Oral communications Oral communications: Physiotherapists
COK-1 Bench assessment of the effect of a collapsible tube on the efficacy of a mechanical insufflation-exsufflation device
Romain Lachal (speaker)
Réanimation médicale, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, FRANCE
Correspondence: Romain Lachal - romain.lachal@gmail.com
COK-2 Early verticalization in neurologic intensive care units with a weight suspension system
Margrit Ascher (speaker), Francisco Miron Duran, Fanny Pradalier, Claire Jourdan, Kevin Chalard, Flora Djanikian, Isabelle Laffont , Pierre-François Perrigault
CHU Montpellier, Montpellier, FRANCE
Correspondence: Margrit Ascher - m-ascher@chu-montpellier.fr
COK-3 Effects of active exercise on red blood cell deformability in critically ill patients
Vinciane Scaillet (speaker)1, Mohera Potvin1, Damien Wathelet1, Adrien Fievet2, Ingrid Leclercq2, Karim Zouaoui Boudjeltia3, Patrick Biston 7, Michael Piagnerelli1
1Service de Kinésithérapie, Charleroi, BELGIUM; 2Ecole de Kinésithérapie-HEPH-Condorcet, Charleroi, BELGIUM; 3Laboratoire de Médecine Expérimentale. ULB 222 Unit., Charleroi, BELGIUM; 4Réanimation, Charleroi, Charleroi
Correspondence: Vinciane Scaillet - vinciane.scaillet@chu-charleroi.be
COK-4 Neurogenic para-osteoarthropathy in severe brain injury in the emergency department of CHU Oran Emergencies (Algeria)
Youcef Oubadi (speaker)1, Soumia Benbernou2, Khalida Bouyacoub1, Nabil Ghomari1, Abdelkader Azza1, Houria Pr Djebli France2
1Centre Hospitalo Universitaire d’Oran, Oran, ALGERIA; 2Faculté de médecine, Oran, ALGERIA
Correspondence: Youcef Oubadi - youcefoubadi2@gmail.com
COK-5 Standing the ARDS patient
Guillaume Fossat (speaker), Emmanuelle Desmalles
CHR, Orléans, FRANCE
Correspondence: Guillaume Fossat - guillaume.fossat@chr-orleans.fr
COK-6 Aerodigestive tract ultrasound imaging- principles and interests for physsiotherapy
Carlos Diaz Lopez (speaker)1, Aymeric Le Neindre2
1Hôpital Forcilles, Férolles-Attilly, France; 2Hôpital Foch, Suresnes, FRANCE
Correspondence: Carlos Diaz Lopez - carlosdl90@hotmail.com
Oral communications: Doctors
CO-01 Impact of mechanical ventilation setting on the occurrence of acute kidney injury in ICU patients - insights from the MIMIC-III database
Guillaume Geri (speaker)1, Loic Ferrer2, Nam Tran3, Matthieu Jamme4, Leo Anthony Celi5, Joon Lee6, Antoine Vieillard-Baron 1
1Ambroise Paré Hospital, APHP, Boulogne-Billancourt, FRANCE; 2Curie Intitute, Paris, FRANCE; 3Waterloo University, Waterloo, CANADA; 4Versailles Saint Quentin University, Versailles, FRANCE; 5Massachusetts Institute of Technology, Cambridge, UNITED STATES; 6University of Waterloo, Waterloo, CANADA
Correspondence: Guillaume Geri - guillaume.geri@aphp.fr
CO-02 Transvenous Renal Biopsy of Critically Ill Patients- Safety and Diagnostic Yield
Marc Pineton de Chambrun (speaker)1, Philippe Cluzel2, Isabelle Brocheriou3, Nicolas Brechot1, Guillaume Hekimian1, Guillaume Franchineau1, Côme Bureau 1, Simon Bourcier1, Ania Nieszkowska1, Loic Le Guennec4, Zahir Amoura4, Alexis Mathian4, Matthieu Schmidt1, Alain Combes1, Charles-Edouard Luyt1
1Service de médecine intensive réanimation, ICAN, Hôpital La Pitié-Salpêtrière, Sorbonne Université, APHP, Paris, France., Paris, FRANCE; 2Hôpital La Pitié-Salpêtrière, Sorbonne Université, APHP, Paris, FRANCE; 3Service d’anatomopathologie, Hôpital La Pitié-Salpêtrière, Sorbonne Université, APHP, Paris, France, Paris, FRANCE; 4Service de médecine interne 2, Hôpital La Pitié-Salpêtrière, Sorbonne Université, APHP, Paris, France, Paris, FRANCE
Correspondence: Marc Pineton de Chambrun - marc.dechambrun@gmail.com
CO-03 The incidence of chronic kidney disease three years after non-severe acute kidney injury in critically ill patients - a cohort study
Arthur Orieux (speaker), Sébastien Rubin, Benjamin Clouzeau, Claire Rigothier, Christian Combe, Didier Gruson, Alexandre Boyer
CHU, Bordeaux, FRANCE
Correspondence: Arthur Orieux - arthur.orieux@chu-bordeaux.fr
CO-04 Initiation strategies for renal replacement therapy for acute kidney injury and long-term survival- a follow-up from the AKIKI randomized controlled trial
Khalil Chaïbi (speaker)1, Frank Ehooman2, David Hajage3, Frederique Schortgen4, Laurent Martin-Lefevre5, Charles Verney6, Bertrand Pons 7, Eric Boulet8, Alexandre Boyer9, Guillaume Chevrel10, Nicolas Lerolle11, Dorothée Carpentier12, Nicolas De Prost13, Alexandre Lautrette14, Anne Bretagnol15, Julien Mayaux16, Saad Nseir17, Bruno Megarbane18, Marina Thirion19, Jean-Marie Forel20, Julien Maizel21, Yonis Hodane22, Philippe Markowicz23
1Avicenne Hospital, Bobigny, FRANCE; 2INSERM, Paris, FRANCE; 3Hôpital La Pitié Salpêtrière, Département Biostatistique, Santé Publique et Information Mé, Paris, FRANCE; 4CHU Henri Mondor, Creteil, FRANCE; 5Réanimation Médico-Chirurgicale, Centre Hospitalier Général, La Roche-Sur-Yon, FRANCE; 6Hopital Louis Mourier, Colombes, FRANCE; 7CHU Les Abymes Guadeloupe, Les Abymes, FRANCE; 8CH René Dubos, Pontoise, FRANCE; 9Hôpital Pellegrin-Tripode, Bordeaux, Bordeaux, FRANCE; 10CH Sud Francilien, Corbeil-Evry, Corbeil-Evry, FRANCE; 11CHU, Angers, FRANCE; 12CHU, Rouen, FRANCE; 13CHU Henri Mondor, Créteil, FRANCE; 14CHU Gabriel Montpied, Clermond-Ferrand, FRANCE; 15CHR, Orléans, FRANCE; 16Hôpital La Pitié Salpetrière, Paris, FRANCE; 17Hôpital R. Salengro, CHU, Lille, FRANCE; 18Hopital Lariboisière, Paris, FRANCE; 19CH Victor Dupouy, Argenteuil, FRANCE; 20Hopital Nord, Marseille, FRANCE; 21CHU, Amiens, FRANCE; 22CHU, Lyon, FRANCE; 23CH, Chollet, FRANCE
Correspondence: Khalil Chaïbi - khalilchaibi@gmail.com
CO-05 Epidemiology of Post-influenza Bacterial Pneumonia Due to a Panton-Valentine Leukocidin Positive Staphylococcus aureus in Intensive Care Unit- a retrospective nationwide study
Audrey Jacquot (speaker)1, Bruno Levy1, Charles Edouard Luyt2, Charles Vidal3, Sami Hraiech4, Jean-Pierre Quenot5, Lara Zafrani 6, Francis Schneider7, Pierre Kalfon8, Vincent Piriou19, Saadalla Nseir10, Paul Jaubert11, Jonathan Messika12, Muriel Fartoukh13, Xavier Valette14, Alexandre Lautrette15, Antoine Marchalot16, Nicolas Terzi17, Guillaume Schnell18, Charlène Le Moal19, Emmanuel Novy20, Jérémie Lemarié1, Arnaud Galbois21
1CHU, Nancy, FRANCE; 2APHP Pitié-Salpétrière, Paris, FRANCE; 3CHU Felix Guyon, La Réunion, FRANCE; 4APHM Hôpital Nord, Marseille, FRANCE; 5CHU, Dijon, FRANCE; 6APHP Saint Louis, Paris, Paris; 7CHU Hautepierre, Strasbourg, FRANCE; 8CH, Chartres, FRANCE; 9CHU Lyon Sud, Pierre Bénite, FRANCE; 10CHU, Lille, FRANCE; 11APHP Cochin, Paris, FRANCE; 12APHP Colombes, Colombes, FRANCE; 13APHP Tenon, Paris, FRANCE; 14CHU, Caen, FRANCE; 15CHU, Clermont-Ferrand, FRANCE; 16CH, Dieppe, FRANCE; 17CH Grenoble, La Tronche, FRANCE; 18CHU, Le Havre, FRANCE; 19CHU, Le Mans, FRANCE; 20CHU Nancy, Vandoeuvre-Les-Nancy, FRANCE; 21Hôpital privé Claude Galien, Quincy-sous-Sénart, FRANCE
Correspondence: Audrey Jacquot - audreyjacquot@hotmail.com
CO-06 Invasive pulmonary aspergillosis is a rare complication in critically ill patients with influenza
Anne Coste (speaker)1, Aurélien Frérou2, Jean Morin3, François-Xavier Blanc4, Jean Reignier5, Gilles Névez6, Patrice Le Pape 7, Jean-Marie Tonnelier8, Cédric Bretonnière9, Cécile Aubron10
1Service de maladies infectieuses, Brest, FRANCE; 2CHU Pontchaillou, Rennes, FRANCE; 3CHU - Service de pneumologie, Nantes, FRANCE; 4Service de pneumologie-CHU, Nantes, FRANCE; 5Réanimation médicale, Nantes, FRANCE; 6Département de mycologie parasitologie, Brest, FRANCE; 7Nantes University Hospital, Nantes, Nantes; 8Réanimation médicale, Brest, FRANCE; 9Réanimation médicale, Nantes, FRANCE; 10Réanimation médicale, Brest, FRANCE
Correspondence: Anne Coste - annecoste89@gmail.com
Factor | Adjusted odds ratios | 95% Confidence interval | p-value |
---|---|---|---|
Liver cirrhosis | 12.36 | [3.95–37.77] | 9.4 × 10−6 |
Haematological malignancy | 5.05 | [1.72–14.21] | 2.3 × 10−3 |
Vasopressors | 3.57 | [1.31–11.52] | 0.019 |
H1N1 Influenza infection | 3.32 | [1.19–8.77] | 0.017 |
CO-07 Influenza virus infection is associated to global and persistent immunosuppression in ICU patients
Ana Catalina Hernandez Padilla (speaker)1, Robin Jeannet2, Thomas Lafon3, Olivier Barraud4, Sébastien Hantz4, Philippe Vignon5, Bruno François 5, Thomas Daix6
1Limoges, FRANCE; 2CNRS UMR 7276 Inserm U1262, CHU Dupuytren, Limoges, FRANCE; 3Inserm CIC 1435 Service d’Accueil des Urgences, CHU Dupuytren, Limoges, FRANCE; 4Inserm UMR 1092 Laboratoire de Bactériologie-Virologie-Hygiène, Université de Limoges CHU Dupuytren, Limoges, FRANCE; 5Inserm CIC 1435 Réanimation polyvalente Inserm UMR 1092, CHU Dupuytren, Limoges, FRANCE; 6Inserm CIC 1435 Réanimation polyvalente, CHU Dupuytren, Limoges, FRANCE
Correspondence: Ana Catalina Hernandez Padilla - AnaCatalina.HERNANDEZPADILLA@chu-limoges.fr
CO-08 Impact of respiratory viruses in ICU patients with community acquired-pneumonia (CAP)- a one-year retrospective single center study
Marion Giry (speaker), Marie Gueudin, Déborah Boyer, Adeline Baron, Gaetan Beduneau, Soumaya Skallil, Marie-Anne Melone, Steven Grange, Dorothée Carpentier, Fabienne Tamion, Christophe Girault, Benoît Misset
CHU Rouen, Rouen, FRANCE
Correspondence: Marion Giry - marion.giry7@gmail.com
CO-09 Invasive Pulmonary Aspergillosis in Critically Ill Patients with Hematological Malignancies
Emmanuel Pardo (speaker)1, Virginie Lemiale2, Djamel Mokart3, Annabelle Stoclin4, Anne-SophieMoreau5, Lionel Kerhuel2, Etienne Ghrenassia 2, Laure Calvet2, Audrey De Jong2, Sandrine Valade2, Eric Mariotte2, Lara Zafrani2, Michael Darmon2, Elie Azoulay2
1CHU Saint-Antoine, Paris, FRANCE; 2Hôpital Saint-Louis, Paris, FRANCE; 3Institut Paoli-Calmettes, Marseille, FRANCE; 4Institut Gustave Roussy, Villejuif, FRANCE; 5Hôpital Albert Calmette, Lille, FRANCE
Correspondence: Emmanuel Pardo - pardo.emmanuel@gmail.com
CO-10 Changes in outcome of critically ill cancer patients over the last decades- Results of a systematic review on individual data
Michael Darmon (speaker)1, Aurélie Bourmaud2, Quentin Georges3, Marcio Soares4, Kyeongman Jeon5, Sandra Oeyen6, Chin Kook Rhee 7, Pascale Gruber8, Marlies Ostermann9, Quentin Hill10, Peter Depuydt11, Christelle Ferra12, Anne-Claire Toffart13, Peter Schellongowski14, Alice Muller15, Virginie Lemiale1, Fabien Tinquaut16, Djamel Mokart17, Elie Azoulay1
1Saint-Louis University Hospital, Paris, FRANCE; 2Robert Debre Hospital, Paris, FRANCE; 3Saint-Etienne University Hospital, Saint-Etienne, FRANCE; 4D’or Institute, Rio de Janeiro, BRAZIL; 5Samsung Medical Center, Seoul, REPUBLIC OF SOUTH KOREA; 6Ghent University Hospital, Ghent, BELGIUM; 7Catholic University of Korea, Seoul, Seoul; 8Royal Mardsen Hospital, Londres, UNITED-KINGDOM; 9Guy’s & St Thomas’ NHS Foundation Hospital, Londres, UNITED-KINGDOM; 10Leeds Teaching Hospitals, Leeds, UNITED-KINGDOM; 11Ghent University Hospital, Ghent, UNITED-KINGDOM; 12Universitat Autònoma de Barcelona, Barcelone, SPAIN; 13Grenoble University Hospital, Grenoble, FRANCE; 14Comprehensive Cancer Center, Vienne, AUSTRIA; 15Universidade Federal do Rio Grande do Sul, Porto Alegre, BRAZIL; 16Hygée Centre and Public Health Department, Saint-Etienne, FRANCE; 17Paoli Calmette Institute, Marseille, FRANCE
Correspondence: Michael Darmon - michael.darmon@aphp.fr
CO-11 Role of targeted therapy for cancer patients admitted to ICU
Virginie Lemiale (speaker)1, Anne-Pascale Meert2, Anne-Claire Toffart3, François Vincent1, Aude Gibelin4, Djamel Mokart5, Andry Van de Louw 6, Stefan Hatzl7, Karin Amrein8, Gaelle Rousseau-Bussac9, Philip Bauer10, Dorothée Carpentier11, Fabrice Bruneel12, Gabo Moreno13, Lucas-Maria Montini14, Anne-Sophie Moreau15, Pleun Hemelaar16, Elie Azoulay1
1APHP Saint Louis, Paris, FRANCE; 2Institut Jules Bordet, Bruxelles, BELGIUM; 3CHU, Grenoble, FRANCE; 4CHU Tenon, Paris, FRANCE; 5Institut Paoli Calmettes, Marseilles, FRANCE; 6Penn State College of Medicine, Hershey, UNITED-STATES; 7Medical University of Graz, Graz, AUSTRIA; 8CHI Creteil, Creteil, FRANCE; 9Mayo Clinic, Rochester, UNITED STATES; 10CHU, Rouen, FRANCE; 11Hôpital Mignot, Versailles, FRANCE; 12Hospital Universitari de Bellvitge, Barcelone, SPAIN; 13A. Gemelli University Hospital, Roma, ITALY; 14CHU Lille, Lille, FRANCE; 15VU medical center, Amsterdam, THE NETHERLANDS
Correspondence: Virginie Lemiale - vlemiale@yahoo.fr
CO-12 Cytomegalovirus reactivation in intensive care unit patients with hematological malignancies- characteristics and clinical outcomes
Alistair Baber (speaker)1, Camille Vissac1, Maud Salmona2, Jérôme Le Goff3, Audrey De Jong1, Eric Mariotte1, Lara Zafrani1, Elie Azoulay1, Michael Darmon1, Laure Calvet1
1AP-HP, ICU, Saint Louis Teaching Hospital, Paris, FRANCE; 2AP-HP, Virology Department, Saint Louis Teaching Hospital, Paris, FRANCE
Correspondence: Alistair Baber - alistair.baber@gmail.com
CO-13 Diaphragm thickening fraction correlates with diaphragm electrical activity in patients under mechanical ventilation
Suela Demiri (speaker)1, Bruno-Pierre Dube2, Julien Mayaux1, Elise Morawiec1, Thomas Similowski1, Martin Dres1, Alexandre Demoule1
1Hôpital Universitaire La Pitié-Salpêtrière, Paris, FRANCE; 2Centre Hospitalier de l’Université de Montréal, Montreal, CANADA
Correspondence: Suela Demiri - demiri.suela@gmail.com
CO-14 Transpulmonary pressures and computed tomography in experimental ARDS
Jean-Christophe Richard (speaker)1, Maciej Orkisz2, Marcela Hernandez Hoyos3, Alfredo Morales Pinzon3, ClaudeGuérin4
1HCL, Tassin | Rhone, FRANCE; 2CREATIS UMR 5220, Villeurbanne, FRANCE; 3Systems and Computing Engineering Department, School of Engineering, Universidad de los Andes, Bogota, COLOMBIE; 4Hospices Civils de Lyon- Hôpital de la Croix-Rousse, Lyon, FRANCE
Correspondence: Jean-Christophe Richard - j-christophe.richard@chu-lyon.fr
CO-15 Prone positioning monitored with electrical impedance tomography on patients with severe ECMO-supported ARDS
Guillaume Franchineau (speaker)1, Nicolas Brechot1, Guillaume Hekimian1, Guillaume Lebreton2, SimonBourcier1, Come Bureau1, Loïc Le Guennec 1, Nieszkowska Ania1, Pascal Leprince2, Luyt Charles-Edouard1, Alain Combes1, Matthieu Schmidt1
1APHP, Pitié-Salpêtrière Hospital, Medical Intensive Care Unit, Paris, FRANCE; 2APHP, Pitié-Salpêtrière Hospital, Cardiac Surgery Department, Paris, FRANCE
Correspondence: Guillaume Franchineau - guillaume.franchineau@aphp.fr
CO-16 Respiratory muscles contraction after successful ventilator liberation trial predicts extubation failure
Martin Dres (speaker)1, Domenico Luca Grieco2, Wissalle Ouechani1, Irene Telias2, Detajin Junhasavasdikul2, Luana Melo2, Thomas Piraino 2, Felipe Damiani2, Lilya Sergenyuk1, Lauriane Degravi1, Tai Pham2, Alexandre Demoule1, Thomas Similowski1, Laurent Brochard2
1APHP, Paris, FRANCE; 2St Michael Hospital, Toronto, CANADA
Correspondence: Martin Dres - martin.dres@aphp.fr
CO-17 Effect of empirical aminoglycoside combination therapy on mortality in patients with septic shock- a propensity-based analysis
Jean-François Llitjos (speaker)1, Simon Meslin1, Julienn Charpentier1, Alain Cariou1, Jean-Daniel Chiche1, Jean-Paul Mira1, Matthieu Jamme 2, Frédéric Pène1
1Médecine-Intensive Réanimation, Paris, FRANCE; 2Urgences néphrologues et transplantation rénale, Paris, Paris
Correspondence: Jean-François Llitjos - jllitjos@gmail.com
CO-18 Potential impact of real-time processing and rapid susceptibility testing of blood samples in severe gram-negative bloodstream infections
Sophie Alviset (speaker), Julien Charpentier, Hélène Poupet, Claire Poyart, Jean-Paul Mira, Solen Kerneis
APHP Hôpital Cochin, Paris, FRANCE
Correspondence: Sophie Alviset - sophie.alviset@gmail.com
CO-19 Prevalence of insufficient plasma concentration of beta-lactam antibiotics ICU patients- a one-year retrospective single centre study
Sacha Sarfati (speaker), Fabien Lamoureux, Elsa Desmarest-Durand, Soumaya Skallil, Thomas Clavier, Dorothée Carpentier, Steven Grange, Gaetan Beduneau, Fabienne Tamion, Christophe Girault, Benoît Misset
CHU, Rouen, FRANCE
Correspondence: Sacha Sarfati - sacha.sarfati@gmail.com
CO-20 Impact of the Unyvero HPN test in ICU patients with ventilator-associated pneumonia or severe hospital-acquired pneumonia
Nathan Peiffer-Smadja (speaker), Lila Bouadma, Kahina Allouche, Martin Reboul, Philippe Montravers, Jean-François Timsit, Laurence Armand-Lefèvre
Hôpital Bichat - Claude Bernard, Paris, FRANCE
Correspondence: Nathan Peiffer-Smadja - nathan.psmadja@gmail.com
Organism | Correct identification (Unyvero + / Culture +) | False positive (Unyvero + / Culture −) | Sensitivity (%) | Specificity (%) | Positive predictive value (%) | Negative predictive value (%) | |
---|---|---|---|---|---|---|---|
Gram-positive bacteria | Staphylococcus aureus | 4/7 | 0 | 57 | 100 | 100 | 96 |
Streptococcus pneumoniae | 0/2 | 0 | 0 | 100 | - | 97 | |
Enterobacteriaceae | Escherichia coli | 13/13 | 1 | 100 | 98 | 93 | 100 |
Enterobacter cloacae complex | 4/7 | 2 | 57 | 97 | 67 | 95 | |
Proteus spp. | 5/5 | 0 | 100 | 100 | 100 | 100 | |
Klebsiella pneumonia | 8/12 | 0 | 67 | 100 | 100 | 94 | |
Klebsiella oxytoca | 2/2 | 2 | 100 | 97 | 50 | 100 | |
Serratia marcescens | 3/3 | 0 | 100 | 100 | 100 | 100 | |
Morganella morganii | 1/3 | 0 | 33 | 100 | 100 | 97 | |
Non-fermenting bacteria | Pseudomonas aeruginosa | 22/22 | 1 | 100 | 98 | 96 | 100 |
Actinetobacter baumanii complex | 2/2 | 0 | 100 | 100 | 100 | 100 | |
Strenotrophomonas maltophilia | 0/0 | 2 | - | 97 | 0 | 100 | |
Others | Legionella pneumophila | 1/1 | 0 | 100 | 100 | 100 | 100 |
Haemophilus influenzae | 1/2 | 0 | 50 | 100 | 100 | 99 | |
Total* | 69/84 | 9 | 82 | 99 | 88 | 99 |
CO-21 Medical rhabdomyolysis in critically ill patients- initial presentation and short- and long-term outcomes
Ines Gragueb-Chatti (speaker), Romain Hernu, Marie Simon, Thomas Baudry, Thomas Madelaine, Adeline Grateau, Martin Cour, Laurent Argaud
Hospices Civils de Lyon, Lyon, FRANCE
Correspondence: Ines Gragueb-Chatti - ines.gragueb-chatti@chu-lyon.fr
CO-22 Are ambulance resources associated with outcome in out-of-hospital cardiac arrests? Insights from the Paris- Sudden Death Expertise Centre registry
Florence Dumas (speaker)1, Richard Chocron1, Thomas Loeb1, Lionel Lamhaut1, Daniel Jost1, Frédéric Adnet1, Eric Lecarpentier1, Wulfran Bougouin2, Franckie Beganton3, Philippe Juvin4, Eloi Marijon4, Xavier Jouven4, Alain Cariou5
1Emergency medicine, Paris, FRANCE; 2ICU, Paris, FRANCE; 3CEMS, Paris, FRANCE; 4HEGP, Paris, FRANCE; 5Cochin, Paris, FRANCE
Correspondence: Florence Dumas - dumasflorence@gmail.com
CO-23 Assessment of severe eosinopenia for the diagnosis of infection in the Emergency Department and comparison with other biomarkers
Jérémy Rosman (speaker)1, Simon Hainguerlot2, Aurélien Cordonnier3, Karelle Staffe3, Olivier Gallon4, Thomas Beuvelet5, Xavier Fontaine 2, Philippe Mateu1
1Service de Médecine Intensive Réanimation, Centre Hospitalier de Charleville-Mézières, Charleville-Mézières, FRANCE; 2Service d’Accueil des Urgences, Centre Hospitalier de Charleville-Mézières, Charleville-Mézières, FRANCE; 3Département de l’Information Médicale, Centre Hospitalier de Charleville-Mézières, Charleville-Mézières, FRANCE; 4Service des Maladies Infectieuses, Centre Hospitalier de Charleville-Mézières, Charleville-Mézières, FRANCE; 5Laboratoire de Biologie, Centre Hospitalier de Charleville-Mézières, Charleville-Mézières, FRANCE
Correspondence: Jérémy Rosman - jrosman@ch-charleville-mezieres.fr
CO-24 QSOFA as predictor of mortality and prolonged ICU admission in Emergency Department patients with suspected infection
Emmanuel Canet (speaker)1, David Mcd Taylor2, Richard Khor2, Vivek Krishnan2, RinaldoBellomo2
1Intensive Care Unit, Nantes, FRANCE; 2Austin Health Hospital, Melbourne, AUSTRALIA
Correspondence: Emmanuel Canet - emmanuel.canet@chu-nantes.fr
CO-25 Prevalence, management and prognosis of hypoxemia among obese patients in the ICU- insights from the SPECTRUM study
Florence Boissier (speaker)1, David Grimaldi2, Sami Hraiech3, Philippe Michel4, Jean-BaptisteLascarrou5, Tai Pham6, Jean-Christophe Richard7, Arnaud W Thille8, Stephan Ehrmann9, Nadia Aissaoui10, Jean-Claude Lacherade11, Gregoire Muller12
1Service de réanimation médicale CHU, Poitiers, FRANCE; 2Intensive care unit, Erasme Hospital, Bruxelles, BELGIUM; 3réanimation des détresses respiratoires et infections sévères, Hopital Nord APHM, Marseille, FRANCE; 4Service de réanimation, CH René-Dubos, Pontoise, FRANCE; 5Médecine Intensive Réanimation CHU, Nantes, FRANCE; 6Critical Care Medicine, St Michael’s Hospital, Toronto, CANADA; 7Réanimation médicale, hôpital de la Croix Rousse, Lyon, FRANCE; 8Réanimation médicale, CHU, Poitiers, FRANCE; 9Médecine Intensive Réanimation, CHRU, Tours, FRANCE; 10Réanimation médicale, HEGP, APHP, Paris, FRANCE; 11Médecine Intensive - Réanimation, CHD Vendée, site de la Roche sur Yon, La Roche-Sur-Yon, FRANCE; 12Service de Médecine Intensive Réanimation, Orléans, FRANCE
Correspondence: Florence Boissier - floboissier@yahoo.fr
CO-26 Do all immunocompromised patients with ARF respond equally to oxygenation strategy?
Virginie Lemiale (speaker)1, Audrey De Jong2, Guillaume Dumas3, Jordi Rello4, Michael Darmon5, Philip Bauer6, Andry Van de Louw 7, Julien Mayaux8, Ignacio Martin-Loesche9, Djamel Mokart10, Peter Schellongowski11, Sangeeta Mehta12, Achille Kouachet13, Frédéric Pene14, Peter Pikkers15, Gaston Burghi16, Massimo Antonelli17, Fabrice Bruneel18, Andreas Barratt-Due19, Miia Valkonen20, Victoria Metaxa21, Anders Perner22, Julien Dessajan5
1APHP Saint Louis, Paris, FRANCE; 2Anesthesiology and Intensive Care + Anesthesia and Critical Care Department B, Montpeller, FRANCE; 3Medical ICU APHP Saint Antoine, Paris, FRANCE; 4Vall d’Hebron Hospital, Barcelone, SPAIN; 5Medical ICU APHP Saint Louis, Paris, FRANCE; 6Mayo Clinic, Rochester, UNITED STATES; 7Penn State College of Medicine, Hershey, UNITED STATES; 8Medical ICU APHP Pitié Salpétriere, Paris, FRANCE; 9St James’s University Hospital, Dublin, IRELAND; 10Institut Paoli Calmettes, Marseilles, FRANCE; 11Medical University of Vienna, Vienne, AUSTRIA; 12Mount Sinai Hospital, Toronto, CANADA; 13Medical ICU CHU, Angers, FRANCE; 14Medical ICU APHP Cochin, Paris, FRANCE; 15Radboud University Medical Center, Nijmegen, THE NETHERLANDS; 16Montevideo University hospital, Montevideo, URUGUAY; 17Catholic University of Rome- A. Gemelli University Hospital, Roma, ITALY; 18Medical ICU A Mignot, Versailles, FRANCE; 19Oslo University Hospital, Oslo, NORVÈGE; 20Helsinki University Hospital, Helsinki, FINLANDE; 21King’s College Hospital, Londres, UNITED-KINGDOM; 22Rigshospitalet, University of Copenhagen, Copenaghe, DENMARK
Correspondence: Virginie Lemiale - vlemiale@yahoo.fr
CO-27 High-flow oxygen therapy vs non invasive ventilation- a prospective cross-over physiological study of alveolar recruitment in acute respiratory failure
Elise Artaud-Macari (speaker), Michael Bubenheim, Gurvan Le Bouar, Dorothée Carpentier, Steven Grangé, Déborah Boyer, Gaëtan Béduneau , Benoît Misset, Antoine Cuvelier, Fabienne Tamion, Christophe Girault
Pulmonary, Respiratory Intensive Care and Thoracic oncology Department, Rouen University Hospital, UPRES EA-3830 I, Rouen, FRANCE
Correspondence: Elise Artaud-Macari - eliseartaudmacari@yahoo.fr
CO-28 Lung and chest wall mechanics of patients admitted to Intensive Care Unit
Elise Yvin (speaker), Pierre-Yves Olivier, Lise Piquilloud, Satar Mortaza, Alain Mercat, François Beloncle
Département de Médecine Intensive-Réanimation et Médecine Hyperbare, CHU d’Angers, Angers, FRANCE
Correspondence: Elise Yvin - yvin.elise@gmail.com
CO-29 Incidence of ventilatory acquired pneumonia in PICU- a one-year prospective multicenter data-base (the INCIPAVE study)
Stephane Dauger (speaker)1, Yves Gallien2, Josephus Van Gestel3, Michael Levy1, Astrid Botte4, Fleur Cour-Andlauer5, Camille Guillot 6, Fabrice Lesage7, Jérôme Rambaud8, Catherine Vanbaelen9, Maryline Chomton1, Matthieu Resche-Rigon10
1Réanimation pédiatrique, hôpital Robert Debré, Paris, FRANCE; 2Hôpital Saint-Louis-Sce de Biostatistique et Information Médicale, Paris, FRANCE; 3PICU, Utrecht, THE NETHERLANDS; 4Réanimation pédiatrique, Hôpital Pellegrin, Bordeaux, FRANCE; 5Réanimation pédiatrique, HFME, Lyon, FRANCE; 6Réanimation pédiatrique, Hôpital Jeanne de Flandres, Lille, FRANCE; 7Réanimation pédiatrique, Hôpital Necker Enfants malades, Paris, FRANCE; 8Réanimation pédiatrique, Hôpital Armand Trousseau, Paris, FRANCE; 9Réanimation pédiatrique, Hôpital des enfants, Toulouse, FRANCE; 10Service de Biostatistique et Information Médicale, Hôpital Saint-Louis, Paris, FRANCE
Correspondence: Stephane Dauger - stephane.dauger@aphp.fr
CO-30 Severe sepsis and septic shock in hematological pediatric patients admitted to picu - a bicentric retrospective study from 2011 to 2017
Aurélia Alimi (speaker)1, Jérôme Rambaud2, Julie Sommet1, Sandrine Jean2, Michael Levy1, Maryline Chomton1, Fleur Le Bourgeois1, Stephane Dauger1
1Hôpital Robert Debré APHP, Paris, FRANCE; 2Hôpital Armand Trousseau APHP, Paris, FRANCE
Correspondence: Aurélia Alimi - aurelia.alimi@aphp.fr
CO-31 High-flow nasal canula (HFNC) in infant hospitalized with moderate bronchiolitis- results of a multicenter open-label RCT in pediatric health care (Bronchopti study)
Philippe Durand (speaker)
Assistance Publique Hôpitaux de Paris, Le Kremlin-Bicêtre, FRANCE
Correspondence: Philippe Durand - philippe.durand2@aphp.fr
Characteristics | HFNC group (N = 133) | Standard group (N = 135) | P |
---|---|---|---|
Age, Mean (SD)-d | 68 ± 48 | 65 ± 46 | 0,53 |
Weight, Mean (SD)-kg | 5,1 ± 1,5 | 4,9 ± 1 | 0,38 |
Female sex-no.(%) | 0,135 | ||
Gestational age, Mean (SD)-weeks | 38 ± 2 | 38 ± 2 | 0,92 |
-proportion of premature, no.(%) | 16 (12%) | 16 (11%) | 0,9 |
Duration of symptoms before randomization, Mean (SD)-days | 3,3 ± 2,1 | 3,1 ± 2,2 | 0,19 |
Temperature, Mean (SD) -°C | 37,2 ± 0,6 | 37,2 ± 0,5 | 0,85 |
RR, Mean (SD) -bpm | 53 ± 13 | 55 ± 14 | 0,34 |
Heart rate, Mean (SD)-bpm | 156 ± 18 | 154 ± 18 | 0,51 |
SpO2, Mean (SD)-% in room air | 90 ± 3 | 90 ± 3 | 0,70 |
m-WSCA score, Mean (SD) | 3,3 ± 0,8 | 3,1 ± 0,7 |
0,028
|
PtCO2, Mean (SD)-mmHg | 50 ± 11 | 50 ± 10 | 0,59 |
pH, Mean (SD) | 7,34 ± 0,07 | 7,33 ± 0,05 | 0,17 |
Viral cause-no./total no.(%) | |||
Number tested, no | 103 | 105 | 0,94 |
RVS status, no. (%) | 85 (82%) | 87 (82%) | 0,27 |
CO-32 Prospective bicentric observationnal study of non-invasive ventilation in pediatric acute chest syndrome - the nivipacs cohort
Charlotte Idier (speaker)1, Pierre-Louis Leger2, Julie Sommet3, Julia Guilbert1, Fleur Le Bourgeois3, Jérôme Naudin3, Michael Levy 3, Stephane Dauger3
1CHU Gatien de Clocheville, Tours, FRANCE; 2Hopital Armand Trousseau, AP-HP, Paris, FRANCE; 3Hôpital Robert Debré APHP, Paris, FRANCE
Correspondence: Charlotte Idier - charlotte.idier@gmail.com
CO-33 Association between early endotracheal intubation and ICU mortality in septic shock - a prospective multicentric observational study
Sophie Jacquier (speaker)1, Agathe Delbove2, Cédric Darreau3, Marjorie Saint-Martin3, Frédéric Martino5, Jean-François Hamel6, Mai-Anh Nay7, Nicolas Terzi8, Geoffrey Ledoux9, Ferran Roche-Campo10, Laurent Camous11, Frédéric Pene12, Thibault Balzer13, François Bagate14, Julien Lorber15, Pierre Bouju16, Clémence Marois17, René Robert18, Stéphane Gaudry19, Morgane Commereuc20, Matthieu Debarre21, Nicolas Chudeau2, Pierre Labroca22
1CHRU, Tours, FRANCE; 2CHU, Nantes, FRANCE; 3CH, Le Mans, FRANCE; 5CHU Guadeloupe, Abymes, FRANCE; 6CHU, Angers, FRANCE; 7CH, Orléans, FRANCE; 8CHU, Grenoble, FRANCE; 9CHRU, Lille, FRANCE; 10Hospital of Santa Creu i Sant Pau, Barcelone, SPAIN; 11CHU Bicetre, Paris, FRANCE; 12CHU Cochin, Paris, FRANCE; 13CHU, Brest, FRANCE; 14CHU Mondor, Paris, FRANCE; 15CH, La Roche-Sur-Yon, FRANCE; 16CH, Lorient, FRANCE; 17CHU La Pitié Salpétrière, Paris, FRANCE; 18CHU, Poitiers, FRANCE; 19CHU Colombes, Paris, FRANCE; 20CHU HEGP, Paris, FRANCE; 21CH, Saint-Brieuc, FRANCE; 22CHU, Nancy, FRANCE
Correspondence: Sophie Jacquier - sophiejacquier45@gmail.com
CO-34 VA-ECMO to rescue refractory septic shock with severe myocardial dysfunction
Nicolas Bréchot (speaker)1, David Hajage1, Julien Demiselle2, Antoine Kimmoun3, Santi Montero1, Matthieu Schmidt1, Guillaume Hékimian1, Guillaume Lebreton1, Charles-Edouard Luyt1, Elie Zogheib4, Erwan Flecher5, Daniel Brodie6, Bruno Levy3, Pierre Asfar2, Alain Combes1
1La Pitié-Salpêtrière University Hospital, Paris, FRANCE; 2Angers University Hospital, Angers, FRANCE; 3Nancy-Barbois University Hospital, Vandoeuvre-Lès-Nancy, FRANCE; 4Amiens University Hospital, Amiens, FRANCE; 5Rennes University Hospital, Rennes, FRANCE; 6Columbia University Medical Center, New-York, UNITED STATES
Correspondence: Nicolas Bréchot - nicolas.brechot@aphp.fr
CO-35 Persistent fluid responsiveness is infrequent after fluid expansion- a multicenter, prospective physiological study
Hélène Beringuer (speaker)1, Antoine Kimmoun2, Pierre-Eric Danin3, Julien Pottecher4, Florence Fagot-Gandet4, Eliane Albuisson2, Xavier Monnet5, Jean-Louis Teboul5, Martin Dres1
1APHP, Paris, FRANCE; 2CHRU de Nancy, Vandoeuvre-Les-Nancy, FRANCE; 3CHU, Nice, FRANCE; 4Hôpitaux Universitaires de Strasbourg, Strasbourg, FRANCE; 5Hôpital de Bicêtre, Le Kremlin-Bicêtre, Le Kremlin-Bicêtre
Correspondence: Hélène Beringuer - helene.beringuer@wanadoo.fr
CO-36 Molar Sodium Lactate Improves Mesenteric MicroCirculation, Cardiac Function, Capillary Leakage and Inflammation in a Rat Sepsis Model
Emmanuel Besnier (speaker)1, David Coquerel2, Geoffrey Kouadri1, Mathieu Soulié3, Nicolas Perzo3, Raphael Favory4, Thibault Duburcq4, Olivier Lesur2, Soumeya Bekri5, Vincent Richard3, Paul Mulder3, Fabienne Tamion6
1Department of Anesthesia and Critical Care, Rouen University Hospital, Rouen, FRANCE; 2Université de Sherbrooke, Division of Intensive Care Units, Centre de Recherche Clinique du CHUS, Sherbrooke, CANADA; 3Normandie Univ, Unirouen, Inserm U1096 EnVi, Rouen, FRANCE; 4Intensive care unit, Lille University Hospital, Lille, FRANCE; 5Institute of Clinical Biology, Rouen University Hospital, Rouen, FRANCE; 6Department of Medical Intensive Care, Rouen University Hospital, Rouen, FRANCE
Correspondence: Emmanuel Besnier - besnier.emmanuel@gmail.com
CO-37 Severe pneumocystis jiroveci pneumonia in human immunodeficiency virus negative patients
Julien Grouille (speaker)1, Jean Baptiste Lascarrou2, Delphine Chatellier3, Mickael Landais4, Pierre Fillatre5, Thomas Daix6, Virginie Verrier 7, Jean Claude Lacherade8, Grégoire Muller9, Marc Feller10, Michel Hira11, Maud Jonas12, Denis Garot1
1CHRU Bretonneau, Tours, FRANCE; 2CHU, Nantes, FRANCE; 3CHU, Poitiers, FRANCE; 4CH Le Mans, FRANCE; 5CH, Saint Brieuc, FRANCE; 6CHRU, Limoges, FRANCE; 7CH, La Rochelle, FRANCE; 8CH, La Roche Sur Yon, FRANCE; 9CHR, Orleans, FRANCE; 10CH, Blois, FRANCE; 11CH, Chateauroux, FRANCE; 12CH, Saint Nazaire, FRANCE
Correspondence: Julien Grouille - julien.grouille@outlook.fr
CO-38 Candidemia in critically ill immuno-compromised patients
Etienne Ghrenassia (speaker)1, Djamel Mokart2, Julien Mayaux3, Alexandre Demoule3, Imène Rezine1, Lionel Kerhuel1, Laure Calvet1, Audrey De Jong1, Elie Azoulay1, Michael Darmon1
1Hôpital Saint Louis, Paris, FRANCE; 2Insititut Paoli-Calmettes, Marseille, FRANCE; 3Hôpital Pitié Salpétrière, Paris, FRANCE
Correspondence: Etienne Ghrenassia - etienne.ghrenassia@gmail.com
CO-39 Dynamic risk factors of invasive Candida infection in intensive care unit- a landmark method
Clément Le Bihan (speaker)1, Sébastien Bailly1, Maité Garrouste-Orgeas1, Elie Azoulay2, Lila Bouadma3, Carole Schwebel4, Claire Dupuis1, Guillaume Marcotte5, Yves Cohen6, Bertrand Souweine7, Laurent Papazian8, Jean Reignier10, Stéphane Ruckly11, Jean-Francois Timsit1
1UMR 1137 - IAME Team 5 - DeSCID- Decision SCiences in Infectious Diseases, control and care Inserm University Paris Diderot, Sorbonne Paris Cité, Paris, FRANCE; 2Medical ICU, Saint-Louis Hospital, APHP, Paris, FRANCE; 3AP-HP, Bichat Hospital, Medical and infectious diseases Intensive Care Unit, Paris Diderot university, Paris, FRANCE; 4Medical ICU, Albert Michallon University Hospital, Grenoble, FRANCE; 5Surgical ICU, Edouard Herriot University Hospital, Lyon, FRANCE; 6AP-HP, Avicenne Hospital, Intensive Care Unit, Paris and Medicine University, Paris 13 University, Bobigny, FRANCE; 7Medical ICU, Gabriel Montpied Hospital, Clermont-Ferrand, FRANCE; 8Respiratory and infectious diseases ICU, APHM Hôpital Nord, Aix Marseille University, Marseille, FRANCE; 10Medical ICU, Hôtel-Dieu University Hospital, Nantes, FRANCE; 11ICU REsearch, Department of Biostatistics, Paris, FRANCE
Correspondence: Clément Le Bihan - clement.lebihan@gmail.com
CO-40 Zygomycosis in Intensive care unit- surgery as a major prognostic factor
Johanna Claustre (speaker)1, Thomas Jouve1, Romaric Larcher3, Saad Nseir4, Julien Cadiet5, Yoann Zerbib6, Alexandre Lautrette 7, Jean-Michel Constantin7, Pierre-Emmanuel Charles8, Cédric Daubin9, Remy Coudroy10, Jean Dellamonica11, Laurent Argaud12, Pierre Phelouzat13, Damien Contou14, Juliette Pocquet15, Guillaume Voiriot16, Jean-Christophe Navellou17, Pierre Lavagne18, Michel Durand19, Carole Schwebel20, Nicolas Terzi20
1CHU Grenoble Alpes, Grenoble, FRANCE; 3CHU, Médecine intensive et Réanimation, Montpellier, FRANCE; 4CHU, Urgence respiratoire et réanimation médicale, Lille, FRANCE; 5Service de médecine intensive Réanimation, Nantes, FRANCE; 6Réanimation Médicale, Amiens, FRANCE; 7Réanimation Médicale, Clermont-Ferrand, FRANCE; 8Médecine intensive Réanimation, Dijon, FRANCE; 9Réanimation Médicale, Caen, FRANCE; 10Réanimation Médicale, Poitiers, FRANCE; 11Réanimation Médicale, Nice, FRANCE; 12Réanimation Médicale, Lyon, FRANCE; 13Réanimation Médicale, Rennes, FRANCE; 14Réanimation polyvalente, Argenteuil, FRANCE; 15Médecine intensive Réanimation, Tours, FRANCE; 16Réanimation médico-chirurgicale, Paris, FRANCE; 17Réanimation Médicale, Besançon, FRANCE; 18Réanimation polyvalente chirurgicale, Grenoble, FRANCE; 19Réanimation cardiovasculaire et thoracique, Grenoble, FRANCE; 20Médecine intensive Réanimation, Grenoble, FRANCE
Correspondence: Johanna Claustre - jclaustre@chu-grenoble.fr
CO-41 Clinical features and outcome of life-threatening Adult Onset Still Disease- a French multi center retrospective study
Lucie Mortier (speaker)1, Marc Pineton de Chambrun2, Eliane Albuisson3, Nathalie Lerolle4, Matthieu Groh5, Philippe Guiot6, Mathilde Neuville 7, Jérémie Joffre8, Damien Du Cheyron9, Roland Jaussaud10, Pierre-Edouard Bollaert1, Jérémie Lemarié1
1Service de Médecine Intensive Réanimation, Nancy, FRANCE; 2Hôpital de la Pitié Salpêtrière - AP-HP, Paris, FRANCE; 3Unité de Méthodologie, Datamanagement & Statistiques, Vandoeuvre-Les-Nancy, FRANCE; 4Service de Médecine Interne Hôpital Bicêtre, APHP, Le Kremlin-Bicêtre, FRANCE; 5Service de Médecine Interne Hôpital St Louis, Paris, FRANCE; 6Grpe Hosp Region Mulhouse & Sud Alsace, Hopital Emile Muller, Mulhouse, FRANCE; 7Réanimation Médicale et Infectieuse Hôpital Bichat-Claude Bernard, Paris, FRANCE; 8Service de réanimation médicale, Paris, FRANCE; 9Service de réanimation médicale, Caen, FRANCE; 10Service de Médecine Interne Hôpital St Louis, Vandoeuvre-Les-Nancy, FRANCE
Correspondence: Lucie Mortier - mortierlucie@gmail.com
CO-42 Septic shock among patients with systemic lupus erythematosus- short and long-term outcome and associated costs. Analysis of a French nationwide database
Arthur Mageau (speaker)1, Karim Sacre2, Anne Perozziello1, Stéphane Ruckly1, ClaireDupuis1, Lila Bouadma1, Thomas Papo3, Jean-François Timsit1
1IAME UMR 1137 Team 5 Descid, Paris, FRANCE; 2Hôpital Bichat, Service de Médecine Interne, Paris, FRANCE; 3Service de Médecine Interne, Hôpital Bichat, Paris, FRANCE
Correspondence: Arthur Mageau - arthur_mageau@hotmail.fr
CO-43 A 15 year retrospective audit of plasma exchange in the critically ill- Predictive factors of associated infections
Delphine Daubin (speaker)1, Florian Rissel1, Fanny Garnier1, Vincent Brunot1, Romaric Larcher1, Laura Platon1, Noemie Besnard1, Tarik Kanouni2, Pascal Latry2, Boris Jung1, Kada Klouche1
1Intensive Care Unit Department, Montpellier, FRANCE; 2Hematology Department, Montpellier, FRANCE
Correspondence: Delphine Daubin - d-daubin@chu-montpellier.fr
CO-44 A reappraisal of short and long-term outcome for patients with systemic rheumatic diseases admitted to intensive care unit and reassessment of prognostic factors- a multicenter retrospective study of 415 patients
Romaric Larcher (speaker)1, Marc Pineton de Chambrun2, Emma Rubenstein1, Laura Platon1, Kevin Chalard1, Delphine Daubin1, Noemie Besnard1, Philippe Corne1, Jonathan Charbit1, Charles-Edouard Luyt2, Zahir Amoura2, Samir Jaber1, Boris Jung1, Kada Klouche1
1Montpellier University Hospital, Montpellier, FRANCE; 2La Pitie-Salpetriere Hospital, APHP, FRANCE
Correspondence: Romaric Larcher - r-larcher@chu-montpellier.fr
CO-45 Chest CT scan and alveolar procollagen III to predict lung fibroproliferation in acute respiratory distress syndrome
Annabelle Hamon (speaker)1, Ugo Scemama2, Jeremy Bourenne3, Florence Daviet2, Benjamin Coiffard2, Nicolas Persico2, Mélanie Adda2, Christophe Guervilly2, Sami Hraiech2, Kathia Chaumoitre2, Antoine Roch2, Laurent Papazian2, Jean-Marie Forel2
1Chiap, Marseille, FRANCE; 2Hôpital Nord AP-HM - CHU, Marseille, FRANCE; 3Hôpital Timone AP-HM - CHU, Marseille, FRANCE
Correspondence: Annabelle Hamon - annabelle.hamon@hotmail.fr
CO-46 Ultra-protective ventilation without extracorporeal circulation in moderately severe and severe ARDS patients
Jean-Christophe Richard (speaker)1, Sophie Marqué2, Antoine Gros3, Michel Muller4, Gwenaël Prat5, Gaëtan Beduneau6, Jean-Pierre Quenot 7, Jean Dellamonica8, Romain Tapponnier9, Edouard Soum10, Bitker Laurent11, Jack Richecoeur12
1Hospices Civils de Lyon, FRANCE; 2Centre Hospitalier Sud-Francilien, Corbeil-Essonnes, FRANCE; 3Hôpital André Mignaud, Le Chesnay, FRANCE; 4Centre Hospitalier Annecy Genevois, Pringy, FRANCE; 5CHU de la Cavale Blanche, Brest, FRANCE; 6CHU Charles Nicolle, Rouen, FRANCE; 7Hôpital François Mitterrand, Dijon, FRANCE; 8CHU Nice- Hôpital Archet 1, Nice, FRANCE; 9Hospices Civils de Lyon- Centre Hospitalier Lyon Sud, Pierre-Benite, FRANCE; 10CHU Gabriel-Montpied, Clermont-Ferrand, FRANCE; 11Hospices Civils de Lyon- Hôpital de la Croix-Rousse, Lyon, FRANCE; 12Centre Hospitalier, Beauvais, FRANCE
Correspondence: Jean-Christophe Richard - j-christophe.richard@chu-lyon.fr
H0 | H2–H6 | H8–H12 | H14–H18 | Day2 | Day3 | |
---|---|---|---|---|---|---|
Driving pressure (cmH2O) | 12.1 ± 4.3 | 9.6 ± 3.2† | 9.2 ± 3.9† | 9.0 ± 3.8† | 8.6 ± 3.1† | 9.0 ± 3.5† |
VT (mL.kg−1 PPT) | 6.1 ± 0.6 | 4.2 ± 0.5† | 4.3 ± 0.5† | 4.3 ± 0.7† | 4.4 ± 0.7† | 4.7 ± 1.1† |
Respiratory rate (min−1) | 27 ± 5 | 35 ± 5† | 36 ± 5† | 36 ± 5† | 37 ± 5† | 35 ± 6† |
PEEP (cmH2O) | 10 ± 4 | 15 ± 3† | 15 ± 4† | 15 ± 4† | 14 ± 4† | 13 ± 4† |
pH | 7.32 ± 0.10 | 7.23 ± 0.09† | 7.25 ± 0.09† | 7.28 ± 0.07 | 7.28 ± 0.08 | 7.33 ± 0.09 |
PaCO2 (mm Hg) | 47 ± 11 | 62 ± 15† | 59 ± 12† | 56 ± 12† | 55 ± 12† | 55 ± 15† |
PaO2/FiO2 (mm Hg) | 107 ± 35 | 152 ± 61† | 188 ± 69† | 189 ± 54† | 197 ± 50† | 197 ± 53† |
Midazolam (mg.h−1) | 8 ± 7 | – | – | – | 6 ± 3 | 7 ± 3 |
Morphine (mg.h−1) | 15 ± 12 | – | – | – | 15 ± 12 | 17 ± 15 |
Vasopressor (µg.kg.min−1) | 0.57 ± 0.64 | – | – | – | 0.53 ± 0.75 | 0.29 ± 0.25† |
CO-47 Improved mortality associated with prone positioning during ECMO for ARDS: a retrospective study in 169 patients
Eloi Prud’Homme (speaker)1, Christophe Guervilly1, Vanessa Pauly1, Florence Daviet1, Jeremie Bourenne2, Benjamin Coiffard1, Jean-Marie Forel1, Sami Hraiech1, Melanie Adda1, Antoine Roch3, Nicolas Persico3, Laurent Papazian1
1Medical Intensive Care Unit, North Hospital, APHM, Marseille, FRANCE; 2Medical and Emergency Resuscitation, la Timone 2 University Hospital, Aix-Marseille University, Marseille, FRANCE; 3Emergency Department, Hôpital Nord, APHM, Marseille, FRANCE
Correspondence: Eloi Prud’Homme - eloiprudhomme@gmail.com
CO-48 Mechanical ventilation management on ECMO for ARDS An International Multicenter Prospective Cohort - The ventiLatIon management oF patients with Extracorporeal membrane oxyGenation for Acute Respiratory Distress Syndrome - LIFEGARDS study
Matthieu Schmidt (speaker)1, Tai Pham2, Christophe Guervilly3, Mathilde Neuville4, Elie Zogheib5, Jean-Paul Mira6, Hadrien Rozé 7, Marc Pierrot8, Daniel Brodie9, Alain Combes10
1Hopital Pitié Salpetrière Medical ICU, Paris, FRANCE; 2Interdepartmental Division of Critical Care Medicine, University of Toronto, CANADA; 3CHU Hopital Nord-Service de Medecine Intensive et Reanimation, Marseille, FRANCE; 4AP-HP, Bichat Hospital, Medical and Infectious Diseases Intensive Care Unit, Paris, FRANCE; 5Cardiothoracic and Vascular Intensive Care Unit, Amiens, FRANCE; 6Cardiothoracic and Vascular Intensive Care Unit, APHP, Groupe Hospitalier Universitaire de Paris Centre, Paris, FRANCE; 7South Department of Anesthesiology and Critical Care, Pessac, FRANCE; 8Service de Réanimation Médicale, Angers, FRANCE; 9Department of Medicine, New York, UNITED STATES; 10Service de Réanimation Médicale, Paris, FRANCE
Correspondence: Matthieu Schmidt - matthieuschmidt@yahoo.fr
CO-49 Extracorporeal vs. Conventional Cardiopulmonary Resuscitation Comparison- A matched pairs retrospective study
Daniel Patricio (speaker)1, Lorenzo Peluso1, Alexandre Brasseur1, Olivier Lheureux1, Mirko Belliato2, Jean-Louis Vincent1, Creteur Jacques1, Fabio Silvio Taccone1
1Hôpital Erasme, Université Libre de Bruxelles, Bruxelles, BELGIUM; 2Policlinico San Matteo, Pavia, Italy, Pavia, ITALY
Correspondence: Daniel Patricio - patriciodan@ymail.com
CO-50 Unexpected cardiac arrest occurring in the ICU- preliminary results of a French multicenter study (ACIR)
Maxime Leloup (speaker), Isabelle Briatte, Alice Langlois, Alexandre Herbland, Olivier Lesieur, Study Group Acir
Hôpital Saint Louis, La Rochelle, FRANCE
Correspondence: Maxime Leloup - leloup.mx@gmail.com
CO-51 Temporal trends in TTM use after cardiac arrest and association with outcome in a large registry
Jean-Baptiste Lascarrou (speaker)1, Florence Dumas2, Richard Chocron2, Wulfran Bougouin3, Stephane Legriel3, Nadia Aissaoui3, Nicolas Deye3, Eloi Marijon3, Xavier Jouven3, Alain Cariou3
1Service de Médecine Intensive Réanimation, Nantes, FRANCE; 2Emergency department, Cochin Hotel Dieu Hospital, APHP, Paris, FRANCE; 3Paris Sudden Death Expertise Center, Paris, FRANCE
Correspondence: Jean-Baptiste Lascarrou - jeanbaptiste.lascarrou@chu-nantes.fr
CO-52 Incidence and outcome of mesenteric ischemia after cardiac arrest
Marine Paul (speaker)1, Paul Jaubert1, Guillaume Savary1, Stephane Andre1, Pierre Jaquet1, Arnaud Roccabianca1, Jean François Llitjos1, Sarah Benghanem1, Wulfran Bougouin2, Frederic Pene1, Jean Paul Mira1, Florence Dumas3, Alain Cariou1
1Medical icu cochin hospital, Paris, FRANCE; 2INSERM U970 (team 4), Paris, FRANCE; 3Emergency department cochin hospital, Paris, FRANCE
Correspondence: Marine Paul - marine.1604@hotmail.fr
CO-53 BOTUREA STUDY - A descriptive retrospective multicenter study of severe adult cases of botulism between 2000 and 2017 in French intensive care units
Nathalie Courtois (speaker)1, Laurent Argaud2, Pierre Asfar3, Paul Mercury4, Juliette Pocquet5, Hervé Dupont6, Julien Charpentier 7, Djillali Annane8, Cédric Bretonniere9, Jean-Christophe Callahan1, Mickael Landais1, Christophe Guitton1
1Réanimation Médico-Chirurgicale et USC, Le Mans, FRANCE; 2Service de Réanimation Médicale, Lyon, FRANCE; 3CHU Angers-Service de Médecine Intensive- Réanimation et Médecin Hyperbare, Angers, FRANCE; 4Service de Réanimation Médico-Chirurgicale et USC, Bastia, FRANCE; 5Service de Médecine Intensive - Réanimation, Tours, FRANCE; 6Service de Réanimation Polyvalente, Amiens, FRANCE; 7Service de Médecine Intensive - Réanimation Cochin, Paris, FRANCE; 8Service de Médecine Intensive - Réanimation Garches, Paris, FRANCE; 9Service de Médecine Intensive - Réanimation, Nantes, FRANCE
Correspondence: Nathalie Courtois - courtoisnathalie@gmail.com
CO-54 First-in patients TREM-1 Pathway Inhibitory Peptide in Septic Shock- The MOT-C-201 Clinical Trial Results
Bruno Francois (speaker)1, Xavier Wittebole2, Ricard Ferrer3, Jean-Paul Mira4, Thierry Dugernier5, Sébastien Gibot6, Marc Derive 7, Peter Pickkers8, Jean-Jacques Garaud7, Miguel Sanchez9, Margarita Salcedo-Magguilli7, Pierre-François Laterre2
1Medical-Surgical ICU department and Inserm CIC1435, CHU, Limoges, FRANCE; 2Department of Critical Care Medicine, St Luc University Hospital, Université Catholique de Louvain, Brussels, BELGIUM; 3ICU department, Vall d’Hebron University Hospital, Barcelona, SPAIN; 4Medical ICU, Cochin Hotel-Dieu, AP-HP, Paris, FRANCE; 5ICU department, Clinique St. Pierre, Ottignies-Louvain-La-Neuve, BELGIUM; 6Medical ICU department, Hospital Central, CHU, Inserm U1116, Nancy Medical Faculty, Nancy, FRANCE; 7Inotrem SA, Paris, FRANCE; 8ICU department, Radboudumc Hospital, Nijmegen, THE NETHERLANDS; 9ICU department, Hospital Clínico San Carlos, Madrid, Spain, Madrid, SPAIN
Correspondence: Bruno Francois - bruno.francois@chu-limoges.fr
CO-55 Anxiety and depression in patients admitted in ICU for more than 48 h- results of the multicentre, observational, prospective MOOD-ICU study
Camille Vissac (speaker)1, Saad Nseir2, Françis Schneider3, Jean-Francois Timsit4, Alexandre Boyer5, Jean-Paul Mira6, Vincent Peigne 7, Carole Schwebel8, Kada Klouche9, Ferhat Meziani10, Walter Picard11, Emmanuelle Mercier12, Emmanuel Pontis13, Charles-Edouard Luyt14, Daniel Silva15, Aurélie Le Thuaut16, Jean Reignier17, Group Mood-Icu18
1Médecine Intensive-Réanimation, Nantes, FRANCE; 2Médecine Intensive Réanimation, Lille, FRANCE; 3Chu-Médecine Intensive Réanimation, Strasbourg, FRANCE; 4Médecine Intensive Réanimation, Paris, FRANCE; 5Médecine Intensive Réanimation, Bordeaux, FRANCE; 6Médecine Intensive Réanimation, Paris, FRANCE; 7Médecine Intensive Réanimation, Chambéry, Chambéry; 8Médecine Intensive Réanimation, La Tronche, FRANCE; 9Médecine Intensive Réanimation, Montpellier, FRANCE; 10Médecine Intensive-Réanimation, Strasbourg, FRANCE; 11Médecine Intensive-Réanimation, Pau, FRANCE; 12Médecine Intensive-Réanimation, Tours, FRANCE; 13Médecine Intensive-Réanimation, Rennes, FRANCE; 14Médecine Intensive-Réanimation, Paris, FRANCE; 15Médecine Intensive-Réanimation, Saint-Denis, FRANCE; 16Maison de la recherche en santé, Nantes, FRANCE; 17CHU, Nantes, FRANCE; 18Médecine Intensive-réanimation, Nantes, FRANCE
Correspondence: Camille Vissac - vissac.camille@live.fr
CO-56 Assessment of care-givers’ experience of end of life in the ICU
Florence Boissier (speaker)1, Valérie Seegers2, Stéphane Legriel3, Alain Cariou4, Samir Jaber5, Jean-Yves Lefrant6, Bernard Floccard 7, Anne Renault8, Isabelle Vinatier9, Armelle Mathonnet10, Danielle Reuter11, Olivier Guisset12, Christophe Cracco13, Amélie Seguin14, Jacques Durand-Gasselin15, Beatrice Eon16, Marina Thirion17, Jean-Philippe Rigaud18, Bénédicte Philippon-Jouve19, Laurent Argaud7, Renaud Chouquer20, Mélanie Adda21, Laurent Papazian21
1Réanimation médicale, CHU, Poitiers, FRANCE; 2Departement of Clinical Research, Integrated Center of Oncology, Angers, FRANCE; 3Service de réanimation, CH de Versailles André Mignot, Le Chesnay, FRANCE; 4Service de réanimation médicale, hôpital Cochin APHP, Paris, FRANCE; 5Service de réanimation, CHU Saint Eloi, Montpellier, FRANCE; 6Service de réanimation chirurgicale, CHU Carémeau, Nîmes, FRANCE; 7Service d’anesthésie réanimation, Hospices civils de Lyon Edouard Herriot, Lyon, FRANCE; 8Service de réanimation, CHU Cavale Blanche, Brest, FRANCE; 9Service de réanimation, CH Vendée, La Roche-Sur-Yon, FRANCE; 10Service de réanimation, hôpital de la Source, Orléans, FRANCE; 11Groupe de recherche FAMIREA, Hôpital Saint Louis APHP, Paris, FRANCE; 12Service de réanimation, CHU de Bordeaux Saint André, Bordeaux, FRANCE; 13Service de réanimation, CH, Angoulême, FRANCE; 14Service de réanimation, CHU, Caen, FRANCE; 15Service de réanimation, Hopital Sainte Musse, Toulon, FRANCE; 16Service de réanimation, Hopital La Timone APHM, Marseille, FRANCE; 17Service de réanimation, CH, Argenteuil, FRANCE; 18Service de réanimation, CH, Dieppe, FRANCE; 19Service de réanimation, CH, Roanne, FRANCE; 20Service de réanimation, CH Annecy, Annecy, FRANCE; 21Service de réanimation, Hopital Nord APHM, Marseille, FRANCE
Correspondence: Florence Boissier - floboissier@yahoo.fr
Flash Communications
F-01 Efficiency of a combined geriatric and intensivist evaluation to identify clusters of elderly patients admitted to the intensive care unit - the SENIOREA study
Julien Demiselle (speaker)1, Guillaume Duval1, Jean François Hamel1, Anne Renault4, Dominique Perrotin5, Laurent Martin-Lefèvre6, Dominique Vivier 7, Daniel Villers8, Montaine Lefèvre9, René Robert10, Philippe Markowicz11, Sylvain Lavoué12, Anne Courte13, Eddy Lebas14, Stéphanie Chevalier15, Cédric Annweiler1, Nicolas Lerolle1
1CHU, Angers, FRANCE; 4CHU, Brest, FRANCE; 5CHU, Tours, FRANCE; 6CHD Vendée, La Roche Sur Yon, FRANCE; 7CH, Le Mans, FRANCE; 8CHU, Nantes, FRANCE; 9CH, Morlaix, FRANCE; 10CHU, Poitiers, FRANCE; 11CH, Cholet, FRANCE; 12CHU, Rennes, FRANCE; 13CH, Saint-Brieuc, FRANCE; 14CH, Vannes, FRANCE; 15CH, Saint-Malo, FRANCE
Correspondence: Julien Demiselle - jdemiselle@gmail.com
F-02 Unique blood culture in ICU is associated with a dramatic reduction of blood culture contamination rates: an interrupted time-series study
Rafael Mahieu (speaker)1, Matthieu Eveillard1, Valérie Seegers1, Carole Lemarié1, Vincent Dubée2, Alain Mercat1, Achille Kouatchet1
1Médecine Intensive et Réanimation, Médecine Hyperbare, CHU, Angers, FRANCE; 2Infectious and Tropical Diseases Department, Angers University Hospital, Angers, FRANCE
Correspondence: Rafael Mahieu - rafael.mahieu@chu-angers.fr
F-03 Risk factors of post-traumatic stress disorder (PTSD) among ICU survivors
Marwa Zghidi (speaker), Imen Ben Saida, Said Kortli, Hend Zorgati, Abdelbaki Azouzi, Khaoula Meddeb, Ahmed Khedher , Mohamed Boussarsar
Farhat Hached University Hospital, Medical Intensive Care Unit, Sousse, TUNISIA
Correspondence: Marwa Zghidi - marwa_zghidi@outlook.fr
F-04 Help, my hospital is burning - Experience return on fire in the Guadeloupe University Hospital (GUH)
Frédéric Martino (speaker), Pascale Piednoir, Bertrand Pons, Benjamin Madeux, Khalid Elkoun, Elain Elie, Roland Lawson, Rémi Lazdunsk, Rémi Malhomme, Cyril Marimoutou, Juliette Masse, Alessia Napoleone, Eric Paris, Jean-Baptiste Putegnat, Asma Benguerrah, Morgane De Oliveira, David Fedida, Philippe Le Noach, Zakaria Mahi, Mathilde Pibarot, Mathieu Tournay, Killian Yao, Mohamed Zidani
CHU - Abymes, Pointe-À-Pitre, FRANCE
Correspondence: Frédéric Martino - frederic.martino@chu-guadeloupe.fr
F-05 Evaluation and description of alarms in an Intensive Care Unit, Improvement of professional practices- optimizing monitoring and reducing noise pollution
Pierre-Yves Delannoy (speaker)1, Lydie Martel2, Nicolas Boussekey2, Damien Thellier2, Hugues Georges2, Olivier Robineau2, Olivier Leroy2
1CH, Marcq En Baroeul, FRANCE; 2CH, Tourcoing, FRANCE
Correspondence: Pierre-Yves Delannoy - pydelannoy@ch-tourcoing.fr
F-06 Can we routinely use electronic medical data management systems to drive the prescription of red blood cell transfusion in Canadian and British pediatric intensive care units?
Camille Jutras (speaker)1, Geneviève Du Pont-Thibodeau1, Marisa Tucci1, Simon Stanworth2, Samiran Ray3, Barney Scholefield4, Samuel Kadoury 5, Philippe Jouvet1, Patricia Fontela6, Jacques Lacroix1
1CHU Sainte Justine, Montreal, CANADA; 2NHS Blood & Transplant Oxford John Radcliffe Hospitals, Oxford, UNITED-KINGDOM; 3Great Ormond Street Children’s Hospital, London, UNITED-KINGDOM; 4Birmingham Children’s Hospital, Birmingham, UNITED-KINGDOM; 5Centre de recherche, CHU Sainte-Justine, Montreal, CANADA; 6Montreal Children’s Hospital, Montreal, CANADA
Correspondence: Camille Jutras - camille.jutras@gmail.com
Yes | No | Unknown | |
---|---|---|---|
Data collected by eMDMS | |||
Main diagnosis | 22 (92%) | 2 (8%) | 0 |
Co-morbidities | 22 (92%) | 2 (8%) | 0 |
Symptoms and signs | 21 (88%) | 3 (13%) | 0 |
Laboratory data | 24 (100%) | 0 | 0 |
Data on red blood cell (RBC) transfusions | 24 (100%) | 0 | 0 |
Plasma and/or platelet transfusions | 24 (100%) | 0 | 0 |
Outcomes | 20 (83%) | 4 (17%) | 0 |
Dates when events happen† | 23 (96%) | 1 (4%) | 0 |
Computerized physician order (CPO) entry | |||
Prescription of RBC transfusion | 19 (79%) | 5 (21%) | 0 |
Prescriptions other than RBC transfusion | 19 (79%) | 5 (21%) | 0 |
Physiologic measures | Not available | Some beds | All beds |
---|---|---|---|
Systemic physiologic measures | |||
Point of care PaO2 | 4 (12%) | 2 (6%) | 28 (82%) |
Pulse oximetry (SpO2) | 0 | 0 | 34 (100%) |
Mean airway pressure (MAP) * | 0 | 0 | 34 (100%) |
Swan-Ganz catheter | 29 (85%) | 3 (9%) | 2 (6%) |
Systemic O2 consumption † | 27 (79%) | 5 (15%) | 2 (6%) |
Point of care lactate measurement | 4 (12%) | 1 (3%) | 29 (85%) |
Heart rate variability | 14 (41%) | 0 | 20 (59%) |
Plethysmographic variability | 23 (68%) | 1 (3%) | 10 (29%) |
Near infrared spectroscopy (NIRS) | 13 (38%) | 15 (44%) | 6 (17%) |
Microvascular blood flow | 33 (98%) | 1 (3%) | 0 |
Organ specific or local physiologic measurements | |||
Troponin | 2 (6% | 2 (6%) | 30 (88%) |
Pro-brain natriuretic protein (BNP) | 17 (50% | 2 (6%) | 15 (44%) |
Brain PO2 measured in situ ‡ | 32 (94%) | 2 (6%) | 0 |
Jugular bulb O2 saturation | 27 (79%) | 5 (15%) | 2 (6%) |
Gastric tonometry (pHi) | 31 (91%) | 1 (3%) | 2 (6%) |
Peripheral O2 extraction ¶ | 31 (91%) | 1 (3%) | 2 (6%) |
Microvascular blood flow | 34 (100%) | 0 | 0 |
F-07 Short and long term outcome of patients with systemic rheumatic disease related interstitial lung disease admitted to intensive care unit- a multicentre retrospective study
Romaric Larcher (speaker), Lorrain Banuls, Fanny Garnier, Matthieu Amalric, Laura Platon, Jonathan Charbit, Kevin Chalard, Samir Jaber, Boris Jung, Kada Klouche
Montpellier University Hospital, Montpellier, FRANCE
Correspondence: Romaric Larcher - r-larcher@chu-montpellier.fr
F-08 Impact of Advance Directives on the decision-making in Intensive Care Unit
Margot Smirdec (speaker), Bruno Pereira, Alexandre Lautrette
CHU Clermont-Ferrand, Clermont-Ferrand, FRANCE
Correspondence: Margot Smirdec - msmirdec@chu-clermontferrand.fr
F-09 End of life decisions in acute respiratory failure immunocompromised patients
Gaston Burghi (speaker)1, Victoria Metaxa2, Peter Pickkers3, Marcio Soares4, Anders Perner5, Jordi Rello6, Philippe Bauer 7, Andry Van de Louw8, Pleun Hemelaar9, Virginie Lemiale10, Fabio Silvo Taccone11, Ignacio Martin Loeches12, Tine Sylvest Meyhoff5, Jorge Salluh4, Peter Schellongowski15, Katerina Rusinova16, Nicolas Terzi17, Geeta Mehta18, Massimo Antonelli19, Achille Kouatchet20, Andreas Barrat Due21, Miia Valkonen22, Pearl Landburg23
1Terapia Intensiva, Hospital Maciel, Montevideo, Montevideo, URUGUAY; 2Frank Stansil Critical Care Unit King’s College Hospital, Londres, UNITED-KINGDOM; 3The Department of Intensive Care Medicine (710), Radboud University Medical Center, Nijmegen, THE NETHERLANDS; 4Department of Critical Care and Graduate Program in Translational Medicine, D’Or Institute for Research and Education, Programa de Pós-Graduação em Cl, Rio de Janeiro, BRAZIL; 5Department of Intensive Care, Rigshospitalet, University of Copenhagen, DENMARK; 6Universitat Autonòma de Barcelona, European Study Group of Infections in Critically Ill Patients (ESGCIP), Barcelona, SPAIN; 7Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, UNITED STATES; 8Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester Division of Pulmonary and Critical Care, Penn State University College of Medicine, Hershe, Hershey, UNITED STATES; 9Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester Division of Pulmonary and Critical Care, Penn State University College of Medicine, Hershe, Nijmegen, THE NETHERLANDS; 11Department of Intensive Care, Hôpital Erasme, Université Libre de Bruxelles (ULB), Brussels, BELGIUM; 12Department of Intensive Care Medicine, Multidisciplinary Intensive Care Research Organization (MICRO), St. James’s Hospital, Dublin, IRELAND; 15Department of Medicine I, Medical University of Vienna, Vienna, Vienne, AUSTRIA; 16Department of Anesthesiology and Intensive Care Medicine and Institute for Medical Humanities, 1st Faculty of Medicine, Charles University in Prague a, Prague, THE CZECH REPUBLIC; 17CHU Grenoble Alpes, Service de réanimation médicale, Faculté de Médecine, INSERM, U1042, Université Grenoble-Alpes, Grenoble, FRANCE; 18Department of Medicine and Interdepartmental Division of Critical Care Medicine, Sinai Health System, University of Toronto, CANADA; 19Agostino Gemelli University Hospital, Università Cattolica del Sacro Cuore, Rome, ITALY; 20Department of Medical Intensive Care Medicine, University Hospital of Angers, FRANCE; 21Department of Emergencies and Critical Care, Oslo University Hospital, Oslo, NORWAY; 22Division of Intensive Care Medicine, Department of Anesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Ho, FINLAND; 23Department of Critical Care, University Medical Center, Groningen, FINLAND
Correspondence: Gaston Burghi - burghig@gmail.com
F-10 Practices assessment ten years after setting up a procedure of collegial decision for Withholding or Withdrawing Treatment (WWT) in Intensive Care
Marc Amouretti (speaker), Martha Gomis, Fabien Merrina, Sarah Benhamida, Nicolas Lau, Matthieu Le Meur, Remy Paulet, Nicolas Roucaud, Jordane Lebut, Martial Thyrault
Groupe Hospitalier Nord Essonne, Longjumeau, FRANCE
Correspondence: Marc Amouretti - marc.amouretti@gmail.com
F-11 Assessment of the psychological consequences of hospitalization in intensive care unit- Patients and their relatives are both concerne
Ghada Sbouii (speaker)1, Nesrine Baili2, Rabia Atig2, Olfa Beji2, HoussemHmouda2
1Yasminet hospital, Kairouan, ABKHAZIA; 2Hopital sahloul sousse TUNISIA, Sousse, TUNISIA
Correspondence: Ghada Sbouii - ghadasrlf@hotmail.com
F-12 Impact of frailty on elderly patients (≥ 80 years) admitted in French Intensive Care Units: a post hoc analysis from the international VIP study
Jérémy Rosman (speaker)1, Aurélien Cordonnier2, Xavier Forceville3, Guillaume Besch4, Hervé Mentec5, Philippe Michel6, Philippe Michel 7, Lucie Vettoretti8, Jérémy Bourenne9, Nathalie Marin10, Max Guillot11, Nadia Aissaoui12, Cyril Goulenok13, Nathalie Thieulot-Rolin14, Jonathan Messika15, Lionel Lamhaut16, Cyril Charron17, Bertrand Guidet18, Philippe Mateu1
1Service de Médecine Intensive Réanimation, CH, Charleville-Mézières, FRANCE; 2Département de l’Information Médicale, CH, Charleville-Mézières, FRANCE; 3Service de réanimation médico-chirurgicale, CH, Meaux, FRANCE; 4Département d’Anesthésie Réanimation Chirurgicale, CHR, Besançon, FRANCE; 5Service de Réanimation Polyvalente, CH Victor Dupouy, Argenteuil, FRANCE; 6Service de Réanimation médico-chirurgicale, CH de Carnelle - Portes de l’Oise, Saint-Martin-Du-Tertre, FRANCE; 7Service de Réanimation médico-chirurgicale, CH René Dubos, Pontoise, FRANCE; 8Service de réanimation médicale, CHU, Besançon, FRANCE; 9Service de Réanimation des Urgences et Médicale, CHU - Timone, Marseille, FRANCE; 10Service de réanimation médicale, Centre Hospitalier Cochin, Paris, FRANCE; 11Service de Réanimation médicale, Hôpital de Hautepierre, Strasbourg, FRANCE; 12Service de Réanimation médicale, Hôpital Européen Georges Pompidou, Paris, FRANCE; 13Service de Réanimation Médicale, Hôpital Privé Jacques Cartier, Massy, FRANCE; 14Service de réanimation, Centre Hospitalier de Melun, FRANCE; 15Service de Réanimation Médico-Chirurgicale, Centre Hospitalier Louis Mourier, Colombes, FRANCE; 16Service de réanimation polyvalente, Hôpital Necker, Paris, FRANCE; 17Service de réanimation médico-chirurgicale, Hôpital Ambroise Paré, Boulogne-Billancourt, FRANCE; 18Service de réanimation médicale, Hôpital Saint-Antoine, Paris, FRANCE
Correspondence: Jérémy Rosman - jrosman@ch-charleville-mezieres.fr
Univariate | Multivariate | ||||
---|---|---|---|---|---|
Alive (n = 241) | Deceased (n = 126) | p-value | Adjusted OR (CI95 %) | p-value | |
Age, years | 85 [81–89] | 83 [81–86] | 0.18 | ||
Age 80–89 years | 212 (88%) | 114 (91%) | 0.47 | ||
Sex, male Frailty | 118 (49%) 91 (38%) | 66 (52%) 47 (37%) | 0.53 0.93 | ||
Cause of admission | |||||
Respiratory failure | 108 (45%) | 36 (29%) | 0.002 | / | NS |
Shock | 27 (11%) | 36 (29%) | < 0.001 | / | NS |
Elective surgery | 9 (4%) | 4 (3%) | 1.0 | ||
Urgent surgery | 11 (5%) | 3 (2%) | 0.40 | ||
Neuro (non trauma) | 17 (7%) | 11 (9%) | 0.57 | ||
Medical admission | 218 (91%) | 113 (90%) | 0.81 | ||
Trauma | 3 (1%) | 6 (5%) | 0.07 | ||
Prior hospital stay > 7 days | 33 (14%) | 23 (18%) | 0.25 | ||
Admission SOFA | 5 [3–7] | 12 [8–14] | < 0.001 | 1.2 (1.1–1.3) | < 0.001 |
SAPS 2 | 43 [37–50] | 65 [57–82] | < 0.001 | not analysed | |
ICU interventions | |||||
Non invasive ventilation | 91 (38%) | 36 (29%) | 0.08 | ||
Invasive ventilation | 106 (44%) | 99 (79%) | < 0.001 | 2.3 (1.1–5.0) | 0.04 |
Vasoactive drugs | 89 (37%) | 91 (72%) | < 0.001 |
/
| NS |
Renal replacement therapy | 22 (9%) | 22 (18%) | 0.02 |
/
| NS |
Withholding | 72 (30%) | 87 (69%) | < 0.001 | 3.9 (2.0–7.4) | <0.001 |
Withdrawing | 10 (4%) | 65 (52%) | < 0.001 | 18.8 (8.1–43.8) | <0.001 |
F-13 Evaluation of patients refused admission to intensive care unit
Alix Leurent (speaker)1, Matthieu Jamme1, Claire Pichereau1, Siu-Ming Au1, Christophe Barbier1, Yann Loubieres1, Jan Hayon1, Renaud Getti2, Hervé Outin1, Omar Ben Hadj Salem3
1Reanimation, CHI Poissy, Poissy, FRANCE; 2SAU, CHI Poissy, Poissy, FRANCE; 3 Cochin, Paris, FRANCE
Correspondence: Alix Leurent - alix_leurent@hotmail.fr
F-14 Carbapenem- sparing regimens for infections caused by ESBL-producing Enterobacteriaceae in ICU patients
Matthieu Bosset (speaker)1, Anne Gaelle Si Larbi1, Solen Kerneis2, Julien Charpentier2, Mathilde Phillips Houlbracq1, François Parquin1, Jean Paul Mira2, Charles Cerf1, Rémy Gauzit2, Philippe Lesprit2
1Hôpital Foch, Suresnes, FRANCE; 2Hôpital Cochin, Paris, FRANCE
Correspondence: Matthieu Bosset - matthieu.bosset@gmail.com
F-15 Influence of the intervention of an infectiologist on the strategy of antibiotic therapy in a intensive care unit
Marie Bénistand (speaker)1, Arnaud Salmon Rousseau2, Stéphanie Honoré3, Thomas Rogier2, Mylène Herrera2, René-Gilles Patrigeon3
1CHU Dijon, Nîmes, FRANCE; 2CHU, Dijon, FRANCE; 3CH, Auxerre, FRANCE
Correspondence: Marie Bénistand - marie.benistand@hotmail.fr
2014–2015 | 2016–2017 | |
---|---|---|
TOTAL ANTIBIOTICS
| 3476.64 | 3095.01* |
Total Beta lactam
| 1881.8 | 1805.7* |
Amoxicillin clavulanic acid | 255.91 | 206.94 |
Cephalosporins | 710.4 | 606.9* |
Cefepime | 38 | 90* |
Total Quinolones
| 359.77 | 231.42* |
Ciprofloxacine | 90.91 | 136.02* |
Imipenem
| 248.6 | 168.8* |
Ceftazidime
| 166.5 | 188.1* |
Colistin
| 117.4 | 92.74* |
F-16 Appropriateness of empiric antimicrobial therapy with imipenem colistin in severe septic patients- An observational cohort study
Ahlem Trifi (speaker)1, Cyrine Abdennebi2, Sami Abdellatif2, Foued Daly2, Yosr Touil2, Rochdi Nasri2, Salah Ben Lakhal2
1Faculty of Medicine of Tunis, TUNISIA; 2Medical intensive care unit. La Rabta Hospital, Tunis, TUNISIA
Correspondence: Ahlem Trifi - trifiahlem2@gmail.com
F-17 Treatment of infections with extended spectrum beta-lactamase producing Enterobacteriaceae in ICU patients
Lev Volkov (speaker)1, Elisabeth Baux2, Sandrine Henard2, Bruno Levy2, Sebastien Gibot1, Pierre-Edouard Bollaert1
1Réanimation médicale de l’Hôpital Central, Nancy, FRANCE; 2Maladies infectieuses et tropicales Hôpital Brabois, Vandoeuvre-Les-Nancy, FRANCE
Correspondence: Lev Volkov - leva.volk.tours@gmail.com
F-18 Risk factors in intravascular catheter-related infections
Hayfa Fazzeni (speaker), Sahar Habacha, Ameni Sghaier, Ines Fathallah, Eya Seghir, Asma Mehdi, Ghada Sboui, Khaoula Ben Ismail, Emna Ennouri, Nadia Kouraichi
Ben Arous Regional Hospital, Intensive care Unit, Ben Arous, TUNISIA
Correspondence: Hayfa Fazzeni - fazzenihayfa@yahoo.com
F-19 Cannula-related infection (Ca-RI) and insertion site colonization in patients supported by peripheral veno-arterial extracorporeal membrane oxygenation (VA-ECMO) managed with a standardized dressing procedure
Faiza Sayagh (speaker)
Réanimation médicale, hôpital bichat, Clichy, FRANCE
Correspondence: Faiza Sayagh - f.sayagh@yahoo.fr
F-20 Impact of the implementation of a multimodal and multidisciplinary care bundle for necrotizing skin and soft tissue infections
Tomas Urbina (speaker)1, Camille Hua2, Emilie Sbidian2, Romain Bosc3, Françoise Tomberli4, Raphael Lepeule5, Jean-Winoc Decousser6, Armand Mekontso Dessap7, Olivier Chosidow2, Nicolas De Prost7
1APHP, Paris, FRANCE; 2Service de Dermatologie, Hôpitaux Universitaires Henri Mondor – Albert Chenevier, AP-HP, Créteil, FRANCE; 3Service de Chirurgie Plastique et Reconstructrice, Hôpitaux Universitaires Henri Mondor – Albert Chenevier, AP-HP, Créteil, FRANCE; 4Service d’anesthésie et de réanimation chirurgicale, Hôpitaux Universitaires Henri Mondor – Albert Chenevier, AP-HP, Créteil, FRANCE; 5Service d’immunologie clinique et maladies infectieuses, Hôpitaux Universitaires Henri Mondor – Albert Chenevier, AP-HP, Créteil, FRANCE; 6Service de bactériologie-virologie, Hôpitaux Universitaires Henri Mondor – Albert Chenevier, Assistance Publique – AP-HP, Créteil, Créteil; 7Service de Réanimation Médicale, Hôpitaux Universitaires Henri Mondor – Albert Chenevier, AP-HP, Créteil, FRANCE
Correspondence: Tomas Urbina - tomasurbina75@hotmail.com
F-21 Does prior home ventilation positively impact the outcome of ICU-conducted Non Invasive ventilation?
Syrine Maatouk (speaker), Manel Lahmar, Zeineb Hamouda, Islem Ouanes, Fahmi Dachraoui, Wiem Nouira, Fekri Abroug, Lamia Besbes
CHU fattouma Bourguiba Monastir, Monastir, TUNISIA
Correspondence: Syrine Maatouk - syrinemaatouk@gmail.com
NIV Failure
|
NIV Success
| |
---|---|---|
pH | 7.26 ± 0.9 | 7.28 ± 0.4 |
PaCO2 (kPa) | 9.9 ± 2.8 | 8.9 ± 2.2 |
E/Ea | 6.6 ± 2 | 8 ± 2.6 |
ProBNP (pg/ml) | 1680 ± 1462 | 2146 ± 1911 |
CRP (mg/l) | 101 ± 92 | 83 ± 97 |
F-22 Physiological study of minimally invasive ECCO2R in exacerbation of COPD requiring invasive mechanical ventilation (EPHEBE study)
Jean-Luc Diehl (speaker)1, Lise Piquilloud2, Damien Vimpere3, Nadia Aissaoui3, Emmanuel Guérot3, Jean-Loup Augy3, Marc Pierrot4, Delphine Hourton3, Armelle Arnoux3, Christian Richard5, Jordi Mancebo6, Alain Mercat7
1Paris Descartes Faculty, Paris, FRANCE; 2CHU Vaudois, Lausanne, SWITZERLAND; 3Hopital Européen georges Pompidou, Paris, FRANCE; 4CH, Angers, FRANCE; 5Hopital de Bicètre, Le Kremlin-Bicètre, FRANCE; 6Hospital de la Santa Creu i Sant Pau, Barcelona, SPAIN; 7Angers University, Angers, FRANCE
Correspondence: Jean-Luc Diehl - jean-luc.diehl@aphp.fr
F-23 Hyperoxia is toxic in patients with septic shock according to the Sepsis-3 criteria
Julien Demiselle (speaker)1, Martin Wepler2, Clair Hartmann3, Peter Radermacher2, Frédérique Schortgen4, Ferhat Meziani5, Mervyn Singer6, Valérie Seegers1, Pierre Asfar1
1CHU, Angers, FRANCE; 2Institut für Anästhesiologische Pathophysiologie und Verfahrensentwicklung, Universitätsklinikum, Ulm, GERMANY; 3Klinik für Anästhesiologie, Abteilung Klinische Anästhesiologie, Universitätsklinikum, Ulm, GERMANY; 4Service de Réanimation adulte, Centre Hospitalier Intercommunal de Créteil, FRANCE; 5Université de Strasbourg (UNISTRA), Faculté de Médecine, Hôpitaux universitaires de Strasbourg, Service de Réanimation, Strasbourg, FRANCE; 7Bloomsbury Institute of Intensive Care Medicine, London, UNITED-KINGDOM
Correspondence: Julien Demiselle - jdemiselle@gmail.com
F-24 Acute respiratory failure in obesity-hypoventilation syndrome managed in the intensive care unit
Nader Chebib (speaker)1, Pascale Nesme2, Nathalie Freymond3, Laurent Argaud4, Thomas Rimmele4, Julien Bohe4, Gilles Devouassoux2, Pierre Jean Souquet3, Claude Guerin1
1Réanimation Médicale Hôpital de la Croix Rousse, Hospices Civils, Lyon, FRANCE; 2Pneumologie Hôpital de la Croix Rousse, Hospices Civils de Lyon, FRANCE; 3Pneumologie Centre Hospitalier Lyon Sud, Hospices Civils de Lyon Pierre-Bénite, Lyon, FRANCE; 4Réanimation Médicale Hôpital Edouard Herriot, Hospices Civils de Lyon Pierre-Bénite, Lyon, FRANCE
Correspondence: Nader Chebib - nader.chebib@chu-lyon.fr
OHS in ICU | |
Age at ICU admission (years) | 72 (66–79) |
ABG at ICU admission | |
pH | 7.06 (7.22–7.31) |
PaCO2 (mmHg) | 70 (61–76) |
PaO2 (mmHg) | 79 (66–83) |
Bicarbonate (mmol/L) | 30 (26–35) |
Lactate (mmol/L) | 1.2 (0.8–1.7) |
Vital signs | |
MAP (mm Hg) | 81 (66–95) |
HR (beats per minute) | 91 (80–95) |
RR (cycles per minute) | 25 (20–30) |
Glasgow coma score | 13 (13–15) |
IGSII score | 36 (23–49) |
AHRF cause n (%) | |
Congestive heart failure | 20 (54) |
OHS | 11 (29.7) |
Pulmonary embolism | 4 (10.8) |
Pneumonia | 1 (2.7) |
Neoplastic pleural effusion | 1 (2.7) |
Prior OHS diagnosis n (%) | 14 (37.8) |
Delay OHS diagnosis-ICU admission (months) | 11.5 (− 2.4 to 25) |
Treatment | |
NIV first-line n (%) | 36 (97.2) |
Invasive ventilation first-line n (%) | 1 (2.7) |
Invasive ventilation after NIV failure n (%) | 3 (8.1) |
Length invasive ventilation (days) | 4.4 (1–7) |
Length NIV (days) | 6 (3–8) |
Time to correct acidosis with NIV (days) | 2.9 (1–3) |
NIV at ICU discharge n (%) | 23 (62.1) |
Renal dialysis n (%) | 3 (8.1) |
Vasopressor agents n (%) | 8 (21.6) |
Length of stay (days) | |
ICU | 7.2 (4–8) |
Post-ICU | 14.2 (10–16.5) |
Death in ICU n (%) | 1 (2.7) |
F-25 Critical Illness-Related Corticosteroid Insufficiency during difficult weaning from mechanical ventilation
François Bagate (speaker), Alexandre Bedet, Françoise Tomberli, Keyvan Razazi, Nicolas De Prost, Guillaume Carteaux, Armand Mekontso Dessap
CHU Henri Mondor, Créteil, FRANCE
Correspondence: François Bagate - francois.bagate@aphp.fr
F-26 Bedside predictors of successful weaning from high-flow nasal cannula in ICU
Rémi Coudroy (speaker), Maeva Rodriguez, René Robert, Jean-Pierre Frat, Arnaud W. Thille
Service de Médecine Intensive et Réanimation, CHU, Poitiers, FRANCE
Correspondence: Rémi Coudroy - r.coudroy@yahoo.fr
F-27 Is immunosuppression status a risk factor for noninvasive ventilation failure in acute hypoxemic respiratory failure?
Rémi Coudroy (speaker)1, Tài O. Pham2, René Robert1, Jean-Pierre Frat1, Arnaud W. Thille1
1Service de Médecine Intensive et Réanimation, CHU de Poitiers, Poitiers, FRANCE; 2Interdepartmental Division of Critical Care Medicine, Toronto, CANADA
Correspondence: Rémi Coudroy - r.coudroy@yahoo.fr
F-28 Diagnostic tools used and pathogens involved in Ventilatory Acquired Pneumonia in PICU: a one-year prospective multicenter database (the INCIPAVE study)
Stephane Dauger (speaker)1, Yves Gallien2, Marcel Tinnevelt3, Maryline Chomton1, Alexandra Binoche5, Olivier Brissaud6, Capucine Didier 7, Pierre-Louis Leger8, Sonia Pelluau9, Laure De Saint-Blanquat10, Jérôme Naudin1, Matthieu Resche-Rigon12
1Réanimation pédiatrique, hôpital Robert Debré, Paris, FRANCE; 2Service de Biostatistique et Information Médicale, Paris, FRANCE; 3PICU, Utrecht, FRANCE; 5Réanimation pédiatrique, Hôpital Jeanne de Flandres, Lille, FRANCE; 6Réanimation pédiatrique, Hôpital Pellegrin, Bordeaux, FRANCE; 7Réanimation pédiatrique, Lyon, FRANCE; 8Réanimation pédiatrique, Hôpital Armand Trousseau, Paris, FRANCE; 9Réanimation pédiatrique, Hôpital des enfants, Toulouse, FRANCE; 10Réanimation pédiatrique, Hôpital Necker enfants malades, Paris, FRANCE; 12Service de Biostatistique et Information Médicale, Hôpital Saint-Louis, Paris, FRANCE
Correspondence: Stephane Dauger - stephane.dauger@aphp.fr
F-29 Management of pleural infection in children at a University Hospital: A retrospective study over 6 years
Ombeline Roignot (speaker), Anne-Sophie Guilbert, Charlie De Melo, Amélie Stern
CHU de Strasbourg - Hôpital de Hautepierre, Strasbourg, FRANCE
Correspondence: Ombeline Roignot - ombeline.roignot@chru-strasbourg.fr
F-30 Mechanical ventilation under pediatric V–V ECMO
Jerome Rambaud (speaker), Julien Jegard, Isabelle Guellec, Pierre Louis Leger, Sandrine Jean, Yohan Soreze, Jean Eude Piloquet, Julia Guilbert, Cecile Valentin, Alexandra Bower
Armand-Trousseau, pediatric intensive care, Paris, FRANCE
Correspondence: Jerome Rambaud - jerome.rambaud@aphp.fr
F-31 Septic shock and toxic shock syndrome- two infectious shocks with different immune response
Solenn Remy (speaker)1, Karine Kolev-Descamps2, Morgane Gossez3, Fleur Cour-Andlauer2, Fabienne Vene3, Tiphanie Ginhoux6, Guillaume Monneret3, Etienne Javouhey2
1Hospices Civils de Lyon, Lyon, FRANCE; 2Réanimation Pédiatrique - Hôpital Femme Mère Enfant, Lyon, FRANCE; 3Laboratoire d’Immunologie cellulaire - Hôpital Edouard Herriot, Lyon, FRANCE; 6Centre D’Epidémiologie Clinique - EPICIME, Lyon, FRANCE
Correspondence: Solenn Remy - solene.remy@chu-lyon.fr
F-32 The Septic Shock Score in children in septic shock treated with extracorporeal assistance
Clémence Marais (speaker)
APHP, Paris, FRANCE
Correspondence: Clémence Marais - clemence.marais@aphp.fr
F-33 Prediction of Complicated Outcomes in children with sickle cell anemia: a CARABDREPA Cohort
Amélie Rolle (speaker)1, Raphael Blanc2, Jérôme Pignol2, Frédéric Martino1, Pascale Piednoir1, Bertrand Pons1, Hossein Mehdaoui1, Michel Carles1
1CHUG, Pointe-à-Pitre, FRANCE; 2CHUM, Fort-De-France, FRANCE
Correspondence: Amélie Rolle - melie9712@hotmail.com
F-34 Hemorrhagic shock in multiple trauma children- epidemiological aspects and application of the TRISS methodology in this population
Luis Ferreira (speaker)1, Gilles Orliaguet2, Caroline Duracher-Gout2, Stephane Blanot2, Estelle Vergnaud2, Thomas Baugnon2, Philippe Meyer2
1Necker enfant malade, Ivry Sur Seine, FRANCE; 2APHP- Hopital Necker, Paris, FRANCE
Correspondence: Luis Ferreira - ferreiralfb@gmail.com
Entire population (n = 41) | «Unexpected» survivors (n = 2) | |
---|---|---|
Predicted death probability by TRISS | 37.4 [10.3-81.5] | 73.2 ; 86.7 |
Mean TRISS death probability (%) | 44.9 | 80.0 |
Prehospital major events and treatment | ||
Cardiac arrest before emergency teams arrived | 8 (19%) | 0 |
Cardiac arrest during transport | 4 (10%) | 0 |
Received Intravenous fluids (ml kg−1) | 35 (85%) / 20.0 [10.5-33.0] | 2 (100%) / 33.0 ; 50.0 |
Received Blood transfusion (ml kg−1) | 3 (7%) / 13.0 [8.0-15.7] | 0 |
Blood transfusion and plasma expanders | 1 (2%) | 0 |
Received Tranexamic Acid (ml kg−1) | 4 (10%) / 12.0 [10.0-17.5] | 1 (50%) / 10.0 |
Patient intubated upon arrival | 32 (78%) | 2 (100%) |
Administration of catecholamine | 21 (51%) | 2 (100%) |
Norepinephrine only (μg kg−1 min−1) | 9 (22%) / 0.4 [0.3-0.6] | 2 (100%) / 0.3 ; 0.5 |
F-35 Diagnosis performance of repeated ECG for prediction of a coronary cause after cardiac arrest
Pierre Dupland (speaker)1, Florence Dumas2, Wulfran Bougouin3, Julien Charpentier4, Olivier Varenne5, Lionel Lamhaut6, Marine Paul 4, Jean-Daniel Chiche4, Frédéric Pène4, Jean-Paul Mira4, Alain Cariou4
1APHP, Paris, FRANCE; 2Emergency Department, Cochin University Hospital (APHP) and Paris Descartes University, Paris, FRANCE; 3Paris Cardiovascular Research Center, INSERM U970 (team 4), Paris, FRANCE; 4Medical Intensive Care Unit, Cochin University Hospital (APHP) and Paris Descartes University, Paris, FRANCE; 5Cardiology, Cochin University Hospital (APHP) and Paris Descartes University, Paris, FRANCE; 6SAMU 75, Necker University Hospital (APHP) and Paris Descartes University, Paris, FRANCE
Correspondence: Pierre Dupland - pierre.dupland@gmail.com
F-36 Major traumatic complications after out-of-hospital cardiac arrest- Insights from the Parisian registry
Pierre-Alexandre Haruel (speaker)
Ambroise Paré, Paris, FRANCE
Correspondence: Pierre-Alexandre Haruel - pierrealexandre.haruel@gmail.com
F-37 PROSEDA, effectiveness of Procedural Sedation and Analgesia in emergency department, a prospective multicentric observational study
Romain Bouygues (speaker), Pierre Deneau, Geoffroy Rousseau, Saïd Laribi
Emergency Department, CHRU Tours, Chambray Les Tours, FRANCE
Correspondence: Romain Bouygues - r.bouygues@chu-tours.fr
F-38 CT scan quantification of pelvic and retroperitoneal hematoma predicts transfusion requirements, pelvic hemostatic management and outcome of severe trauma patients with pelvic fracture
Séverin Ramin (speaker), Pierre Cavaille, Margaux Hermida, Ingrid Milliet, Pauline Deras, Xavier Capdevila, Jonathan Charbit
Hôpital Lapeyronie, CHRU Montpellier, Montpellier, FRANCE
Correspondence: Séverin Ramin - severin.ramin@gmail.com
F-39 Early post traumatic pulmonary embolism in intensive care unit
Mariem Dlela (speaker), Abir Bouattour, Olfa Turki, Hela Kallel, Mabrouk Bahloul, Hédi Chelly, Mounir Bouaziz
Hbib bourguiba university hospital, Sfax, TUNISIA
Correspondence: Mariem Dlela - mariem241090@gmail.com
F-40 Gastric inflation induced by bag mask ventilation during different strategies of chest compressions in a cadaver model for cardiac arrest
Dominique Savary (speaker)1, Emmanuel Charbonney2, Ian Drennan3, Bilal Badat4, Paul Ouellet5, Stephane Delisle6, Caroline Fritz 7, Alain Mercat8, Laurent Brochard9, Jean Christophe Richard1
1CH Annecy Genevois, Annecy, FRANCE; 2Centre de Recherche de l ‘Hôpital du Sacré-cœur, Montreal, CANADA; 3St Michael’s Hospital, Toronto, CANADA; 4Air Liquide Medical Systems, Antony, FRANCE; 5Vitalité Health Network, Edmunston, CANADA; 6Collège Ellis, Drummondville, CANADA; 7Inserm U1116, Nancy, Nancy; 8CHU, Angers, FRANCE; 9ID Crit Care Med University, Toronto, CANADA
Correspondence: Dominique Savary - dsavary@ch-annecygenevois.fr
F-41 Heart-brain interaction in acute cerebral injury
Mohamed Anass Fehdi (speaker), Amine Raja, Mohammed Mouhaoui
CHU Ibn Rochd, Casablanca, MOROCCO
Correspondence: Mohamed Anass Fehdi - mohamedanassf@gmail.com
F-42 Renal Doppler in predicting acute kidney injury (AKI) within 3 days in critically ill patients without AKI- Results of a multicenter cohort study
David Schnell (speaker)1, Aurélie Bourmaud2, Marie Reynaud3, Stéphane Rouleau1, Ferhat Meziani4, Alexandra Boivin4, Mourad Benyamina5, François Vincent6, Alexandre Lautrette7, Christophe Leroy7, Yves Cohen8, Matthieu Legrand5, Jérôme Morel3, Jeremy Terreaux3, Michael Darmon9
1Réanimation, CH, Angoulême, FRANCE; 2Lucien Neuwirth Cancerology Institute, Saint-Priest-En-Jarez, FRANCE; 3Réanimation chirurgicale, Hôpital nord, Saint-Priest-En-Jarez, FRANCE; 4Médicale, Nouvel Hôpital Civil, Strasbourg, FRANCE; 5Réanimation chirurgicale et unité des brûlés, Hôpital Saint Louis, Paris, FRANCE; 6Réanimation polyvalente, CH, Montfermeil, FRANCE; 7Réanimation médicale, hôpital Gabriel Montpied, Clermont-Ferrand, FRANCE; 8Réanimation médico-chirugicale, CHU Avicenne, Bobigny, FRANCE; 9Réanimation médicale, Hôpital Saint Louis, Paris, FRANCE
Correspondence: David Schnell - david.schnell1@gmail.com
F-43 Performance of urinary TIMP-2 and IGFBP7 and Doppler-based Resistive Index to predict reversibility of acute kidney injury in critically ill patients
Fanny Garnier (speaker)1, Delphine Daubin1, Romaric Larcher1, Anne-Sophie Bargnoux2, Laura Platon1, Vincent Brunot1, Yassir Aarab1, Noémie Besnard1, Anne Marie Dupuy2, Boris Jung1, Jean Paul Cristol2, Kada Klouche1
1Department of Intensive Care Medicine, Lapeyronie University Hospital, Montpellier, FRANCE; 2Department of Biochemistry, Lapeyronie University Hospital, Montpellier, FRANCE
Correspondence: Fanny Garnier - garnier.fanny26@gmail.com
F-44 Renin–angiotensin–aldosterone system blockers after severe acute kidney injury- use and impact on 2-year mortality
Mathilde Scarton (speaker)1, Anne Oppenheimer2, Khalil Chaibi1, Didier Dreyfuss1, Stéphane Gaudry3
1Hôpital Louis Mourier, Colombes, FRANCE; 2Hôpital Antoine-Béclère, Clamart, FRANCE; 3Hôpital Avicenne, Bobigny, FRANCE
Correspondence: Mathilde Scarton - m.scarton@laposte.net
F-45 Kinetic of uremic toxins’ concentrations during acute kidney injury and their role during endotoxemia
Pauline Caillard (speaker)1, Eleonore Ourouda-Mbaya1, Youssef Bennis1, Said Kamel1, Gabriel Choukroun2, Ziad Massy3, Julien Maizel1
1University of Picardie, Amiens, FRANCE; 2EA7517, University of Picardie, Amiens, FRANCE; 3Hopital Ambroise Paré, Paris-Ile-de-France-Ouest University, Amiens, FRANCE
Correspondence: Pauline Caillard - caillard.pauline@chu-amiens.fr
F-46 Incidence and patterns of renal recovery in critically-ill patients with hematological malignancies
Arthur Orieux (speaker)1, Jean-Baptiste Lascarrou2, Cyril Touzeau3, Amélie Seguin2, Arnaud-Felix Miailhe2, Maëlle Martin2, Jean Reignier2, Emmanuel Canet2
1CHU de Bordeaux, L’Herbergement, FRANCE; 2Médecine Intensive Réanimation - CHU, Nantes, FRANCE; 3Service d’hématologie - CHU, Nantes, FRANCE
Correspondence: Arthur Orieux - arthurorieux@gmail.com
F-47 Medico-economic impact of renal replacement therapy initiation strategies in the ICU
Abirami Thiagarajah (speaker)1, Pierre-Antoine Billiet1, Anne Oppenheimer2, Julien Maizel3, Fouad Fadel4, Eric Boulet5, Guillaume Chevrel6, Laurent Martin-Lefevre7, Saad Nseir8, Didier Dreyfuss9, Stéphane Gaudry10
1APHP Louis Mourier, Colombes, FRANCE; 2APHP Antoine Béclère, Clamart, FRANCE; 3CHU Amiens-Picardie, Amiens, FRANCE; 4Centre Hospitalier René Dubos, Pontoise, FRANCE; 5Groupe Hospitalier Carnelles Portes de l’Oise, Beaumont Sur Oise, FRANCE; 6Centre Hospitalier Sud Francilien, Corbeil Essonnes, FRANCE; 7Centre Hospitalier Départemental Vendée, La Roche Sur Yon, FRANCE; 8Centre Hospitalier régional, Lille, FRANCE; 9APHP Louis Mourier, Colombes, FRANCE; 10 APHP Avicenne, Bobigny, FRANCE
Correspondence: Abirami Thiagarajah - th.abirami@gmail.com
F-48 At-risk drinking is independently associated with acute kidney injury in non-trauma critically ill patients
Arnaud Gacouin (speaker), Mathieu Lesouhaitier, Aurélien Frerou, Benoit Painvin, Florian Reizine, Sonia Rafi, Adel Maamar , Yves Le Tulzo, Jean Marc Tadié
Service des maladies infectieuses et réanimation médicale, Rennes, FRANCE
Correspondence: Arnaud Gacouin - arnaud.gacouin@chu-rennes.fr
F-49 Incidence, Epidemiology and Prognosis of Viral Respiratory Infections in Severe Acute Respiratory Failure in Human immunodeficiency virus (HIV) infected Adults
Alexandre Elabbadi (speaker)1, Jérémy Pichon2, Benoit Visseaux3, Quentin Philippot2, Aurélie Schnuriger4, Muriel Fartoukh2, Stéphane Ruckly5, Jean-François Timsit8, Guillaume Voiriot2
1CHU Tenon, Paris, FRANCE; 2Service de Réanimation médico-chirurgicale, Hôpital Tenon, Paris, FRANCE; 3Service de Virologie, Hôpital Bichat, Paris, FRANCE; 4Service de Virologie, Hôpital Trousseau, Paris, FRANCE; 5UMR 1137-IAME Team 5-DeSCID, Inserm Université Paris Diderot, Sorbonne Paris Cité, Paris, Paris; 8Service de Réanimation médicale et infectieuse, Hôpital Bichat, Paris, FRANCE
Correspondence: Alexandre Elabbadi - alexandre.elabbadi@gmail.com
F-50 Is Human Metapneumovirus identified in the Respiratory Tract of Immunocompromised Patients with Acute Respiratory Failure Clinically Relevant?
Natacha Kapandji (speaker), Jerome Le Goff, Maud Salmona, Michael Darmon, Elie Azoulay, Virginie Lemiale
Hôpital Saint Louis, Paris, FRANCE
Correspondence: Natacha Kapandji - natacha.kapandji@gmail.com
F-51 Relative lymphopenia in patients with severe influenza A in ICU- Incidence and relation with severity illness
Helmi Amri (speaker)1, Amira Jamoussi1, Samia Ayed1, Takoua Merhebene1, Dhouha Lakhdher1, Amine Slim2, Jalila Ben Khelil1, Mohamed Besbes1
1Medical Intensive Care Unit, Abderrahmen Mami pneumology hospital, Ariana, TUNISIA; 2Virology Unit, Microbiology Laboratory, National Influenza Centre, Charles Nicolle’s Hospital, Tunis, TUNISIA
Correspondence: Helmi Amri - dr.amri.helmi@gmail.com
RL (n = 56) | NL (n = 16) | p | |
---|---|---|---|
Age mean ± SD; years | 50.09 ± 15.02 | 41.69 ± 14.36 |
0.050
|
APACHE II mean ± SD | 13.95 ± 8.34 | 7.38 ± 4.54 |
0.040
|
SAPS II mean ± SD | 33.98 ± 17.02 | 21.44 ± 10.01 |
0.070
|
PaO2/FiO2 mean ± SD; mm Hg | 165.39 ± 104.28 | 157 ± 78.41 | 0.773 |
ARDS n (%) | 26 (46.4%) | 9 (56.2%) | 0.488 |
IMV n (%) | 29 (51.7%) | 4 (25%) | 0.058 |
ICU mortality n (%) | 21 (37.5%) | 3 (18.7%) | 0.161 |
F-52 Critically ill influenza patients- co-infections and cardiovascular events
Erwan Begot (speaker)1, Renaud Prevel2, Fabrice Camou3, Walter Picard4, Chloé Gisbert-Mora5, Alexandre Boyer3, Didier Gruson3
1Lescar, FRANCE; 2ICU RESIDENT, Bordeaux, FRANCE; 3ICU DOCTOR, Bordeaux, FRANCE; 4ICU DOCTOR, Pau, FRANCE; 5ICU DOCTOR, Bayonne, FRANCE
Correspondence: Erwan Begot - begoterwan@gmail.com
F-53 Human metapneumovirus and risk of lower respiratory tract infection, ICU admission and hospital mortality- results of a systematic review and meta-analysis
Natacha Kapandji (speaker), Virginie Lemiale, Lara Zafrani, Elie Azoulay, Michael Darmon
Hôpital Saint Louis, Paris, FRANCE
Correspondence: Natacha Kapandji - natacha.kapandji@gmail.com
F-54 Impact and characteristics of respiratory viruses infection during severe acute respiratory failure in adults
Jérémie Pichon (speaker)1, Lila Bouadma2, Benoit Visseaux3, Aurélie Schnuriger4, Jean-François Timsit2, Muriel Fartoukh5, Guillaume Voiriot6
1CHU Tenon, Paris, FRANCE; 2Service de Réanimation médicale et infectieuse, Hôpital Bichat, Hôpitaux Universitaires Paris Nord Val de Seine, APHP, FRANCE; 3Université Paris Diderot, Sorbonne Paris Cité, Service de Virologie, Hôpital Bichat, Hôpitaux Universitaires Paris Nord Val de Seine, APHP, FRANCE; 4Service de Virologie, Hôpital Trousseau, Hôpitaux Universitaires de l’Est Parisien, APHP, Sorbonne Université, Paris, FRANCE; 5Service de Réanimation médico-chirurgicale, Hôpital Tenon, Hôpitaux Universitaires de l’Est Parisien, APHP, Sorbonne, Paris, FRANCE
Correspondence: Jérémie Pichon - jeremie.pichon1@gmail.com
F-55 Transfusion of packed red blood cells is associated with an increased risk of ICU-acquired infections and mortality in septic shock patients
Edwige Peju (speaker)1, Jean-François Llitjos1, Julien Charpentier1, Alain Cariou1, Jean-Daniel Chiche1, Jean-Paul Mira1, Matthieu Jamme2, Frédéric Pène1
1Médecine-Intensive Réanimation, Paris, FRANCE; 2Urgences néphrologiques et transplantation rénale, Paris, FRANCE
Correspondence: Edwige Peju - edwigepeju@hotmail.fr
F-56 Effect of age on mortality in patients with haematological malignancy in intensive care units
Jean-Edouard Martin (speaker)1, Michael Darmon1, Virginie Lemiale1, Djamel Mokart2, Frédéric Pène3, Achille Kouatchet4, Julien Mayaux 5, Francois Vincent6, Martine Nyunga7, Fabrice Bruneel8, Christine Lebert9, Pierre Perez10, Anne-Pascale Meert11, Dominique Benoit12, Rebecca Hamidfar13, Mercé Jourdain14, Lionel Kerhuel1, Laure Calvet1, Etienne Ghrenassia1, Samir Jaber15, Elie Azoulay1, Audrey De Jong15
1Saint-Louis Hospital, Paris, FRANCE; 2Institut Paoli Calmette, Marseille, FRANCE; 3Cochin Hospital, Paris, FRANCE; 4Centre Hospitalier Universitaire, Angers, FRANCE; 5Pitié-Salpétrière Hospital, Paris, Paris; 6Avicenne Hospital, Bobigny, FRANCE; 7Victor Provo Hospital, Roubaix, FRANCE; 8Mignot Hospital, Versailles, FRANCE; 9Montaigu Hospital, La Roche-Sur-Yon, FRANCE; 10Brabois Hospital, Nancy, FRANCE; 11Institut Jules Bordet, Bruxelles, BELGIUM; 12Ghent University Hospital, Ghent, BELGIUM; 13Albert Michallon Hospital, Grenoble, FRANCE; 14Salengro Hospital, Lille, FRANCE; 15CHU, Montpellier, FRANCE
Correspondence: Jean-Edouard Martin - j.edouard.martin@gmail.com
F-57 Hemodynamic failure in critically ill patients with hemophagocytic syndrome
Thomas Frapard (speaker)1, Sandrine Valade1, Eric Mariotte1, Jehane Fadlallah2, Lionel Galicier2, Michael Darmon1, Elie Azoulay1
1Médecine intensive et réanimation Saint Louis, APHP, Paris, FRANCE; 2Immunopathologie clinique Saint Louis, APHP, Paris, FRANCE
Correspondence: Thomas Frapard - t.frapard@gmail.com
F-58 Long-term prognosis of high-grade glioma admitted in the intensive care unit
Maxens Decavèle (speaker)1, Nicolas Gatulle2, Nicolas Weiss3, Léa Lemasle2, Ahmed Idbaih5, Julien Mayaux2, Thomas Similowski2, Alexandre Demoule2
1Hôpital La Pitié-Salpêtrière, Paris, FRANCE; 2AP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service de Pneumologie et Réanimation Médicale (Département R3S), Paris, FRANCE; 3Unité de Réanimation Neurologique, Département de Neurologie, Pôle des Maladies du Système Nerveux et Institut de Neurosciences Translationnelles, IHU, Paris, FRANCE; 4Inserm U 1127, CNRS UMR 7225, Sorbonne Universités, UPMC Univ Paris 06, Institut du Cerveau et de la Moelle épinière, ICM. AP-HP, Paris, FRANCE
Correspondence: Maxens Decavèle - maxencesar@hotmail.fr
F-59 Early Identification of Sickle-Cell Disease Patients at Risk for Complicated Outcome in Intensive Care Unit. Aggregation of multiple sickle cell prediction model, updating and validation on CARADBDREPA cohort
Amélie Rolle (speaker)1, N’Guyen Tri Long2, Thomas P. A. Debray3, Zakaria Mahi1, Bertrand Pons1, Ruddy Valentino4, Hossein Mehdaoui 4, Michel Carles1
1CHUG, Pointe-à-Pitre, FRANCE; 2CHU Montpellier_Nimes, Montpellier, FRANCE; 3Julius Center for Health Sciences and Primary Care, Utrecht, THE NETHERLANDS; 4CHUM, Fort-De-France, FRANCE
Correspondence: Amélie Rolle - melie9712@hotmail.com
F-60 Performances of HLH criteria and H-Score in ICU patients with severe hemophagocytic syndrome
Sandrine Valade (speaker), Grégoire Monseau, Laure Calvet, Eric Mariotte, Virginie Lemiale, Zafrani Lara, Elie Azoulay, Michaël Darmon
Réanimation Médicale, Hôpital Saint-Louis, AP-HP, Paris, FRANCE
Correspondence: Sandrine Valade - sandrine.valade@aphp.fr
F-61 Post-transfusion platelet increments in critically ill cancer patients with hypoproliferative thrombocytopenia
Elodie Baron (speaker)1, Anne François2, Julien Charpentier1, Habib Ben Hadj Amor3, Bassem Habr1, Alain Cariou1, Jean-Daniel Chiche1, Jean-Paul Mira1, Matthieu Jamme4, Frédéric Pène1
1Réanimation, CHU Cochin, Paris, FRANCE; 2EFS, CHU HEGP, Paris, FRANCE; 3CHU Cochin, EFS, Paris, FRANCE; 4UNTR, CHU Tenon, Paris, FRANCE
Correspondence: Elodie Baron - elodie.psa@gmail.com
F-62 Differential Clinical Characteristics, Management, and Outcome Of Delirium in Ward and ICU Patients
Emmanuel Canet (speaker)1, Sobia Amjad2, Raymond Robbins2, Jane Lewis2, Michelle Matalanis2, Daryl Jones2, Rinaldo Bellomo2
1Nantes, FRANCE; 2Austin Health Hospital, Melbourne, AUSTRALIA
Correspondence: Emmanuel Canet - emmanuel.canet@chu-nantes.fr
F-63 Traumatic quadriplegia- diagnostic and therapeutic strategy. (About 75 patients)
Amine Benhamed (speaker), Amel Zerhouni, Medjahed Medjahed, Lahcen Senhadji, Radouane Rachi
Faculté de medecine Oran, Oran, ALGERIA
Correspondence: Amine Benhamed - benhamedamine@hotmail.fr
F-64 Prognostic significance of standard electroencephalography findings in adult patients with delayed awakening in the intensive care unit
Camille Legouy (speaker), Laura Girard-Stein, Lila Bouadma, Claire Dupuis, Sonia Abid, Camille Vinclair, Stéphane Ruckly, Ruben Wanono, Anny Rouvel-Tallec, Marie-Pia D’Ortho, Jean-François Timsit, Romain Sonneville
Hôpital Bichat-Claude Bernard, Paris, FRANCE
Correspondence: Camille Legouy - camille.legouy@gmail.com
F-65 Cardiac Arrest in Patients Managed for Convulsive Status Epilepticus- Characteristics, Predictors and Outcome
Stephane Legriel (speaker)1, Edouard Bresson1, Nicolas Deye2, David Grimaldi3, Bertrand Sauneuf4, Olivier Lesieur5, Jean-Baptiste Lascarrou6, Laurent Argaud7, Jonathan Chelly8, Pascal Beuret9, David Schnell10, Anne-Laure Chateauneuf1, Mathilde Holleville1, François Perier1, Virginie Lemiale11, Cédric Bruel12, Pierrick Cronier13, Nicolas Pichon14, Nicolas Mongardon15, Nicolas De Prost15, Florence Dumas16, Alain Cariou16
1Centre Hospitalier de Versailles, Le Chesnay, FRANCE; 2Centre Hospitalier Universitaire Lariboisiere, Paris, FRANCE; 3Université Libre de Bruxelles (ULB), Erasme Hospital, Bruxelles, BELGIUM; 4Cotentin Public Hospital Center, Cherbourg-En-Cotentin, FRANCE; 5Centre Hospitalier Saint-Louis de la Rochelle, La Rochelle, FRANCE; 6Centre Hospitalier Départemental Vendée, La Roche-Sur-Yon, La Roche-Sur-Yon; 7Hospices civils de Lyon, Edouard Herriot Teaching Hospital, Lyon, FRANCE; 8Centre Hospitalier Marc Jacquet, Melun, FRANCE; 9Centre Hospitalier de Roanne, Roanne, FRANCE; 10Centre Hospitalier d’Angouleme, Angoulême, FRANCE; 11Centre Hospitalier Universitaire Saint Louis, Paris, FRANCE; 12Groupe Hospitalier Paris Saint-Joseph, Paris, FRANCE; 13Centre Hospitalier Paris Sud Francilien, Corbeil-Essonnes, FRANCE; 14Centre Hospitalier Universitaire de Limoges, Limoges, FRANCE; 15Centre Hospitalier Universitaire Henri Mondor, Créteil, FRANCE; 16Centre Hospitalier Universitaire Cochin, Paris, FRANCE
Correspondence: Stephane Legriel - slegriel@ch-versailles.fr
F-66 Feasibility and reliability of somatosensory evoked potentials performed by intensivists in the prognosis of post-cardiac arrest coma
Damien Bouvier (speaker), Quentin Levrat, Virginie Verrier, Olivier Lesieur
Hôpital Saint-Louis La Rochelle, Saint-Brice Sous Forêt, FRANCE
Correspondence: Damien Bouvier - damienbouvier.ar@gmail.com
F-67 Sodium disturbances in the neuro-intensive care unit
Mariem Dlela (speaker), Manel Zekri, Rania Ammar, Aziza Talbi, Chokri Ben Hamida, Mounir Bouaziz
Hbib bourguiba university hospital, Sfax, TUNISIA
Correspondence: Mariem Dlela - mariem241090@gmail.com
F-68 Characterisation of cardiovascular phenotypes in septic shock. Focus on LV systolic dysfunction and its impact on prognosis
Guillaume Geri (speaker)1, Philippe Vignon2, Alix Aubry1, Anne-Laure Fedou2, Cyril Charron1, Stein Silva3, Xavier Repesse1, Antoine Vieillard-Baron1
1University Hospital Ambroise Paré, Boulogne-Billancourt, FRANCE; 2University Hospital, Limoges, FRANCE; 3University hospital, Toulouse, FRANCE
Correspondence: Guillaume Geri - guillaume.geri@aphp.fr
F-69 Early predictive factors of 30-days mortality in cardiogenic shock- An analysis of the FRENSHOCK multicenter prospective registry
Clément Delmas (speaker)1, Bruno Levy2, Nicolas Lamblin3, Nadia Aissaoui4, Etienne Puymirat4, Guillaume Leurent5, Vincent Labbe6, Sébastien Champion7, Stéphane Manzo-Silberman8, Meyer Elbaz1, Laurent Bonello9, Edouard Gerbaud10, Francois Roubille11, Eric Bonnefoy12, Patrick Henry8
1Rangueil University Hospital, Toulouse, FRANCE; 2Intensive Care Unit, Vandoeuvre Les Nancy, FRANCE; 3Lille University Hospital, Lille, FRANCE; 4Hôpital Européen Georges Pompidou, Paris, FRANCE; 5Rennes University Hospital, Rennes, FRANCE; 6Tenon Hospital AP-HP, Paris, Paris; 7Parly II Clinic, Le Chesnay, FRANCE; 8Lariboisière University Hospital AP-HP, Paris, FRANCE; 9Aix-Marseille University Hospital, Marseille, FRANCE; 10Bordeaux University Hospital, Pessac, FRANCE; 11Montpellier University Hospital, Montpellier, FRANCE; 12Lyon University Hospital, Lyon, FRANCE
Correspondence: Clément Delmas - delmas.clement@chu-toulouse.fr
F-70 Incidence, predisposing factors and prognosis of acute postoperative Right ventricular failure in cardiac surgery- a prospective cohort study
Ahlem Trifi (speaker)1, Imen Ben Naoui2, Sami Abdellatif3, Adel Ammous2, Raouf Denguir4, Mohamed Sami Mourali5, Salah Ben Lakhal6
1Faculty of Medicine of Tunis, Tunis, TUNISIA; 2Anaesthesia and Surgical Intensive Care department, La Rabta Hospital, Tunis, TUNISIA; 3Medical intensive care unit. La Rabta Hospital, Tunis, TUNISIA; 4Cardiovascular surgery service. La Rabta Hospital, Tunis, TUNISIA; 5Department of Functional Investigations and Cardiac intensive care unit. la Rabta hopital, Tunis, TUNISIA; 6Medical intensive care unit. La Rabta Hospital, Tunis, TUNISIA
Correspondence: Ahlem Trifi - trifiahlem2@gmail.com
F-71 High risk of Chronic Kidney Disease after VA-ECMO - Results of one year follow-up of a monocentric cohort of 132 patients
Camille Vinclair (speaker)1, Romain Sonneville1, Jean Reuter1, Radj Cally1, Mathilde Neuville1, Jordane Lebut1, Claire Dupuis1, Stéphane Ruckly2, Jean-François Timsit1, Lila Bouadma1
1HUPNVS - Hôpital Bichat - Claude-Bernard, Paris, FRANCE; 2UMR 1137 - IAME Inserm. Paris-Diderot University, Paris, FRANCE
Correspondence: Camille Vinclair - cvinclair@live.fr
Parameter |
OR
|
95% CI
|
p
| |
---|---|---|---|---|
Baseline eGFR | 0.981 | 0.966 | 0.996 | 0.0128 |
AKI KDIGO stage at canulation time | ||||
No AKI (ref) | 1 | 0.8252 | ||
Stage 1 | 0.904 | 0.166 | 4.913 | 0.9070 |
Stage 2 | 0.728 | 0.091 | 5.821 | 0.7651 |
Stage 3 | 0.385 | 0.047 | 3.118 | 0.3708 |
Worst AKI KDIGO stage in ICU | ||||
No AKI (ref) | 1 | 0.0052 | ||
Stage 1 | 4.396 | 0.662 | 29.189 | 0.1253 |
Stage 2 | 4.428 | 0.762 | 25.732 | 0.0975 |
Stage 3 | 67.190 | 6.477 | 696.951 | 0.0004 |
SOFA without hemodynamic and renal score | 0.820 | 0.650 | 1.034 | 0.0930 |
Indication of ECMO | ||||
Medical cause | 4.177 | 0.842 | 20.728 | 0.0802 |
Post-operative with CBP < 140 min | 0.889 | 0.159 | 4.977 | 0.8931 |
Post-operative with CBP ≥ 140 | 1 | 0.0834 | ||
Number of RBC transfusion | 1.041 | 0.983 | 1.104 | 0.1708 |
Activated Partial Thromboplastin Time | 1.727 | 0.732 | 4.075 | 0.2120 |
F-72 Impact of levosimendan on peripheral veno-arterial extracorporeal membrane oxygenation weaning in intensive care unit
Shamir Vally, Cyril Ferdynus, Romain Persichini, Eric Braunberger, Hugo Lo Pinto, Bruno Bouchet, Olivier Martinet , Thomas Aujoulat, Jérôme Allyn, Nicolas Allou
CHU Félix Guyon, Saint-Denis, FRANCE
Correspondence: Shamir Vally- sham.vally@hotmail.fr
F-73 Serial neuron specific enolase (NSE) serum levels and neurologic outcome of cardiogenic shock patients treated by venoarterial extracorporeal membrane oxygenation (ECMO)
Jean Reuter (speaker)1, Katell Peoc’H2, Lila Bouadma1, Dorothée Faille1, Marie-Charlotte Bourrienne1, Claire Dupuis1, Eric Magalhaes 3, Sébastien Tanaka1, Camille Vinclair1, Etienne De Montmollin1,Nadine Ajzenberg1, Jean-François Timsit1, Romain Sonneville1
1HUPNVS - Hôpital Bichat - Claude-Bernard, Paris, FRANCE; 2HUPNVS - Hôpital Beaujon, Clichy, FRANCE; 3Centre Hospitalier Sud Francilien, Corbeil-Essonnes, FRANCE
Correspondence: Jean Reuter - reuterjang@gmail.com
Variable | Odds ratio | 95% CI | Odds ratio | 95% CI |
---|---|---|---|---|
(univariate analysis) | (multivariate analysis) | |||
Age | 1.03 | (1.00–1.06) | 1.01 | (0.97–1.05) |
CPR before ECMO cannulation | 3.01 | (1.14–7.97) | 1.25 | (0.34–4.57) |
SOFA at ICU admission | 1.13 | (1.02–1.25) | 1.10 | (0.94–1.29) |
SOFA at ECMO initiation | 1.21 | (1.07–1.36) | 1.16 | (0.97–1.39) |
Day-3 NSE > 25 mg/L | 4.29 | (1.60–11.49) |
4.72
| (1.58–14.11) |
F-74 Impact of hyperoxia on patients hospitalized in intensive care unit for pulmonary congestion due to acute heart failure
Julien NaËl (speaker)1, Mathilde Ruggiu1, Clotilde Bailleul1, Sofia Ortuno1, Jean-Luc Diehl1, Damien Vimpere1, Aymeric Lancelot 1, Amélie Couteau1, Emmanuel Guerot1, Nicolas Danchin2,Etienne Puymirat2, Nadia Aissaoui3
1HEGP Critical care, Paris, FRANCE; 2HEGP Department of cardiology, Paris, FRANCE; 3HEGP- AP-HP-Université Paris Descartes, Paris, FRANCE
Correspondence: Julien NaËl - julien.nael@gmail.com
Total patients (n = 75) | Hyperoxia group n = 43 | Control group n = 32 | P | |
---|---|---|---|---|
Age, (years) | 76 [68–83] | 74 [64–85] | 76.5 [65–88] | 0.30 |
Male sex | 38 (51) | 25(58) | 13 (41) | 0.9 |
Supraventricular arythmia | 42 (56) | 20 (46.5) | 22 (69) | 0.42 |
Chronic lung disease | 14 (19) | 3 (7.0) | 11 (34) | < 0.001 |
Chronic kidney failure | 23 (31) | 11 (26) | 12 (37.5) | 0.78 |
Ischemic cardiopathy | 33 (44) | 23 (53.5) | 10 (31) | 0.69 |
Ejection Fraction, (%) | 50 [47–54] | 49 [44–53] | 49 [44–53] | 0.11 |
SOFA Score | 5 [4–6] | 4 [3–7] | 5 [3–7] | 0.20 |
Mechanic ventilation | ||||
- Mechanical Ventilation | 40 (53.3) | 23 (53) | 17 (53) | 0.96 |
- Non-invasive ventilation | 28 (37.3) | 13(30) | 15 (47) | |
- Invasive ventilation | 12 (16) | 10 (23) | 2 (6) | |
Duration of mechanical ventilation, (days) | 2 [1–3] | 2 [1–3] | 2 [0.6–3.4] | 0.37 |
Medications | ||||
- Inotropic agents | 11 (15) | 9 (21) | 2 (6) | < 0.01 |
- Diuretics | 59 (79) | 35 (81) | 24 (75) | 0.90 |
- Vasodilators | 26 (35) | 16 (37) | 10 (31) | 0.92 |
Dialysis | 7 (9) | 3 (7) | 4 (12.5) | 0.76 |
Duration of inotrope infusion, (days) | 0.6 [0.2–1] | 0.6 [0.2–1.4] | 0.47 | |
Duration of dialysis, (days) | 3 | NA | NA | |
Infection occurence | 12 (16) | 6 (14) | 6 (19) | 0.12 |
LOS in ICU, (days) | 4.0 [2.4–7.3] | 3.3 [2.0–6.9] | 4.5 [3.4–7.8] | 0.16 |
LOS in hospital, (days) | 12.2 [7.5–17.5] | 12.2 [7.5–16.3] | 12.1 [8.3–17.6] | 0.20 |
30-day mortality | 10 (13.3) | 6 (14) | 4 (12.5) | 0.85 |
30-day unplanned hospital admission | 10 (13.3) | 7 (16.3) | 3 (9.3) | 0.21 |
30-day death and/or unplanned hospital admission | 20 (26.7) | 13 (27.9) | 7 (21.8) | 0.65 |
F-75 Does having multiple causes of hypoxemia increase hypoxemia severity ? An ancillary study of the SPECTRUM study
David Grimaldi (speaker)1, Sami Hraiech2, Florence Boissier3, Philippe Michel4, Jean-Claude Lacherade5, Tai Pham6, Jean-Christophe Richard 7, Arnaud Thille3, Stephan Ehrmann8, Nadia Aissaoui9,Gregoire Muller10
1CHUB Hôpital Erasme, Bruxelles, BELGIUM; 2Hôpital Nord AP-HM, Marseille, FRANCE; 3CHU, Poitiers, FRANCE; 4CH, Pontoise, FRANCE; 5CH, La Roche Sur Yon, FRANCE; 6St Michael’s hospital, Toronto, CANADA; 7Hôpital de la Croix Rousse, Lyon, FRANCE; 8CHU, Tours, FRANCE; 9HEGP-APHP, Paris, FRANCE; 10CH, Orléans, FRANCE
Correspondence: David Grimaldi - david_grimaldi2001@yahoo.fr
F-76 Recruitment maneuver use in ARDS patients and mortality, a systematical review and meta-analysis
Joris Pensier (speaker), Audrey De Jong, Gérald Chanques, Nicolas Molinari, Samir Jaber
Département d’Anesthésie-Réanimation B - CHRU St Éloi, Montpellier, France
Correspondence: Joris Pensier - pensier.joris@gmail.com
F-77 Assessment of electrical impedance tomography to set optimal positive end-expiratory pressure for veno-venous ECMO-treated severe ARDS patients
Floriane Puel (speaker), Christelle Soulé, Fanny Bounes Vardon, Thierry Seguin, Vincent Minville, Bernard Georges, Jean-Marie Conil, Laure Crognier
CHU Rangueil, Toulouse, FRANCE
Correspondence: Floriane Puel - puel.f@chu-toulouse.fr
F-78 Prone position is feasible with an extracorporeal decarboxylation during adult’s acute respiratory distress syndrome. Analysis of 58 sessions
Nicolas Boquillon (speaker), Jean François Georger
CHI Villeneuve Saint Georges, Villeneuve-Saint-Georges, FRANCE
Correspondence: Nicolas Boquillon - nicolas.boquillon@mailoo.org
F-79 Ultra-protective ventilation reduces biotrauma in patients on veno-venous extracorporeal membrane oxygenation for severe acute respiratory distress syndrome
Sacha Rozencwajg (speaker)1, Amélie Guihot2, Guillaume Franchineau1, Mickael Lescroat1, Nicolas Bréchot1, Guillaume Hekimian1, Guillaume Lebreton1, Pascal Leprince1, Brigitte Autran2, Charles-Edouard Luyt1,Alain Combes1, Matthieu Schmidt1
1Sorbonne Universités, UPMC Univ Paris 06, INSERM UMRS_1166-iCAN, Institute of Cardiometabolism and Nutrition, Paris, FRANCE; 2Assistance Publique–Hôpitaux de Paris, Pitié–Salpêtrière Hospital, Immunology department, 75651 Paris Cedex 13, France, Paris, FRANCE
Correspondence: Sacha Rozencwajg - sacha.rozencwajg@gmail.com
F-80 Effect of Prone Position during Acute Respiratory Failure Apart From ARDS- A Prospective Study
Sabrine Nakaa (speaker), Nejla Tilouche, Oussama Jaoued, Habiba Ben Sik Ali, Rim Gharbi, Mohamed Fekih Hassen, Souheil Elatrous
Hopital taher sfar mahdia, Mahdia, TUNISIA
Correspondence: Sabrine Nakaa - nakaasabrine89@hotmail.com
F-81 Incidence of and risk factors for thrombotic complications following venovenous extracorporeal membrane oxygenation- a CT-scan study
Gabriel Parzy (speaker)
APHM, Marseille, FRANCE
Correspondence: Gabriel Parzy - gabriel.parzy@gmail.com
F-82 Impact of the length of stay in emergency department on the mortality in intensive care unit of septic shock patients- a cohort study
Noémie Teixera (speaker)1, Geoffroy Rousseau2, Emeline Laurent3, Saïd Laribi4
1CHRU Tours, Cinq Mars La Pile, FRANCE; 2CHRU Tours - Hopital Trousseau, Tours, FRANCE; 3CHRU Tours-Hopital Bretonneau, Tours, FRANCE; 4CHRU Tours, Tours, FRANCE
Correspondence: Noémie Teixera - teixera.noemie@gmail.com
F-83 Fluid balance impact in sepsis and septic shock
Khaoula Ben Ismail (speaker), Ines Fathallah, Ghada Sboui, Sahar Hbecha, Ameni Sghier, Asma Mehdi, Haifa Fazeni, Nadia Kouraichi
Hôpital Ben Arous Yassminet, Hammam Plage | Ben Arous, TUNISIA
Correspondence: Khaoula Ben Ismail - khaoula87@hotmail.fr
F-84 Incidence and risk factors of venous thromboembolism in patients with septic shock
Sabrine Bradai (speaker), Manel Zekri, Abir Bouattour, Amal Triki, OlfaTurki, Mabrouk Bahloul, Mounir Bouaziz
Department of Intensive Care, Habib Bourguiba University Hospital, Sfax, TUNISIA
Correspondence: Sabrine Bradai - Sabrine.bradai2@gmail.com
CHARACTERISTIC/BIOLOGICAL PARAMETERS ON SHOCK DAY | VTE GROUP (N = 24) | VTE-FREE GROUP (N = 36) | P VALUE |
---|---|---|---|
Age (years) | 51.8 ± 16.4 | 45.1 ± 20.3 | 0.183 |
Sex ratio (M/F) | 21/3 | 25/11 | 0.105 |
SAPS II | 35.3 ± 14.5 | 44.3 ± 16.2 |
0.032
|
SOFA | 5.5 ± 1.3 | 8 ± 4.1 |
0.017
|
GCS | 10.6 ± 4 | 9.5 ± 4.3 | 0.329 |
Type of admission: | 0.335 | ||
- Traumatism | 10 | 22 | |
- Medical | 11 | 11 | |
- Surgical | 3 | 3 | |
Duration of mechanical ventilation (days) | 32.7 ± 11.4 | 12.9 ± 9.3 |
<0.001
|
Tracheotomy | 23 | 23 |
0.004
|
DIC | 6 | 17 | 0.083 |
Acute kidney failure | 18 | 23 | 0.365 |
Dialysis | 2 | 13 |
0.015
|
Length of stay (days) | 37.3 ± 11.6 | 16.3 ± 11.7 |
<.001
|
Mortality rate | 58.3% | 63.9% | 0.665 |
pH | 7.39 ± 0.09 | 7.37 ± 0.10 | 0.740 |
PACO2 (mmHg) | 38.13 ± 8.38 | 37.45 ± 9.66 | 0.779 |
PAO2/FiO2 ratio | 270 ± 112.8 | 267.4 ± 109.8 | 0.931 |
HCO3− (mmol/l) | 22.47 ± 4.41 | 21.88 ± 6.10 | 0.751 |
Troponin (ngl/l) | 0.079 ± 0.086 | 0.57 ± 1.03 | 0.869 |
SGOT (UI/l) | 71.4 ± 59.3 | 91.5 ± 142.6 | 0.952 |
SGPT (UI/l) | 57.6 ± 65.8 | 54.3 ± 55.5 | 0.922 |
Bilirubin (μmol/l) | 45.9 ± 51.1 | 56.4 ± 118.6 | 0.717 |
Blood urea (mmol/l) | 12.4 ± 7.5 | 17 ± 16 | 0.763 |
Blood creatinine (μmol/l) | 109 ± 72 | 157 ± 126 | 0.381 |
CRP (mg/L) | 231.9 ± 103 | 230 ± 138 | 0.594 |
Procalcitonin (ng/mL) | 14.6 ± 20.9 | 11.3 ± 15.5 | 0.682 |
SChEA (UI/L) | 3391 ± 1430 | 3423 ± 1151 | 0.922 |
F-85 Muscle Lactate and lactate to pyruvate ratio clearance as useful biomarkers for the prediction of mortality in septic shock patients
Zied Hajjej (speaker), Mayssa Daiki, Walid Sellami, Hedi Gharsallah, Iheb Labbene, Mustapha Fejani
Military Hospital, Tunis, TUNISIA
Correspondence: Zied Hajjej - hajjej_zied@hotmail.com
F-86 Performance of the Sepsis- definitions in a Tunisian intensive care unit
Zied Hajjej (speaker), Ben Mahmoud Khalthoum, Walid Samoud, Olfa Yengui, Mayssa Daiki, Mustapha Ferjani
Military Hospital, Tunis, TUNISIA
Correspondence: Zied Hajjej - hajjej_zied@hotmail.com
F-87 Prognostic factors and impact of hyperbaric oxygen therapy for the management of necrotizing soft tissue infections in critically ill patients
Cécile Bouges (speaker), Olivier Marion, Edith Hourcastagnou, Jean Ruiz, Hélène Vinour, Véronique Ramonda, Guillaume Ducos, Thierry Seguin, Béatrice Riu-Poulenc, Stein Silva
Critical care unit - Purpan University Teaching Hospital, Toulouse, FRANCE
Correspondence: Cécile Bouges - bouges.c@chu-toulouse.fr
F-88 A new prognostic indicator in septic shock: muscle mass measured by the thickness of the quadriceps in ultrasound
Marc Selim (speaker), Caroline Lemaitre, Fabienne Tamion
CHU, Rouen, FRANCE
Correspondence: Marc Selim - marcselim@gmail.com
F-89 Outcome of patients after a decision of pursue, withdrawing or withholding life sustaining treatment in a french Pediatric Intensive Care Unit
Cécile Thivent (speaker), Stéphane Dauger, Julie Sommet, Fleur Le Bourgeois, Armelle Nicolas-Robin, Géraldine Poncelet
CHU Robert Debré, Paris, FRANCE
Correspondence: Cécile Thivent - cecile.thivent@gmail.com
F-90 Perceptible end-of-life signs in Paediatric Intensive Care Unit, parent’s experiment and difficulties to lead studies
Fleur Le Bourgeois (speaker)1, Violaine Mattioni1, Céline Ricignuolo2, Vincent Amelot3, GeraldinePoncelet1, Julie Sommet1, Michaël Levy1, Jérôme Naudin1, Stephane Dauger1, Charlotte Pierron4
1Hôpital Robert Debré, Service de Réanimation et Surveillance Continue Pédiatriques, Paris, FRANCE; 2Hôpital Necker Enfants Malade, service de réanimation et surveillance continue pédiatriques, Paris, FRANCE; 3Laboratoire Psychopathologie et Processus de Santé (LPPS) Université Paris Descartes, Paris, FRANCE; 4Service de Néonatologie et Soins Intensifs Pédiatriques, Centre Hospitalier du Luxembourg, LUXEMBOURG
Correspondence: Fleur Le Bourgeois - fleur.lebourgeois@aphp.fr
F-91 Perceptible end-of-life signs in PICU, a prospective study
Charlotte Pierron (speaker)1, Géraldine Poncelet2, Julie Sommet2, Jérome Naudin2, Fleur Le Bourgeois2
1Centre Hospitalier du Luxembourg, Strassen, LUXEMBOURG; 2Hôpital Robert Debré, Unité de réanimation et soins continus pédiatriques, Paris, FRANCE
Correspondence: Charlotte Pierron - pierron.charlotte@chl.lu
Type of signs | Sign | Appearing | Worsening |
---|---|---|---|
Cutaneous signs/Appearance signs | Pallor | 2 | 7 |
Cyanosis | 3 | 7 | |
Marbling | 4 | 5 | |
Bedsore | 1 | 1 | |
Jaundice | 1 | 1 | |
Petechiae | |||
Edemas | 2 | 6 | |
Other signs | Cold body | 5 | 3 |
Sweat | 1 | 0 | |
Change in smell | 1 | 0 | |
Polyuria | 1 | 0 | |
Respiratory signs | Gasps | 8 | 0 |
Breathing Congestion | 3 | 0 | |
Apnea | 5 | 0 | |
Bradypnea | 4 | 0 | |
Increased respiratory work | 0 | 1 | |
Stridor | 0 | 0 | |
Neurological signs | Anxiety or delirium or abnormal movements | 0 | 0 |
Consciousness disorder not linked to sedoanalgesia | 1 | 2 | |
Digestive signs | Diarrhea | 3 | 1 |
Hiccups or thirstiness | 0 | 0 | |
Vomiting | 2 | 0 | |
Hypersalivation | 3 | 0 | |
Others | Bleeding | 1 | 2 |
Physiological parameters | Bradycardia | 10 | 0 |
Desaturation | 4 | 8 | |
Hypotension | 3 | 5 |
F-92 Predictive factors of life support withholding at admission in PICU for children suffering from multiple disabilities
David Brossier (speaker)1, Christophe Duval2
1Service de réanimation pédiatrique, Caen, FRANCE; 2GHH Hopital Monod, Montivilliers, FRANCE
Correspondence: David Brossier - brossier-d@chu-caen.fr
F-93 Effect of a nursing-implemented sedation-analgesia protocol on duration of mechanical ventilation in pediatric intensive care unit
Marie Emilie Lampin (speaker), Claire Cavrois, Jeremie Rousseaux, Claire Lereun, Stéphane Leteurtre
Univ. Lille, CHU, Lille, FRANCE
Correspondence: Marie Emilie Lampin - marie-emilie.lampin@chru-lille.fr
F-94 Withdrawal syndrome in a pediatric intensive care unit: comparison of practices and risk factors in 2016 and 2018
Mélanie Rapp (speaker)1, Marine Bernard2, Marion Grimaud2, Laure De Saint Blanquat2, Sylvain Renolleau2
1Hopital Trousseau, Paris, FRANCE; 2Hopital Necker, Paris, FRANCE
Correspondence: Mélanie Rapp - melanie.rapp.23@gmail.com
F-95 Use of a french version of the Cornell Assessment Pediatric Delirium (CAPD) in Pediatric Intensive care Unit - a pilot study
Jehanne Malek (speaker)1, Marine Bernard1, Sylvain Renolleau1, Francoise Yung2, Mehdi Oualha1, Laure De Saint Blanquat1
1CHU Necker Enfants Malades, Paris, FRANCE; 2CHU Sainte Justine, Montreal, CANADA
Correspondence: Jehanne Malek - jehanne.malek@gmail.com
N − 27 (%) | yes | no | Don’t know |
---|---|---|---|
Difficulties | 30% (8) | 67% (18) | 3% (1) |
Scales achievables | 78% (21) | 7% (2) | 15% (4) |
N = 27 | always | often | sometimes | rarely | never |
---|---|---|---|---|---|
CAPD releavance for patients in PICU | 11% (3) | 56% (15) | 30% (8) | 3% (1) | 0% |