PROPOFOLOGY.COM
  • Home
  • About
    • Donate
    • About >
      • Contributors
      • Why #FOAMed?
      • Privacy
    • DISCLAIMER
  • FRCA COURSE
    • Buy FRCA Course
    • Tutorial List
    • International Course
  • ICU Course
  • BASICS OF CRITICAL CARE
  • Resources
    • COVID19 >
      • Webinars COVID19
    • Infographs >
      • Full List Index
      • Infograph Blog
      • Contribute
      • PDFs
    • Conferences >
      • ESICM Physiology 2020
      • ICSSOA 2019
      • ESICM LIVES 2019
      • ESICM LIVES 2018 >
        • LIVES 2018 CONTENT
      • IAEM 2018 >
        • Top 5 Studies IAEM
      • IFAD >
        • Case Report
        • The Hub
      • RAUK 2019
      • IFAD2018
      • IFAD2017 Blog
    • Trial Summaries
    • Index
    • Students
    • Absolute Beginner's Guide to Anaesthetics
    • Articles >
      • Articles
      • Tutorials
    • YouTube Channel
    • Anaesthetic Equipment
    • Contributions
    • Espanol
  • Podcasts
  • Anniversary Showcase

DAY 1 Catchup - ESICM Madrid - ARF Forum - 2018

5/4/2018

2 Comments

 
Foremost, I have to thank the team at ESICM and Dr. Adrian Wong and Joel Alexandre (CEO) for inviting me to cover the event for Social Media and #FOAMed. When I think back to much earlier conferences across Europe and the lack of good social media coverage, it is clear that over the past number of years we have come a very long way! As well as the presentations, ePosters and content being freely available online for #FOAMed use, we now cover conferences on social media in real-time, allowing those across the world to access content that is potentially practice-changing, from the comfort of their own twitter feed. Technology is better, WIFI is stellar and Melia Castilla in Madrid has been an excellent conference centre with lovely amenities and very courteous staff.

Pleasantries out of the way, what do I make of the conference so far? ESICM continues to deal with the dichotomy between the scientist and the physician very well by essentially offering content that is suitable for both. Prizing highly academic and scientific content, it essentially separated 'major' content into sections, with Day 1 focusing on physiology and application of such science to clinical practice and day 2 focusing on more clinical conundrums alongside the rudimentary scientific investigations.

There has been a focus on mechanical ventilation as well as oesophageal and diaphragmatic muscle movement - with some key messages outlined below. Perhaps a more poorly understood area of our practice is SLEEP in ICU patients, which was dealt with expertly by Dr Demoule of France yesterday. Sleep is profoundly disturbed in ICU with a myriad of clinical and humanitarian (!) consequences for our patients. Many of the slides and take-home messages are included in my trawl of graphics below. 

Oesophageal pressures have been illuminated to me, as a clinician who has never had the opportunity to use NAVA or an oesophageal pressure probe. Getting to speak to a number of PhD students in technical medicine has shown me its potential use and applications to the patient; again illustrated in some of the slides below. I do think there is still a lot of work to be done in these areas before we can be entirely incorporating of the devices in ICU. It may come a day where they are standard pieces of kit. 

There were interesting talks on respiratory drive and its relevance to ICU ventilation - and continuing on this theme, how 'strong' spontaneous breathing may not be particularly beneficial for patients on assist.... more on that in Day 2's review.

Dead-space monitoring was again a fascinating topic and the industry specialists were showing off their wares in the sponsor's area. It was useful to be able to see the Bohr equation used in real-time! Dr Wong commented how it is unusual to routinely use dead-space monitoring and I would tend to agree. The idea is that it helps with prognosticating in ARDS patients and had a variety of uses in ECMO and permissive hypercapnia - most importantly, it seems to help with PEEP selection and has 'a potential' to monitor lung over-distension. (More info in the slides below).

A whirlwind tour though radiological history showed us what we have learned from CT scans with respect to ARDS and none other than Prof Gattinoni discussed the developments since 1986 right up to 2018. It's amazing what we can see of ARDS on a CT scan of the chest as well as uptake scans, showing true perfusion and ventilation. Not a session whereby it was encouraged for all patients to get a CT scan, just rather what they have shown us throughout the years as fidelity has increased (More info in slides below)

Lots more to say about Day 1 and lots of info in the slides below - but do continue to follow @Gas_Craic on twitter and #LUNG18 for all the conference pearls, slides and discussions as they unfold. 

​Take care & speak soon!
2 Comments
Gay Hotline Alberta link
4/2/2021 03:23:23 am

Grreat reading

Reply
High Peak Sex link
11/30/2024 08:56:45 pm

I enjoyed readinng this

Reply



Leave a Reply.

    USE OF THIS WEBSITE IS SUBJECT TO AGREEING TO THIS DISCLAIMER
    ​
    ​
    THIS WEBSITE IS FOR HEALTHCARE PROFESSIONALS & STUDENTS ONLY

    Categories

    All
    Airway
    Anaesthetic Technique
    Analgesia
    Anticoagulation
    Emergency
    Haematology
    ICU
    Metanalysis
    Nerve Blocks
    Pain Medicine
    Pharmacology
    Prehospital Medicine
    Resuscitation
    Sepsis
    Ultrasound

    Author

    Multiple authors from journals around the world that are free to read and disseminate. 
    ​
    There is no advice or recommendation  given about their content - only commentary.

    If you don't use 'Critical Care Reviews' by Rob MacSweeney - you need to start. The best website for free, open and online journal articles.
    Picture


    Archives

    May 2018
    April 2018
    December 2017
    January 2017
    June 2016
    April 2016
    March 2016

    RSS Feed

Creative Commons License
Free to access Propofology Infograms, eBooks and selected YouTube videos by Dr. David Lyness are licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Please attribute all works: 'Based on a work by Dr. David Lyness' at www.propofology.com/resources.
Home
About
Contact
ALL SITE USERS SHOULD READ AND AGREE TO THE DISCLAIMER HERE.
Contact via Twitter
  • Home
  • About
    • Donate
    • About >
      • Contributors
      • Why #FOAMed?
      • Privacy
    • DISCLAIMER
  • FRCA COURSE
    • Buy FRCA Course
    • Tutorial List
    • International Course
  • ICU Course
  • BASICS OF CRITICAL CARE
  • Resources
    • COVID19 >
      • Webinars COVID19
    • Infographs >
      • Full List Index
      • Infograph Blog
      • Contribute
      • PDFs
    • Conferences >
      • ESICM Physiology 2020
      • ICSSOA 2019
      • ESICM LIVES 2019
      • ESICM LIVES 2018 >
        • LIVES 2018 CONTENT
      • IAEM 2018 >
        • Top 5 Studies IAEM
      • IFAD >
        • Case Report
        • The Hub
      • RAUK 2019
      • IFAD2018
      • IFAD2017 Blog
    • Trial Summaries
    • Index
    • Students
    • Absolute Beginner's Guide to Anaesthetics
    • Articles >
      • Articles
      • Tutorials
    • YouTube Channel
    • Anaesthetic Equipment
    • Contributions
    • Espanol
  • Podcasts
  • Anniversary Showcase