Partners

Founded by brigham and women's hospital and massachusetts general hospital

Office of Continuing Professional Development

The Corrigan Minehan Heart Center Symposium on Cardiothoracic Rescue: A Case-Based, Team Approach to Mechanical Support of the Failing Heart and Lungs

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March 3 - 4, 2017

O'Keefe Auditorium
Massachusetts General Hospital
55 Fruit Street
Boston, MA 02114

Description

The specialty of cardiovascular surgery as well as the perioperative care of cardiac surgical patients is undergoing tremendous evolution. Patients presenting for coronary artery bypass grafting, valve repair and replacement, repair of complex aortic procedure, aneurysms, and dissections are older with more complex problems. Patients that have undergone procedures to correct congenital anomalies are now presenting as adults for additional surgery. Heart and lung transplantation techniques continue to improve. The acuity of cardiac surgical patients as well as a limited number of heart and lungs available for transplant has encouraged the rapid development of mechanical assistance to provide rescue, short term support during recovery, long term support for those awaiting transplantation, and destination therapy for those patients who are not suitable candidates for organ transplantation.

Cardiac surgeons, cardiologists, anesthesiologists, perfusionists, intensive care physicians, and nurses must now develop an understanding of the perioperative management of patients with a wide variety of mechanical support devices including temporary ventricular assist devices, extracorporeal membrane oxygenation (ECMO). Such devices are not managed in a vacuum by a single individual but by a multidisciplinary care team. The current model is that team members often understand such devices only in the context of their particular care area rather than how actions in their area may affect other management. Trainees in one discipline are not provided the vision of management in other specialties.

Learning Objectives

Upon completion of this activity, participants will be able to:

1. Summarize the condition of systolic heart failure and list the various modes of pharmacologic management.
2. Discuss the merits of the various types of mechanical assist devices designed to support the failing heart and lungs including axial flow technology, extracorporeal membrane oxygenation, and ventricular assist devices.
3. Develop a multidisciplinary team of care providers that provide care to patients on extracorporeal cardiac support.

Target Audience

This activity is intended for physicians, trainees, nurses, therapists, and advanced practice nurses from the disciplines of anesthesiology, cardiac and thoracic surgery, pulmonary care, critical care, perfusion technology, and palliative care medicine. Non-clinical disciplines that may also be interested include biomedical engineering, pharmacy, and finance.

Agenda

Friday Morning Session Acute Heart Failure

Time

Activity

Speaker

10:00 AM-10:10 AM

Introduction

Michael G. Fitzsimons, M.D.

10:10 AM-10:45 AM

The Physiology of Acute Left Heart Failure

Greg Lewis, M.D.

10:45 AM-11:25 AM

Medical Management and Optimization of the Patent with Acute Heart Failure

Marc Semigran, M.D.

11:25 AM- 12:15 PM

The Spectrum of Acute Pulmonary Failure

TBD

12:15 PM 1:00 PM

Lunch

Friday Afternoon Session Introduction to Temporary Mechanical Assist

Time

Activity

Speaker

1:00-1:05 PM

Introductory Remarks

Michael G. Fitzsimons, M.D.

1:05 PM- 1:50 PM

Temporary Percutaneous Mechanical Assist Devices

Igor Palacios, M.D.

1:50 PM-2:30 PM

Temporary VAD support cases

Sunu Thomas, M.D.

2:30 PM-2:45 PM

Break

2:45 PM-5:00 PM

Breakout sessions with simulations

TBD

5:00 PM

Adjourn

Saturday Morning Session Introduction to Temporary Mechanical Assist

Time

Activity

Speaker

7:30 AM-8:00 AM

Breakfast and Introductory Remarks

Michael G. Fitzsimons, M.D.

8:00 AM-9:00 AM

Temporary Ventricular Assist: The Centrimag, pVAD

David D'Allesandro, M.D.

9:00 AM-10:00 AM

Temporary Ventricular Assist Cases

TBD

10:00 AM-10:15 AM

Break

Saturday Morning Session Introduction to Extracorporeal Membrane Oxygenation (ECMO)

Time

Activity

Speaker

10:15 AM-10:45 AM

ECMO: Where we have been where are we now?

Gaston Cudemus, M.D.

10:45 AM-11:15 AM

ECMO Console

Alex Legassy, RRT

11:15 AM-11:30 AM

Break

11:30 AM-12:00 PM

ECMO Circuitry: Cannulation and Devices

Natalie Roy, M.D.

12:00 PM-1:00 PM

Break and Lunch

Saturday Afternoon Session Practical ECMO

Time

Topic

Speaker

1:00 PM 1:20 PM

Selection criteria for ECMO

Gaston Cudemus, M.D.

1:20 PM-2:00 PM

Management of ECMO: Flows, sweeps, gases, and labs

Ken Shelton, M.D.

2:00 PM-2:20 PM

Management of ECMO: Complications and Challenges

David D'Allesandro, M.D.

2:20 PM-2:45 PM

Bedside management of ECHO from a nursing perspective

Katie Feins, RN

2:45 PM-3:00 PM

Break

Saturday Afternoon Sessions ECMO Cases

Time

Topic

Potential Presenter

3:00 PM-3:45 PM

42 year old female with severe necrotizing pancreatitis developed ARDS after aspiration requiring ECMO but develops severe GI bleeding

Jock McCoullough, M.D.

3:45 PM-4:30 PM

A 45 year old male who was placed on VV ECMO after a perioperative aspiration and has progressed to VA ECMO due to cardiac failure:

Difficult Discussions and The Exit Strategy The Role of Palliative Care

Sunu Thomas, M.D.

4:30 PM-4:45 PM

Break

Saturday Afternoon Closing Sessions

Time

Topic

Potential Presenter

4:45 PM-5:15 PM

Communication, Preparation, and Transportation of the ECMO Patient;

Panel Discussion

Q&A

Ken Shelton, M.D.

Natalie Roy, M.D.

David D'Allesandro, M.D.

5:15 PM-6:00 PM

Creating a successful ECMO Network

Network and Closing Remarks

Panel Discussion

Q&A

David D'Allesandro, M.D.

Thor Sundt, M.D.

6:00 PM

Adjourn

Faculty

Michael G. Fitzsimons, M.D. Course Director
Director, Cardiac Anesthesia
Assistant Professor
Harvard Medical School
DACCPM
Massachusetts General Hospital

Michael Andrawes, M.D. Course Director
Director, Fellowship in Adult CT Anesthesia
Instructor in Anesthesia
Harvard Medical School
DACCPM
Massachusetts General Hospital

Tom MacGillivray, M.D. Course Director
Medical Director, Perfusion
Assistant Professor
Harvard Medical School
Cardiac Surgery Division
Massachusetts General Hospital

Kenneth Shann, CCP, LP Course Director
Director, Perfusion Services
Cardiac Surgery Division
Massachusetts General Hospital

Kenneth Shelton, M.D.
Instructor in Anesthesia
Division of Cardiac Anesthesia
MGH Heart Center ICU
DACCPM
Massachusetts General Hospital

Gaston Cudemus, M.D.
Instructor in Anesthesia
Division of Cardiac Anesthesia
MGH Heart Center ICU
DACCPM
Massachusetts General Hospital

David D'Alessandro, M.D.
Associate Professor
Harvard Medical School
Cardiac Surgery Division
Massachusetts General Hospital

Thor Sundt, M.D.
Professor
Harvard Medical School
Chief, Cardiac Surgery Division
Department of Surgery
Massachusetts General Hospital

Jarone Lee, M.D.
Instructor
Department of Emergency Medicine
Massachusetts General Hospital

Marc Semigran, M.D.
Associate Professor
Harvard Medical School
Cardiology Division, Massachusetts General Hospital

Jock McCoullough, M.D.
Associate Professor
Dartmouth Medical School
Section Chief, Cardiac Surgery
Dartmouth-Hitchcock Medical Center

Igor Palacios, M.D.
Director of Interventional Cardiology
Professor, Harvard Medical School
Division of Cardiology
Department of Medicine
Massachusetts General Hospital

Ben Atwood, M.D.
Fellow in Adult Cardiothoracic Anesthesia
Massachusetts General Hospital

Brian Simmons, M.D.
Fellow in Adult Cardiothoracic Anesthesia
Massachusetts General Hospital

Natalie Roy, M.D.
Instructor in Surgery
Cardiac Surgery Division
MGH Heart Center ICU
Massachusetts General Hospital

Sunu S. Thomas, MD, MSc
Instructor in Medicine, Harvard Medical School
Cardiology Division, Massachusetts General Hospital

Jennifer Carr-Loveland, RN
Critical Care Nurse
Blake 8 CSICU
Mass General Hospital

Alex Legassey (RRT)
Respiratory Therapy
Massachusetts General Hospital

Registration Fees

Physicians: $250
Nurses/CRNAs: $100
Trainees/ All other health care professionals: $100

Cancellation Policy

Cancellation requests received via email to partnersCPD@partners.orgon or before February 24 will be refunded, less a $25 administrative fee. Cancellations received after February 24 will not be honored.

Contact

For questions regarding this activity, please contact Sherri Murray at sgmurray@partners.org.

For questions regarding registration, please contact Partners Office of Continuing Professional Development at partnerscpd@partners.org or 857-282-2514.

Additional Requests

Our course coordinator can assist you with any special needs (i.e. physical, dietary, etc). Please contact Sherri Murray prior to the live event at sgmurray@partners.org.

Provided by:

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CME Information

Accreditation
Partners HealthCare System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Partners HealthCare System designates this live activity for a maximum of 14.25AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.