Advanced Case-Based ECLS/ECMO Course

Directors:

Nicholas BARRETT MD, Consultant in critical care, Guy’s and St Thomas’ NHS Foundation Trust, London, United Kingdom

Daniel DE BACKER MD, PHD Head of Intensive Care and Emergency Departments, CHIREC Hospitals, Belgium, Professor of Intensive Care Medicine, Université Libre de Bruxelles, Brussels, Belgium

• Understand ECMO-ventilator interactions in respiratory ECMO
• Describe the process of weaning VV ECMO support
• Explore strategies to unload the left ventricle in peripheral cardiac ECMO
• Discuss the rationale of VA ECMO in cardiac failure
• Describe the process of weaning VA ECMO support

Key principles of ECMO

• ECMO for Adult Respiratory Failure – weaning from VV ECMO
• Cardiogenic shock, indications for temporary circulatory support, and ECMO
• ECMO for Adult Cardiac Failure – weaning from VA ECMO

How to enhance lung protection on VV-ECMO?

• Principles of ultra-protective lung ventilation
• Prone positioning on ECMO: why? when? and for whom? Theoretical and practical demonstration
• Which tools could I use to set the ventilator on ECMO?

Preventing and treatment of pulmonary oedema on VA-ECMO

• If refractory, what could be proposed?
• Preventing and treatment of pulmonary oedema on VA-ECMO

A total of 5 fellowships will be conducted in centres around Europe, giving fellows the opportunity to experience ECLS/ECMO 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 ECLS/ECMO pathway within 1 year
• Fellowships will be awarded on basis of attendance at the course and highest performance in the post-course evaluation.

Fellowship centre and mentor:

• Guy’s and St Thomas’ NHS Foundation Trust, London, United Kingdom – Nicholas BARRETT and the local team (February 24-28, 2025)

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

Participants should have at least a basic understanding of, and preferably clinical experience with extracorporeal membrane oxygenation. They can either be

• Intensivist (in training), Anesthesiologist (in training), Perfusionist (in training) or MD with at least 2 years of clinical experience in intensive care
  OR
• Registered ICU Nurse with at least two years of experience treating critically-ill patients

The Advanced Case-based Course in ECLS/ECMO, Barcelona, Spain 05/10/2024 – 06/10/2024, has been accredited by the European Accreditation Council for Continuing Medical Education (EACCME®) with 10.5 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.