International Symposium on Intensive Care and Emergency Medicine: Pre-symposium courses

Pre-symposium courses

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Location: Square - Brussels Meeting Center
Supported by: GE Healthcare
Chairmen: Anthony McLean MD, Antoine Vieillard-Baron MD, Paul Mayo MD, Daniel De Backer MD
Date(s):  from 18/3/2018 to 19/3/2018
Price per participant: 
300 Eur
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ADVANCED
Day 1: Sunday, March 18, 2018

             Main Views
  • 09:00 Overview of advanced critical care echocardiography
    • Daniel De Backer (Brussels, Belgium)
  • 09:30 Respective advantages, disadvantages and indications of TTE and TEE
    • Antoine Vieillard-Baron (Boulogne-Billancourt, France)
  • 10:00 Case study part I
    • Daniel De Backer (Brussels, Belgium)
  • 10:45 COFFEE BREAK

              The undifferentiated shock patient
  • 11:00 Pericardial effusion and tamponade
    • Paul H Mayo (New Hyde Park, USA)
  • 11:30 Assessment of cardiac output
    • Michel Slama (Amiens, France)
  • 12:00 Preload responsiveness
    • Daniel De Backer (Brussels, Belgium)
  • 12:30 Lung ultrasound in shock
    • Paul H Mayo (New Hyde Park, USA)
  • 12:45 Shock in the post-operative setting
    • Jan Poelaert (Brussels, Belgium)
  • 13:15 LUNCH

              Haemodynamics
  • 14:00 LV systolic function
    • Michelle Chew (Halmstad, Sweden)
  • 14:30 RV systolic function
    • Antoine Vieillard-Baron (Boulogne-Billancourt, France)
  • 15:00 Differentiating cardiac and non-cardiac pulmonary edema 
    • Anthony McLean (Sydney, Australia)
    • Paul H Mayo (New Hyde Park, USA)
  • 15:30 Pitfalls in haemodynamic measurement
    • Stephen Huang (Penrith, Australia)
  • 16:00 Case study part II
    • Antoine Vieillard Baron (Boulogne-Billancourt, France)
      ​​

Day 2 : Monday, March 19, 2018

             Intracardiac mischief
  • 09:00 Valvular regurgitation
    • Antoine Herpain (Brussels, Belgium)
  • 09:20 Valvular stenosis
    • Jan Poelaert (Brussels, Belgium)
  • 09:40 Infectious endocarditis
    • Anthony McLean (Sydney, Australia)
  • 10:00 Case study on valve lesions
    • Jan Poelaert (Brussels, Belgium)
  • 10:20 Intra-cardiac shunts
    • Michelle Chew (Halmstad, Sweden)
  • 10:35 Complications of AMI
    • Paul H Mayo (New Hyde Park, USA)
  • 10:45 COFFEE BREAK

              Topics
  • 11:00 Septic cardiomyopathy
    • Sam Orde (Sydney, Australia)
  • 11:20 Dynamic outflow obstruction
    • Michel Slama (Amiens, France)
  • 11:40 Heart-lung interactions
    • Antoine Vieillard-Baron (Boulogne-Billancourt, France)
  • 12:00 Role of echo with mechanical circulatory support
    • Paul H Mayo (New Hyde Park, USA)
  • 12:30 Echo in cardiac arrest
    • Antoine Herpain (Brussels, Belgium)
  • 13:00 LUNCH
  • 14:00 Advanced modalities - speckle tracking, strain, myocardial perfusion
    • Michel Salma (Amiens, France)
  • 15:00 Recent publications in CCE
    • Antoine Vieillard-Baron (Boulogne-Billancourt, France)
  • 15:30 COFFEE BREAK
  • 15:45 Case studies
    • ​​​Anthony McLean (Sydney, Australia)
  • 16:00 Summary and evaluations

 
Location: Square - Brussels Meeting Center
Supported by: GE Healthcare
Chairmen: Anthony McLean, Antoine Vieillard-Baron, Daniel De Backer, Paul Mayo
Date(s):  from 18/3/2018 to 19/3/2018
Price per participant: 
400 Eur
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Day 1: Sunday March 18, 2018

          

TIME

GROUP 1

09:00-09:15

Introduction

09:15-10:00

Basic physics – Stephen Huang (Penrith, Australia)

Performing TTE – Iris Ting (Penrith, Australia)

10:00-11:00

Hands on

11:00-11:15

COFFEE BREAK

11:15-12:15

LV evaluation – Anthony McLean (Sydney, Australia)

RV evaluation – Sam Orde (Penrith, Australia)

12:15-13:15

Hands on

13:15-14:00

LUNCH

14:00-15:00

Pericardial fluid/IVC – Stephen Huang (Penrith, Australia)

Performing RACE – Iris Ting (Penrith, Australia) & Anthony McLean (Sydney, Australia)

15:00-15:45

Hands on

15:45-16:00

COFFEE BREAK

16:00-16:45

Case studies – Paul H Mayo (New Hyde Park, USA)

16:45-17:00

Review and Questions

 

 Day 2: Monday March 19, 2018

            

TIME

GROUP 1

08:30-09:00

Case studies – Anthony McLean (Sydney, Australia)

09:00-10:00

Basic Doppler + TDI – Stephen Huang (Penrith, Australia)

10:00-11:00

Hands on

11:00-11:15

COFFEE BREAK

11:15-11:45

The initial echo evaluation of the shocked patient – Michel Slama (Amiens, France)

11:45-12:15

Lung ultrasound – Paul H Mayo (New Hyde Park, USA)

12:15-13:15

Hands on

13:15-14:00

LUNCH

14:00-14:30

Case studies – Sam Orde (Penrith, Australia)

14:30-15:30

Hands on

15:30-16:00

Competency in critical care ultrasound – Michel Slama (Amiens, France)

16:00-16:15

COFFEE BREAK

16:15-16:45

Case studies – Michelle Chew (Halmstad, Sweden)

16:45-17:00

Review of course objectives – what the student should know – Summary evaluation – Anthony McLean (Sydney, Australia)
Location: Square Brussels Meeting Center
Supported by: Aerogen, Dräger, Hamilton Medical and IMT Medical
Chairmen: Neil MacIntyre MD, Arthur Slutsky MD, Marco Ranieri MD, Antonio Pesenti MD and John Davies MD
Date(s):  from 18/3/2018 to 19/3/2018
Price per participant: 
360 Eur
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Sunday, March 18, 2018
  • 8:30 Registration/breakfast/exhibits
  • 9:30 Basic design principles
    • Neil R MacIntyre (Durham, USA)
  • 10:15 Respiratory system mechanics
    • Marco Ranieri (Rome, Italy)
  • 11:00 Patient ventilator interactions 
    • John Davies (Durham, USA)
  • 11:45 Demonstration
    Modes/mechanics/interactions
    • Neil R MacIntyre (Durham, USA)
    • John Davies (Durham, USA)
  • 12:30 LUNCH with EXHIBITOR PRESENTATIONS
  • 13:15 Ventilator induced lung injury – mechanisms and implications for ARDS
    • Arthur Slutsky (Toronto, Canada)
  • 14:00 Setting the ventilator in ARDS – Applied pressures and tidal volumes
    • Marcelo Amato (Sao Paulo, Brazil)
  • 14:45 Setting the ventilator in ARDS – PEEP
    • Antonio Pesenti (Italy)
  • 15:00 BREAK/EXHIBITS
  • 15:30 New features on modern ventilators – hype or hope?
    • John Davies (Durham, USA)
  • 16:15 Interactive graphics analysis
    • John Davies (Durham, USA)
  • 17:00 END OF THE DAY

Monday, March 19, 2018
  • 8:00 Breakfast/exhibits
  • 8:30 Ventilator adjuncts
    • John Davies (Durham, USA)
  • 9:00 PRO-CON debates :
    Limit spontaneous efforts/interactive breaths to VT < 8-9 ml/kg?
    • Pro: Marcelo Amato (Sao Paulo, Brazil)
    • Con: Marco Ranieri (Rome, Italy)
      Is APRV worthwhile?
    • Pro: Antonio Pesenti (Milan, Italy)
    • Con: John Davies (Durham, USA)
  • 10:15 BREAK/EXHIBITS
  • 10:45 Managing refractory hypoxemia (incl ECMO)
    • Antonio Pesenti (Milan, Italy)
  • 11.30 Management of obstructive lung disease
    • Neil R MacIntyre (Durham, USA)
  • 12:15 LUNCH/EXHIBITS
  • 13:00 Ventilator discontinuation process
    • Neil R MacIntyre (Durham, USA)
  • 14:00 The future of lung protection in respiratory failure
    • Arthur Slutsky (Toronto, Canada)
  • 14:45 BREAK/EXHIBITS
  • 15:15 Interactive case studies
    • Neil R MacIntyre (Durham, USA)
  • 16:00 Panel - "How do I…?"
    • Mod: Neil R MacIntyre (Durham, USA)
    • Marco Ranieri (Rome, Italy), Arthur Slutsky (Toronto, Canada), John Davies (Durham, USA), Antonio Pesenti (Milan, Italy), Marcelo Amato (Sao Paulo, Brazil)
  • 16:45 Wrap up and evaluations
  • 17:00 END OF THE COURSE


NOTE: We will use the Duke audience response system for all lectures
Location: Square - Brussels Meeting Center
Supported by: Cheetah Medical, Edwards Lifesciences and Getinge
Chairmen: Michael R.Pinsky (Pittsburgh, USA) & Jean-Louis Teboul (Paris, France)
Date(s):  19/3/2018
Price per participant: 
225 Eur
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1. Didactic lectures & Demonstrations (Room 311-312)

  • 8:00 Registration
  • 8.25 Introduction 
    • Michael R. Pinsky (Pittsbugh, USA)
  • 8:30 Vascular pressure monitoring: applications and pitfalls (including technical limitations and physiological processes that complicate interpretation)
    • Michael Pinsky (Pittsbugh, USA)
  • 9:15 Indicator dilution-derived cardiac output and advanced analytic variables (including sample timing, averaging, pitfalls and errors, TBV, GEDV, lung water)
    • Jean-Louis Teboul (Paris, France)
  • 10.00 Break
  • 10:15 Cardiac output by arterial pressure waveform analysis and bio reactance (theory and application, limitations and errors)
    • Maxime Cannesson (Los Angeles, USA)
  • 11:00 Ultrasound-based hemodynamic monitoring (UScom, Esophageal Doppler and Transthoracic echocardiography)
    • Daniel De Backer (Brussels, Belgium)
  • 11:30 Blood oxygen saturation measures and pleth signals (including sampling errors, intermittent versus continuous, limitations and pitfalls)
    • Jan Bakker (New York, USA)

2. Hands-on demonstration of monitoring devices (small groups) working lunch (Room 310)

  • 12:00-13:30 Demonstrations (20’ each) (mentored by workshop faculty)
    1. PAC & Flotrac-Vigileo
      Edwards Lifesciences - Jan Bakker (New York, USA) & Maxime Cannesson (Los Angeles, USA)
    2. PiCCO 
      Getinge - Jean-Louis Teboul (Paris, France)
    3. STARLING SV
      Cheetah Medical – Michael R. Pinsky (Pittsburgh, USA)

3. Case-based discussion of monitoring-directed management of shock (small group) (Rooms 314 A&B and 316 ­­A&B)

  • 13:30-17:15 Case discussions (45’ each)
    1. Cardiogenic shock
      Jan Bakker (New York, USA) - Room 314A
    2. Perioperative monitoring
      Maxime Cannesson (Los Angeles, USA) - Room 314B
    3. Septic shock
      Jean-Louis Teboul (Paris, France) - Room 316A
    4. Shock of unclear etiology
      Michael R. Pinsky (Pittsburgh, USA) - Room 316B
  • 17:15 End
Location: Square Brussels Meeting Center
Chairmen: Jan De Waele (Ghent, Belgium), Jeroen Schouten (Nijmegen, Netherlands)
Date(s):  19/3/2018
Price per participant: 
225 Eur
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  • 8:30 Welcome and registration
  • 9:00 Therapeutic drug monitoring in ICU
    • Theory – Jan De Waele (Ghent, Belgium)
    • This is how I do it – Lennie Derde (Utrecht, Netherlands)
  • 10:00 Who is at risk of MDR infections? How does that influence my empirical therapy?
    • Theory – Jean-Francois Timsit (Paris, France)
    • This is how I do it – Tony Whitehouse (Birmingham, UK)
  • 11:00 Break
  • 11:15 De-escalation of antibiotic therapy and safely reducing antibiotic duration
    • Theory – Jeroen Schouten (Nijmegen, Netherlands)
    • This is how I do it – Jan De Waele (Ghent, Belgium)
  • 12:15 Lunch
  • 13:15 State of the art lecture
    • - Review of antimicrobial treatment of neurological infections (meningitis, brain abscess, encephalitis) in immunocompetent ICU patients
      Romain Sonneville (Paris, France)
  • 14:00 Clinical cases and workshops in rotating groups (30’ each)
    • How to create and implement an AB stewardship program in my own ICU?  
    • Jeroen Schouten (Nijmegen, the Netherlands)

    • How to manage dosing of antibiotics during a complicated ICU stay (CRRT, ECMO, etc)?
    • Tony Whitehouse (Birmingham, UK)

    • Clinical case study 1*, a patient with abdominal sepsis, AKI and (possibly) a fungal infection
    • Lennie Derde (Utrecht, Netherlands)

    • Clinical case study 2*: a patient colonized with multidrug resistant pathogens and acute respiratory failure
    • Jean-Francois Timsit (Paris, France)
  • 16:00  End

in these clinical cases, diagnostic and therapeutic management is discussed from admission to discharge in S’s: Start (empirical therapy, timeliness, cultures, rapid diagnostic tests, documentation) Safety (allergy, interactions, adapting to renal function) Streamline  (re-evaluation, de-escalation, IV-oral switch, PK-PD alterations) and Stop (duration of therapy)
Location: Square - Brussels Meeting Center (Room: 211-212)
Supported by: Xenios
Chairmen: : Fabio S TACCONE, MD, PhD, Brussels, Belgium and Daniel BRODIE, NY, USA
Date(s):  19/3/2018
Price per participant: 
225 Eur
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Faculty:

Dan BRODIE (New York, USA)
Alain COMBES (Paris, France)
Philipp LEPPE (Homburg, Germany)
Roberto LORUSSO (Maastricht, The Netherlands)
Marco RANIERI (Rome, Italy)
Thomas STAUDINGER (Vienna, Austria)
Fabio S Taccone (Brussels, Belgium)

Program

  • 08.00 Participant registration and entry questionnaire
  • 08.30 Physiology of Extracorporeal Support for Respiratory Failure (ECMO and ECCO2R)
    • Daniel BRODIE
  • 09.00 Cannulation techniques for ECMO in respiratory failure (VV, VA and VAV)
    • Roberto LORUSSO
  • 09.30 Using veno-venous ECMO for ARDS (indications, clinical settings, configurations)
    • Alain COMBES
  • 10.15 Understanding the ECMO/patient interdependency
    • Philipp LEPPER
  • 10.45 Coffee break and meet the industries
  • 11.00 Pulmonary Ventilation during VV-ECMO and ECCO2R
    • Marco RANIERI
  • 11.45 Using the ECCO2R in critically ill patients (ARDS and COPD)
    • Fabio Silvio TACCONE
  • 12.30 ECMO in special situations
    • Thomas STAUDINGER
  • 13.00 Lunch
  • 14.00 Complications
    • Roberto LORUSSO

The participant will be divided in 4 group of max. 15 persons each to meet the experts – each group will rotate every 30 min from 14.45 to 17.15 (Coffee break from 15.45 to 16.15)
Station A: How to set the pulmonary ventilator (Lung protective strategy) : Marco RANIERI
Station B: Percutaneous cannulation simulator (from puncture to connection) : Roberto LORUSSO
Station C: Monitoring of a patient on VV-ECMO : Thomas STAUDINGER
Station D: How to prepare for transport an ARDS patient with ECMO : Fabio Silvio TACCONE
  • 17.15 Closing remarks and final questionnaire