutuli2, V Fiore3, A Palma1, G Nardi3, M Antonelli2
1Azienda Ospedaliera San Camillo Forlanini, Roma, Italy; 2Fondazione A. Gemelli, Rome, Italy,3Infermi, Rimini, Italy
P240 Cell free DNA and protein C in trauma patients: an observational study
R Coke1, A Kwong1, DJ Dwivedi2, M Xu1, E McDonald1, JC Marshall3, AE Fox-Robichaud4, E Charbonney5, PC Liaw2
1McMaster University, Hamilton, Canada; 2TaARI, DBRI, Hamilton, Canada; 3St. Michael´s Hospital, Toronto, Canada; 4Hamilton Health Sciences, Hamilton, Canada,5Hopital du Sacre-Coeur, Montreal, Canada
P241 The impact of APRV/BIPAP on the outcome of polytrauma patients with multiply organ failure syndrome
I Kuchynska, IR Malysh, LV Zgrzheblovska
Shupyk National Medical Academy, Kiev, Ukraine
APRV X (min-max) | PCV- PSIMV X (min-max) | P (APRV- PCV- PSIMV) | |
---|---|---|---|
In ICU | 17.0 (4-32) | 24.6 (10-86) | 0.002 |
P242 A descriptive analysis of a national survey about the use of prophylac-tic low molecular weight heparin in the ED
L Mestdagh1, EF Verhoeven2, I Hubloue1
1Uzbrussel, Brussel, Belgium; 2Evert Verhoeven, Vorselaar, Belgium
P243 Effect of age of transfused red blood cells on neurological outcome in critically ill patients with traumatic brain injury (able-TBI study)
J Ruel-laliberte1, R Zarychanski2, F Lauzier1, P Lessard Bonaventure1, R Green3, D Griesdale4, R Fowler5, A Kramer6, D Zygun7, T Walsh8, S Stanworth9, C Léger1, A F. Turgeon1
1Université Laval, Québec, Canada; 2University of Manitoba, Manitoba, Canada; 3Dalhousie University, Halifax, Canada; 4University of British Columbia, Vancouver, Canada; 5University of Toronto, Toronto, Canada; 6University of Calgary, Calgary, Canada; 7University of Alberta, Edmonton, Canada; 8University of Edinburgh, Edinburgh, United Kingdom; 9University of Oxford, Oxford, United Kingdom
P244 Transfusion of stored blood induces pulmonary vasoconstriction in critically ill patients after cardiac surgery: a double-blind, randomized clinical trial
DM Baron, J Baron-Stefaniak, GC Leitner, R Ullrich
Medical University of Vienna, Vienna, Austria
P245 Reducing the level of blood loss in patients with obstetric massive bleeding
O Tarabrin, A Mazurenko, Y Potapchuk, D Sazhyn, P Tarabrin
Odessa National Medical University, Odessa, Ukraine
P246 Methods of correction of coagulopathy in patients with polytrauma
O Tarabrin, A Mazurenko, Y Potapchuk, D Sazhyn, P Tarabrin
Odessa National Medical University, Odessa, Ukraine
P247 Fresh frozen plasma transfusions impact pneumonia rates after cardiac surgery
A González Pérez, J Silva
Hospital Universitario Central de Asturias, Oviedo, Spain
P248 Effect of perioperative use of tranexamic acid on the blood loss in cemented total hip replacement
V Artemenko, A Bugaev, I Tokar, S Konashevskaya
MC INTO-SANA, Odessa, Ukraine
P249 The effect of volunteer’s gender on the reference range for INNOVANCE® PFA-200
IM Kolesnikova, EV Roitman
Pirogov Russian National Research Medical University, Moscow, Russia
P250 The hemostasis changes in bloodless liver transplantation
T Rengeiné Kiss, Z Máthé, L Piros, E Dinya, E Tihanyi, A Smudla, J Fazakas
Semmelweis University, Budapest, Hungary
P251 Novel technique to monitor effect of transfusion on mitochondrial oxygenation
R Ubbink, P Boekhorst te, E Mik
Erasmus Medical Center Rotterdam, Rotterdam, Netherlands
P252 Thromboelastography goal-directed haemostatic therapy (TEG-GDHT) during open thoracoabdominal aortic aneurysm (TAAA) repair
L Caneva1, G Ticozzelli1, S Pirrelli2, D Passador1, F Riccardi1, F Ferrari1, EM Roldi3, M Di Matteo3, I Bianchi3, GA Iotti1,3
1IRCCS Policlinico S. Matteo, SC Anestesia e Rianimazione 2, Pavia, Italy; 2IRCCS Policlinico S.Matteo US Patologia Aorta Toracica-UOC Chirurgia Vascolare, Pavia, Italy; 3Università degli Studi di Pavia, Pavia, Italy,
P253 Association of red cell distribution width and poor outcome is mainly explained by inflammation: results of a prospective study
G Zurauskaite, A Voegeli, M Meier, D Koch, S Haubitz, A Kutz, M Bargetzi, B Mueller, P Schuetz
Kantonsspital Aarau, Aarau, Switzerland
P254 Red cell distribution width at hospital discharge and out-of hospital outcomes in critically ill non-cardiac vascular surgery patients
G Von Meijenfeldt1, M Van der Laan1, C Zeebregts1, KB Christopher2
1University of Groningen, Groningen, Netherlands; 2Brigham and Women's Hospital, Boston, MA, United States
P255 Thrombotic thrombocytopenic purpura (TTP) in ICU
P Vernikos, T Melissopoulou, G Kanellopoulou, M Panoutsopoulou, D Xanthis, K Kolovou, T Kypraiou, J Floros
Laiko General Hospital, Athens, Greece
P256 Acute haemorrhage in a large district general hospital – who bleeds and what blood products do they get? do we use those products wisely?
H Broady, C Pritchett, M Marshman, N Jannaway, C Ralph
Royal Cornwall Hospital, Truro, United Kingdom
P257 Activated partial thromboplastin time versus diluted thrombin time in argatroban monitoring
CL Lehane, CK Keyl, EZ Zimmer, DT Trenk
Herzzentrum Freiburg Bad krozingen, Bad Krozingen, Germany
P258 Comparison of two diagnostic scores of disseminated intravascular coagulation in pregnant women admitted to the ICU
AS Ducloy-Bouthors1, MJ Jonard2, F Fourrier1
1CHRU, Lille, France; 2Centre Hospitalier, Lens, France
P259 Thromboelastometry analysis of thrombocytopenic dengue patients: a cross-sectional study
F Piza1, T Correa1, A Marra1, J Guerra1, R Rodrigues1, A Vilarinho1, V Aranda1, S Shiramizo1, MR Lima1, E Kallas2, AB Cavalcanti3
1Hospital Israelita Albert Einstein, Sao Paulo, Brazil; 2Universidade de Sao Paulo, Sao Paulo, Brazil; 3Hospital do Coração, Sao Paulo, Brazil
P260
Withdrawn
P261 Coagulopathy during ECLS is equally corrected by circuit removal or exchange
M Donoso, P Vargas, J Graf
Clinica Alemana, Santiago, Chile
Median (range) | Exchange (n = 4) | Removal (n = 4) |
---|---|---|
Age (years) | 64 (36-74) | 42(36-68) |
APACHE II | 32 (31-37) | 34 (24-37) |
Circuit run (d) | 11.5 (9-15) | 8.5 (5-13) |
Influenza A (n) | 3 | 3 |
P262 Outcomes and factors influencing outcome in patients admitted to the intensive care unit (ICU) following allogeneic stem cell transplant
J McCartney1, S Ramsay1, K McDowall1, I Novitzky-Basso2, C Wright1
1Queen Elizabeth University Hospital, Glasgow, United Kingdom,2Beatson West of Scotland Cancer Centre, Glasgow, United Kingdom
P263 Outcome of mechanically ventilated patients with hematologic malignancies and acute respiratory failure treated with different ventilation strategies
M Grgic Medic1, L Bielen1, V Radonic2, O Zlopasa1, N Gubarev Vrdoljak1, V Gasparovic1, R Radonic1
1Clinical Hospital Zagreb, Zagreb, Croatia; 2Emergency Medicine Center Sisak, Sisak, Croatia
P264 Outcomes in hematological patients in critical care ward
G Narváez, D Cabestrero, L Rey, M Aroca, S Gallego, J Higuera, R De Pablo
Hospital Universitario Ramón y Cajla, Madrid, Spain
Organ Failure | Incidence | Mortality NO | Mortality YES | p |
---|---|---|---|---|
Hemodynamic | 77.1% (108p) | 40.7% | 51% | <0.001 |
Respiratory | 71.4% (100p) | 36.4% | 35% | <0.001 |
Renal | 62.9% (88p) | 31.4% | 31.4% | <0.003 |
Hepatic | 20.7% (29p) | 7.9% | 12.9% | <0.05 |
Metabolic | 7.1% (10p) | 2.1% | 5% | 0.45 |
Therapies | Incidence | Mortaliity NO | Mortality YES | p |
---|---|---|---|---|
Vassoactive drugs | 72.1% (101p) | 37.1% | 35% | <0.001 |
Mechanical Ventilation | 53.6% (75p) | 19.3% | 34.3% | <0.001 |
RRT | 26.4% (37p) | 10.7% | 15% | <0.001 |
P265 Characteristics and outcome of haematopoietic stem cell transplant recipients admitted to the intensive care unit
L Rey González, G Narváez Chávez, J Higuera Lucas, D Cabestrero Alonso, M Aroca Ruiz, L Jaramillo Valarezo, R De Pablo Sánchez
Hospital Ramón y Cajal, Madrid, Spain
P266 Outcome of hemato-oncology patients transferred to the critical care unit in the last five years at Royal Marsden Hospital
A Quinza Real1, TW Wigmore2
1Hospital La Fe, Valencia, Spain; 2Royal Marsden Hospital, London, United Kingdom
Year | Number | Referral NEWS (average) | Time on ward (hr) | Time on HDU/TnT (hr) | APACHE II | CCU LOS (days) |
---|---|---|---|---|---|---|
2012 | 31 | 4 | 6.1 | 29.8 | 21.2 | 12.4 |
2013 | 37 | 5 | 8.9 | 25.5 | 21.8 | 12.2 |
2014 | 26 | 5 | 9.4 | 13.1 | 20.9 | 11.0 |
2015 | 41 | 6 | 11.5 | 10.4 | 22.2 | 8.9 |
2016 (Jan to June) | 20 | 5 | 12.4 | 8.1 | 19.7 | 8.0 |
Year | Number | CCU survival n(%) | Hospital survival n(%) | 6 months survival n(%) |
---|---|---|---|---|
2012 | 31 | 16 (52) | 15 (48) | 10 (32) |
2013 | 37 | 21 (57) | 14 (38) | 11 (30) |
2014 | 26 | 18 (69) | 13 (50) | 13 (50) |
2015 | 41 | 25 (61) | 23 (56) | 16 (39) |
2016 (Jan to June) | 20 | 15 (75) | 11 (55) | 10 (50) |
P267 Prevention of exposure keratopathy in critically ill patients: a randomized, prospective pilot study comparing ocular lubrication with bandage contact lenses
I Bendavid, J Cohen, I Avisar, I Serov, I Kagan, P Singer
Rabin Medical Center, Petah Tikva, Israel
P268 Sleep helps healing: a quality improvement project
J Hanison1, U Mirza2, D Conway1
1Manchester Royal Infirmary, Manchester, United Kingdom; 2University of Manchester, Manchester, United Kingdom
P269 Factors associated with early analgesic treatment for acute abdomen in emergency departments
A Takasu1, H Tanaka1, N Otani1, S Ohde2, S Ishimatsu1
1St.Luke´s International hospital, Tokyo, Japan; 2St. Luke´s International University Center for Clinical Epidemiology, Tokyo, Japan
P270 The duration of methoxyflurane analgesia in adult patients in the emergency department: a sub-analysis of stop! - a randomised, double-blind, placebo-controlled study
F Coffey1, P Dissmann2, K Mirza3, M Lomax4
1Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom; 2James Cook University Hospital, Middlesbrough, United Kingdom; 3Colchester Hospital University Foundation NHS Trust, Colchester, United Kingdom; 4Mundipharma Research Limited, Cambridge, United Kingdom
P271 Global medication performance and safety of methoxyflurane analgesia in adult patients with contusions and lacerations treated in the emergency department
P Dissmann1, F Coffey2, K Mirza3, M Lomax4
1Emergency Department, James Cook University Hospital, Middlesbrough, United Kingdom; 2Emergency Department, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom; 3Accident and Emergency Department, Colchester Hospital University Foundation NHS Trust, Colchester, United Kingdom; 4Mundipharma Research Limited, Cambridge, United Kingdom
P272 Safety and efficacy of sufentanil sublingual tablet 30 mcg for management of acute traumatic pain
JR Miner1, R Leto2
1Hennepin County Medical Center, Minneapolis, MN, United States; 2Derriford hospital PHNT, Plymouth, United Kingdom
P273 Sevoflurane does not change intracranial pressure in neurocritical patients: a case series
AM Markota1, PG Gradišek2, VA Aleksejev1, AS Sinkovič1
1University Medical Centre Maribor, Maribor, Slovenia; 2University Medical Centre Ljubljana, Ljubljana, Slovenia
P274 Critical care sedation with sevoflurane: a single center experience with the new mirus system
S Romagnoli, C Chelazzi, G Zagli, F Benvenuti, P Mancinelli, P Boninsegni, L Paparella
Osp. Azienda Ospedaliero Univ Careggi, Florence, Italy
P275 The anaconda® and sevoflurane: data on ambient pollution and staff exposure
AT Bos, O Thomas
VieCuri MC Venlo, Venlo, Netherlands
P276 Does anaconda scavenge iNO?
T Goslar, R Knafelj
Rihard Knafelj, Ljubljana, Slovenia
P277 Withdrawal assessment in adult ICU patients: validation of the WAT-1 scale
M Perreault1, A Martone1, PR Sandu1, VA Rosu2, A Capilnean1, P Murgoi1, AJ Frenette3, A Lecavalier1, D Jayaraman1, P Rico3, P Bellemare3, C Gelinas4, D Williamson3
1The Montreal General Hospital, Montreal, Canada; 2Hôpital de Verdun, Verdun, Canada; 3Hopital du Sacre-Coeur, Montreal, Canada; 4Jewish General Hospital, Montreal, Canada
P278 Impact of early deep sedation on duration of mechanical ventilation in psychiatric patients requiring intensive care: a retrospective analysis
T Nishida, T Kinoshita, N Iwata, K Yamakawa, S Fujimi
Osaka General Medical Center, Osaka, Japan
P279 Impact of sedation on diaphragm thickness in ICU patients: preliminary results
L Maggi1, F Sposato2, G Citterio1, C Bonarrigo2, M Rocco2, V Zani2, RA De Blasi2
1Campus Biomedico, Rome, Italy; 2Azienda Ospedaliera Sant´Andrea, Università La Sapienza, Rome, Italy
P280
Withdrawn
P281 The real cost of sugammadex: from patient to society
D Alcorn, L Barry
Royal Alexandra Hospital, Paisley, United Kingdom
P282 Effects of propofol on the microcirculation in children with continuous video microscopy imaging
M.A. Riedijk1, D.M. Milstein2
1Academic Medical Center, Amsterdam, Netherlands; 2Academic Medical Center, Oral & Maxillofacial Surgery, Amsterdam, Netherlands
Induction propofol | T0 | T3 |
---|---|---|
Systolic pressure mmHg | 119 ± 27 | 91 ± 14* |
MAP mmHg | 80 ± 22 | 57 ± 13* |
Heartrate bmp | 78 ± 15 | 75 ± 10 |
P283 Dynamic cerebral autoregulation: a marker of post-operative delirium?
J Caldas1, R Panerai2, L Camara1, G Ferreira1, E Bor-Seng-Shu1, M Lima1, F Galas1, N Mian1, R Nogueira1, G Queiroz de Oliveira1, J Almeida1, J Jardim1, TG Robinson2, F Gaioto1, LA Hajjar1
1University of Sao Paulo, Sao Paulo, Brazil; 2University of Leicester, Leicester, United Kingdom
Variable | Parameter estimated | Standard error | P |
---|---|---|---|
MoCA T1 | -0.158 | 0.069 | 0.022 |
ARI T1 | -0.377 | 0.178 | 0.034 |
Constant | 4.097 | ||
MoCA T2 | -0.241 | 0.085 | 0.005 |
ARI T2 | -0.068 | 0.023 | 0.003 |
CBFV t2 | -0.707 | 0.269 | 0.009 |
Constant | 11.128 |
P284 Prediction of delirium after major abdominal surgery
I Zabolotskikh, T Musaeva
Kuban State Medical University, Krasnodar, Russia
P285 Frequency of low minute ventilation events as indication of post-operative respiratory depression
W Saasouh1, J Freeman2, A Turan1
1Cleveland Clinic Foundation, Cleveland, OH, United States; 2Respiratory Motion, Inc, Waltham, MA, United States
P286 Noise levels in an adult ICU - a comparative study
S Saseedharan, E Pathrose, S Poojary
S L Raheja Hosp, Mumbai, India
P287 Effect of a musical intervention on tolerance and efficacy of non-invasive ventilation: the MUS-IRA randomized controlled trial
J Messika1, Y Martin1, N Maquigneau2, M Henry-Lagarrigue2, C Puechberty3, A Stoclin3, L Martin-Lefevre2, F Blot3, D Dreyfuss1, A Dechanet1, D Hajage1, J Ricard1
1Hôpital Louis Mourier, Colombes, France; 2CHD de Vendée, La Roche-sur-Yon, France; 3Gustave Roussy, Villejuif, France
P288 Early mobilization program improves functional capacity after major abdominal cancer surgery: a randomized and controlled trial
E Almeida1, J Almeida1, G Landoni2, F Galas1, J Fukushima1, E Fominskiy3, C De Brito1, L Cavichio1, L Almeida1, U Ribeiro1, E Osawa1, R Boltes1, L Battistella1, L Hajjar1
1Instituto do Cancer, Sao Paulo, Brazil; 2IRCCS San Raffaele Scientific Institute, Milan, Italy; 3Academician EN Meshalkin Novosibirsk State Budget Research Institute of Circulation Pathology, Novosibirsk, Russia
P289 Early mobilization in mechanically ventilated patients: a one-day prevalence point study in intensive care units in Brazil
P Fontela1, T Lisboa1, L Forgiarini Junior2, GF Friedman1
1UFRGS, Porto Alegre, Brazil; 2Centro Universitário Metodista - IPA, Porto Alegre, Brazil
Level of mobilization | Total (n = 140) n (%) | Endotracheal tube (n = 98) n (%) | Tracheostomy (n = 34) n (%) | Non-invasive MV (n = 8) n (%) |
---|---|---|---|---|
Kept in bed (p < 0.01) | 126 (90) | 96 (98) | 26 (76) | 4 (50) |
Absence of mobilization | 25 (18) | 23 (23) | 2 (6) | 0 (0) |
Turn in the bed | 58 (41) | 45 (46) | 13 (38) | 0 (0) |
Sitting on the bed | 43 (31) | 28 (29) | 11 (32) | 4 (50) |
Mobilized out of bed (p < 0.01) | 14 (10) | 2 (2) | 8 (23) | 4 (50) |
Sitting on the edge of the bed | 2 (1) | 1 (1) | 1 (3) | 0 (0) |
Sitting outside the bed | 9 (6) | 1 (1) | 5 (15) | 3 (37) |
Standing out of bed | 1 (1) | 0 (0) | 0 (0) | 1 (12) |
Stationary gait | 1 (1) | 0 (0) | 1 (3) | 0 (0) |
Walk | 1 (1) | 0 (0) | 1 (3) | 0 (0) |
P290 Ultra early mobilization reduces the time of mechanical ventilation and ICU stay
F Abruzzi1, J Azevedo Peixoto Primo1, P Marques Filho1, J Stormorvski de Andrade1, K Matos Brenner1, M Scorsato boeira1, C Leães2, C Rodrigues1, A Vessozi1, A SantAnna Machado1, M Weiler1
1Hospital Ernesto Dornelles, Porto Alegre, Brazil; 2Hospital Mae de Deus, Porto Alegre, Brazil
P291 Improved physiotherapy outcome measures by the use of cycle ergometry in critical care patients.
H Bryce, A Hudson, T Law, R Reece-Anthony, A Molokhia
University Hospital Lewisham, London, United Kingdom
OUTCOME MEASURE | % IMPROVEMENT CONTROL GROUP | % IMPROVEMENT TREATMENT GROUP |
---|---|---|
GRIP STRENGTH (kg) RT / LT | 9% / 12% | 33% / 32% |
QUADRICEPS STRENGTH (MRC) RT / LT | 3% / 6% | 11% / 13% |
CPAx | 10% | 49% |
P292 The effect of night shift and melatonin imbalance on neurological situations of critical care nurses: a literature review
F Abtahinezhadmoghaddam
Shiraz University of Medical Sciences (SUMS), Shiraz, Iran
P293 Blood tests in the intensive care unit: a necessary cost?
E Cumber, L Channon, A Wong
John Radcliffe Hospital, Oxford, United Kingdom
P294 The electronic documentation of FAASTHUG on the Intensive Care Unit ward round
R Groome, D Gearon, J Varley
Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom
Systematic | F | Abx | Ana | S | T | H | U | G | Average documented % |
---|---|---|---|---|---|---|---|---|---|
% Documented | 95.92 | 97.96 | 59.18 | 95.92 | 93.88 | 0 | 79.59 | 77.56 | 75.00 |
Non-systematic | F | Abx | Ana | S | T | H | U | G | Average documented % |
---|---|---|---|---|---|---|---|---|---|
% Documented | 28.57 | 57.14 | 14.29 | 80.95 | 28.57 | 0 | 0 | 23.81 | 29.19 |
P295
Withdrawn
P296 Effect of weekend admission on the hospital mortality in ICU patients
FG Zampieri1, FA Bozza2, M Ferez3, H Fernandes4, A Japiassú5, J Verdeal6, AC Carvalho7, M Knibel8, JI Salluh2, M Soares2
1HCor-Hospital of the Heart, São Paulo, Brazil; 2D’Or Institute for Research and Education, Rio de Janeiro, Brazil; 3Hospital São Francisco, Riberão Preto, Brazil; 4Hospital São Luiz Brasil, São Paulo, Brazil; 5Rede Amil, Rio de Janeiro, Brazil; 6Hospital Barra D’Or, Rio de Janeiro, Brazil; 7UDI Hospital, São Luís, Brazil; 8Hospital São Lucas Copacabana, Rio de Janeiro, Brazil
P297 Dermatology consultations in a specialist ECMO and cardiothoracic ICU
J Gao, E Ahmadnia, B Patel
Royal Brompton Hospital, London, United Kingdom
P298 Introduction of regular critical care consultant cover in medical high dependency: effects on unit activity, unit outcomes, and quality metrics
J McCartney, A MacKay, S Binning, C Wright
Queen Elizabeth University Hospital, Glasgow, United Kingdom
P299 A survey of VAP prevention practices and beliefs in Wales
RJ Pugh 1, C Battle2, C Hancock3, W Harrison3, T Szakmany4
1Glan Clwyd Hospital, Rhyl, United Kingdom; 2Morriston Hospital, Swansea, United Kingdom; 3Public Health Wales, Cardiff, United Kingdom; 4Cardiff University, Cardiff, United Kingdom
Intervention | Is performed in my unit (%) | Reduces VAP incidence (%) |
---|---|---|
Routine ventilator circuit change | 64 | 44 |
ETTwith sub-glottic suction | 73 | 57 |
ETT with automated cuff pressure | 10 | 19 |
Silver coated ETT | 4 | 13 |
Intervention | Is administered in my unit (%) | Reduces VAP incidence (%) | Reduces mortality (%) |
---|---|---|---|
Oral chlorhexidine | 65 | 42 | 14 |
SOD | 10 | 18 | 14 |
SDD | 3 | 23 | 16 |
P300 The cost of intensive care in a major peripheral Belgian hospital: reappraisal of the cost-block method anno 2016
F Mulders, J Vandenbrande, J Dubois, B Stessel, K Siborgs, D Ramaekers
Jessa Hospitals, Hasselt, Belgium
P301 Family care, visiting policies, ICU performance and efficiency in resource use: insights from the ORCHESTRA study
M Soares 1, UV Silva2, WS Homena Jr3, GC Fernandes4, AP Moraes5, L Brauer6, MF Lima7, F De Marco8, FA Bozza1, JI Salluh1
1DOr Institute for Research and Education - IDOR, Rio De Janeiro, Brazil; 2Hospital de Câncer de Barretos, Barretos, Brazil; 3Hospital Barra DOr, Rio de Janeiro, Brazil; 4Santa Casa de Misericórdia de Juiz de Fora, Juiz de Fora, Brazil; 5Hospital de Câncer do Maranhão Dr Tarquinio Lopes Filho, Sao Luis, Brazil; 6Hospital São Luiz Itaim, Sao Paulo, Brazil; 7Hospital Esperança Recife, Recife, Brazil; 8Hospital viValle, Sao Jose dos Campos, Brazil
P302 Burnout in ICU-10 year experience
N Maric, M Mackovic, N Udiljak
Clinical Hospital Sveti Duh, Zagreb, Croatia
P302 Impact of multidisciplinary healthcare team in mortality and readmission rate in a Brazilian cardiac intensive care unit
CE Bosso1, RD Caetano1, AP Cardoso1, OA Souza2, R Pena2, MM Mescolotte2, IA Souza2, GM Mescolotte2
1Instituto do Coração de Presidente Prudente, Presidente Prudente, Brazil; 2Universidade do Oeste Paulista, Presidente Prudente, Brazil
P304 Intensive care networking: setting objective measures for referral-the paediatric burn matrix
H Bangalore1, E Borrows1, D Barnes2
1Great Ormond Street Hospital & St Andrews Burns Centre, Chelmsford, United Kingdom; 2St Andrew´s Burns Centre, Chelmsford, United Kingdom
P305 Long-term outcomes and healthcare resource utilization of patients admitted to Brazilian public intensive care units: a populational study
V Ferreira1, L Azevedo1, G Alencar2, A Andrade3, A Bierrenbach1
1Research and Education Institute, Hospital Sirio-Libanes, São Paulo, Brazil; 2University of Sao Paulo, Sao Paulo, Brazil, 3Federal University of Goias, Goiania, Brazil
P306 Animal assisted therapy as an adjunctive therapy for the care of critically ill patients
L Tadini Buoninsegni, M Bonizzoli, L Cecci, M Cozzolino, A Peris
Careggi Teaching Hospital, Florence, Italy
P307 Family satisfaction in the critical care unit: does length of stay play a role?
J Lindskog, K Rowland, P Sturgess, A Ankuli, A Molokhia
Lewisham & Greenwich NHS Trust, London, United Kingdom
Satisfaction with | Short stay (%) | Long stay (%) |
---|---|---|
Nursing care | 96 | 94 |
Nursing communication | 93 | 91 |
Doctor´s care | 88 | 94 |
Doctor´s communication | 75 | 81 |
Critical care atmosphere | 79 | 91 |
Overall care | 84 | 91 |
P308 Effectiveness and safety of an extended visitation policy in the ICU: a before and after study
R Rosa1, T Tonietto1, A Ascoli1, L Madeira1, W Rutzen1, M Falavigna1, C Robinson1, J Salluh2, A Cavalcanti3, L Azevedo4, R Cremonese1, D Da Silva1, A Dornelles1, Y Skrobik5, J Teles6, T Ribeiro1, C Eugênio1, C Teixeira1
1Hospital Moinhos de Vento, Porto Alegre, Brazil; 2Instituto D´Or de Pesquisa e Ensino, Rio de Janeiro, Brazil; 3Hospital do Coração, São Paulo, Brazil; 4Universidade de São Paulo, São Paulo, Brazil; 5McGill University, Montreal, Canada; 6Hospital Universitário de Goiânia, Goiânia, Brazil
P309 Assessing the level of stress and anxiety in family members of patients hospitalized in the intensive care units
M Zarei1, H Hashemizadeh2
1North Khorasan University of Medical Sciences, Bojnurd, Iran; 2Quchan Branch, Islamic Azad University, Quchan, Iran
Unit | ICU | CCU | Result of t-test |
---|---|---|---|
Characteristics | Mean ± SD | Mean ± SD | |
Depression | 18.61 ± 5.26 | 15.63 ± 5.10 | P < 0.001 |
Anxiety | 19.10 ± 5.11 | 16.05 ± 5.52 | P < 0.001 |
Stress | 20.55 ± 4.73 | 17.02 ± 5.43 | P < 0.001 |
P310 Intraosseous sampling in medical emergencies
M Eriksson1, G Strandberg1, M Lipcsey1, A Larsson2
1Surgical Sciences, Uppsala, Sweden; 2Medical Sciences, Uppsala, Sweden
P311 Peripherally inserted central catheter (PICCs) in critically ill patients: complications and risk factors
M Lignos1, E Crissanthopoulou1, K Flevari1, P Dimopoulos2, A Armaganidis1
1Attiko University Hospital, Haidari, Greece; 2Beng MSc in Bioengineering, Athens, Greece
%(N) | |
---|---|
art. puncure | 0(0) |
thrombosis | 0(0) |
cath.migration | 4.5(3) |
accid.removed | 6(4) |
CR-BSI | 12(8) |
P312 Feasibility of subclavian vein ultrasound imaging for central venous catheter placement
JG Golub1, AM Markota1, AS Stožer2, AS Sinkovič1
1University Medical Centre Maribor, Maribor, Slovenia; 2University of Maribor, Maribor, Slovenia
P313 Central venous cannulation in ed patients - time to rethink the standards
H Rüddel, C Ehrlich, CM Burghold, C Hohenstein, J Winning
Jena University Hospital, Jena, Germany
Contraindications: 21 | |
---|---|
- Dyspnea: 4 | |
- Acute coronary syndrome: 4 | |
- Cardiac decompensation: 3 | |
- Spinal injury of lumbar vertebrae: 2 | |
- Nausea: 1 | |
- Syncope of unknown origin: 1 | |
- Glioblastoma with edema: 1 | |
- Severe ascites, suspicion of Ileus: 1 | |
- Angina pectoris: 1 | |
- Subdural hematoma: 1 | |
- Post operation (intracranial): | |
- Intracerebral hemorrhage: 1 |
Termination during positioning: 10 | Termination of TP: 14 |
---|---|
- Thoracic tightness, dyspnea: 2 | - Vertigo: 5 |
- Vertigo: 2 | - Nausea: 3 |
- Pain in the inguinal region (hip fracture): 1 | - Dyspnea: 1 |
- Nausea: 1 | - Severe pain right shoulder: 1 |
- Anxiety to fall off the bed: 1 | - Pain lumbar vertebrae: 1 |
- Flank pain: 1 | - Pain cervical vertebrae: 1 |
- Increased feeling of intracranial pressure: 1 | - Feeling of intracranial pressure: 1 |
- Severe pain in the lumbar region: 1 | - Indisposition (not definable): 1 |
P314 Increase in the diameter of the subclaviar vein according to the arm’s position: a preliminary echographic study
W Sellami, Z Hajjej, M Bousselmi, H Gharsallah, I Labbene, M Ferjani
Military Hospital of Tunis, Tunis, Tunisia
P315
Withdrawn
P316 Analysis of closing frequency and reasons for closure of stroke units in Munich, Germany
J Sattler1, D Steinbrunner2, H Poppert1, G Schneider1, M Blobner1, KG Kanz1, SJ Schaller1
1Klinikum Rechts der Isar der TUM, Munich, Germany; 2Branddirektion München, Munich, Germany
P317 The management of acute allergic reactions at the emergency department - room for improvement?
K Apap, G Xuereb
Mater Dei Hospital, Msida, Malta
P318 The management of patients with alcohol intoxication at the emergency department - the pitfalls
G Xuereb, K Apap, L Massa
Mater Dei Hospital, L-Imsida, Malta
P319 The management of renal colic at the emergency department - are mistakes being overlooked?
G Xuereb, K Apap, L Massa
Mater Dei Hospital, L-Imsida, Malta
P320 Effect of noninvasive ventilation on carboxyhemoglobin toxicokinetic after acute carbon monoxide intoxication: a swine model.
N Delvau1, A Penaloza1, G Liistro1, F Thys2, IK Delattre3, P Hantson1, PM Roy4, P Gianello5
1Cliniques Universitaires Saint-Luc, Brussels, Belgium; 2GHdC, Charleroi, Belgium; 3UCL, LTAP, Brussels, Belgium; 4CHU, Angers, France; 5UCL, CHEX, Brussels, Belgium
P321 Epidemiology of acute exogenous intoxications
L Hadîrcă1, A Ghidirimschi1, N Catanoi1, N Scurtov2, M Bagrinovschi1
1National Centre of Prehospital Emergency Medicine, Chisinau, Moldova; 2State Medical and Pharmaceutical University "Nicolae Testemitanu", Chisinau, Moldova
P322 Acute heart failure after oral intake of liquid nicotine: case report
YS Sohn, YC Cho
Soon Chun Hyang University Hospital Seoul, Seoul, South Korea
P323 Incidence and management of anaphylaxis in prehospital
B Golovin1, O Creciun2, A Ghidirimschi1, M Bagrinovschi1
1National Centre of Prehospital Emergency Medicine, Chisinau, Moldova; 2Ministry of Healthcare, Chisinau, Moldova
P324 Surviving medical emergencies: a pioneering project in near-peer simulation
R Tabbara, JZ Whitgift
Queen Elizabeth Kings Lynn Hospital, Norfolk, United Kingdom
Category | Mean pre-course score (95% CI) | Mean post-course score (95% CI) | P-value |
---|---|---|---|
Diagnosis of unwell patients | 2.8 (2.5-3.1) | 3.8 (3.6-4.0) | <0.0001 |
Assessment | 3.5 (3.2-3.7) | 3.8 (3.6-4.0) | 0.075 |
Assessment (UoC subgp) | 3.2 (2.9-3.5) | 3.8 (3.5-4.1) | <0.01 |
Management | 2.8 (2.6-3.0) | 3.7 (3.4-3.9) | <0.0001 |
Pathophysiological process | 3.1 (2.9-3.4) | 3.9 (3.7-4.1) | <0.0001 |
P325 The issue of emergency medical transport in an aging society at Tokyo
A Ishimaru, A Yaguchi, N Akiduki, M Namiki, M Takeda
Tokyo Women´s Medical University, Tokyo, Japan
Total population at Tokyo | Total emergency medical transport patient | Ill patient | Injured patient | Cardiopulmonary arrest patient | |
---|---|---|---|---|---|
2015 (total) | 13,510,000 | 673,145 | 441,043 | 118,021 | 12,365 |
2015 (65 y.o. and over) | 3,060,000 | 335,564 | 230,972 | 66,83 | 9,3 |
2005 (total) | 11,770,000 | 643,849 | 397,006 | 96,75 | 9,794 |
2005 (65 y.o. and over) | 2,300,000 | 245,441 | 173,432 | 42,112 | 6,666 |
P326 Alcohol-related intensive care unit admissions predict subsequent alcohol-related or violent deaths: a 12-year follow-up study
JN Tamminen1, M Reinikainen2, A Uusaro1
1Kuopio University Hospital, Kuopio, Finland; 2North Karelia Central Hospital, Joensuu, Finland
P327 Estimating the impact of injecting drug use for patients in critical care
CG Taylor, ED Mills, AD Mackay
NHS Greater Glasgow & Clyde, Glasgow, United Kingdom
P328 Readmission to intensive care unit: incidence, risk factors, resource use and outcomes: a retrospective cohort study
C Ponzoni, R Rabello, A Serpa, M Assunção, A Pardini, G Shettino, T Corrêa
Hospital Israelita Albert Einstein, São Paulo, Brazil
P329 Mortality predictor in HIV critically ill patients: “retro-VIH” score
PV Vidal-Cortés1, L Álvarez-Rocha2, P Fernández-Ugidos1, A Virgós-Pedreira2, MA Pérez-Veloso1, IM Suárez-Paul2, L Del Río-Carbajo1, S Pita Fernández2, A Castro-Iglesias2
1CHU Ourense, Ourense, Spain; 2CHU A Coruña, A Coruña, Spain
P330 Correlation of ICU scoring systems with mortality outcomes after lung transplantation: a 5 year, single center experience
A Butt, AA Alghabban, SK Khurshid, ZA Ali, IN Nizami, NS Salahuddin
King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
P331 Prediction of emergency department triage category and clinical presentation on disposition and clinical outcome of h1n1 patients
M Alshahrani1, AW Alsubaie1, AS Alshamsy1, BA Alkhiliwi1, HK Alshammari1, MB Alshammari1, NK Telmesani1, RB Alshammari1, LP Asonto2
1Dammam University, Khobar, Saudi Arabia; 2King Fahad Hospital of the University, Khobar, Saudi Arabia
P332 Is illness severity variance at admission associated with icu standardized mortality ratio?
FG Zampieri1, LP Damiani1, F Bozza2, JI Salluh2, AB Cavalcanti1
1HCor-Hospital of the Heart, São Paulo, Brazil; 2D’Or Institute for Research and Education, Rio de Janeiro, Brazil
Variable | Estimate | SE | p |
---|---|---|---|
SAPS3 Mean | -0.127 | 0.032 | <0.001 |
SAPS3 SD | -0.306 | 0.112 | 0.007 |
Interaction | 0.005 | 0.002 | 0.007 |