Haemodynamics Pathway Director:

Xavier MONNET MD, PhD, Professor of Intensive Care, Medical Intensive Care Unit, Bicêtre Hospital, Paris-Saclay University Hospitals, Paris, France; Chair Cardiovascular Dynamics Section, ESICM

Course Directors Level 2:

• Michelle CHEW MD, PhD, Professor Anaesthesia and Intensive Care Medicine, Linköping University Hospital, Linköping, Sweden

Endorsement: The Course is endorsed by the Cardiovascular Dynamics Section, ESICM.

• To recall basics in physiology: tissue oxygenation
• To interpret PCO2-derived indices
• To interpret SvO2
• To understand the role of echocardiography for the diagnosis and management of septic, cardiogenic and obstructive shock
• To apply advanced monitoring: pulmonary artery catheter
• To apply advanced monitoring: transpulmonary thermodilution
• To determine non-invasive cardiac output monitoring: suitable for ICU patients?
• To understand the use CVP
• To understand the advantages and disadvantages of various haemodynamic methods
• To discuss appropriate choices for haemodynamic monitoring for the ICU patient
• To recall basics in physiology: heart-lung interactions
• To discuss the appropriate use of vasopressors and inotropes
• To perform and assess a fluid challenge
• To assess fluid responsiveness by mimicking a fluid challenge
• To understand weaning failure from cardiac origin
• To determine whether to restrict fluid infusion in septic patients
• To gain insight into therapeutic strategies for cardiogenic shock

• Physiology of tissue oxygenation
• Physiology of heart-lung interactions
• Physiology of venous return
• SvO2
• PCO2-derived indices
• Assessment of fluid responsiveness with heart-lung interactions
• Assessment of fluid responsiveness by mimicking a fluid challenge
• Levosimendan 
• Steroids in septic shock
• Other vasopressors
• Central venous pressure
• Assessment of cardiac contractility
• Assessment of LV filling pressure
• Assessment of the right heart
• Fluid responsiveness
• Integrative treatment of septic shock
• Integrative treatment of cardiogenic shock

A total of 5 fellowships will be conducted in centres around Europe, giving fellows the opportunity to experience haemodynamic monitoring in real-life settings and learn directly from experts. Fellowship-related costs (accommodation and travel) up to 1000 EUR/fellow will be reimbursed by ESICM.

Eligibility for fellowships:

• Must be a member of the ESICM (so join us now if not already a member!)
• Must attend at least 2 levels of the Haemodynamics pathway within 1 year
• Fellowships will be awarded on basis of attendance at the course and highest performance in the post-course evaluation.

Fellowship center, mentor:

Charité Universitätsmedizin Berlin , Berlin Germany  – Oliver HUNSICKER and the local team (February 17-February 21, 2025)

Note! Priority will be given to those participants who haven’t benefitted from a fellowship on this topic before.

• Intensivists who have completed Level 1
• Intensivists seeking a thorough approach in Haemodynamics
• Senior intensivists wanting a comprehensive review course on the topic

ESICM members from the Emerging Nations and Eastern Europe (see list of countries here) are entitled to an discount on registration fees. To qualify, participants must be active ESICM members for the current year. To become a member, please see more information here.

The Transition Course in Haemodynamics, Virtual, Belgium 06/05/2025 – 07/05/2025, has been accredited by the European Accreditation Council for Continuing Medical Education (EACCME®) with 13.5 European CME credits (ECMEC®s). Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity.
Through an agreement between the Union Européenne des Médecins Spécialistes and the American Medical Association, physicians may convert EACCME® credits to an equivalent number of AMA PRA Category 1 CreditsTM. Information on the process to convert EACCME® credit to AMA credit can be found at https://edhub.ama-assn.org/pages/applications .
Live educational activities, occurring outside of Canada, recognised by the UEMS-EACCME® for ECMEC®s are deemed to be Accredited Group Learning Activities (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada.

This year’s first edition of the Transition Course was attended by 80 participants from 31 countries who sought to deepen their knowledge of Haemodynamics. Here’s what they thought was the best part of the event:

• The participation of the experts, always available to answer our questions. And their presentations.
• Combining research with clinical practice, guidance on how to apply things practically in clinical practice.
• Great pre-course material available on the Academy platform.
• The experts and their spirit. This was very helpful to learn and be engaged throughout the whole course.
• Useful talks, subjects were complementary, great hosts.

This year’s virtual edition saw a total of 14 experts and 100 participants from 37 countries immersed in haemodynamics thanks to the wide variety of interactive formats employed: from lectures and focus to interviews and clinical scenarios through 2D Virtual Reality.

• I wish I’d done this years ago! 
• An amazing and really high-level Master Class
• A great honour to learn from you. Thank you very much for such amazing lectures.
• Thank you so much for organising! ESICM is really an amazing source for intensivists all over the world.

Thanks to its incredible success, we held a second, virtual edition of the Haemodynamic Monitoring Master Class! A total of 14 experts and 78 participants from 26 countries engaged in this highly interactive course.

• Thanks to all professors and the organizers and all the participants for this amazing course
• Despite world time, I learnt a lot, that was so good to improve my knowledge about hemodynamics, thanks a lot
• Thank you so much for 3 great days!
• Thanks to all, I learned a lot

Despite the uncertain context, the third edition of the Haemodynamic Monitoring Master Class has just wrapped up, this time virtually! A total of 11 experts and 83 participants from 25 countries engaged in interactive activities and case-based discussions. Here are some of their comments on this innovative educational format:

• It was an amazing Master Class with high-level of knowledge with top experts
• Thank you very much to all the excellent faculty and all participants, I learnt a lot.
• Excellent masterclass as always!
• Thank you Master Speakers! Thank you all! Great experience!

The 2nd edition of the Haemodynamic Monitoring Master Class has just wrapped up. A total of 13 experts and 54 participants from 19 countries came together for 3 days at the ESICM Training Centre in Brussels. Here are some of their comments on what they liked best about their experience:

• Perfect balance between theoretical sessions and hands-on! Q&A with papers was very efficient because many people don’t like to speak.
• Everything went well. Excellent organisation and speakers, with great proximity between all the participants.
• Opportunity to learn very closely from world experts on haemodynamics. The structural progression from basic to advanced concepts.
• Experts bringing together physiology with evidence; motivated team; a combination of lecture, group work, hands-on
• The friendly, open environment to have different opinions and be respected. Talks about physiology and up to date clinical approaches !!! Great. The class was a big kick-off to make better step towards the clinical practice and treatment of seriously sick patients.
• Its clinical relevance

The 1st edition of the Haemodynamic Monitoring Master Class has just wrapped up. A total of 14 experts and 51 participants from 22 countries came together for 2 days at the ESICM Training Centre in Brussels. Here are some of their comments on what they liked best about their experience:

• Personally I would have liked more time practicing with the echocardiography mannequin
• Excellent speakers!
• Practical simulation workshops with manikins and web-based interactive case scenarios
• Leading expert presence, Interactivity, Clinical cases discussions, Simulation scenarios
• High degree of clinical applicability of the presented material