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

Simulation center
(Exhibition area)



  

We are excited to offer you the chance to take part in an interactive, hands-on learning experience in our Simulation center.


Session design


  • Presentation and interactive discussion of a challenging case from one of three clinical scenarios: Septic shock, ARDS, use of ECMO
  • Hands-on experience of monitoring devices relevant to each clinical scenario
  • Critical appraisal of therapeutic strategies relevant to each clinical scenario
  • Consideration of how to individualize therapy in light of results from large RCTs

Each Session will last 45 minutes and include 1 case presenter, 1 expert and a maximum of 10 participants.

Expert: Daniel De Backer, Jacques Creteur or Jean-louis Teboul
Case Presenter:  Katarina Halenarova or Antoine Herpain
Price per participant: 20 Eur

Case for discussion:
  • Patient presents with sepsis and shock: initial management (identify the source, microbiological samples and antibiotics)
  • Initial hemodynamic management: hemodynamic support (fluids - vasopressors - when to insert CVC - targets to optimize tissue perfusion with CVP, ScvO2, lactate, v-aCO2 gap - role of echography)
  • Persistence of shock: how to optimize therapy

Two sessions are available, one discussing "basic" and the other "advanced" management
Expert: David Grimaldi, Giacomo Bellani, Pailo Pelosi, Marcelo Amato or Luciano Gattinoni
Case Presenter: Leda Nobile, David Grimaldi or Gérard Ludovic
Price per participant: 20 Eur

Case for discussion:
  • Patient in the ICU with acute medical illness and acute respiratory failure: how should we assess a possible diagnosis of ARDS (chest X-ray, PF ratio, "PEEP trial" with non-invasive ventilation, heart and lung ultrasound, …)?
  • Initial moderate ARDS : clinical signs of increased work of breathing: should we use NIV? How to set it? How to monitor pulmonary effects? When to start invasive mechanical ventilation?
  • Evolution to severe ARDS : how to set up the ventilator? Should we sedate the patient? How to set up PEEP? RR and auto-PEEP - should we look at Pplat, compliance or driving pressure? Role of echography?
  • Persistent severe ARDS : should we prone? Use recruitment maneuvers? When should we use NMBAs? When should we use ECCO2R or ECMO?

Two sessions are available, one discussing "basic" and the other "advanced" management
Expert: Alain Combes, Paolo Pesenti, Philipp Lepper or Daniel De Backer
Case Presenter: Matthias Raes Or Filipo Annoni
Price per participant: 20 Eur

Case for discussion:
  • Patient with severe respiratory failure: indications for V-V ECMO: : how to manage initial blood and gas flow; type of cannulation; recognizing complications; optimal settings; weaning
  • Patient with severe circulatory failure: indications for V-A ECMO: how to manage initial blood flow; recognizing complications; optimal settings; weaning

Two sessions are available, one discussing "V-V" and the other "V-A" ECMO management


Session timings:


 

SEPTIC SHOCK
(Advanced)

ARDS
(Advanced)

V-A ECMO
 

SEPTIC SHOCK
(Basic)

ARDS
(Basic)

V-V ECMO
 


9.30 10.30 11.30 13.45 14.45 15.45
 
Case Presenter
- - - Antoine Herpain Leda Nobile Matthias Raes
 
Expert
- - - Daniel De Backer David Grimaldi Alain Combes
 
Tuesday
March 24, 2020

Case Presenter
Katarina Halenarova David Grimaldi Filippo Annoni Katarina Halenarova Leda Nobile Matthias Raes
 
Expert
Daniel De Backer Giacomo Bellani Alain Combes Jacques Creteur Marcelo Amato Paolo Pesenti
 
Wednesday
March 25, 2020

Case Presenter
Antoine Herpain Ludovic Gérard Filippo Annoni Katarina Halenarova Ludovic Gérard Matthias Raes
 
Expert
Jacques Creteur Giacomo Bellani Daniel De Backer Jean-Louis Teboul Paolo Pelosi  Phillip Lepper
 
Thursday
March 26, 2020

Case Presenter
Antoine Herpain David Grimaldi Filippo Annoni - - -
 
Expert
Jean-Louis Teboul Luciano Gattinoni Daniel De Backer - - -
 
Friday
March 27, 2020