Society of Intensive Care Medicine

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The Society of Intensive Care Medicine (SICM) is the representative body for Intensive Care Medicine (ICM) professionals in Singapore.

Contents

History

Before 1970, Intensive care units (ICUs) did not exist in Singapore. In the 1970s, parts of public hospital wards were crudely designated as ICUs. [1] During the 1980s, dedicated physical spaces, with the necessary equipment and trained nursing staff, were developed to treat critically ill patients. [2]

Singapore was a founding member of the Western Pacific Association of Critical Care Medicine (WPACCM) – now known as the Asia Pacific Association of Critical Care Medicine (APACCM) – and hosted the Inaugural Congress of the Association in 1981 and the 11th edition in 2000. [2] SICM was officially formed in 1995, with the late Dr Ng Kim Swee as her founding President. The elected President and the Executive Committee are unpaid volunteers and each term is for 2 years. [3]

Education

SICM submitted a position paper on "A formalized accreditation and training system for adult intensive care medicine" to the Ministry of Health, Singapore in 2002. [4] This led to the formation of the Sub-specialty Training Committee in ICM in 2007 [5] and ICM was recognised as a sub-specialty with the Specialists Accreditation Board in 2012. [6]

SICM SymPOsium

The inaugural biennial SICM Symposium (SISPO) was held on 23 April 2016 for adult and paediatric intensivists and ICM trainees. It comprised "Year-In-Review" lectures on ICM key topics such as haemodynamics, ventilation, nutrition, nephrology, and neurocritical care, as well as several workshops.

SG-ANZICS Intensive Care Forum

SICM partnered with the Australian and New Zealand Intensive Care Society (ANZICS) to organise the biennial SG-ANZICS Intensive Care Forum in 2011. [7]

Research

SICM's official journal is Critical Care and Shock. [8]

SICM set up its multicentre research arm known as the National Investigators for Clinical Epidemiology and Research (SICM-NICER) in 2008. [9] It collaborates with the Asian Critical Care Clinical Trials Group and published several papers on ICM from an Asian perspective. [10] [11] [12] [13] [14]

SICM collaborated with the Ministry of Health, Singapore to set up the Singapore National ICU Repository (NICUR) to advance future research. [15]

Related Research Articles

Sepsis Life-threatening organ dysfunction triggered by infection

Sepsis, formerly known as septicemia or blood poisoning, is a life-threatening condition that arises when the body's response to infection causes injury to its own tissues and organs. This initial stage is followed by suppression of the immune system. Common signs and symptoms include fever, increased heart rate, increased breathing rate, and confusion. There may also be symptoms related to a specific infection, such as a cough with pneumonia, or painful urination with a kidney infection. The very young, old, and people with a weakened immune system may have no symptoms of a specific infection, and the body temperature may be low or normal instead of having a fever. Severe sepsis causes poor organ function or blood flow. The presence of low blood pressure, high blood lactate, or low urine output may suggest poor blood flow. Septic shock is low blood pressure due to sepsis that does not improve after fluid replacement.

Intensive care medicine Medical care subspecialty, treating critically ill

Intensive care medicine, also called critical care medicine, is a medical specialty that deals with seriously or critically ill patients who have, are at risk of, or are recovering from conditions that may be life-threatening. It includes providing life support, invasive monitoring techniques, resuscitation, and end-of-life care. Doctors in this specialty are often called intensive care physicians, critical care physicians or intensivists.

Acute respiratory distress syndrome Human disease

Acute respiratory distress syndrome (ARDS) is a type of respiratory failure characterized by rapid onset of widespread inflammation in the lungs. Symptoms include shortness of breath (dyspnea), rapid breathing (tachypnea), and bluish skin coloration (cyanosis). For those who survive, a decreased quality of life is common.

<i>Under One Roof</i> (Singapore TV series)

Under One Roof was an English-language sitcom in Singapore. First aired in 1995, Under One Roof was the first locally produced English-language sitcom in Singapore. A critical and popular success, the show won the Best Comedy Programme or Series Award at the Asian Television Awards in both 1996 and 1997, a Best comedy actor award, three best comedy actress awards and was a finalist in the "Best Sitcom" category at the International Emmy Awards as well as the New York Festivals Awards. It paved the way for future sitcoms like Phua Chu Kang Pte Ltd.

Ventilator-associated pneumonia (VAP) is a type of lung infection that occurs in people who are on mechanical ventilation breathing machines in hospitals. As such, VAP typically affects critically ill persons that are in an intensive care unit (ICU) and have been on a mechanical ventilator for at least 48 hours. VAP is a major source of increased illness and death. Persons with VAP have increased lengths of ICU hospitalization and have up to a 20–30% death rate. The diagnosis of VAP varies among hospitals and providers but usually requires a new infiltrate on chest x-ray plus two or more other factors. These factors include temperatures of >38 °C or <36 °C, a white blood cell count of >12 × 109/ml, purulent secretions from the airways in the lung, and/or reduction in gas exchange.

The sequential organ failure assessment score, previously known as the sepsis-related organ failure assessment score, is used to track a person's status during the stay in an intensive care unit (ICU) to determine the extent of a person's organ function or rate of failure. The score is based on six different scores, one each for the respiratory, cardiovascular, hepatic, coagulation, renal and neurological systems.

Intensive care unit Hospital ward that provides intensive care medicine

An intensive care unit (ICU), also known as an intensive therapy unit or intensive treatment unit (ITU) or critical care unit (CCU), is a special department of a hospital or health care facility that provides intensive care medicine.

Dexmedetomidine Anxiolytic, sedative, and pain medication

Dexmedetomidine, sold under the trade name Precedex among others, is a medication used for sedation. It is also used to treat acute agitation associated with schizophrenia or bipolar I or II disorder.

Critical care nursing

Critical care nursing is the field of nursing with a focus on the utmost care of the critically ill or unstable patients following extensive injury, surgery or life threatening diseases. Critical care nurses can be found working in a wide variety of environments and specialties, such as general intensive care units, medical intensive care units, surgical intensive care units, trauma intensive care units, coronary care units, cardiothoracic intensive care units, burns unit, paediatrics and some trauma center emergency departments. These specialists generally take care of critically ill patients who require mechanical ventilation by way of endotracheal intubation and/or titratable vasoactive intravenous medications.

The Society of Critical Care Medicine (SCCM) is the largest non-profit medical organization in the practice of critical care. SCCM was established in 1970 and is an independently incorporated, international, educational and scientific society based in the United States. Its members are multi-professional health professionals providing care to critically ill and injured patients, and SCCM is the only organization that represents all professional components of the critical care team. The Society supports research and education, and advocates on issues related to critical care.

The intensive care unit (ICU) is one of the major components of the current health care system. The advances in supportive care and monitoring resulted in significant improvements in the care of surgical and clinical patients. Nowadays aggressive surgical therapies as well as transplantation are made safer by the monitoring in a closed environment, the surgical ICU, in the post-operative period. Moreover, the care and full recovery of many severely ill clinical patients as those with life-threatening infections occurs as a result of medical intensive care unit.

Geriatric intensive care unit is a special intensive care unit dedicated to management of critically ill elderly.

Propofol infusion syndrome Medical condition

Propofol infusion syndrome (PRIS) is a rare syndrome which affects patients undergoing long-term treatment with high doses of the anaesthetic and sedative drug propofol. It can lead to cardiac failure, rhabdomyolysis, metabolic acidosis, and kidney failure, and is often fatal. High blood potassium, high blood triglycerides, and liver enlargement, proposed to be caused by either "a direct mitochondrial respiratory chain inhibition or impaired mitochondrial fatty acid metabolism" are also key features. It is associated with high doses and long-term use of propofol. It occurs more commonly in children, and critically ill patients receiving catecholamines and glucocorticoids are at high risk. Treatment is supportive. Early recognition of the syndrome and discontinuation of the propofol infusion reduces morbidity and mortality.

Dato' Dr. Sachithanandan Thambinathan, better known as T. Sachithanandan, was a Malaysian anaesthesiologist.

Post-intensive care syndrome (PICS) describes a collection of health disorders that are common among patients who survive critical illness and intensive care. Generally, PICS is considered distinct from the impairments experienced by those who survive critical illness and intensive care following traumatic brain injury and stroke. The range of symptoms that PICS describes falls under three broad categories: physical impairment, cognitive impairment, and psychiatric impairment. A person with PICS may have symptoms from one or multiple of these categories.

SEPT12

Septin 12 is a protein that in humans is encoded by the SEPT12 gene.

E. Wesley Ely American physician and professor

Eugene Wesley Ely Jr. is an American physician, writer, and professor of medicine who serves as the Grant W. Liddle Endowed Chair at Vanderbilt University School of Medicine. He is conducting research as a geriatric intensivist in the Division of Pulmonary and Critical Care Medicine and the Center for Health Services Research at Vanderbilt University Medical Center. He is also the associate director of research at the Tennessee Valley Geriatric Research Education and Clinical Center (GRECC), part of the U.S. Department of Veterans Affairs.

A. Mark Richards New Zealand cardiologist

Arthur Mark Richards is a New Zealand physician, academic and medical researcher. He is a professor of cardiology and director of the Cardiovascular Research Institute at the National University of Singapore, and a professor of medicine and founder of the Christchurch Heart Institute at the University of Otago, Christchurch, New Zealand, where he holds the National Heart Foundation (NZ) Chair of Cardiovascular Studies.

References

  1. ↑ Tan, SH (1982). "The development of critical care medicine in Singapore". Ann Acad Med Singapore. 11 (3): 389–391. PMID   7137918.
  2. 1 2 Ng KS; Tai DYH (2001). "Evolution of intensive care medicine in Singapore". Ann Acad Med Singapore. 30 (3): 213–215. PMID   11455730.
  3. ↑ "Society of Intensive Care Medicine (Singapore)". Intensive Care News (2): 1–2. 1996.
  4. ↑ Tai DYH (2002). "Report by SICM (Singapore) representative to WPACCM".{{cite journal}}: Cite journal requires |journal= (help)
  5. ↑ "State of health: report of the Director of Medical Services 2003–2012" (PDF). Ministry of Health Singapore. Retrieved 24 December 2016.
  6. ↑ "Announcement: intensive care medicine (ICM)". Singapore Medical Council. Archived from the original on 26 November 2016. Retrieved 24 December 2016.
  7. ↑ "4th SG-ANZICS Intensive Care Forum 2017". SGANZICS. Retrieved 24 December 2016.
  8. ↑ "Critical Care and Shock". Critical Care and Shock. Retrieved 24 December 2016.
  9. ↑ "SICM National Investigators for Clinical Epidemiology and Research". SICM (Singapore). Retrieved 24 December 2016.
  10. ↑ Phua J, Ho BC, Tee A, Chan KP, Johan A, Loo S, So CR, Chia N, Tan AY, Tham HM, Chan YH, Koh Y (2012). "The impact of clinical protocols in the management of severe sepsis: a prospective cohort study". Anaesth Intensive Care. 40 (4): 663–674. doi:10.1177/0310057X1204000413. PMID   22813495. S2CID   26022049.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  11. ↑ Koh J, Tee A, Phoo JWH, Phua GC, Leong KW, Chia N, Goh SK, Tan J, Ho B, Tan CK, Maclaren G, Phua J (2010). "A national point-prevalence survey of the practice of sedation, analgesia, neuromuscular blockade and delirium assessment in adult intensive care units in Singapore". Crit Care & Shock. 13: 122–131.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  12. ↑ Phua J, Joynt GM, Nishimura M, Deng Y, Myatra SN, Chan YH, Binh NG, Tan CC, Faruq MO, Arabi YM, Wahjuprajitno B, Liu SF, Hashemian SM, Kashif W, Staworn D, Palo JE, Koh Y, Investigators AS, Asian Critical Care Clinical Trials Group (2016). "Withholding and withdrawal of life-sustaining treatments in low-middle-income versus high-income Asian countries and regions". Intensive Care Med. 42 (7): 1118–1127. doi:10.1007/s00134-016-4347-y. PMID   27071388. S2CID   23945685.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  13. ↑ Phua J, Koh Y, Du B, Tang YQ, Divatia JV, Tan CC, Gomersall CD, Faruq MO, Shrestha BR, Gia Binh N, Arabi YM, Salahuddin N, Wahyuprajitno B, Tu ML, Wahab AY, Hameed AA, Nishimura M, Procyshyn M, Chan YH, Group MS (2011). "Management of severe sepsis in patients admitted to Asian intensive care units: prospective cohort study". BMJ. 342: d3245. doi:10.1136/bmj.d3245. PMC   3113333 . PMID   21669950.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  14. ↑ Phua J, Joynt GM, Nishimura M, Deng Y, Myatra SN, Chan YH, Binh NG, Tan CC, Faruq MO, Arabi YM, Wahjuprajitno B, Liu SF, Hashemian SM, Kashif W, Staworn D, Palo JE, Koh Y, Investigators AS, the Asian Critical Care Clinical Trials Group (2015). "Withholding and withdrawal of life-sustaining treatments in intensive care units in Asia". JAMA Intern Med. 175 (3): 363–371. doi:10.1001/jamainternmed.2014.7386. PMID   25581712.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  15. ↑ "Intensive care unit data across hospitals to be standardised with new registry". Channel NewsAsia. 2015. Retrieved 24 December 2016.
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