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Advances in Motion

Short-term Mechanical Support Heart/Lung Symposium 2019

Fri, Oct 18, 2019–Sat, Oct 19, 2019 8:30 AM - 4:30 PM

O'Keefe Auditorium 55 Fruit Street, Boston, MA 02144

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.

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Description

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.

Provided By

Massachusetts General Hospital Corrigan Minehan Heart Center & Partners HealthCare System

Accreditation

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.

Target audience

This activity is intended for for cardiac surgeons, cardiologists, intensive care physicians and nurses, anesthesiologists, perfusionists, biomedical technologists, pharmacists, nurses, advanced practice nurses, physician assistants and respiratory therapists.
 

Learning objectives

Upon completion of this activity, participants will be able to: 
  1. 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.
  2. Recognize and explain the different types of cannulae and cannulation strategies for patients undergoing (ECLS).
  3. Describe and initiate (ECLS).
  4. Recognize and manage potential disasters that can occur during (ECLS).
  5. Recognize the indications (ECLS).
  6. Manage common complications associated with the institution of (ECLS).
  7. Interpret hemodynamic data for patients with short-term support.
  8. Prepare a patient for safe separation from short-term support through use of a checklist.
  9. Discuss the management of right heart failure after cardiopulmonary bypass and in the intensive care unit.
  10. Manage problems associated with short-term support.
  11. Discuss problems in the intensive care unit with C-mags and ECMO.

Registration fee

Physicians: $420
Residents and Fellows: $180
Scientists: $180
Other Healthcare Professionals: $180   

Contact      

For questions regarding the conference, contact Audrey O'Keefe at aokeefe@mgh.harvard.edu or 617-726-3726.
 
For questions regarding registration and CME information, contact Partners Office of Continuing Professional Development at partnersCPD@partners.org or 857-282-2510.

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

3:50 pm - PRO/CON Debate: Advanced ventilation management versus veno-venous ECMO | Yuval Raz, MD versus Lorenzo Berra, MD

4:20 pm - Final remarks, Course Evaluation, Closure, Mauricio Villavicencio, MD

4:30 pm - Adjournment of Educational Activity

Register for this symposium