go
go
print
send friend


Perioperative intensive care (POIC)

 


Aims and Missions 


The Section Perioperative intensive care is focusing its interest on the period before, during and after surgery. The areas of interest are

 

  1. Risk assessment
  2. Risk reducing strategies
  3. Perioperative problem solving.

 

Within this scope, members of the Section have assessed the process of artificial ventilation in adult and paediatric cardiac surgery patients. 

 

Chair and deputy 

 

Chair    Claudia Spies - Berlin, Germany
Deputy Michael Hiesmayr - Vienna, Austria
 

 

Membership 

There are currently 85 voting members and 1064 registered members. Please note that only the voting members of the Section may elect the chair and the deputy.

Do you wish to be one of the members of this Section or do you wish to change your Section registration? Please send an email at public@esicm.org. 

 

Activities 

In the most recent Section's meeting the decision was taken to focus for the next year on two research areas: All ESICM members interested in participating should contact the Section Chair to receive the protocols.

  • Delirium is seen in every sixth patient in the recovery room and nearly in every patient in the ICU. As delirium is relevant with respect to long-term mortality, delirium monitoring should be performed in all patients after surgery and all patients in the ICU. The scores used to monitor delirium are currently available in English (here: see below addendum 1): we would be delighted if they can be translated also in other languages. The translation has to be performed according to a standardized protocol (Wild D et al. Principles of good practice, for the translation and cultural adaptation process for patient reported outcomes measures: report of the ISPOR task force for translation and cultural adaptation. Value Health 2005; 8 94-104). 

 

  • In 30% of cases antibiotic are begun without reliable signs of infection or isolation of a pathogen. The frequency of inefficient use of antibiotics is estimated to be as high as 50%. Against this background, a computer program has been developed to assist the rational use of antibiotics in critically ill patients. Existing Standard Operating Procedures and Guidelines have been transferred into a user-friendly electronic format. The program can quickly provide information regarding diagnosis, therapy and local resistance patterns and forms a basis for individual therapy decisions ( here; see below addendum 2). This program is an official project of the German Society of Anaesthesiology and Intensive Care Medicine (Deutsche Gesellschaft für Anästhesiologie und lntensivmedizin, DGAI) and is currently used on several ICUs in hospitals all over Germany. The Section Chair will also involve the other sections pertinent to this topic: “Infection" and “Systemic inflammation and sepsis”.  )

 

Meetings agenda and minutes 

 

The mintures of the Section meeting held in Lisbon are available here. 

 

The next meeting will be held during the 29th ISICEM, which will take place from 24th to 27th of March 2009 in Brussels, Belgium. Details about dates and locations will be communicated as soon as available.

 

Useful Links

 

Working Group on Gastrointestinal Function in progress