MinutesoftheESICMNeuroIntensiveCareSectionMeeting
37thISICEM,March24th2016
R202:12:00-13:30
FabioSTACCONE–Chair
LaraPRISCO–Deputy
Agenda
CongressActivities-FSTaccone
LIVES2017Vienna
FSTproposedthefollowingsessionsforLIVES2017tothecongress
committeewithpositivefeedback:
• CLINICALCHALLENGE
– ICPManagement
– Sedativemanagement(inABIpatients)
• THEMATICSESSION
– PracticalissuesinSAHManagement
– Howtouserecentguidelinesinneurocriticalcare?
– Individualisedtherapyinneurocriticalcare
• CPD
– NeurologicaldysfunctionintheICU
• StateoftheArt
– Consensusonfluidtherapyinneurocriticalcare
• LIVEDEBATES*
– Headinjuryandsevereinternalhaemorrhage:Howto
prioritise?
Speakers:thechoiceofspeakersdependsonthesections(TBDinthe
nextmonths).TheCongresscommitteeiskeentoincreasethefaculty
byaddingtotheexistingpoolofexpertsnewinvestigators,educators
andICMexpertsinallsections.
AllscientificsectionshavethesamenumberofsessionsduringLIVES.
Thismaybere-discussedinthefuturewithintheCongressCommittee.
TheCongressCommitteeexpressedtheinteresttohavetheConsensus
onFluidTherapyresultsandconclusionspresentedalsoinaseparate
sessionoftheCongressinVienna.
PGCourseforLIVES2018
TheSectionhasn’tproposedaPGCourseforLIVES2017duetothe
concurrentConsensusmeetingofFluidstherapyafteracutebrain
injury.
TheSectionwillbrainstormfortopicstoconsiderforaPGcourseat
LIVES2018(alsocross-sectionscourseswillbeconsidered).
Regionalconferences2018-2019
Task
FSTremindedall
attendeestocheck
theirNICmember
statusonthe
ESICMwebsite–
thiswillallow
themtoreceive
theNIC
correspondence
Forproposalssend
anemailtoFSTor
LP
TheSocietyhasalreadyplannedseveralregionalconferences(two-day
congressincollaborationwithNationalSocietiesinIntensiveCare
Medicine,generallyonsingletopicsofrelevanceforIntensivists,see
previouseditionsathttp://www.esicm.org/events)butforthefuture
editionstheNICsectioncouldcontactNationalSocietiesandproposea
topicforthisevent.
NewConsensuswithNeurocriticalCareSociety
FeverDefinitionandManagementhasbeenproposedasatopicfora
jointNIC-NCSConsensus.TheSectionisopenforfurtherproposalsfor
futureConsensusmeetingsandGuidelinesdevelopment.TheSocietyis
highlysupportivefortheseinitiativesasistheJournal(ICM).
NICConsensusonFluidtherapy-M.OddoorGCiterio
MauroOddopresentedthecurrentstatusoftheConsensusonFluid
therapybyexplainingthestratificationinthreeworkingsubgroups:
² SG1:fluidresuscitation&maintenance
² SG2:ICPcontrol
² SG3:managementofischemia
TImeline:
• Theliteraturesearchiscompleted
• TheGRADEisundergoing(ExpectcompletionMay)
• ComputerisedConsensus(ExpectcompletionJune)
• ManuscriptdraftingandsubmissionbyOctober2017(tentative
timeline)
• PresentationofthedataissuesfromtheconsensusatESICM
Vienna
Ongoingresearchactivities–FSTaccone,MOddo
ThePIsprovidedanupdateofthefollowingstudies:
TRAIN-FSTaccone
TRAINisnowstartedandthefirst47patientshavenowbeen
randomisedintheparticipatingcenters.
Newcentersaremorethanwelcome.
Automatedpupillometryforcomaprognosticationaftercardiac
arrest–MOddo
Thepreliminaryresultsofthepupillometrystudyarepromising,
furtherdatacollectionfromothersitesisongoing.
Education-LPrisco
eLearningplatform
LPriscoexplainedthecurrentstateofPACTandthedevelopmentplan
fortheeLearningplatformbyESICM.
AtpresenttheNIChas:
- OpenacallforjunioreAuthors(46expressionsofinterest,>30
confirmedandhavebeenincludedintodatabase,goodbalance
ofEuropeanvsInternational)
Forproposalssend
anemailtoFSTor
LP
Formore
proposalssendan
emailtoFSTorLP
Forcontactsend
anemailtoFST
-
-
-
-
-
TheNICEditoriallineforthePACTmoduleupdatehasbeen
developedasfollows
5PACTmodulesexisting,3underupdate,2ofwhichsentfor
peer-review:previousauthors,reviewersandeditorsinvited–
ifdeclinedthennewauthorsinvitedfromjunior/seniorauthors
database.
o ComaandAlteredConsciousness–inpeer-review.
Authors:NicolasWeiss,SteinSilva,RomainSonnerville
o NeuromuscularDisorders–inpeer-review.Authors:
NicolaLatronico,ZudinPuthucheary,HughMontgomery
o AcuteBrainIschaemia–eAuthorsupdate.Authors:
MatthewKirkman,ArnaldoSilva
Someissues(aboutcopyrightmaterial,incentivestoauthors,
citabilityofwork,peer-reviewprocess)havebeenreportedto
theCouncil,DPDandeLearningcommittee
ThePOICsectionhasinvitedtheTEMandNICsectiontowork
togetheronthePerioperativeMedicineeCoursebydeveloping
theTrauma-relatedmodules(NICwillworkatTraumaticBrain
Injury,SpinalCordInjuryandPerioperativemanagementofthe
NeurosurgicalandNeurologicalpatient)
FromtheNICperspective,agridroadmappingthenew
modulesandcoursesisthenexttaskinordertoprogresswith
theprojectcorrectly.Eachmodulewillbecross-linkedtothe
CoBaTrICEcompetencieslist.
Withintheconceptofblendedlearningthesectioncouldwork
atdevelopinganeCoursetodevelop/testcompetencies,and
combinethiswithaface-to-facecoursewithhands-on-sessions
attheESICMOfficeinRueBelliard(theNICsectionhasbeen
updatedabouttheworkinprogressaroundtheStablebuilding
whichwouldbefinishedinJan2018)
TheeLearningcommitteewilldiscusstheissueshighlightedby
thesectionandinformallsectionsaboutthenewlydefined
editorialline(whichwillincludeaMedicalEditorandaMedical
IllustratortosupporteAuthorindevelopingcontent/format,
peer-reviewprocess,etc.)
ResearchandEducationPrioritiesandSystematicReviewGroup–L
Prisco
AcallforResearchprioritiesandKnowledgegapshasbeenforwarded
tothesectionmembersearlythisyearviaemail.
Theaimistousethisprioritieslisttodevelop:
- ConsensusStatements
- Guidelines
- SystematicReviews
LPtoidentify
eAuthorsforthese
threemodules
(TBI,SCI,Periop.
Neurosurg/Neurol)
LPtodevelopa
preliminarygrid,
tobediscussed
withtheNIC
section(oraworkgroup)inVienna
eLearning
committee/DPDto
forwardEditorial
linetosections
-
Researchhypothesis/studies
Education/Congressactivities.
SofartheNICsectionhasreceived17suggestions(text-mined):
• 5suggestionsonIntracranialPressureManagement(3xTBI)
• 3suggestionsonFluidsinNeuroICU(2xOsmotherapy)
• 2suggestionsonHypothermia
• 2suggestionsonPrognosticationafterABI(1xSAH,1xTBI)
• 7suggestions:
1. PreventionandManagementofDCIinSAH
2. EEGmarkersofoutcomeinHIE
3. OutcomeinHypertensiveIVH
4. SpinalCordInjurymanagement
5. MarkersofHypercoagulabilityinCancerpatientwith
Ischaemicstroke
6. DeliriumandMetabolicencephalopathy
7. MechanicalVentilationinNeuroICU
SelectionofProposalsfortheClinicalTrialsGroup-LPrisco(+
presentPIs)
TheTrialsGroupAwardisoneoftheResearchawardsofferedby
ESICM.Studiessubmittedforthisawardmustbeforwardedviathe
NICSectionChair(FST)totheTrialsGroup.
5proposalshavebeensubmittedtoFSTandtheNICsectionwillvote
viaSurveyMonkeyforthe3studiestoforwardtotheTrialsGroup.
ThefollowingstudieshavebeenpresentedbythePIs:
1. CeRebrUmandCardIacprotectionwithALlopurinol
inneonateswithduct-dependentcongenitalheartdisease
requiringneonatalcardiacsurgerywithcardiopulmonary
bypass.CRUCIALTrial(NicolaasJGJansen,UniversityMedical
CenterUtrecht)
2. InternationalprospectiveobservationalStudYoniNtrAcranial
PreSsurEinintensivecare(ICU)-SYNAPSE-ICU.(Giuseppe
Citerio,UniversityMilanoBicocca–OspedaleSanGerardo)
3. ExtubationinNeuro-ICUpatientsandOutcome.TheENIO
Project.AMulticentreInternationalObservationalStudy.
(KarimAsehnoune,CHUNantes)
4. TheEURopeanstudyonEncephalitisinintensiveCAreunits-
The“EURECA”study(RomainSonnerville,Paris)
5. ProphylacticHypertonicLactateOrSalineafterSevere
TraumaticBrainInjury-PHYLOS-TBI(MauroOddo,CHUV
Lausanne)
AnUpdateonTTM2andTAME-HFriberg
ThedesignandwebsiteofthenewTTM2Trialhavebeenpresented
NICmembersto
suggesttopicsvia
SurveyMonkeyto
followviaemail
NICmembersto
voteforthethree
Studiesthe
Sectionhasto
proposeforthe
TrialsGroup
Award2017–
SurveyMonkeyto
followviaemail
anditsinteractionwiththeTAMEtrialexplained.
InterestedcentresareinvitedtocontactHFribergortheNICChair.
Pointsnotdiscussedinextensoduringthemeeting–time-constraint
Researchprojectsubmitted,centersinterestedcouldcontacttheNIC
Chair/Deputyformoreinformation:
AMulti-CentreObservationalStudyoftheRelationshipbetweenthe
QualityofBrainResuscitation,andConsciousness,Neurological,
FunctionalandCognitiveOutcomesfollowingCardiacArrest-AWARE
II(AWArenessduringREsuscitation).(SamParnia,StonyBrook
Medicine)
Pleasesendan
emailtoFSTto
makethecontact
withthePIinUSA