1st HemoSim Hemodynmic Clinical Case Simulation Workshop Oct 13th 2018

Organisation: Intensive Care Unit (ICU), UZ Brussel and iMERiT

Contact: info@fluidacademy.org or manu.malbrain@uzbrussel.be

Date: October 13th, 2018

Location: UZ Brussel, Laarbeeklaan 101, Jette, Belgium (level -1, route 1001)

Room: Auditorium Kiekens

Twitter Handle: #HEMOSIM2018

Duration: Full Day 9:00 – 18:00

Pax: limited to a max of 40

Price: exceptionally low @ 150 EUR (meals and drinks included), in combination with 2nd BEACH workshop @ 400 EUR

Comment: This workshop can be booked separately or in combination with the 2nd BEACH ECMO Course (Oct 12th)

Learning objective: Presentation of real clinical case scenarios. Septic shock, obstructive shock and cardiogenic shock case simulation (intitial resuscitation phase and stabilization phase) with choice of hemodynamic monitoring (PAC or PiCCO), choice of treatment and simulation of response to treatment depending on case. Combined with short theoretical lectures on hemodynamic monitoring, fluid responsiveness, functional hemodynamic monitoring, preload, capillary leak, lung water, ARDS, ultrasound, fluid physiology, the 4 D's of fluid therapy (Drug - Dose - Duration - Deescalation), the 4 phases of fluid therapy and the ROSE concept (Resuscitation - Optimization - Stabilization - Evacuation) and much much more. Not to be missed.

PROGRAMME

8:00 AM - 9:00 AM: Registration and Welcome Coffee

MODULE 1: EARLY SEPTIC SHOCK

9:00 AM – 9:05 AM: Introduction – Manu Malbrain

9:05 AM – 9:30 AM: Physiology of shock and hemodynamic monitoring principles (PiCCO, Swan-Ganz, less-invasive...) – Manu Malbrain

9:30 AM – 9:50 AM: Simulation case 1 (early septic/hypovolemic shock) with scenario run – Faculty

9:50 AM – 10:00 AM: Questions and answers – Faculty

10:00 – 10:20 COFFEE BREAK

MODULE 2: LATE SEPTIC SHOCK

10:20 AM – 10:35 AM: Debriefing Simulation case 1 – Manu Malbrain

10:35 AM – 11:00: Fluid responsiveness – Patrice Forget

11:00 AM – 11:20 AM: Simulation case 2 (late sepsis with ARDS) with scenario run – Faculty

11:20 AM – 11:35 AM: Debriefing – Manu Malbrain

11:35 AM – 12:00 AM: Transpulmonary thermodilution and the role of extravascular lung water – Manu Malbrain

12:00 AM – 12:10 PM: General Discussion and Questions and answers – Faculty

12:10 AM – 1:00 PM Lunch Break

MODULE 3: OBSTRUCTIVE SHOCK

1:10 PM – 1:30 PM: Simulation case 3 (obstructive shock) with scenario run – Faculty

1:30PM – 1:45 PM: Debriefing – Manu Malbrain

1:45 PM – 2:15: Overview of monitoring in obstructive shock and the role for Swan-Ganz monitoring – Christian Verborgh

2:15 PM – 2:30 PM: The role for PiCCO monitoring – Manu Malbrain

2:30 PM – 2:50 PM: The role for TTE/TEE monitoring – Jan Poelaert

2:50 PM – 3:00 PM: Questions and answers – Faculty

3:00 PM – 3:20 PM Coffee Break

MODULE 4: CARDIOGENIC SHOCK

3:20 PM – 3:40 PM: Simulation case 4 (cardiogenic shock) with scenario run – Faculty

3:40 PM – 3:55 PM: Debriefing – Manu Malbrain

3:55 PM – 4:30 PM: Systolic and diastolic heart failure – Stijn Lochy

4:30 PM – 4:45 PM: Take Home messages – Manu Malbrain

4:45 PM – 5:00 PM: Questions and answers and closing remarks

5:00 PM: End of meeting