SWARM ICU
SWARM ICU is our first multi-centre intensive care project. It is a prospective, observational service evaluation investigating the incidence of Early Onset Pneumonia in patients admitted to ICU post cardiac arrest and its management.
Early Onset Pneumonia (EOP) is defined as that developing within the first 72 hours following return of spontaneous circulation. Previous studies suggest that Mild Therapeutic Hypothermia (MTH) may increase the incidence of infection. The use of prophylactic antibiotics to prevent EOP is not routine but observational data suggest a potential mortality benefit. With recent evidence suggesting that MTH is no better than temperature control at 36C, this project hopes to ascertain:
The incidence of EOP and whether it is less frequent in patients not managed with MTH
Outcome correlations with EOP
The incidence of prophylactic antibiotic use in our deanery
This project will run for 6 months initially. Our friends at STAR (Severn Trainees Anaesthetic Research group) will hopefully role out this project in their deanery. If any other trainee-led research group would like to take-up SWARM ICU, please email sw.arm@nhs.net.
Presentations
National
ICS State of the Art meeting, 8-9th December 2014, Dr Emily Howells
Regional
Early onset pneumonia post cardiac arrest in the era of normothermia: an interim analysis. SWARM ICU.
South Devon Intensive Therapy conference, June 2014, Dr Thomas Clark.
Regional Trust Project Lead
Dr Thomas Clark, Royal Devon & Exeter Hospital, Exeter
Local Trust Project Leads
Dr Charly Gibson, Derriford Hospital, Plymouth
Dr Saibul Ganguly, Royal Cornwall Hospital, Truro
Dr Thomas Clark, Royal Devon & Exeter Hospital, Exeter
Dr Emily Howells, Royal Devon & Exeter Hospital, Exeter
Dr Olivia Gokhale, Musgrove Park Hospital, Taunton
Dr Andrew Biffen, Torbay Hospital, Torquay
Dr Dominic Smith, Torbay Hospital, Torquay
Dr Catherine Dore, North Devon District Hospital, Barnstaple
Local Trust Project Contributors
Derriford Hospital, Plymouth: Dr Sarah Droog, Dr Louise Schonborn, Dr Rebecca Matthews, Dr Theresa Hinde
Royal Devon & Exeter Hospital, Exeter: Dr Adam Revill, Dr David Hutchins
Musgrove Park Hospital, Taunton: Dr Harriet Gardiner, Dr Rachael Goddard
Torbay Hospital, Torquay: Dr Martin Dore, Dr Gillian Barnett
Royal Cornwall Hospital, Truro: Dr Kathleen Mulcahy