Format: Pre-congress course, LIVES 2023 (Milan, Italy)
Dates: 21-22 October 2023
Level 3. Advanced Master Course (integration and simulation) in Acute Respiratory Failure and Mechanical Ventilation will integrate at advanced level topics such as individualised PEEP-setting and transitioning from controlled and assisted ventilation. Interactive lectures will alternate with clinical case discussions, practical demonstrations and discussion of techniques.
Join us for a competence based face to face event planned for October 2023, Milan.
- Leo HEUNKS MD, PhD Professor, Pneumologist-intensivist, Department of Intensive Care, Erasmus University Medical Center, Rotterdam, The Netherlands
- Lise PIQUILLOUD MD, Associate Physician, PD-MER, Intensive Medicine Service- BH 05, Lausanne, Switzerland; Past-chair ARF section ESICM
Endorsement: The course is endorsed by the Acute Respiratory Failure Section, ESICM.
FIRST PART: Setting PEEP in ARDS patients
- To analyse the major prospective PEEP trials and their conclusions and limits
- To analyse the importance of individualizing the setting of PEEP in ARDS patients
- To evaluate the potential and limits of the following PEEP setting strategies
- Electrical tomoimpedance (EIT)
- Bedside recruitability testing (I:E ratio)
- Oesophageal balloon
- Lung/diaphragmatic ultrasound
- Stress index
- Lung hysteresis
- To analyse the effects of PEEP beyond the lung
SECOND PART: managing the transition between controlled and assisted ventilation in ARDS patients
- To evaluate the challenges of the transition from controlled to assisted ventilation
- To analyse the PSILI concept and its determinants
- To apply strategies that allow staying in a lung protective zone during the transition from controlled to assisted ventilation
- To apply strategies that allow staying in diaphragm protective ventilation
- To apply respiratory drive and effort monitoring techniques and to evaluate how drive and effort can be modulated
- To evaluate the haemodynamic aspects of the transition to assisted ventilation
- PEEP-setting strategy and goal
- EIT
- Bedside recruitability test
- Esophageal balloon
- Lung/diaphragmatic ultrasound
- Stress index
- Lung hysteresis
- Effect of PEEP beyond the lung
- The transition from controlled and assisted ventilation
- P-SILI
- Diaphragm protective assisted ventilation
- Respiratory drive and effort
- Respiratory drive and effort (Pes/Pocc/P0.1/US)
- Demonstration and discussion of techniques
- Hemodynamic challenges in transition to assisted ventilation
- How to modulate the drive and effort
- You have completed at least the ESICM Foundation course in ARF & MV
OR - You are an Intensivist, Anaesthesiologist, or physician with at least 2 years of clinical experience in intensive care with ventilated patients
OR - You are a Registered ICU Nurse / respiratory therapist with at least two years of experience treating ventilated patients
An application has been made to the UEMS EACCME® for CME accreditation of this event.
Social media: @ESICM #lung #MechanicalVentilation
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