The Cardiovascular Dynamics section is led by Xavier Monnet.
Resources
EDUCATION
Haemodynamics
Format: Virtual
The master class on Haemodynamics is a 3-day digital event that provides participants with a solid view of the field of cardiovascular physiology and haemodynamic monitoring in the ICU. A high level of interaction is the core feature of these 3 days of learning.
This will be guaranteed by a significant amount of time dedicated to interactive lectures, focus sessions, case-based discussions, gamification and immersive learning through virtual reality.
Free live webinars are available for members & non members on the ESICM Media Library.
Advanced Course on Critical Care Echocardiography
Course
Max number of participants: 150
The ESICM Advanced Course on IC Echocardiography is designed for intensivists who have achieved a basic level of education and training in the use of echocardiography in an intensive care setting and would like to obtain advanced knowledge and certification of their competency.
Hands-on
Max number of participants: 150
Book your hands-on slot in the simulation centre and benefit from practical training in a spectrum of echocardiographic techniques and skills (image acquisition, image interpretation and clinical integration) that extend the competencies required for basic critical care echocardiography.
General Intensive Care Ultrasound Course
Max number of participants: 60
General Intensive care UltraSound (GenIUS) is an essential component of intensive care practice. Although existing international guidelines, few countries have managed to operationalise this guidance into an accessible, well-structured programme for clinicians.
The two-day training programme will offer our learners theoretical insights and hands-on activities which help them acquire the GenIUS competencies and transfer them to real-life situations.
Haemodyanamics
Course
Max number of participants: 100
This course provides participants with a solid view of the field of cardiovascular physiology and haemodynamic monitoring in the ICU.
Its core feature is a high level of interaction through interactive lectures, case-based discussions and reflective learning exercises.
Hands-on
Duration: 4 hours – Max number of participants: 200
Content
- Station 1: Clinical case debate and practical demonstration: determinants of arterial pressure and their interpretation at the bedside; cardiac output monitoring devices simulation
- Station 2: Practical use of different haemodynamic variables
- Station 3: Assessment of tissue oxygenation
RESEARCH
FENICE
FENICE (Fluid Challenges in Intensive Care) is a multicentre observational trial designed and conducted by the ESICM Trials Group to investigate how fluids are administered in critically ill patients.
The purpose of this study is to evaluate how fluids are administered and how frequently fluid administration results in a positive haemodynamic response.
Fluid challenges in intensive care: the FENICE study – A global inception cohort study.
The ICU CardioMan Study
Cardiovascular Monitoring & Management in Austrian, German and Swiss Intensive Care Units. The objective of this multicentre study was to analyse the reality of haemodynamic monitoring and therapy of the critically ill in Austrian, German and Swiss intensive care units. This included acquisition of data on which types of haemodynamic monitoring clinicians have available in their ICU.
This study also aimed to investigate which indications lead to therapy decisions and/or extension of haemodynamic monitoring and which parameters serve as therapeutic goals. Additionally, this study investigated how the extension of haemodynamic monitoring guides and modifies therapeutic decisions and strategies in clinical practice.
- ECHO Project Group: VIEILLARD-BARON Antoine
> To promote and support research and education on echocardiography in ICU. - Haemodynamic monitoring: MONNET Xavier
> To promote and support research and education on haemodynamic monitoring in ICUs. - Monitoring of sublingual microcirculation
UCARDS
Use of CARdiovascular Drugs in Shock. In shock, organs are hypoperfused leading to dysfunction or death at a cellular level, as well as disruption in cardiovascular functions. Cardiovascular drugs are often used to manage patients in this state, despite the lack of consensus on their use.
This survey from the Cardiovascular Dynamics Section aimed to evaluate the indications, current practice, and therapeutic goals in European ICUs on the use of cardiovascular drugs in the treatment of shock states.
Publication: Scheeren T.W.L et al. 2019. Current use of vasopressors in septic shock
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.
This project was conducted by Dr RD Wise, a member of the WSCAS Clinical Trials Working Group, supported by WSACS and led by Pr Manu Malbrain.
Red Cell Transfusion
Variation in red cell transfusion practice in the ICU: an international survey.
The INOX-ICU 1 team: S. A Willems Bsc, Sesmu Arbous MD/PhD, Prof. J. Kesecioglu MD/PhD, Prof. J. van der Bom MD/PhD, Prof. S. le Cessie PhD, P.J. Marang-van de Mheen PhD, F. Kranenburg MD/PhD
This survey aims to estimate the extent of variation in transfusion decisions within four clinical scenarios. This knowledge can add to further improve personalised care with respect to transfusion practice in critically ill patients.
Finfer S. et al. Balanced Multielectrolyte Solution versus Saline in Critically Ill Adults. N Engl J Med. 2022 Jan 18. doi: 10.1056/NEJMoa2114464.
Zampieri F.G. et al. Effect of Slower vs Faster Intravenous Fluid Bolus Rates on Mortality in Critically Ill Patients: The BaSICS Randomized Clinical Trial. JAMA. 2021 Sep 7;326(9):830-838. doi: 10.1001/jama.2021.11444.
Zampieri F.G. et al. BaSICS investigators and the BRICNet members. Effect of Intravenous Fluid Treatment With a Balanced Solution vs 0.9% Saline Solution on Mortality in Critically Ill Patients: The BaSICS Randomized Clinical Trial. JAMA. 2021;326(9):1–12. doi: 10.1001/jama.2021.11684.
Antequera Martín A.M. Buffered solutions versus 0.9% saline for resuscitation in critically ill adults and children. Cochrane Database Syst Rev. 2019 Jul 19;7(7): CD012247. doi: 10.1002/14651858.
Better characterisation of circulatory failure associated with septic shock
A new perspective for Oxygen Therapy in Suspected Acute Myocardial Infarction
The DETO2X-AMI is the largest trial to date investigating the effect of oxygen therapy in patients with suspected IMA with no hypoxaemia at baseline, both in the prehospital and hospital setting.
Angiotensin II for the Treatment of Vasodilatory Shock
Vasodilatory shock is a severe clinical condition characterised by acute reduction of vascular resistance leading to systemic hypoperfusion, multi-organ dysfunction and death.
Conservative fluid management: Turn off the tap after use?
In the recently published updated guidelines by the Surviving Sepsis Campaign, fluid administration is the mainstay of initial resuscitation of septic patients and it should be performed early
Restricting volumes of resuscitation fluid in adults with septic shock: CLASSIC Trial
The administration of fluid optimises intravascular volume and perfusion pressure of vital organs, excessive fluid administration can be detrimental.
Cardiac output measurements: Echocardiography vs. thermodilution
The clinical standard is considered to be intermittent thermodilution technique based on the Stewart–Hamilton equation. This technique has its limitations, including variability in serial measurements of CO and rare, but potentially serious, complications.
