Critical Care - ISCCMisccm.org/NewsLetterFiles/nl887300825.pdfDr. Vijaya P. Patil • Dr. Babu Abraham • Dr. Rajesh Pandey Members Election Commission • [email protected] Critical

Volume 8.2 march-april, 2013

Editorial officE

dr. Shivakumar iyerIndian Society of Critical Care Medicine, (ISCCM) Pune Branch

Karnik Heritage, Flat No 08, 3rd floor, Sadubhau Kelkar Road, Off F. C. Road, Pune - 411004, Maharashtra

Phone : 020-25532320 (from 11 am to 3 pm) emails : [email protected]

Published By :

IndIan SocIety of crItIcal care MedIcIne

For Free Circulation Amongst Medical Professional

Unit 6, First Floor, Hind Service Industries Premises Co-operative Society, Near Chaitya Bhoomi, Off Veer Savarkar Marg, Dadar, Mumbai – 400028

Tel. 022-24444737 • Telefax :022-24460348 email : [email protected] • [email protected]

C O N T E N T S

CRITICARE 2013 Highlights ......... 1

ISCCM Elections 2013 Appeal ...... 1

Editorial ......................................... 2

Editorial Board 2012-2013 ............. 2

President's Desk ............................. 3

General Secretary's Desk ............ 4-5

Welcome New Members to the

ISCCM family ................................ 5

College News .................................. 6

Annual Report of City Branches /

State Chapters ............................7-10

CRITICARE NURSING 2013 -

A Report ........................................11

Journal Scan.............................12-13

CRITICARE 2013 .....................14-19

Calender of Events ........................19

CRITICARE 2014 ......................... 20

CRITICARE 2013 HighlightsDAY 1 Friday, 1st March 2013

1.00 pm iSccm executive committee meeting

5.30 pm - 6.30 pm convocation of indian college of critical care medicine

past president's oration : medicine in ancient india: Dr. ashit Bhagwati

7.00 pm -7.30 pm inauguration ceremony

chief Guest : Swami Suparnanandaji Secretary, ramkrishna mission

Guest of honour : prof. Suranjan Das ( Vice chancellor, calcutta university)

7.30 pm onwards cultural program (Niharika Troupe) presidential Dinner

DAY 2 Saturday, 2nd March 2013

8.30 am - 8.50 am presidential address Dr. Narendra rungta

8.50 am - 9.20 am iSccm oration Dr. Banambar ray

6.00 pm - 7.00 pm annual General Body meeting

7.30 pm onwards BaNQueT : Nicco park : Wet ‘o Wild (a 50 ft high grand waterfall, a simulated sea beach with rolling waves)

DAY 3 Sunday, 3rd March 2013

10.20 am - 10.40 am Best poster /Floor presentation

3.00 pm - 3.20 pm hansraj Nayyar award

6.30 pm - 7.00 pm Valedictory Function

ISCCM Elections 2013 AppealPlease update your Email ID and

Register your mobile phone no with ISCCM Dear members

Free and fair elections are the foundation of any democratic society. iSccm elections are now held online only. it is therefore, imperative that iSccm has email ids and mobile phone nos. of all its members for registering them on the electoral rolls. You are therefore, requested to please update your email ids and mobile numbers as soon as possible. election participation has been only 30% in iSccm election 2012. please visit our website www.isscm.org for downloading the membership update form. all branches have special duty for following this task. i will be in touch with all branch secretaries for continuing this important work for iSccm election 2013.

Dr. Shivakumar IyerChairperson Election Commission • [email protected]

Dr. Vijaya P. Patil • Dr. Babu Abraham • Dr. Rajesh PandeyMembers Election Commission • [email protected]

Critical CareC O M M U N I C A T I O N S

A BI-MONTHLY NEWSLETTER OF INDIAN SOCIETY OF CRITICAL CARE MEDICINE www.isccm.org

We request our esteemed readers to send

their valued feedback, suggestions & views

at [email protected]

2 The CriTiCal Care CommuniCaTionsa Bi-monthly newsletter of indian society of Critical Care medicine

Editorial Board 2012-2013

eDiTor iN chieFDr. Shivakumar Iyer, Pune

09822051719 [email protected]

DepuTY eDiTor

Dr. Jayant Shelgaonkar Dr. Krishan Chugh

098812288205 [email protected] [email protected]

memBerS

NorTh ZoNe WeST ZoNe SouTh ZoNe ceNTral ZoNe eaST ZoNe

Dr. Jignesh Shah Dr. Suninder Arora Dr. Vijaya Patil Dr. Palepu Gopal Dr. Ranvir Tyagi Dr. Arindam Kar


[email protected] 09819883535 [email protected]



[email protected]

Editorialdr. Shivakumar Iyereditor, The critical care communicationspresident-elect, [email protected]

Dear ISCCM members,

The ISCCM Kolkata conference

is at our doorstep. Dr. Todi, Dr.

Bandopadhyay and their team have put up an

excellent scientific program for the benefit of

all the delegates and I am sure their hospitality

will be unprecedented. I am eagerly looking

forward to the Congress and meeting old friends and making new ones. Our

president’s efforts in taking Critical Care to places is reflected in the greater

involvement of branches and the amazing good academic work being done

at the grass root level as seen in the annual reports of the branches. Nagpur

has won the best branch award along with Bangalore and I hope this spurs

other branches to perform better.

The report on the Critical Care Nursing conference augurs well for Critical

Care. Critical Care Nurses are the backbone of patient care in ICU and we

must support fully the growth of the critical care nursing specialty.

The journal scan brings you the highlights of the updated sedation guidelines

(SCCM) and other recent articles. Once again I request all readers to send in

contributions. Looking at the academic activities of the branches I feel there

should be no dearth of interesting cases that members can send.

Enjoy ISCCM Kolkata 2013!

The CriTiCal Care CommuniCaTionsa Bi-monthly newsletter of indian society of Critical Care medicine 3

dr. narendra rungta mD, FiSccm, Fccmpresident, iSccm • [email protected]

President's Desk

Dear Friends

I have completed one full year in office of the President of ISSCM. It has been fruitful one year of satisfaction,

fulfilment, yet full of challenges. Challenges - typically of an organization which is developing very fast, of an organization whose membership consists of high profile ambitious medical professionals who take the challenge of saving a dying patient. Therefore, these are special challenges which I have really enjoyed facing and negotiating. Hats off to my colleagues and friends in EC both past and present, who have born with me and trying to put things together. It is an environment of expectation all round.

First and foremost, the growth of the society is at its best. To put it in numbers we were 5495 members before GBM Pune and are 6117 members, today while I am writing this address. Number of branches before GBM Pune were 54 as compared to 61 today. Total fund (all inclusive) before GBM Pune was Rs. 1,07,67,256.04 as compared to Rs. 2,28,50,415.82 today. The number of approved IDCCM centres before GBM Pune were 92 compared to104 today. Isn’t stupendous. We had set our goal at crossing 6000 membership in Pune which has been easily achieved. Bright funds position has been clubbed with tight finance control. The accounts of the society are in the best health from accounting, organizational and auditors point of view, Thanks to some outstanding work done by our secretariat, treasurers office and of course our internal Auditors.

The participation of the EC, the communication , the democratic exchange of ideas and views have been more than ever. The branches have been actively encouraged to be a part of national main stream. Annual meeting of branch members, seeking guidance from past Presidents has become way of life in ISCCM. Adherence to constitution of ISCCM has become the “ Mantra”.

With emergence of ASAARCS – the association of SAARC societies of Critical Care Medicine, more collaborations with international Critical care societies, we are looking offshore. We have strong relations with Asia-pacific countries critical care groups which has resulted in award of APACCM conference to ISCCM going to be held at Jaipur from 14th to 18th February 2018 along with 20th annual conference of ISCCM. We are more closely collaborating with Arab world in terms of sharing of information, knowledge and skills. There has been some movement forward about forming Indo- Omanese Forum and holding joint meeting with them once in a year. We have reached them through various workshops like FCCS, PFCCS and Hemodynamic workshops.

Our existing MOUs with other international societies of Critical Care have been growing steadily. However, we have been trying to make sure that these relationship grow at equitable terms. Our ambassadors appointed last year have borne fruits particularly in Oman.

The most exciting news is our readiness to bid for World Congress of World Federation in 2019 and I am sure the World federation is equally excited to come to India. We are making a strong bid in Johannesburg South Africa during the upcoming World Congress in August –September. A little bit of luck and we are confident of winning the bid. Another feather in cap of ISCCM during the last one year has been the Post- MBBS certificate course and which has got off to a flying start in large number of approved ICUs in the country. IDCCM and IFCCM are growing as ever. The hard work and perseverance of the society is MCI s approval of Critical care Medicine as a super speciality and introduction of DM course in the super speciality. Now the nursing diploma course in Critical

Care is on board. The course has already been announced and very soon approved ICUs will have nurses enrolled for this course. A few universities are also looking at us for collaboration in the field of Critical Care which will bear fruits in coming times. Formation of Critical Care Nursing Society in India has been one of the most important events of the year. ISCCM has been in the forefront to encourage this society and also offered to them – the organization of their second conference with annual conference of ISCCM at Jaipur which they have accepted. Congratulations to them- the CCNS.

The Indian College of Critical Care Medicine has been performing its duties wonderfully well rather overzealously. The courses, accreditations, teachers identification and exam conductance has been done with eyes on highest standards. The status of the college vis a vis EC of ISCCM and the committees of have to evolve over next few years as the experience will demand. We are embarking upon development of our own courses and workshops protocols which may become basis of training and teaching in India in Critical Care medicine in coming years.

IJCCM -the Indian Journal of Critical care Medicine has to move into next horizon. Steps have been taken to make it more frequent, more tempting document to posses, better medium for publicity by the industry. With transition in editorial office of the Journal, I am sure the new team will take the challenge of touching newer paradigms early and with glory.

More growth, more people in waiting, therefore probably its time to create space for younger generation in the leadership development programs in ISCCM Suitable constitutional amendments are being proposed to encourage participation of more younger professionals. I am sure the members will welcome these changes.

Online elections has been huge success and will continue for good I am sure. Revised guidelines are being published. We will try our best to bring in more guidelines in the year ahead.

Our focus is on research in times ahead. Collection of data of existing ICUs in India, creating an Indian ICU network, doing some meaningful research about tropical fevers, swine flue – the H1N1 scare and some trials about bright looking molecules may be considered in future. No shortage of funds will be felt in this quest. Collaboration with organizations like ICMR are being explored. I am sure we will succeed with flying colors.

The Kolkata Criticare 2013 is coming up with few hiccups and I am sure the organizing committee will accept the challenge and achieve successful meeting putting all speculations to the dust. The registration has been exciting and until I am writing this, I know it has crossed 2500. I wish the conference a grand success and and will love to be proud of it at all times.

I am thankful to my EC colleagues for being with me all these times. I have got unforeseen affection from branches where ever I have travelled. I am sorry for the branches where I could not. I will try to make amendments in the current year. My thanks to general Secretary Dr Atul Kulkarni and Treasurer Dr Sheila for being so wonderful and ISCCM office staff I have not been able to thank any one by name, but my gratitude is with all those who have helped me during the year and I am sure they will continue to support me during the next one year particularly when we are organizing Criticare 2014 at Jaipur.

Wishing to see you at Kolkata

Thanks


General Secretary's Deskdr. atul P Kulkarni

General Secretary, iSccm

The Executive Committee of Isccm takes Great Pleasure in Presenting the 19th Annual Report of the IsccmcrItIcare 2012

The “18th Annual Congress of the Indian Society of Critical Care Medicine & International Critical Care Congress 2012”, was held in Pune at the Marriott Hotels & Convention Centre, from February 15th to 19th, 2012. The event brought together an mixed audience of 2650 eminent national & international Intensivists, Anesthetists, Pulmonologists, Pediatricians & Chest Physicians with an interest in Critical Care & emergency medicine from Asia and the rest of the world. Delegates from India, Nepal, Srilanka, Bangladesh, Abu Dhabi, Canada, Qatar, Australia, United Kingdom and other countries attended the conference. A number of international societies including the Society of Critical Care Medicine, the World Federation of Societies for Critical Care Medicine and WINFOCUS participated in this congress. This year all 16 workshops had been booked to full capacity. The registrations for workshops had to be closed one month prior due to overwhelming response. A total of 16 workshops at 4 different venues were conducted with emphasis given to hands on training and important skills wherever required. The main conference was conducted at The Marriot and The Mahratta Chamber of Commerce, and was executed to perfection by the organizing committee led by Dr. Shirish Prayag(Chairperson), Dr. Ajit Yadav (Co-Chairperson) and Dr. Kapil Zirpe (Organizing Secretary) and Dr. Subhal Dixit (Joint Secretary). The heart of any conference is the scientific program and it was precisely in this aspect that Criticare 2012 was unique. Dr. Sandhya Talekar, the main architect of this scientific program liaised with the scientific committee headed by Dr. Chawla to create a world class scientific program. Dr. Prayag’s international stature helped bring in many excellent international faculty members and the national faculty was carefully chosen to deliver excellent scientific content. Dr. Shivakumar Iyer and other members of the Scientific Committee Criticare 2012 ably assisted Dr. Talekar in shaping the scientific program. 1st Time an Inaugural Function with a Theme Feature Film – Resonant Notes. “Resonant notes” was the brain-child of Dr. Shirish Prayag, organizing chairperson Criticare 2012 and was extremely well received by all our international and national attendees. Dr. Kapil Zirpe, Dr. Subhal Dixit and everybody else on the organizing committee also worked extremely hard to make this movie a success.

Criticare 2012 was overall a grant success be it the scientific sessions or the cultural nights and gala dinners.

election results

The Electronic elections were successfully held this year also.

Nominations were invited for the post of two Vice Presidents; one Secretary and four Executive Committee Elected Members.

Elections were held for above posts.

The following contestants were declared elected.

Vice Presidents : Dr. Yatin Mehta, New Delhi; Dr. Kapil Zirpe, Pune; Dr. Khilnani Praveen, New Delhi

secretary : Dr. Prakash Shastri, Gurgaon

Executive Committee Members : Dr. Singh Yogendra Pal, New Delhi; Dr. Khunteta Sudhir, Jaipur; Dr. Nikalje Anand, Aurangabad; Dr. Sachdev Anil, New Delhi

New Members and Branches

Membership of ISCCM

In the year 2012, there were 624 applications for membership. Presently the total membership of ISCCM is 6117.

Branches

The following new branches were formed in year 2012.

1. Kakinada; 2. Vijayawada; 3. Bi-laspur; 4. Thane; 5. Shillong; 6. Bhavnagar; 7. Patiala

The city and state wise breakup of the new members is as follows:

city No. of members city No. of

MembersAgra 17 Patiala 12Ahmedabad 6 Patna 2Akola 4 Pune 22Aurangabad 1 Raipur 3Bangalore 22 Rajkot 10Baroda 1 Shillong 13Bhilai 3 Solapur 2Bhopal 5 Surat 7Bhubaneswar 5 Thane 4Bilaspur 7 Trichy 2Chandigarh 6 Trivandrum 6Chennai 12 Vadodara 4Coimbatore 4 Varanasi 3Delhi & NCR 65 Vishakhapatnam 7Ghaziabad 4 Valsad 2Gurgaon 6 state

Guwahati 6Andhra Pradesh 19

Hyderabad 13 Assam 9Imphal (Shillong) 6 Goa 1Indore 1 Gujarat 17Jabalpur 2 Haryana 8

Jaipur 15Himachal Pradesh 1

Jalandhar 4 Jharkhand 2Jamshedpur 1 Karnataka 20Jodhpur 4 Kerala 13

Kakinada 19Madhya Pradesh 5

Kanpur 2 Maharashtra 32Kochi 2 Manipur 3Kolhapur 2 Orissa 4Kolkata 10 Punjab 8Lucknow 10 Rajasthan 8

cityNo. of

members stateNo. of

MembersLudhaina 9 Sikkim 1Mangalore 1 Tamil Nadu 16Meerut 2 Tripura 1Mumbai 40 Uttar Pradesh 9Nagpur 16 West Bengal 8Nashik 1 Chattisgarh 1Navi Mumbai 4 New York 1

Indian Journal of Critical Care Medicine (IJccm)

The IJCCM is doing well and many articles are being received for publication. The nominations were invited for appointment of editor of Indian Journal of Critical Care Medicine (IJCCM) and Dr. Rajkumar Mani was selected by the Credentials Committee and appointed by the Executive Committee for the said post for the period January 2013 to December 2014. We wish him all the success and hope that Indian Journal of Critical Care Medicine (IJCCM) will progress even further under his able guidance. The Executive Committee also thanks Dr. Shirish Prayag for his untiring efforts during his editorship tenure for making Indian Journal of Critical Care Medicine (IJCCM) a wonderful journal.

critical care communications (ccc)

CCC continued with features such as names of new members and branches approved during Executive Committee Meetings, a report of various branch activities along with their photographs, addresses from the President and General Secretary etc. Dr. Shivakumar Iyer, Editor, CCC, has been working upon bringing up CCC in an interactive online form.

Website

The ISCCM website has been completely revamped and it is regularly updated about ISCCM activites and other educational events. When you first open the page, it allows you to update your electronic contact details. Please update your details if you have not already done so. Our publications - Indian Journal of Critical Care Medicine (IJCCM) and Critical Care Communications (Newsletter) are available online. Complete information regarding the recently started Indian College of Critical Care Medicine and our courses is also available on the website.

Isccm research activities

completed Projects

1. Multi-center Observational Study to evaluate epidemiology and resistance patterns of common ICU-Infections (mOser)

The MOSER Study, a multicentre observational observational study on nosocomial infections in Indian ICUs was completed this year (Study period - Aug 2011 to Oct 2012.). Dr. R. Venkatraman was the principal Investigator. 20 ICUs across the country are taking part. 387 patients were enrolled from 16 centers. The study was funded by a research grant from MSD India.

2. A survey of Mobilization, Analgesia, relaxant and sedation Practices in Indian ICUs (MARS)

Sedation, analgesia and muscle relaxation are important components in the management of mechanically ventilated patients in the ICU. Evidence suggests that appropriate sedation, analgesia and muscle relaxation can modify outcome in


critically ill patients. There is, therefore, an urgent need to understand current practice patterns in India. This nationwide survey of practices of sedation, analgesia, muscle relaxation and mobilization was conducted by Dr. Chawla and colleagues under the aegis of Indian Society of Critical Care Medicine (ISCCM) with the following aims:

1. To evaluate the demographic pattern of intensive care units using these modalities in India.

2. To understand the variability in sedation,

analgesia and relaxation practices in Indian ICUs.

3. To compare the practices of mobilization of critically ill patients in Indian ICUs

The questionnaire was sent online to all ISCCM members. The questionnaire included both Yes or No format type and multiple choice question answers type questions.

The survey was completed between 15th Sept. 2012 and 30th Nov. 2012. The results will be presented during Criticare 2013. The study was

funded by ISCCM.

Future Developments

It is proposed to create a Network of Indian ICUs (Net ICU) to collect data on an ongoing basis from several Indian ICUs. Net ICU will allow generation of epidemiologic and quality control data. Net ICU will be expanded to form a body that will focus on research in Indian ICUs.

Dr. Narendra rungta Dr. atul KulkarniPresident, ISCCM General Secretary, ISCCM

Welcome New Members to the ISCCM family1. Sameer Shahane, Nagpur LM-12/S-9232. Amit Chauhan, Surat LM-12/C-2613. Satyan Singh, Pune LM-12/S-9244. Kunda Mendhekar, Delhi ALM-12/M-4995. Avula Srinivas, Guntur LM-12/S-9256. Namrata Maheshwari, Ludhiana LM-12/M-5007. Vipul Mishra, Noida LM-12/M-5018. Somnath Dey, Kolkata LM-12/D-3629. Nilesh Shah, Vadodara ALM-12/S-926

10. Bhavesh Patel, Baroda LM-12/P-51711. Mitali Baruah, Guwahati LM-12/B-43812. Ritu Chopra, Hisar LM-12/C-26213. Shekhar Sinha, Hisar LM-12/S-92714. Nandini Thirumalai Swamy, Coimbatore ALM-12/S-92815. Hithaishi Chinthalapalli, Chittoor LM-12/C-26316. Manish Arora, Hisar LM-12/A-36417. Akhilesh Singh, Noida ALM-12/S-92918. Shabnam Momin, Mumbai LM-12/M-50219. Monica Goyal, Hisar ALM-12/G-45320. Dheeraj Khatri, Gangtok LM-12/K-57521. Diganta Das, Shillong LM-12/D-36322. Sangeeta Kar, Shillong LM-12/K-57623. Ajaya Kumar, Lucknow LM-12/K-57724. Vivekanand Rajendran, Bangalore ALM-12/R-36725. Santosh Naik, Bagalkot LM-12/N-18026. Suchitra Mohite, Pune LM-12/M-50327. Mayank Chansoria, Jabalpur LM-12/C-26428. Gaurav Yadav, Mandsaur LM-12/Y-3329. Manish Kumbhare, Jabalpur LM-12/K-57830. Taiyenjam Singh, Manipur LM-12/S-93031. Ajaya Mahanta, Dispur LM-12/M-50432. Prof Arunabha Sarkar, Dist - Darjeling LM-12/S-93133. Kalyan Lahiri, Darjeeling LM-12/L-5434. Prashant Kumar, New Delhi ALM-12/K-57935. Mansukh Gorwadia, Rajkot LM-12/G-43936. Sudipta Mukherjee, Kolkata LM-12/M-50537. Deepak Tempe, New Delhi LM-12/T-21438. Manojkumar Waghmode, Raigad LM-12/W-4639. Manoj Poptani, Chattisgarh LM-12/P-51840. Sangeetha, Bommasandra Post LM-12/S-93241. Tarun Kumar Reddy, Bangalore LM-12/R-36842. Vinod Prabhu Ganapathy, Coimbatore LM-12/G-44043. Misbah Rangwala, Vadodara LM-12/R-36944. Lokesh Eshwara, Mysore LM-12/E-1545. Dinesh Raj, Big Kanchipuram LM-12/R-37046. Ronak Yagnik, Gandhi Nagar LM-12/Y-3447. Badri Narayanan D, Chennai LM-12/D-36448. Nilesh Korde, Akola LM-12/K-58049. Vasanth Kamath K, Mangalore LM-12/K-58150. Sanjay Verma, Lucknow LM-12/V-20051. Balaji Badrinarayan, Navi Mumbai LM-12/B-43952. Puneet Patil, Dhule LM-12/P-51953. Santosh Shelar, Dist - Solapur LM-12/S-93354. Deepak Gupta, Kanpur ALM-12/G-44155. Sucheta Hardikar, Pune - LM-12/H-7756. Prakhar Agrawal, MHOW LM-12/A-36557. Jitendra Choudhary, Mumbai LM-12/C-26558. Akshay Sonone, Pune ALM-12/S-93459. Jayachandran C.Gtrivandrum LM-12/G-44260. Jacob John, Trivandrum LM-12/J-29761. Sunjith Ravi, Trivandrum LM-12/R-37162. Rohit Kooloth, Mumbai LM-12/K-58263. Niyas C.M, Manjeri LM-12/M-50664. Krantimaya Mohanty, Bhubaneswar LM-12/M-50765. Girish Hiregoudar, Kolhapur LM-12/H-7866. Harsh Khandelia, Hyderabad LM-12/K-58367. Urvil Patwa, Ahemdabad LM-12/P-52068. Bala Krishna Karri, Srikakullam LM-12/K-58469. Vinita Malpure, Thane LM-12/M-50870. Dipak Bhuktar, Nanded LM-12/B-44071. Hemanth H.V, Bangalore LM-12/V-20172. Mandeep Singh, Delhi LM-12/S-93573. Kavita Tripathi, Gautam Budh Nagar ALM-12/T-21574. Vishnu Vardhana Bollepalli, Hyderabad LM-12/B-44175. Nityanand Lanka, Hyderabad LM-12/L-5576. Guru Prasad, Musheerabad LM-12/P-52177. Sandhya Zambare, Jalgaon LM-12/Z-878. Javedahmed Shaikh, Mehsana LM-12/S-93679. Ashraf Hussain, New Delhi ALM-12/H-7980. Amitkumar Patel, Rajkot LM-12/P-52281. Anil Gupta, Ahemdabad LM-12/G-44382. Ravi Bhaskar, Lucknow LM-12/B-44283. Mahesh K.M, Bangalore LM-12/M-50984. Narendraprasad C, Bengaluru Rural Dist LM-12/C-26685. Neeru Sahni, Chandigarh LM-12/S-93786. Govindram Kodwani, Tumsar LM-12/K-58587. Manish Kumar Roy, Delhi ALM-12/R-37288. Kavita S Srinivas, Nagpur ALM-12/S-93889. Vinod Kumar Jain, Sikar LM-12/J-29890. Sunil Gupta, Dharamshala LM-12/G-44491. Manisha Bhosale, Karad ALM-12/B-44392. Pravin Mane, Satara LM-12/M-51093. Pradip Ghadge, Satara LM-12/G-44594. Chetan Prakash, Jaipur ALM-12/P-52395. Arun Kumar Gupta, Ludhiana LM-12/G-44696. Gopala Krishna M.S, Vijaywada LM-12/S-939

97. Mohsin Hanafi, Jaipur ALM-12/H-8098. Ravindra Zore, Mumbai LM-12/Z-999. Sameer Gulati, Delhi LM-12/G-447

100. Anjana Tiwary, Pune ALM-12/T-216101. Ravish T.B, Bangalore ALM-12/B-444102. Jyoti Rathod, Pune ALM-12/R-373103. Abraham Joseph, Thiruvananthapuram LM-12/J-299104. Ramesh Kumar Ramachandran, Chandigarh LM-12/R-374105. Rohini Shinde, Pune ALM-12/S-940106. Nilesh Kapadnis, Nashik ALM-12/K-586107. Bal Krishan Sodhi, Jalandhar LM-12/S-941108. Muktanjali Arya, Ludhian LM-12/A-366109. Latha Murugan, Hyderabad LM-12/M-511110. Vijay Singh Jadaun, Jaipur LM-12/J-300111. Ambika Chaudhary, Ghaziabad ALM-12/C-267112. Anil Ohri, Varanasi LM-12/O-12113. Sharat Lodha, Jodhpur LM-12/L-56114. Kiran Kudrimoti, Pune LM-12/K-587115. Pooja Rastogi, Noida ALM-12/R-375116. Seikh Jahangir Alam, New Delhi ALM-12/A-367117. Preeti Jain, Agra ALM-12/J-301118. Kishore Panjwani, Agra LM-12/P-524119. Ajay Bansal, Agra LM-12/B-445120. Dharmendra Sharma, Agra LM-12/S-942121. Prashant Lavania, Agra LM-12/L-57122. Dibya Jyoti Das, New Delhi ALM-12/D-365123. Vinit Kumar Srivastava, Bilaspu LM-12/S-943124. Bhavna Royzada, Bilaspur LM-12/R-376125. Aviit Royzada, Bilaspur LM-12/R-377126. Sandhya Chandrakar, Bilaspur LM-12/C-268127. Parineeta Jaiswal, Bilaspur LM-12/J-302128. Tina Das, Gurgaon ALM-12/D-366129. Ashok Nathwani, Valsad LM-12/N-181130. Susovan Mitra, Dist Hooghly ALM-12/M-512131. Navin Puttum, Chennai ALM-12/P-525132. Narendra Jena, Madurai ALM-12/J-303133. Shankar Hanamantrao, Gulbarga ALM-12/H-81134. Krishnakant Bhatt, Surat LM-12/B-446135. Kedar Prasad Badagujar, Jaipur ALM-12/B-447136. Farhad Momin, Bhiwand LM-12/M-513137. Disha Magatapalli, Vishakhapatnam LM-12/M-514138. Madhurjya Saikia, Dibrugarh ALM-12/S-944139. Prasanta Sonowal, Dibrugarh LM-12/S-945140. Rama Prasad Medhi, Dibrugarh LM-12/M-515141. Harish Jeyavel, Bangalore ALM-12/J-304142. Amit Dilip Nabar, Mumbai LM-12/N-182143. Vinay Bhomia, Ahemdabad LM-12/B-448144. Jemira Ranpise, Mumbai ALM-12/R-378145. Himaaldev G.J., Chickmagalpur LM-12/J-305146. Gagan Brar, Muktsar LM-12/B-449147. Rakseh Lakshmappa, Davangere District LM-12/L-58148. Lokesh Malagondanahalli, Tumkur D LM-12/M-516149. Pavan Kumar Muttineni, Warangal LM-12/M-517150. Hasmukh Kumar Anum, Raipur ALM-12/A-368151. Virendra Kr Goyal, Jaipur LM-12/G-448152. Sanjay Gupta, Agra LM-12/G-449153. Amit Gupta, Agra LM-12/G-450154. Pranav Gupta, Meerut LM-12/G-451155. Satyenkumar Patel, Dist - Kheda, Kapadwanj LM-12/P-526156. Chintada Bhaskara Rao, Srikakullam LM-12/R-379157. Abhijit Nugurwar, Nagpur LM-12/N-183158. Navdeep Chhabra, Jalandhar LM-12/C-269159. Sunny Virdi, Ludhiana LM-12/V-202160. Viral Sangwan, Rohtak LM-12/S-946161. Vikas Siwach, Rohtak LM-12/S-947162. Rahul Roshan, Rohtak LM-12/R-380163. Atulya Atreja, Rohtak LM-12/A-369164. Prashant Kumar, Rohtak LM-12/K-588165. Pravin Shekokar, Akola LM-12/S-948166. Amrish Patel, Ghatlodia LM-12/P-527167. Rajni Pradhan, Shillong LM-12/P-528168. Lisam singh, Thoubal Dist LM-12/S-949169. Naresh Kumar Goyal, Manipur LM-12/G-452170. Sumidra Laishram, Manipur LM-12/L-59171. Thounaojam Dinesh Singh, Imphal LM-12/S-950172. Khangembam Jimmy Singh, Imphal ALM-12/S-951173. Chetan Khundongbam, Imphal ALM-12/K-589174. Palin Khundongbam, Imphal LM-12/K-590175. Sananta Dash, Dist - Sundergarh LM-12/D-367176. Mohammad Rahmathullah, Hyderabad LM-12/R-381177. Indrajeet Kumar Tiwary, Kolkata LM-12/T-217178. Rajesh Mishra, Mawdiangoiang ALM-12/M-518179. Raghavendra Kotal, Shillong ALM-12/K-591180. Debasis Pradhan, Shillong ALM-12/P-529181. Samarjit Dey, Agartala (West) Tripura LM-12/D-368182. Rakesh Nongthombam, Manipur ALM-12/N-184183. Priyanka Dev, Shillong ALM-12/D-369184. Kaustuv Dutta, Johrat ALM-12/D-370185. Vijay Sundarsing, Shillong ALM-12/S-952186. Harini S, Shillong ALM-12/S-953187. Angkita Barman, Shillong ALM-12/B-450188. Nand Lal Bhagat, Shillong ALM-12/B-451189. Bhejendra Sharnagat, Balaghat LM-12/S-954190. Ashok Arbat, Nagpur LM-12/A-370191. Prashant Fulzele, Nagpur ALM-12/F-18192. Pramod Shirbate, Nagpur ALM-12/S-955


CollegeNews

dr. n. ramakrishnan aB (int med), aB (crit care), mmm, Facp, Fccp, Fccm, FiccmSecretary, indian college of critical care medicine

Indian College of Critical Care Medicine

2012 was a very special year for all of us as Critical Care Medicine was recognized by Medical Council of India as a superspecialty and DM Courses were started. While rejoicing this, our society also reiterated the commitment to education and training by taking a giant leap and creating Indian College of Critical Care Medicine. We are indeed proud that we are one of the few professional societies with such a designated body focusing on education.

As we reflect on the past year, I would like to summarize the activities of the College and thank everyone for making 2012 a very ‘educative’ year

• The first Convocation Ceremony held during Criticare 2012 at Pune when twenty distinguished peers were honored with fellowship for their commitment and contributions to our society.

• The much awaited Post MBBS course was launched thanks to efforts from our President Dr. N. Rungta & Dr. Yatin Mehta who developed the curriculum and accepted to be the co-ordinator for the course

• Efforts were initiated to plan a training program for Critical Care Nurses. Dr. Prakash Shastri has taken the lead to create the curriculum and this program is expected to be started soon.

• We are now proud to have a book from India for India and the rest of the world – Dr. Rajesh Chawla and Dr. Subhash Todi edited a book entitled “ICU Protocols – A stepwise approach” published by Springer. Several thousand copies of the book have already been sold and there have also been several online download of chapters through the Springer website.

• Based on the ICU Protocols book, we are

soon planning a two day “Comprehensive Critical Care Course” and the first of these courses would be offered during Criticare 2013 at Kolkata. We are confident that such a program designed to suit our local needs would be a great value addition.

• The use of technology has certainly helped reach more intensivists through our webinars that were well received and attended.

o Webinar 1 – June 16, 2012 from Mumbai (Moderator: Dr. J. V. Divatia)

o Webinar 2 – July 14, 2012 from Chennai (Moderator: Dr. N. Ramakrishnan)

o Webinar 3 – August 18, 2012 from New Delhi (Moderators: Dr. Rajesh Pande/Dr. Yatin Mehta)

o Webinar 4 – Sep 8, 2012 from Pune (Moderator: Dr. Shivakumar Iyer)

o Webinar 5 – Oct 6, 2013 from Kolkata (Moderator: Dr. S. K. Todi)

o Selected lectures have also been released in a DVD format that is available for purchase from ISCCM head office.

o We are initiating the second webinar series from February 2013.

• IDCCM & IFCCM Courses continue to remain popular. A special thanks to Dr. Dhruva Chaudhry, our accreditation co-ordinator who has hastened the process of accreditation. Several new institutions were accredited and we now have 104 institutions across the country offering our training

The list of new institutes accredited for IDCCM in 2012 is given below.

sr. No. Institute city teachers

Number of IDccm

candidates

accredited since

1 Pushpanjali Hospital & Research Institute Pvt. Ltd. agra Dr. Ranvir S Tyagi, Dr. Diptimala Agarwal, Dr. Rakesh Kumar Tyagi

2 November, 2012

2 M.S. Ramaiah Memorial Hospital Bangalore Dr. Rathna Rao, Dr. T S Deepak 2 August 2012

3 Sarvodaya Hospital & Research Centre Faridabad Dr. Sunil Garg 2 February,2012

4 Malabar Institute of Medical Sciences, Kerala Kozhikode Dr. Abdulrahiman 2 November, 2012

5 Fortis Hiranandani Hospital Mumbai Dr. Chandrashekhar S. Tulasigeri 2 February,2012

6 Fortis Hospital Shalimar Bag New Delhi Dr. Pankaj Kumar, Dr. Harjit Singh 2 February,2012

7 Orange City Hospital & Research Institute Nagpur Dr. Rajesh Atal, Dr. Nikhil Balankhe 2 November 2012

8 Alchemist Hospital Panchkula Dr. Ashwani Nayyar 2 February,2012

9 Ramkrishna Care Hospital raipur Dr. Mahesh Kumar Sinha, Dr. Prafulla Agnihotri 2 February,2012

10 Sterling Hospital rajkot Dr. Chirag Matravadia 2 August, 2012

11 Jupiter Lifeline Hospital thane Dr. Ravindra M Ghawat, Dr. Dilip Karnad 2 August 2012

12 PRS Hospital Kerala trivandrum Dr. Vivek P. 2 February,2012

The list of institutes accredited for IFCCM in 2012 is given below.

sr. No. Institute city teachers Number of IFCCM Candidates accredited since

1 Max Super Speciality Hospital New Delhi Dr. Omender Singh 1 August, 2012

2 Apollo Hospital, Jubilee Hills Hyderabad Dr. Palepu Gopal 1 November, 2012

3 St. Jones Hospital Bangalore Dr. Sriram Sampath 1 November, 2012

Dr. N. ramakrishnan Secretary, Indian College of Critical Care Medicine

programs

o 182 candidates registered for IDCCM in 2012 of whom 107 were successful

o 14 candidates appeared for IFCCM in April 2012 and five of them were successful.

o Of note, candidates from ‘alternative pathway’ appeared for the first time this year

• IDccm & IFccm awards

We congratulate the toppers in 2012 who will be receiving the following awards during the Convocation Ceremony to be held on March 1, 2013 during Criticare 2013 at Kolkata

o Dr. Vijayalakshmi Kamat Award for topper in IDCCM – Dr. G. Sathyamurthy (Sundaram Medical Foundation Hospital, Chennai)

o Anand Memorial Award for topper in IDCCM – Dr. Pritesh John Korula (Christian Medical College, Vellore)

o Anand Memorial Award for topper in IFCCM – Dr. Prashant Walse (P D Hinduja Hospital, Mumbai)

The information about eligibility, application and examination is available on the ISCCM website. The list of new institutes accredited for IDCCM and IFCCM during the last year is given below. The entire list of all institutes accredited for IDCCM, IFCCM and Post MBBS Certificate course is available on the ISCCM website.


19th Annual Report of the Indian Society of Critical Care Medicine February 2012 to January 2013

Report of City Branches /State Chapters

AgRA BRANChThe Agra Executive Committee includes, Chairman : Dr. Vijay Singhal, Secretary :Dr. Diptimala Agarwal, Treasurer : Dr. Ranvir S Tyagi, Members : Dr. Puneet Mittal, Dr. Pankaj Jain, Dr. Rakesh Tyagi, Dr. Jitender Singh, Dr. J Alvi, Dr. Siddarth AgarwalAgra was awarded The Best City Branch At Convocation ceremony held at National Conference at Pune in Feb 2012.Academic Activities25 Jan 2012 BTC3 ICU Orientation Course conducted for nurses and paramedics at Hotel Atithi Agra 26 March 2012 CME organised at Pushpanjali Hospital Agra with Prevention of AKI by Dr. SC Gupta and Bedside CRRT in ICU Dr. Apoorv Jain 17 June 2012 CME at Firozabad where Sepsis Mx in Golden Hour (Dr. Diptimala Agarwal) (Dr. Rakesh Bhatia) was presented in keeping with the aim of “Taking Critical Care to Places” 4 July 2012 FAR course for a group of Hotel Management Trainees at Hotel Amar VillasWorld Sepsis Day was celebrated with lots of enthusiasm to create awareness amongst public,nursing staff and colleague doctors.The Scientific Programme at Hotel Amar included sessions on Scoring system in critically Ill: An Update by Dr. Anirbhan Home Choudhary, Procalcitanin in ICU : Recent Trends by Dr. Puneet Bhasin, VAP : Preventive strategies during invasive ventilation by Dr. Neeraj Mathani, Vasopressors in Septic Shock by Dr. Namit Jairath, Approach to New Fever in ICU by Dr. Deepak Talwar, Neonatal Sepsis by Dr. Rakesh Bhatia, and Managing Sepsis in Golden Hour by Dr. Diptimala Agrawal 9 Oct 2012 Hand Hygiene awareness created amongst all hospital staff by Posters,Power point presentation and practical demo of steps of Hand Washing.26 Dec 2012 CME at Hotel Grand Imperial where Pancreatitis Medical Mx by Dr. Dinesh Garg and Pancreatitis Surgical Mx by Dr. Mayank Jain were discussed

AhMEdABAd BRANChExecutive Committee includes Chairman : Dr. Raj Rawal, Secretary : Dr. Manoj Singh, Treasurer : Dr. Bhavesh Patel, Members : Dr. Amit Patel, Dr. Jay Kothari, Dr. Mukesh Patel, Dr. Harendra Thakkar Academic ActivitiesThe Following are the programmes done in the year 2012 at Ahmedabad1. Hemodynamic Monitoring Workshop Date 29th Jan

20122. FCCS Course Feb 20123. Advanced Ventilation Workshop Date 24th June 20124. Surviving Antibiotic Resistance Date 28th June 20125. Sepsis Update Date 26th August 20126. Critical Care Nutrition Certificate Course Date 30th

September 20127. AHA led BLS and ACLS Courses (12 Courses)

AURANgABAd BRANChExecutive Committee includes Chairman : Dr. Sandeep Wyvahare, Secretary : Dr. Samidh Patel, Treasurer :Dr. Venkatesh Deshpande and Members :Dr. Amol Kulkarni, Dr. Shrigopal Bhattad, Dr. Nahush Patel, Dr. Pradeep BenzergeAcademic ActivitiesJan : BLS/ACLS workshop (3 day course) in association with Symbiosis Institute of Health sciences. Feb: Lecture on Nutrition in ICU by Dr. Jahangir Sunawala and BLS CPR workshop for Paramedic staff (1 day course) March : Lecture on Gram negative infections by Dr. Ashit Hegde. April : Case Presentation n Panel discussion Dr. Venkatesh Deshpande and BLS CPR workshop for Paramedic staff (1 day course) May : Case Presentation and Panel discussion Dr. Anand Nikalje. June : Lecture on Fungal Infections by Dr. Bharat Purandare and BLS CPR workshop for Paramedic staff (1 day course) July: Case Presentation n Panel Discussion Dr. Sudhir Kulkarni. August: Case Presentation and Panel Discussion Dr. Gosavi Vinod. September: Lecture on Nutritional Management in association with Abbott. October: FATE workshop by Dr. Swaroop Magrale. November: Lecture on Gram positive infection n Interpretation of C/S by Dr. Bharat Purandare and Dr. Jyoti Bajaj. December: Lecture on Sepsis in ICU by Dr. Karanjeet Singh.

BANgAlORE BRANChExecutive Committee includes Chairman : Dr. Ajith Kumar, Secretary : Dr. Pradeep Rangappa, Treasurer : Dr. Sunil Karanth and Members : Dr. Deepak Tauro, Dr. Hemanth, Dr. Rajagopal Natarajan, Dr. Karthik RaoAcademic ActivitiesJanuary CME and exam refresher course29 February Various ISCCM members presented Excerpts from Criticare 2012, Pune: Manipal Hospital – Dr. Sunil Karanth, Dr. Nikahat Jahan, Dr. Amarja Havaldhar Journal update: Dr. Pradeep Rangappa28 March 2012 Narayana Hrudalaya presented cases HITT in ICU: Dr. Manoranjan Padhi, FeSO4 toxicity: Dr. Vijaykumar / Dr. Jaicob and Ethylene Glycol poisoning: Dr. Vijaykumar / Dr. Jaicob25th April 2012 St.John’s Medical College Hospital Pro-con debate: Should Western ethical models be practiced in letter and spirit in Indian ICU: Dr. Sriram Sampath and Dr. Desikar, Machine learning tools in ICU: Dr. Sriram Sampath30th May 2012 Columbiaasia Referral Hospital presented cases 1. Case series – Dr. Sridhar2. Unusual cause of recurrent pleural effusion as clinical

presentation Dr. Vijay Kumar 3. Rare cause of hemoptysis – Dr. Gayathri 4. Acute abdomen in renal transplant patient – Dr.

Shankar Kalgudi MOHAN Foundation – an insight into organ donation: Mrs Lalitha Raghuram27th June 2012: case Presentations 1) Late presentation of venomous snake bite: Dr. Indira Menon, Baptist Hospital; 2) Postpartum hemorrhage: Dr. Farooq, Jain Hospital; 3) Interesting clinical images: Dr. Pradeep Rangappa, Columbiaasia Referral Hospital 13th to 15th July 2012 Columbia Asia Hospital BASIC Instructor Provider Course Dr. Shivakumar Iyer & Dr. Bande as Course Directors 25th July 2012 BGS Global Hospital 1) Michellen man: Dr. Hemant HV 2) Delayed presentation of OP compound: Dr. Prasanna Kumar 3) Antibiotics, the right way: Dr. Hemant HR 29 August 2012 Steroids in Septic Shock: Do we need another trial (ADRENAL trial) – Dr. Bala Venkatesh, Professor Intensive Care, Queensland University Steroids in ARDS: Dr. Jose Chacko, Manipal Hospital. 26th September 2012 M.S.Ramaiah Medical College Hospital Case presentations: Uncommon presentation of common problems – 3 cases: Dr. Sunil, Unusual poisonings: Dr. Sunil H.S and Dr. Deepak T.S, A common ventilatory problem: Dr. Deepak T.S. 31 October 2012 HCG Hospital and Hebbal Columbiaasia Hospital (Hebbal CA) Excerpts from the ESICM, Lisbon, Portugal: Dr. Ajith Kumar, Interesting case of high metabolic variable in cancer patients: Dr. Ajith Kumar, Challenges in Cadavaric organ donation: Dr. Chinnadurai, Hebbal CA, Interesting case of respiratory failure: Dr. Ramkumar, Hebbal CA, Least commonly recognized problem in ICU: Dr. Chandrashekar, Hebbal CA 28 November 2012 Manipal Hospital USG guided percutaneous tracheostomy: Dr. Jose Chacko Unexplained hypoxia after decompressive craniectomy in stroke 26 December 2012 Narayana Hrudayalaya An unusual pneumonia in a young lady: Dr. Arun Pericardial tamponade and beyond: Dr. Pradeep / Dr. Mahantesh Patil, Fever with Rash: Dr. Shilpa / Dr. Narayana Swamy Moola, Post-op intra-vascular hemolysis: Dr. Sujit / D Ratan Gupta

BAROdA BRANChExecutive Committee includes Chairman : Dr. Arvind Patel, Secretary : Dr. Ritesh J Shah, Treasurer : Dr. Alok Prapanna, Members : Dr. Ankur Bhavsar, Dr. Keyur Acharya, Dr. Purvesh Umarania, Dr. Raviraj Gohil Academic Activities January Workshop -CPR Workshop on 25th to 27th January, 2012 – American Heart Association Faculty : Dr. Ritesh J Shah, Instructor: Dr. Ankur Bhavsar February Discussion Topic Ventilator Associated Pneumonia Speakers Dr. Tejas Kakkad, Dr. Jyoti Patankar March Symposium on : “Deep Vein Thrombosis” Participants : Dr. Ankur Bhavsar, Dr. Keyur Acharya, Dr. Purvesh Umarania Dr. Seema Bhatwadekar (Haematologist) May Lecture Conference Overview – Criticare 2012 and ISICEM Brussels 2012 Speaker: Dr. Ritesh J Shah June Discussion : Topic : Role of few modalities in ARDS- Current Update “. Speaker : Dr. Ankur Bhavsar July Lecture : Airway Disasters in Critical Care Speaker : Dr. Keyur Acharya August Topic : Colloids – Update Speaker : Dr. Alok Prapanna September Workshop : CPR Workshop on 25th to 27th January, 2012 – American Heart Association Faculty : Dr. Ritesh J Shah Instructor : Dr. Ankur Bhavsar October Basic Life Support – Community Awareness Program at Crossword,Baroda November Basic Life Support - Community Awareness Program at Nalanda High School, Baroda December Annual Critical Care Conference : CRITICON BARODA

2012 CRITICON BARODA 2012 was a grand success. Over 300 delegates have participated in the conference. It was a full day conference. Faculties : Dr. Anuj Clerk, Mumbai, Dr. Shrikanth Shrinivasan, Delhi, Dr. Mathew Pulicken, Tiruvalla, Kerala, Dr. Vasant Patel, Baroda, Dr. Nikhil Lala, Ahmedabad, Dr. Dhananjay Bhatt.

BhUBANESWAR BRANChExecutive Committee Chairman :Dr. Jagadish Chandra Mishra, Secretary :Dr. Saroj Pattnaik, Treasurer :Dr. Jagadish Rath, Members : Dr. Arata Swain, Dr. Sanghamitra Mishra, Dr. Sarat Kr Behera, Dr. Pragyan RoutrayAcademic ActivitiesThe following academic meetings were conducted: 25.2.2012 DVT a real concern Dr. Samir Sahu22.3.2012 Management of invasive fungal infections in non-neutropenic patients Dr. Charles Frank Farthing21.4.2012 – Peri-operative fluid management Dr. Samarjit Bisoyi, Intravenous Paracetamol –use in Critical Care Unit Dr. Ravi Gawali25.5.2012 ABG machine Biomechanics Dr. Jayashankar Pandu15.6.2012 Panel Discussion on Prevention of VTE in CCUs Dr. B.Ray co-ordinator, Dr. Saroj Pattnaik, Dr. Swagata Tripathy,Dr. Pragyan Routroy, Dr. Sharmistha Sarangi20.7.2012 Case Presentation Pulmonary Embolism Dr. Pragyan Routroy Role USG in CCU Dr. Rajesh Padhi 18.8.2012 Parenteral Nutrition: Basics & Recent Advances Dr. Partho S Goswami13.09.2012 Panel Discussion on Sepsis Guidelines Dr. Samir Sahu co-ordinator Dr. Saroj Pattnaik, Dr. Pragyan Routroy19.10.2012 Case Presentation – Dengue Fever Dr. Samir Sahu, A case of CAP Dr. Jagadish Rath23.11.2012 Case Presentation Organophosporus Poisoning Dr. Samir Sahu21.12.2012 Hyponatremia Recent Advances in Management Dr. Bebekananda Panda

CAlICUT BRANChExecutive Committee Chairman : Dr. K P Govindan, Secretary : Dr. K Praveen Kumar, Treasurer : Dr. K P Sooraj, Members : Dr. PT James, Dr. Ajith Bhasker, Dr. C Raveendran, Dr. V K Suresh KumarAcademic Activities29.06.12 : Neurovascular intervention in Acute Stroke – Dr. R. Rithesh, Consultant Interventional Neurologist, Calicut, Dr. Jacob Alapatt, Prof. of Neuro surgery MCH, Calicut30.8.12 : Recent trends in ESBL management – Dr. Praveen Kumar (Consulting Pulmonologist & Intensivist, BMH, Calicut), Prof.P.V Bhargavan, Consultant Physician, Calicut

ChANdIgARh BRANChExecutive Committee Chairman : Prof Sunit Singhi Secretary :Dr. Ashish Bhalla, Treasurer : Dr. Narayan Y, Members : Dr. Dhiraj Gupta, Dr. Navneet Sharma, Dr. Jayshree, Dr. Amit Mandal, Dr. Ritesh AggarwalAcademic ActivitiesThe first meeting of ISCCM Chandigarh chapter was held on October 15 2011, at Hotel Homtel, Chandigarh. The meeting was presided over by Prof S Singhi and Dr. Ashish Bhalla was the convener. In this meeting the Chandigarh Chapter of ISCCM was formally launched. Prof Sunit Singhi was elected the president, Dr. Ashish Bhalla Secretary and Prof Narayan Y, treasurer. The executive members elected were Prof K K Gombar (Vice President), Prof. Dheeraj Gupta, Dr. Jaynhree M, Dr. Navneet Sharma and Dr. Amit mandal. On this occasion a symposium on War on Sepsis was organized. Prof S Varma, Prof S K Jindal and Prof K K Gombar, chaired the session and Prof Jayshree M (Addl. Professor Pediatrics PGI, Chd) spoke on the early recognition of Sepsis. Dr. Ashish Bhalla (Addl. Professor Internal Medicine PGI, Chd) spoke on management of sepsis. The meeting was attended by 50 delegates from the city.The second meeting of ISCCM was organized by Prof K K Gombar and INSCOL hospital at CII auditorium in December 2011. The meeting focused on Management of patient in ICU and a workshop on Echo cardiography in critically ill patients was conducted by Prof Erik Sloth and Dr. Nilanjan from Arhus University, DenmarkThe third meeting was an “ISCCM symposium on sepsis” organized as a part of the Annual CME of Department of Internal Medicine at PGI Chandigarh on Jan 29th 2012 in lecture theater complex. This symposium focused on sepsis, HAP and VAP, the diagnosis and management. Dr. Navneet Sharma (PGI Chd), Dr. Vijay Hadda (PGI, Chd), Dr. Rajesh Mahajan (DMCH, Ludhiana)and Dr. Parvez Kaul (SKIM, J & K) participated in the deliberations. The


CME was attended by 150 delegates .The fourth meeting was held on 10th March 2012 at Hotel Homtel, Chandigarh. This symposium focused on ARD. ARDS: Management Protocol in pediatric patients was discussed by Prof Jayashree M. following this there was a panel discussion on Management of ARDS in adults and children. Prof K K Gombar (INSCOL, Chd), Dr. Amit Mandal (Fortis Hospital Mohali) and Dr. Vikas Bansal (DMCH, Ludhiana) were the faculty. Pediatric and adult intensivists attended this meeting.The fifth meeting was held on 27th July 2012. The topic was “Nosocomial infections in critically ill patients” at Hotel Western Court, Sector 43 B, Chandigarh. Prof Pallab Ray Prf Microbiology, PGI, Chd), Prof K K Gombar (INSCOL, Chd) chaired the session. Dr. Vikas Gautam (Asst Prof Microbiology, PGI, Chd) and Dr. Anita Sharma (consultant microbiologist, Fortis Hospital, Mohali) discussed the organisms responsible for Nosocomial infections and Dr. Amit Mandal discussed the steps they had taken to curb Nosocomial infections at their ICU. The meeting was attended by around 50 delegates, comprising of microbiologists and intensivists. Dr. Ashish Bhalla proposed the vote of thanks.The sixth meeting was on “Management of ARDS” heldon the 18th August 2012 in Hotel Homtel, Industrial area, Phase 2, Chandigarh. The meeting was chaired by Prof S Singhi, Prof Y Narayana and Prof S Gombar. Dr. Ritesh Aggarwal (Associate professor, Pulm and Critical care, PGIMER, Chandigarh) discussed the management of adult ARDS and the practical approach to ventilation in critically ill patients. This was followed by a panel discussion on difficult weaning. The panelists were Prof Y Narayana, Prof S Gombar (Profesor and Head Anesthesia, GMCH, Chd) and Dr. Ritesh Aggarwal. Around 50 intensivists attended the meeting. Dr. Ashish Bhalla proposed a vote of thanks.In the meeting a decision was taken to celebrate 13th September as World Sepsis Day in different hospitals. Dr. Amit mandal (Fortis), Prof K K Gombar (INSCOL, ), Prof S Singhi (Advanced Pediatric Center, PGI), Dr. Mandal (Fortis, Mohali) Dr. Rachit (Alchemist, hospital) and Dr. Ashish Bhalla (PGI, chd) were given the responsibility to organize nursing education programs at local level. Five such meetings at local hospitals were organized where the residents and the nurses were educated on early recognition of sepsis. During the meeting steps to curtail Nosocomial infections were also discussed. The 7th meeting on “Sepsis: management guidelines for resource poor setting”was organized on the 14th September 2012 in Hotel KLG Starlite, Industrial area, phase 2, (Near Tribune chowk) Chandigarh.Dr. Vijay Hadda spoke on Recognition and diagnosis of sepsis and Dr. Arun Bansal (Asst Prof Pediatrics) spoke on Managing sepsis in resource limited setting. The session was chaired by Dr. Vishal Guglani (Haed, Pediatrics, MCH, Chd) and Dr. Navneet Sharma (Addl Prof Internal Medicine, PGI, Chd). The meeting was attended by 50 intensivists and emergency physicians.

ChENNAI BRANChExecutive CommitteeChairman : Dr. N Ramakrishnan, Secretary : Dr. Ramesh VenkataramanMembers : Dr. Arun Kumar Menon, Dr. Bala Ramachandran, Dr. Shaik Shakeer, Dr. O Sivathanu Pillai, Dr. R Thirumavalan, Dr. Vijil RahulanAcademic ActivitiesWe are happy to inform on behalf of the ISCCM Chennai branch that we had a very successful year in terms of academies. In January we had a journal club discussing the article in Combination vs. Single antibiotic therapy for empiric coverage in the ICU. Over 20 trainees from all over Chennai attended this informal interactive session.On March 9th, 10th and 11th the first EDIC/Fellowship Preparatory Course was conducted at Sri Ramchandra Medical College and University premises. Two International faculty from the UK, Dr. Sanjoy Shah and Dr. Andrew Patkins were invited to conduct this course. Several national and local faculty including Drs. Shivakumar Iyer, Srinivas Samavedam, Ram E. Rajagopalan, N. Ramakrishnan, Arunkumar Menon, S. Mahendran, R. Senthilkumar and Ramesh Venkataraman were involved in the course. The first day was geared towards EDIC-Part I with multiple MCQ based interactive lectures. Days 2 and 3 were mainly used to orient trainees towards EDIC –Part II examination. Mock long cases, short cases and viva were conducted at the bedside and feedback given to trainees on various aspects of their presentation skills and answering ability. The course was very well appreciated by all attendees. A total of 50 registrants attended Day I and 25 registrants attended days 2 and 3.In April (21st and 22nd), ISCCM Chennai branch conducted the annual BLS and ACLS course which was attended by over 50 trainees from all over the country. On July 14th, as per instructions from the ISCCM, Chennai branch organized a webinar in which local faculty gave lectures on key topics in Neurocritical Care.Annual Mechanical Ventilation Course was conducted on

August 18th and 19th at Sundaram Medical Foundation. This two day course/Workshop covered basic concepts related to respiratory failure, oxygen delivery, noninvasive ventilation and invasive ventilation. This was attended by around 70 trainees all over India.A course on hemodynamic monitoring and echoradiography was conducted on October 13th and 14th at Apollo Hospitals, Chennai. The Key feature of this course was an entire day of hands on echocardiography workshop. Dr.Kishore Pichamuthu (CMC Vellore) and Dr.Arvind Rajamani (Australia) were invited to conduct this workshop along with the local faculty. Around 60 registrants participated in this highly appreciated course. On Oct 27th, ISCCM, Chennai Branch conducted a CME Lecture at Sooriya Hospital in which Dr.R.Senthilkumar gave a lecture on “Respiratory therapiesin the ICU.” Over 25 members attended this program.The year’s academic activities concluded with the 8th Annual Refresher Course Conducted on December 14th -16th. Local faculty from all teaching hospitals, along with Dr. Jigi Divatia and Dr. Jose Chacko conducted this course. This popular course was attended by over 75 registrants. This year the format was changed to include case – based discussions and educational self- learning videos moderated by senior faculty.

COChIN BRANChExecutive CommitteeChairman :Dr. Suresh G Nair, Secretary :Dr. Mallie GeorgeMembers : Dr. Abi Abraham, Dr. Jerry Paul, Dr. Nita George, Dr. Raymond Savio, Dr. Unni Rajasekharan Nair, Dr. T V Sreevalsan, Patrons Dr. Mohan A Mathew, Dr. K VinodanAcademic ActivitiesThe first executive committee meeting was held on 20-9-2012at the ISCCM office, at the IMA House .It was decided to hold regular monthly meetingson 1st Friday of every month.The IMA House was chosen as the permanent venue. Permanent registration and PAN card for the Chapter were applied for These have not been obtained yet.The ISCCM day was celebrated on October 9th with general awareness programme on “Hand Hygiene”.Scientific Sessions:ISCCM Cochin Chapter was active during the year 2012.There were regular scientific meetings and the city branch members actively attended the meetings.Following are the scientific sessions conducted this year:20th January 2012 Venue: Hotel Ramada Plaza,Kumbalam Contemporary global trends in Antibiotic research – Where are we Heading to? Speaker : Dr. Rajesh V, Ventilator associated pneumonia and the importance of Acinetobacter. Speaker : Dr. Subramanian Swaminathan, 27th January 2012 Venue: Hotel Dream Cochin. Infections in the ICU Speaker : Dr. Poornima Parthasarathy, 26th August 2012: Venue: Hotel Dream Cochin Panel discussion: Smart Adoptions to Improve Survival in Nososcomial Infections Chairperson: Dr. K. Vinodan Moderator : Dr. Mohan A Mathew Panelists : Dr. Suresh G Nair, Dr. Anil Kumar, Dr. Rajesh V, Dr. Arun R Warrier28th September 2012: Venue: Hotel Dream CochinWhat is new in ARDS? -A symposium : Moderator - Dr. K Vinodan ARDS - Berlin Definition (2012) Dr.Anuroop Balagopal, Role of Steroids, Albumin and Fluid Therapy in ARDS Dr. Rajesh V, PEEP and Prone position for lung recruitment Dr. Raymond Dominic Savio, and Role of HFO, Inhaled Nitric Oxide and ECMO in ARDS Dr.Sreevalsan T.V., 2nd November 2012: Venue: IMA House, Cochin Drug kinetics in AKI Speaker: Dr. Anil Mathew, Fluid management in AKI Dr. Binu Upendran, 7th December 2012: “Common Nosocomial Infections in ICU” - a case based discussion.Speaker: Dr. Subramanian. S Extracorpeal Treatment in Sepsis Management Y.P Singh

dElhI & NCR ChApTERExecutive Committee Chairman : Dr. Prakash S Shastri, Secretary : Dr. Rajesh Pande, Treasurer :Dr. Rajiv Uttam, Members :Dr. Avdhesh Bansal, Dr. Manoj Goel, Dr. Prashant Nasa, Dr. Subhash C Sharma, Dr. Sudha Kansal, Dr. Tarun JhambAcademic ActivitiesJanuary 2012 Annual General Body Meeting & Monthly Scientific CMECME CHAIRPERSONS: Dr. Yatin Mehta, Rajesh ChawlaMenace of MDR Pathogens- Current Scenario -Dr. Prakash S ShastriImpact of Antibiotic Exposure on Bacterial Resistance - Dr. R. K. Mani PANEL DISCUSSION Rational Use of Antibiotic use in Critically Ill patients MODERATOR - Dr. Rajesh Chawla PANELISTS- Dr. Yatin Mehta, Dr. G.C. Khilnani, Dr. Avadhesh Bansal, Dr. Rajesh Pande, Dr. Manoj Goel, Dr. Y P SinghFebruary 20121st Executive Meeting ISCCM Secretariat, Nehru Place, New Delhi Dr. Rajesh Pande, Secretary, ISCCM Delhi –NCR BranchMarch 2012 Monthly Scientific Meeting India Habitat Centre, New Delhi Dr. Rajesh Pande Clinical case : An

interesting case of community acquired pneumonia, Clinical case : A challenging case of septic shock with multiple organ failure, Journal club: Critical care medicine, Intensive care medicine, chestApril 2012 Monthly Scientific Meeting India Habitat Centre, New Delhi Dr. Manoj Goel, Delhi Heart & Lung Institute, New Delhi A clinical case of shock : Dr. Sai Kiran Chaudhary, A Clinical case of Oedema : Dr. Ajay Kumar and Dr. Manoj Nigam, Journal Review : Dr. Manoj GoelMay 2012 Monthly Scientific Meeting Dr. Supradip GhoshMay 6th 2012, 9:30am : 4:00pm Workshop on Mechanical Ventilation Hotel Park Plaza, FaridabadFriday, 25th May 2012, 7:30 pm onwards India Habitat Centre, New Delhi, Dr. Prashant Nasa, Max Hospital, Shalimar Bagh, New Delhi. An interesting case of drug overdose Dr. Sachin Goel, A case of pulmonary renal syndrome : Dr. Praveen Bajaj, Journal Review : Dr. Prashant NasaJune 2012 Monthly Scientific Meeting Dr. Vikram Khatri, Moolchand Hospital, New Delhi, A Case of Hanging : Dr. Sardar Hyder Ali, “We have an intubated patient for you” : Dr. Krishna CK, Journal Review: Dr. Vikram KhatriJuly 2012 Monthly Scientific Meeting Organised by : Dr. Sudha Kansal, Indraprastha Apollo Hospital, New Delhi. An interesting case of postpartum delirium : Dr. Bhushan Wankhade, A difficult case of Acute severe Asthma : Dr. Viny Kantro, Journal Review : Dr. Sudha KansalAugust 2012 Annual Conference : Delhi Critical Care Symposium (DCCS 2012)10th Annual Conference of ISCCM Delhi-NCR Branch24th & 25th August 2012 : Pre Conference workshops at various Hospitals in Delhi 26th August 2012 : Main Conference at Hotel Le Meridian, New Delhi September 20122nd Executive Meeting September 15, 2012 Hotel Le Meridian, New DelhiSeptember 2012 Monthly Scientific Meeting – Fight Against Sepsis Friday, 21 September 2012, 7:30pm onwards Hotel Claridges, Surajkund Road, Faridabad. Dr. Supradip Ghosh, Fortis Escorts Hospital, Faridabad Moderators Dr. Yatin Mehta and Dr. Rajesh Pande There were talks on Interpretation of antibiogram for clinicians Dr. V Ramasubramanian, Fight against antibacterial resistance What we have in our arsenal? Dr. Prakash Shastri, Empirical antifungal therapy in ICU: Current Indian scenario Dr. Chand Wattal, Tropical infections in ICU Dr. Supradip Ghosh followed by Panel Discussion.November 2012 Monthly Scientific Meeting Dr. Prakash Shastri, Sir Ganga Ram Hospital, New Delhi. Program was Hand hygiene : Dr. Rajesh Pande, Case of Fever with Haemolysis and Renal Failure Dr. Vignesh, Case of Intense thigh pain and Respiratory Failure Dr. Saurabh, Journal Club - Fluid Resuscitation in Sepsis - recent Trials : Dr. Prakash ShastriDecember 20123rd Executive Meeting Friday December 7th, 2012 ISCCM Secretariat, Nehru Place, New DelhiMonthly Scientific Meeting Friday, December, 28th 2012, 7:30pm onwards organised by Dr. Rajiv Uttam Program A Rare case of Dengue Dr. Y P Singh, A Case of Pulmonary Embolism Dr. Rajiv Uttam, Journal Review Dr. Y P Singh / Dr. Ashutosh

gUWAhATI BRANChExecutive committee Chairman - Dr. A.K. Deka Secretary Dr. Vandana Sinha Treasurer - Dr. Partha Ghosh Executive Member Dr. Bharat Bhushan Kukreja. Dr.Sadhan Brata Das Dr. Brajendra Lahkar Dr. Reshu Gupta.Local CME is organized every 3rd Friday or Saturday (if we have guest speaker)of the month for the last two years.N.E. Conclave meet was held in 2012 where all the seven northeastern states participated and we could initiate two more state branch formation in upper ASSAM. The programme was well attended and had Dr. N. Rungta, Dr. N. Ramakrishnan, Dr. Shivakumar Iyer & Dr. Arindam Kar as guest faculties. So along with the city branch we are trying to move the whole region together. ACLS with Dr. S .Ray and his team in May 2012, and BASIC course both instructor and providers with Dr. Shivakumar Iyer, Dr. Pravin Amin, Dr. S.K. Todi, Dr. Satish Gupta & Dr. Ajoy Sarkar in 2011 so now we have7 instructors and are self sufficient to conduct the course with some help from centre.We have regularly participated in all ISCCM events viz ISCCM day and World sepsis day.

INdORE BRANChExecutive Committee Chairman : Dr. Sanjay Dhanuka Secretary : Dr. Sanjay Geed, Treasurer :Dr. Vishvesh Mehta, Members :Dr. Jaipal Kataria, Dr. Kehri Agrawal, Dr. Arun Chopra, Dr. Vimal KumarAcademic ActivitiesISCCM- Indore Branch organized the following important events besides its regular meetings:-Critical Care Nursing CME in 25th September -2012. This was attended by around 100 ICU nurses of the city.

The CriTiCal Care CommuniCaTionsa Bi-monthly newsletter of indian society of Critical Care medicine 9Regional update in critical care with a workshop on noninvasive ventilator was conducted in 12th & 13th November 2012. The faculty invited were Dr. Narendra Rungta(Jaipur), Dr. Ramesh Venkataraman (Chennai), Dr. Pradip Bhattacharya (Bhopal), Dr. Rajesh Mishra (Ahmedabad). It was attended by around 100 doctors of Indore, Dewas, Ujjain & Bhopal. Use of Antibiotics in ICU by Dr. Rajesh Mishra (Ahmedabad)Role of Nutrition in Critical Care

JAIpUR BRANChExecutive Committee Chairman, Dr. H. Bagaria, Ex-officio Chairman, Dr. Narendra Rungta, Vice Chairman, Dr. Rajeev Lochan Tiwari, Secretary, Dr. Manish Munjal, Treasurer, Dr. Sudhir Khunteta, Scientific Registrars, Dr. Neena Rungta, Dr. Mukesh Sarna, Executive Committee Members, Dr. Ajay Bansal, Dr. Arun Agarwal, Dr. K.M. Sahai Report of 8th Jaipur Conference on Critical Care MedicineThe 8th Jaipur Conference on Critical Care Medicine held from April 12th- 14th, 2012 at Hotel Clarks Amer, Jaipur was very successful with attendees departing openly enthusiastic about the sharing and learning that had taken place over the three days of the event. Pre-Conference Courses were also organized on 12-13 April, 2012.Over 250 attendees were provided with a rich overview of the developing field of Critical Care Medicine and had the opportunity to network and share views, research & findings.Following Courses (as a part of Pre-Conference Programme) were also held Fundamental Critical Care Support (FCCS) Course, Pediatric Fundamental Critical Care Support (PFCCS) Course (Dr. Kundan Mittal, Rohtak was the Course Director & Consultant.) Advanced Cardiac Life Support (ACLS) Course, ULTRASOUND in Critical Care : Basic ‘ABCDE’ Management Workshop conducted by WINFOCUS group, Critical Care Workshop for Nurses Dr. Prakash Shastri, New Delhi was the Workshop Director.Conference on Critical Care MedicineThe main Conference held on the 13th & 14th April, 2012. Jaipur Oration was delivered by Dr. Abhiram Malik, Leeds, UK. His topic of talk was “My ICU in 2020”.A number of national & international faculty participated in the Conference:All the participants were fully satisfied with the academic session and enjoyed other activities a lot. Following FCCS & PFCCS Courses were conducted during this period:FCCS courses were conducted in Noida Dr. Deepak Talwar, Pune Dr. R Pawar, Kanpur, Dr. AK Singh, Jaipur, Dr. Manish Munjal Ludhiana, Dr. Vinay Singhal, Gurgaon, Dr. A Diwan, Mumbai, Dr. Reshma Ambulkar, Gangtok, Dr. Rajnish Joshi and Shillong, Dr. Jayanta K MitraPFCCS courses were conducted in New Delhi, Dr. Lokesh Tiwari, Kanpur, Dr. Rashmi Kapoor, Jaipur, Dr. Manish Munjal, New Delhi, Dr. Urmila Jhamb and Baroda Dr. Nitin BansalISCCM day & Sepsis Day celerations:Jaipur branch of ISCCM celebrated ISCCM day on 9th Oct., 2012. Shubh Hospital, Jeevan Rekha Hospital, monilek Hospital, Narayan Hridralay, SDM Hospital took active participation on this day. Posters on ‘Hand Hygeine’ were displayed in these hospitals. Jaipur branch also participated in War against Sepsis day celebration, candle march was organised at Statue Circle of Jaipur by Jaipur branch members & school girls.APACCM 2014 & Criticare 2014 Conference Preparations of 18th Asia-Pacific Congress of Critical Care Medicine & 20th Annual Conference of Indian Society of Critical Care Medicine from 14th - 18th February, 2014 at Birla Auditorium, Statue Circle, C Scheme, Jaipur, INDIA are in full swing.

JAMShEdpUR BRANChExecutive Committee Chairman : Dr. DP Samaddar, Secretary :Dr. Rajiv Shukla, Treasurer : Dr. Binita Panigrahi, Members : Dr. BS Rao, Dr. CS Mitra, Dr. Koshy Varghese, Dr. Asif AhmedAcademic ActivitiesThe following is the report of the activities undertaken by the branch from Jan 2012 to Dec 2012.Annual General BodyMeeting :The Annual General Body meeting of the ISCCM City branch was held on 17.03.2012 at 7.30pm at Hotel Centre Point, Bistupur, Jamshedpur and the above office bearers were elected for the year 2012-13. This was followed by a discussion on ‘Fungal Infections in Critical Care and its management’. Dr. Asif Ahmed spoke on ‘Treatment of Fungal infections’. Dr. B Panigrahi spoke on the ‘Management guidelines in Fungal infections’.The city branch felicitated Dr. D P Samaddar on his being awarded the Fellowship in Critical Care by the national body at the ISCCM National Conference in Pune. The city branch also felicitated Dr. Binita Panigrahi on her being awarded the Indian Diploma in Critical Care by the national body at the ISCCM National Conference in Pune.4th Eastern Zonal Critical Care Conference on 1st and 2nd

Sept. 2012: Jamshedpur City Branch of ISCCM, hosted the 4th Eastern Zonal Critical Care Conference on the 1st and 2nd September at the Tata Main Hospital Auditorium. The theme of the conference was “Preventive and Economical Critical Care”.The inaugural ceremony was attended by Chief Guest AVM (Retd) Dr. T P Madhusudanan, GM (Medical Services), and Guest of Honour Dr. Narendra Rungta, President, Indian Society of Critical Care Medicine. The welcome address was delivered by Dr. D P Samaddar. AVM (Retd) Dr. T P Madhusudanan released the souvenir of the conference. There were eighteen lectures and two panel discussions which were delivered by intensivists of repute from across the country.The outstation faculty comprised of Dr. N Rungta,Dr. B Ray, Dr. S Todi, Dr. S Bandyopadhyay,Dr. Suresh Ramasubban, Dr. Sanjay Bhattacharya, Dr. Dhruv Chaudhary, Dr. D K Singh,Dr. Samir Sahu, Dr. Abhijit Paul, Dr. Arindam Kar, Dr. Sanjay Bhattacharya, Dr. Prithwis Bhattacharya,Dr. Y Paliwaland Dr. Vandana Sinha.Local faculty members were Dr. D P Samaddar, Dr. B S Rao, Dr. CS Mitra, Dr.Nirmal Kumar, Dr. SK Panda and Dr.Rajiv Shukla. Two workshops were organized on “Mechanical Ventilation” and “Airway Management”. The conference was attended by more than hundred doctors, and fifty nurses from hospitals in Jamshedpur, Patna, Ranchi, West Bokaro and Sukinda. First World Sepsis Day at Tata Main Hospital on 13thSept. 2012.The first World Sepsis Day was on September 13th 2012. To create awareness about this deadly disease ISCCM a symposium and panel discussion was organized by the JamshedpurCity branch along with Tata Main Hospital at T. M. H .Auditorium on 13th Sept.2012 . This was attended by 150 doctors, medical students and nursing staff.Dr. Ashok Sundar delivered the opening remarks. There was a panel discussion on prevalence, epidemiology, antibiotic protocols and treatment options to treat critically ill patients with sepsis by Dr. Satish Prasd, Dr. Arunima Verma, Dr. Minakshi Mishra and Dr. Koshy Varghese . This was followed by a panel discussion management of sepsis . Dr. Satish Prasd, Dr. Arunima Verma Dr. Minakshi Mishra and Dr. Koshy Varghese were the panelists and they stressed on early recognition of sepsis and goal directed therapy. Dr. Rajiv Shukla was the moderator for this sessionGlobal Hand Washing Day 15th Oct. 2012.Global Hand Washing Day was observed under the auspices of ISCCM, Jamshedpur City Branch at TataMainHospital, Jamshedpuron the 15th of Oct’12. On this important occasion a Nurses Education Program on “Hand Hygiene - Core practices” was conducted for a group of 70-80 nurses in the Auditorium of Tata Main Hospital .Dr. Sudhir Mishra, Convener Infection Control Committee, Tata Main Hospital, Jamshedpur welcomed the gathering and introduced the topic. Lt Gen (Retd) Dr. G Ramdas, Chief, Tata Main Hospital inaugurated the event.A video capsule on “ Correct and faulty handwashing technique” was presented by Dr. Koshy Varghese and thereafter there was an interactive session with the audience on the same topic.Dr. D P Samaddar, President, ISCCM Jamshedpur City Branch concluded the days session by asking all present to take a personal pledge to implement the good handwashing practicesCardio Pulmonary Resuscitation Training:Dr. Shashikant, Dr. Asif Ahmed, Dr. Binita Panigrhi along with doctors and staff from Tata Main Hospital, Jamshedpur conducted several Cardio Pulmonary Resuscitation classes throughout the city. CPR Training was imparted to 599 persons during this year which included doctors, paramedical staff, citizens and school children from Jamshedpur.

KAKINAdA BRANChExecutive committee includes Chairman : Dr. AS Kameswara Rao, Secretary : Dr. B Vishnu Mahesh Babu, Treasurer : Dr. Y Atchyuth Ramaiah, Members : Dr. MV Raghavendra Rao, Dr. M Vamsi Krishna, Dr. MV Anand, Dr. G Bhanumathi, Dr. P Sai Krishna, Dr. Y Kalyan ChakravarthiAcademic activitiesInstallation of the branch on 18th may 2012.Installation function:On 18thmay, we conducted the installation function of ISCCM Kakinada city branch Dr.PBN Gopal was the chief guest. Dr. Mohan Maharaj and Dr. Kuchela Babu ,senior members from ISCCM Visakhapatnam branch also graced the function. Dr. Gopal, zonal member (South) talked on –“surviving sepsis guidelines -2012”. Dr. BV Mahesh babu gave a brief talk on –“role of calcium in anaesthesia and critical care practice” . On 21st july, we conducted an academic meeting at Halcyon times, Kakinada. Dr. V Kuchela Babu, consultant intensivist, Seven hills hospital, Visakhapatnam spoke on “recent trends in the management of ARDS”. On 9th October, we celebrated ISCCM Day at Govt. General Hospital, Kakinada.

Dr. AS Rameswara Rao, Chairman spoke on - “critical care practice in semi-urban areas. Dr.BV Mahesh Babu spoke on“ importance of hand hygeine”.the meeting was adjourned after vote of thanks by Dr. Atchyutharamaiah. Later Dr. Santhisree conducted a class for nurses on the importance of ‘hand hygeine’.On 16th october, we arranged an academic meeting at IMA hall, Kakinada. Dr. Mohanarao, Intensivist, Seven Hills hospital, Visakhapatnam spoke on-“immune deficiencies in ICU patients”. On 28th November, we conducted an academic meeting at hotel RL Grand, Kakinada.Dr.M.Vamsikrishna, Siddhartha hospital,Kakinada spoke on –“principles of antibiotic usage in ICU”. We had a good interaction with the speaker. Chairman Dr.Kameswara Rao spoke on his experiences about the misuse of antibiotics.

lUCKNOW BRANChExecutive Committee Chairman : Dr. A.K. Baronia Secretary : Dr. Afzal Azim, Treasurer : Dr. Piyush Shrivastava, Members : Dr. BananiPoddar, Dr. R.K. Singh, Dr. Mohan Gurjar, Dr. B.P. Singh, Dr. Sanjay SinghalAcademic ActivitiesJan 2012 Noninvasive ventilation Dr. Rajeev Garg, Dr. Banani Poddar, Dr. SuryakantApril 2012 Use of Colistin in critically ill – Dr. Mohan GurjarJune 2012 Infection control Course for Nurses - Dr. Afzal Azim, Col. Parmeet BhatiaAugust 2012- DVT prophylaxis in critically ill Dr. Rajneesh SinghSeptember 2012 - Workshops and training programme for sepsis prevention for doctors and nurses. It included programmes on hand hygiene, CRBSI prevention, VAP prevention and CAUTI prevention October 2012 UP-UK Criticon- attended by several delegates and eminent national and international faculty members. It included workshops on Mechanical ventilation, Nursing for critically ill, Bronchoscopy and tracheostomy and Ultrasonography. One day CME on sepsis was also organized.December 2012- Workshop on nutrition for ISCCM members, resident doctors of SGPGI and KGMC.Attended by 100 delegates. Speakers- Dr. Mohan Gurjar, Dr. R.K.Singh, Dr. Banani Poddar, Dr. Amit RastogiDecember 2012- Nursing training programme conducted at the Trauma care unit, King George Medical College, Lucknow. Course Director- Dr. Afzal Azim, Dr. V.P Singh

lUdhIANA BRANChExecutive Committee Chairman : Dr. Anupam Srivastava Secretary :Dr. P L Gautam Treasurer : Dr. Vinay Singhal Members : Dr. Gaurav Bhatia, Dr. Vikas Bansal, Dr. Sushil Gupta, Dr. Gurpreet SinghAcademic Activities1st March 2012. Pathophysiology and Non – invasive Ventilation” by Dr. Susheel Gupta &“Invasive Ventilation for COPD” by Dr. Pramod Sood 1st April 2012 Conference on “ Advanced hemodynamic monitoring in critical care”14th -15th July 2012 “Fundamental Critical Care Support Course”17th August 2012 “ Newer trends in prevention of CRBSI” by Dr. Puneet Chopra, “MRSA Changing epidemiology and an overview of CAMRSA Infection” by Dr. Anita Sharma, &“ Case discussion on MRSA and a brief discussion on daptomycin” Dr. Amit Mandal 3rd September 2012“ Sepsis” Going beyond the guidelines” by Dr. Vinay Singhal.The Society is registered under the name of “Ludhiana Society of Critical Care Medicine”

MUMBAI BRANChExecutive Committee Chairman : Dr. Charu K. Jani Secretary : Dr. Anuj Clerk Treasurer : Dr. Vandana Agarwal Members :Dr. Shruti Nagarkar, Dr. Nitin Karnik, Dr. Kuldeep Dalal, Dr. Harish Chafle, Dr. Mehul ShahWe are pleased to present the annual report of the CME / Updates held during the year and also wish to inform that Maharashtra Medical Council (MMC) had also given points = two credit hrs for Speakers and one credit hr. for delegates to all the following events.7th December 2011 CME On Bleeding Diasthesis In Critical Care Unit with Dr. S Dasgupta Ashvani Hospital Mumbai as expert 20th February 2012 Update on total parenteral nutrition was chaired by Dr. Charu Jani with Updates on newer guidelines on TPN by Dr. Prakash Jindani and Early Nutritional Intervention: Holistic Approach In Patient Management by Dr. Marco Braga.17thMarch 2012 Theme of the CME Newer challenges in Resistant organism chaired by Dr. Anuj Clerk with Emerging Trends of Acinetobacter by Dr. Ashit Hegde, The challenge of ESBL by Dr. Jani C.K, Microbiological challenges in detecting resistant organism by Dr. Jyoti Gogte; 22nd June 2012 Update on ICU Sedation moderated Dr.


Anuj Clerk with Role of Dexmedetomedine in early weaning from Mechanical ventilation by Dr. Dilip Karnad, Role of Dexmedetomedine in ICU by Dr. Rahul Pandit, Delirium in ICU by Dr. Anuj Clerk, This programme was telecasted Live as webinar in Critical care departments of eleven major hospitals of Mumbai.30th June 2012 Annual General Body meeting was held at Hotel Avion, Near Domestic Airport, Vile Parle, Mumbai. 21st July 2012 Nutrition Symposium chaired by Dr. Anuj Clerk with Immune nutrition in critically ill patients by Dr. Khusrao Bajan and Disease specific Nutrition in ICU by Dr. Vatsal Kothari. This programme was telecasted live as webinar in Critical care departments of eleven major hospitals of Mumbai.28th July 2012 First Journal Club moderated by Dr. J. V. Divatia and articles presented by Dr. Amit Kothekar, Dr. Madhavi Desai Junior Consultant Tata hospitalDr. Pravin Amin Critique 1) Early vs Late Parenteral nutrition...NEJM 2011 2) HES 130/0.4 vs ringers acetate...NEJM 2011Dr. Rahul Pandit Critique1) Mortality after fluid bolus...NEJM 2011 2) Enteral omega-3 fatty acids... JAMA 201102nd September 2012 World Sepsis Awareness Day In collaboration with Indian Medical Association at IMA House, IMA Chowk, 16 K. Khadye Marg, Haji Ali, Mumbai, President Dr. Narendra Rungta was the Chief Guest.8th and 9th September 2012 FCCS Instructor and Provider Course at Tata Memorial Hospital, Mumbai.15th September 2012 Clinical meeting chaired by Dr. CK Jani, Dr. Anuj Clerk and talks by Dr. S Todi on Assessing ICU performance and Dr. Suresh Ramsubbanon Ventilation associated Respiratory infections: 24th November 2012 CME on Haemodynamics chaired by Dr. Jani CK with “NavigatorHaemodynamics” by Prof. Yugan Mudliar – Associate Professor of Intensive Care, Sydney and Current Status of Fluids in ICU by Dr. Atul Gaur Staff Specialist, Nepean Hospital, Sydney. This was followed by a panel discussion on “How I assess Haemodynamics and use fluids in ICU” moderated by Dr. Rahul Pandit with panelists Dr. Yugan Mudliar, Sydney, Dr. Atul Kulkarni, Mumbai, Dr. Bharesh Dedhia, Mumbai, and Dr. Anuj Clerk, Mumbai

NAgpUR BRANChExecutive Committee Chairman Dr. Anand Dongre, Secretary Deepak Jeswani, Treasurer Dr. Jayesh Timane, Chairman Elect Dr. Girish Deshpande, Members Dr. Pradip Mishra, Dr. Sudhir Chafle, Dr. Ajay Sakhre, Dr. Kamal Bhutada, Dr. Amol Sagdeo, Dr. Anil Chande, Dr. Tushar Pande, Dr. Ashish Ganjare.Academic Activities 25/01/2012 Interesting Clinical Cases Dr. Kshirsagar, Dr. Sagdeo, Dr. Barokar01/04/2012 Critical Care Quiz Teams from GMC,Nagpur, IGMC,Nagpur, NKPSIMS Nagpur, MGIMS Sewagram and DMIMS Sawangi28th & 29th April 201 25th Annual Mechanical Ventilation Workshop 24 faculties. National - Dr. Atul Kulkarni, Dr.Rahul pandit, Dr. Pradeep BhattacharyaDr. Ramsubban. other prominent faculties from Nagpur 21/06/2012 Control of Hyperglycemia in ICU Dr. Devyani Buche08/07/2012 Tropical & Gram Negative Infections Dr.Ashit Hegde Dr.S Bhoot Dr. A Ganjare Dr.A Sagdeo 02/09/2012 World Sepsis Day Dr.Anand Dongre Dr.Ajay Sakhre17/10/2012 AIM Meeting Dr.Kudrigar2nd-6th January 2013 This year ISCCM Nagpur branch has organized first CENTRAL PROVINCE CRITICON from 2nd to 6th Jan 2013. First three days were pre-conference workshops on ACLS accredited by AHA, BASIC( Basic assessment and support), Hemodynamic monitoring and EDIC exam workshop. More than 200 delegates participated in Pre-conference workshops. There were MMC Credit hours for workshops. The main conference was for 2 days on 5th and 6th jan 2013 with Orations by Dr.Mahesh Nirmalan(UK) and Dr. N Rungta( National President, ISCCM). There were various thematic and Plenary sessions with variety of topics on Infectious diseases, Respiratory, cardiac, Neuroloy, Obstretic, Nutrition, Sepsis, and Mechanical ventilation. There were Pro-Con Debates and Quiz questions in between the sessions. These lectures were extensively covered by senior and experienced faculties like Dr. J.V. Divatia, Dr.Khilnani, Dr. N Ramkrishnan, Dr.Govil, Dr. Ashit Hegde, Dr.Lavanya, Dr. Rajesh Pande, Dr. Atul Kulkarni, Dr. P Shastri, Dr. Roop Gursahani and Dr. Rahul Kulkarni. The main conference also had MMC credit hours.

pUNE BRANChExecutive CommitteeChairman :Dr. P. K. JoshiSecretary : Dr. Subhal DixitTreasurer :Dr. Jyoti ShendgeMembers :Dr. Anand Tiwari, Dr. Manish Pathk, Dr. Kayanoosh Kadapatti, Dr. Prasad Akole, Dr. Sachin Jagdale

Academic ActivitiesThe new ISCCM Executive Committee Pune Branch started functioning from January 2012 with Dr. P. K. Joshi as Chairperson, & Dr. Subhal Dixit as Secretary. The executive committee included a number of new faces from various hospitals, Pune.Regular monthly meetings were held at various hospitals hosted by their intensive care departments. The highlights of the year included the BASIC Provider Workshops, The Theme Meeting on Sepsis, The Intensive Care Review Course, The Annual Mechanical Ventilation Workshop & Criticare 2012, Program on Sepsis were organized on the occasion of ISCCM Foundation Day. 15th, 16th, 17th, 18th, 19th Feb. 2012 Criticare 2012 Hotel Marriott, Pune Dr. Kapil Zirpe, Dr. Subhal Dixit27th April 2012 Clinical Meeting Deenanath Mangeshkar Hospital & Sanjeevan Hospital25thMay 2012 Clinical Meeting Sahyadri Hospital & Bharati Hospital22nd& 23rd June 2012 BASIC Provider Course Sanjeevan Hospital Dr. Subhal Dixit29th& 30th June & 1st July 2012 Intensive Care Review Course Courtyard by the Marriott, Pune Dr. Kyanoosh Kadapatti 7th & 8th July 2012 4th National Neurosciences and Neurocritical Care Update Hotel Le-Meridien, Pune 27th July 2012 Clinical Meeting Marriott Courtyard Dr. P.K. Joshi 11th & 12th August 20121st Critical Care Update-2012 Larson and Toubro Management Development Centre, Lonavala Dr. Kapil Zirpe, Dr. Subhal Dixit23rd Aug. 2012 BASIC SAFETY COURSE Hotel Courtyard Marriot Dr. Shivakumar Iyer31st Aug. 2012 Clinical Meeting Poona Hospital22nd& 23rd Sept. 201216th Annual Mechanical Ventilation Workshop Maratha Chamber of Commerce Industries & Agriculture Dr. Sameer Jog4th Oct. 2012 U-Tryp- Topic:- Induction and treatment Gap in sepsis and Role of Ulinastatin In sepsis Management Courtyard Marriot, Pune Dr. Subhal Dixit

SURAT BRANChExecutive Committee Chairman : Dr. Mukur Petrolwala Secretary : Dr. Mitul Chavda Treasurer :Dr. Amish Shah Members : Dr. Yogesh Desai, Dr. D M Patel, Dr. Ghanshyam K Patel, Dr. Vasant Panchal,Dr. Samir Gami, Dr. Bhavin TandelAcademic Activities26/05/2012 CME On Antibiotic Resistance Understanding Antibiotic Stewardship: Dr. V. Ramsubramanian (Chennai), Mechanism of Antibiotic Resistance:Dr. Geeti Maheshwari (Vadodara) and Optimizing Treatment of MDR Pathogen: Dr. V. Ramsubramian (Chennai)10/06/2012 CME on Fungal Infection in ICU: Fever in ICU: Dr. Ashit Hegde(Mumbai), Basic of Mycology & Antifungal: Dr. Vasant Nagvekar(Mumbai) and Incidence on Fungal Infection in Surat: Dr. Vahed Mulla(Surat)08/07/2012 CME on End of Life Issue in ICU: Understanding end of life issue in ICU: Dr. R.K.Mani(Delhi), Withdrawal & Withholding of life support: Dr. J.V. Divatia(Mumbai), Management of critically ill geriatric patient in ICU: Dr. R.K. Mani (Delhi) and Management of organ donor: Dr. Gaurish Gadbail (Surat)13/09/2012 Meeting on World Sepsis Day: 06/10/2012 CME on Preload responsiveness & Fluid therapy : Understanding preload Responsiveness: Dr. Babu Abraham (Chennai) Current evidence on Fluid therapy in ICU: Dr. Anuj Clerk (Mumbai)9/10/2012 ISCCM Day activity: Awareness program on Hand Hygiene for nursing & paramedic staff Dr. Mitul Chavda(BAPS Pramukh Swami Hospital, Surat), Dr. Gaurish Gadbail (Nirmal Hospital, Surat), Dr. Alpesh Parmar(Apple Hospital, Surat), Dr. Chetan Mehta (Mission Hospital, Surat)12/12/2012 Annual meeting to decide plan of activity for 2013

ThANE BRANChExecutive Committee Chairman: Dr. (Mrs) Seetha Raju Secretary : Dr. Hrushikesh Vaidya Treasurer :Dr. Prashant Kulkarni Members : Dr. Viswanathan Iyer, Dr. Kuldeep Dalal, Dr. Khalid Ahmad Ansari, Dr. Prakash BhadkamkarAcademic ActivitiesWe as a newly approved branch applied for registration in charity commissioner office ThaneDecember 2012 We held mega symposium in critical care medicine on 1st & 2nd December 12 in Thane which was attended by more than 150 specialists & super specialists across Thane, Mumbai, Bhiwandi.

TRIChy BRANChExecutive Committee Chairman : Dr. S. Vel Arvind Secretary : Dr. G Mukhundhan Treasurer : Dr. S.R.G. Vignesh Raja Members : Dr. S. Rajesh, Dr. Vivek Sundaram, Dr. S. Manickavasagam, Dr. Ram Gopal Gupta, Dr. V SendhilAcademic Activities22/01/2012 CME Clinical Approach to Shock Dr. Prabhu, Lactate in Critical Care Dr. G. Mukhundhan, Hyponatremia-Do’s and Don’t’s Dr. S. Vel Arvind,

Echocardiography in ICU Dr. M. Prabhukumar, Capnography in ICU Dr. S. Rajesh, Newer Antifungal Agents Dr. Viveksundaram, Post Exposure Prophylaxis Dr. S. Vel Arvind25/03/ 2012 An Approach to Leucocytosis Dr. Arunseshachalam Case presentation Tumbling Listeria Dr. S. Vel Arvind Journal Cruise - Latest News Dr. J. Anand22/04/2012 “Airway Pressure Update” Dr. G. Vignesh Raja, ‘Writing a Case Summary Art & Austerity Dr. S. Vel Arvind “ICU Pearls “Dr. G. Mukhundhan Case presentation Dr. R. Senthil Kumar27/05/2012 “Laser Therapy for life threatening Trachoeal Stenosis Dr. K. Govindaraj, Case Serious Dr. Jawaharnagasundaram “Chloride in Critical Care “Dr. K. Jaisuresh30/06/2012 Cholinergic Poisoning - Management Dr. G. Mukhundhan Case Presentations by Dr. R. Gopalakrishnan and Dr. Vivek Sundaram29/07/2012 Acute Mediastinitis in ICU Dr. V.L. Balaji Non Invasive Ventilation in ICU Dr. V. Sendhil Neuro Cysticercosis Plus Dr. S.P. Thiruppathy 18/11/2012 Nutritional therapy in the critically ill Dr. M.N. Sivakumar Patient and the role of disease Case presentation by Dr. S. VelArvind23/12/2012 Interesting Case presentation Dr.Viveksundaram Antibiotics in ICU-use and Abuse by Dr.Ram E Rajagopalan

TRIVANdRUM BRANChExecutive Committee Chairman: Dr. Satish Balan Secretary :Dr. Sajeesh G Treasurer : Dr. Hari TA Members : Dr. Deepak Vijayan, Dr. Madhu K, Dr. Vivek P, Dr. Suresh Kumar VKAcademic ActivitiesWe have conducted six (bi-monthly) meetings and a two day CME and workshop (critical care ultrasound) in the year 2012.Details of the academic activities and given below.25th January 2012 Lung recruitment and optimal PEEP. What is new?”Speaker: Dr. Suresh G Nair Chairperson- Dr. G. Krishnakumar 6th April 2012 Management of Acute Liver failure – critical care perspective” Speaker: Dr. Krishna Das D Chairperson-Dr. Mathew Thomas26th May 2012 What is new and happening in Critical Care”?Speaker: Dr. Jose Chacko. Chairperson, Dr. Unnikrishnan S.27th July 2012 “What the clinician should know about cultures” Speaker : Dr.Anup R Warrier, “Right dose of Antimicrobials for Renally Impaired Patients in a critical care setting” Speaker : Dr.Noble Gracious, Chairperson: Dr. Hari T.A., 4th October 2012 Management of the brain-dead donor Speaker: Dr Akila Rajakumar Chair person: Prof Ramdas Pisharody20th December 2012 ‘Raised ICP-How to tackle’ Speaker: Dr.Mathew Abraham, Chairperson: Dr.Suresh Chandran.Intensive Care Update 2012 (October 2012)We have conducted, 2nd ‘Intensive care update 2012”, annual CME programme which comprised of one day workshop and one day CME. WORKSHOP-on 27th October 2012 at medical college, Trivandrum. Topic-Ultrasound in critical care. 5 stations were arranged with 5 faculties for 20(restricted) delegates.CME-on 28th October 2012 at Hotel Residency Towers, Trivandrum Registration and PAN card.We got registration on November 2012,with the name as “Society of critical care medicine, Trivandrum city branch”. We have bagged PAN card also (copy attached). PAN No. AAIAS6293A with the name of Society of Critical Care Medicine, Trivandrum city branch.

VARANASI BRANChExecutive Committee Chairman: Prof. DK Singh Secretary : Dr. A.P. Singh Treasurer Dr. Rajeev Kumar Dubey Members : Dr. P. Ranjan, Dr. SK Mathur, Dr. Udai Singh, Dr. Sanjeev Kumar Singh, Dr. Ram Badan Singh, Dr. Shivendra SinghAcademic Activities27th June 2012 Nutritional support for ICU patients. Prof. J. Divatia 18th August 2012 How to manage Carbapenem resistant ICU infection Dr. DK Sinha 25th August 2012 Management of ESBL chest in fections infections Dr. Ashish Tandon 13th Sept 2012 CME lectures on sepsis day Infection control in ICU Prof Gopalnath, Recent advances in Management of sepsis Prof. D K Singh16th Sept 2012 Management of nosocomial pneumonia Dr. Rajeev Dubey 16th Oct 2012 ICU sedation Current practices Dr. RB Singh 4TH Nov 2012 CME on Obstretic Critical Care by national faculty CPR training every Tuesday for students and paramedics by Deptt. Faculty, IMS, BHU.

The CriTiCal Care CommuniCaTionsa Bi-monthly newsletter of indian society of Critical Care medicine 11CRITICARE NURSING

A R E P O R T

Prof . Jaya Kuruvillapresident ccNS

1st International Conference organized byCRITICAl CARE NURSES SOCIETyOn 15th & 16th February 2013, at Mumbai, IndiaCritical Care Nurses Society [CCNS], a national body of Critical Care Nurses hosted the first International Conference on the 15th & 16th of February 2013, at Janssen Auditorium, Holy Spirit Hospital, Mumbai, on the theme “Leading Change, Conquering Heights”.The conference was preceded by a pre- conference session for nurse leaders, on the theme “Leading Change, Conquering Heights To Enhance Quality Of Nursing Practice Through Advanced Education”. The principal speakers were Dr Sheelagh Martindale, Robert Gordon University, UK and Ms Nirmal Thakur, PRO, Trauma Center, AIIMS, New Delhi and Chairperson, Academy of Clinical & Emergency Nursing. The session was attended by 47 leading nurse academicians and administrators, & recommendations to be forwarded to the govt were identified.The conference was inaugurated by the Chief Guest, Ms Homai Mody, Secretary, Red Cross Society, the Guest of Honour, Dr Narendra Rungta, President, Indian Society of Critical

Care Medicine and Prof Jaya Kuruvilla, the President of CCNS. Dr Narendra Rungta , President of ISCCM said “ the formation of the Critical Care Nurses Society [CCNS] is a dream come true for me at a personal level and a big positive as far as the Indian Society of Critical Care Medicine is concerned. The ISCCM will support the CCNS to promote critical care nursing education.”Eminent speakers from various specialities in Nursing- nurses in education, clinical nursing, marketing, media & public relations, Intensive Care Medicine, Medico-legal Consultancy, Organ donation and Clinical Counselling provided insight into a variety of topics during the plenary sessions, panel discussion, sensitization & overview sessions. The presentations included one by the patron of the Society, Arjo Huntleigh, India.The intellectual deliberations were balanced by skill workstations on Airway Management, Arterial Blood Gas, Mechanical Ventilation and ACLS. The conference also saw competitions on research abstracts, concept maps and pictorial case presentations. Over 50 posters were presented by participants to small groups during the poster gallery session and the highlights presented at the poster feedback. The conference also witnessed the release of the first issue of the peer reviewed Journal of Critical Care Nursing, at the hands of Dr Rungta, and the Souvenir by Ms Homai Mody.The conference was attended by over 500 delegates from 54 institutions all across the country. The participants included Critical Care nurses at various stages in their career, nurse educators and trainers, and nursing administrators.The rich cultural heritage of the country was highlighted at the cultural extravaganza presented by students from 10

different nursing colleges in Mumbai. The valedictory session was graced by Fr Tomy, Director, Bel-Air Hospital & College of Nursing, Panchgani & Dr S M Keswani, Director, National Burns Center, Airoli.The feedback of the delegates was positive & enthusiastic.Please visit www.criticalcarenursessociety.com to come to know more about CCNS.Encourage the nurses working in critical care to become members.Encourage ICU nurses to contribute for the peer reviewed journal “ The Journal Of Critical Care Nursing”.

Release of The Journal Of Critical Care Nursing” at the hands of Dr. Narendra Rungta, President ISCCM in presence of Prof. Jaya Kuruvilla, President CCNS and Chief Guest Ms. Homai Modi. [in the centre]

Executive Committee members of CCNS

Congratulations to the Nagpur Branch which organized the

Central Provinces CRITICON and is also the recipient of the

"Best ISCCM Branch"

Dr. Narendra Rungta Dr.Mahesh Nirmalan


JOUR

NAL SCAN

dr. Jayant ShelgaonkarDirector, icu, aditya Birla hospital, pune

Clinical Practice Guidelines for the

Management of Pain, Agitation, and Delirium in Adult Patients in the

Intensive Care Unit

Extravascular lung water is an independent

prognostic factor in patients with acute respiratory distress

syndrome*

Juliana Barr, MD, FCCM; Gilles L. Fraser, PharmD, FCCM; Kathleen Puntillo, RN, PhD, FAAN, FCCM et al.January 2013 • Volume 41 • Number 1

STaTemeNTS aND recommeNDaTioNS

1. Pain and Analgesia a. incidence of pain

i. adult medical, surgical, and trauma icu patients routinely experience pain, both at rest and with routine icu care (B).

ii. pain in adult cardiac surgery patients is common and poorly treated; women experience more pain than men after cardiac surgery (B).

iii. procedural pain is common in adult icu patients (B).

b. pain assessment

i. it is recommended that pain be routinely monitored in all adult icu patients (+1B).

ii. The Behavioral pain Scale (BpS) and the critical-care pain observation Tool (cpoT) are the most valid and reliable behavioral pain scales for monitoring pain in medical, postoperative, or trauma (except for brain injury) adult icu patients who are unable to self-report and in whom motor function is intact and behaviors are observable. using these scales in other icu patient populations and translating them into foreign languages other than French or english require further validation testing (B).

iii. No recommendation for using vital signs (or observational pain scales that include vital signs) for pain assessment in adult icu patients (–2c).

iv. But vital signs may be used as a cue to begin further assessment of pain in these patients, however (+2c).

c. Treatment of pain

i. it is recommended that preemptive analgesia and/or nonpharmacologic interventions (e.g., relaxation) be administered to alleviate pain in adult icu patients prior to chest tube removal (+1c).

ii. The suggestion is that for other types of invasive and potentially painful procedures in adult icu patients, preemptive analgesic therapy and/or nonpharmacologic interventions may also be administered to alleviate pain (+2c).

iii. it is recommended that intravenous (iV) opioids be considered as the first-line drug class of choice to treat non-neuropathic pain in critically ill patients (+1c).

iv. all available iV opioids, when titrated to similar pain intensity endpoints, are equally effective (c).

v. it is suggested that nonopioid analgesics be considered to decrease the amount of opioids administered (or to eliminate the need for iV opioids altogether) and to decrease opioid-related side effects (+2c).

vi. it is recommended that either enterally administered gabapentin or carbamazepine, in addition to iV opioids, be considered for treatment of neuropathic pain (+1a).

vii. The recommendation is that thoracic epidural anesthesia/ analgesia be considered for postoperative analgesia in patients undergoing abdominal aortic aneurysm surgery (+1B).

viii. They provide no recommendation for using a lumbar epidural over parenteral opioids for postoperative analgesia in patients undergoing abdominal aortic aneurysm surgery, due to a lack of benefit of epidural over parenteral opioids in this patient population (0,a).

ix. They provide no recommendation for the use of thoracic epidural analgesia in patients undergoing either intrathoracic or nonvascular abdominal surgical procedures, due to insufficient and conflicting evidence for this mode of analgesic delivery in these patients (0,B).

x. it is suggested that thoracic epidural analgesia be considered for patients with traumatic rib fractures (+2B).

xi. They provide no recommendation for neuraxial/ regional analgesia over systemic analgesia in medical icu patients, due to lack of evidence in this patient population (0, No evidence).

2. Agitation and Sedation a. Depth of sedation vs. clinical outcomes

i. maintaining light levels of sedation in adult icu patients is associated with improved clinical outcomes (e.g., shorter duration of mechanical ventilation and a shorter icu length of stay [loS]) (B).

ii. maintaining light levels of sedation increases the physiologic stress response, but is not associated with an increased incidence of myocardial ischemia (B).

iii. The association between depth of sedation and psychological stress in these patients remains unclear (c).

iv. it is recommended that sedative medications be titrated to maintain a light rather than a deep level of sedation in adult icu patients, unless clinically contraindicated (+1B).

b. monitoring depth of sedation and brain function

i. The richmond agitation-Sedation Scale (raSS) and Sedation-agitation Scale (SaS) are the most valid and reliable sedation assessment tools for measuring quality and depth of sedation in adult icu patients (B).

ii. No recommendation for objective measures of brain function (e.g., auditory evoked potentials [aeps], Bispectral index [BiS], Narcotrend index [Ni], patient State index [pSi], or state entropy [Se]) be used as the primary method to monitor depth of sedation in noncomatose, nonparalyzed critically ill adult patients, as these monitors are inadequate substitutes for subjective sedation scoring systems (–1B).

iii. They suggest that objective measures of brain function (e.g., aeps, BiS, Ni, pSi, or Se) be used as an adjunct to subjective sedation assessments in adult icu patients who are receiving neuromuscular blocking agents, as subjective sedation assessments may be unobtainable in these patients (+2B).

iv. They recommend that eeG monitoring be used to monitor nonconvulsive seizure activity in adult icu patients with either known or suspected seizures, or to titrate electrosuppressive medication to achieve burst suppression in adult icu patients with elevated intracranial pressure (+1a).

c. choice of sedative

i. it is suggested that sedation strategies using nonbenzodiazepine sedatives (either propofol or dexmedetomidine) may be preferred over sedation with benzodiazepines (either midazolam or lorazepam) to improve clinical outcomes in mechanically ventilated adult icu patients (+2B).

3. Delirium a. outcomes associated with delirium

i. Delirium is associated with increased mortality in adult icu patients (a).

ii. Delirium is associated with prolonged icu and hospital loS in adult icu patients (a).

iii. Delirium is associated with the development of post-icu cognitive impairment in adult icu patients (B).

b. Detecting and monitoring delirium

i. routine monitoring of delirium in adult icu patients is recommended. (+1B).

ii. The confusion assessment method for the icu (cam-icu) and the intensive care Delirium Screening checklist (icDSc) are the most valid and reliable delirium monitoring tools in adult icu patients (a).

iii. routine monitoring of delirium in adult icu patients is feasible in clinical practice (B).

c. Delirium risk factors

i. Four baseline risk factors are positively and significantly associated with the development of delirium in the icu: preexisting dementia, history of hypertension and/or alcoholism, and a high severity of illness at admission (B).

ii. coma is an independent risk factor for the development of delirium in icu patients (B).

iii. Conflicting data surround the relationship between opioid use and the development of delirium in adult icu patients (B).

iv. Benzodiazepine use may be a risk factor for the development of delirium in adult icu patients (B).

v. There are insufficient data to determine the

relationship between propofol use and the development of delirium in adult icu patients (c).

vi. in mechanically ventilated adult icu patients at risk of developing delirium, dexmedetomidine infusions administered for sedation may be associated with a lower prevalence of delirium compared to benzodiazepine infusions (B).

d. Delirium prevention

i. They recommend performing early mobilization of adult icu patients whenever feasible to reduce the incidence and duration of delirium (+1B).

ii. They provide no recommendation for using a pharmacologic delirium prevention protocol in adult icu patients, as no compelling data demonstrate that this reduces the incidence or duration of delirium in these patients (0,c).

iii. They also provide no recommendation for using a combined nonpharmacologic and pharmacologic delirium prevention protocol in adult icu patients, as this has not been shown to reduce the incidence of delirium in these patients (0,c).

iv. They do not suggest that either haloperidol or atypical antipsychotics be administered to prevent delirium in adult icu patients (–2c).

v. No recommendation for the use of dexmedetomidine to prevent delirium in adult icu patients, as there is no compelling evidence regarding its effectiveness in these patients (0,c).

e. Delirium treatment

i. There is no published evidence that treatment with haloperidol reduces the duration of delirium in adult icu patients (No evidence).

ii. atypical antipsychotics may reduce the duration of delirium in adult icu patients (c).

iii. They do not recommend administering rivastigmine to reduce the duration of delirium in icu patients (–1B).

iv. They do not suggest using antipsychotics in patients at significant risk for torsades de pointes (i.e., patients with baseline prolongation of QTc interval, patients receiving concomitant medications known to prolong the QTc interval, or patients with a history of this arrhythmia) (–2c).

v. it is suggested that in adult icu patients with delirium unrelated to alcohol or benzodiazepine withdrawal, continuous iV infusions of dexmedetomidine rather than benzodiazepine infusions be administered for sedation to reduce the duration of delirium in these patients (+2B).

4. Strategies for Managing Pain, Agitation, and Delirium to Improve ICU Outcomes

a. They recommend either daily sedation interruption or a light target level of sedation be routinely used in mechanically ventilated adult icu patients (+1B).

b. It is suggested that analgesia-first sedation be used in mechanically ventilated adult icu patients (+2B).

c. They also recommend promoting sleep in adult icu patients by optimizing patients’ environments, using strategies to control light and noise, clustering patient care activities, and decreasing stimuli at night to protect patients’ sleep cycles (+1c).

d. They provide no recommendation for using specific modes of mechanical ventilation to promote sleep in mechanically ventilated adult ICU patients, as insufficient evidence exists for the efficacy of these interventions (0, No evidence).

e. They recommend using an interdisciplinary icu team approach that includes provider education, preprinted and/or computerized protocols and order forms, and quality icu rounds checklists to facilitate the use of pain, agitation, and delirium management guidelines or protocols in adult icus (+1B).

Jozwiak, Mathieu MD et al.

Critical Care Medicine: February 2013 - Volume 41 - Issue 2 - p 472–480


Antibiotic prescription patterns in the empiric

therapy of severe sepsis: combination

of antimicrobials with different mechanisms of action reduces mortality

Effect of Daily Chlorhexidine Bathing on Hospital-Acquired

Infection

Rivaroxaban for Thromboprophylaxis in Acutely Ill Medical

Patients

Randomized double-blind placebo-controlled trial of 40 mg/day of atorvastatin in reducing the severity

of sepsis in ward patients (ASEPSIS Trial)

A survey on infection management practices in

Italian ICUs

95% confidence interval (CI), 0.522 to 0.936; P = 0.016), as was urologic focus of infection (or, 0.241; 95% ci, 0.102 to 0.569; P = 0.001).

Conclusions : β-lactams, including carbapenems, are the most frequently prescribed antibiotics in empiric therapy in patients with severe sepsis and septic shock. administering a combination of antimicrobials with different mechanisms of action is associated with decreased mortality.

Michael W. Climo, M.D., Deborah S. Yokoe, M.D. et al.

N Engl J Med 2013; 368:533-542 February 7, 2013

results of previous single-center, observational studies suggest that daily bathing of patients with chlorhexidine may prevent hospital-acquired bloodstream infections and the acquisition of multidrug-resistant organisms (mDros).

Methods : The authors conducted a multicenter, cluster-randomized, nonblinded crossover trial to evaluate the effect of daily bathing with chlorhexidine-impregnated washcloths on the acquisition of mDros and the incidence of hospital-acquired bloodstream infections. Nine intensive care and bone marrow transplantation units in six hospitals were randomly assigned to bathe patients either with no-rinse 2% chlorhexidine–impregnated washcloths or with non antimicrobial washcloths for a 6-month period, exchanged for the alternate product during the subsequent 6 months. The incidence rates of acquisition of mDros and the rates of hospital-acquired bloodstream infections were compared between the two periods by means of poisson regression analysis.

Results : a total of 7727 patients were enrolled during the study. The overall rate of mDro acquisition was 5.10 cases per 1000 patient-days with chlorhexidine bathing versus 6.60 cases per 1000 patient-days with nonantimicrobial washcloths (p=0.03), the equivalent of a 23% lower rate with chlorhexidine bathing. The overall rate of hospital-acquired bloodstream infections was 4.78 cases per 1000 patient-days with chlorhexidine bathing versus 6.60 cases per 1000 patient-days with nonantimicrobial washcloths (p=0.007), a 28% lower rate with chlorhexidine-impregnated washcloths. No serious skin reactions were noted during either study period.

Conclusions : Daily bathing with chlorhexidine-impregnated washcloths significantly reduced the risks of acquisition of mDros and development of hospital-acquired bloodstream infections.

Alexander T. Cohen, M.D., Theodore E. Spiro, M.D et al.

N Engl J Med 2013; 368:513-523 February 7, 2013

The clinically appropriate duration of thromboprophylaxis in hospitalized patients with acute medical illnesses is unknown. in this multicenter, randomized, double-blind trial, we evaluated the efficacy and safety of oral rivaroxaban administered for an extended period, as compared with subcutaneous enoxaparin administered for a standard period, followed by placebo.

Methods : The authors randomly assigned patients 40 years of age or older who were hospitalized for an acute medical illness to receive subcutaneous enoxaparin, 40 mg once daily, for 10±4 days and oral placebo for 35±4 days or to receive subcutaneous placebo for 10±4 days and oral rivaroxaban, 10 mg once daily, for 35±4 days. The primary efficacy outcomes were the composite of asymptomatic proximal or symptomatic venous thromboembolism up to day 10 (noninferiority test) and up to day 35 (superiority test). The principal safety outcome was the composite of major or clinically relevant nonmajor bleeding.

Results : a total of 8101 patients underwent randomization. a primary efficacy outcome event occurred in 78 of 2938 patients (2.7%) receiving rivaroxaban and 82 of 2993 patients (2.7%) receiving enoxaparin at day 10 (relative risk with rivaroxaban, 0.97; 95% confidence interval [CI], 0.71 to 1.31; P=0.003 for noninferiority) and in 131 of 2967 patients (4.4%) who received rivaroxaban and 175 of 3057 patients (5.7%) who received enoxaparin followed by placebo at day 35 (relative risk, 0.77; 95% ci, 0.62 to 0.96; p=0.02). a principal safety outcome event occurred in 111 of 3997 patients (2.8%) in the rivaroxaban group and 49 of 4001 patients (1.2%) in the enoxaparin group at day 10 (p<0.001) and in 164 patients (4.1%) and 67 patients (1.7%) in the respective groups at day 35 (p<0.001).

Conclusions : in acutely ill medical patients, rivaroxaban was noninferior to enoxaparin for standard-duration thromboprophylaxis. extended-duration rivaroxaban reduced the risk of venous thromboembolism. rivaroxaban was associated with an increased risk of bleeding.

Jaimin M Patel, Catherine Snaith et al.

Critical Care 2012, 16:R231

Introduction : Several observational studies suggest that statins modulate the pathophysiology of sepsis and may prevent its progression. The aim of this study was to determine if the acute administration of atorvastatin reduces sepsis progression in statin naïve patients hospitalized with sepsis.

Methods : a single centre phase ii randomized double-blind placebo-controlled trial. patients with sepsis were randomized to atorvastatin 40 mg daily or placebo for the duration of their hospital stay up to a maximum of 28-days. The primary end-point was the rate of sepsis progressing to severe sepsis during hospitalization.

Results : 100 patients were randomized, 49 to the treatment with atorvastatin and 51 to placebo. patients in the atorvastatin group had a significantly lower conversion rate to severe sepsis compared to placebo (4% vs. 24% p = 0.007.), with a number needed to treat of 5. No significant difference in length of hospital stay, critical care unit admissions, 28-day and 12-month readmissions or mortality was observed. plasma cholesterol and albumin creatinine ratios were significantly lower at day 4 in the atorvastatin group (p < 0.0001 and p = 0.049 respectively). No difference in adverse events between the two groups was observed (p = 0.238).

Conclusions : acute administration of atorvastatin in patients with sepsis may prevent sepsis progression. Further multi-centre trials are required to verify these findings.

Matteo Bassetti et al.

Critical Care 2012, 16:R221

Introduction : an online survey was conducted to characterize current infection management practices in italian intensive care units (icus), including the antibacterial and antifungal drug regimens prescribed for various types of infections.

Methods : During February and march 2011, all 450 icus in public hospitals in italy were invited to take part in an online survey. The questionnaire focused on icu characteristics, methods used to prevent, diagnose, and treat infections, and antimicrobials prescribing policies. The frequency of each reported practice was calculated as a percentage of the total number of units answering the question. The overall response rate to the questionnaire was 38.8% (175 of the 450 icus contacted) with homogeneous distribution across the country and in terms of unit type.

Results : eighty-eight percent of the responding facilities performed periodical surveillance cultures on all patients. in 71% of patients, cultures were also collected on admission. endotracheal/bronchial aspirates were the most frequently cultured specimens at both time points. Two-thirds of the responding units had never performed screening cultures for methicillin-resistant Staphylococcus aureus. around 67% of the icus reported the use of antimicrobial de-escalation strategies during the treatment phase. in general, the use of empirical antimicrobial drug regimens was appropriate. although the rationale for the choice was not always clearly documented, the use of a combination therapy was preferred over antibiotic monotherapy. The preferred first-line agents for invasive candidiasis were fluconazole and an echinocandin (64% and 25%, respectively). Two-thirds of the icus monitored vancomycin serum levels and administered it by continuous infusion in 86% of cases. For certain antibiotics, reported doses were too low to ensure effective treatment of severe infections in critically ill patients; conversely, inappropriately high doses were administered for certain antifungal drugs.

Conclusions : although infection control policies and management practices are generally appropriate in italian icus, certain aspects, such as the extensive use of multidrug empirical regimens and the inappropriate antimicrobial dosing, deserve careful management and closer investigation.

acute respiratory distress syndrome might be associated with an increase in extravascular lung water index and pulmonary vascular permeability index, which can be measured by transpulmonary thermodilution. We tested whether extravascular lung water index and pulmonary vascular permeability index are independent prognostic factors in patients with acute respiratory distress syndrome.

a retrospective study was conducted by authors in medical intensive care unit.

Two hundred consecutive acute respiratory distress syndrome patients (age = 57 ± 17, Simplified Acute Physiology Score II = 57 ± 20, overall day-28 mortality = 54%).

They measured extravascular lung water index and pulmonary vascular permeability index (picco device, pulsion medical Systems) at each day of the acute respiratory distress syndrome episode.

Main Results: The maximum values of extravascular lung water index and pulmonary vascular permeability index recorded during the acute respiratory distress syndrome episode (maximum value of extravascular lung water index and maximum value of pulmonary vascular permeability index, respectively) were significantly higher in nonsurvivors than in survivors at day-28 (mean ± SD: 24 ± 10 ml/kg vs. 19 ± 7 ml/kg of predicted body weight, p < 0.001 [t-test] for maximum value of extravascular lung water index and median [interquartile range]: 4.4 [3.3–6.1] vs. 3.5 [2.8–4.4], p = 0.001 for maximum value of pulmonary vascular permeability index, Wilcoxon’s test). in multivariate analyses, maximum value of extravascular lung water index or maximum value of pulmonary vascular permeability index, Simplified Acute Physiology Score II, maximum blood lactate, mean positive end-expiratory pressure, mean cumulative fluid balance, and the minimal ratio of arterial oxygen pressure over the inspired oxygen fraction were all independently associated with day-28 mortality. a maximum value of extravascular lung water index >21 ml/kg predicted day-28 mortality with a sensitivity of (mean [95% confidence interval]) 54% (44–63)% and a specificity of 73% (63–82)%. The mortality rate was 70% in patients with a maximum value of extravascular lung water index >21 ml/kg and 43% in the remaining patients (p = 0.0003). a maximum value of pulmonary vascular permeability index >3.8 predicted day-28 mortality with a sensitivity of (mean [95% confidence interval]) 67% (57–76)% and a specificity of 65% (54–75)%. The mortality rate was 69% in patients with a maximum value of pulmonary vascular permeability index >3.8 and 37% in the group with a maximum value of pulmonary vascular permeability index ≤3.8 (p < 0.0001).

Conclusions: extravascular lung water index and pulmonary vascular permeability index measured by transpulmonary thermodilution are independent risk factors of day-28 mortality in patients with acute respiratory distress syndrome.

Ana Díaz-Martín, María L Martínez-González, Ricard Ferrer et aal. , Edusepsis Study GroupCritical Care 2012, 16:R223

although early institution of adequate antimicrobial therapy is lifesaving in sepsis patients, optimal antimicrobial strategy has not been established. Moreover, the benefit of combination therapy over monotherapy remains to be determined. our aims are to describe patterns of empiric antimicrobial therapy in severe sepsis, assessing the impact of combination therapy, including antimicrobials with different mechanisms of action, on mortality.

Methods : This is a Spanish national multicenter study, analyzing all patients admitted to icus who received antibiotics within the first 6 hours of diagnosis of severe sepsis or septic shock. antibiotic-prescription patterns in community-acquired infections and nosocomial infections were analyzed separately and compared. We compared the impact on mortality of empiric antibiotic treatment, including antibiotics with different mechanisms of action, termed different-class combination therapy (DccT), with that of monotherapy and any other combination therapy possibilities (non-DccT).

Results: We included 1,372 patients, 1,022 (74.5%) of whom had community-acquired sepsis and 350 (25.5%) of whom had nosocomial sepsis. The most frequently prescribed antibiotic agents were β-lactams (902, 65.7%) and carbapenems (345, 25.1%). DccT was administered to 388 patients (28.3%), whereas non-DccT was administered to 984 (71.7%). The mortality rate was significantly lower in patients administered DccTs than in those who were administered non-DccTs (34% versus 40%; P = 0.042). The variables independently associated with mortality were age, male sex, apache ii score, and community origin of the infection. DccT was a protective factor against in-hospital mortality (odds ratio (or), 0.699;


CRITICARE 2013ACCESSIBLE ACCOUNTABLE AFFORDABLE CARE

19th Annual Congress of the Indian Society of Critical Care Medicine &International Critical Care Congress (CRITICARE 2013)

Science City, Kolkata Scientific Congress : 1st to 3rd March, 2013 Workshop : 4th to 5th March, 2013

Organized by : ISCCM Kolkata Branch, West Bengal, INDIA

Dear Colleagues,

It is our priviledge to invite you to Kolkata for the 19th Annual Congress of Indian Society of Critical Care Medicine organised by ISCCM Kolkata Branch. Critical Care in India has “come of age” the theme of Pune Congress in 2012. With coming of age comes maturity and with that comes responsibility and accountability, an appropriate follow up theme for Kolkata congress. Accountable, Accessible and Affordable Care has been selected as the theme for Kolkata Congress, as these are the principal ingredients of critical care delivery mostly needed in our country. As we perceive, success of any scientific congress should be judged by the quality of the scientific content, the depth and breadth of the subject areas covered and choice of international and national faculties. Clinically focussed deliberations are more appreciated by most of our delegates who are predominantly from non research background. On the other hand, in order to bring Critical Care in India at par with the international standards, original works, research oriented and basic science oriented topics are equally important and a balanced scientific program has been designed

Scientific Publications in the form of CME book, abstract book, compendium on Critical Care research in India, ISCCM guideline book will be available to the delegates.

Twenty workshops covering all important aspects of Critical Care both adult and pediatric is designed for 4th and 5th March 2013.

Organisational aspects of congress is equally important and a close collaborative work between the event managers and local working committee will ensure smooth functioning of various organizational departments to take care of the delegates and ensure a comfortable stay.

We wish you an enjoyable stay in Kolkata, enjoy pre/post congress many tours of Kolkata and surroundings (Darjeeling, Sunderbans) arranged by our event manager, enjoy the science city itself, famous bengal rasagolla and misti doi and a colourful cultural program. We are sure you will have a productive and quality time during the conference

Best Wishes

Organising CommitteeCRITICARE 2013

dr. Subhash Todi dr. Bibhu Kalyani das dr. Susruta Bandyopadhyay Dr. ajoy sarkarOrganizing Chairman

Mobile : +91-9831202040Chairman, Reception Committee

Mobile : +91-9830006409Organizing Secretary

Mobile : +91-9831079453Treasurer

Mobile : +91-9830006644

Conference Secretariat

CRITICARE 2013KB-25 Building, 2nd Floor, Salt Lake City, Sector - III, Kolkata - 700098, West Bengal, India.

Mobile : +91-9810084342 • +91-8017984305 • e-mail : secretariat@criticare2013kolkata. org • [email protected]

for more Details & Online Registration please visit www.criticare2013kolkata.orgSCIENTIFIC PROGRAM DAY – 1

7:30 onwards Registration8:15-8:25 am Welcome address

PLENARY SESSION (HALL – A)8:30 -9:30 am Chairpersons: Narendra Rungta, & Subrata Moitra8:30 – 8:50 am Intensive care: Beyond Technology Speaker: Farokh Udwadia 8:50–9:10 am Making ICU care Affordable Speaker: Ram E. Rajagopalan9:10 – 9:30 am Menace of tropical fever in India-Management strategy in ICU Speaker: Dhruv Choudhry

PLENARY SESSION (HALL –A) 9:40-10:40 am Chairpersons: Shirish Prayag & Anjan Dutta 9:40– 10:00am Antimicrobial therapy of septic shock - Speed is life Speaker: Anand Kumar10:00 – 10:20 am Biomarkers of sepsis Speaker: Konrad Reinhardt10:20– 10:40 am Combating Acinetobacter Speaker: Jeff Lipmann10:50 – 12:00 Parallel Session

hAll – A hAll – B hAll – C hAll - d hAll – E ThEMATIC

FUNgAl SEpSISThEMATIC

arDs NEW gUIdElINES ThEMATIC

FlUIdSWhATS NEW

mONItOrINGChairpersons:Prithwish Bhattacharya & Dhiman Sen

Chairpersons:Pawan Agarwal & A.Sobhana

Chairpersons:Anupam Goswami & Manoj Singh

Chairpersons:Jose Chacko & Prakash Shastri & A K Mitra Mustafi

Chairpersons:Debabrata Mukherjee & Srinivas Samavedam

10:50 – 11:10 am Candida sepsis: Time is tissue - Anand Kumar

Can ARDS be prevented - Daniel Talmor

ISCCM Guideline on ICU Design Ashutosh Ghosh

Are colloids down and out: lessons learnt from recent trials - Konrad Reinhardt

Glucose Monitoring techniques inICU: New technology - P.Gopal

11:10 – 11:30 am Aspergillus and Mucor in ICU: a growing threat -Sameer Sahu

Immunomodulation in ARDS: does it work - Pravin Amin

Acute spinal cord injury guidelines - Mohan Matthews

Albumin resuscitation: Is it staging a come back - Sumit Rai

Therapeutic drug monitoring of antibiotics in ICU: The way forward - Jeff Lipmann

11:30 – 11:50 am Candida in Respiratory secretions – Harmless resident or not? - Vivek Nangia

ARDS; Rescue therapies in severe hypoxemia - Edgar Jiminez

Therapeutic hypothermia: current guidelines - Manoj Goel

Is chloride resuscitation harmful: - Sashi Kumar

Monitoring Coagulation system in ICU - Rajesh Pande

Q & A - 12:00Parallel Session

12:05 – 1:15 pm hAll - A hAll – B hAll – C hAll - d hAll – EThEMATIC

PaNcreatItIsyEAR IN REVIEW: 2012 pANEl dISCUSSION ThEMATIC

ANTIBIOTIC ThEMATIC

glUCOSE/EndocrineChairpersons:

Ananda Bagchi & Rajat AgarwalChairperson:Sujoy Mukherjee& Ranvir Tyagi

Chairpersons:Pradeep Bhattacharjee & Basab Bijoy Sarkar

Chairpersons:Subhankar Chowdhry & J.J. Mukherjee

12:05 – 12:25pm Acute Pancreatitis: Atlanta classification Revisited 2012 - Sujit Chowdhury

Cardiology/resuscitation/hemodynamics - Mahua Bhattacharya

12:05 12:35Ethical issues in ICU Moderator: R.K. Mani Panelist: Manimala Rao, Ram Rajagopalan, Krishnenedu Mukherjee, A.K Deka, Saurav Ghosh

Optimal use of colistin: recent data - Jeff Lipmann

Hypoglycemia in ICU: New insights -Farhad Kapadia


SCIENTIFIC PROGRAM DAY – 1 (Contd....)12:25 – 12:45pm Nutrition therapy in acute

pancreatitis - K. Sriram Respiratory critical care and mechanical ventilation - Charles Gommersall

Sulbactam: how it should be used - A. Baronia

Diagnosing cortisoldeficiency in ICU - Sujoy Ghosh

12:45– 1:05 pm Surgical options in Acute Severe Pancreatitis - J.D. Sunavala

Infection/Sepsis - Robert Balk 12:40-1:10 Legal issues in ICU Moderator: Manish Munjal Panelist: Subroto moitra, B.K. Rao, Shirish Prayag A.K. Sil

Gram positive sepsis: current management strategies Ashit Hegde

Insulin Protocols in ICU – is sliding scale obsolete – J.V. Peter

Q & A 1:151:15 – 2:00 pm Lunch/ Exhibit Break2:00- 3:10 Parallel Session

hAll – A hAll – B hAll - C hAll - d hAll – EThEMATIC

TRANSplANTATIONThEMATICseDatION

ThEMATIC INFectION

ThEMATICSEpSIS/

hOW I dO ITVENTIlATION

Chairpersons:Rahul Pandit & Sourabh Kole

Chairpersons:Tapas Chakraborty & Bibhu Kalyani Das

Chairpersons:Vivek Nangia & B.P.Singh

Chairpersons:Abhijit Bhattacharya, Claudio Ronco & D P Chakraborty(

Chairpersons:Ajoy Sarkar & Sumit Sengupta

2:00- 2:20 pm Brain death certification and cadaveric organ transplant: current status in India - P.Gopal (36)

Implementing Analgesia, and sedation protocols in ICU - Carol Thompson

Post op Neurosurgicalmeningitis: Diagnosisand treatment - Rajesh Mishra

Optimizing antimicrobial therapy in Septic Shock: A hammer helps too. - Anand Kumar

Utilize Ventilator Graphics at the bedside - Daniel Talmor

2:20- 2:40 pm Managing brain dead organ donor in ICU - Subhash Arora

Analgosedation in ICU: Choosing the right agent - Srinivasa Samavedam

VAT – should it be treated - Robert Balk

Rapid diagnosis of sepsis - K. Reinhardt

Perform Recruitment Manouevers - Edgar Jiminez

2:40-3:00 pm Organizing your ICU for organ transplant Yatin Mehta

Sedation in ventilated patient: can we do without it - Shiela Myatra

Management of HIV infected critically ill patients -Bibhuti Saha

Adjunctive therapies in sepsis - R. K. Mani

Titrate PEEP - Farhad Kapadia

Q&A 3:10 pm3:15- 4:25 pm Parallel Session

hAll - A hAll – B hAll – C hAll – d hAll – EThEMATIC

NEphROlOgyWhATS NEW

hEMOdyNAMICShOW I dO ITpROCEdURES

ThEMATICNEUROlOgy

cONtrOVersIesRESUSCITATION

Chairpersons:Jayanta Bose & Arup Dutta

Chairpersons:Anil Mishra & Rajnish Joshi

Chairpersons:Arijit Bose & Sandip Kantor

Chairpersons:Arunabha Choudhry & Amna Goswami

Chairpersons:Emanuel Rupert & Sudha Kansal

3:15-3:35 pm SLED /CRRT/IHD: who wins the race - Claudio Ronco

Assessing hemodynamic: New Tools - Jean Louis Teboul

Rapid fluid infusion techniques - M.C Mishra

Acute Stroke- Role of Intensivist Shiva Iyer

Early Goal directed therapy: controversies and newer trials - Anand Kumar

3: 35- 3:55 pm Strategies to prevent AKI - Arghya Majumdar

Assessing Tissue perfusion: beyond lactate - Jean Louis Vincent

Perform Tracheostomy in ICU - Abhiram Mullick

ICP Management: Current Status Bibhu Kalyani Das

Fluid resuscitation: Dry or Wet - Ram Rajagopalan

3:55- 4:15 pm Augmented Renal Clearance - Jeff Lipmann

Extracorporeal Cardiorespiratory Support: Coming to bedside - Sameer Jog

Bronchoscopy in ICU - Mrinal Sircar

Early mobilsation: key to success - Carol Thompson

Do we need to treat sinus tachycardia in ICU - Sumit Ray

Q & A 4:254:30-5:40 pm Parallel Session

hAll - A hAll – B hAll - C hAll – d hAll – E

PREPARATION FOR CONVOCATION

ThEMATICVasOPressOr

controversy ThEMATICTRAUMA/dISASTER

ThEMATICTRANSFUSION

Chairpersons:Dr Iqbal & Samir Sahu

Chairpersons:Jayanta Dutta & Indranil Ghosh

Chairpersons:Sumit Podder & Ansu Choudhry & Lt.Col.Samir.Mehrotra

Chairpersons:Vandana Agarwal & Maitreyii Bhattachaya

4:30-4:50 pm Vasopressin and analogs: current status - Pravin Amin

5:30-6:00 pmAntibiotic Original molecule: Hemant Tiwari vs.Generic Brands: Sumit Ray

Critical care during an epidemic - Dr. Saurabh kole

Guidelines for Hemorrhagic Shock - Prasad Rajhans

4:50- 5:10 pm Norepinephrine revisited - Jean Louis teboul

Organizing a trauma team and trauma protocol - M.C. Mishra

Blood component transfusion strategies in ICU - Rajan Barokar

5:10-5:30 pm Is Dopamine out - Jean Louis Vincent

6:00 – 6:30 pm Selective decontamination of digestive tract (SDD/SOD): is it an option in India? Dr.Chandrashish Chakravarty

Disaster planning in ICU: Checklist - Dr Brajendra Lahkar

Hemoglobin target in different ICU population: current status - Rajib Paul

5:30 pm -6.30 pm Convocation of Indian College of Critical Care Medicine & Past President’s Oration (Medicine in Ancient India: Dr. Ashit Bhagwati)

7.00 pm -7.30 pm INAUgURATION7:30 pm –onwards Cultural Program Followed by Dinner

SCIENTIFIC PROGRAM DAY – 2Timing hAll - B hAll – C hAll - d hAll – E

7:30 – 8:15 am

Meet the Expert (Breakfast session)

Topic: Hemodynamics/ Resuscitation Moderator: Ram Rajagopalan Expert: Jean Louis Teboul, Farhad Kapadia

Topic: Trauma Moderator: Arijit Bose Expert: Michael Parr, M.C.Mishra

Topic: Sepsis Moderator: Ramesh VenkatramanExpert: Jeff Lipmann, Abdul Ghafur

Topic: Nephrology Moderator: Dr Lalit AgarwalExpert: Claudio Ronco, Jose Chacko

8:30-9:30 PLENARY SESSIONS – 1 (HALL A) Chairpersons: Ram E. Rajagopalan & Yatin Mehta

8:30–8:50am Presidential address : Taking Critical Care to Places Speaker: Narendra Rungta

8:50– 9:20am ISCCM Oration - Application of quality systems in critical care Speaker: Banambar Ray

9:20 –9:40am ARDS: Berlin definition Speaker: Marco Ranieri

9:45 – 10:45AM PLENARY SESSION (HALL A) Chairpersons: Pravin Amin & J.Divatia

9:45-10:05 am Glucose variability: missing link Speaker: Jean Louis Vincent10:05-10:25am Weaning failure of cardiac origin Speaker: Jean Louis Teboul10:25-10:45 am Fluid management in AKI: the 5B approach

Speaker: Claudio Ronco 10:50– 12:00 pm Parallel Session

hAll – A hAll – B hAll – C hAll – d hAll – EThEMATIC

RESpIRATORy MONITORINgpANEl dISCUSSION CASE dISCUSSION ThEMATIC

NUTRITION ThEMATIC

CARdIOlOgy Chairpersons: R.K.Mani & Partha S Bhattacharya

Chairpersons: Dalia Chatterjee & Dr Lawni Goswami

Chairpersons:Pradeep D Costa & Suvanon Roy

10:50 – 11:10 am Bedside monitoring of lung mechanics during mechanical ventilation - Marco Ranieri

10:50- 11:20 Antibiotic Use in ICU Chair Person: Jean Louis vincentModerator: Rajesh chawlaPanelist::Animesh Gupta, Camilla Rodrigues, Shirish Prayag

10:50- 11:20 Infection: Case study 1:Chairperson: Jd Sonavala Speaker: Vivek Nangiapanelist: A. Khushrav Bajan

Nutrition protocol in ICU - N.Ramakrishnan

Acute coronary syndrome: Role of intensivist - Y.P.Singh

11:10 – 11:30 am Volumetric capnography (94)- Sheila Myatra

Early vs Late parenteral nutrition - Shyam Sunder

Pulmonary edema: is it cardiogenic - Jean Louis Teboul

11:30 – 11:50 pm Lung imaging in ventilated patient at the bedside - Daniel Talmor

11:20-11:50 Antifungal Use in ICU Chair person:Jean Louis VincentModerator: Shirish Prayag Panelist: V.Ramasubramanin, Arunaloke Chakraborty, Arindam Kar

11:20-11:50 Infection: Case Study2:Chairperson: yatin MehtaSpeaker: Ravindra Mehta panelist: Indranil Roy, harjeet dhumra, Jeff lippman

Optimizing energy and protein delivery to the individual patient - K.Sriram

The forgotten ventricle in sepsis - Susruta Bandyopadhyay

Q&A 12:00Change (5 minutes)

12:05 – 1:15 pm Parallel Session


SCIENTIFIC PROGRAM DAY – 2 (Contd....)hAll - A hAll – B hAll – C hAll - d hAll – E

ThEMATICNIV

ThEMATICcPr

ThEMATIC: SURgERy

pANEl dISCUSSION ThEMATIC:INTRA-ABdOMINAl

pRESSUREChairpersons:Ravindra Mehta & Ajoy Sarkar

Chairpersons: Saureen Panja & Mahuya Bhattacharya

Chairpersons: Arunava Chakraborty & Saibal Chakraborty

Chairpersons: Rajesh Mishra & Chandrashish Chakravarty

12:05 – 12:25 pm NIV: Use in hypoxemic failure: what’s the evidence - G.C.Khilnani

CPR: Role of thrombolysis and PCI - Khusrav Bajan

Bariatric surgery: Post op ICU care - Mayur Patel

12:00-12:30 Critical Research in India Moderator: J.V.Divatia Panelist: Anand kumar, Farhad kapadia, Kalpalatha Guntapalli, Sunit Singhi

Measuring IntraabdominalPressure: Techniques and limitation - Yash Javeri

12:25 – 12:45 pm NIV: Tips to make it work - Rajesh Chawla

Post resuscitation bundle - Anuj Clerk

Reducing postoperative infection - Sandip Dewan

Intraabdominal hypertension: current management - Deepak Yaduvanshi

12:45 – 1:05 pm NIV: When to call quits and reach for the tube - Randip Guleria

Rapid response team and cardiac arrest team: Are they worth the effort - Jose Chacko

Perioperative care of high risk surgery - Charles Gommersall

12:30-1:00 pmAdministrative issues in ICU Moderator: N.RamakrishnanPanelist: B Ray, N.Rungta, Yatin Mehta, V.R.Ramanan

Poly compartment syndrome - Sandip Kantor

Q&A 1:15 1:00 – 2:00 pm Lunch Break2:00-3:15 pm PLENARY SESSIONS (HALL A)

Chairpersons: Shiva Iyer & Sheila Myatra 2:00 – 2:20 pm Reporting ICU performance: Accountability

Speaker: N. Ramakrishnan2:20 – 2:40 pm What have we learnt from mega epidemiological studies in sepsis

Speaker: Jean Louis Vincent2:40 – 3:10 pm Fluid resuscitation in resource limited setting

Speaker: J. DivatiaParallel Session

hAll A (free paper) hAll – B (free paper) hAll – C (free paper) hAll – d (free paper) hAll – E (free paper3:15 – 4:05 pm Chairpersons:

Arindam Kar & B.D.Bande Chairpersons:Sriram sampat & Palepu Gopal

Chairpersons:Rahul Pandit & Rajan Barokar

Chairpersons:Ashutosh Ghosh & Rajesh Pande

Chairpersons:JV Peter& Raja Dhar

CHANGE 5 Mins4:10 – 5:00 pm Parallel Session

hAll – A hAll – B hAll – C hAll - d hAll – EThEMATIC

SURVIVINg SEpSIS camPaIGN

ThEMATICVOlUME RESpONSIVENESS

ThEMATICINFectION

ThEMATIChEMATO/ONCOlOgy

pANEl dISCUSSION

Chairpersons: C P Thakur (Patna), Amit Sinha (Patna)

Chairpersons:Yashish Palliwall & Tanmoy Das

Chairpersons:Shaibal Ghosh, Amitabha Saha

Chairpersons:Y. P. Singh

4:10 – 4:25 pm Surviving sepsis campaign: Has it worked - Edgar Jiminez

Preload, Volume status and Volume responsiveness: not the same - Mervyn Singer

Infection control myths in ICU - Camilla Rodriguez

Trial of ICU care in oncology patient - J.V. Divatia

4:00-4:30Economic issues in ICU Moderator: B.RayPanelist: Mohan Matthew, Ram Rajagopalan

4:25 – 4:40 pm Implementing surviving sepsis guideline in resource limited setting - Shirish Prayag

Assessing volume responsiveness in non ventilated patient - Jean Louis Teboul

Use of procalcitonin in starting and stopping antibiotics in ICU - Robert Balk

Graft versus host disease for the intensivist - Subhal dixit

4:40– 4:55 Surviving Sepsis campaign: whats the future - Marco Ranieri

Assessing volume responsiveness in ventilated patient - Atul Kulkarni

Necrotizing skin and soft tissue infection - Sanjay dhanuka

Thromboelastogram: Use in ICU - Deven Juneja

4:30 -5:00 Training in ICU Moderator: N.Rungta Panel: J. C. Suri, A.Baronia, Charles Gommersall, N.Ramakrishnan

Q&A 5:00CHANGE 5 Mins

5:10– 6:00 pm Parallel Session hAll – B hAll – C hAll - d hAll – E

pRO/CON ThEMATICgASTROENTEROlOgy

New GuidelinesNeurology

hOT TOpICS ThEMATICVENOUS

ThROMBOEMBOlISM Chairpersons: Pravin Amin & Sibabrata Banerjee

Chairpersons:Sujit chowdhury & Dinesh Singh

Chairpersons:S. S. Nandi & S. Iyer

Chairpersons: Anjan Dutta & Manoj Singh

Chairpersons: Randip Guleria & Rajiv Goyal

5:10 – 5:25 pm 5:00-5:30 Minimally Invasive hemodynamic monitoring is necessary in managing shock PRO: Mervyn SingerCON: Rahul Pandit

Gut dysmotility in ICU - Arindam Kar

Status Epilepticus - Kapil zirpe Use of internet in Critical Care - Manish Munjal

DVT prophylaxis in ICU: what have we learnt from recent trials - D K Singh

5:25 – 5:40 pm Post Pyloric feeding: selecting the right patient and the right technique - Abhiram Mallik

Subarachnoid hemorrhage - Harsh Jain

Tele ICU: scope in India - N.Ramakrishnan

Diagnostic strategy of PE in resource limited setting - Souren Panja

5:40 – 5:55 pm 5:30-6:00 Early tracheostomy is better (pro-con)PRO; Ravi MehtaCON; Sumanta Dasgupta

Stress ulcer prophylaxis in ICU: is it overused -Prakash Shastri

Plasmapheresis for neurological disorders - Prashant Nasha

Handover in ICU: a neglected art - Rajesh Pande

Management of PE in ICU - S. S. Arora

Q&A 6:00 6:00- 7:00 pm Annual general Body Meeting 7:30 – onwards Banquet

SCIENTIFIC PROGRAM DAY – 3MEET THE EXPERT Session

Timing hAll – B hAll – C hAll – d hAll – E7:30- 8:15 am Topic: Airway

Moderator: Atul Kulkarni Expert: Abhiram Mullick, Tapas Chakraborty

Topic: Ventilator / Respiratory Moderator: Rajesh Chawla Expert: Daniel Talmor, Shirish Prayag

Topic: Sepsis Moderator: J.V.DivatiaExpert: Mervyn Singer, Prakash Shastri

Topic: Nephrology Moderator: Dr Lalit AgarwalExpert: Claudio Ronco, Jose Chacko

8:30-9:30 PLENARY SESSIONS (HALL A) Chairpersons: Sukumar Mukherjee, Sunit Singhi

8:30-8:50 am Making ICU care accessible Speaker: Subroto Maitra

8:50-9:10 am Nursing in ICU: the better half Speaker: Carol Thompson

9:10 – 9:30 am Viral Sepsis – when to suspect it. Speaker: pravin Amin

9:40-10 40 am PLENARY SESSIONS 2 (HALL A) Chair persons: Manimala Rao & G.C. Khilnani9:40-10:00 am Surviving sepsis guidelines: An Update

Speaker: Rajesh Chawla 10:00 – 10:20 am Antibiotic stewardship – The Chennai Declaration- Abdul Ghafur10:20 –10:40 am Open vs. Closed vs. transitional: Practical model of ICU care in India

Speaker: Shrish Prayag Best Poster/Floor presentation award

CHANGE (10 mins)10:50 – 12:00 pm Parallel Session

hAll – B hAll – C hAll - d hAll – EWhATS NEW

AIRWAy & VENTIlATION ThEMATIC

VENTIlATOR INdUCEd INJURy

BASICS pANEl dISCUSSION hOW I dO IT: INFECTION CONTROl

Chairpersons:Deepak Govil & Rajarshi Roy

Chairpersons:P.S. Bhattacharya & Asok Sengupta

Chairpersons:Sriram sampat & Ram Rajagopalan

Chairpersons: Amit Sinha & Mohit Kharbanda


SCIENTIFIC PROGRAM DAY – 3 (Contd....)10:50 – 11:10 am Newer technology in airway

management in ICU - Atul Kulkarni

Preventing VILI - Ajoy Sarkar Guytonian concept of circulation - Mervyn Singer

11:00-11:30Critical care in SAARC countries Moderator: Dr N.RungtaPanel: Dr Shiva Iyer, Javed Hussain, Maheda Hashmi, Omar Faruq

Infection control in an open ICU- N. Jaiswal

11:10 – 11:30 am Airway humidification, nebulization and high flow oxygen - Jim Fink

Ventilation induced non pulmonary injury - Arun dewan

Heart - Lung Interaction - Edgar Jiminez

Catheter Related Blood Stream Infection-prevention - Dr. T.Suhasini

11:30 – 11:50 pm Extracorporeal lung support - Marco Ranieri

Improving patient ventilator synchrony - Daniel Talmor

Organ cross talk - R.K.Singh 11:30-12:00 Improving safety and Reducing Errors in iICU Moderator: Pradeep Bhattacharya Panel: B Ray, Yashesh Paliwal, Arpan Guha, A.P.Singh, Sanjay Saproo

Environmental cleaning and contact isolation - Sanjay Bhattacharjee

Q&A 12:00CHANGE 5 mins

12:05 – 1:15 pm Parallel Session hAll - A hAll – B hAll – C hAll - d hAll – E

ThEMATICpNEUMONIA

ThEMATIC ThEMATICpUlMONARy

ThEMATICBlEEdINg

hOW I dO IT

Chairpersons: Sumanta Dasgupta & Asok Sengupta

Chairpersons:Rimita dey & Souren Panja

Chairpersons:Subhashish Ghosh & Iqbal rahman

Chairpersons:Sharmila Chandra & A.K. Deka

Chairpersons:V. Ramasubramaniam & Ritesh Shah

12:05 – 12:25 pm Severe CAP: empiric therapy: deviating from the guidelines - Sumit Sengupta

Ideal MAP: a moving target - Jean Louis Teboul

Pleural effusion in ICU: When to drain - Sujoy Mukherjee

Managing bleeding due to Thrombolysis, anti platelet and anticoagulant therapy - Vijaya Patil

Empirical antibiotic in community acquired bacterial sepsis - Ashit Hegde

12:25 – 12:45 pm Ventilator associated Pneumonia – Risk factor & Management - Marin Kollef

Thyroid disorders in ICU - Binayak Sinha

OSA in ICU : - J.C.Suri Massive transfusion protocol - Dr Bande

Finding focus of sepsis in ICU - Anand Kumar

12:45– 1:05 pm Viral pneumonias - Satish Gupta Vitamin D in ICU: the rising sun - K.Sriram

Challenging cases – Pulmonary critical care - Robert Balk

Coagulopathy in trauma - Michael Parr

Integrating hemodynamic variables at the bedside - Mervyn Singer

Q&A 1:151:00– 2:00 pm Lunch Break1:45-2:00PM PLENARY SESSIONS (HALL A) 2:00-3:30 pm Chairpersons: Atul Kulkarni & S. Iyer2:00 – 2:20 pm Analgosedation in ICU: Data Driven decisions to improve outcome: Wes Ely 2:20 – 2:40 pm Strategies beyond antibiotics

Speaker: Yatin Mehta2:40 – 3:00 pm Catching them early: Detecting deterioration in hospitalized patients

Speaker: Marin Kollef3:00-3:20 pm Hansraj Nayyar Oration

CHANGE 5 Mins3:25 – 4:30 pm Parallel Session

hAll – A hAll – B hAll – C hAll - d hAll – EBASICS ThEMATIC

Nephrology pANEl dISCUSSION cONtrOVersIes

sePsIsThEMATIC

sePsIs Chairpersons:A.K. Baronia & Indranil Ghosh

Chairpersons: Jayanta Bose & Abhijit Tarafdar

Chairpersons: Rajarshi Roy & Deepak Talwar

Chairpersons:Asif Ahmed & Amitava Saha

3:25 – 3:45 pm Biofilm and quorum sensing - Robert Balk

Cardio Renal syndrome - Claudio Ronco

3:00-3:30Device related infections Moderator: Prithwish Bhattacharya Panel: Gillian Thompson, carol Thompson, Bhaskar narayan choudhry, Partha Goswami

Intravenous immunoglobulin’s & GCSF in sepsis - R K Mani

Hemophagocytic syndrome in ICU: sepsis mimic - Mohit Kharbanda

3:45 – 4:05 pm Pathophysiological Basis for understanding transpulmonary pressures - Edgar Jiminez

Managing Hyponatremia in ICU: common errors - Shashwati Sinha

Cooling septic febrile patient: is it useful - Avdesh Bansal

Inhaled antibiotics: what’s the evidence - Yashesh Paliwal

4:05 – 4:25 pm Mechanisms of antibiotic resistance - Vandana Sinha

Concept of subclinical AKI - Claudio Ronco

3:30- 4:00 Challenging CASES IN Sepsis Moderator: V RamasubramaniamPanelist: Mervyn Singer, Ashutosh Ghosh, Udas Ghosh, Sugato Dasgupta

C. DIfficile infection: an emerging threat - - Marin Kollef

Steroids in sepsis, trauma and surgery: current evidence - Sudhir Khunteta

Q&A 4:30CHANGE 5 Mins

4:35 – 5:25pm Parallel Session hAll – A hAll – B hAll – C hAll – d hAll-E

cONtrOVersIesVENTIlATION

ThEMATICCARdOlOgy

hOW I dO IT ThEMATICINFectION

WhATS NEW

Chairpersons:Samir Sahu & Vandana Sinha

Chairpersons: Dr Manotosh Panja, Ajay Banerjee

Chairpersons:Sumit Podder & Samar Ghosh

Chairpersons:Ashit Hegde & H.Bagaria

Chairpersons: Kalpalatha Guntapally & Kiran Sheshadri

4:35 – 4:50 pm Target Tidal Volume or Plateue pressure in mechanical ventilation - Daniel Talmor

Temporary and permanent pacemakers in the Intensive care –Aftab khan

Setting up an ICU in districts Subrato Maitra

Surveillance cultures in ICU: are they helpful - Shankar Sengupta

Value of Bundles in ICU – Charles Gommersall

4:50 – 5:05 pm Newer modes: are they helpful in weaning - Yatin Mehta

Ventricular assist devices - Dr Ahangar

Manage invasive ventilation at home - Deepak Talwar

What bug rules our ICU’s R Venkatraman

NIV: Whats new - Raja Dhar

5:05 – 5:20 pm Diagnosing VAP: Quantitative or Qualitative culture/ Bronch or Non Bronch techniques - Harjeet Dhumra

Narrow complex tachycardia-approach for the intensivistRabin Chakraborty

Manage Poisonous snake bite - Shibendu Ghosh

Probiotic/Prebiotic/Symbiotic: what’s the evidence - Marin Kollef

Paralysis in ARDS: New Data - Wes Ely

Q & A 5:25CHANGE 5 mins

5:30 – 6:30 pm Parallel Session hAll - A hAll – B hAll – C hAll - d hAll – E

ThEMATICNEUROlOgy

ThEMATIChEpATOlOgy

CONTROVERSy ThEMATIC OBSTETRICS & CRITICAl CARE

IMAgINg IN ICUWhAT’S NEW

Chairpersons:Abhijit Chatterjee & Ambar Chakraborty

Chairpersons:Animesh Gupta & Yashish Palliwal

Chairpersons:Chandra Sharma & V.K. Thakur

Chairpersons:Ashutosh Ghosh & S N Mitra & B. Bande

Chairpersons: Sukalyan Purkayastha & Dr Saugata Sen

5:30 – 5:45 pm Neuromonitoring: Newertechnology - J.K. Murthy

Intensive care of the cirrhotic patient - Deepak govil

Hypertonic saline or mannitol for intracranial hypertension. - S.S.Nandi

Anaphylactoid syndrome of pregnancy - Shabbar Joad

Lung Ultrasound in ICU - Luca Neri

5:45 – 6:00 pm A new Frontier in Critical Care: Saving the injured Brain: Wes Ely

Portal hypertension-old problem, new answers - Asok Konar

Providing End of life care in Indian ICU - R.K.Mani

Hypertensive emergencies of pregnancy: a new approach to a age old problem - D.P. Samaddar

Ultrasound in Polytrauma Enrico Storti

6:00 – 6:15 pm Encephalitic syndromes in ICU: a practical approach - V.Ramsubramanium

Hepatopulmonary Syndrome - Rajesh Pande

Chasing the serum Albumin: is it worthwhile - Dipankar sarkar

Respiratory Complications of the obese parturient - Basab Bijoy Sarkar

Neuroimaging for the intensivistHans Flatten

Q & A 6:306:30 – 7:00 pm Valedictory Function

CRITICARE 2013Welcome all Delegates to


PeDIatrIc sectION - scIeNtIFIc PrOGram day 1 • 1st March 2013

time topics speaker 7.30 am onwards registration8.15 am - 8.25 am Welcome Address : N. Rungta, K. Chugh

session 1Chairperson : Krishan Chugh, Soonu Udani

8.30 am - 8.45 am Positive pressure ventilation for failing heart- Beneficial cardiopulmonary interaction in children with LVF Vinay Joshi 8.45 am - 9.00 am Daily readiness for extubation trials as an advanced weaning strategy in mechanically ventilated children Rajiv Chabbra 9.00 am - 9.20 am Choosing the Right Ventilator Praveen Khilnani 9.20 am - 9.45 am Setting up of a home ventilation program Michael Seears 9.45 am - 10.10 am Management of severe Bronchiolitis in PICU David Wensley 10.10 am - 10.30 am Discussion

Tea Breaksession 2Chairpersons : Sunit Singhi, Michael Seears

10.50 am - 11.10 am Avoidance of antibiotic overuse in PICU- Role of protocol based approach M Jayashree 11.10 am - 11.25 am Sepsis associated encephalopathy and implication on patient outcome Rashmi Kapoor 11.25 am - 11.40 am Place of vasopressors in Paediatric Septic Shock Abhishek Bansal 11.40 am - 11.55 am Relative adrenal insuffiency in children with septic shock Revisited Maninder Dhaliwal 11.50 am - 12.10 pm Discussion

Session 3Chairpersons : praveen Khilnani ; david Wensely

12.10 pm - 12.25 pm Mini BAL cultures- Implications on the antibiotic management in VAP Anil Sachdev 12.25 pm - 12.40 pm Nosocomial Viral Infection in PICU- Do we need to screen routinely ? Kala Ebenzar 12.40 pm - 12.55 pm Exocrine function of Pancreas in sepsis- Current understanding Nanduja Swamy 12.55 pm - 1.15 pm Discussion

LunchSession 4 : panel discussion

2.00 pm - 2.45 pm how can we enhance education and research in our pICU ? Sunit Singhi (Moderator) Suchithra Ranjith, Ebor Jacob, David Wensley, Anil Sachdev

2.45 pm - 3.00 pm audience InteractionTea Break

session 5Chairperson : dinesh Chirla ; V SV prasad

3.15 pm - 3.30 pm Improving IV fluid therapy(0.9NS vs 0.45NS) in critically ill children Nitin Aggarwal 3.30 pm - 3.45 pm Fluid therapy in paediatric DKA- Current concepts and controversies Lokesh Tiwari 3.45 pm - 4.00 pm Hospital acquired hyponatraemia : Do we know what we are doing ? Rakesh Lodha 4.00 pm - 4.15 pm Hypernatraemia : Good or bad for acutely injured brain ? Kundan Mittal 4.15 pm - 4.25 pm Discussion

session 6Chairperson : Bala Ramachandran, N. Choraria

4.25 pm - 4.40 pm Vitamin D in critically ill children : Should we supplement it routinely ? Jhuma Shankar 4.40 pm - 4.55 pm Hepatorenal Syndrome in Liver Failure : Current Concepts Madhu Otiv 4.55 pm - 5.10 pm Mangaement principles in a child with polytrauma Santosh Soans 5.10 pm - 5.25 pm Discussion

Day 2 • 2nd March 2013time topics speaker

Session 7Chairperson : M. Jayashree, parthasarathi Bhattacharyya, Rajiv Uttam

8.30 am - 8.45 am Should Hypertonic Saline be the first line therapy for cerebral oedema ? Dinesh Chirla 8.45 am - 9.00 am Hyperventilation for acute brain injury Dhiren Gupta 9.00 am - 9.15 am Lung protective Ventilation in neurocritically ill child V S V Prasad 9.15 am - 9.30 am Which is optimal tool to monitor management of raised ICP : ICP, CCP, CBF or Brain Tissue Oxygen ? Rakshay Shetty 9.30 am - 9.45 am Place of decompressive craniectomy for refractory brain oedema ? Arun Bansal 9.45 am - 10.00 am Hyponatraemic encephalopathy in PICU : Newer aspects Meera Ramakrishnan 10.00 am - 10.15 am Hyperoxia: Good or Bad for the injured brain? Anjul Dayal 10.15 am - 10.30 am Discussion

Tea Breaksession 8Chairperson : M. Ramakrishnan, M. Otiv

10.50 am - 11.10 am 10 recent papers on PICU issues which have potential to change our practice : An overview Krishan Chugh 11.10 am - 11.30 am Taking PICU to all : Role of ISCCM Narendra Rungta 11.30 am - 11.45 am Post traumatic Stress disorders: Family and the Child Urmila Jhamb 11.45 am - 12.05 pm Discussion

session 9Chairpersons - Ebor Jacob, Kundan Mittal

12.05 pm - 12.25 pm Recent Advances in managing Sepsis in Children Sunit Singhi 12.25 pm - 12.40 pm Quality of life in PICU graduates: Is it worth the efforts? Rajiv Aggarwal 12.40 pm - 1.00 pm Transporting a sick child : The challenges in the Indian context Suchitra Ranjith 1.00 pm - 1.15 pm Discussion

LunchSession 10 : panel discussion

2.00 pm - 2.45 pm how do I establish, expand and improve my pICU and critical care services in my area? Krishan Chugh (Moderator) Soonu Udani, Praveen Khilnani, Michael Seears, Rajiv Uttam

2.45 pm - 3.00 pm audience InteractionTea Break

session 11Chairperson : Santosh Soans, Suchithra Ranjith

3.15 pm - 3.30 pm Role of Levosimendon as a vasoactive therapy in refractory cardiogenic shock in children : The current status Prashant Mahawar 3.30 pm - 3.45 pm Assessment of myocardial functions and minimally invasive hemodynamic monitoring in advanced care of children

with septic shock Vikas Taneja

3.45 pm - 4.00 pm Assessment of fluid responsiveness in children with septic shock Farhan Shaikh 4.00 pm - 4.15 pm Discussion

Session 12 : (Mixed Bag) Chairperson : dhiren gupta, Rashmi Kapoor

4.15 pm - 4.30 pm Liver Transplantation: The Paediatric perspective in Indian context Nameeth Jerath 4.30 pm - 4.45 pm Parental Stress : family needs and coping strategies in PICU Puneet Pooni 4.45 pm - 5.00 pm Fever Control in PICU : When and Why ? Prabhat Maheswari 5.00 pm - 5.15 pm Scrub Typhus : Indian Scenario Rashna Dass 5.15 pm - 5.30 pm Severe Dengue : The PICU Management Issues Ravi Adlakha

day 3 • 3rd March 2013 time topics speaker

Session 13Chairperson : david Wensely, Michael Seears

pRO & CON dEBATE8.30 am - 8.50 am SPEAKER 1 Steroid in Sepsis FOr Anil Sachdev

SPEAKER 2 aGaINst M Jayashree 8.50 am - 9.10 am SPEAKER 1 Tight Glycemic Control in PICU FOr Madhu Otiv

SPEAKER 2 aGaINst P.S. Bhattacharyya 9.10 am - 9.15 am Comments and Conclusion by the Chairpersons 9.15 am - 10.00 am AIM : Infection Control Issues in pICU

SpONSOREd SyMpOSIUM PS Bhattacharyya (Moderator) Gary Noel, Bala Ramachandran, M Jayashree, Sanjay Bhattacharya, David Wensley

10.00 am - 10.30 am Role of Bronchoscopy in PICU Michael Seears Tea Break

session 14Chairpersons : K. Chugh, Rakesh lodha

10.50 am - 11.15 am NIV in Paediatric age group David Wensley 11.15 am - 11.35 am Optimizing PEEP and Recruitment Manoeuvers Rajiv Uttam 11.35 am - 11.55 am HFOV and ECMO- An Indian Experience Soonu Udani 11.55 am - 12.10 pm Discussion

session 15Chairperson : p. Khilnani, S. Singhi

12.10 pm - 12.30 pm Tuberculosis : PICU perspective Nirmal Choraria 12.30 pm - 12.55 pm Estimation of fluid overload and CRRT in children with sepsis before the onset of AKI Bala Ramachandran 12.55 pm - 1.00 pm Discussion

Lunch2.00 pm- 4.00 pm Session 16 : pApER pRESENTATIONS

panel of Judges : David Wensley, Michael Seears, Sunit Singhi, Krishan Chugh, Soonu Udani, Praveen Khilnani4.00 pm- 4.30 pm VAlEdICTORy

Tea Break


Second Annual Convocation of Indian College of Critical Care MedicinePast President Oration and awards

1st March 2013 • Science City, J.B.S Haldane Avenue, Kolkata5:30 to 5:35 pm Saraswati Vandana5:35 to 5:40 pm Welcome and Dr. N Ramakrishnan, Secretary ICCM call over in on Dias5:40 to 5:45 pm Lighting of the lamp by Dr. Narendra Rungta, President, ISCCM, Dr. J. V. Divatia, Chancellor ICCM5:45 to 5:50 pm Address by Dr. Rajesh Chawla Vice Chancellor, ISCCM5:50 to 5:55 pm Address by Dr. Narendra Rungta, President, ISCCM6:00 to 6:30 pm Past President Oration Chairperson: Dr. Shiva Kumar Iyer Speaker: Dr. Ashit Bhagwati6:30 to 6:50 pm distribution of Awards Hon. Fellowship of Indian College of Critical Care Medicine (FICCM) Indian Fellowship of Critical Care Medicine (IFCCM) Indian Diploma of Critical Care Medicine(IDCCM) Presidential Citation6: 50 to 6:55 pm Address by Chancellor Dr. J. V. Divatia6:55 to 7:00 pm Vote of Thanks by Dr. N Ramakrishnan7:00 pm National Anthem

TIR ICC AF LO C E AG RE EL L MO EDC ICN IA NI EDNI

Calender of EventsMarch 2013

March 1st to 6th, 2013 19th Annual Congress ISCCM , Criticare 2013, Kolkata, India www.criticare2013kolkata.com

March 19th to 22nd, 2013 33rd International symposium on Intensive care and Emergency Medicine, Brussels

www.intensive.org

June 2013

June 8th to 9th, 2013 Basic support and support in Intensive care (BASIC), Columbiaasia Referral Hospital, Bangalore

Contact : Dr. Pradeep Rangappa, Secretary, ISCCM - Bangalore. email : [email protected]

June 12th to 15th, 2013 24th Annual meeting of European society of Paediatric and Neonatal Intensive care, Netherland

www.kenes.com/espnic

July 2013

July 9th and 10th, 2013 ISCCM Pune , Intensive Care Review Course, Pune Contact : Ms Vidula- 09011026332; Dr Subhal Dixit- 9822050240

July 11th and 12th, 2013 ISCCM Pune, Workshops on hemodynamic monitoring, Mechanical Ventilation and Ultrasound, ECHO in ICU, Pune

Contact : Ms Vidula- 09011026332; Dr Subhal Dixit- 9822050240

July 13th and 14th, 2013 Best of Brussels Conference (Top 50 lectures), ISCCM, Pune Contact : Dr Subhal Dixit- 9822050240, Dr Kapil Zirpe- 9822844212

July 12th to 14th, 2013 Intensive Care in Asia- Oppurtunities and Challenges, Singapore. www.sg-anzics.com

August 2013

August 17th 2013 USG and ECHO workshop, Manipal Hospital, Bangalore Contact : Dr. Pradeep Rangappa, Secretary, ISCCM-Bangalore. email: [email protected]

Aug 28th to 1st September, 2013

First WFSICCM Congress, Durban, Africa. www.criticalcare2013.com

September 2013

September 20th to 22nd, 2013 THEMATICC 2013 and International Conference on Shock, Hemodynamic Monitoring and Therapy

Contact person : Dr. Vijaya Patil (09819883535) or Dr. Atul Kulkarni (09869077526)

October 2013

Oct 5th to 9th, 2013 ESICM LIVES 2013, Paris, France www.esicm.org

November 2013

November 9th 2013 Mechanical Ventilation workshop, Narayana Hrudayalaya, Bangalore

Contact : Dr Pradeep Rangappa, Secretary, ISCCM, Bangalore email : [email protected]


20TH ANNUAL CONFERENCE OF INDIAN SOCIETY OF CRITICAL CARE MEDICINE &18TH ASIA-PACIFIC CONGRESS OF CRITICAL CARE MEDICINE

2ND ANNUAL CONFERENCE OF CRITICAL CARE NURSES SOCIETY

A JOINT MEETING OF

CRITICARE 201414 - 18 February, 2014

Jaipur

www.criticare2014.comwww.apaccm2014.com

Editorial officEdr. Shivakumar iyer

Karnik Heritage, Flat No 08, 3rd floor, Sadubhau Kelkar Road, Off F. C. Road,Pune - 411004, Maharashtra. Phone : 020-25532320 (from 11 am to 3 pm)

[email protected]

Published By : IndIan SocIety of crItIcal care MedIcIneFor Free Circulation Amongst Medical Professional

Unit 6, First Floor, Hind Service Industries Premises Co-operative Society, Near Chaitya Bhoomi, Off Veer Savarkar Marg, Dadar, Mumbai – 400028

Tel.: 022-24444737 • Telefax: 022-24460348 • email: [email protected] • [email protected]

Printed at : urvi compugraphics • 022-2494 5863 • email : [email protected]

For registration queries please contact

Conference Secretariat

Dr. Manish MunjalORGANISING SECRETARy

Jeevan Rekha Critical Care and Trauma Hospital

Mahal yojna, Central Spine, Near Akshay Patra Temple, Jagatpura, Jaipur 302025 INDIA

Tel. : +91 141 515 50 50 • (Direct) +91 141 515 50 75 Fax : 011 4582 3473

e-mail : Dr. Narendra Rungta [[email protected]]

Dr. Manish Munjal [[email protected] • [email protected]]

Dr. Narendra Rungta President, ISCCMCongress Chairman &Chairman, Scientific Committee

Dr. H. Bagaria Organising Chairman

Dr. Manish MunjalOrganising Secretary

POST CONFERENCE WORKSHOPS No. of PARTICIPANTS

1 Advanced Cardiac Life Support Provider Course (ACLS) 40Advanced Cardiac Life Support Instructor Course (ACLS) 5

2 Fundamental Critical Care Support Provider Course (FCCS) 40Fundamental Critical Care Support Instructor Course (FCCS) 5

3 Pediatric Fundamental Critical Care Support Provider Course (PFCCS) 40Pediatric Fundamental Critical Care Support Instructor Course (PFCCS) 5

4 Trauma Support Course 1005 Ultrasound in Emergency and Critical Care Unit 506 Mechanical Ventilation 507 Hemodynamic Monitoring 508 Learning Through Simulations 409 Basic Assessment & Support in Intensive Care Provider 40

Basic Assessment & Support in Intensive Care Instructor 1010 Neuro Critical Care Course 5011 Research and Publication 5012 Extracprporal Support (Cardiopulmonary and Liver) in ICU 3013 Physical Rehabilitation and Respiratory Therapy 5014 Nephro Critical Care 5015 Obstetrics Critical Care Course 5016 Nursing Critical Care Course 10017 Pediatric Ventilation 3018 Pediatric ICU Procedures 30

Documents

Critical Care - ISCCMisccm.org/NewsLetterFiles/nl887300825.pdfDr. Vijaya P. Patil • Dr. Babu Abraham • Dr. Rajesh Pandey Members Election Commission • [email protected] Critical