This course is designed to provide the fundamentals of the management of short-term support through multidisciplinary case scenarios to narrow the professional practice gap.
This course involves didactic lectures supplemented by hands-on training in the wet/animal lab. Interactive online/direct discussions/questions are provided. Lectures primarily involve presentation of scientific data relevant to ECLS. Case presentations will allow attendees to participate and get the input and perspective of other disciplines.
There will be multidisciplinary educational teams in the wet/animal lab. Each team will be devoted to a specific type of support (Impella, Tandem Heart, ECMO, C-Mag, IABP). ECMO hands-on cannulation/initiation and decannulation will be taught on swine animal lab. Scenarios will address the fundamentals of such devices as well as common and uncommon complications and challenges through the entire perioperative period including planning for surgery and preoperative evaluation, interoperative management, and postoperative critical care issues.
Partners HealthCare System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Partners HealthCare System designates this live activity for a maximum of 12.75 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- Describe an Extracorporeal Life Support (ECLS) circuit including pumps, filters, tubing, safety monitors, oxygenators, heating and cooling elements and different variations in the set up.
- Recognize and explain the different types of cannulae and cannulation strategies for patients undergoing (ECLS).
- Describe and initiate (ECLS).
- Recognize and manage potential disasters that can occur during (ECLS).
- Recognize the indications (ECLS).
- Manage common complications associated with the institution of (ECLS).
- Interpret hemodynamic data for patients with short-term support.
- Prepare a patient for safe separation from short-term support through use of a checklist.
- Discuss the management of right heart failure after cardiopulmonary bypass and in the intensive care unit.
- Manage problems associated with short-term support.
- Discuss problems in the intensive care unit with C-mags and ECMO.
Residents and Fellows: $180
Friday, October 18, 2019
8:00 am - Registration and light breakfast
8:30 am - Introduction and welcome, Mauricio Villavicencio, MD
8:40 am - Physiology of Advanced Respiratory Failure, Kathryn Hibbert, MD
9:10 am - Physiology of Cardiogenic Shock, Ivana Nikolic, MD
9:40 am - Console, circuit, CVVH Connections, Jeliene Larocque, RRT
10:10 am - Break
10:25 am - ECMO Initiation: flows, vent setting, gases and sweep, Kenneth Shelton, MD
10:50 am - ECMO: Selection Criteria | Indication, Contraindications, Risk Stratisfying, Gaston Cudemus, MD
11:15 am - Cannulation strategies / ECMO initiation | Respiratory failure, Nathalie Roy, MD
11:40 am - Cannulation strategies / ECMO initiation | Cardiogenic shock
12:10 am - Lunch
12:55 pm - Video cannulation for ECMO: Veno-arterial, Veno-venous
1:20 pm - Animal Lab | Wet Lab | Sim Lab
4:30 pm - Adjournment of Day 1
Saturday, October 19, 2019
8:30 - Percutaneous left and right heart support, William W. O'Neill, MD
8:55 am - ECMO networking, out of hospital transport, Mani Daneshmand, MD
9:20 am - PRO/CON Debate: ECMO versus impella for severe acute cardiogenic shock | Mani Daneshmand, MD versus David Dudzinski, MD
9:50 am - Pharmacokinetics on ECMO, Lauren Devine, Pharm D.
10:15 am - Break
10:30 am - Nursing care of ECMO – wounds, mobilization, in-hospital transport and family support, Kathy Schultz, RN, Katie Fiens, RN
10:55 am - ECMO in difficult settings (ECPR, Trauma, Sepsis, Pregnancy), Nathalie Roy, MD
11:20 am - End of life, Emily Rubin, MD
11:45 am - Lunch
12:30 pm - Case presentation and Discussion, Phillip Spencer, MD, Gaston Cudemus, MD, Mani Daneshmand, MD
1:00 pm - Anticoagulation–Sedation management, Gaston Cudemus, MD
1:25 pm - Bridge to Bridge, David D’Alessandro, MD
1:50 pm - Bridge to Transplant, Mauricio Villavicencio, MD
2:15 pm - Bridge to recovery, Masaki Funamoto, MD, PhD
2:40 pm - Break
2:55 pm - ECMO Complications, Mauricio Villavicencio, MD
3:20 pm - Case presentation and discussion, Maria Lucia Madariaga, MD, Mauricio Villavicencio, MD, Kenneth Shelton, MD, Nathalie Roy, MD
4:20 pm - Final remarks, Course Evaluation, Closure, Mauricio Villavicencio, MD
4:30 pm - Adjournment of Educational Activity