31 SMART - VIRTUAL MEETING - PRELIMINARY PROGRAM NOVEMBER 13-15, 2020 - SEDA SPA
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SMART MEETING ANESTHESIA RESUSCITATION INTENSIVE CARE
31° SMART - VIRTUAL MEETING
November 13-15, 2020
Preliminary Program
www.e-smart2020.org
Restiamo connessi!
ENDORSED BY
Sociètà di Anestesia e Rianimazione
Neonatale e Pediatrica Italiana
SMART MEETING ANESTHESIA RESUSCITATION INTENSIVE CARE
www.e-smart2020.org
31° SMART - VIRTUAL MEETING
www.smartonweb.org
SMART - SCIENTIFIC BOARD
M. Antonelli, A. Braschi, G. Conti, L. Gattinoni,
A. Pesenti, M. Quintel, F. Raimondi, M. Senturk
SMART - SCIENTIFIC SECRETARIAT
G. Bellani, L. Brazzi, M. Girardis
SMART - ORGANIZING SECRETARIAT
Start Promotion Srl - Provider ECM 622
Via Mauro Macchi, 50 - 20124 Milano - Italy
Tel. +39 02 67071383 | Fax +39 02 67072294
Email: info@startpromotion.it | www.startpromotion.it
Tentative Faculty 6 Preliminary Program 10 Non Accredited Sessions 23 Tentative Faculty - Non Accredited Sessions 25 Lunch Sessions 26 Meet the Expert Sessions 28 Simulation Sessions 30 Technical Forum 36 General Information 42
T E N TA T I V E FA C U LT Y T E N TA T I V E FA C U LT Y
Albrecht E., Lausanne (CH) Cohen E., New York (USA) Gattinoni L., Goettingen (D) Lucchini A., Monza (I) Pittiruti M., Roma (I) Strachan J., Milton Keynes (UK)
Amirfarzan H., Boston (USA) Collino F., Milano (I) Girardis M., Modena (I) Preiser J.C., Bruxelles (B) Strandenes G., Bergen (NO)
Antonelli M., Roma (I) Colombo D., Borgomanero (I) Giussani C., Monza (I) Maggiore S.M., Chieti (I) Protti A., Milano (I) Szuldrzyński K., Krakow (PL)
Artoni A., Milano (I) Coniglio C., Bologna (I) Gori A., Milano (I) Mancino A., Roma (I)
Azoulay E., Paris (F) Constantin J.M., Paris (F) Grasselli G., Milano (I) Marczin N., London (UK) Quintel M., Goettingen (D) Talmor D., Boston (USA)
Conti G., Roma (I) Grieco D.L., Roma (I) Marini J.J., St. Paul (USA) Tavazzi G., Pavia (I)
Badenes R., Valencia (E) Corradi F., Pisa (I) Grillo Padilha K., Sao Paulo (BR) Mascheroni D., Milano (I) Rachedi N., Roma (I) Thille A.W., Poitiers (F)
Bambi S., Firenze (I) Cortegiani A., Palermo (I) Guarracino F., Pisa (I) McNicholas B., Galway (IRL) Ranieri V.M., Bologna (I) Timsit J.F., Paris (F)
Bandera A., Milano (I) Cremer O.L., Utrecht (NL) Guitton C., Le Mans (F) Meissner K., Goettingen (D) Rasmussen T.E., Bethesda (USA) Tonetti T., Bologna (I)
Bassetti M., Genova (I) Mertes P.M., Strasbourg (F) Reintam Blaser A., Lucerne (CH) Torres A., Barcelona (E)
Behr A., Padova (I) De Ferrari G., Torino (I) Helbok R., Innsbruck (A) Migliari M., Milano (I) Ristagno G., Milano (I)
Bellani G., Monza (I) De Luca D., Paris (F) Heunks L., Amsterdam (NL) Mitzner S., Rostock (D) Robba C., Genova (I) Viale P., Bologna (I)
Berger M.M., Lausanne (CH) De Pascale G., Roma (I) Hutin A., Paris (F) Mojoli F., Pavia (I) Romagnoli S., Firenze (I) Vieillard-Baron A., Paris (F)
Berger M., Durham (USA) De Waele J., Ghent (B) Molnar Z., Pécs (HU) Romano S.M., Firenze (I) Villar J., Las Palmas Gran Canaria (E)
Bouchez S., Ghent (B) Di Benedetto F., Modena Iannuzzi L., Monza (I) Mongodi S., Pavia (I) Rossolini G., Firenze (I) Vincent J.L., Bruxelles (B)
Bouhemad B., Dijon (F) Disma N., Genova (I) Ichai C., Nice (F) Mossetti V., Torino (I) Rubino A., Cambridge (UK) Volta C.A., Ferrara (I)
Bouzat P., Grenoble (F) Imazio M., Torino (I) Muiesan P., Birmingham (UK) Russo G., Lodi (I)
Brochard L., Toronto (CDN) Elli S., Monza (I) Ince C., Rotterdam (NL) Mussini C., Modena (I) Russotto V., Monza (I) Ware L.B., Nashville (USA)
Brodie D., New York (USA) Ercole A., Cambridge (UK) Ingelmo P.M., Montreal (CDN) Wik L., Oslo (N)
Bruyneel A., La Louvière (B) Erskine R., Derby (UK) Iozzo P., Palermo (I) Negro A., Milano (I) Sacchi M., Milano (I) Woolley T., Birmingham (UK)
Brunkhorst F.M., Jena (D) Nordberg P., Stockholm (S) Sandroni C., Roma (I)
Bugada D., Bergamo (I) Fanelli A., Bologna (I) Johnston D., Belfast (UK) Sangalli F., Milano (I) Zanella A., Milano (I)
Fassl J., Dresden (D) Jonsson Fagerlund M., Stockholm (S) Panigada M., Milano (I) Schultz M., Amsterdam (NL) Zanierato M., Torino (I)
Caironi P., Torino (I) Ferguson N.D., Toronto (CDN) Pasticci I., Milano (I) Scolletta S., Siena (I)
Camporota L., London (UK) Ferrando Ortolà C., Barcelona (E) Kellum J., Pittsburgh (USA) Payen D., Paris (F) Senturk M., Istanbul (TR)
Cappelleri G., Bergamo (I) Ferrer R., Barcelona (E) Kunst G., London (UK) Pea F., Udine (I) Serio P., Firenze (I)
Cardoso F.S., Lisbon (P) Foti G., Monza (I) Pellis T., Pordenone (I) Shankar Hari M., London (UK)
Caricato A., Roma (I) Froulund Jensen J., Holbaek (DK) Lamperti M., Abu Dhabi (UAE) Pelosi P., Genova (I) Singer M., London (UK)
Cariou A., Paris (F) Fumagalli R., Milano (I) Langer T., Milano (I) Pesenti A., Milano (I) Singh Y., Cambridge (UK)
Carron M., Padova (I) Futier E., Clermont-Ferrand (F) Lascarrou J.B., Nantes (F) Pham T., Paris (F) Skrifvars M., Helsinki (F)
Cecconi M., Milano (I) Lingsma H.F., Rotterdam (NL) Piccioni F., Milano (I) Sorbello M., Catania (I)
Chiumello D., Milano (I) Galazzi A., Milano (I) Locatelli C.A., Pavia (I) Pickkers P., Nijmegen (NL) Stehle P., Bonn (D)
Citerio G., Monza (I) Gallani M.C., Laval (CDN) Lönnqvist P.A., Stockholm (S) Piquilloud L., Lausanne (CH) Stocchetti N., Milano (I)
6 7
EDUCATIONAL ACCREDITATION OF THE
31° SMART - VIRTUAL MEETING
Applications have been made to both the Italian AGENAS and the European
EACCME® for ECM and EACCME® accreditation of the 31° SMART - Virtual
Meeting. In the Italian system (ECM) the meeting has been accredited as
“FAD Sincrona - corsi in diretta su piattaforma multimediale dedicata (aula
virtuale, webinar)”, in the European system (EACCME®/UEMS) as LEE (Live
Educational Event). Attendance to the meeting will entitle participants to
obtain:
ALL TIMES STATED IN CET (Central European Time) - Italian credits (ECM) according to the criteria set by the Commissione
Nazionale per la Formazione Continua (See page 46 for details).
- European credits (ECMEC®) according to the criteria set by the European
Accreditation Council for Continuing Medical Education (EACCME®), which
is an institution of the European Union of Medical Specialists (UEMS).
ACCREDITAMENTO FORMATIVO DEL
31° SMART - VIRTUAL MEETING
Per il 31° SMART Virtual Meeting è stato richiesto l’accreditamento come FAD
Sincrona - corsi in diretta su piattaforma multimediale dedicata (aula virtuale,
webinar) nel sistema italiano (ECM), e come LEE (Live Educational Event) nel
sistema europeo (EACCME®/UEMS). Pertanto, la partecipazione al convegno
potrà dare diritto al conseguimento di:
- Crediti formativi italiani (ECM) secondo i criteri stabiliti dalla Commissione
Nazionale per la Formazione Continua (Dettagli a pag. 46).
- Crediti formativi europei (ECMEC®) secondo i criteri stabiliti dall’European
Accreditation Council for Continuing Medical Education (EACCME ®), un’istituzione
dell’European Union of Medical Specialists (UEMS).
LANGUAGE: All the scientific sessions will be in English.
LINGUA: Tutte le sessioni scientifiche saranno in lingua inglese.
p R E L I M I N A RY p r o g r a m f r i d ay n o v e m b e r 1 3 M OR N IN G | 9. 00- 1 2 . 3 0 ce t
BROWN HALL 1 BROWN HALL 2 AMBER HALL 1 AMBER HALL 2 AMBER HALL 3 AMBER HALL 4
ECM - Modulo 1A ECM - Modulo 1B ECM - Modulo 1C ECM - Modulo 1D ECM - Modulo 1E ECM - Modulo 1F
HOT TOPICS IN CARDIAC TAILORING THERAPEUTIC SEPSIS CODE HOT TOPICS IN PEDIATRIC ENERGY AND FEEDING ROUTE SMART TUTORIALS 1
INTENSIVE CARE STRATEGIES IN ACUTE BRAIN FROM ED TO THE ICU ANESTHESIA Chairpersons: TBD, TBD Coordinator: TBD
Chairperson: A. Rubino, F. Sangalli INJURY GUIDED BY... Chairpersons: TBD, TBD Chairperson: S. Tesoro 9.00 Glutamine: 9.00 Respiratory physiology:
9.00 Pharmacological or mechanical Chairperson: G. Citerio 9.00 Are clinical signs enough? 9.00 Reduction of risk in pediatric why should we give it the essential to manage
circulatory support 9.00 Pupillometry M. Girardis anesthesia: what should we P. Stehle a critical patient
in cardiogenic shock? C. Robba know, what should we do L. Heunks
S. Bouchez 9.20 Antibiotic strategy: N. Disma 9.20 Hypophosphatemia:
9.20 Brain ultrasound always fast and furious? a frequent 9.30 Setting and monitoring
9.20 Organ dysfunction P. Bouzat J. De Waele 9.20 Pediatric difficult airway life-threatening issue mechanical ventilation
after LVAD implantation P. Serio C. Ichai in the restrictive patient
N. Marczin 9.40 ICP-derived parameters 9.40 Saline or balanced? G. Foti
G. Citerio Albumin is better 9.40 Perioperative fluid management 9.40 Glucose control:
9.40 Hemodynamic and arterial P. Caironi in children: can we sum it all up still actual? 10.00 Setting and monitoring
elastance by pulse contour 10.00 Brain tissue oxygenation now? J.C. Preiser mechanical ventilation
in patients undergoing light N. Stocchetti 10.00 Vasopressors: T. Langer in the obstructive patient
sedation for TAVI myths and evidences 10.00 Overfeeding: a killer C.A. Volta
S.M. Romano 10.20 qEEG M. Singer 10.00 Perioperative care in pediatric M.M. Berger
A. Caricato anesthesia 10.30 Cardiac output
10.00 The importance of cardiovascular 10.20 Source control: A. Mancino 10.20 Intermittent enteral measurement techniques
coupling in the daily management 10.40 Discussion an essential but overlooked feeding the first week? S. Scolletta
of critically ill patients treatment 10.20 Close-to-the-nerve vs. J.C. Preiser
F. Guarracino 11.00 Break and Exhibition Visit R. Ferrer interfascial plane blocks: 11.00 Break and Exhibition Visit
sniper rifle vs shotgun 10.40 Discussion
10.20 Arterial stiffness: assessment 10.40 Discussion P.A. Lönnqvist
and clinical implications 11.00 Break and Exhibition Visit
S. Scolletta 11.00 Break and Exhibition Visit 10.40 Discussion
10.40 Discussion 11.00 Break and Exhibition Visit
11.00 Break and Exhibition Visit
ECM - Modulo 2A ECM - Modulo 2B ECM - Modulo 2C ECM - Modulo 2D ECM - Modulo 2E ECM - Modulo 2F
HOT TOPICS IN TRAUMATIC BRAIN INJURY 2020: INNOVATION IN THORACIC ESP N IC En d o rs e me n t METABOLIC SUPPORT: SMART TUTORIALS 2
CARDIOTHORACIC ANESTHESIA CENTER-TBI ANESTHESIA POINT-OF-CARE ULTRASOUND WHAT AND HOW MUCH Coordinator: TBD
Chairperson: N. Marczin Chairperson: C. Robba Chairpersons: TBD, TBD IN PICU AND NICU Chairpersons: TBD, TBD 11.30 High flow nasal cannula:
11.30 Tubeless thoracic surgery: 11.30 Center-TBI: 11.30 Protective ventilation Chairperson: G. Conti 11.30 Optimal feeding route indications and technique
myth or reality? what is changing in TBI in thoracic surgery 11.30 ESPNIC guidelines for in sepsis A. Cortegiani
E. Cohen epidemiology and early M. Senturk point-of-care ultrasound A. Reintam Blaser
treatment? in PICU and NICU 12.00 Understanding a gas analysis:
11.45 When is 3D echo H.F. Lingsma 11.45 Should we follow the Y. Singh 11.45 How to use indirect from numbers to the respiratory
essential, when useful, driving pressure for calorimetry and cardiocirculatory status
when it’s a waste of time? 11.45 ICU patients: optimal management 11.45 How to optimize the use of M.M. Berger L. Camporota
J. Fassl data from Center-TBI of OLV? ultrasound for vascular accesses
N. Stocchetti F. Piccioni M. Pittiruti 12.00 Individualized feeding 12.30 Lunch Break
12.00 Neuromonitoring C. Ichai
and neurocognitive 12.00 Extracranial complications: 12.00 Bioengineered lung: 12.00 Lung ultrasound in pediatric
outcomes in cardiac impact on outcome is that the future? critical care: where are we? 12.15 Discussion
surgery G. Citerio E. Cohen D. De Luca
G. Kunst 12.30 Lunch Break
12.15 Discussion 12.15 Discussion 12.15 Discussion
12.15 Discussion
12.30 Lunch Break 12.30 Lunch Break 12.30 Lunch Break
12.30 Lunch Break
10 11
p R E L I M I N A RY p r o g r a m f r i d ay n o v e m b e r 1 3 A F TE R N OON | 1 4 . 3 0- 1 8 . 00 ce t
BROWN HALL 1 BROWN HALL 2 AMBER HALL 1 AMBER HALL 2 AMBER HALL 3 AMBER HALL 4
ECM - Modulo 3A ECM - Modulo 3B ECM - Modulo 3C ECM - Modulo 3D ECM - Modulo 3E ECM - Modulo 3F
VENOARTERIAL ECMO ISCHEMIC STROKE ARTERIAL PRESSURE MONITORING: EXTRACORPOREAL THERAPIES ULTRASOUND IS MY BEDSIDE SMART TUTORIALS 3
Chairperson: D. Brodie Chairperson: N. Stocchetti WHERE AND HOW? IN SEPSIS TOOL FOR… PART 1 Coordinator: TBD
14.30 E-CPR: where are we going? 14.30 Anesthesia and intensive care Chairpersons: TBD, TBD Chairperson: A. Pesenti Chairpersons: TBD, TBD 14.30 The mechanical power
A. Hutin for acute ischemic stroke 14.30 MAP-targeted fluid resuscitation 14.30 Cytokine removal 14.30 Neuromonitoring as a target for VILI
P. Bouzat should be abandoned! C. Ince C. Robba prevention
14.50 Monitoring during VA-ECMO Z. Molnar F. Collino
F. Sangalli 14.50 Ischemic stroke 2020: 14.50 Endotoxin removal 14.50 Pain management
more and more aggressive 14.50 Optimal arterial pressure M. Antonelli G. Russo 15.00 Cardiocirculatory
15.10 Extracorporeal organ support with treatments in septic patients physiology: the essential
for DCD: perspective and limits R. Helbok R. Ferrer 15.10 An international registry on the 15.10 Lung monitoring to manage a critical
M. Sacchi use of extracorporeal absorption S. Mongodi patient
15.10 Mechanical ventilation in stroke 15.10 The clinical interest of arterial F. M. Brunkhorst D. Payen
15.30 DCD heart retrieval patients: is there a consensus? elastance for the clinician 15.30 Hemodynamic
and transplantation C. Robba D. Payen 15.30 A bioreactor for immune management 15.30 101 Brain monitoring
A. Rubino support G. Tavazzi for anesthesiologists
15.30 Decompressive craniectomy 15.30 Arterial pressure and cardiac S. Mitzner and intensivists
15.50 Discussion for ischemic stroke: output, just a matter 15.50 Discussion H. Amirfarzan
is it worth doing? of resistance? 15.50 Discussion
16.00 Break and Exhibition Visit C. Giussani M. Singer 16.00 Break and Exhiition Visit 16.00 Break and Exhibition Visit
16.00 Break and Exhibition Visit
15.50 Discussion 15.50 Discussion
16.00 Break and Exhibition Visit 16.00 Break and Exhibition Visit
ECM - Modulo 4A ECM - Modulo 4B ECM - Modulo 4C ECM - Modulo 4D ECM - Modulo 4E ECM - Modulo 4F
IMPROVING ORGAN AVAILABILITY NOVEL ASPECTS OF WHAT’S NEW IN PAIN THERAPY ACUTE RENAL FAILURE ULTRASOUND IS MY BEDSIDE SMART TUTORIALS 4
FOR TRANSPLANT ANALGOSEDATION IN THE ICU Chairperson: F. Borrometi Chairpersons: TBD, TBD TOOL FOR… PART 2 Coordinator: TBD
Chairpersons: TBD, TBD Chairpersons: TBD, TBD 16.30 Opioid effect and side 16.30 AKI biomarkers Chairpersons: TBD, TBD 16.30 Correct use of cardiovascular
16.30 What can we do? 16.30 Dexmedetomidine for sedation effect variability B. McNicholas 16.30 Setting the ventilator drugs in the critical patient
R. Badenes in the ICU K. Meissner F. Mojoli F. Guarracino
G. Conti 16.50 Acute kidney injury
16.50 What we actually do 16.50 Opiod-sparing anesthetic and ventilator settings 16.50 Renal function 17.00 Echocardiography in the
M. Zanierato 16.50 Volatile anesthetics strategies A. Vieillard-Baron assessment management of septic shock
G. Foti E. Albrecht F. Corradi G. Tavazzi
17.10 Optimizing the lung 17.10 PRO-CON DEBATE
A. Zanella 17.10 Monitoring sedation in the ICU 17.10 Can we prevent chronic Furosemide: 17.10 An integrated approach 17.30 Basic echocardiographic
D. Talmor postsurgical pain with when and how? to the surgical patient evaluation of the cardiac
17.30 Optimizing the liver regional anesthesia? Pro: J. Kellum B. Bouhemad function
P. Muiesan 17.30 Epidural analgesia in the ICU V. Mossetti Con: D. Payen F. Corradi
J.M. Constantin 17.30 Monitoring of weaning
17.50 Discussion 17.30 How are you going to 17.50 Discussion from mechanical
17.50 Discussion treat persistent chronic ventilation
postsurgical pain? S. Mongodi
P.M. Ingelmo
17.50 Discussion
17.50 Discussion
12 13
pRELIMINARY program SATURDAY november 14 M OR N IN G | 9. 00- 1 2 . 3 0 ce t
BROWN HALL 1 BROWN HALL 2 AMBER HALL 1 AMBER HALL 2 AMBER HALL 3 AMBER HALL 4
ECM - Modulo 5A ECM - Modulo 5B ECM - Modulo 5C ECM - Modulo 5D ECM - Modulo 5E ECM - Modulo 5F
ARTIFICIAL INTELLIGENCE DIFFICULT INFECTIONS ELECTROLYTES IN THE ICU: SMART TUTORIALS 5
COVID-19 AND BIG DATA IN DIFFICULT PATIENTS ANYTHING NEW? COVID-19 Coordinator: TBD
Chairpersons: E. Grossi, A. Noto Chairpersons: TBD, TBD Chairpersons: TBD, TBD 9.00 Nutritional strategy
SESSIONS.... 9.00 Technology for managing
the complexity
9.00 Co-infection in influenza
J.F. Timsit
9.20 Low sodium concentration
in the critically ill:
SESSIONS ... in the critically ill
M.M. Berger
COMING SOON A. Ercole
9.20 How to improve antibiotic
when to worry?
L. Gattinoni
COMING SOON 9.30 Sedation in the ICU
9.20 Artificial intelligence: effectiveness in the ICU: J.M. Constantin
the way to go for Intensive TDM approach 9.40 Electrolytes in the urine:
Care Medicine F. Pea how to use them? 10.00 Basic interpretation
M. Cecconi P. Caironi of acid base balance
9.40 Infections in ECMO patients T. Langer
9.40 PRO-CON DEBATE G. Grasselli 10.00 Electrolytes and acid-base
Is research from Big Data equilibrium: where is the 10.30 Fluid management
reliable? 10.00 Oncology and hematology linkage? M. Cecconi
Pro: J.F. Timsit patients T. Langer
Not sure: O.L. Cremer P. Pickkers 11.00 Break and Exhibition Visit
Con: M. Girardis 10.20 Hyperchloremic acidosis:
10.20 Fungal recommendations. a new way to control it
10.30 Discussion What if patient is critically ill? A. Zanella
M. Bassetti
11.00 Break and Exhibition Visit 10.40 Discussion
10.40 Discussion
11.00 Break and Exhibition Visit
11.00 Break and Exhibition Visit
ECM - Modulo 6A ECM - Modulo 6B ECM - Modulo 6C ECM - Modulo 6D ECM - Modulo 6E ECM - Modulo 6F
HOT TOPICS IN THE ICU ABDOMINAL ISSUES MECHANICAL VENTILATION NASAL HIGH FLOW OXYGEN IN THE SMART TUTORIALS 6
Chairpersons: TBD, TBD IN THE ICU PATIENT AND VILI CLINICAL ARENA: PATIENT CASES
AND NEW INDICATIONS
COVID-19 Coordinator: TBD
11.30 Conservative oxygen therapy Chairpersons: TBD, TBD Chairpersons: TBD, TBD 11.30 It’s up to you: new bedside
during MV in the ICU
M. Girardis
11.30 Acute liver failure
F.S. Cardoso
11.30 Impact of PEEP on RV function
A. Vieillard-Baron
Chairperson: T. Mauri
11.30 Clinical and physiological
SESSIONS ... signals to set the ventilator
D. Colombo
11.45 Immune checkpoint inhibitors 11.45 Abdominal infections as 11.45 Mechanical power, VILI and
effects of NHF in
tracheotomized patients
COMING SOON 12.00 Fluid management
in sepsis: where are we? a sepsis source: diagnosis mortality: what are the links? S.M. Maggiore in hemorrhagic shock
M. Shankar Hari and management T. Tonetti T. Woolley
F. Di Benedetto 11.45 NHF in patients with
12.00 New therapy‑related 12.00 Intraoperative mechanical postoperative respiratory failure 12.30 Lunch Break
life‑threatening toxicity 12.00 Microbiota in the ICU: ventilation A.W. Thille
in patients with malignancies. not only a gut problem C. Ferrando Ortolà
What the intensivist should know A. Gori 12.00 Combination of NHF and
E. Azoulay 12.15 Discussion extracorporeal CO2 removal
12.15 Discussion in patients with acute asthma
12.15 Discussion 12.30 Lunch Break G. Grasselli
12.30 Lunch Break
12.30 Lunch Break 12.15 Discussion
12.30 Lunch Break
14 15
pRELIMINARY program SATURDAY november 14 A F TE R N OON | 1 4 . 3 0- 1 8 . 00 ce t
BROWN HALL 1 BROWN HALL 2 AMBER HALL 1 AMBER HALL 2 AMBER HALL 3 AMBER HALL 4
ECM - Modulo 7A ECM - Modulo 7B ECM - Modulo 7C ECM - Modulo 7D ECM - Modulo 7E ECM - Modulo 7F
ESOPHAGEAL PRESSURE INTERACTIVE SESSION HYPOTHERMIA VS. NORMOTHERMIA NEW STRATEGIES FOR EXTRACORPOREAL LIFE SMART TUTORIALS 7
AND PEEP TITRATION CHALLENGING SCENARIOS AFTER CARDIAC ARREST: WHAT IS THE DIFFICULT BUGS SUPPORT: NEW EVIDENCES - PART 1 Coordinator: TBD
Chairpersons: TBD, TBD TARGET IN TTM? NEW & OLD EVIDENCES Chairperson: M. Bassetti Chairpersons: TBD, TBD 14.30 Perioperative optimization
Chairperson: P. Pickkers
14.30 Determinants of 14.30 Necrotising fasciitis Chairperson: C. Sandroni 14.30 New strategies in identification 14.30 ECCO2R for COPD. Time for S. Romagnoli
esophageal-pleural pressure beyond first hours 14.30 PRO therapeutic hypothermia and treatment of invasive fungal a new star: the ORION study
relationship in normal man G. De Pascale, A. Bandera (33°C): the evidence from the infections V.M. Ranieri 15.00 Optimal use of antibiotics
I. Pasticci FINNRESUSCI and TTH48 J. De Waele in the ICU
15.00 How to treat severe CAP M. Skrifvars 14.50 Lung recruitability in J.F. Timsit
14.50 The neglected variable in A. Cortegiani, J. De Waele 14.50 Stratification of patients at risk ECMO-treated ARDS patients
mechanical ventilation: lung 14.50 CONTRA therapeutic hypothermia for carbapenem resistant L. Camporota 15.30 Diagnosis of cerebral or cardiac
volumes and transpulmonary in favor of normothermia (36°C): infections death for organ donation
15.30 Patients with cardiac
pressures the evidence from the TTM P. Viale 15.10 Sedation and early mobilization M. Zanierato
dysfunction and sepsis
L. Gattinoni T. Pellis in ECMO
S. Romagnoli, F. Guarracino
15.10 Targeted temperature management
15.10 Empiric therapy for D. Brodie 16.00 Break and Exhibition Visit
15.10 Is esophageal pressure reflective 16.00 Break and Exhibition visit for cardiac arrest with the superbugs
of pleural pressure? nonshockable rhythm: the new M. Bassetti 15.30 The future of ECMO trials
D. Chiumello evidence from the HYPERION trial N.D. Ferguson
A. Cariou 15.30 How to dose new antibiotics
15.30 Esophageal pressure to guide F. Pea 15.50 Discussion
PEEP titration: does it make 15.30 Early intra-arrest cooling: does it
sense? works? The evidence from the 15.50 Discussion 16.00 Break and Exhiition Visit
M. Quintel PRINCESS trial
P. Nordberg 16.00 Break and Exhiition Visit
15.50 Discussion
15.50 Discussion
16.00 Break and Exhibition Visit
16.00 Break and Exhiition Visit
ECM - Modulo 8A ECM - Modulo 8B ECM - Modulo 8C ECM - Modulo 8D ECM - Modulo 8E ECM - Modulo 8F
SEPSIS SCIENCE: AIRWAY MANAGEMENT IMPROVING CARDIOPULMONARY UNSOLVED QUESTIONS IN TRAUMA EXTRACORPOREAL LIFE SMART TUTORIALS 8
PEARLS AND PITFALLS IN CRITICALLY ILL PATIENTS RESUSCITATION Chairperson: C. Fontana SUPPORT: NEW EVIDENCES - PART 2 Coordinator: TBD
Chairpersons: TBD, TBD Chairpersons: TBD, TBD Chairperson: G. Ristagno 16.30 Golden hour in trauma: Chairpersons: TBD, TBD 16.30 How to improve
16.30 The 12 elements that can 16.30 Intubation-related morbidity 16.30 What is quality of CPR? Much is it still enough? 16.30 ECMO: is it over? patient-ventilator synchrony
improve outcome in sepsis and mortality - the Intube more than chest compression N. Rachedi D. Talmor L. Piquilloud
J.L. Vincent study results depth, fraction, and rate
V. Russotto L. Wik 16.50 Resuscitation and hemostasis: 16.50 PRO-CON DEBATE 17.00 Recreational drugs:
16.50 Sepsis phenotypes: a step overload vs under-resuscitation. ECMO improves oxygenation how do they affect anesthesia
forward to personalized 16.50 Role of videolaryngoscopes 16.50 What is the best ventilation Could whole blood be the Pro: A. Pesenti C.A. Locatelli
treatments in the ICU strategy during CPR? solution? Con: M. Quintel
D. Payen J.B. Lascarrou G. Ristagno G. Strandenes 17.30 Procedural sedation
17.10 Discussion M. Lamperti
17.10 Resuscitative endovascular
17.10 Has Sepsis-3 changed my 17.10 Does high-flow nasal cannula 17.10 Hemorragic shock:
balloon occlusion of the aorta
approach to septic patient? reduce intubation problems? to tube or not to tube?
for refractory cardiac arrest
M. Shankar Hari C. Guitton T. Woolley
C. Coniglio
17.30 Sepsis and fake news: putting 17.30 Human factors in airway 17.30 Extracorporeal cardiopulmonary 17.30 Pre-hospital use of REBOA
data in perspective management resuscitation in refractory in uncontrollable bleedings
M. Singer M. Sorbello cardiac arrest: to whom and when T.E. Rasmussen
M. Skrifvars
17.50 Discussion 17.50 Discussion 17.50 Trauma care in urban settings:
17.50 Neurophysiology and neuroimaging when to stay (and play) and
to predict poor neurological when to scoop (and run)
outcome after cardiac arrest M. Migliari
C. Sandroni
18.10 Discussion
18.10 Discussion
16 17
pRELIMINARY program SUNDAY november 15 M OR N IN G | 9. 00- 1 2 . 3 0 ce t
BROWN HALL 1 BROWN HALL 2 AMBER HALL 1 AMBER HALL 2 AMBER HALL 3 AMBER HALL 4
ECM - Modulo 9A ECM - Modulo 9B ECM - Modulo 9C ECM - Modulo 9D ECM - Modulo 9E ECM - Modulo 9F
UPDATE ON MDR/XDR SMART NURSING SEPSIS BEYOND THE FIRST HOUR REGIONAL ANESTHESIA IN THE DAILY PERIOPERATIVE MANAGEMENT SMART TUTORIALS 9
MICROORGANISMS: INFECTION CONTROL IN THE ICU Chairpersons: TBD, TBD CLINICAL PRACTICE OF VENTILATION Coordinator: TBD
PREVENTION, FAST MICROBIOLOGY DURING COVID-19 PANDEMIC 9.00 SvO2 in septic shock: Chairperson: R. Erskine Chairpersons: TBD, TBD 9.00 Perioperative
AND MANAGEMENT Chairperson: E. Mattiussi from early goal 9.00 Chest wall plane blocks and 9.00 PRO-CON DEBATE thromboprophylaxis
Chairpersons: TBD, TBD 9.00 The burden of ICU directed therapy to cancer breast surgery: evidence Is low tidal volume ventilation M. Panigada
9.00 Reducing the risk: successful environmental contamination late(r) ScvO2 checks and outcomes protective in anesthesia?
strategies in infection control V. Russotto R. Ferrer D. Johnston Pro: M. Schultz 9.30 Arterial pressure control during
C. Mussini Con: D. Mascheroni general anesthesia to prevent
9.20 The dark side of mobile calling 9.20 Is it time for small volume 9.20 Abdominal wall blocks: should postoperative organ damage
9.20 Fast and syndromic approach in the ICU and low pressure approach? we give up the epidural? 9.40 The issue of perioperative E. Futier
to microorganisms A. Galazzi M. Singer D. Bugada hyperoxia
G. Rossolini C. Ferrando Ortolà 10.00 Anesthesia for interventional
9.40 Vascular access devices 9.40 When I need more: rationale 9.40 Enhanced recovery strategies cardiac procedures
9.40 How to identify patient at risk in COVID-19 patients for adjunctive therapies for total knee replacement 10.00 Noninvasive oxygenation F. Guarracino
P. Viale S. Elli P. Pickkers G. Cappelleri support in preoperative
medicine 10.30 Anaphylaxis in anesthesia
10.00 New mechanisms of resistance 10.00 The “chlorhexidine ICU affair”: 10.00 Blood purification: 10.00 New blocks for thoracic J.M. Constantin P.M. Mertes
and novel antibiotics what’s new, what’s old evidences and hopes surgery: a new tool?
J. Timsit S. Bambi S. Romagnoli M. Senturk 10.20 Discussion 11.00 Break and Exhibition Visit
10.20 De-escalation: when and how 10.20 Medical masks and respirators 10.20 The long-term effects of sepsis 10.20 Regional anesthesia for 11.00 Break and Exhibition Visit
TBD for the protection from M. Shankar Hari outpatients: to do or not to do?
SARS-CoV-2 R. Erskine
10.40 Discussion P. Iozzo 10.40 Discussion
10.40 Discussion
11.00 Break and Exhibition Visit 10.40 Discussion 11.00 Break and Exhibition Visit
11.00 Break and Exhibition Visit
11.00 Break and Exhibition Visit
ECM - Modulo 10A ECM - Modulo 10B ECM - Modulo 10C ECM - Modulo 10D ECM - Modulo 10E ECM - Modulo 10F
ACUTE RESPIRATORY DISTRESS SMART NURSING LOOKING OUTSIDE THE USUAL BOX: FASCIA PLANE BLOCKS: NONINVASIVE VENTILATION SMART TUTORIALS 10
SYNDROME OR SIMPLY ARF? HUMANIZING THE INTENSIVE NON ISCHEMIC CAUSES OF FACT OR FICTION? Chairpersons: TBD, TBD Coordinator: TBD
Chairpersons: TBD, TBD CARE UNIT CARDIOGENIC SHOCK Chairperson: D. Johnston 11.30 Noninvasive ventilation versus 11.30 Strategy for the
11.30 Lessons from the Chairperson: R. Fumagalli Chairpersons: TBD, TBD 11.30 The cornerstone of fascia oxygen therapy in patients with difficult-to-intubate patient
LUNG SAFE study 11.30 How to implement a nurse 11.30 Stress cardiomyopathies plane blocks acute respiratory failure M. Sorbello
A. Pesenti led follow-up program G. Tavazzi A. Behr D.L. Grieco
J. Froulund Jensen 12.00 Managing postoperative pain
11.45 Protective ventilation in 11.45 Arrhythmogenic 11.45 Fact 11.45 How to maximize the chances D. Bugada
non-ARDS patients: 11.45 ICU diary: an Italian experience cardiomyopathies D. Johnston of NIV success?
different rules? L. Iannuzzi G. De Ferrari G. Foti 12.30 Lunch Break
P. Pelosi 12.00 Fiction
12.00 Introducing the video call during 12.00 Fulminant myocarditis A. Fanelli 12.00 The use of noninvasive
12.00 The Radiographic Assessment COVID-19 pandemic M. Imazio ventilation to facilitate
of Lung Edema (RALE) score, A. Negro 12.15 Discussion weaning and early extubation
a new tool for quantifying 12.15 Discussion A.W. Thille
pulmonary edema on the 12.15 Discussion 12.30 Lunch Break
chest radiograph 12.30 Lunch Break 12.15 Discussion
L.B. Ware 12.30 Lunch Break
12.30 Lunch Break
12.15 Discussion
12.30 Lunch Break
18 19pRELIMINARY program SUNDAY november 15 A F TE R N OON | 1 4 . 3 0- 1 8 . 00 ce t
BROWN HALL 1 BROWN HALL 2 AMBER HALL 1 AMBER HALL 2 AMBER HALL 3 AMBER HALL 4
ECM - Modulo 11A ECM - Modulo 11B ECM - Modulo11C ECM - Modulo 11D ECM - Modulo 11E ECM - Modulo 11F
ACID BASE/ELECTROLYTES SMART NURSING ARDS ANESTHESIA AND COGNITION WEANING FROM MECHANICHAL SMART TUTORIALS 11
Chairpersons: TBD, TBD NURSING WORKLOAD IN THE ICU Chairperson: M. Quintel Chairpersons: K. Meissner VENTILATION: NEW ISSUES Coordinator: TBD
14.30 Yes, again Stewart. Chairperson: K. Grillo Padilha 14.30 Dexamethasone in ARDS: 14.30 Anesthesiologist’s guide AND NEW SOLUTIONS? - PART 1 14.30 Cardiocirculatory evaluation
But, do you remember it? 14.30 The evaluation of nursing a successful story to monitor the brain Chairpersons: TBD, TBD and management of the
J. Kellum workload in an Italian J. Villar H. Amirfarzan 14.30 Where are we at with weaning? non-cardiac surgical patient
ECMO Center A snapshot from the WEAN R. Fumagalli
14.50 Boston rules: what’s really A. Lucchini 14.50 Steroids in ARDS: 14.50 Perioperative neurocognitive SAFE study
behind these numbers? a skeptical approach disorders and Alzheimer’s T. Pham 15.00 Management of oliguria:
T. Langer 14.50 Multicenter study results of NAS G. Grasselli disease a pragmatic approach
and Nurse Sensitive Outcomes M. Berger 14.50 Is P0.1 clinically useful J. Kellum
15.10 Diagnosis and management in 2017 15.10 Steroids in pneumonia in difficult weaning?
of hypernatremia in the ICU K. Grillo Padilha A. Torres 15.10 Intraoperative EEG monitoring L. Brochard 15.30 Challenges in pre-hospital
C. Ichai and depth of sedation trauma management
15.10 Pilot experiences with NAS 15.30 Steroids and Vitamin C H. Amirfarzan 15.10 Sedation-rehabilitation: T.E. Rasmussen
15.30 Potassium everywhere: in the CHU de Québec in ALI/ARDS: a word of wisdom a complex intervention
intravenous fluids in renal failure and IUCPQ J.J. Marini 15.30 Best practices for postoperative in the ICU 16.00 Break and Exhibition Visit
P. Caironi M.C. Gallani brain health and outcomes J.M. Constantin
15.50 Discussion in older adults
15.50 Discussion 15.30 Prospective study in M. Berger 15.30 Role of patient-ventilator
15 hospitals in Belgium 16.00 Break and Exhibition Visit dyssynchrony
16.00 Break and Exhibition Visit A. Bruyneel 15.50 Discussion F. Mojoli
15.50 Discussion 16.00 Break and Exhibition Visit 15.50 Discussion
16.00 Break and Exhibition Visit 16.00 Break and Exhibition Visit
ECM - Modulo 12A ECM - Modulo 12B ECM - Modulo 12C ECM - Modulo 12D ECM - Modulo 12E
COAGULOPATHY IN GOING ABOVE THERAPY IN THE ICU RECRUITING THE LUNG CONTROVERSIES IN WEANING FROM MECHANICHAL
THE CRITICALLY ILL Chairpersons: TBD, TBD Chairpersons: TBD, TBD GENERAL ANESTHESIA VENTILATION: NEW ISSUES
Chairpersons: TBD, TBD 16.30 Communication in the ICU 16.30 Lung recruitment. Chairpersons: F. Petrini AND NEW SOLUTIONS? - PART 2
16.30 Sepsis and coagulation, L.B. Ware If, when, how 16.30 Quality and safety in the Chairpersons: TBD, TBD
anything new? N.D. Ferguson operating room 16.30 The role of pendelluft in
K. Szuldrzyński 16.50 Rounds at the bedside: P.M. Mertes weaning: any clinical relevance?
we could do better 16.50 Recruitment in ARDS: G. Bellani
16.50 Severe thrombophilia J.L. Vincent how to measure? 16.50 Is deep neuromuscular
in intensive care L. Brochard block a standard of care? 16.50 Does mode of method matter?
A. Artoni 17.10 Families and patients will never M. Carron J.J. Marini
walk alone: tracheotomy in 17.10 Recruiting maneuvers during
17.10 Antithrombin during ECMO: critically ill patients anesthesia: the good, the bad, 17.10 Should we use neostigmine 17.10 Discussion
rationale and current practice P. Pelosi the ugly! as reversal agent?
A. Protti P. Pelosi M. Jonsson Fagerlund
17.30 Fatigue in the workplace
17.30 Is there a place for antithrombin and the #fightfatigue campaign 17.30 Discussion 17.30 Insights from i.v. morphine
during ECMO? J. Strachan and hydromorphone
M. Panigada pharmacokinetics
17.50 Discussion K. Meissner
17.50 Discussion
17.50 Discussion
20 21ALL TIMES STATED IN CET (Central European Time) NON ACCREDITED SESSIONS
Lunch Sessions, Meet the Expert Sessions, Simulation Sessions and Technical
Forums are NOT subjected to ECM/EACCME® accreditation.
No ECM and no ECMEC® credits can be claimed for attending these sessions.
SESSIONI NON ACCREDITATE
Lunch Session, Meet the Expert, Simulation Session e Technical Forum NON
rientrano nel percorso di accreditamento ECM/EACCME ® e pertanto non danno
diritto ad alcun credito formativo italiano (ECM) né europeo (ECMEC ®).
LANGUAGE: English or Italian, no simultaneous translation.
LINGUA: Inglese o Italiano, senza traduzione simultanea.T E N TA T I V E FA C U LT Y - N O N A C C R E D I T E D S E S S I O N S
Arisi E., Pavia (I) Gattinoni L., Goettingen (D) Rezoagli E., Monza (I)
Girardis M., Modena (I)
Bouhemad B., Dijon (F) Gori A., Milano (I) Viaggi B., Firenze (I)
Grasso S., Bari (I) Viale P., Bologna (I)
Caironi P., Torino (I) Vincent J.L., Bruxelles (B)
Carron M., Padova (I) Mojoli F., Pavia (I)
Cecchetti C., Roma (I) Montenegro R., Roma (I)
Chiumello D., Milano (I) Monti G., Milano (I)
Cortese G., Torino (I) Montrucchio G., Torino (I)
Mussa B., Torino (I)
Donati A., Ancona (I)
Nocci M., Siena (I)
Elisei D., Macerata (I)
Pea F., Udine (I)
Foti G., Monza (I)
Pittiruti M., Roma (I)
Fumagalli R., Milano (I)
24 25L U N C H S E S S I O N S | 12. 45- 14. 15 c et
Access to Lunch Sessions is possible from the Sponsor’s virtual booth and/or from the Lobby.
L’ accesso alle Lunch Session è possibile dallo stand virtuale dell’Azienda Sponsor e/o dalla Lobby.
FRIDAY NOVEMBER 13 FRIDAY NOVEMBER 13
BROWN HALL 1 AMBER HALL 1
12.45 - 14.15 12.45 - 14.15
LUNCH SESSION LUNCH SESSION
ENDOTOXIC SHOCK: USE, ABUSE AND MISUSE OF
POLYMYXIN B HEMOPERFUSION NONINVASIVE VENTILATORY
AS COMPLEMENTARY THERAPY SUPPORT IN THE COVID-19 ERA
Supported by ESTOR Supported by INTERSURGICAL
WORK IN PROGRESS WORK IN PROGRESS
SATURDAY NOVEMBER 14 SUNDAY NOVEMBER 15
BROWN HALL 1 BROWN HALL 1
12.45 - 14.15 12.45 - 14.15
LUNCH SESSION LUNCH SESSION
TACKLING SEPSIS-INDUCED ALBUMIN IN 2020
IMMUNOSUPPRESSION AND BEYOND…
Supported by BIOTEST Supported by CSL BEHRING,
GRIFOLS, KEDRION BIOPHARMA
Albumin oxidation: physiological meaning
WORK IN PROGRESS L. Gattinoni
Albumin as an anti-infective agent
A. Gori
Iso- vs. hyper-oncotic albumin-containing
solutions
P. Caironi
Hypo-albuminemia as harmful factor:
cause or effect?
J.L. Vincent
26 27MEET THE EXPERT SESSIONS MEET THE EXPERT SESSIONS
MEET THE EXPERT SATURDAY NOVEMBER 14 | 11.30 - 12.30 CET
How to manage vHAP and VAP
Come gestire la vHAP e la VAP
MODERATOR: P. Viale | EXPERTS: F. Pea, B. Viaggi Supported by
Meet the Expert Sessions offer the opportunity of an informal and direct interaction between SMART
participants and recognized Experts in selected topics. They will take place in the Meet the Expert Corner,
a dedicated space accessible from both the Lobby and the Sponsor’s virtual booth. Admission is free but
limited to max 80 participants, on a first-come first-served basis.
Le Meet the Expert Session offrono la possibilità di un’interazione veloce e diretta con Esperti riconosciuti su alcuni temi MEET THE EXPERT SATURDAY NOVEMBER 14 | 13.00 - 14.00 CET
di interesse. Si svolgono in uno spazio dedicato, la Meet the Expert Corner, accessibile dalla Lobby e dallo stand virtuale
dell’Azienda Sponsor. Partecipazione a numero chiuso, max 80 partecipanti. Accesso libero fino ad esaurimento posti.
BLOC LANDIO: ß1-selectivity in the clinical practice
BLOC LANDIO: la ß1-selettività nella pratica clinica
MODERATOR: TBD | EXPERT: TBD Supported by
MEET THE EXPERT FRIDAY NOVEMBER 13 | 11.00 - 12.00 CET
EMPRESSIoNi: from theory to clinical practice
EMPRESSIoNi: dalla teoria alla pratica clinica
MODERATOR: TBD | EXPERT: TBD Supported by
MEET THE EXPERT FRIDAY NOVEMBER 13 | 14.30 - 15.30 CET
Hemodynamics at the bedside with the Pulse Contour Cardiac Output (PiCCO)
Emodinamica al posto letto con il Pulse Contour Cardiac Output (PiCCO)
MODERATOR: S. Grasso | EXPERTS: C. Cecchetti, R. Fumagalli Supported by
28 29SIMULATION SESSIONS SIMULATION SESSIONS
Simulation Sessions will take place in the Simulation Center, a dedicated space accessible from both the Lobby SIMULATION CENTER FRIDAY NOVEMBER 13 | 14.30 - 15.30 CET
and the Sponsor’s virtual booth. Admission is limited to max 80 participants with mandatory pre-registration. See
page 45 for details.
Le Simulation Session si svolgono all’interno del Simulation Center accessibile dalla Lobby e dallo stand virtuale dell’Azienda Sponsor.
La partecipazione è a numero chiuso, max 80 partecipanti, con pre-iscrizione obbligatoria. Dettagli a pagina 45. 3 Supported by &
Simulation Session 3 SPEAKERS: M. Carron, G. Cortese
SIMULATION CENTER FRIDAY NOVEMBER 13 | 11.30 - 12.30 CET
AN ES T H ES I A PERIOPERATIVE MANAGEMENT OF OBESE PATIENTS
1
The purpose of this scenario is to discuss the main problems of the perioperative
Supported by & management of obese patients. The topics of positioning on the operating table and airway
management will be addressed with particular attention to different technologies ensuring
a safe transition from spontaneous breathing to anesthesia (traditional laryngoscopy,
fibrobrocoscopy, videolaryngoscopy). The topic of intraoperative management will
Simulation Session 1 SPEAKERS: F. Mojoli, E. Arisi then be addressed, focusing on monitoring techniques and healthcare targets useful to
guarantee an opioid-sparing anesthesia management in line with the latest international
recommendations. Finally, the methods of optimizing awakening from anesthesia and safe
M ECHANIC AL OPTIMIZATION OF PATIENT-VENTILATOR SYNCHRONY DURING
discharge from the operating block will be discussed, aiming at an early mobilization and
ASSISTED VENTILATION
VENTILATIO N The purpose of this simulation scenario is to train attendees on how to optimize patient-
adequate monitoring of the spontaneous respiratory function.
ventilator synchrony during assisted ventilation. Different scenarios of patient-ventilator
interaction will be simulated and their clinical implications will be discussed. GESTIONE PERIOPERATORIA DEL PAZIENTE OBESO
Scopo di questo scenario è offrire ai partecipanti l’opportunità di confrontarsi con le principali
problematiche della gestione perioperatoria del paziente obeso. Saranno illustrati il posizionamento
OTTIMIZZAZIONE DELLA SINCRONIZZAZIONE PAZIENTE-VENTILATORE
sul tavolo operatorio e la gestione delle vie aeree, con particolare attenzione alle tecnologie che
IN VENTILAZIONE ASSISTITA
garantiscono un passaggio sicuro dal respiro spontaneo all’anestesia (laringoscopia tradizionale,
Lo scopo di questo scenario di simulazione è offrire ai partecipanti un training su come sia possibile fibrobrocoscopia, videolaringoscopia). Si affronterà poi la gestione intraoperatoria, con particolare
ottimizzare la sincronizzazione paziente-ventilatore in ventilazione assistita. Saranno simulati attenzione alle tecniche di monitoraggio ed ai target assistenziali utili a garantire una gestione
diversi scenari di interazione paziente-ventilatore e ne saranno discusse le implicazioni cliniche. anestesiologica il più possibile opioid-sparing, in linea con le più recenti raccomandazioni
internazionali. Verranno infine discusse le modalità di ottimizzazione del risveglio dall’anestesia
e della dimissione sicura dal blocco operatorio, con l’obiettivo di garantire una mobilizzazione
precoce ed un monitoraggio adeguato della funzione respiratoria spontanea.
SIMULATION CENTER FRIDAY NOVEMBER 13 | 13.00 - 14.00 CET
SIMULATION CENTER FRIDAY NOVEMBER 13 | 15.45 - 16.45 CET
2 Supported by
4 Supported by
Simulation Session 2 SPEAKERS: G. Monti, M. Nocci
Simulation Session 4 SPEAKERS: E. Rezoagli, TBD
CLINICA L EARLY WARNING SCORE PROTOCOLS TO EFFICIENTLY IDENTIFY
M O NITO RING
PATIENTS AT RISK MEC H AN I C AL MONITORING OF PATIENT-VENTILATOR INTERACTION AT THE BEDSIDE
The purpose of this simulation scenario is to offer an overview of the potential benefits The purpose of this simulation scenario is to train attendees in the main parameters
that the introduction of Early Warning Score protocols can bring in term of clinical patient
VEN T I LAT I ON (numeric or derived from waveform observation), which allow monitoring of various
outcomes and improved staff workflow. Rapid identification of patient deterioration can be aspects of a patient’s ventilator interaction at the bedside, in different modes of assisted
difficult by monitoring single parameters because clinical staff is alerted only after important ventilation. Patients-ventilator synchrony and estimation of patient’s effort will be explored
physiological changes. The Early Warning Score enables the healthcare professionals to and the most frequent abnormal findings will be simulated and their clinical implications will
quickly identify patients at risk and reduce adverse events in general ward. be discussed.
PROTOCOLLI EARLY WARNING SCORE PER UNA EFFICIENTE IDENTIFICAZIONE MONITORAGGIO DELL’ INTERAZIONE PAZIENTE-VENTILATORE AL POSTO LETTO
DEI PAZIENTI A RISCHIO Lo scopo di questo scenario di simulazione è offrire ai partecipanti un training sui principali
Lo scopo di questo scenario di simulazione è fornire una visione generale dei potenziali vantaggi parametri (numerici o derivati dall’osservazionen delle forme d’onda), che permettono il
legati all’introduzione dei protocolli Early Warning Score in termini di miglioramento degli outcome monitoraggio dei vari aspetti dell’interazione paziente-ventilatore al posto letto, in diverse
clinici e del flusso di lavoro del personale sanitario. La rapida identificazione del deterioramento modalità di ventilazione assistita. Saranno analizzate la sincronizzazione paziente-ventilatore e
delle condizioni del paziente può essere difficile se basata sul monitoraggio di singoli parametri, la stima dello sforzo respiratorio del paziente, saranno simulate le anomalie più frequentemente
perché lo staff clinico viene allertato solo dopo variazioni fisiologiche importanti. L’Early Warning riscontrate nella pratica clinica e ne saranno discusse le implicazioni cliniche.
Score permette ai clinici di identificare rapidamente i pazienti a rischio e di ridurre gli eventi avversi
nei reparti di degenza ordinaria.
30 31SIMULATION SESSIONS SIMULATION SESSIONS
SIMULATION CENTER SATURDAY NOVEMBER 14 | 10.00 - 11.00 CET SIMULATION CENTER SATURDAY NOVEMBER 14 | 12.45 - 13.45 CET
5 Supported by 7 Supported by
Simulation Session 5 SPEAKERS: G. Foti, E. Rezoagli Simulation Session 7 SPEAKERS: B. Bouhemad, D. Chiumello
M ECHANIC AL ALVEOLAR RECRUITMENT AND PEEP SETTING BASED ON RESPIRATORY MEC H AN I C AL IMPROVING ARDS MANAGEMENT BASED ON RESPIRATORY MECHANICS
MECHANICS AND ULTRASOUND ASSESSMENT
VENTILATIO N The purpose of this simulation scenario is to train attendees in the possible approaches to
VEN T I LAT I ON The purpose of this simulation scenario is to discuss and train attendees on how the
perform alveolar recruitment maneuvers and to titrate PEEP while taking into account the assessment of respiratory mechanics, mechanical power and lung-muscle ultrasound could
data derived from respiratory mechanics. The most relevant pathologic alterations of these optimize the management of ARDS patients. Different scenarios will be considered and
parameters will be simulated and their clinical implications will be discussed. their clinical implications discussed.
RECLUTAMENTO ALVEOLARE E IMPOSTAZIONE DELLA PEEP IN BASE ALLA MECCANICA MIGLIORARE LA GESTIONE DELL’ ARDS SULLA BASE DELLA MECCANICA RESPIRATORIA
RESPIRATORIA E DELLA VALUTAZIONE ECOGRAFICA
Lo scopo di questo scenario di simulazione è offrire ai partecipanti un training sui possibili approcci Lo scopo di questo scenario di simulazione è offrire ai partecipanti un’occasione di confronto e
utilizzabili per realizzare manovre di reclutamento alveolare e per dosare la PEEP in base ai dati di training su come sia possibile ottimizzare la gestione dei pazienti con ARDS attraverso la
derivati dalle misure di meccanica respiratoria. Saranno simulate le alterazioni patologiche più valutazione della meccanica respiratoria, del mechanical power e dell’ecografia del polmone e
rilevanti di questi parametri e ne saranno discusse le implicazioni cliniche del muscoli respiratori. Saranno presi in considerazione diversi scenari e ne saranno discusse le
implicazioni cliniche.
SIMULATION CENTER SATURDAY NOVEMBER 14 | 11.30 - 12.30 CET SIMULATION CENTER SATURDAY NOVEMBER 14 | 15.30 - 16.30 CET
6 Supported by 8 Supported by
Simulation Session 6 WORK IN PROGRESS Simulation Session 8 SPEAKERS: G. Foti, E. Rezoagli
SETTING THE VENTILATOR DURING ASSISTED VENTILATION
ULTRASOUND MEC H AN I C AL The purpose of this simulation scenario is to train attendees on how to face the main
VEN T I LAT I ON challenges encountered when ventilating a patient with increased airway resistance,
obstructive or restrictive disease, such COPD, ARDS or lung fibrosis. These will include
detection and measurement of increased airway resistance and reduced compliance.
IMPOSTAZIONE DEL VENTILATORE IN VENTILAZIONE ASSISTITA
Lo scopo di questo scenario di simulazione è offrire ai partecipanti un training su come affrontare
le principali problematiche che si manifestano durante la ventilazione di un paziente con una
aumentata resistenza delle vie aeree, una patologia ostruttiva o restrittiva, per esempio BPCO o
ARDS o fibrosi polmonare. Tra le problematiche verranno considerate la rilevazione e la misura di
una aumentata resistenza delle vie aeree e di una ridotta compliance.
32 33SIMULATION SESSIONS
SIMULATION CENTER SUNDAY NOVEMBER 15 | 10.00 - 11.00 CET
9 Supported by &
Simulation Session 9 SPEAKERS: M. Carron, G. Cortese
ANESTHES IA PERIOPERATIVE MANAGEMENT OF OBESE PATIENTS
The purpose of this scenario is to discuss the main problems of the perioperative
management of obese patients. The topics of positioning on the operating table and airway
management will be addressed with particular attention to different technologies ensuring
a safe transition from spontaneous breathing to anesthesia (traditional laryngoscopy,
fibrobrocoscopy, videolaryngoscopy). The topic of intraoperative management will
then be addressed, focusing on monitoring techniques and healthcare targets useful to
guarantee an opioid-sparing anesthesia management in line with the latest international
recommendations. Finally, the methods of optimizing awakening from anesthesia and safe
discharge from the operating block will be discussed, aiming at an early mobilization and
adequate monitoring of the spontaneous respiratory function.
GESTIONE PERIOPERATORIA DEL PAZIENTE OBESO
Scopo di questo scenario è offrire ai partecipanti l’opportunità di confrontarsi con le principali
problematiche della gestione perioperatoria del paziente obeso. Saranno illustrati il posizionamento
sul tavolo operatorio e la gestione delle vie aeree, con particolare attenzione alle tecnologie che
garantiscono un passaggio sicuro dal respiro spontaneo all’anestesia (laringoscopia tradizionale,
fibrobrocoscopia, videolaringoscopia). Si affronterà poi la gestione intraoperatoria, con particolare
attenzione alle tecniche di monitoraggio ed ai target assistenziali utili a garantire una gestione
anestesiologica il più possibile opioid-sparing, in linea con le più recenti raccomandazioni
internazionali. Verranno infine discusse le modalità di ottimizzazione del risveglio dall’anestesia
e della dimissione sicura dal blocco operatorio, con l’obiettivo di garantire una mobilizzazione
precoce ed un monitoraggio adeguato della funzione respiratoria spontanea.
SIMULATION CENTER SUNDAY NOVEMBER 15 | 11.30 - 12.30 CET
10 Supported by
Simulation Session 10 SPEAKER: M. Pittiruti
ULTRASOUND ULTRASONOGRAPHIC VASCULAR ACCESS
The purpose of this simulation scenario is to train attendees on how to choose the best
vascular access device, how to check the pertinent vascular anatomy of the patient, and
how to place a vascular device by ultrasound guide, with particular emphasis on peripherally
inserted central venous catheters (PICCs). Through a structured ad rational approach,
participants will learn how to identify abnormal states and acquire the essential skills for an
effective insertion of last-generation vascular access devices.
ACCESSO VASCOLARE CON TECNICA ECOGRAFICA
Lo scopo di questo scenario di simulazione è offrire ai partecipanti un training su come scegliere
il miglior dispositivo di accesso vascolare, come controllare l’anatomia vascolare pertinente
nei pazienti, e come posizionare un dispositivo di accesso vascolare sotto guida ecografica, in
particolare i cateteri venosi centrali ad inserzione periferica (PICC). Attraverso un approccio
strutturato e razionale, i partecipanti impareranno come identificare anomalie anatomiche ed
acquisiranno le competenze fondamentali per un efficace posizionamento dei dispositivi di accesso
vascolare di ultima generazione.
34 35TECHNICAL FORUM TECHNICAL FORUM
Technical Forums will take place in the Technical Forum Corner, a dedicated space accessible from both the Lobby
and the Sponsor’s virtual booth. Admission is free but limited to max 80 participants, on a first-come first-served TECHNICAL FORUM FRIDAY NOVEMBER 13 | 16.00 - 17.00 CET
basis.
I Technical Forum si svolgeranno in uno spazio dedicato , la Technical Forum Corner, accessibile dalla Lobby e dallo stand virtuale
dell’Azienda Sponsor. Partecipazione a numero chiuso, max 80 partecipanti. Accesso libero fino ad esaurimento posti. SPEAKERS: A. Donati, M. Girardis, G. Montrucchio
PATIENT MANAGEMENT IN SEPSIS AND SEPTIC SHOCK:
ARE WE CLOSE TO A BREAKTHROUGH?
Adrenomedullin (ADM) is a peptide whose levels have been found high in several
pathological conditions. A laboratory method is now available enabling the measurement
TECHNICAL FORUM FRIDAY NOVEMBER 13 | 13.00 - 14.00 CET Supported by of one of its fragments (proADM) whose levels seem to be associated to sepsis severity
so that it is supposed to have a role as early marker. What clinical role could be played
by this biomarker and what answers can it provide? What role for a combined use of
proADM and other biomarkers? This will be discussed with experts of the topics who
SPEAKERS: G. Bellani, D.L. Grieco have tested its applicability in the clinical practice.
Supported by
WORK IN PROGRESS GESTIONE DEL PAZIENTE CON SEPSI E SHOCK SETTICO:
SIAMO VICINI AD UNA SVOLTA?
L’adrenomedullina (ADM) è un peptide i cui livelli sono elevati in diversi quadri patologici. È
XXX
oggi disponibile la misura di un suo frammento (proADM) i cui livelli appaiono correlati con la
Xxx severità della sepsi, tanto da farne ipotizzare un ruolo come marcatore precoce. Quale potrà
essere il ruolo clinico per questo biomarker e quali risposte potrà fornire? Quale ruolo per un
uso combinato con altri biomarcatori? Se ne parla con esperti del settore che ne hanno provato
XXX l’applicabilità nella pratica clinica.
Xxx
TECHNICAL FORUM FRIDAY NOVEMBER 13 | 14.30 - 15.30 CET TECHNICAL FORUM SATURDAY NOVEMBER 14 | 11.00 - 12.00 CET
SPEAKER: R. Montenegro SPEAKERS: D. Elisei, B. Mussa
PrisMax: WHAT IF CRRT TRAINING WAS EASIER AND MORE ACCESSIBLE? Supported by PICC IN THE ICU: AN EFFECTIVE AND SAFE SOLUTION!
Supported by PRISMAX: E SE IL TRAINING SULLA CRRT FOSSE PIÙ SEMPLICE E PIÙ ACCESSIBILE? PICC IN TERAPIA INTENSIVA: SOLUZIONE EFFICACE E SICURA!
WORK IN PROGRESS WORK IN PROGRESS
XXX XXX
Xxx Xxx
XXX XXX
Xxx Xxx
36 37TECHNICAL FORUM TECHNICAL FORUM
TECHNICAL FORUM SATURDAY NOVEMBER 14 | 13.00 - 14.00 CET TECHNICAL FORUM SUNDAY NOVEMBER 15 | 10.00 - 11.00 CET
SPEAKERS: D. Ferlicca, A. Lucchini, S. Pulvirenti SPEAKERS: G. Bellani
Supported by
WORK IN PROGRESS Supported by WORK IN PROGRESS
XXX XXX
Xxx Xxx
XXX XXX
Xxx Xxx
TECHNICAL FORUM SATURDAY NOVEMBER 14 | 16.00 - 17.00 CET TECHNICAL FORUM SUNDAY NOVEMBER 15 | 11.30 - 12.30 CET
SPEAKERS: G. Bellani SPEAKERS: L. Gattinoni, M. Maggiorini
WORK IN PROGRESS MINI INVASIVE EXTRACORPOREAL CO2 REMOVAL:
FROM THEORY TO PRACTICE
Supported by XXX
Xxx RIMOZIONE EXTRACORPOREA DI CO2 MINI-INVASIVA:
DALLA TEORIA ALLA PRATICA
Supported by
XXX
Xxx
WORK IN PROGRESS
38 39GENERAL INFORMATION ABSTRACT submission
31° SMART - VIRTUAL MEETING ORGANIZING SECRETARIAT BEST ABSTRACT AWARD ABSTRACT SUBMISSION GUIDELINES
The 31° SMART - Virtual Meeting will be held on an online Start Promotion Srl - Provider ECM 622 During the 31° SMART - Virtual Meeting, the best Abstracts must be submitted by completing the online
platform www.e-smart2020.org where all key features of Via Mauro Macchi, 50 - 20124 Milano (Italy) three abstracts presented will be awarded. procedure available at www.e-smart2020.org and/or
the traditional SMART meeting are represented, including Tel. +39 02 67 07 13 83 | Fax +39 02 67 07 22 94 www.smartonweb.org. You will be directed to the 31° SMART
structure, scope and philosophy, architecture and ambience. info@startpromotion.it | www.startpromotion.it All participants who present an abstract at the meeting, virtual ambience where you will find a dedicated section
info@e-smart2020.org | www.e-smart2020.org are automatically eligible for the award. Selections will “Upload Abstract” in the Lobby. Please fill in all required entry
Pre-registration is needed to participate. be based on the following two main criteria: quality and fields and upload your file in PDF format (vertical PDF file, see
Deadline: November 6, 2020. scientific relevance, originality of the research. details below).
31° SMART - VIRTUAL AMBIENCE Award winners will be notified by email. The names of After a correct submission, a confirmation message will be
EDUCATIONAL ACCREDITATION winners together with abstract titles will be announced on automatically sent to your email address. Please DON’T try
Saturday November 14 in the E-Poster Area. to submit the same abstract more than once. Should you
ECM accreditation. The 31° SMART - Virtual Meeting has
find errors after submission, please refer to the Organizing
been accredited by the Italian Ministry of Health. See page 46 In order to receive the award, winners are requested to
Secretariat (info@e-smart2020.org). Abstracts must comply
for details. be registered to the 31° SMART - Virtual Meeting.
with the following guidelines:
EACCME® accreditation. An application has been submitted to All prizes are dedicated to Dr. Mario Veronesi and kindly
offered by INTERSURGICAL. Abstract format: Vertical PDF file
the European EACCME® for EACCME® accreditation of the 31°
SMART - Virtual Meeting. Attendance will entitle participants to Language: English
obtain European credits (ECMEC®) according to the criteria set
PRIZES Structure: Title, Authors, Affiliations, Text
by the European Accreditation Council for Continuing Medical
Education (EACCME®), which is an institution of the European 1st PRIZE: Award Certificate, 1 registration voucher for
Title: Poster title
Union of Medical Specialists (UEMS). the next SMART Meeting, monetary award of € 1000.00
Participants will be welcomed in the Lobby (see picture above) Authors: Indicate Authors in the same order as that selected
Which countries recognise EACCME credits? 2nd PRIZE: Award Certificate, 1 registration voucher for for print. First initial and complete last name. Please underline
which is intended to be the crossroads of all the 31° SMART -
Please visit: https://eaccme.uems.eu/Agreements.aspx the next SMART Meeting, monetary award of € 500.00 the name of the presenting Author (e.g.: M. Smith*, D.A. Collins°,
Virtual Meeting activities. In the Lobby, you can register for
the meeting, upload your abstract, ask for organizational or T. Brown*).
3rd PRIZE: Award Certificate, 1 registration voucher for
COMPLIANCE WITH CODES OF ETHICS technical info through a chat interface, view the Scientific Affiliations: Assign each institution a symbol and use the same
the next SMART Meeting, monetary award of € 300.00
Program and the list of Speakers. symbol to identify the Author, as appropriate (e.g.: * Dept of
The Organizing Secretariat guarantees full compliance with Critical Care Medicine, University Hospital, Freiburg D; °Dept.
During the meeting, from the Lobby you can move to both the
the rules of Medtech Europe, Confindustria Dispositivi Medici of Intensive Care, St. John Hospital, London UK).
Scientific Area and the Exhibition Area, as well as the Simulation
and Farmindustria Codes of Ethical Business Practice in Center and corners dedicated to Technical Forums and Meet
the management of any kind of sponsorship and interaction Text (first draft): max 300 words + 1 image or 1 table
the Expert Sessions. The Scientific Area hosts 6 meeting halls Participants are invited to submit their scientific papers on
between industry and healthcare professionals. for simultaneous sessions, including one reserved for SMART anesthesia and/or intensive care topics by completing the
Presentation format: Poster only
Tutorials. Real-time voice or chat interaction as well as access online procedure available at www.e-smart2020.org and/or
to the voting system (if applicable) will be possible in all the www.smartonweb.org (see details below).
MEET ING TIMES
meeting halls except the Tutorials’ one. From the Lobby you can
All meeting times are CET (Central European Time). also access the E-Poster Area and the Meet the Friends Space Deadline for abstract submission: September 15, 2020. GUIDELINES FOR ACCEPTED ABSTRACTS
which is exclusively reserved to Faculty members for small
meetings. Please read the instructions below before submitting your After confirmation of acceptance, Authors will be requested
OFFICIAL LANGUAGES abstract. Abstract submission is possible through the online to upload the final version of their posters including all figures
procedure only. Abstracts sent by fax or mail will not be and charts (vertical PDF file), together with a recorded video
31° SMART - VIRTUAL MEETING accepted. At least one of the Authors is required to be a including the image of the final poster (vertical PDF) and its audio
English, no simultaneous translation. registered participant to the 31° SMART Virtual Meeting. presentation (max 10 min). To create the video it is possible to
use any program that can be converted to mp4. These materials
LUNCH SESSIONS, MEET THE EXPERT SESSIONS, All abstracts received will be evaluated by the Scientific will be made available in the E-Poster Area throughout the 31°
SIMULATION SESSIONS, TECHNICAL FORUMS Committee. Accepted papers will be published at SMART Virtual Meeting.
English or Italian, no simultaneous translation. www.smartonweb.org.
POSTER PRESENTATION
English, no simultaneous translation. All scientific sessions will be held in the Meeting Halls accessible Poster presentations will be held in English. No simultaneous
from the Lobby. translation will be provided. POSTER PRESENTATION
MINIMUM SYSTEM REQUIREMENTS FOR Access to the industry-sponsored Lunch Sessions is possible Contacts with the Authors will be by email only. Please verify All accepted posters will be divided into groups based on the
PARTICIPATING IN THE VIRTUAL MEETING from the Lobby and/or from the Sponsor’s virtual booth. that your email address has been correctly typewritten during topic and displayed in the E-POSTER AREA.
the registration procedure and don’t forget to check your email
account regularly. Abstracts (pdf files) will be available online throughout the 3
Hardware
meeting days in the assigned corners. A video presentation of
- PC with audio (PC, Mac, Tablet, Smartphone) PRESS REGISTRATION
each poster will be scheduled during the virtual meeting in the
- ADSL/4G Mobile internet connection
assigned corner (“view presentation” section). All details on
Accredited members of the press are welcome to the 31° SMART day/time/corner assigned to each poster will be communicated
Software - Virtual Meeting. Online pre-registration before November 6,
-Internet Browser, upgrade to the last 2 years later.
2020 is needed to be admitted to the virtual meeting . During
Recommended browser: Google Chrome the pre-registration procedure, press officers will be required to
upload a document proving their status.
42 43Puoi anche leggere
