Level 3: Advanced Course in Haemodynamics

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This ESICM Advanced Course in Haemodynamics will integrate and simulate at advanced level a management plan for the patient advanced monitoring: circulatory failure, fluid accumulation syndrome, preload responsiveness.

To do so, participants will get immersed in realistic clinical scenarios using different methodologies including Virtual Reality and practical simulations.

As a participant – you have access to the virtual classroom on the ESICM ACADEMY

Core Faculty

Haemodynamics Pathway Directors:

Michelle CHEW MD, PhD Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden; Past Chair Cardiovascular Dynamics Section, ESICM

Antonio MESSINA MD, PhD ICU senior consultant, Department of Anesthesia and Intensive Care Medicine, Humanitas Clinical and Research Center – IRCCS, Rozzano (Milano), Italy; Chair Cardiovascular Dynamics Section, ESICM

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

Directors:

Michelle CHEW MD, PhD Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden; Past Chair Cardiovascular Dynamics Section, ESICM

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.

Objectives

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

Programme Content

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

Requirements to join the course

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.

Target

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

Accreditation

An application will be made to the UEMS EACCME® for CME accreditation of each live event.

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