Level 3: Advanced Course in Haemodynamics

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 3:

• Michelle CHEW MD, PhD, Professor Anaesthesia and Intensive Care Medicine, Linköping University Hospital, Linköping, Sweden
• Antonio MESSINA MD, PhD ICU senior consultant, Department of Anesthesia and Intensive Care Medicine, Humanitas Clinical and Research Center – IRCCS, Rozzano (Milano), Italy
• 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

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

• To assess the predominant mechanism responsible for the shock state
• To evaluate appropriate investigations for the patient in shock with regard to
  • Systemic and microcirculation
  • Tissue oxygenation
  • Fluid management and fluid resuscitation
  • Appropriate hemodynamic monitoring
  • Vasopressors, inotropes and adjunctive therapies
• To appraise indications and choice of hemodynamic monitoring
• To evaluate of the appropriate use of ultrasound in diagnosis, monitoring and ongoing management of shocked patients
• To integrate ultrasound findings with other clinical and haemodynamic findings
• To evaluate the appropriate use of advanced, invasive haemodynamic monitoring
• To integrate findings of advanced haemodynamic monitoring with clinical parameters and ultrasound

The programme will integrate and simulate the management plan for the patient with shock, with the following specific milestones:

• initial evaluation of haemodynamics in septic shock
• assessment of tissue oxygenation
• perform initial ultrasound assessment
• perform advanced haemodynamic monitoring
• evaluate the need for re-resuscitation
• evaluate and manage fluid overload
• evaluate heart-lung interactions during ARDS with echo
• evaluate and manage heart-lung interactions during ARDS in practice
• manage refractory septic shock

Participants should have at least a basic understanding of, and preferably clinical experience with, invasive arterial pressure monitoring and derived variables, transpulmonary thermodilution, continuous cardiac output monitoring by pulse contour analysis, pulmonary artery catheterization and critical care ultrasound.

• Intensivists who have completed Level 1 & 2
• Intensivists seeking a thorough approach in Haemodynamics
• Senior intensivists wanting an advanced level deep dive in specific topics of Haemodynamics

The Advanced Course in Haemodynamics, Munich, Germany 25/10/2025 – 26/10/2025 , has been accredited by the European Accreditation Council for Continuing Medical Education (EACCME®) with 12.5 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.