Ventilatory strategies in patients with severe traumatic brain injury Survey.

The potential role of protective lung ventilation, which demonstrated to reduce postoperative complications in the general population with and without acute distress respiratory syndrome, has been suggested even in Traumatic brain injured patients. However, lung protective ventilation can increase intracranial pressure as result of permissive hypercapnia and of high airway pressures during recruitment maneuvers or prone position. The utility of these strategies has been proved in several groups if patients, but their use in neurocritical care patients is still uncertain.

The survey was endorsed by ESICM and NIC Section.

Steering Committee: Chiara ROBBA PhD, Edoardo PICETTI MD, Fabio Silvio TACCONE MD PhD and Professor Paolo PELOSI

Acute liver failure (ALF) is a rare condition characterized by new (no previous cirrhosis) and rapidly evolving (≤26 weeks) hepatic dysfunction associated with neurologic dysfunction (any grade of hepatic encephalopathy) and coagulopathy (INR ≥1.5). This disease may be due to several aetiologies (e.g. drug toxicity such as paracetamol and viruses such as hepatitis A, B or E), with great regional variability. The outcomes of patients with ALF have been improving throughout the decades largely because of optimized access and quality of intensive care and emergent liver transplantation.

We have developed the survey ALFinICU to try to characterize the current practice of European ICUs in treating patients with ALF. With this, we hope to contribute to generate debate and identify future educational points about this rare disease.

GSA Sepsis Quality Measures Global Survey.

Despite a recent resolution by the WHO and increasing worldwide recognition that sepsis poses a major global health threat, our knowledge of what sepsis surveillance, treatment, quality improvement (QI), and reporting practices look like across the world is surprisingly limited and fragmented.

The purpose of this survey is to characterize the current practices related to sepsis surveillance, treatment, quality improvement, and reporting worldwide.

The Principal Investigator is Pr. Konrad Reinhart, Jena University Hospital, Germany.

The survey is organized by Global Sepsis Alliance.

More information: https://www.global-sepsis-alliance.org/

The survey is part of a study Initiated in the ESICM POIC Section, this is a European Society of Anaesthesiology Clinical Trial Network (ESA CTN) sponsored study and it has been endorsed by ESICM.

SQUEEZE is a prospective multi-centre international observational study of postoperative vasopressor usage.

The goal is to evaluate the proportion of non-cardiac surgical patients receiving postoperative vasopressors, the characteristics of patients, surgery and anaesthesia that lead to postoperative vasopressor use.

The Squeeze micro-survey is about the use of vasopressors in the immediate postoperative period. The responses will inform an international observational study of this topic.

Steering Committee: Ib Jammer (Norway), Ben Creagh-Brown (UK), Lui Forni (UK), Ramani Moonesinghe (UK) and Hannah Wunsch (Canada).