You can see the preliminary program of the XXI SMART Congress 2010 HERE

The new presentations under the session on: Critical care nephrology

• What intensity of renal support in patients with acute kidney injury - J. Kellum
• Can AKI staging guide RRT therapy initiation, modality and does it? - J. Kellum
• Acute renal failure: new insights… - D. Payen
• Hydroxyethil starch and kidney function in critically illpatients - Y. Sakr
• Strategy to reduce the risk of contrast induced nephropaty - F. Stacul

The new presentations under the session on: Hot topics in critical care and perioperative medicine

• Troponin and pro-BNPas markers of cardiac dysfunction - R. Latini
• Base excess: how to measure and how to intepret it - F. Mojoli
• The rationale for physiotherapy - M. Norrenberg
• Physiotherapy, Incentive spirometry or CPAP in the perioperative period? - P. Pelosi

The new presentations under the session on: Sepsis-Phatophysiology

• Mechanisms of adrenal insufficiency during sepsis - D. Annane
• Modulating beta-adrenergic system in sepsis - D. Annane
• Pathophysiology and metabolismo f dimethylarginine in severe sepsis - G. Iapichino
• Sepsis related kidney injury - J. Kellum
• Early potential prognostic factors in septic shock - D. Payen

The new presentations under the session on: Non-operating room anestesia (NORA): a new challenge for the anesthesiologist

• Sedation and anesthesia for gastrointestinal endoscopy and hepatic RFTA - P. Maisano
• Sedation and anesthesia outside the operating room in the pediatric patient - M. Sammartino
• Offsite anesthesiology in the cardiac cathetherization lab - A. Palo
• Anesthesia for MRI - G. Serafini
• Sedation and anesthesia for interventional bronchoscopy - G. Burgio

The new presentations under the session on: ARDS

• Prone position: the results of the 2° italian study - L. Gattinoni
• Are genes important in the ventilator-induced lung injury? - B. Kavanagh
• PEEP selection: practical guidelines - JJ. Marini
• Extracorporeal carbon dioxide removal: perspectives of clinical application - A. Pesenti

The new presentations under the session on: HOT TOPICS IN PEDIATRIC ANESTHESIA: THE ANESTHESIOLOGIST OUTSIDE THE OPERATING ROOM

• Who transports this child? - N. Pirozzi
• A six months years old infanti is scheduled fora n MRI exam... - N. Zadra
• Anesthesia for gastrointestinal endoscopy: what we are doing? - P. Silvani
• Postoperative analgesia: what should I do if I don’t have an Acute Pain Service? - F. Borrometi

The new presentations under the session on: HOT TOPICS IN PEDIATRIC INTENSIVE CARE: CHILDREN WITH ONCOHEMATOLOGICAL DISEASE IN THE ICU

• Role of intensive care in pediatric bone marrow transplant patients - F. Locatelli
• Today’s intensive care in pediatric cancer patients in Italy - M. Piastra
• Which hemodynamic monitoring for immunosuppressed patients? - F. Stoppa

The new presentations under the session on: Infection control in the ICU

• Current usage of glycopeptides: problems and solutions - C. Brun-Buisson 
• Control of MRSA: the French experience - C. Brun-Buisson
• Echinocandines in the ICU:evidence and perspectives - P. Viale

The new presentations under the session on: Electrolytes and blood gas analysis

• Optimizing the process for blood gas analysis: clinical and technical aspects - A. Braschi
• Chloride: the neglected electrolyte - L. Gattinoni
• An integrated view of electrolytes and pH - Kellum JA
• Why patients in the ICU are so frequently hyponatremic - G. Offenstadt

Therapeutic monitoring of vancomycin in adult patients: A consensus review of the American Society of Health-System Pharmacists, the Infectious Diseases Society of America, and the Society of Infectious Diseases Pharmacists
[go to Guidelines]

These updated guidelines replace the previous management guidelines published in 2001. The guidelines are intended for use by health care providers who care for patients who either have these infections or may be at risk for them.
[go to Guidelines]

A task force of 11 experts in the disciplines related to critical care medicine and infectious diseases was convened from the membership of the Society of Critical Care Medicine and the Infectious Diseases Society of America to update the practice parameters for the evaluation of adult patients who develop a new fever in the intensive care unit, for the purpose of guiding clinical practice.
[go to Guidelines]

Click [here] to go the editorials.

The new presentations under the session on OPEN LUNG APPROACH in the perioperative period:

• Is there a rationale for open lung approach during general anesthesia? - Pelosi P
• Open lung approach is beneficial during cardiac surgery? - D. Reis Miranda
• open lung approach is NOT beneficial during general anestesia - C. Putensen
• open lung approach is NOT useful in the postoperative period - G. Drummond

The new presentations under the session on VILI:

• Ventilator induced lung injury: update for the last 30 years - M. Quintel
• Atelectasis in critical care - B. Kavanagh
• VILI: the vascular side - Marini JJ
• VILI and recruitment - L. Gattinoni

The new presentations under the session on Correction of pH durino acidosis:

• Correction of pH:what the nature does - L. Gattinoni
• Bicarbonate in metabolic acidosis - J. Kellum
• Bicarbonate and respiratory acidosis - X. Leverve
• Bicarbonate and laccate clearing - F. Valenza

The new presentations under the session on Pulmonary and extrapulmonary ARDS: myth or reality?:

• Pulmonary ARDS is NOT different from extrapulmonary ARDS - JJ. Rouby
• Pulmonary ARDS is DIFFERENT from extrapulmonary ARDS - P. Pelosi

A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. (Writing Committee to Revise the ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices). Developed in Collaboration With the American Association for Thoracic Surgery and Society of Thoracic Surgeons.
[go to Guidelines]

The new presentations under the session on Rational approach to diagnosis and anti-infective treatment in ICU patients:

• Epidemiology and diagnostic methods of etero-VISA - S. Stefani
• Time-dependent antibiotics: how to use them at best - R. De Gaudio
• Epidemiology and risk factors of fungal infections in the critically ill - C. Viscoli
• Pharmacological and clinical criteria for a rational choice of the antifungal treatment in invasive mycoses - F. Pea

The new presentations under the session on Round Table- Redifining ARDS:

• ARDS Propagation Prevention - JJ. Marini
• Identifyng ARDS by an early PEEP/FiO2 trial - J. Villar
• Epidemiology of ARDS as defined by AECC - GD. Rubenfeld
• Diffuse alveolar damage and ARDS: from pathology to the clinical definition - A. Esteban
• Lung inflammation and ARDS: what we do get from functional imaging - A. Pesenti

CSL Behring has updated the contents of his virtual exhibit.
[Click here to visit the exhibitors list..]

The final program of the XX SMART Congress is on line [go to the program...]

Intensive insulin therapy has recently been shown to decrease morbidity and mortality in the critically ill population in a large randomized clinical trial.
ICU nurses and physicians in five university-affiliated multidisciplinary ICUs has partecipated in a selfadministered survey with the objective to determine the beliefs and attitudes of ICU clinicians about glycemic control. [see full article on-line on Intensive Care Medicine...] • [go to Editorials...]

Hyperglycemia is common in critically ill patients, even in those without diabetes mellitus. Aggressive glycemic control may reduce mortality in this population. However, the relationship between mortality, control of hyperglycemia, and administration of exogenous insulin is unclear.
The objective of this study was to determine whether blood glucose level or quantity of insulin administered is associated with reduced mortality in critically ill patients.[see full article on-line on JAMA...] • [go to Editorials...]

Intensive insulin therapy reduces morbidity and mortality in patients in surgical intensive care units (ICUs), but its role in patients in medical ICUs is unknown.
In a prospective, randomized, controlled study of adult patients admitted to our medical ICU, we studied patients who were considered to need intensive care for at least three days... [go to Editorials...]

The new presentations under the session on Updates in pediatric anesthesia:

• Education and training in pediatric anestesia : what are we doing? - M. Astuto
• Institutional aspects of acute and postoperative pain control in children - R. Wilder
• New insights in non oncologic pain in children - R. Wilder
  

Covidien Italia has updated his virtual exhibit with new contents and graphics.
[Click here to visit the exhibitors list..]

The new presentations under the session on new developments in ventilation by helmet:

• I like ventilation by helmet - M. Antonelli
• I do not like ventilation by helmet - L. Brochard
• CPAP by helmet in children - D. Codazzi
• CPAP by helmet - G. Foti
• BiPAP by helmet - N. Patroniti
  

Participants are invited to submit scientific contributions relevant to anesthesia, resuscitation or intensive care in the form of oral presentations and/or posters (presentation will be held in Italian).

All those concerned should forward the abstract of their own contribution to the Congress Organizing Secretariat within and not later then 16th March 2009 by using exclusively the proper form available on line at www.startpromotion.it [full text..]

Acute renal failure (ARF) is uncommon in childhood and there is little consensus on the appropriate treatment modality when renal replacement therapy is required. Members of the European Pediatric Peritoneal Dialysis Working Group have produced the following guidelines in collaboration with nursing staff.
[go to Guidelines]

Starting from today, at the foot of every page of this website, you will find the site map, which gives you a more SMART and interactive navigation through our contents.

R. Roissant - Xenon: do we need this new anesthetic?
F. Raimondi - Heart rate variabilità and anestesia: a window over the neurovegetative system
V. A. Peduto - La scopolamine previene I sogni durante anestesia generale
F. Bonnet - Procedure specific postoperative analgesia
F. Bonnet - How to decrease  postoperative opioids side effects

Acute renal failure (ARF) with the concomitant need for renal replacement therapy (RRT) is a common complication of critical care medicine that is still associated with high mortality. Different RRT strategies, like intermittent hemodialysis, continuous venovenous hemofiltration, or hybrid forms that combine the advantages of both techniques, are available and will be discussed in this article. [see full article on-line on Chest..] • [go to Editorials..]

This review will critically evaluate current evidence for the optimal dialytic management of ARF, present an evidence-based approach to this clinically important problem, and identify key areas for future research. [leggi l'articolo completo su JAMA..] • [go to Editorials..]

A. Maas - The impact study
T. Lescot - Is it possibile to assess brain edema by CT?
M. Czosnyka - Continuous assesment of cerebral autoregulation is it useful?
P. Andrews - Post-traumatic  brain inflammation

There are two philosophical lines behind the building of every website. The first one considers the site a list of information, definitely useful and valuable. The second line is more ambitious, being aimed at developing an "electronic" interlocutor, which has however behind it real persons, with their expectations, ideals and ambitions. [read more...]

You can see the preliminary program of the XX SMART Congress 2009 HERE

These clinical practice guidelines replace the previously published parameters and include an evaluation of the literature published since 1994 comparing the use of these agents.
[go to Guidelines]

The objective of this study was to assess the effects of corticosteroids on mortality in patients with severe sepsis and septic shock. [see full article on-line on BMJ..] • [go to Editorials..]

This review will discuss modifiable risk factors for delirium, such as metabolic disturbances or potent sedative and analgesic medications. Attention to mitigating risk factors, along with recommended pharmacologic approaches such as antipsychotic medications, may provide resolution of delirium in some patients, while others will persist with refractory brain dysfunction and long-term cognitive impairment following critical illness. [see full article on-line on CHEST..] • [go to Editorials..]

In the intensive care unit (ICU), delirium is a common yet underdiagnosed form of organ dysfunction, and its contribution to patient outcomes is unclear. The objective of this study was to determine if delirium is an independent predictor of clinical outcomes, including 6-month mortality and length of stay among ICU patients receiving mechanical ventilation. [see full article on-line on JAMA..] • [go to Editorials..]

B. Kavanagh - Tight glucose control: a good idea but a bad practice
L. Gattinoni - Glicemia control in sepsis

Grossi P - Brachial plexus
Danelli G - Lumbosacral plexus
Borghi B - ALR and coagulation

R. Zander
Balanced fluid concept easy algorithm for fluid management

Nell'area linee guida della sezione educational è stato pubblicato:

• Aggiornamento 2007 delle Linee Guida ACC/AHA 2004 per la gestione dei pazienti con infarto miocardio con sopraslivellamento ST
• Terapia Intensiva pediatrica: Linee guida per la Ventilazione non invasiva a pressione positiva

Transfusion Strategies for Patients in Pediatric Intensive Care Units

Right from today you'll find on this website the so widely used RSS feeds (Really Simple Syndication), an easy and convenient way to keep informed in real time on the last updates of content.

You can download the pre-program of the XX SMART Congress 2009 HERE (only italian)

A problem was detected related to opening multimedia presentations; this problem is related to upgrade to version 10 of Adobe Flash Player.

Click here to see the MAIN TOPICS preview

The "Clinical Practice Parameters for Hemodynamic Support of Pediatric and Neonatal Patients in Septic Shock" has been published in the Guidelines area of the Educational section

"The International Sepsis Forum Consensus Conference on Definitions of Infection in the Intensive Care Unit" has been published in the Guidelines area of the Educational section

D. PIETRINI
Blood sparing in pediatric anesthesia

The final program of the XIX Smart Congress is on line

The new editorial on "The International Sepsis Forum Consensus Conferenceon Defnitions of Infection in the Intensive Care Unit" is available in the section "Educational"

The "ACC/AHA2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult" has been published in the Guidelines area of the Educational section

The "Executive Summary of the Guidelines on the Diagnosis and Treatment of Acute Heart Failure" has been published in the Guidelines area of the Educational section

A. Pesenti
PSV is cool
G. Conti
PAV is cool

There are new editorials in the section "Educational"

P. PELOSI
Fluids for trauma resuscitation
B. BOETTIGER
Spine trauma
N. STOCCHETTI
Head trauma

The guidelines "Postoperative Management in Adults" and "Antibiotic Prophylaxis in Surgery" have been published in the Guidelines area of the Educational section

The "Conservative Therapy Guidelines for Chronic Renal Failure" have been published in the Guidelines area of the Educational section

The "Dialysis Guidelines: Replacement Therapy for Acute Renal Failure in Critically Ill Patients" have been published in the Guidelines area of the Educational section

G.A. Iotti
ASV vs CMV
C. Putensen
BiPAP is cool

O. CHIARA
Trauma Centers: why not in Italy?
G. NARDI
Territorial networks for trauma

L. Gattinoni
Intermittent vs. continuous central venous saturation monitoring
F. Valenza
Central SvO₂ as a guide for therapy: the clinical scenario

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