- PRE
16 de junho de 201516 - DIA 1
17 de junho de 201517 - DIA 2
18 de junho de 201518 - DIA 3
19 de junho de 201519 - DIA 4
20 de junho de 201520
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Ventilation
- 7:00 – 7:15 Registration
7:15 – 7:30 Wellcome
7:30 – 8:00 Static lung and chest wall mechanics
8:00 – 8:30 Pressure-volume curves / Airway measures at the bedside / intrinsic PEEP
8:30 – 9:00 Lung edema: how does it come and how to evaluate?
9:00 – 9:30 Coffee break
9:30 – 10:00 Why is my patient hypoxemic or hypercapnic?: Shunt, VA/Q, and blood gases
10:00 – 10:30 Lung protective strategies
10:30 – 11:00 Clinical cases (diagnosis and/or adaptation of ventilatory settings): ventilatory traces / Hypoxemia / Severe COPD
Cardiovascular physiology
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12:00 – 12:30 The determinants of arterial pressure
12:30 - 13:00 The determinants of cardiac output
13:00 – 13:30 Venous return and effective circulating blood volume
13:30 – 14:00 Heart-lung interactions Fluid responsiveness / Fluid challenge
14:00 – 14:30 Assessment of tissue perfusion
14:30 – 15:00 Coffee break
15:00 – 15:30 Pulmonary hypertension & right ventricular dysfunction and R-L interdependence
15:30 – 16:00 Cardiovascular alterations in sepsis
16:30 – 17:00 Regional blood flow distribution and microcirculation
17:00 – 17:30 Clinical cases: Volume responsiveness and impaired cardiac function
Preliminary Program
- 7:30 – 8:00 On-site registration
Module I: Fundamentals of trial design
8:00 – 8:20 Defining the research question
8:20 – 8:40 Writing a good and feasible protocol
8:40 – 9:00 Designing observational studies
9:00 – 9:20 Drugs development and the studies phases
9:20 – 9:40 Equivalence and non-inferiority clinical trials
9:40 – 10:00 Discussion and questions
- 10:00 – 10:30 Coffee break
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Module II: Randomized controlled trials in practice
10:30 – 10:50 Defining the right population and endpoints
10:50 – 11:10 Basic designs for RCTs
11:10 – 11:30 Issues in randomization and blinding
11:30 – 11:50 Strategies for recruitment and dropout prevention
11:50 – 12:10 Intention to treat or per protocol analysis?
12:10 – 12:30 Discussion and questions
- 12:30 – 13:30 Lunch time
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Module III: Research in the ICU: special issues
13:30 – 13:50 Deferred consent: why and when?
13:50 – 14:10 The challenges of multicenter trials
14:10 – 14:30 When to stop early for efficacy and safety?
14:30 – 14:50 New trends: pragmatic trials
14:50 – 15:00 Discussion and questions
- 15:00 – 15:30 Coffee break
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Module IV: The research infrastructure
15:30 – 15:50 Building up a research team
15:50 – 16:10 The role of DSMB and the clinical event adjudication committee
16:10 – 16:30 Funding: opportunities in Brazil
16:30 – 16:50 Authorship: how to avoid a dispute
16:50 – 17:10 Manuscript writing: how to avoid mistakes
17:10 – 17:30 Discussion and final considerations
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07:30 – 08:00 Opening
8:00 – 8:30 Physiology of Coagulation
8:30 – 9:00 Clinical and Laboratory Aspects
9:00 – 9:30 Concepts Thromboelastometry
9:30 – 10:00 Cardiac Surgery
10:00 – 10:15 Coffee Break
10:15 – 10:45 Postpartum Hemorrhage
10:45 – 11:15 Liver Transplantation
11:15 – 11:45 Coagulopathy in Trauma
11:45 – 12:15 Post-Operative Bleeding
12:15 – 13:15 Break
13:30 – 14:10 Thromboelastometry Station
14:10 – 14:50 Liver Transplantation
14:50 – 15-30 Coagulopathy in Trauma
15:30 – 15:45 Coffee Break
15:45 – 16:15 Post-Operative Bleeding
16:15 – 16:55 Postpartum Hemorrhage
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8:30 The importance for education and training in difficult airway management Risk management in difficult airway control
9:00 Clinical evaluation of difficult airways
9:30 Guidelines for Management of the Difficult Airway
10:00 – 10:30 Coffee break
10:30 Optimizing direct laryngoscopy for orotracheal intubation and tube withdrawal
11:00 Non-Invasive access for difficult airways
11:30 Invasive access for difficult airways
13:00 – 17:00 Skill stations
Skill station 1 - Laryngeal mask and Fastrach
Skill station 2 - Laryngoscopy optimization and Exchange tube/guide
Skill station 3 – Jet ventilation and Cricothyrosdostomy
Skill station 4 - Glydescope and Bougie
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Basics: 8h – 10h
8:00 – 8:20 Why should I use ultrasonography in the ICU?
8:20 – 8:40 Principles of ultrasound
8:40 – 9:00 Vascular access
9:00 – 9:30 Lung ultrasound
9:30 – 10:00 Transthoracic planes
10:00 – 10h20 Coffee Break
10:20 – 10:50 Left ventricular systolic function & measurement of cardiac output
10:50 – 11:20 Heart-lung interactions and prediction of fluid responsiveness
11:20 – 11:50 Right ventricular function & measurement of pulmonary artery pressure
11:50 – 13:00 Lunch
13h – 15h - Introduction to hemodynamic monitoring
13:00 – 13:30 Evaluation of filling pressures
13:30 – 14:00 How to diagnose cardiac tamponade
14:00 – 14:30 Transesophageal echocardiography in the ICU
14:30 – 15:00 Making diagnosis and taking decisions with echocardiography
15:00 – 15:30 Ultrasound based protocols at the bedside: beyond the heart
15h30 – 15h50 Coffee Break
15h50 – 17h00 Hands-On
Alfa Theater
9h00
Opening Session
- 09h30 What have we changed in the last decades ?
10h00 Recruiting microcirculation could be the key in shock states
10h30 Echocardiography for all unstable patients in the ICU
11h00 ESICM Consensus on circulatory shock and hemodynamic monitoring
11h30 How to improve recovery after major surgery?
12h00 Electrophysiologic Monitoring in Acute Brain Injury.
12h30
Break
- 14h00 The importance of intensivist`s bedside decision making
14h30 Severe Sepsis and septic shock: How can we solve the problem?
15h00 Rational use of antibiotics in the ICU
15h30 ARDS: Prevention rather than cure
16h00
Break
- 16h30 Prone positioning in ARDS: when and how?
17h00 World Sepsis Day - how can it help us?
17h30 Sepsis management: what are the goals ?
*Programação e palestrantes sujeitos a alterações sem aviso prévio.
Neurointensive Care
- 08h00 Clinical pathways for the management of aneurysmal subarachnoid
08h20 Acute blood pressure management after ICH: Is It Time to Stop Testing Blood Pressure Treatment and Start Lowering It Instead?
08h40 Coumadin, Factor Xa Inhibitor, Direct Thrombin Inhibitors: When to Use and How to Reverse Them
09h00 Should ICP monitoring be undertaken without multi-modality monitoring?
09h20 Surgery in TBI: what neurointensivists should know?
9h40 - 10h10
Break & Poster Corners
Mechanical Ventilation
- 10h20 Pulmonary complications in pos-operative patients: how to prevent them?
10h40 VILI: evidence from the experimental studies.
11h00 Spontaneous ventilation during acute respiratory failure: what the evidence shows us?
11h20 Breath analysis in the critically ill patients - Actual usage and future perspectives
11h40 Neurally adjust ventilation (NAVA) what are the knews?
12h20 - 13h10
Satellite Symposium
THERMOFISHER
Acute Renal Failure
- 14h00 What to do to prevent contrast-associated renal damage
14h20 The heart and the kidney: how do they deal ?
14h40 Is CRRT better than intermittent hemodialysis?
15h00 Fluid management during AKI
15h20 Why high dose dialysis and CRRT in septic shock
15h40 - 16h20
Break & Poster Corners
Tutorial
- 16h20 How to titrate peep?
17h00 Discussion
17h20 - 18h00
Satellite Symposium
Emergency Medicine
- 08h00 How to improve airway management in the emergency
08h20 Sepsis protocol in the ER
08h40 NIV in the ER: when it is the right decision
09h00 US first choice for evaluating hypoxia states
09h20 Why do we need a Rapid Response Team ?
9h40 - 10h20
Break
Microcirculation and Tissue Oxygenation
- 10h20 Should we still target blood pressure?
10h40 Microcirculation in the early phase of shock
11h00 Use of Vasodilators in shock
11h20 Does the hemoglobin level matter?
11h40 How to monitor tissue perfusion at the bedside?
12h20 - 13h30
Workshop
Hemodynamic Monitoring
- 14h00 Guyton Physiology at the bedside
14h20 How to assess Interventricular dependency?
14h40 Fluid responsiveness dynamic parameters during spontaenous breathing
15h00 Is ScvO2 monitoring still necessary ?
15h20 What I really need to know for my daily practice?
15h40 - 16h20
Break & Poster Corners
Early Mobilisation
- 16h20 What is the evidence?
16h35 Barriers, safety and feasibility
16h50 Which devices and resources can help
17h05 Discussion
Surgical Critically ill
- 08h00 Which surgical patients do need to be admitted in the ICU ?
08h20 The role of abdominal compliance on surgical patients
08h40 What parameters to guide hemodynamic optimization: CI, DO2 ScvO2 or VO2?
09h00 Are perioperative optmization protocols cost efective?
09h20 When to consider empirical antifungal therapy in surgical patients
09h40 - 10h10
Break & Poster Corners
Cardiac Critically ill
- 10h20 Is Pulmonary arterial catheter useful in acute heart failure?
10h40 How to choose an external ventricular support device for cardiac falilure
11h00 How to support cardiogenic shock: ballon pump?
11h20 Advances in resuscitation: Extra-Corporeal Cardiopulmonary Resuscitation
11h40 Echocardiogram in the Intensive Care Unit by no cardiologist
12h20 - 13h30
Break
State of the Art in Cardiology
- 14h00 Multiple vessel angioplasty in STEMI
14h20 Percutaneous treatment of aortic and mitral valvulopathy
14h40 Controversy: Post PCI dual antiplatelet therapy - up to 12 months
15h00 Controversy: Post PCI dual antiplatelet therapy short period - 1, 3 or 6 months?
15h20 Clinical effects of Right ventricular remodeling in response to pulmonary hypertension
15h40 - 16h20
Break & Poster Corners
Tutorial
- 16h20 How to manage low flow syndrome
16h35 Management of acute right ventricle dysfunction
16h50 Pulmonary embolism: when to consider thrombolysis
17h05 Discussion
17h20 - 18h00
Satellite Symposium
Respiratory failure
- 08h00 Practice of oxygen therapy in the critically ill patients
08h20 Noninvasive ventilation for patients with hypoxemic acute respiratory failure
08h40 Set up ventilator parameters in normal lungs
09h00 How to best use the Thoracic Tomography in the evaluation of acute respiratory failure patients?
09h20 How to best use the Impedance Tomography in the evaluation of acute respiratory failure patients?
09h40 - 10h10
Break & Poster Corners
Neurointensive Care
- 10h20 Electro physiologic Monitoring in Acute Brain Injury
10h40 Multimodality Monitoring in Neurocritical Care: how to do it?
11h00 Delayed cerebral ischemia after subarachnoid hemorrhage: from vascular spasm to cortical spreading depolarizations - New pathophysiological insights.
11h20 Imaging-based decision making in thrombolytic therapy for ischemic stroke
11h40 Temperature target after a cardiac arrest
12h20 - 13h30
Break
Infection in the ICU
- 14h00 Strategies to combat multidrug resistant Gram-Negative bacterial infections
14h20 Viral infection in the ICU setting: when to think about it?
14h40 Healthcare-associated infections: how to prevent?
15h00 Update on VAP management and treatment
15h20 The role of surveillance cultures in guiding ventilator-associated pneumonia therapy
15h40 - 16h20
Break & Poster Corners
Thematic section: coagulopathies
- 16h20 TEG/ROTEM for dummies
16h40 Do we need a TEG/ROTEM driven protocols in the ICU
17h00 Perioperative bleeding management in the trauma scenario
17h20 New anticoagulants: how to manage the acute bleeding
17h40 Discussion
18h00 - 18h40
Satellite Symposium
Tissue Oxygenation
- 08h00 Peripheral circulation: diagnosis, prognosis and treatment
08h20 Adequate DO2:VO2 relationship is the key: how to do it?
08h40 Do processes that increase cardiac output improve tissue oxygenation?
09h00 Can red blood cell transfusion improve tissue oxygenation?
09h20 Lactate a reliable marker of tissue oxygenation
9h40 - 10h20
Break & Poster Corners
Sepsis
- 10h20 How to improve survival in sepsis?
10h40 More vasopressors and less fluids for resuscitanting septic patient
11h00 How to use biomarkers in sepsis?
11h20 Lactate dynamics are much better than ScvO2 monitoring
11h40 Early resuscitation: do the SSC recommendations need major changes or just adjustments?
12h20 - 13h30
Satellite Symposium
Mechanical Ventilation
- 14h00 What is the future of ARDS after the Berlim definition?
14h20 Brazilian Recommendations of mechanical ventilation: the state of the ART
14h40 The recognition of the importance of driving pressure in ARDS
15h00 ART -alveolar recruitment in ARDS trial: where are we?
15h20 Mechanical ventilation during ECMO: the ultra-protective approach
15h40 - 16h20
Break & Poster Corners
Pediatric critical care
- 16h20 Multimodal Monitoring in Septic Shock
16h40 ECO in PICU: A necessary tool
17h00 USCOM
17h20 Brain Perfusion
17h40 Discussion
18h00 - 18h40
Satellite Symposium
Surgery
- 08h00 Tranfusion in surgical patient
08h20 Protocols for postoperative goal-directed therapy in high-risk surgical patients are cost-effective
08h40 How to set tidal volume in elective surgical patients?
09h00 Minimally invasive devices for perioperative hemodynamic optimization: are all the same?
09h20 Abdominal Compartmental syndrome: more than an abdominal distension
09h40 - 10h20
Break & Poster Corners
ICU Management and quality
- 10h20 The hidding problem: diagnostic errors
10h40 Safety in the ICU: dream or reality?
11h00 Biulding new ICUs: chalenges & trends
11h20 How to minimize medication errors
11h40 The ten rules of successful rounds
12h20 - 13h30
Satellite Symposium - BARD
Organ Dysfunction and Systemic Inflammation
- 14h00 Angiotensin II in septic shock
14h20 Modulation of immune response and outcomes
14h40 Can we improve sepsis diagnosis?
15h00 Beta-blockade for septic patients?
15h20 Myocardial injury in sepsis: relation to inflammatory mediators?
15h40 - 16h20
Break & Poster Corners
Infection in the ICU
- 16h20 When, why and what antifungal drug should be consider in critically ill patients
16h40 De-escalation of antibiotic treatment for all? One size fits all
17h00 Selective decontamination of the digestive tract in critically ill patients: state of the art
17h20 How to improve antimicrobial use in the ICU?
17h40 How to Treat hospital-acquired pneumonia.
18h00 - 18h40
Satellite Symposium
*Programação e palestrantes sujeitos a alterações sem aviso prévio.
Comandatuba I Room
- Critically Ill Patients
08:00 Advances in resuscitation: capnography
08:20 Heart Rate Variability: a new parameter in critically ill?
08:40 Score systems: morbidity or prognosis. What focus should do they have?
09:00 When think on ECMO in ARDS patients
09:20 What is hypoperfusion?
9:40 - 10:10
Break & Poster Awards
- 10:20 Enteral and/or parenteral routes: resolving controversies
10:40 What is the pressure level in shock statesl?
11:00 When to stop septic shock ressuscitation
11:20 Clues to improve quality treatment for cancer patients in the ICU: avoiding distanasia
11:40 Principles of end-of-life care for the critically ill
Close Section
*Programação e palestrantes sujeitos a alterações sem aviso prévio.
Participe do 8th International Symposium on Intensive Care and Emergency Medicine for Latin America, simpósio sobre Terapia Intensiva.
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