Mechanical Ventilation Course 2019

April 9 - 11, 2019 / Toronto

Mechanical Ventilation course 2019

From Physiology to Clinical Practice

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

organized by

  • 3days

  • 23speakers

  • 25sessions

  • 8hands-on stations

  • 2Q&A panels

  • 3challenging cases

CME Accreditation

Application for CME accreditation has been made with the University of Toronto.

Target Audience

  • All members of the ICU interprofessional team involved in the care of mechanically ventilated patients.

  • Interested professionals will include physicians, respiratory therapists, nurses, physiotherapists.

  • Experienced professionals and professionals-in-training will find this course relevant and very helpful in their clinical practice.

Goals

  • 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

Planning Committee

Picture of Laurent Brochard

Laurent Brochard MD, HDR

St. Michael’s Hospital

Picture of Brian Kavanagh
Picture of Pamela Greco

Pamela Greco RRT, BA, BEd, FCSRT

St Michael’s Hospital

Picture of Chris Overgaard
Picture of Dennis Morris

Dennis Morris

Picture of Rebecca Sinya

Rebecca Sinya

Faculty Members

Picture of Vagia Campbell

Vagia Campbell MSc, (Hons) BHA, RRT

Trillium Health Partners

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 Nava Maham

Nava Maham MD, MSc.

Trillium Health Partners

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 Rebecca Sinya

Rebecca Sinya

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

Schedule

  • 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 and Biotrauma

    Arthur Slutsky

  • 1:45 pm - 2:10 pm

    Ventilator-induced diaphragm dysfunction and Myotrauma

    Ewan Goligher

  • 2:10 pm - 2:20 pm

    Break (10 minutes)

  • 2:20 pm - 3:15 pm

    Spontaneous breathing in ARDS

    Takeshi Yoshida

  • 2:50 pm - 3:15 pm

    Panel with Q&A: Spontaneous breathing: who, when, how, and why?

    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 and Lung Recruitment

    Brian Kavanagh

  • 4:00 pm - 4:25 pm

    How I do it: managing refractory hypoxemia

    Niall Ferguson

  • 4:30 pm - 4:55 pm

    Respiratory mechanics: what should we measure?

    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

    Prone positioning

    Lorenzo Del Sorbo

  • 9:30 am - 9:55 am

    High-flow nasal cannula and non-invasive ventilation

    Thomas Piraino

  • 10:00 am - 10:25 am

    PAV and NAVA

    Laurent Brochard

  • 10:25 am - 10:35 am

    Break (10 minutes)

  • 10:35 am - 11:00 am

    Assessing respiratory drive during mechanical ventilation

    Irene Telias

  • 11:00 am - 11:25 am

    How I do it: assessing readiness for liberation

    Laurent Brochard

  • 11:30 am - 12:00 pm

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

    Ewan Goligher

  • 12:00 pm - 1:00 pm

    Lunch (60 minutes)

  • 1:00 pm - 4:00 pm

    Hands-on sessions

    35 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

  • Monitoring techniques (III): Monitoring patient inspiratory effort

    1. Describe how to position a NAVA catheter to monitor diaphragm electrical activity
    2. Describe how to apply diaphragm electrical

    Irene Telias

  • Monitoring techniques (IV): Electrical impedance tomography 2019

    1. Understand basic principles underlying EIT image acquisition
    2. Understand how to interpret EIT images
    3. Describe how to apply EIT to set PEEP

    Takeshi Yoshida

  • Monitoring techniques (V): Esophageal pressure 2019

    1. Describe how to place and position an esophageal balloon
    2. Discuss how to measure transpulmonary pressure
    3. Describe how to apply transpulmonary pressure measurements to guide ventilation

    Ewan Goligher

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

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

    Laurent Brochard

  • Simulated cases (II): Troubleshooting non-invasive ventilation

    1. Trouble-shoot non-invasive ventilation and HFNC

    Thomas Piraino

  • Interventions (I): How to prone and un-prone patients with ARDS

    1. Describe and demonstrate the technique for prone positioning and returning patient to the supine position
    2. Recognize and prevent complications of prone positioning

    Rebecca Sinya

  • 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

    Five things to know about sleep and wakefulness 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

    Five things to know about mobilizing 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

    Panel with Q&A: 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 - 3:00 pm

    Challenging Cases

  • 1:40 pm - 2:15 pm

    Interactive case: COPD 2019

    Laurent Brochard

    Lorenzo Del Sorbo

  • 1:00 pm - 1:40 pm

    Interactive case: ARDS 2019

    Eddy Fan

    Niall Ferguson

  • 2:20 pm - 2:55 pm

    Interactive case: Difficult weaning 2019

    Alberto Goffi

    Ewan Goligher

  • 2:55 pm - 3:00 pm

    Wrap Up 2019

Rates

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

Physicians

early-bird

$1200cad plus tax

$1,500 CDN after January 31st

Register Now

RTs, Allied Health & Other

early-bird

$800cad plus tax

$1,000 CDN after January 31st

Register Now

Resident/Fellow

early-bird

$500cad plus tax

Regular rate only

Register Now
  • Refund / Cancellation Policy
    • An administration fee of $50 applies to all cancellations before March 29, 2019.
    • NO REFUND after March 29, 2019.
    • Replacement delegates are welcome at no additional charge.
    • 13% HST applicable (HST #86871 8149 RT0001).

Venue

Old Mill Toronto

21 Old Mill Road,
Toronto, ON M8X 1G5

View Map

Accommodation

Old Mill Toronto

21 Old Mill Road,
Toronto, ON M8X 1G5

Check in

These special rates are available for conference attendees until Monday, March 18, 2019 at 5:00 pm EST.

Reservation

Call 416-236-2641 Ext. 2 and state that you wish to book within the Mechanical Ventilation 2019 block.

Parking

If you are not staying at the Old Mill, it is available onsite at a rate of $12 per day.

Contact Us

We'd love to help.

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Critical Care Canada Forum / Nov. 10-13, 2019

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