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
Laurent Brochard MD, HDR
St. Michael’s Hospital
Niall Ferguson MD, MSc
University Health Network & Sinai Health System
Ewan Goligher MD, PhD
Toronto General Hospital & Sinai Health System
Planning Committee
Laurent Brochard MD, HDR
St. Michael’s Hospital
Ewan Goligher MD, PhD
Toronto General Hospital & Sinai Health System
Niall Ferguson MD, MSc
University Health Network & Sinai Health System
Brian Kavanagh MD
Hospital for Sick Children
Pamela Greco RRT, BA, BEd, FCSRT
St Michael’s Hospital
Michael Long
Toronto General Hospital
Chris Overgaard
Peter Munk Cardiac Centre
Faculty Members
Andre Amaral MD
Sunnybrook Health Sciences Centre
Vagia Campbell MSc, (Hons) BHA, RRT
Trillium Health Partners
Lu Chen MD
St. Michael’s Hospital
Lorenzo Del Sorbo MD
Toronto General Hospital
Eddy Fan MD, PhD
Toronto General Hospital
Alberto Goffi MD
Toronto Western Hospital
John Granton MD
Toronto General Hospital
Margaret Herridge MSc, MD, MPH
Toronto General Hospital
Brian Kavanagh MD
Hospital for Sick Children
Vincent Lo PT
Toronto General Hospital
Matias Madorno MD
Buenos Aires Institute of Technology
Nava Maham MD, MSc.
Trillium Health Partners
Victoria McCredie MBChB, PhD
Toronto Western Hospital
Sangeeta Mehta MD
Sinai Health System
Thomas Piraino RRT
St. Michael’s Hospital
Irene Telias MD
St. Michael’s Hospital
Elizabeth Wilcox MD, MPH
Toronto Western Hospital
Takeshi Yoshida MD, PhD
St. Michael’s Hospital
Schedule
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9TuesdayApr 2019
Physiological Principles
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10WednesdayApr 2019
Modes of Ventilation
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11ThursdayApr 2019
Diseases, Syndromes, and Clinical Recommendations
- 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 in the Garret Room
- 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
- Describe methods of measuring plateau pressure, total PEEP, intrinsic PEEP, static compliance and resistance
- Explain what is meant by lung recruitment and describe how it can be assessed at the bedside
Room: Garden, 3rd flLu Chen
Monitoring techniques (II): Diaphragm ultrasound
- Describe the rationale for imaging the diaphragm
- Measuring diaphragm thickness, thickening fraction, maximal thickening fraction, and diaphragm excursion in mechanically ventilated patients
- Describe how ultrasound may be employed to diagnose diaphragm dysfunction and patient-ventilator dyssynchrony
Room: Westminster, 3rd flAlberto Goffi
- Describe the rationale for imaging the diaphragm
Monitoring techniques (III): Monitoring patient inspiratory effort
- Describe how to position a NAVA catheter to monitor diaphragm electrical activity
- Describe how to apply diaphragm electrical
Room: Drawing, 3rd flIrene Telias
Monitoring techniques (IV): Electrical impedance tomography 2019
- Understand basic principles underlying EIT image acquisition
- Understand how to interpret EIT images
- Describe how to apply EIT to set PEEP
Room: York, 2nd flTakeshi Yoshida
- Understand basic principles underlying EIT image acquisition
Monitoring techniques (V): Esophageal pressure 2019
- Describe how to place and position an esophageal balloon
- Discuss how to measure transpulmonary pressure
- Describe how to apply transpulmonary pressure measurements to guide ventilation
Room: Victoria, 2nd flEwan Goligher
- Describe how to place and position an esophageal balloon
Simulated cases (I): Diagnosing and managing patient-ventilator dyssynchrony
- List, recognize, and manage the various types of patient-ventilator dyssynchrony
Room: Balmoral, 3rd flLaurent Brochard
- List, recognize, and manage the various types of patient-ventilator dyssynchrony
Simulated cases (II): Troubleshooting non-invasive ventilation
- Trouble-shoot non-invasive ventilation and HFNC
Room: Kingsbrook, 3rd flThomas Piraino
- Trouble-shoot non-invasive ventilation and HFNC
Interventions (I): How to prone and un-prone patients with ARDS
- Describe and demonstrate the technique for prone positioning and returning patient to the supine position
- Recognize and prevent complications of prone positioning
Room: Garret, 2nd flRebecca Sinyi
- 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
- 1:00 pm - 1:40 pm
Interactive case: ARDS 2019
Eddy Fan
Niall Ferguson
- 1:40 pm - 2:15 pm
Interactive case: COPD 2019
Laurent Brochard
Lorenzo Del Sorbo
- 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.
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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
- It's a 20-minute drive from Pearson Airport
- It's a 23-minute ride from Yonge and Bloor TTC subway.
- It's a 5-minute drive from Royal York TTC subway.
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.
