ECMO Genoa 2016

CISEF GASLINI
Centro Internazionale di Studi e Formazione
Germana Gaslini
Villa Quartara, Via Romana della Castagna, 11 A
16148 Genova - Italia
Provider Nazionale Accreditato ECM n. 856
Certificazione ISO9001:2008
Director: Maurizio Luvizone
OVERVIEW
• Duration of course: Three days + one optional day (restricted to 24 participants).
• Course structure: 7.5 hours didactics, 4 hours hands-on drills, 5 hours simulation.
• Maximum number of attendees: 48
• Principle aim: To introduce the fundamentals and convey the current state of extracorporeal techniques
in the management of critically ill infants and children. To strengthen clinical and technical skills through
hands-on sessions and high-fidelity medical simulation.
• Target audience: Critical care physicians, nurses, and perfusionists who are currently involved in the
care of patients requiring extracorporeal support or who are managing or developing an ECMO
program.
• Hands-on practical sessions: Participants will be able to prime and troubleshoot ECMO systems, and
also interact with the various vendors. Perfusionists from Gaslini Children’s Hospital will facilitate.
• Simulation Component: Attendees will participate in a full day of simulation which includes three
scenarios. The attendees will be split into 2 groups; each scenario will have a maximum of 8 principle
participants. As part of the registration a survey will be completed in order to determine attendees’
clinical role and experience level so that simulation sessions can be tailored. A fourth day will be
dedicated to the simulation of an ECMO transport.
AIMS
The course will cover the main principles and applications of extracorporeal life support in newborns and
children. Some of the most innovative aspects of ECMO treatment will be treated (congenital diaphragmatic
hernia, septic shock, bridge to lung transplant, trauma), including ECMO transport. Participants will acquire
the theoretical principles of extracorporeal life support and will consolidate their knowledge through practical
hands on sessions in small groups. The course will include frontal lessons and practical work on the ECMO
pumps and circuits. Advanced simulation case scenarios will be administered to the participants and
discussed, using cannulable mannequins in a realistic ICU setting. The course is directed to neonatal and
pediatric intensivists, cardiologists, cardiac and pediatric surgeons, nurses and ECMO specialists.
ECMO Genoa 2016
International advanced simulation
course on neonatal and pediatric ECMO
COURSE DIRECTORS
John H. Arnold
Harvard Medical School, Dept. Anesthesia
and Critical Care, Boston, U.S.A.
27 - 30 september 2016
CISEF Gaslini, Genoa, Italy
Peter Betit
Boston Children’s Hospital, ECMO Program
Manager, Boston, U.S.A.
Andrea Moscatelli
Gaslini Children’s Hospital, Genoa - Italy
Department of Critical Care and Perinatal
Medicine
Pietro Tuo
Gaslini Children’s Hospital, Genoa - Italy
Head, Department of Critical Care and
Perinatal Medicine
ORGANIZING SECRETARIAT
ACCREDITAMENTO ECM – ITALIAN CME
SCIENTIFIC COMMETTEE
Lena Cosulich
Medico chirurgo (Anestesia e rianimazione,
Neonatologia, Pediatria, Cardiochirurgia,
Cardiologia, Chirurgia Pediatrica), Infermiere
Pediatrico, Tecnico della Fisiopatologia
cardiocircolatoria e perfusione cardiovascolare.
Alberto Martini: Scientific Director, Pediatric Rheumatology, Gaslini Children’s Hospital, Genoa, Italy
Franco Lerzo: Director Cardiovascular Section, Neonatal and Pediatric Intensive Care Unit, Department of
Critical Care and Perinatal Medicine, Gaslini Children’s Hospital, Genoa, Italy
Elisabetta Lampugnani: Neonatal and Pediatric Intensive Care Unit, Department of Critical Care and Perinatal
Medicine, Gaslini Children’s Hospital, Genoa, Italy
Maurizio Marasini: Director, Cardiology Unit, Dept of Cardiovascular Surgery, Gaslini Children’s Hospital,
Genoa, Italy
Fabio Mosca: Direttore U.O. di Neonatologia e Terapia Intensiva Neonatale Department of Clinical Sciences
and Community Health, University of Milan - Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico
Francesco Santoro: Cardiovascular Surgery Gaslini Children’s Hospital, Genoa, Italy
Franco Puncuh: Neonatal and Pediatric Intensive Care Unit, Department of Critical Care and Perinatal
Medicine, Gaslini Children’s Hospital, Genoa, Italy
CISEF GASLINI”
Villa Quartara, Via Romana della Castagna, 11 A
- 16148 Genova
tel.: 010 56.36.2865; fax: 010 56.36.2885
e-mail: [email protected]
www.cisef.org
Codice ambito: 18 - contenuti tecnico-professionali
(conoscenze e competenze) specifici di ciascuna
professione, di ciascuna specializzazione e di
ciascuna attività ultraspecialistica. Malattie rare
FACULTY
& INFO
Catherine Allen MD -Dept. of Cardiology, Division of Cardiac Critical Care, Boston Children’s Hospital Associate Director Boston Children’s Hospital Simulator Program, USA
ECMO Genoa 2016
International advanced simulation
course on neonatal and pediatric ECMO
AFR
FORMAZIONE
RICERCA
Day 4 - 30/9
Simulation: Transport (CISEF)
8.30-9.00 Introduction to intra-hospital and Inter-hospital transport - A. Moscatelli
9.00-9.30 Non technical skills - F. Bracco
9.30-10.00 Inter-facility communication and patient assessment - S. Buratti
10.00-10.30 Break
10.30-12.00 Transporting a patient by ambulance (group A) A. Moscatelli, S. Pezzato, S. Tani
Fabrizio Bracco PsyD - University of Genoa, Italy
10.30-12.00 Transporting a patient by ambulance (group B) - Buratti, L. Petrucci, G. Squillaci
Silvia Buratti MD - Neonatal and Pediatric Intensive Care Unit, Department of Critical Care and Perinatal
Medicine, Gaslini Children’s Hospital, Genoa, Italy
12.00-12.30 Debriefing
John Arnold - MD,- Dept of Anesthesia & Critical Care, Boston Children’s Hospital
Professor of Anaesthesia (Pediatrics), Harvard Medical School, USA
Peter Betit RRT-NPS, FAARC - ECMO Program Manager, Boston Children’s Hospital
Associate in Anesthesia, Harvard Medical School, USA
Gabriella Bottari MD - Neonatal and Pediatric Intensive Care Unit, Department of Critical Care and Perinatal
Medicine, Gaslini Children’s Hospital, Genoa, Italy
Giacomo Cavallaro MD - Neonatal Intensive Care, Director ECMO Program, Fondazione IRCCS Cà
Granda Ospedale Maggiore Policlinico, Milan, Italy
Enrico Commisso Dr. Ing. - Simulation Specialist, EMAC Campus, Genoa, Italy
Mauro Cotza NPS - Cardiovascular Dept., ECMO Coordinator, IRCSS Policlinico San Donato, San Donato
Milanese, Italy
Katie Fitzpatrick - Simulation Specialist, Boston Children’s Hospital, USA
Sara Frontalini, MD - Division of Anesthesia and Pain Management, Cardiovascular Anesthesia Section
Department of Critical Care and Perinatal Medicine, Gaslini Children’s Hospital, Genoa, Italy
12.30-14.00Lunch
14.00-15.30
Transporting a patient by ambulance (group B)
A. Moscatelli, S. Pezzato, S. Tani, S. Frontalini
14.00-15.30
Transporting a patient by ambulance (group A)
S. Buratti, L. Petrucci, G. Squillaci, F. Grasso
15.30-16.00 Debriefing
16.00-16.15 Closing remarks
Francesco Grasso, MD - Division of Anesthesia and Pain Management, Cardiovascular Anesthesia Section
Department of Critical Care and Perinatal Medicine, Gaslini Children’s Hospital, Genoa, Italy
Stephanie Larsen RRT-NPS - Respiratory Care/ECMO Supervisor at Boston Children’s Hospital, USA
Katie Livingston - Simulation Specialist, Boston Children’s Hospital, USA
Andrea Moscatelli MD - Director Neonatal and Pediatric Intensive Care Unit, Department of Critical Care
and Perinatal Medicine, G. Gaslini Children’s Hospital, Genoa, Italy
Marco Pesce NPS - Department of Cardiovascular Surgery, Gaslini Children’s Hospital, Genoa, Italy
Lara Petrucci MD - Neonatal and Pediatric Intensive Care Unit, Department of Critical Care and Perinatal
Medicine, Gaslini Children’s Hospital, Genoa, Italy
Stefano Pezzato MD - Neonatal and Pediatric Intensive Care Unit, Department of Critical Care and Perinatal
Medicine, Gaslini Children’s Hospital, Genoa, Italy
Giuseppe Squillaci NPS - Department of Cardiovascular Surgery, Gaslini Children’s Hospital, Genoa, Italy
Simona Tani NPS - Department of Cardiovascular Surgery, Gaslini Children’s Hospital, Genoa, Italy
Ravi Thiagarajan MD - Director of the Division of Cardiovascular Critical Care, Associate Professor
Cardiology (Pediatrics), Harvard Medical School, Boston, USA
REQUESTED ENDORSEMENTS:
SARNEPI, SIN, SIP, SIAARTI, SICCH, A.N.PE.C.
Program
29 - 30 september 2016
ECMO Genoa 2016
International advanced simulation
course on neonatal and pediatric ECMO
AFR
FORMAZIONE
RICERCA
Day 3 - 29/9
Simulation: Group A & B (EMAC)
08.30-09.00 Introduction & Game Play - C. Allan
09.00-09.30 Crisis Resource Management Principles - C. Allan
09.30-11:00
Scenario I & Debriefing - C. Allan
11.00-11.30 Break
11.30-13.00
Scenario II & Debriefing - C. Allan
13.00-14.00Lunch
14.00-15.30 Scenario III & Debriefing - C. Allan (R. Thiagarajan)
15.30-16.00 Summary & Closing Remarks - C. Allan, R. Thiagarajan
Day 3 - 29/9
Didactics & Circuit Drills: Group C & D (CISEF)
08.30-09.00 ECMO for Cardiac Failure - R. Thiagarajan
(CHD, ECPR, bridge to heart transplant, outcomes)
09.00-09.30 ECMO for Pediatric Respiratory Failure - J. Arnold
(shock, infectious diseases, ARDS, bridge to lung transplant, outcomes)
09.30-10.00 ECMO for Newborn Respiratory Failure - G. Cavallaro, A. Moscatelli
(PPHN, CDH, outcomes)
10.00-10.30 Fluid Management - G. Bottari
(hemofiltration, CRRT)
10.30-11.00 Break
11.00-11.30 Ventilation management on ECMO - P. Betit
(Lung recruitment, cadiopulmonary interactions)
11.30-12.00 Weaning & Liberation from ECMO - S. Larsen
(assessing decannulation readiness, cardiac v. respiratory)
12.00-12.30 Modifications & Alternatives to ECMO - P. Betit
(pump-less ECMO, RV assist) 12.30- 13.30 Lunch
13.30- 15.30 Circuit Drills: Troubleshooting
S. Frontalini, F. Grasso, S. Tani, M. Pesce, M. Cotza, G. Squillaci, S. Pezzato
(2 groups, general troubleshooting, membrane replacement)
15.30-16.00 Discussion & Closing Remarks - J. Arnold, A. Moscatelli
(Q&A)
REGISTRATION AND FEES
Deadline for registration: September 20th, 2016.
Please, register on the website http://www.cisef.org/evento.php?IDE=2054
Early Registration by June 30th, 2016:
€ 1.200 covers access to scientific sessions of the entire event (4 days), coffee breaks, and lunches - 4th
day free
Registration from July 1st to September 20th, 2016
€ 1.200 covers access to scientific sessions, coffee breaks, and lunches of the first 3 days
€ 250 covers access to scientific sessions, coffee breaks, and lunche of DAY 4 (Simulation Transport)
VENUE
CISEF Gaslini - Villa Quartara, Via Romana della Castagna, 11A - 16147 Genoa, Italy
Ph.+39 010.56.36.2855
HOW TO REACH CISEF Gaslini
Plane: from the International Airport Cristoforo Colombo, shuttle bus n. 100 (runs every hour) takes you to
Genova Brignole railway station, where you can take bus n. 17 to Via Romana della Castagna.
Train: get off at Genova Brignole railway station, take bus n. 17 and get off in Corso Europa, in front of Via
Romana della Castagna.
Car: motorway exit Genova-Nervi, take Corso Europa westwards, take the overpass to change direction and
drive eastwards, pass the Hotel AC and ESSO gas station on the right, after 50 mts. turn right into Via Romana
della Castagna, go straight 80 mts., enter the gate and follow the dust lane up to the parking lot.
EMAC Campus - Via del Commercio 23 H rosso, 16167 Genova, Italy
HOW TO REACH EMAC Campus
Plane: from the International Airport Cristoforo Colombo, shuttle bus n. 100 (runs every hour) takes you to
Genova Brignole railway station, where you can take bus n. 17 direction Levante and get off at the first
stop on Via Oberdan. Take Via del Commercio by bus n. 517 which takes you in front of EMAC Centre or
if you prefer by 10 minutes walk
Train: get off at Genova Brignole railway station, take bus n. 17 direction Levante and get off at the first
stop on Via Oberdan. Take Via del Commercio by bus n. 517 which takes you in front of EMAC Centre or
if you prefer by 10 minutes walk.
Car: motorway exit Genova-Nervi, take Corso Europa eastwards until reach Nervi and take Via del
Commercio.
HOTEL SPECIAL RATES
AC HOTEL - Corso Europa, 1075 16148, Genova - Tel. 0039 010 3071180 - Fax 0039 010 3071275
[email protected] - http://it.ac-hotels.com
HOTEL IRIS - Via Gabriele Rossetti, 3-5 16148 Genova - Tel. 010 376 0703 - http://www.hoteliris.it
Program
27 - 28 september 2016
ECMO Genoa 2016
International advanced simulation
course on neonatal and pediatric ECMO
AFR
FORMAZIONE
RICERCA
Day 1 - 27/9
Didactics & Circuit Drills: Groups A, B, C & D (CISEF)
Day 2 - 28/9
Didactics & Circuit Drills: Groups A & B (CISEF)
08.00-08.15 Registration
08.15-08.30 Welcome address - M. Luvizone, P. Pongiglione, P. Petralia, P. Tuo
08.30-09.00 ECMO for Cardiac Failure - R. Thiagarajan
(CHD, ECPR, bridge to heart transplant, outcomes)
Program introduction and essentials - J. Arnold, A. Moscatelli
08.30-09.00 ECMO Physiology - J. Arnold
(O2 supply-demand, cardiac v. respiratory support, VA v. VV, gas exchange)
09.00-09.30 ECMO for Pediatric Respiratory Failure - J. Arnold
(shock, infectious diseases, ARDS, bridge to lung transplant, outcomes)
09.00-09.30
ECMO Devices & Systems - P. Betit
(centrifugal physiology, membrane function, sweep gas, biocompatibility)
09.30-10.00 ECMO for Newborn Respiratory Failure - G. Cavallaro, A. Moscatelli
(PPHN, CDH, outcomes)
09.30-10.00
Cannulae & Cannulation Techniques - A. Moscatelli
(VVDL, sites, flow characteristics, limb perfusion, complications)
10.00-10.30 Fluid Management - G. Bottari
(hemofiltration, CRRT)
10.30-11.00 Break
10.00-10.30
ECMO Circuit Management - S. Larsen
(circuit surveillance, venous return, pressure monitoring, troubleshooting)
11.00-11.30 Ventilation management on ECMO - P. Betit
(Lung recruitment, cadiopulmonary interactions)
10.30-11.00 Break
11.00-11.30
Patient Management & Complications - J. Arnold
(neurologic, bleeding, hemolysis, pulmonary support)
11.30-12.00 Weaning & Liberation from ECMO - S. Larsen
(assessing decannulation readiness, cardiac v. respiratory)
11.30-12.00 Anticoagulation & Management of Bleeding - R. Thiagarajan
(anticoagulation, hemostasis, clotting assays)
12.00-12.30 Modifications & Alternatives to ECMO - P. Betit
(pump-less ECMO, RV assist) 12.30- 13.30 Lunch
13.30- 15.30 Circuit Drill: Troubleshooting
S. Frontalini, F. Grasso, S. Tani, M. Pesce, M. Cotza, G. Squillaci, S. Pezzato (2 groups, general troubleshooting, membrane replacement)
15.30-16.00 Discussion & Closing Remarks - J. Arnold, A. Moscatelli
(Q&A)
Day 2 - 28/9
Simulation: Group C & D (EMAC)
08.30-09.00 Introduction & Game Play - C. Allan
09.00-09.30 Crisis Resource Management Principles - C. Allan
09.30-11:00
Scenario I & Debriefing - C. Allan
11.00-11.30 Break
11.30-13.00
Scenario II & Debriefing - C. Allan
12.00-13.00 Lunch
13.00-13.30 Care of the ECMO Patient - S. Larsen
(general care, nutrition, sedation, ambulation)
13.30-14.00 Simulation Training for ECMO - R. Thiagarajan (C. Allan)
(review of evidence, principles)
14.00- 15.30 Circuit Drill: Priming the Circuit
S. Frontalini, F. Grasso S. Tani, M. Pesce, M. Cotza, G. Squillaci, S. Pezzato
(4 groups, assembly & priming, cannulae & membrane demonstration)
15.30-16.00 Discussion & Closing Remarks - J. Arnold, A. Moscatelli
(Q&A)
13.00-14.00Lunch
14.00-15.30 Scenario III & Debriefing - C. Allan (R. Thiagarajan)
15.30-16.00 Discussion & Closing Remarks - C. Allan, R. Thiagarajan