Precision Therapies in ICU
Date: Tuesday 26th November 2019
Time: 2:30-4:00 pm CEST
The recording will be available soon.
This 90-minute live debate webinar on Precision Therapies in ICU will comprise three parts:
- Precise Mechanical Ventilation (personalised lung protection and respiratory strategy)
Mechanical ventilation is a lifesaving procedure, with its own risks, complications and side effects. Optimisation of mechanical ventilation parameters requires a precise strategy, since one size does not fit all.
This discussion will highlight some of the most recent monitoring tools, which allow key factors, such as PEEP, Tidal Volume and Respiratory rate, to be individualised, taking into account recently published trials and bedside experience.
Speaker: Prof Giacomo BELLANI, Dept of Medicine and Surgery, Università degli Studi Milano Bicocca, Monza, Italy
- Precision Management of Nutrition (including indirect calorimetry and individual patient needs)
Nutritional therapy is built on correct assessment of an individual patient. Correct dosing of artificial nutrition will avoid under- and over-feeding and reduce complications such as infections
The use of equations to estimate Energy Expenditure of a critically ill patient is inappropriate and outdated. New generation indirect calorimeters inserted into a formula can improve quality of care in the field of nutrition.
Protein needs still need to be calculated, based on the body weight of the patients and bedside tools and medical decision-making supported by guidelines can make it happen.
Speaker: Prof Elisabeth DE WAELE, Director of Intensive Care Department, University Hospital (UZ), Brussels, Belgium
- Analytics to support Precision Health (speaking about how Analytics and CIS can help to support a more individualized care plan).
Routine intensive care data is an example of Big Data, due to its volume, rate of real-time acquisition, as well as its complex and varied mix of clinical, physiological, imaging and laboratory tests results.
The rising prevalence of electronic health records means that such data is increasingly available in machine-readable form, allowing clinicians to make better use of the data available to them; improve ICU service, decision-making; detect deterioration earlier and prevent variances in care. However, there are technical, regulatory, change management and ethical problems.
Speaker: Prof Ari ERCOLE, University of Cambridge Division of Anaesthesia, Cambridge, United Kingdom
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