Mechanical Ventilation Course 2018

June 12 - 14, 2018 / Toronto

Mechanical Ventilation Course 2018

From Physiology to Clinical Practice

Presented by: The Interdepartmental Division of Critical Care Medicine, University of Toronto

organized by

  • 3days

  • 22speakers

  • 25sessions

  • 5hands-on stations

  • 2Q&A panels

  • 3challenging cases

Target Audience

Both experienced professionals and professionals-in-training will find this highly interactive course relevant and helpful to clinical practice.


  • Enhance ICU clinicians’ understanding of
 the physiological principles informing assessment and management of mechanical ventilation and strengthen their skills in assessing patient-ventilator interaction.
  • Increase awareness of
 the many relevant aspects of conventional and novel invasive and non-invasive mechanical ventilation techniques.
  • Enhance ICU clinicians’ knowledge of
 the management of specific clinical problems in mechanically ventilated patients: acute respiratory distress syndrome, chronic obstructive pulmonary disease exacerbations, and difficult weaning from mechanical ventilation.

What you will learn

By the end of the course, participants will be able to…

Explain and assess basic physiological aspects of patient-ventilator interaction: respiratory mechanics, respiratory muscle action, patient-ventilator synchrony, and ventilator-induced lung and respiratory muscle injury.

Determine why and when mechanical ventilation can be a treatment, a supportive therapy or a source of complications.

Describe the optimal approach to liberating patients from mechanical ventilation and conduct a comprehensive clinical assessment to and treat causes of difficult ventilator weaning.

Deliver evidence-based management of acute respiratory failure using both non-invasive and invasive ventilatory techniques for the following conditions: acute respiratory distress syndrome, chronic obstructive pulmonary disease, and weaning from mechanical ventilation.

Course Directors

Picture of Laurent Brochard

Laurent Brochard MD, HDR

St. Michael’s Hospital

Faculty Members

Picture of Vagia Campbell

Vagia Campbell RRT, MSc

Sinai Health System

Picture of Lorenzo Del Sorbo

Lorenzo Del Sorbo MD

Toronto General Hospital

Picture of Eddy Fan

Eddy Fan MD, PhD

Toronto General Hospital

Picture of Alberto Goffi

Alberto Goffi MD

Toronto Western Hospital

Picture of John Granton
Picture of Margaret Herridge

Margaret Herridge MSc, MD, MPH

Toronto General Hospital

Picture of Brian Kavanagh
Picture of Victoria McCredie

Victoria McCredie MBChB, PhD

Toronto Western Hospital

Picture of Sangeeta Mehta

Sangeeta Mehta MD

Sinai Health System

Picture of Thomas Piraino

Thomas Piraino RRT

St. Michael’s Hospital

Picture of Arthur Slutsky

Arthur Slutsky MASc, MD

St. Michael’s Hospital

Picture of Irene Telias
Picture of Elizabeth Wilcox

Elizabeth Wilcox MD, MPH

Toronto Western Hospital

Picture of Takeshi Yoshida

Takeshi Yoshida MD, PhD

St. Michael’s Hospital


  • 8:30 am - 9:20 am

    Equation of motion: pressures, volumes and flow

    Laurent Brochard

  • 9:25 am - 10:00 am

    Monitoring patient-ventilator interaction

    Ewan Goligher

  • 10:05 am - 10:30 am

    Determinants of inspiratory effort

    Laurent Brochard

  • 10:30 am - 10:45 am

    Break (15 minutes)

  • 10:45 am - 11:15 am

    Patient-ventilator synchrony

    Laurent Brochard

  • 11:20 am - 11:45 am

    Heart-lung interactions

    John Granton

  • 11:50 am - 12:15 pm

    Ventilation and the brain

    Victoria McCredie

  • 12:15 pm - 1:15 pm

    Lunch (60 minutes)

  • 1:15 pm - 1:40 pm

    Ventilator-induced lung injury

    Arthur Slutsky

  • 1:45 pm - 2:10 pm

    Ventilator-induced diaphragm dysfunction

    Ewan Goligher

  • 2:10 pm - 2:20 pm

    Break (10 minutes)

  • 2:20 pm - 2:45 pm

    Spontaneous breathing in ARDS

    Takeshi Yoshida

  • 2:50 pm - 3:15 pm

    Spontaneous breathing: who, when, how, and why?

    Eddy Fan

    Niall Ferguson

    Ewan Goligher

    Brian Kavanagh

    Irene Telias

    Takeshi Yoshida

  • 3:15 pm - 3:30 pm

    Break (15 minutes)

  • 3:30 pm - 3:55 pm

    PEEP, lung recruitment and prone positioning

    Brian Kavanagh

  • 4:00 pm - 4:25 pm

    How I do it: managing refractory hypoxemia

    Niall Ferguson

  • 4:30 pm - 4:55 pm

    How I do it: assessing respiratory mechanics

    Laurent Brochard

  • 5:00 pm - 6:00 pm

    Welcome Reception

  • 8:30 am - 8:55 am

    Conventional and advanced modes of ventilation

    Niall Ferguson

  • 9:00 am - 9:25 am

    High-flow nasal cannula and non-invasive ventilation

    Thomas Piraino

  • 9:30 am - 9:55 am

    PAV and NAVA

    Laurent Brochard

  • 9:55 am - 10:05 am

    Break (10 minutes)

  • 10:05 am - 10:30 am

    Assessing respiratory drive during mechanical ventilation

    Irene Telias

  • 10:35 am - 11:00 am

    How I do it: assessing readiness for liberation

    Laurent Brochard

  • 11:05 am - 11:30 am

    How I do it: assessing the difficult-to-liberate patient

    Ewan Goligher

  • 11:30 am - 12:30 pm

    Lunch (60 minutes)

  • 12:30 pm - 4:45 pm

    Hands-on sessions

    40 minutes per station, 10 minute intermission between stations

  • Monitoring techniques (I): Measuring mechanics and lung recruitment

    1. Describe methods of measuring plateau pressure, total PEEP, intrinsic PEEP, static compliance and resistance
    2. Explain what is meant by lung recruitment and describe how it can be assessed at the bedside

    Lu Chen

  • Monitoring techniques (II): Diaphragm ultrasound

    1. Describe the rationale for imaging the diaphragm
    2. Measuring diaphragm thickness, thickening fraction, maximal thickening fraction, and diaphragm excursion in mechanically ventilated patients
    3. Describe how ultrasound may be employed to diagnose diaphragm dysfunction and patient-ventilator dyssynchrony

    Alberto Goffi

  • Simulated cases (I): Monitoring Inspiratory Effort

    1. Describe how to position an esophageal balloon catheter to measure esophageal pressure
    2. Describe how to position a NAVA catheter to monitor diaphragm electrical activity

    Ewan Goligher

  • Simulated cases (II): Diagnosing and managing patient-ventilator dyssynchrony

    List, recognize, and manage the various types of patient-ventilator dyssynchrony

    Laurent Brochard

  • Practice: Troubleshooting non-invasive ventilation

    Trouble-shoot non-invasive ventilation and HFNC

    Thomas Piraino

  • 8:30 am - 8:50 am

    ARDS: Evidence-based management of ARDS

    Niall Ferguson

  • 9:00 am - 9:25 am

    ARDS: extracorporeal life support for ARDS patients

    Eddy Fan

  • 9:30 am - 9:50 am

    Sedation for mechanical ventilation

    Sangeeta Mehta

  • 9:50 am - 10:05 am

    Break (15 minutes)

  • 10:05 am - 10:30 am

    Sleep in the ICU

    Elizabeth Wilcox

  • 10:35 am - 10:55 am

    Long-term outcomes after mechanical ventilation

    Margaret Herridge

  • 11:00 am - 11:20 am

    Practical strategies to mobilize mechanically ventilated patients

    Vincent Lo

  • 11:20 am - 11:30 am

    Break (10 minutes)

  • 11:30 am - 11:55 am

    Strategies to improve mechanical ventilation quality

    Andre Amaral

  • 12:00 pm - 12:30 pm

    Enhancing quality of care for ventilated patients: challenges and solutions

    Andre Amaral

    Vagia Campbell

    Eddy Fan

    Niall Ferguson

    Nava Maham

    Sangeeta Mehta

  • 12:30 pm - 1:00 pm

    Lunch (30 minutes)

  • 1:00 pm - 1:40 pm

    Interactive case: ARDS

    Eddy Fan

    Niall Ferguson

  • 1:40 pm - 2:15 pm

    Interactive case: COPD

    Laurent Brochard

    Lorenzo Del Sorbo

  • 2:20 pm - 2:55 pm

    Interactive case: Difficult weaning

    Alberto Goffi

    Ewan Goligher

  • 2:55 pm - 3:00 pm

    Wrap Up


Registration for the full 3-day course includes a light breakfast and lunch on each day.
Single-day registration is unavailable.


Early Bird

$1,200cad plus tax

$1,500 CDN after April 30

Register Now

RTs, Allied Health & Other

Early Bird

$800cad plus tax

$1,000 CDN after April 30

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$500cad plus tax

Regular rate only

Register Now
  • Refund / Cancellation Policy
    • An administration fee of $50 applies to all cancellations before May 31, 2018.
    • NO REFUND after May 31, 2018.
    • Replacement delegates are welcome at no additional charge.
    • 13% HST applicable (HST #86871 8149 RT0001).


Helliwell Centre, Toronto General Hospital

200 Elizabeth Street,
Eaton Wing, Ground Floor, Rm. 001,
Toronto, ON M5G 2C4

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Chelsea Hotel

3 Gerrard St W,
Toronto, ON, M5G1Z4
Tel: 866-293-9089

It's a 6 minute walk to the Toronto General Hospital

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