ESICM members are welcome to participate in research surveys covering important aspects of intensive care medicine. These surveys, proposed by experts in the field, are endorsed by the ESICM Research Committee and offer a great opportunity to advance knowledge and often stimulate further research.
Do you have a survey you would like ESICM to endorse?
This survey from the ESPNIC Respiratory Section and endorsed by ESICM aims to assess the current state of paediatric (<12 m old) and neonatal lung (or heart/lung) transplantation including physicians’ awareness knowledge across Europe. Results from this survey will be used to initiate further steps to improve outcomes in the most vulnerable and ill patients in Europe.
Complete the survey here.
Contact: Daniele De Luca
CHANGE IT! State of the art on paediatric and neonatal lung/heart transplantation in Europe
Lung or heart/lung transplantation is rarely performed in infants and neonates. Only a few life-threatening and extremely rare conditions may pose a viable indication for such an early transplant. Good results have been reported also in some of the smallest patients in North American centres, providing some encouraging results for increased transplantation in this patient group.
The scope of CHANGE IT! is to take a picture of physicians awareness, and knowledge about lung/heart transplantation and related conditions in Europe. From this point onwards other steps could be taken to improve the health of the most vulnerable patients in Europe.
Acute Nonphysician Provider Survey (ANoPPS)
In contrast to the US, the literature in Europe regarding implementation of nurse practitioners or physician assistants, as an alternative staffing model for residents in the Intensive Care Unit remains almost non-existent.
The aim of this survey is to obtain an insight into the implementation of (acute care) nurse practitioners or physician assistants (both called non-physicians providers) and nurse specialists on ICUs in Europe.
Over the next decennia demand for ICU care and personnel will increase due to the rising age of the ICU population and economical welfare combined with a social demand for a high quality of care. To overcome these challenges more physicians and ICU staff will be needed. The looming physician shortage following from this, is already present in some regions of Europe. A potential solution can be the implementation of non-physicians providers instead of residents. Some studies from the United States even report a quality and continuity improvement on well-staffed ICUs, after implementation of this concept. Meanwhile, the effect of this concept on European ICUs remains unknown.
The nursing staff equivalent of the non-physician providers, the nurse specialist, is more common in European ICUs, but to which degree this more general known concept has been implemented is also unknown.
This survey contains questions about:
• The role and application of non-physicians and nurse specialists in Europe
• Reasons for implementing or not implementing non-physicians in the ICU.
• The method on how non-physicians and nurse specialists are embedded in ICU staffing models and organisation.
It is time to obtain more insight into the concept of non-physicians and nurse specialists on the ICU to be able to organise more efficient European ICUs for the future with potentially an even better quality and continuity of care.
To take part in this brief survey, kindly click here.
Contact: Herman Kreeftenberg, HSRO section
This survey primarily focuses on the transfusion triggers according to the centre workflow.
Secondly, the questions will focus on the main parameters taken into account in case of uncertainty or if there are other parameters considered to support the decision making process of administering a transfusion.
To take part in this brief survey, kindly click here.
Mortality associated with acute respiratory distress syndrome (ARDS) remains high despite continual improvement in mechanical ventilation and extracorporeal membrane oxygenation (ECMO).
Technical simplifications, and its use during the 2009 H1N1 influenza pandemic prompted a sharp increase in the use of ECMO worldwide. Despite the lack of large randomised controlled trials, the survival rate in large volume centres has improved over recent years.
The optimal management of an anticoagulation target and transfusion practice in VV-ECMO patients is still under debate.  Traditionally, the threshold for transfusions of packed red blood cells (PRBC) in ECMO aims to keep haemoglobin values (Hb) in the normal range (12-14 g/dL). More recently, this notion has been challenged by several case series that reported on lower transfusion thresholds and good outcomes. Since blood management practices have evolved over the years, we hypothesise that practices vary widely among ECMO centers.
. Fan E, Gattinoni L, Combes A, Schmidt M, Peek G, Brodie D, Muller T, Morelli A, Ranieri VM, Pesenti A, Brochard L, Hodgson C, Van Kiersbilck C, Roch A, Quintel M, Papazian L, (2016) Venovenous extracorporeal membrane oxygenation for acute respiratory failure: A clinical review from an international group of experts. Intensive Care Medicine 42: 712-724
Intra-abdominal Hypertension and Abdominal Compartment Syndrome World Survey
This survey, endorsed by ESICM and WSACS, is part of a research project which aims to determine the impact, if any, of the 2013 World Society of the Abdominal Compartment Syndrome (WSACS) IAH/ACS Consensus Definitions/Clinical Management Guidelines, IAP measurement practices, on IAH/ACS clinical awareness and management. Results from this survey will be compared with those obtained from a similar survey conducted in 2007.