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Critical Care Reviews Meeting 2023

Titanic Belfast

June 14th to 16th

Trial Results Presentations


UK REBOA Trial

Jan Jansen (Birmingham, USA) & Marion Campbell (Aberdeen) present the results of the UK-REBOA trial, investigating the use of REBOA in trauma patients with severe non-compressible torso haemorrhage. The editorial is delivered by John Holcomb (also from Birmingham, USA) and the session is chaired by Catriona Kelly from Dublin. The panel discussing the trial are Diana Cimpoesu (Ilsa, Romania), Caroline Leech (Coventry), Stephen Bernard (Melbourne) and Roger Lewis (Los Angeles).

Trialists' Summary

PATCH Trial

Russell Gruen (Canberra), Brian Burns (Sydney) and Stephen Bernard (Melbourne) present the results of the PATCH-Trauma trial, investigating tranexamic acid in severe trauma. An independent editorial is delivered by Karim Brohi (London). Caroline Leech (Coventry) chairs a panel discussion consisting of Susan Rowell (Chicago), Carol Hodgson (Melbourne), John Holcomb (Birmingham, USA) and John Norrie (Edinburgh). The PATCH-Trauma trial was simultaneously published in the New England Journal of Medicine.

Trialists' Summary

OXY-PICU Trial

Mark Peters and Doug Gould (both London) present the results of the OXY-PICU trial, comparing conservative with liberal oxygenation targets (SpO2 88-92% vs >94%) in critically ill children receiving invasive mechanical ventilation. Luregn Schlapbach (Zurich) delivers an independent editorial. They are joined by Victoria Cornelius (London), Bronagh Blackwood (Belfast), & Matthew Semler (Nashville) for a panel discussion. The session is chaired by Howard Bauchner (Boston).

Trialists' Summary


TAME Trial

Glenn Eastwood (Melbourne) presents the results of the TAME cardiac arrest trial, investigating mild hypercapnoea post cardiac arrest. He is joined by fellow TAME trialists Alistair Nichol (Dublin) and Stephen Bernard (Melbourne). An independent editorial is delivered by Lars Andersen (Aarhus). Darren Taichman (Philadelphia) chairs a panel discussion consisting of Flavia Machado (Sao Paulo), Joyce Yeung (Birmingham, UK) and Andrew Althouse (Pittsburgh), as well as the other speakers. The TAME trial was simultaneously published in the New England Journal of Medicine.

Trialists' Summary

CRYOSTAT-2 Trial

Profs Nikki Curry (Oxford) and Karim Brohi (London) present the results of the CRYOSTAT-2 trial, evaluated early & empiric high-dose cryoprecipitate in patients with major traumatic haemorrhage. The editorial is delivered by Susan Rowell (Chicago) and the session is chaired by Phil Gillen from Belfast. The panel discussing the trial are Russell Gruen (Canberra), Caroline Leech (Coventry), John Holcomb (Birmingham, USA), Andrew Althouse (Pittsburgh) and co-investigator Simon Stanworth from Oxford.

Trialists' Summary

DEVICE Trial

Profs Matthew Prekker (Minneapolis) and Matthew Semler (Nashville) present the results of the DEVICE trial, comparing direct with video laryngoscopy for emergency intubation in the critically ill. Prof Ellen O'Sullivan (Dublin) delivers an editorial, followed by a panel discussion including Prof David Harrison (London), Dr Caroline Leech (Coventry), Dr Fiona Kelly (Bath) and Prof Alistair Nichol (Dublin). The session was chaired by Dr Catriona Kelly (Dublin). The DEVICE trial was simultaneously published in the New England Journal of Medicine.

Trialists' Summary


MERCY Trial

Profs Giovanni Landoni and Giacomo Monti (both Milan) present the results of the MERCY trial, comparing bolus administration with continuous infusion of meropenem in critically ill patients with sepsis and septic shock. The results were presented at the Critical Care Reviews Meeting 2023, in Titanic Belfast. Prof Flavia Machado (Sao Paulo) delivers an editorial. The panel discussion incldues Profs Kathy Rowan (London), Victoria Cornelius (London), Ivor Douglas (Denver) and Ewan Goligher (Toronto). The session was chaired by Chris Nutt (Belfast).

Trialists' Summary


Trial Review Presentations


TEAM Trial

Prof Carol Hodgson (Melbourne) presents the TEAM trial, investigating early mobilisation in mechanically ventilated patients, at the Critical Care Reviews Meeting 2023 in Titanic Belfast. Prof Darren Taichman (Philadelphia) delivers the editorial. The session is chaired by Dr Paul Mouncey (London).

Audio Version

PILOT Trial

The PILOT trial compared low, intermediate and high oxygenation targets in critically ill mechanically ventilated patients. The trial is presented by Matthew Semler from Nashville, USA. Kath Maitland from Kigali, Kenya, delivers an independent editorial. The session is chaired by Chris Seymour from  Pittsburgh, USA. PILOT was published in the New England Journal of Medicine on November 10th, 2022.

Audio Version

CLOVERS Trial

Prof Ivor Douglas (Denver, USA) presents the CLOVERS trial, comparing an early restrictive fluid strategy with an early liberal fluid strategy in adult patients with sepsis-induced hypotension. Prof Fernando Zampieri (Edmonton, Canada), delivers an editorial. The session is chaired by Dr Paul Mouncey (London, England).

Audio Version


PROCOAG Trial

Pierre Bouzat (Grenoble) presents the PROCOAG trial, investigating the efficacy and safety of early administration of 4-factor prothrombin complex concentrate in patients with trauma at risk of massive transfusion. The editorial is delivered by Susan Rowell (Chicago) and the session is chaired by Chris Seymour (Pittsburgh). PROCOAG was published in JAMA in March 2023.

Audio Version

AID-ICU Trial

Nina Christine Andersen-Ranberg presents the AID-ICU trial, investigating haloperidol for the management of delirium in the ICU. Danny McAuley delivers an editorial. Anders Perner joins the discussion and the session is chaired by Paul Mouncey. AID-ICU was published in the New England Journal of Medicine.

Audio Version

REMAP-CAP Trial

Lisa Higgins presents the long term outcomes of the REMAP-CAP domains at CCR23. Howard Bauchner delivers an editorial. Chris Seymour chairs the session

Audio Version


Panel Discussions & the John Hinds Lecture


Beyond Platform Trials

Bala Venkatesh (Brisbane) hosts a panel discussion entitled "Beyond Platform Trials", including Bronagh Blackwood (Belfast), Susan Rowell (Chicago), Fernando Zampieri (Edmonton), Marion Campbell (Aberdeen), David Harrison (London), Roger Lewis (Los Angeles), Derek Angus (Pittsburgh) & Kathy Rowan (London).

Audio Version

Causality

Kathy Rowan (London) hosts a fascinating panel discussion on causality at the Critical Care Reviews Meeting 2023. The panellists include Bronwen Connolly (Belfast), Ewan Goligher (Toronto), Flavia Machado (Sao Paulo), Kath Maitland (Kalifi), John Norrie (Edinburgh), Victoria Cornelius (London), Andrew Althouse (Pittsburgh) and Chris Seymour (Pittsburgh).

Audio Version

John Hinds Lecture

Prof Flavia Machado (Sao Paulo) delivers the John Hinds Lecture at the Critical Care Reviews Meeting 2023, describing the story of BRICNET, the Brazilian Critical Care Trials Group. The session commences with Dr Chris Nutt remembering our friend, Dr John Hinds.

Audio Version