general informa tion

In cooperation with
Club A.P.I.C.E.
Department of Perioperative
Medicine, Intensive Care
and Emergency
Cattinara University - Hospital
School of Medicine, Trieste, Italy
Tel.: +39 040 3994540
Fax: +39 040 912278
a.gullo@fmc.units.it
MEETING CHAIRMAN
Prof. Antonino Gullo
Department of Perioperative Medicine, Intensive Care
and Emergency
Cattinara University - Hospital
School of Medicine, Trieste, Italy
Tel: +39 040 3994540
Fax: +39 040 912278
a.gullo@fmc.units.it
Affiliated with
The Institute of Critical Care Medicine
Palm Springs, CA, USA
World Federation
of Societies of Intensive
and Critical Care Medicine
Confederation of
European National Societies
of Anaesthesiology
European Society of
Emergency Medicine
W.F.S.A. World Federation
of Societies of
Anaesthesiologists
The President of the Italian Republic
Ministero dell’Istruzione, dell’Università e della Ricerca
Ministero della Salute
Istituto Superiore di Sanità
S.I.A.A.R.T.I. Società Italiana di Anestesia, Analgesia,
Rianimazione e Terapia Intensiva
A.A.R.O.I. Associazione Anestesisti Rianimatori
Ospedalieri Italiani
S.I.T.I. Società Italiana di Terapia Intensiva
Ordine dei Medici Chirurghi e degli Odontoiatri
della Provincia di Trieste
Università degli Studi di Trieste
Facoltà di Medicina e Chirurgia, Università degli Studi
di Trieste
Azienda Ospedaliera Ospedali Riuniti di Trieste
Regione Autonoma Friuli-Venezia Giulia
Provincia di Trieste
Comune di Trieste
The above institutions have been invited to grant their patronage
A.P.I.C.E. SECRETARIAT
Key Congressi
Piazza della Borsa, 7 - 34121 Trieste, Italy
Phone: +39 040 660 352 / +39 040 362 727
Fax: +39 040 660 353
apice@keycongressi.it www.keycongressi.it

INTERNATIONAL SYMPOSIUM
ON
CRITICAL CARE MEDICINE
20 th Annual Meeting
Trieste, Italy
November 18-21, 2005
HONORARY PRESIDENT
M.H. Weil (U.S.A.)
SCIENTIFIC COMMITTEE
J.O.C. Auler (Brazil)
L. Berggren (Sweden)
G. Berlot (Italy)
S. Bhagwanjee (South Africa)
J.F. Bion (U.K.)
V. Carpino (Italy)
M. Castagneto (Italy)
E. Cohen (U.S.A.)
L. Gattinoni (Italy)
G. Giron (Italy)
G. Hedenstierna (Sweden)
P.D. Lumb (U.S.A.)
C. Ori (Italy)
V. Paver Eržen (Slovenia)
G. Ramsay (The Netherlands)
M. Ranieri (Italy)
C. Ronco (Italy)
L. Silvestri (Italy)
R.G.G. Terzi (Brazil)
R. Tufano (Italy)
H.K.F. Van Saene (U.K.)
J.L. Vincent (Belgium)
M.H. Weil (U.S.A.)
D.J. Wilkinson (U.K.)
W.A. Zin (Brazil)
JUNIOR SCIENTIFIC COMMITTEE
A. Agosti (Italy)
F. Bernabè (Italy)
G. Cammarata (Italy)
M.L. Chierego (Italy)
T. Pellis (U.K.)
A. Peratoner (Italy)
F. Rubulotta (Belgium)
D. Taglieri (U.S.A.)
SENIOR SCIENTIFIC COMMITTEE
V. Antonaglia (Italy)
D. Caristi (Italy)
P. Di Marco (Italy)
S. Fasiolo (Italy)
U. Lucangelo (Italy)
A. Rinaldi (Italy)
A. Rotigni (Italy)
L. Serra (Italy)
COMPUTERS AND TECHNOLOGICAL SUPPORT
P. Demanins
L. Zucchi
VENUE
Stazione Marittima
Congress Centre
Molo Bersaglieri 3, Trieste,
Italy
LANGUAGE
Official languages are English and Italian.
Simultaneous translation will be available
in all scientific sessions, except for poster
sessions and where otherwise specified.
3

FOGLIO ILLUSTRATIVO
APICE 2005 – Programma ECM
DENOMINAZIONE: Educazione Continua in Medicina
COMPOSIZIONE: Non potendo accreditare l’intero
Simposio APICE abbiamo individuato 17 percorsi
formativi, ognuno dei quali dà diritto a distinti
punteggi E.C.M.
SOLO PER VENERDÌ 18 TUTTE LE SALE VERRANNO
ACCREDITATE come sessioni contemporanee e CON
UN UNICO “MONTE PUNTI”.
FORMA: Percorsi formativi.
TITOLARE: A.P.I.C.E. (Anaesthesia, Pain, Intensive
Care and Emergency Medicine).
PRODOTTO E CONTROLLATO DA: D.G.M.P. di Pisa.
INDICAZIONI: A partire dalle ore 13:30 di venerdì
18 saranno raccolte le adesioni per i singoli
moduli organizzati sabato, domenica e lunedì. Per
avere maggiori possibilità di scelta, i partecipanti
sono invitati a presentarsi al più presto alla preiscrizione
dei corsi di loro interesse in quanto l’accettazione
avverrà in ordine di presentazione ai desk
(fino ad esaurimento dei posti disponibili in ciascuna
sala).
AVVERTENZE: Verrà stabilito un numero massimo
di partecipanti per ogni sessione, numero che verrà
determinato dalle modalità di accreditamento e
dalla capienza delle sale.
INTERAZIONI: Tutti i corsi sono stati accreditati
per la categoria dei medici e, nei 7 casi precisati, anche
per la categoria degli infermieri professionali.
Non sono stati richiesti accreditamenti per altre categorie.
SITUAZIONI PARTICOLARI: Si tenga presente in
modo particolare che il corso Critical Care Practice
si ripeterà per due edizioni (mattina di sabato 19
novembre e mattina di lunedì 21 novembre); ciascuna
edizione è riservata ad un numero massimo
di 30 persone. Si pregano pertanto i partecipanti interessati
a presentarsi per tempo al relativo desk.
Crediti per i Docenti
I Docenti/Relatori hanno diritto, previa richiesta all’organizzatore,
a 2 crediti formativi per ogni ora
effettiva di docenza in eventi o progetti formativi
accreditati ECM entro il limite del 50% di crediti
formativi da acquisire nel corso dell’anno solare. I
crediti possono essere acquisiti in considerazione
esclusivamente delle ore effettive di lezione; i crediti
non possono, cioè, essere frazionati o aumentati
in ragione dell’impegno inferiore o superiore ai
60 minuti di lezione (le lezioni di durata inferiore ai
60 minuti non possono essere prese in considerazione,
né possono cumularsi frazioni di ora per docenze
effettuate in eventi diversi).
I docenti/relatori possono conseguire solo i
predetti crediti ECM; essi non possono conseguire
i crediti formativi in qualità di partecipanti
ad eventi nei quali effettuano attività di
docenza.
L’organizzatore è responsabile della corretta attestazione
dei crediti.
Tolleranza per i tempi di partecipazione.
Ai fini dell’attestazione dei crediti formativi ECM è
necessaria la presenza effettiva degli operatori sanitari
al 100% della durata del corso di interesse.
Un’attenta analisi del programma permetterà di individuare
il percorso migliore per le proprie esigenze
formative.
CRITERI PER LA DISTRIBUZIONE DEI CREDITI I
crediti da acquisire nel primo quinquennio sono
stati fissati in 150 con la seguente progressione:
2002. 10 crediti (con un minimo di 5 e un massimo di 20)
2003. 20 crediti (con un minimo di 10 e un massimo di 40)
2004. 30 crediti (con un minimo di 15 e un massimo di 60)
2005. 40 crediti (con un minimo di 20 e un massimo di 80)
2006. 50 crediti (con un minimo di 25 e un massimo di 100)
SCADENZA: Le indicazioni riguardo ai punti attribuiti
a ciascun corso saranno on line a partire
da settembre (www.keycongressi.it)
Ulteriori informazioni possono essere richieste all’indirizzo
apice@keycongressi.it
PREZZO AL PUBBLICO: L’adesione al programma
ECM di APICE 2005 è incluso nella quota di
iscrizione (sezione D della scheda di registrazione),
che garantisce al partecipante la possibilità
di frequentare qualunque sessione accreditata secondo
le preferenze e di ricevere il/i certificato/i
d’attestazione dei crediti accumulati nel corso del
Simposio.
IMPORTANTE! Il presente schema dei corsi ha valore
indicativo. L’ordine e i contenuti delle sessioni
potranno essere modificati in conseguenza
delle necessità dei docenti o per esigenze organizzative.
Invitiamo i partecipanti a consultare gli
aggiornamenti che saranno tempestivamente resi
disponibili sul sito della segreteria organizzativa
www.keycongressi.it
5

A F T E R N O O N
PRELIMINARY
PROGRAMME
Friday 18 November
ROOM 1 ROOM 2 ROOM 3 ROOM 4 ROOM 5 ROOM 6
ETHICS
The ethics of care in ICU
Advanced directives: legal and
ethical considerations
Withholding and withdrawing
medical treatment
Quality of life after ICU
OPENING CEREMONY
Talking about the school
HELMET CPAP IN CHILDREN
CO 2 rebreathing during helmet
CPAP
Helmet CPAP in paediatric ARF
Helmet CPAP in preterm infants
BAL during helmet CPAP
CLINICAL ASSESSMENT
AND MONITORING OF CENTRAL
NERVOUS SYSTEM
- Introduction on clinical
assessment of the central
nervous system
- Monitoring of the central
nervous system
- Diagnosis of cerebral death
RESPIRATORY SYSTEM AND
KIDNEY IN CRITICAL CARE
Respiratory system
- Advances on understanding
respiratory physiology
- Grading severity of respiratory
dysfunction
- Membrane and pump failure
Kidney
- Advances on understanding
renal physiology
- Functional reserve
- Genetic predisposition to renal
dysfunction/failure
CRITICAL ASPECTS IN TRAUMA
- Indications and timing of
intracranial pressure monitoring
- Ventilatory management of brain
injured patients
- Management of ventilatorassociated
pneumonia in brain
injured patients
DISASTER MEDICINE
Definition, organisation and
outcome
The role of telemedicine in
disasters
Terrorist attacks – what we have
learnt
Chemical and biological attacks
Critical care in the changing
world

Saturday 19 November
ROOM 1 ROOM 2 ROOM 3 ROOM 4 ROOM 5 ROOM 6
CRITICAL CARE PRACTICE
1 st edition
TRAUMA OPERATIVE
PROCEDURES (TOP)
FLUID, ELECTROLYTES
AND ACID-BASE BALANCE
IN CRITICAL CARE
CARDIOPULMONARY
CRITICAL CARE
CARDIOVASCULAR ADVANCES
Invited lecture:
CoBaTrICE implications for
European intensivists
Invited lecture:
Cardiac output and gas
exchange coupling
POSTGRADUATE COURSE ON
SEVERITY SCORES AND
NURSING WORKLOAD USE
SCORES
M O R N I N G
Airway Management
- Assessment
- Techniques
- The difficult patient
- DLT, Univent and bronchial
blockers
Introduction to trauma care and
improving performance
The physiologic response to
trauma and the scoring system
Regulatory mechanism of acidbase
balance
Importance of the anion gap
Monitoring of arterial pressure
Pre-hospital therapy
Strong ion difference
Weak acid and water
Perioperative myocardial
ischaemia
Organisation prior to trauma
arrival and priorities
Oesophageal pacing and
cardioversion-defibrillation
Cardiac mechano-electric
feedback: role in the
management of arrhythmia
The atrial fibrillation case:
enlargement, remodelling,
arrhythmias
Ventricular volume overload:
effects on fibrillation and
defibrillation thresholds
Chronic mechanical unloading:
from medieval blood-letting to
modern pharmacological
therapies
Cardiac mechanical assist:
passive versus active devices
Cardiac resynchronisation
therapy: current advances and
future directions
Risk adjustment in the critically ill
patient: what is worthwhile and
why?
attendance limited
to 30 participants
Clinical care practice
Metabolic alkalosis
Imaging of trauma patients
The unstable trauma patient
Lodox modalities
Modes of artificial ventilation
Evaluation of severity of illness
and prognosis
Respiratory alkalosis
Metabolic acidosis
Respiratory acidosis
Lung protective ventilatory
strategies
Can we identify patients who
need intensive care?
Cardiovascular effects of artificial
ventilation
Invited lecture:
Neurocritical trauma patients
Evaluation of organ dysfunction /
failure
Invited lecture:
Autologous bone marrow/stem
cell transplantation in
ischaemic cardiomyopathy.
Initial clinical results
CPR from evidence to guidelines
Advances in CPR
Acute coronary interventions for
victims of sudden death
Ventilation strategies during CPR
Risk adjustment in the infected
patient
TRAUMA OPERATIVE
PROCEDURES (TOP)
FLUID, ELECTROLYTES AND
ACID-BASE BALANCE IN
CRITICAL CARE
ORGAN PROTECTION AND
TOXICITY OF ANAESTHETICS
CARDIOVASCULAR ADVANCES
POSTGRADUATE COURSE ON
SEVERITY SCORES AND NURSING
WORKLOAD USE SCORES
A F T E R N O O N
Acute mechanical stimulation for
reversal of arrhythmia (pre-cordial
thump): risks and benefits
10 th ETAIC MEETING
New strategies in the evaluation
and management of abdominal
trauma
Microcirculation
Perfusion optimisation
Trieste-Ljubljana universities
cooperative programme for
education and training in
anaesthesiology and intensive
care
Major thoracic injuries
Lactic acidosis
Cell injury score
Mechanism of action of
anaesthetics
Metabolism and neuroprotection /
neurotoxicity
Neuroprotection by NMDA
anaesthetics
Neurotoxicity of NMDA
anaesthetics
Neurotoxicity of local anaesthetics
Neuroprotection by common
anaesthetics
Neurotoxicity of common
anaesthetics
Inhaled or intravenous
anaesthetics for neurosurgical
anaesthesia
Xenon
Neuroprotection by
dexmedetomidine
Electrical and pharmacological
interventions
Dangerous mistakes in the initial
evaluation and management of
the geriatric trauma patient
Thrombolysis during CPR
Missed injury in trauma
Fluid, electrolytes and acidbase
control in critical
conditions
Acute diabetic emergencies
Minimising reperfusion injury in
settings of global myocardial
ischaemia
Noninvasive monitoring in the
multitrauma patients
Haemorrhagic shock
Pump failure
Septic shock
Global hypothermia for
neuroprotection after cardiac
arrest
Panel:
Trauma operative procedures
The dark side of the moon: inhospital
CPR
Invited lecture:
Traumatic injuries in pregnancy
Panel:
Trauma Cases
Panel:
CPR guidelines 2005: what is
new under the sun?
Risk adjustment in patients after
cardiac surgery
The evaluation of nursing
workload in intensive care
Evaluating quality of life after
intensive care
Using severity scores and nursing
workload scores as management
tools
Monitoring process quality in
intensive care
Can we compare the performance
of ICUs?
How to evaluate the performance
in intensive care: a lesson from
30 years
Can the nurses/patients ratio be a
critical point to evaluate quality of
care?
7

M O R N I N G
A F T E R N O O N
8Sunday 20 November
ROOM 1 ROOM 2 ROOM 3 ROOM 4 ROOM 5 ROOM 6
CHALLENGES IN
PERIOPERATIVE MEDICINE
Perioperative transfusion
Critical levels of haemoglobin in
surgical patients
Severe haemodilution: pulmonary
effects
Severe bleeding in critical care
Perioperative medicine
Patient consensus in difficult
situations
Operating theatre organisation
Positioning
Submental intubation in trauma
and maxillofacial surgery
CHALLENGES IN
PERIOPERATIVE MEDICINE
Perioperative medicine
Difficult airway management
Drug interactions in anaesthetic
practice
Invited lecture:
Does anaesthesia influence
apoptosis pathways?
Neuroanaesthesia
One-lung ventilation in thoracic
surgery
Anaesthesia for orthopaedic
surgery
Costs in anaesthesia
Invited lecture:
Biomedical computation on the
grid
14 th Organ Failure
Academy(OFA) Meeting
SEPSIS AND ORGAN
DYSFUNCTION - FROM BASICS
TO STANDARD OF CARE
- Basics of molecular biology
- Methods used in molecular
biology
- Applications of molecular
biology in medical practice and
research
Sepsis and the immune system
Pathogenesis of cellular
dysfunction in sepsis
Endothelial inflammation and
coagulation
Invited lecture:
Genetic predisposition to sepsis
SEPSIS AND ORGAN
DYSFUNCTION - FROM BASICS
TO STANDARD OF CARE
Sepsis in the elderly
Sequential organ failure
assessment
Combined therapeutic
intervention in sepsis
Planning survival strategies
Surviving sepsis campaign
Bundle technology for introducing
change
Patient safety issues
Prevention of infections
Panel:
Implementation of guidelines
EVIDENCE BASED MEDICINE IN
THE PERIOPERATIVE SETTING
- OR management – applying
logistic principles to medical
patients
- To fill or not to fill – volume
management in trauma cases
- Clinical anaesthesia
management with resources
shortage
Perioperative assessment and
management of high-risk
patients
Risk assessment and decisionmaking
Standardisation procedures
Is B-type natriuretic peptide (BNP)
a predictor of heart failure?
Risk evaluation for non cardiac
surgery
EVIDENCE BASED MEDICINE IN
THE PERIOPERATIVE SETTING
Left ventricular systolic and
diastolic dysfunction
Pacemaker resynchronisation in
the treatment of severe heart
failure
Cerebral protection, is it possible
to prevent it?
Perioperative critical care in
obstetrics
Perioperative renal dysfunction
Invited lecture:
Quality of care (audit) in
perioperative care
Panel:
Focus on abdominal
compartment syndrome
FOCUS ON ANTIBIOTICS – USE
AND MISUSE IN THE ICU
Introduction
Classification of antibiotics
Pharmacodynamics
Criteria for the choice of
antibiotics
The use of antibiotics
Evidence for immediate adequate
parenteral antibiotics
Evidence for immediate enteral
plus parenteral antibiotics
The misuse of antibiotics
Definition of misuse of antibiotics
Clinical and microbiological
impact of misuse of antibiotics
FOCUS ON ANTIBIOTICS – USE
AND MISUSE IN THE ICU
Antimicrobial resistance
Pathophysiology
Parenteral vs enteral plus
parenteral antibiotics
Monitoring
Antibiotics monitoring
Antibiotics in renal impairment
Nebulised antibiotics for
treating ventilator-associated
pneumonia
Interactive cases report
HIGHLIGHT ON PULMONARY
REMODELLING
Monitoring of respiratory
mechanics during artificial
ventilation
Effects of mechanical ventilation
at low lung volume on respiratory
mechanics
Evaluation of pressure-volume
curves
End-tidal CO2 monitoring
Blood gas monitoring
Perioperative recruitment
manoeuvres
Physiopathology of atelectasis
during anaesthesia
How and when to recruit lungs
during anaesthesia
CT evaluation of recruitment
manoeuvres during anaesthesia
for cardiac surgery
Bedside lung echography in
patients with acute lung injury
HIGHLIGHT ON PULMONARY
REMODELLING
Pulmonary remodelling in ARDS
Part I
Cellular responses to mechanical
stress
Matrix in the lung: the forgotten
friend
Mechanism of repairing and
remodelling in ARDS
Part II
Lung parenchyma remodelling
and tissue mechanics
Strategies to modify lung
parenchyma remodelling in ARDS
Stress and strain lung significance
Meet the expert:
How do I ventilate my ARDS
patients
Meet the expert:
Inflammation - role on NO and CO
COMPUTING SYSTEM
MANAGEMENT FOR MEDICAL
DIRECTORS
Medical consultant computing in
anaesthesia and intensive care
Anaesthesia and intensive care
networking
Internet and intranet in
anesthesia and intensive care
Database for archiving patients
data
Digital signature, crittography,
certification and digital
archiviation
COMPUTING SYSTEM
MANAGEMENT FOR MEDICAL
DIRECTORS
Networking safety
Computing – monitoring
connection and point of care
Anaesthesia and intensive care
networking for distance learning
Computing and networking for
medical director

M O R N I N G
Monday 21 November
ROOM 1 ROOM 2 ROOM 3 ROOM 4 ROOM 5 ROOM 6
CRITICAL CARE PRACTICE
2 nd edition
HIGHLIGHT ON PULMONARY
REMODELLING
ANALYSIS OF ARTERIAL PULSE
MICRODIALYSIS
Principles and techniques
Experimental data
ACUTE PAIN SERVICE
CHALLENGES IN PERIOPERATIVE
MEDICINE
Airway management
- Assessment
- Techniques
- The difficult patient
- DLT, Univent and bronchial
blockers
New insight in the treatment of
ARDS
Part I
Nitric oxide should be used in
ARDS
Postoperative pain - what is new
in 2005?
Organisation of an APS
Invited lecture:
Anaesthesia and sedation
outside the OR
Focus on clinical application
Subarachnoid haemorrhage
Acute pain management in
children
Corticosteroids in ARDS: back to
the future
Ventilatory-metabolic monitoring
and analysis of arterial pulse
Analysis of arterial pulse and
ventricular devices
Haemodynamic and metabolic
monitoring in sepsis: the role of
analysis of arterial pulse
Study of diastolic phase in the
critically ill patient
Peritoneal microdiaysis
Complications in pain
management
Practice recommendations in
perioperative care
Cardiac risk stratification
attendance limited
to 30 participants
Exogenous surfactant
replacement in ARDS
Pain management and quality of
life
Anticoagulation in regional
anaesthesia
Part II
High vs. low PEEP in ARDS
Invited lecture:
Perioperative cardiovascular
monitoring. Where we are in 2005
Practice recommendations and
guidelines for PAC
Recruitment manoeuvres in
ARDS. When should they be
performed
Seminar:
The anaesthesia specialty in
the new European Community
- Legal regulations for clinical
practice
- Organisation of the specialty in
the European Community
- Perspectives for specialists in
private and public hospitals
Practice recommendations for
obstetrical anaesthesia
Clinical relevance of recruiters vs.
non recruiters
Invited lecture:
Decision-making in postanaesthesia
care
Panel:
Difficult weaning
Look to the future...
information and updates on
www.apicetrieste.org
9

TENTATIVE LIST OF SPEAKERS
Antonelli Massimo (Italy)
Almeida de Oliveira Sergio
(Brazil)
Alvisi Raffaele (Italy)
Atlee John L. (U.S.A.)
Auler José O. C. (Brazil)
Baker David J. (France)
Baldisseri Marie (U.S.A.)
Barrett Stephen P. (U.K.)
Behringer Wilhelm (Austria)
Berlot Giorgio (Italy)
Bion Julian F. (U.K.)
Boldt Joachim (Germany)
Borghi Giovan Battista (Italy)
Böttiger Bernd W. (Germany)
Braschi Antonio (Italy)
Brienza Nicola (Italy)
Calderini Edoardo (Italy)
Capuzzo Maurizia (Italy)
Caristi Daniela (Italy)
Carpino Vincenzo (Italy)
Castagneto Marco (Italy)
Cerchiari Erga (Italy)
Chidini Giovanna (Italy)
Chierego Maria Luisa (Italy)
Cohen Edmond (U.S.A.)
Cohen Jonathan (U.K.)
De Backer Daniel (Belgium)
De Gaudio Angelo Raffaele
(Italy)
De La Cal Miguel A. (Spain)
Della Corte Francesco (Italy)
Dellinger R. Phillip (U.S.A.)
Delogu Giovanna (Italy)
Demetriades Demetrios (U.S.A.)
DeVita Michael (U.S.A.)
Drenger Benjamin (Israel)
Dzoljic Misa (The Netherlands)
Emmi Vincenzo (Italy)
Facco Enrico (Italy)
Fantoni Cecilia (Germany)
Fodale Vincenzo (Italy)
Foëx Pierre (U.K.)
Freo Ulderico (Italy)
Freye Enno (Germany)
Fumagalli Roberto (Italy)
Gattinoni Luciano (Italy)
10
Gazmuri Raúl J. (U.S.A.)
Gerlach Herwig (Germany)
Giomarelli Pierpaolo (Italy)
Girardis Massimo (Italy)
Giron Giampiero (Italy)
Gordini Giovanni (Italy)
Gullo Antonino (Italy)
Hedenstierna Göran (Sweden)
Hiesmayr Michael (Austria)
Hillman Ken (Australia)
Huang Chun-Hsi (U.S.A.)
Iapichino Gaetano (Italy)
Ince Can (The Netherlands)
Jevtovic-Todorovic Vesna (U.S.A.)
Kellum John A. (U.S.A.)
Klimek Markus (The Netherlands)
Klotz Stefan (Germany)
Kochs Eberhard (Germany)
Kohl Peter (U.K.)
Lachmann Burkhard (The
Netherlands)
Lanza Vincenzo (Italy)
Latronico Nicola (Italy)
Laurent Geoffrey J. (U.K.)
Le Gall Jean-Roger (France)
Levi Marcel (The Netherlands)
Levy Mitchell M. (U.S.A.)
Leykin Yigal (Italy)
Lingnau Werner (Austria)
Lottan Michael (Israel)
Lucangelo Umberto (Italy)
Lumb Philip D. (U.S.A.)
Maas Andrew I.R.
(The Netherlands)
Malbouisson Luiz M. (France)
Markstaller Klaus (Switzerland)
Metnitz Philipp G.H. (Austria)
Milic-Emili Joseph (Canada)
Mira Jean-Paul (France)
Morales Marcelo M. (Brazil)
Moreno Rui (Portugal)
Morra Antonio (Italy)
Muchada Raoul (France)
Nardi Giuseppe (Italy)
Noc Marko (Slovenia)
Nordstrom Carl Henrik (Sweden)
Opal Steven M. (U.S.A.)
Ori Carlo (Italy)
Palazzo Mark (U.K.)
Patel Piyush (U.S.A.)
Paver-Eržen Vesna (Slovenia)
Pea Federico (Italy)
Pellis Tommaso (U.K.)
Pelosi Paolo (Italy)
Pesenti Antonio (Italy)
Pittoni Giovanni (Italy)
Plani Frank (South Africa)
Pozzi Mucelli Roberto (Italy)
Ramsay Graham (The
Netherlands)
Ranieri Marco V. (Italy)
Reinstrup Peter (Sweden)
Rocco Patricia (Brazil)
Rodriguez Blanca (U.K.)
Ronco Claudio (Italy)
Rouby Jean-Jacques (France)
Rubulotta Francesca (Belgium)
Rupreht Joseph (The Netherlands)
Ruskin Keith J. (U.S.A.)
Sajeva Marco (Italy)
Salvo Ida (Italy)
Schiraldi Fernando (Italy)
Schotten Ulrich (The Netherlands)
Scolletta Sabino (Italy)
Sganga Gabriele (Italy)
Silvestri Luciano (Italy)
Singer Pierre (Israel)
Sorbara Carlo (Italy)
Stadler Michaela (Belgium)
Terzi Renato G.G. (Brazil)
Trevisanuto Daniele (Italy)
Tufano Rosalba (Italy)
Tulli Giorgio (Italy)
Ungerstedt Urban (Sweden)
Van der Linden Philippe
(Belgium)
Van Saene Hendrick K.F. (U.K.)
Vincent Jean-Louis (Belgium)
Viviani Marino (Italy)
Volk Hans-Dieter (Germany)
Weil Max H. (U.S.A.)
Wilkinson David J. (U.K.)
Zimpfer Michael (Austria)
Zin Walter (Brazil)

HOTEL ACCOMMODATION
Early booking is recommended. Requests for hotel reservations should be made to the
A.P.I.C.E. 2005 Secretariat not later than October 15, 2005. For reservation fill in
section “E” of the registration form. Hotel rooms will be assigned on a first-come, firstserved
basis and every attempt will be made to respect your choice. If the selected
hotel is not available, reservation will be made in a hotel of equivalent category
according to availability. If single rooms are not available, Double rooms Used as
Single (DUS) will be booked, and vice versa.
No reservation will be accepted without the required deposit as indicated in the
registration form.
Deposit will be forwarded to the assigned hotel and will be deducted from the final
bill to be settled directly at the hotel. The receipt for the total payment (deposit
included) will be issued by the hotel. For credit card holders: your credit card will be
used as a guarantee of reservation. Hotel cost will be charged on your credit card only
if reservation is cancelled. Credit cards will be used only for this purpose.
Hotel rates are quoted in Euro. Prices are meant per room per night and include
breakfast and taxes.
The Organisation has booked an adequate number of rooms in hotels of frequently
requested categories. In case all rooms available are sold out, or in case of specific
needs, the Secretariat may take care of your reservation in a different typology of
lodging (bed&breakfast, residence, hostel, etc.). For further needs, do not hesitate to
contact the Organisers, who will provide assistance and information.
HOTEL CLASS SINGLE ROOM DOUBLE ROOM DOUBLE ROOM
USED AS SINGLE
HOTEL ✰✰✰✰✰ Not available 9 242,00 9 260,00
HOTEL
Min. 9 125,00 Min. 9 135,00 Min. 9 150,00
✰✰✰✰
Max. 9 128,00 Max. 9 208,00 Max. 9 257,00
HOTEL
Min. 9 95,00 Min. 9 100,00 Min. 9 100,00
✰✰✰
Max. 9 95,00 Max. 9 149,00 Max. 9 204,00
GENERAL INFORMATION
CANCELLATION AND REFUNDS
Notification of cancellation must be made in writing to the A.P.I.C.E. 2005
Secretariat. If cancellation is notified before October 15, 2005, hotel cost for the first
night booked will be charged. If cancellation is notified after October 15, 2005, or in
case of non-arrival or of early departure, the total cost for the nights booked will be
charged.
CONGRESS SECRETARIAT
For on-site registration, the Secretariat will be available at the Congress Centre
reception desk from Friday, November 18 at 13:30 to Monday, November 21.
LUNCHES
Meals are not included in the registration fee.
A self-service restaurant will be open daily at the Congress Centre.
EXHIBITION
A technical, pharmaceutical and scientific exhibition will be held from November 18 to
November 21 on the first floor of the Congress Centre.
11

REGISTRATION
REGISTRATION FEES
All fees are quoted in Euro and inclusive of 20% VAT.
• Before June 15, 2005
Full registration fee: 9 470,00
SIAARTI, AAROI members: 9 415,00
Physicians in training*: 9 100,00
Nurses: 9 150,00
• After June 15, 2005
Full registration fee: 9 520,00
SIAARTI, AAROI members: 9 520,00
Physicians in training*: 9 150,00
Nurses: 9 200,00
Daily Fee: 9 210,00
One-day participation only
Emerging Countries special fee: 9 150,00
Offer limited to African, Asian, Latin American and Eastern European emerging countries
*Registration form must enclose an accompanying letter certifying the physician in training
status (anaesthesiology, internal medicine, surgery, paediatrics, neonatology).
Fees include admission to the scientific sessions, 1 copy of the book of proceedings, certificate
of attendance, and the possibility to attend any credited course and to receive the certificate(s)
with the number of credits obtained during the Symposium (see p. 4 for a complete overview
of APICE 2005 - ECM programme and instructions).
GENERAL INFORMATION
HOW TO REGISTER
Since A.P.I.C.E. attracts a huge number of participants, we warmly recommend to return by fax
the filled-in Registration Form together with a payment certificate not later than October 15,
2005 to the Secretariat:
KEY CONGRESSI
Piazza della Borsa 7 – 34121 Trieste, Italy
Tel.: +39 040 660 352 / +39 040 362 727
Fax: +39 040 660 353
E-mail: apice@keycongressi.it
Registrations will be accepted only upon regular payment of the registration fee.
METHOD OF PAYMENT
Payment of registration fee and hotel deposit should be made in Euro by:
• Cheque made payable to “A.P.I.C.E. SRL”.
• Bank transfer (free of charge for the beneficiary) to APICE srl, account n° 58126501,
c/o Unicredit Banca, Agenzia Trieste Risparmio, ABI 02008 – CAB 02230.
(IBAN: IT 24 G 02008 02230 000058126501).
• Credit card: VISA, MASTERCARD/EUROCARD (please indicate the number of your credit
card in the registration form, and sign to authorize the Secretariat to perform the
withdrawal procedure).
CANCELLATION AND REFUNDS
Notification of cancellation must be made in writing to the A.P.I.C.E. 2005 Secretariat. Refunds
of registration fees will be made by bank transfer after the Congress as follows:
• cancellation before October 15, 2005 - 60% refund of fees paid;
• cancellation after October 15, 2005 - No refund.
All bank charges incurred in the processing of the bank transfer will be deducted from the
refund.
12

FOCUS YOUR
RESEARCH/WORK/INVESTIGATION
ON THE FOLLOWING TOPICS:
Diagnosis and Management
of Dangerous Arrhythmias
Genetic predisposition to illness
Cardiopulmonary
Resuscitation
Homeostasis
Neurological Pathologies
Inflammation
Trauma Operative Procedures
Endotoxins
(TOP)
Granulocytes
Perioperative Medicine
Cytokines
Transfusion Therapy
Pro and anti-inflammatory mediators
Scoring System in Critical
Immune response
Care
Guidelines on Sepsis
Focus on Organization of
Applied Physiology in Operating Theatres
Critical Care
Acid-Base Balance and
Arterial Blood Gases
Sedation and Pain Management
Clinical Decision-Making
Priorities on Critical Care Procedures
Immunology
Advances on Imaging Technologies
Infection Control New Trends on Haemodynamic
Sepsis and Organ Monitoring
Dysfunction
Airway Management
Fluids and Electrolytes ARDS
Kidney Critical Care Focus on High Frequency Ventilation
Microdialysis
Paediatric Critical Care
Technological Advances in
Critical Care Nursing
Critical Care
Computers in the Critical Care Department
Developing Practice in
Disaster Medicine and Poisoning
Critical Care
Acute Pain Management
Ethics in Critical Care
13

Submission of Papers
Updates on
www.apicetrieste.org
www.keycongressi.it
APICE Courses are organized
in collaboration with SMART
Multiprofessional Symposium for:
• Anaesthesiologists
• Emergency physicians
• Paediatricians
• Surgeons
• Nurses
DEADLINE
The deadline for submission of papers is
September 1, 2005.
Abstracts may be sent by E-mail:
apice@keycongressi.it
INSTRUCTIONS
The complete text in English must be limited
to 1 page (including figures, tables and
references).
The title should be typed in upper case.
Author(s)’ name(s) and institution must follow
the title on the next line(s). Authors’ names must
be preceded by their initials.
Full address must be indicated in the
registration form only.
The text should contain the objectives, a brief
description of methods, if appropriate, results in
sufficient details to support conclusions,
conclusions and references.
Texts will be accepted only if references are in
accordance with the New England Journal of
Medicine standards!
ACCEPTANCE
Authors will be informed about the acceptance
of their papers by September 30, 2005.
The presenting author must be a registered
participant.
POSTERS
The papers accepted by the Scientific Committee
will be presented in the A.P.I.C.E. Poster sessions.
Authors will be informed about the date of
display of their posters in due time.
Poster size: 70 x 120 cm max.
ECM has been requested
for crediting the Symposium
If a sufficient number of accepted abstracts
will be reached, contributions relevant to the
Symposium topics will be published in a
volume to be distributed at the meeting.
14

FOR COMMUNICATIONS TO THE AUTHOR(S) PLEASE CONTACT:
Name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Phone: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fax: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TITLE:
AUTHOR(S):
DEPARTMENT/HOSPITAL:
Full address must be indicated
in the frame above
PLEASE USE ARIAL TYPE - 10 pt
18 cm
13 cm
15

INTERNATIONAL SYMPOSIUM
ON
CRITICAL CARE MEDICINE
20 th Annual Meeting
Trieste, Italy
November 18-21, 2005
SCIENTIFIC ORGANISATION
Prof. Antonino Gullo
Department of Perioperative Medicine,
Intensive Care and Emergency
Cattinara University - Hospital
School of Medicine, Trieste, Italy
Tel.: +39 040 3994540
Fax: +39 040 912278
a.gullo@fmc.units.it
A.P.I.C.E. SECRETARIAT
Key Congressi
Piazza della Borsa, 7 – 34121 Trieste, Italy
Tel.: +39 040 660 352 / +39 040 362 727
Fax: +39 040 660 353
apice@keycongressi.it
www.keycongressi.it