Smart Meeting Anesthesia - South Wing
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E N DO RS E D B Y Smart Meeting Anesthesia Resuscitation Intensive Care SMART - ORGANIZING AND SCIENTIFIC COMMITTEE M. Antonelli, A. Braschi, L. Brazzi, L. Camporota, G. Citerio, G. Conti, L. Gattinoni, M. Girardis, A. Pesenti, M. Quintel, F. Raimondi, M. Senturk SMART - ORGANIZING SECRETARIAT Start Promotion Srl Via Mauro Macchi, 50 - 20124 Milano - Italy Tel. +39 02 67071383 | Fax +39 02 67072294 Email: info@startpromotion.it | www.startpromotion.it 3
P R OGR AM Smart Meeting Anesthesia Contents Resuscitation Intensive Care Faculty 6 Live Streaming Sessions 9 Program 12 Smart Nursing 25 Expert Sessions - Discussion Square 26 WeSmart Sessions 30 Simulation Sessions 36 Oral Presentations 42 E-Poster Sessions 46 Educational Courses 54 General Information 60 Acknowledgements 68 Layouts 69 Map of the Area 73 4 5
P R O GR A M P R OGR AM Smart Meeting Anesthesia Faculty Smart Meeting Anesthesia Faculty Resuscitation Intensive Care Resuscitation Intensive Care Abbruzzese C., Milano (I) Casella G., Milano (I) Forni L.G., Guildford (UK) Leone M., Marseille (F) Pellis T., Pordenone (I) Scandroglio A.M., Milano (I) Amigoni A., Padova (I) Castellano G., Milano (I) Foti G., Monza (I) Lucchini A., Monza (I) Pelosi P., Genova (I) Schultz M., Amsterdam (NL) Amirfarzan H., Boston (USA) Cecconi M., Milano (I) Frassanito L., Roma (I) Perchiazzi G., Uppsala (S) Scolletta S., Siena (I) Ammirati E., Milano (I) Chidini G., Milano (I) Frerichs I., Kiel (D) Maas A., Antwerp (B) Pesenti A., Milano (I) Senturk M., Istanbul (TR) Annane D., Paris (F) Chinali I., Monza (I) Fumagalli R., Milano (I) Maggiore S.M., Chieti-Pescara (I) Pezzato S., Genova (I) Shankar-Hari M., London (UK) Antonelli M., Roma (I) Chiumello D., Milano (I) Fusco T., Melegnano-Vizzolo P. (I) Manici M., Parma (I) Piastra M., Roma (I) Singer M., London (UK) Arisi E., Pavia (I) Cimbanassi S., Milano (I) Futier E., Clermont-Ferrand (F) Marchese F., Palermo (I) Piccioni F., Milano (I) Slutsky A., Toronto (CDN) Azoulay E., Paris (F) Citerio G., Monza (I) Marini J.J., St. Paul (USA) Pittiruti M., Roma (I) Sonneville R., Paris (F) Collino F., Torino (I) Galazzi A., Milano (I) Martin-Loeches I., Dublin (IRL) Povoa P., Lisbon (P) Sorbello M., Catania (I) Bambi S., Firenze (I) Coluzzi F., Roma (I) Gamberini E., Rimini (I) Martinez Lopez de Arroyabe B., Verona (I) Pozzi M., Pavia (I) Sozio E., Udine (I) Bandera A., Milano (I) Combes A., Paris (F) Gattarello S., Goettingen (D) Mattiussi E., Udine (I) Protti A., Milano (I) Stocchetti N., Milano (I) Barrett N., London (UK) Joint Session EuroElso Smart Gattinoni L., Goettingen (D) Mauri T., Milano (I) Struys M., Groningen (NL) Joint Session EuroElso Smart Comisso I., Udine (I) Gawronski O., Roma (I) McAuley D., Belfast (UK) Quintel M., Deggendorf (D) Bassi F., Udine (I) Coniglio C., Bologna (I) Giarratano A., Palermo (I) Mebazaa A., Paris (F) Taccone F.S., Bruxelles (B) Bein T., Regensburg (D) Constantin J.M., Clermont-Ferrand (F) Giosa L., Torino (I) Meissner K., Goettingen (D) Rachedi N., Roma (I) Tavazzi G., Pavia (I) Joint Session EuroElso Smart Conti G., Roma (I) Girardis M., Modena (I) Menon D., Cambridge (UK) Raciti C.A., Padova (I) Teboul J.L., Le Kremlin-Bicêtre (F) Bellani G., Monza (I) Coppadoro A., Monza (I) Giussani C., Monza (I) Mertès P.M., Strasbourg (F) Raimondi M., Voghera (I) Toffoletto F., Venezia (I) Beretta L., Milano (I) Corradi F., Pisa (I) Gonzales-Pizarro P., Madrid (E) Messina A., Milano (I) Ranieri V.M., Bologna (I) Tonelli R., Modena (I) Berger M.M., Lausanne (CH) Cortegiani A, Palermo (I) Grainger E., London (UK) Meyfroidt G., Leuven (B) Rasmussen B.S., Aalborg (DK) Tonetti T., Bologna (I) Berlot G., Trieste (I) Cortese G., Torino (I) Grasselli G., Milano (I) Mistraletti G., Milano (I) Rasulo F., Brescia (I) Torrano V., Milano (I) Berra L., Boston (USA) Cottam D., Guildford (UK) Grasso S., Bari (I) Moerer O., Goettingen (D) Rezoagli E., Monza (I) Tritapepe L., Roma (I) Bignami E., Parma (I) Curtoni A., Torino (I) Grieco D.L., Roma (I) Mojoli F., Pavia (I) Ricci Z., Firenze (I) Trompeo A., Torino (I) Boselli E., Lyon (F) Guarracino F., Pisa (I) Momesso E., Venezia (I) Rimmelé T., Lyon (F) Turani F., Roma (I) Bottari G., Roma (I) De Ferrari G., Torino (I) Mondardini C., Bologna (I) Rinaldi M., Torino (I) Bottazzi A., Pavia (I) De Gasperi A., Milano (I) Hannivoort L.N., Groningen (NL) Mondello S., Messina (I) Ristagno G., Milano (I) Vailati D., Melegnano-Vizzolo P. (I) Bouhemad B., Dijon (F) De Luca D., Paris (F) Helbok R., Innsbruck (A) Mongodi S., Pavia (I) Riva T., Bern (CH) Valente S., Siena (I) Braschi A., Pavia (I) De Pascale G., Roma (I) Heunks L., Rotterdam (NL) Monti G., Milano (I) Robba C., Genova (I) Valenza F., Milano (I) Brazzi L., Torino (I) De Robertis E., Perugia (I) Hilty M., Zurich (CH) Montrucchio G., Torino (I) Romagnoli S., Firenze (I) Vandenbriele C., London (UK) Brochard L., Toronto (CDN) De Rosa F.G., Torino (I) Hoogendoorn M., Amsterdam (NL) Monzani R., Milano (I) Rona R., Monza (I) Vetrugno L., Chieti (I) Brodie D., New York (USA) De Rosa R.C., Napoli (I) Horeman-Franse T., Delft (NL) Morelli A., Roma (I) Ronco C., Vicenza (I) Viaggi B., Firenze (I) Joint Session EuroElso Smart De Rosa S., Vicenza (I) Rosboch G.L., Torino (I) Viale P., Bologna (I) Brusasco C., Genova (I) De Waele J., Ghent (B) Ichai C., Nice (F) Nielsen N.D., Albuquerque (USA) Rossi M., Roma (I) Villa M., Monza (I) Bugada D., Bergamo (I) Dellacà R., Milano (I) Iotti G.A., Pavia (I) Nierhaus A., Hamburg (D) Rossi S., Parma (I) Villar J., Las Palmas Gran Canaria (E) Busana M., Goettingen (D) Dhanjal M., London (UK) Iozzo P., Palermo (I) Rubulotta F., Montreal (CDN) Vincent J.L., Bruxelles (B) Busani S., Modena (I) Di Masi A., Roma (I) Oddo M., Lausanne (CH) Russo G., Lodi (I) Volta C.A., Ferrara (I) Bussolin L., Firenze (I) Disma N., Genova (I) Jaber S., Montpellier (F) Oleari F., Piacenza (I) Russotto V., Torino (I) Donadello K., Verona (I) Jalan R., London (UK) Oliveira C., Porto (P) Welte T., Hannover (D) Caironi P., Torino (I) Duska F., Prague (CZ) Ostermann M., London (UK) Sacchi M., Milano (I) Wiegers E., Rotterdam (NL) Cammarota G., Perugia (I) Karagiannidis C., Cologne (D) Sacco A., Milano (I) Wolfler A.M., Genova (I) Camporota L., London (UK) Elli S., Monza (I) Joint Session EuroElso Smart Paladini G., Torino (I) Samama C.M., Paris (F) Wouters P., Ghent (B) Cantaluppi V., Novara (I) Koch S., Berlin (D) Panigada M., Milano (I) Sandroni C., Roma (I) Capogreco M.R., Milano (I) Falcetta S., Ancona (I) Koulenti D., Athens (GR) Pasero D., Sassari (I) Sanfilippo F., Catania (I) Zanella A., Milano (I) Cappelleri G., Monza (I) Fanelli A., Monza (I) Joint Session EuroElso Smart Paternoster G., Potenza (I) Sangalli F., Sondrio (I) Caramelli F., Bologna (I) Fanelli V., Torino (I) Laffey J., Galway (IRL) Zanier E., Milano (I) Payen D., Paris (F) Santini A., Milano (I) Caricato A., Roma (I) Ferrer Roca R., Barcelona (E) Landoni G., Milano (I) Zanierato M., Torino (I) Pea F., Udine (I) Sbaraglia F., Roma (I) Carozzi C., Milano (I) Forfori F., Pisa (I) Langer T., Milano (I) 6 7
Smart Meeting Anesthesia Resuscitation Intensive Care LIVE STREAMING SESSIONS Sessions outlined below will be live streamed throughout the 33° SMART Meeting. Live streaming sessions are available for free, with mandatory registration, at www.e-smart2022.org, section Live Sessions. Le sessioni riportate in questa pagina saranno trasmesse in diretta streaming durante il 33° SMART. Potranno essere seguite gratuitamente, previa registrazione dei propri dati, al sito www.e-smart2022.org, sezione Live Sessions. MAY 4 | 12.45 - 14.15 MAY 5 | 12.45 - 14.15 MAY 6 | 12.45 - 14.15 AMBER HALL 1-2 AMBER HALL 1-2 AMBER HALL 1-2 the SMART meeting at your fingertips LUNCH SESSION | IL PERCORSO LUNCH SESSION | ENDOTOXEMIA IN LUNCH SESSION | THE ROLE OF DEL PAZIENTE IN SHOCK CARDIOGENO: CRITICALLY ILL PATIENTS AND IMMUNOGLOBULIN THERAPY IN UN CASO INTERATTIVO ADVANCED BLOOD PURIFICATION VIRAL AND BACTERIAL COMMUNITY Supported by GETINGE THERAPIES ACQUIRED PNEUMONIA Chairpersons: A. Pesenti, F. Sangalli Supported by ESTOR Supported by BIOTEST Chairpersons: R. Ferrer Roca, T. Rimmelé Chairpersons: G. Berlot, M. Girardis Monitoraggio emodinamico di base - G. Casella Real time interaction, ballot system and all SMART info Ottimizzazione dell’assistenza meccanica Endotoxemia and endotoxic shock: rationale and pathophysiology - M. Girardis Pathobiology of viral and bacterial pneumonia: analogies and differences - A. Nierhaus at a glance! Milano con contropulsatore e gestione clinica - lication S. Valente Superimposed Infections and endotoxemia sCAP and immunoglobulin therapy: May 4/6, 2022 in critically ill COVID-19 patients: which evidences? - T. Welte Interazione in tempo reale, sistema di votazione (ballot) e Gestione del paziente in ECMO veno-arteriosa - F. Sangalli the gut-lung axis - R. Ferrer Roca Use of immunoglobulin in viral pneumonia: tutte le informazioni sempre a portata di mano! Complement system inhibition in septic AKI theories and facts - M. Girardis Gestione ventilatoria, monitoraggio e requiring RRT: role of PMMA membrane - ventilazione assistita a controllo neurale - G. Castellano G. Bellani Polymyxin B hemoperfusion and SETS in endotoxic shock: timing and dose - S. De Rosa MAY 6 | 12.45 - 14.15 AMBER HALL 5-6 MAY 5 | 11.30- 12.30 LUNCH SESSION | ECOS AMBER HALL 5-6 (EXTRACORPOREAL ORGAN SUPPORT) MAY 5 | 12.45 - 14.15 FOCUS ON: KIDNEY-LUNG NONINVASIVE SUPPORT FOR ACUTE AMBER HALL 5-6 Supported by BAXTER RESPIRATORY FAILURE: WHICH Download the app APPROACH FOR BETTER RESULTS? LUNCH SESSION | GREENING THE OPERATIVE ROOM: IS IT TIME FOR Chairperson: C. Ronco Supported by DIMAR Terapie extracorporee e supporto polmonare: on www.smartonweb.org or directly A NEW APPROACH? Chairpersons: D. Chiumello, G. Conti il ruolo dell’ECCO2R - L. Gattinoni on App Store for Apple Products and Supported by INTERSURGICAL Google Play for Android Products. Patient selection - A. Coppadoro Chairpersons: L. Brazzi, S. Koch Nuova piattaforma ECOS per gestire disfunzioni d’organo multiple e combinate - Helmet: wet or dry? - G. Foti New challenges for anesthesia: F. Turani the climate change - S. Koch Helmet - C. Brusasco Sustainability at the operating room: Scarica l’ app EU status - P. Gonzalez-Pizarro Gold in garbage: waste segregation - L. Brazzi su www.smartonweb.org o direttamente MAY 5 | 11.30 - 13.30 BROWN HALL 3 Surgical waste reprocessing: the new era - su App Store per prodotti Apple e Google T. Horeman-Franse Play per prodotti Android. London-Milan in connection JOINT SESSION EUROELSO - SMART WHAT IS THE FUTURE FOR ECCO2R? Moderators: L. Camporota, L. Heunks MAY 5 | 14.30 - 16.00 BROWN HALL 1 Efficiency of ECCO2R - N. Barrett WHY HUMIDIFICATION IS VITAL: FROM Technical drawbacks of ECCO2R - PHYSIOLOGY TO CLINICAL EVIDENCE C. Karagiannidis Supported by FISHER & PAYKEL HEALTHCARE ECCO2R in ARDS - T. Bein Chairpersons: L. Brochard, A. Pesenti ECCO2R in COPD - D. Brodie Why humidification is important - P. Pelosi Which trial(s) after the REST? - A. Combes Humidification with helmet CPAP - G. Foti Combining renal and respiratory support? - Humidification and HFNO - S. Jaber A. Zanella Humidification in mechanically ventilated ROUND TABLE COVID-19 patients - L. Brochard What is the future for ECCO2R? - All Speakers 18 8 9
Dear colleague, On behalf of the Organising Committee of the SMART Meeting, we would like to thank you for attending the 2022 edition of the SMART meeting, and we look forward to seeing you in Milan. This year the SMART meeting will be full of relevant and up-to-date educational and scientific content delivered live using a variety of formats. Each session has been carefully designed and thought through with your needs in mind. We wanted to maximise the space for debate, round tables, and interactive sessions to give you the opportunity to share Smart Meeting Anesthesia your experience with colleagues around the world and members of the faculty and actively contribute to discussions Resuscitation Intensive Care and debates. To make the most of your time at the SMART meeting – please take some time to read through the format of each session so that you can take full advantage of the content and opportunity for participation. We really hope you will find SMART meeting educational, inspiring and fun. See you in Milan! Classical Sessions These sessions are ‘high level Pro-Con These sessions are arranged as pro con debates. review’ of a specific topic. They reflect the current literature Each presenter will state their case pro or against a topic and contain 2-3 general take-home messages for education and there will be time for a short rebuttal and discussion. and discussion. PROGRAM The sessions reflect wider knowledge and their content is Debates These sessions are designed to stimulate meant to be clinically-oriented and educational. There is a a debate between speakers who will argue opposing 15 min slot for general discussion at the end of each session. viewpoints on a controversial topic. Round Tables These sessions are designed to discuss Debates with Ballot These sessions are designed to a topic with unclear evidence which admits more than one explore the pros, the cons and the doubts around a specific point of view. The round tables reflect these differences topic, clinical case or clinical intervention. These sessions using data in the literature and personal experience from a are interactive. The speaker will present 4 multiple choice variety of experts. questions each with 3 possible options. Single best option The moderator will ensure that the discussion will have will be accepted. You will be invited to participate using a high quality content and that time is used effectively and voting/polling system. that each discussant has equal opportunity to present ideas and concepts. Friday-Night Troubleshooting These are very practical sessions meant to present how the speaker Back to Physiology These sessions reflect the would go about addressing a specific clinical issue on an central importance of applied physiology in critical care. ‘hypothetical Friday night’… Emphasis will be given to cases These sessions will present concepts of applied physiology and practical advice, including what to ‘watch out’. at more advanced level which reflect the most current and up-to-date literature. One-On-One Session During these sessions each presenter discuss one of the elements of the topic Tutorials These sessions will present the concepts of particularly highlighting the differences in the pre- applied physiology at more basic level and are aimed at the COVID-19 era vs during COVID-19. younger audience. The emphasis here is educational value of the physiological fundamentals of critical care. Interactive Clinical Cases These sessions will have two moderators and two speakers. Each speaker will present a clinical case and will involve the participants either through a ballot or through open questions. Discussion among the faculty members (moderators and speakers) is essential to maximise the educational value of these sessions. 10 11
P R O GR A M P R OGR AM Smart Meeting Anesthesia Wednesday May 4 MORNING Smart Meeting Anesthesia Wednesday May 4 MORNING Resuscitation Intensive Care Resuscitation Intensive Care AMBER HALL 1-2 AMBER HALL 5-6 BROWN HALL 1 BROWN HALL 2 BROWN HALL 3 AMBER HALL 7 COMPARING DATA FROM COVID-19 MECHANICAL VENTILATION: NEW TRENDS IN PEDIATRIC BACK TO PHYSIOLOGY WHICH STUDY CHANGED TUTORIALS AND NON COVID-19 ARDS AN UPDATE AND NEONATAL ICU SEPSIS 1 YOUR PRACTICE IN THE BASIC PHYSIOLOGY Chairpersons: M. Cecconi, P. Pelosi Chairpersons: A. Slutsky, J. Villar Chaipersons: G. Conti, S. Pezzato Presenter: E. Bignami LAST 10 YEARS Presenter: F. Valenza 9.30 Total lung stress as a risk factor 9.30 Noninvasive support in ARF 9.30 SARS-CoV-2 infection 9.30 Immune response 9.30 Management for death O. Moerer in neonates to infection Which study changed of delirium in ICU D. Chiumello D. De Luca M. Shankar-Hari your practice in... A. Trompeo 9.50 Awake proning: timing, physiological Intensive Care 9.45 Does PEEP reduce respiratory drive changes and outcomes 9.50 COVID-19 and MIS-C 10.00 From infection to 10.00 Understanding a gas in spontaneously breathing J. Laffey in children organ dysfunction Chairpersons: M. Ostermann, analysis: from numbers COVID-19 patients? S. Pezzato D. Payen A. Pesenti to the respiratory and L. Giosa 10.10 Lower or higher oxygenation cardiocirculatory status targets in ventilated patients 10.10 Lung ultrasound in 10.30 Tissue oxygenation 9.30 Respiratory intensive L. Camporota 10.00 Do intubate or do not intubate? B.S. Rasmussen neonatal and pediatric in distributive shock care M. Antonelli COVID-19 patients M. Girardis G. Bellani 10.30 Understanding 10.30 Tracheal intubation: D. De Luca an acid-base balance 10.15 Prolonged proning: yes or no? can we prevent the risks? 9.45 Neurointensive care T. Langer G. Bellani V. Russotto 10.30 Discussion N. Stocchetti 11.00 Coffee Break 10.30 Organizational issues and mortality 10.50 Discussion and Exhibition Visit 10.00 Fluid management during COVID-19 pandemic P. Caironi 11.00 Coffee Break G. Grasselli 11.00 Coffee Break and Exhibition Visit and Exhibition Visit 10.15 Renal failure and CRRT 10.45 Discussion 11.00 Coffee Break and Exhibition Visit BACK TO PHYSIOLOGY M. Ostermann SEPSIS 2 10.30 Sepsis TUTORIALS WHAT’S NEW IN PEDIATRIC Presenter: S. Rossi R. Ferrer Roca SETTING THE VENTILATOR 11.00 Coffee Break and Exhibition Visit 11.30 - 12.30 AND NEONATAL 11.30 Mitochondrial Presenter: V. Fanelli ROUND TABLE MECHANICAL VENTILATION dysfunction in USE AND LIMITS OF ‘ARDS’ Chairpersons: G. Conti, critically ill patients 11.00 Coffee Break 11.30 Setting and monitoring Moderators: J.J. Marini, V.M. Ranieri D. De Luca D. Payen and Exhibition Visit mechanical ventilation DEBATE WITH BALLOT in the restrictive patient AIRWAY MANAGEMENT IN THE 11.30 Forced oscillation 12.00 PK/PD basic rules S. Grasso OPERATING ROOM: A DEVICE OR Should we retire ‘ARDS’ or give it technique (FOT): for antibiotic use in new clothes? A STRATEGY PROBLEM? a deeper look on critically ill patients Which study changed 12.00 Setting and monitoring J. Laffey, A. Pesenti, A. Slutsky INTERACTIVE SCENARIOS WITH BALLOT lung mechanics F. Pea your practice in... mechanical ventilation Moderator: M. Sorbello R. Dellacà in the obstructive patient Emergency C.A. Volta 11.45 Neurally-adjusted Chairpersons: R. Fumagalli, 11.30 In awake patients 12.30 Lunch Break ventilatory assist 12.30 Lunch Break E. Zanier G. Cortese during NIV: the most synchronous support 11.30 Surgery 12.30 Lunch Break 11.50 In asleep patients G. Chidini F. Valenza S. Falcetta 12.00 Not only HFO: high 11.50 Cardiac arrest 12.10 Discussion frequency ventilation G. Ristagno techniques in PICU M. Piastra 12.10 Post-cardiac arrest 12.30 Lunch Break management 12.15 Discussion C. Sandroni 12.30 Lunch Break 12.30 Lunch Break 12 13
P R O GR A M P R OGR AM Smart Meeting Anesthesia Wednesday May 4 AFTERNOON Smart Meeting Anesthesia Wednesday May 4 AFTERNOON Resuscitation Intensive Care Resuscitation Intensive Care AMBER HALL 1-2 AMBER HALL 3-4 AMBER HALL 5-6 BROWN HALL 1 BROWN HALL 2 BROWN HALL 3 AMBER HALL 7 12.45 - 14.15 ACUTE KIDNEY INJURY 1 12.45 - 14.15 PEDIATRIC ANESTHESIA FRIDAY-NIGHT WHICH STUDY CHANGED TUTORIALS LUNCH SESSION Chairpersons: L.G. Forni, Z. Ricci LUNCH SESSION Chairpersons: L. Bussolin, TROUBLESHOOTING YOUR PRACTICE IN THE RENAL FUNCTION IL PERCORSO DEL PAZIENTE IN SHOCK ALBUMIN N. Disma IN METABOLIC LAST 10 YEARS Presenter: G. Monti CARDIOGENO: UN CASO INTERATTIVO 14.30 Pathophysiology of Supported by CSL BEHRING, GRIFOLS DISTURBANCES Supported by GETINGE COVID-19-associated AKI KEDRION BIOPHARMA 14.30 Update on preoperative Presenter: K. Donadello 14.30 Renal physiology L.G. Forni fasting Which study changed and mechanisms of AKI Chairpersons: A. Pesenti, F. Sangalli Chairpersons: P. Caironi, L. Gattinoni L. Bussolin 14.30 Assessing acid-base your practice in... V. Cantaluppi 14.50 Management of acute kidney injury status Anesthesia Monitoraggio emodinamico di base Molecular-binding capacity of human associated with COVID-19 14.50 The use of oxygen L. Giosa 15.00 Management of oliguria G. Casella albumin: from toxins to drugs Chairpersons: E. Bignami, D. Cottam in the operating room M. Ostermann A. Di Masi A. Giarratano T. Riva 15.00 Assessing electrolyte Ottimizzazione dell’assistenza meccanica 15.10 Hemoperfusion and blood purification disturbances 15.30 CRRT con contropulsatore e gestione clinica Albumin and acid-base in the critically ill: 14.30 Cardiac surgery strategies in septic patients 15.10 What do we learn from P. Caironi S. De Rosa S. Valente the unknown interplay G. Landoni S. Romagnoli Nectarine study? L. Giosa N. Disma 15.30 Assessing metabolic Gestione del paziente in ECMO 14.50 Non cardiac surgery 15.30 Cardiorenal syndrome demands veno-arteriosa Clinical use of albumin in sepsis after E. De Robertis Z. Ricci 15.30 Nociception and M.M. Berger 16.00 Break and Exhibition Visit F. Sangalli the 2021 SSC guideline intraoperative P. Caironi 15.10 Locoregional anesthesia 15.50 Discussion pain measurement Gestione ventilatoria, monitoraggio e G. Russo F. Sbaraglia ventilazione assistita a controllo neurale Non-oncotic properties of albumin: G. Bellani where are we? 16.00 Break and Exhibition Visit TUTORIALS 15.30 Anesthesia depth 15.50 Discussion OPTIMIZING VENTILATION R. Jalan (remote connection) S. Romagnoli 16.00 Break and Exhibition Visit Discussion Presenter: T. Mauri Discussion FRIDAY-NIGHT 16.30 Respiratory mechanics 16.00 Break and Exhibition Visit DEBATE WITH BALLOT - SEPSIS TROUBLESHOOTING 16.00 Break and Exhibition Visit F. Collino ACUTE KIDNEY INJURY 2 PROPHYLAXIS, PRE-EMPTIVE AND IN HEMODINAMICS Chairpersons: V. Cantaluppi, G. Monti ARE WE AT A TURNING POINT 17.00 CPAP and High Flow TARGETED ANTIMICROBIAL THERAPY Presenter: D. Pasero WITH THE ADMINISTRATION Nasal Cannula: IN MECHANICALLY VENTILATED 16.30 Nutrients and micronutrients at risk HOT TOPICS OF ANESTHETIC DRUGS? Which study changed indications and PATIENTS: WHY AND WHEN IN PEDIATRIC ICU 16.30 Assessing the venous during renal replacement therapy techniques Chairpersons: A. Mebazaa, A. Morelli function your practice in... Moderators: J. De Waele, N.D. Nielsen M.M. Berger Chairpersons: G. Chidini, A. Cortegiani M. Piastra J.L. Teboul Perioperative Medicine Questions for discussion: 16.50 AKI biomarkers: how to incorporate 14.30 Pharmacokinetic-pharmacodynamic Chairpersons: F. Coluzzi, F. Valenza 17.30 How to improve models for propofol administration 17.00 Assessing the heart them in the clinical practice 16.30 Sedation and analgesia patient-ventilator 14.30 SDD prophylaxis for VAP: M. Ostermann in anesthesia and sedation pump function in PICU: what’s new 16.30 Ventilatory assistance synchrony yes/no/maybe G. Montrucchio M. Struys F. Guarracino A. Amigoni E. Futier F. Mojoli 17.10 Perioperative AKI following major 14.45 Aggressive targeted therapy for VAP: 14.50 Pharmacokinetic-based 17.30 Assessing the arterial abdominal surgery 16.50 Delirium in Pediatric ICU: 16.50 Delirium yes/no/maybe G. De Pascale L.G. Forni administration of dexmedetomidine function from prevention H. Amirfarzan L.N. Hannivoort D. Payen to treatment 15.00 Prophylaxis for IPA in COVID-19: 17.30 Discussion C. Mondardini yes/no/maybe D. Koulenti 15.10 Ketamine: comeback of an old drug H. Amirfarzan 17.10 Clinical use of porcine 15.15 Pre-emptive strategy for CMV infection: yes/no/maybe P. Povoa surfactant in pediatrics 15.30 Discussion A.M. Wolfler 15.30 Discussion 17.30 Discussion 16.00 Break and Exhibition Visit 16.00 Break and Exhibition Visit DEBATE WITH BALLOT - SEPSIS SEPSIS: PERSONALIZED THERAPY WHAT HAS CHANGED IN TRAUMA BEFORE ICU MANAGEMENT IN THE LAST 10 YEARS? Moderators: M. Girardis, I. Martin-Loeches Chairpersons: S. Cimbanassi, E. Gamberini Questions for discussion: 16.30 Pre-hospital trauma care N. Rachedi 16.30 qSOFA score is the trigger: yes/no/maybe R. Ferrer Roca 16.50 Massive bleeding C. Samama 16.45 Antibiotics early and strong: yes/no/maybe J. De Waele 17.10 Use of REBOA C. Coniglio 17.00 Fluids resuscitation first: yes/no/maybe M. Cecconi 17.30 Brain trauma A. Maas 17.15 Early noradrenaline: yes/no/maybe K. Donadello 17.50 Discussion 17.30 Discussion 14 15
P R O GR A M P R OGR AM Smart Meeting Anesthesia Thursday May 5 MORNING Smart Meeting Anesthesia Thursday May 5 MORNING Resuscitation Intensive Care Resuscitation Intensive Care AMBER HALL 1-2 AMBER HALL 3-4 AMBER HALL 5-6 BROWN HALL 1 BROWN HALL 2 BROWN HALL 3 AMBER HALL 7 THE INTENSIVE CARE IS THERE A ROLE FOR PRO-CON UPDATE IN REGIONAL BACK TO PHYSIOLOGY THERAPIES IN COVID-19 TUTORIALS JOURNALS IN COVID-19 EXTRACORPOREAL CO2 CHALLENGES AND ANESTHESIA PERIOPERATIVE MANAGEMENT 1 Chairpersons: M. Antonelli, S. Rossi CIRCULATION TSUNAMI. LESSON LEARNED REMOVAL IN ACUTE CONTROVERSIES IN Chairpersons: A. Fanelli, G. Russo Presenter: G. Cortese Presenter: A. Morelli Moderators: J.J. Marini, D. Payen RESPIRATORY FAILURE? CARDIOGENIC SHOCK 9.00 Antiviral treatments Moderators: L. Camporota, MANAGEMENT 9.00 Regional anesthesia: 9.00 Mechanisms of acute pain P. Povoa 9.00 Monitoring hemodynamics 9.00 American Journal of M. Quintel Moderators: M. Rinaldi, are we still in ultrasound F. Coluzzi R. Fumagalli Respiratory and Critical A.M. Scandroglio revolution? 9.15 Steroids Care Medicine 9.00 Physiology of ECCO2R E. Boselli 9.30 Pharmacological basis D. Annane 9.30 Echo monitoring cardiac function (AJRCCM) L. Gattinoni 9.00 All patients need an of pain treatment G. Tavazzi L. Brochard invasive monitoring! 9.20 The role of regional G. Russo 9.30 Management of coagulation 9.20 Discussion Pro: G. De Ferrari anesthesia during N.D. Nielsen 10.00 Fluid management 9.15 Critical Care (CC) Con: C. Vandenbriele SARS-CoV-2 pandemic 10.00 Effects of different fluids J.L. Teboul J.L.Vincent G. Cappelleri (composition and volume) 9.45 Monoclonal antibodies 10.00 The left ventricle needs T. Langer and convalescent plasma 10.30 Cardiocirculatory drugs 9.30 Intensive Care 9.30 - 11.00 to be vented! 9.40 Erector spinae block: M. Shankar-Hari in the critically ill Medicine (ICM) ROUND TABLE Pro: A. Mebazaa technique and indications 10.30 Hemodynamic change S. Scolletta G. Citerio ECCO2R IN ARDS: Con: F. Guarracino in the different settings during surgery 10.00 Immune modulation WHY DID THE REST TRIAL A. Fanelli L. Tritapepe A. Nierhaus 9.45 Lancet Resp Med FAIL? E. Grainger 10.00 Regional anesthesia and 10.15 High flow O2 therapy vs. 11.00 Coffee Break and Exhibition Visit D. McAuley, A. Pesenti, opioid-free anesthesia: noninvasive ventilation 11.00 Coffee Break and 10.00 Discussion M. Quintel, V.M. Ranieri two sides of the same coin 11.00 Coffee Break and Exhibition Visit S.M. Maggiore Exhibition Visit D. Bugada 10.30 Discussion TUTORIALS 10.20 Regional anesthesia and ANESTHESIA 1 11.00 Coffee Break analgesia for breast BACK TO PHYSIOLOGY 11.00 Coffee Break NONINVASIVE SUPPORT Presenter: L. Tritapepe and Exhibition Visit surgery PERIOPERATIVE MANAGEMENT 2 and Exhibition Visit FOR ACUTE RESPIRATORY V. Torrano 11.00 Coffee Break and Exhibition Visit FAILURE: WHICH Presenter: G.L. Rosboch 11.30 Strategy for the difficult-to-intubate APPROACH FOR BETTER patient 10.40 Discussion IMPROVING PATIENT RESULTS? 11.30 The lung during anesthesia M. Sorbello 11.30 - 12.30 SATISFACTION AND M. Schultz Supported by DIMAR DEBATE - JOURNALS USE OF RESOURCES: London-Milan in connection 12.00 Anesthesia in the OSAS patient MY MANUSCRIPT HAS Chairpersons: D. Chiumello, 12.00 Supporting the failing circulation G. Cortese ACHIEVABLE GOALS? 11.00 Coffee Break and BEEN REJECTED… G. Conti A. Morelli JOINT SESSION EUROELSO - SMART Chairpersons: L. Brazzi, Exhibition Visit EXPLAIN ME HOW WHAT IS THE FUTURE FOR ECCO2R? R. Monzani 11.30 Patient selection TO COPE AND IMPROVE Moderators: L. Camporota, L. Heunks from Milan A. Coppadoro 12.30 Lunch Break Moderator: G. Citerio 11.30 Adapting operating 12.30 Lunch Break programs to 11.45 Helmet: wet or dry? MECHANICAL CIRCULATORY 11.30 Efficiency of ECCO2R Speakers: L. Brochard, J.L. Vincent ever-changing needs G. Foti SUPPORT: WHEN TO STEP UP N. Barrett from London M.R. Capogreco AND WHEN TO STOP 12.00 Helmet 11.45 Technical drawbacks of ECCO2R Chairpersons: M. Quintel, 11.50 Providing patients C. Brusasco C. Karagiannidis from London 12.30 Lunch Break A. Trompeo and staff satisfaction K. Meissner 12.15 Discussion 12.00 ECCO2R in ARDS 11.30 Cardiogenic shock: T. Bein from London toward a standardized 12.10 Discussion algorithm? 12.15 ECCO2R in COPD G. Tavazzi 12.30 Lunch Break D. Brodie from London 11.45 Recognize the futility 12.30 Lunch Break 12.30 Which trial(s) after the REST? A. Sacco A. Combes from London 12.00 Recognize the indication 12.45 Combining renal and M. Rinaldi respiratory support? A. Zanella from London 12.15 Discussion 13.00 ROUND TABLE What is the future for ECCO2R? All Speakers 12.30 Lunch Break 13.30 Lunch Break 16 17
P R O GR A M P R OGR AM Smart Meeting Anesthesia Thursday May 5 AFTERNOON Smart Meeting Anesthesia Thursday May 5 AFTERNOON Resuscitation Intensive Care Resuscitation Intensive Care AMBER HALL 1-2 AMBER HALL 3-4 AMBER HALL 5-6 BROWN HALL 1 BROWN HALL 2 BROWN HALL 3 AMBER HALL 7 12.45 - 14.15 INTERACTIVE CLINICAL CASES 12.45 - 14.15 WHY HUMIDIFICATION IS FRIDAY-NIGHT DEBATES WITH BALLOT - TUTORIALS LUNCH SESSION WITH BALLOT LUNCH SESSION VITAL: FROM PHYSIOLOGY TROUBLESHOOTING SEPSIS NUTRITION AND FLUIDS ENDOTOXEMIA IN CRITICALLY ILL PERIOPERATIVE MANAGEMENT 1 GREENING THE OPERATIVE ROOM: TO CLINICAL EVIDENCE IN VENTILATION SEPSIS: PERSONALIZED Presenter: C.A. Volta PATIENTS AND ADVANCED BLOOD Moderator: S. Rossi IS IT TIME FOR A NEW APPROACH? Supported by FISHER & PAYKEL Presenter: F. Collino THERAPY IN ICU PURIFICATION THERAPIES Supported by INTERSURGICAL HEALTHCARE Moderators: M. Leone, M. Singer 14.30 Energy requirements Supported by ESTOR 14.30 Necrotizing fasciitis Chairpersons: L. Brochard, 14.30 Assessing hypoxemia: M.M. Berger Chairpersons: L. Brazzi, S. Koch K. Donadello, I. Martin-Loeches A. Pesenti from PaO2 to six inert Questions for discussion: Chairpersons: R. Ferrer Roca, T. Rimmelé gases 15.00 Nutritional strategy New challenges for anesthesia: 15.15 Fluid management during surgery 14.30 Why humidification M. Busana 14.30 Steroids in all shocked: in the critically ill Endotoxemia and endotoxic shock: the climate change in abdominal sepsis is important yes/no/maybe C. Ichai rationale and pathophysiology S. Koch E. Futier, G. De Pascale P. Pelosi 15.00 Assessing dead space D. Annane M. Girardis and hypercapnia 15.30 Fluid and electrolyte Sustainability at the operating room: 14.50 Humidification with L. Gattinoni 14.45 Early blood purification balance Superimposed Infections and endotoxemia EU status helmet CPAP in sepsis: yes/no/maybe P. Caironi in critically ill COVID-19 patients: P. Gonzalez-Pizarro 16.00 Break and Exhibition Visit G. Foti 15.30 Assessing respiratory S. De Rosa the gut-lung axis Gold in garbage: waste segregation mechanics R. Ferrer Roca L. Brazzi 15.10 Humidification and HFNO T. Tonetti 15.00 Start with Vit C and S. Jaber metabolic resuscitation: 16.00 Break and Exhibition Visit Complement system inhibition in septic AKI requiring RRT: role of PMMA membrane INTERACTIVE CLINICAL CASES Surgical waste reprocessing: the new era yes/no/maybe G. Castellano WITH BALLOT T. Horeman-Franse 15.30 Humidification in N.D. Nielsen PERIOPERATIVE MANAGEMENT 2 mechanically ventilated 16.00 Break and Exhibition Visit COVID-19 patients 15.15 Immunotherapies only TUTORIALS Polymyxin B hemoperfusion and SETS Moderator: S. Rossi Discussion in endotoxic shock: timing and dose L. Brochard in randomized patients: ANESTHESIA 2 S. De Rosa yes/no/maybe 16.30 Perioperative management of Presenter: F. Piccioni 15.50 Discussion FRIDAY-NIGHT M. Shankar-Hari patients with anticoagulant therapy Discussion M. Panigada, C. Samama TROUBLESHOOTING 16.30 Allergic reactions IN NEURO 15.30 Immunoglobulins for all: yes/no/maybe in anesthesia 17.15 Massive obstetric hemorrhage CARDIAC DYSFUNCTION IN COVID-19: Presenter: C. Robba P.M. Mertès FROM CLINICAL VIGNETTE 16.00 Break and Exhibition Visit A. Nierhaus F. Caramelli, M. Dhanjal TO EVIDENCE 16.30 Assessing intracranial 17.00 Monitoring and treating OVERWHELMING INFLAMMATION Moderators: F. Sangalli, G. Tavazzi hypertension postoperative pain DISEASES: DIAGNOSIS AND TREATMENT N. Stocchetti D. Bugada 15.45 Discussion 14.30 Acute cardiac injury, myocardial Supported by AFERETICA 16.30 - 18.30 17.00 Assessing risk of delayed 17.30 Arterial pressure control infarction or stress cardiomyopathy? Chairpersons: G. Berlot, S. Romagnoli G. Tavazzi Riunione Gruppo di Studio neurological deficits during anesthesia ALBIOSS-BALANCED post-SAH E. Futier 14.30 Sepsis: pathophysiology M. Oddo 16.00 Break and Exhibition Visit 14.45 Is this a myocarditis? Diagnostic and therapeutic concepts clues and management tips A. Nierhaus E. Ammirati 17.30 Assessing delirium R. Helbok 14.50 Overwhelming inflammation 15.00 The right ventricle is failing: DEBATE - MECHANICAL diagnosis: the role of biomarkers which kind of support? VENTILATION G. Castellano C. Vandenbriele MECHANICAL VENTILATION AND BEYOND 15.10 The role of hemoadsorption 15.15 Discussion Moderators: S.M. Maggiore, in overwhelming inflammation diseases O. Moerer G. Bottari 16.30 How do I monitor ARF INTERACTIVE CLINICAL CASES patients with NIV? 15.30 Discussion WITH BALLOT L. Heunks, T. Mauri, ORGAN DONATION R. Tonelli Moderators: A. Bottazzi, A. De Gasperi 16.00 Break and Exhibition Visit 17.15 Is testing lung 16.30 Managing a heart beating donor recruitability useful M. Sacchi to set PEEP? L. Brochard, J.J. Marini, INTERACTIVE CLINICAL CASES 17.15 Managing a non-heart beating donor F. Mojoli SEPSIS M. Zanierato Moderator: R. Fumagalli 16.30 Invasive meningococcal disease A. Bandera, N.D. Nielsen 17.15 Secondary infections in COVID-19 S. Busani, M. Leone 18 19
P R O GR A M P R OGR AM Smart Meeting Anesthesia Friday May 6 MORNING Smart Meeting Anesthesia Friday May 6 MORNING Resuscitation Intensive Care Resuscitation Intensive Care AMBER HALL 1-2 AMBER HALL 3-4 AMBER HALL 5-6 BROWN HALL 2 BROWN HALL 3 AMBER HALL 7 PERIOPERATIVE MANAGEMENT RIGHT VENTRICULAR FAILURE MANAGING BRAIN TRAUMA TODAY FRIDAY-NIGHT TROUBLESHOOTING ULTRASOUND IN ICU TUTORIALS Chairpersons: F. Rubulotta, C.M. Samama Chairpersons: D. Pasero, S. Scolletta Chairpersons: G. Citerio, M. Oddo IN ANESTHESIA 1 Chairpersons: B. Bouhemad, F. Mojoli THE BRAIN Presenter: E. Bignami Presenter: E. Zanier 9.00 Role of intraoperative monitoring 9.00 Pathophysiology of RV failure 9.00 Is genetic information relevant? 9.00 Basic Ultrasound “head to toes” skills of consciousness, pain, mioresolution P. Wouters D. Menon 9.00 Managing unanticipated for intensivists (consensus ESICM) 9.00 How to use brain EEG to titrate S. Romagnoli difficult intubation C. Robba depth of anesthesia 9.20 Identifying RV failure 9.20 Biomarkers of injury: M. Sorbello H. Amirfarzan 9.20 Methods for preventing and managing F. Guarracino bedside utility 9.20 Switching from qualitative to postoperative respiratory S. Mondello 9.30 Managing hypoxemia quantitative lung ultrasound 9.30 Post-resuscitation care complications 9.40 Pharmacological approaches A. Santini S. Mongodi after cardiac arrest P. Pelosi to right ventricular failure 9.40 Update in treating HICP C. Sandroni F. Sanfilippo G. Meyfroidt 10.00 Managing hypotension 9.40 What’s new in ultrasound guided 9.40 Coagulation management M. Senturk mechanical ventilation (PEEP setting 10.00 Noninvasive monitoring of brain in complicated patients 10.00 Mechanical ventilation strategies 10.00 Optimizing an holistic approach focal/non-focal, weaning…) function: volumes, flow, metabolism C. Samama in patients with right ventricular on extracranial complications 10.30 Managing bleeding B. Bouhemad C. Robba failure E. Wiegers M. Panigada 10.00 Awake anesthesia in thoracic surgery F. Sangalli 10.00 Innovation in the ultrasound 10.30 Invasive monitoring G.L. Rosboch 10.20 Discussion assessment of the diaphragm of the damaged brain 10.20 Right ventricle and pulmonary (tissue Doppler, prone patient…) M. Oddo 10.20 Ten rules for a successful robotic hypertension 11.00 Coffee Break and Exhibition Visit G. Cammarota surgery G. Paternoster F. Guarracino 11.00 Coffee Break and Exhibition Visit 10.20 Lung US in COVID-19: real life 10.40 Discussion and expert recommendations 11.00 Coffee Break and Exhibition Visit 10.40 Discussion FRIDAY-NIGHT TROUBLESHOOTING L. Vetrugno IN ANESTHESIA 2 BACK TO PHYSIOLOGY Presenter: K. Donadello 10.40 Discussion 11.00 Coffee Break and Exhibition Visit NEURO TUTORIALS 11.00 Coffee Break and Exhibition Visit 11.30 Managing prolonged myorelaxation DIFFICULT DECISIONS IN ICU 11.30 Cerebral autoregulation at bedside F. Piccioni Presenter: G. Mistraletti F. Rasulo 11.00 Coffee Break and Exhibition Visit 12.00 Managing oliguria 11.30 Sedation in ICU MONITORING VENTILATION USING MEMORIAL SESSION IN HONOR OF 12.00 The concept of ICP dose S. De Rosa J.M. Constantin ELECTRICAL IMPEDANCE PROF. GORAN HEDENSTIERNA AND G. Meyfroidt TOMOGRAPHY (EIT) PROF. WARREN M. ZAPOL 11.30 - 12.30 12.00 Talking with families PRO-CON E. Azoulay (remote connection) Chairpersons: G. Foti, I. Frerichs 11.30 Personal memory of two great 12.30 Lunch Break FLUID CHALLENGE: 11.30 Electrical Impedance Tomography scientists and friends 12.30 Lunch Break RISING THE LEGS OR ... (EIT) in acute respiratory failure L. Gattinoni Moderators: M. Cecconi, M. Singer G. Bellani 12.30 Lunch Break 11.40 Lung physiology: from the clinical Pro: J.L. Teboul 11.45 EIT in COVID-19 physiology lab to the Hedenstierna Con: J.L. Vincent T. Mauri laboratory G. Perchiazzi 12.00 EIT and assessment of lung perfusion 12.00 The Nitric Oxide story 12.30 Lunch Break I. Frerichs L. Berra 12.15 Discussion 12.30 Lunch Break 12.30 Lunch Break 20 21
P R O GR A M P R OGR AM Smart Meeting Anesthesia Friday May 6 AFTERNOON Smart Meeting Anesthesia Friday May 6 AFTERNOON Resuscitation Intensive Care Resuscitation Intensive Care AMBER HALL 1-2 AMBER HALL 3-4 AMBER HALL 5-6 BROWN HALL 2 BROWN HALL 3 AMBER HALL 7 12.45 - 14.15 CASE REPORTS: BLEEDING 12.45 - 14.15 FRIDAY-NIGHT TROUBLESHOOTING BICARBONATE TUTORIALS LUNCH SESSION IN CARDIOTHORACIC AND LUNCH SESSION IN EMERGENCY: AN US APPROACH 1 Chairpersons: F. Duska, L. Gattinoni INFECTION THE ROLE OF IMMUNOGLOBULIN VASCULAR SURGERY ECOS (EXTRACORPOREAL Presenter: C. Robba Presenter: F.G. De Rosa THERAPY IN VIRAL AND BACTERIAL Chairpersons: B. Martinez Lopez De Arroyabe, ORGAN SUPPORT) 14.30 Common errors in bicarbonate use COMMUNITY ACQUIRED PNEUMONIA S. Scolletta FOCUS ON: KIDNEY-LUNG 14.30 Cardiocirculatory arrest P. Caironi 14.30 Immune response to infection Supported by BIOTEST Supported by BAXTER F. Sangalli S. Busani 14.30 Bleeding in cardiac surgery 14.50 Bicarbonate in sepsis Chairpersons: G. Berlot, M. Girardis Chairperson: C. Ronco S. Jaber B. Martinez Lopez De Arroyabe 15.00 Neurologic deterioration 15.00 Pathophysiology and clinics C. Robba of sepsis and septic shock Pathobiology of viral and bacterial Terapie extracorporee e supporto 15.10 Bicarbonate in acute respiratory 15.00 Bleeding in thoracic surgery M. Singer pneumonia: analogies and differences polmonare: il ruolo dell’ECCO2R failure F. Piccioni 15.30 Acute pain A. Nierhaus L. Gattinoni T. Langer G. Russo 15.30 Optimal use of antibiotics in the ICU 15.30 Bleeding in vascular surgery P. Viale sCAP and immunoglobulin therapy: Nuova piattaforma ECOS per gestire 15.30 Discussion D. Pasero which evidences ? disfunzioni d’organo multiple e combinate T. Welte F. Turani 16.00 Break and Exhibition Visit 16.00 Break and Exhibition Visit Use of immunoglobulin in viral pneumonia: Discussion 16.00 Break and Exhibition Visit theories and facts M. Girardis FRIDAY-NIGHT TROUBLESHOOTING IN EMERGENCY: AN US APPROACH 2 TUTORIALS Discussion ELECTROLYTES AND ACID-BASE ULTRASOUND THERAPEUTIC TEMPERATURE Presenter: B. Bouhemad Chairpersons: C. Ichai, A. Protti Presenter: F. Mojoli MANAGEMENT (TTM) AT A CROSSROAD 16.30 Polytrauma Chairpersons: L. Vetrugno, J. Villar 16.30 Unusual causes of hyperlactatemia 16.30 Lung ultrasound in the critically ill F. Corradi in the critically ill S. Mongodi INTERACTIVE CLINICAL CASES 14.30 TTM: the biological effects 17.00 The hypoxic patient A. Protti WITH BALLOT E. Zanier S. Mongodi 17.00 Brain ultrasound in the critically ill MECHANICAL VENTILATION 16.50 Potassium handling in the critically ill F. Rasulo Moderators: L. Camporota, F. Rubulotta 14.45 TTM in post-anoxic coma: P. Caironi 17.30 The hypotensive patient end of the game? 17.30 Ventilator-induced lung injury A. Messina 14.30 Clinical case ARDS: C. Sandroni 17.10 The importance of sodium and fluid/sodium balance noninvasive options homeostasis in critical care S. Gattarello L. Heunks 15.00 TTM in TBI: selective use or ban T. Langer R. Helbok 15.15 Clinical case ARDS: 17.30 The 5 parameters I always look invasive options and titration 15.15 TTM in meningitis: at when dealing with acid-base V. Fanelli useful, unuseful, not known F. Duska R. Sonneville 17.50 Discussion 15.30 How to implement TTM 16.00 Break and Exhibition Visit at bedside: practicalities F.S. Taccone 15.45 Discussion INTERACTIVE CLINICAL CASES WEANING FROM MECHANICAL VENTILATION 16.00 Break and Exhibition Visit Moderators: G. Foti, S. Rossi 16.30 Readiness to wean: clinical assessment and parameters PRO-CON O. Moerer HOT TOPICS IN NEURO 17.15 Extubation failure: Moderators: G. Citerio, R. Helbok how do I optimize the next attempt S. Jaber 16.30 Flowchart approach of intracranial hypertension Pro: N. Stocchetti Con: G. Meyfroidt 17.00 Third tier therapies: medical approach Pro: C. Robba Con: C. Giussani 17.30 Delayed cerebral ischemia in subarachnoid hemorrhage: endovascular approach Pro: G. Citerio Con: A. Caricato 22 23
P R OGR AM Smart Meeting Anesthesia Smart Meeting Anesthesia Friday May 6 SMART NURSING Resuscitation Intensive Care Resuscitation Intensive Care SMART NURSING BROWN HALL 1 M O R NI NG BROWN HALL 1 AF T E R NO O N 9.00 - 11.00 ONE-ON-ONE SESSION DEBATE BEFORE AND AFTER COVID-19 ERA HAS COVID-19 CHANGED NURSING PRIMA E DOPO L’ERA COVID-19 IN CRITICAL CARE? Moderators: I. Comisso, M. Manici IL COVID-19 HA CAMBIATO L’ ASSISTENZA INFERMIERISTICA IN TERAPIA INTENSIVA? 14.30 Helmet versus mask for NIV outside ICU Moderators: M. Hoogendoorn, F. Marchese Casco vs. maschera per la NIV al di fuori Speakers: I. Comisso, M. Manici, M. Villa della terapia intensiva A. Lucchini vs. S. Bambi Questions for discussion: - Visiting policies / patient’s family information 15.00 Infection control: Regole per le visite / comunicazione con la famiglia single room versus open space Controllo delle infezioni: - Early mobilization stanza singola vs. open space Mobilizzazione precoce P. Iozzo vs. V. Russotto - Pressure injury development 15.30 Vascular access in ICU Sviluppo di lesioni da pressione Accesso vascolare in terapia intensiva - Long-term outcomes S. Elli vs. M. Pittiruti Outcome di lungo termine 16.00 ICU diary in adult and pediatric ICU ICU diary nelle terapie intensive 11.00 Coffee Break and Exhibition Visit per adulti e pediatriche I. Chinali vs. O. Gawronski NEW ISSUES IN CRITICAL CARE NURSING NUOVE PROBLEMATICHE NELLA GESTIONE INFERMIERISTICA IN TERAPIA INTENSIVA Chairpersons: S. Bambi, E. Mattiussi 11.30 Nursing workload in ICU Carico di lavoro infermieristico in terapia intensiva M. Hoogendoorn 11.45 Standard and extended prone position Pronazione standard e prolungata A. Lucchini 12.00 Video calls at end of life are feasible but not enough Videochiamate a fine vita: fattibili ma non sufficienti A. Galazzi 12.15 Discussion 12.30 Lunch Break FRIDAY MAY 6 O F F I C I A L L A N G U A G E S : E N G L I S H / I TA L I A N W I T H S I M U LTA N E O U S T R A N S L AT I O N 24 25
Smart Meeting Anesthesia Resuscitation Intensive Care Expert Sessions - Discussion Square Smart Meeting Anesthesia Resuscitation Intensive Care Expert Sessions - Discussion Square Expert Sessions offer the opportunity of a direct interaction with recognized Experts in selected topics. They take place in the Discussion Square, an open space in the Exhibition Area with 40 seats equipped with noise cancelling THURSDAY MAY 5 earphones. Admission is free on a first-come first-served basis. Language: English or Italian, no simultaneous translation. Le Expert Session offrono la possibilità di una interazione diretta con Esperti riconosciuti su alcuni temi di interesse. Si 16.00 - 17.00 MONITORAGGIO DELLA NOCICEZIONE: svolgono nella Discussion Square, uno spazio aperto situato nell’Area Espositiva con 40 posti a sedere provvisti di auricolari DALLA SALA OPERATORIA AL REPARTO per l’isolamento acustico. L’accesso è libero fino ad esaurimento posti. DI TERAPIA INTENSIVA Lingua: Inglese o Italiano, senza traduzione simultanea. Ottimizzazione della gestione del dolore perioperatorio in chirurgia vertebrale C.A. Raciti WEDNESDAY MAY 4 Monitoraggio della nocicezione in terapia intensiva?... Perché no?! R.C. De Rosa 11.30 - 12.00 HOW TO TREAT MY NEXT PATIENTS WITH SEVERE INFECTION Un Coffee Point sarà a disposizione dei partecipanti DISCUSSANT: G. De Pascale | EXPERT: J. De Waele 12.30 - 13.00 LINEE GUIDA SURVIVING SEPSIS CAMPAIGN 2021: QUALI NOVITÀ? DISCUSSANTS: M. Antonelli, A. Giarratano FRIDAY MAY 6 15.30 - 16.00 MYOCARDIAL INJURY IN VIRAL INFECTIONS 12.30 - 13.00 COME PREDIRE IL RISVEGLIO DAL COMA DOPO ARRESTO CARDIACO DISCUSSANT: D. Pasero | EXPERT: C. Vandenbriele DISCUSSANT: S. Busani | EXPERT: C. Sandroni THURSDAY MAY 5 12.30 - 13.00 APPROACHES TO MECHANICAL VENTILATION: OPEN QUESTIONS DISCUSSANT: V. Fanelli | EXPERT: D. McAuley 15.00 - 15.30 ANESTHESIA MONITORING: LESS IS NOT ALWAYS MORE DISCUSSANT: E. De Robertis | EXPERT: H. Amirfarzan 26 27
Smart Meeting Anesthesia Resuscitation Intensive Care WeSmart Sessions Complementary sessions detailed in the following pages will take place in either of the two open spaces in the Exhibition Area, the new WeSmart Space 1 and WeSmart Space 2. Admission is free or by invitation. Capacity: 50 seats each (approx.), unless otherwise stated due to COVID-19 pandemic restrictions. Both WeSmart Spaces are equipped with noise-cancelling earphones. Le sessioni complementari riportate alle pagine che seguono si svolgeranno in uno dei due nuovi open space presenti nell’Area Espositiva, denominati WeSmart Space 1 e WeSmart Space 2. L’accesso per la partecipazione alle sessioni è libero o ad invito. Capienza: 50 posti circa ciascuno, fatte salve eventuali disposizioni restrittive per il contenimento dell’epidemia da COVID-19. Entrambi gli spazi sono provvisti di auricolari per l’isolamento acustico. Language: English or Italian, no simultaneous translation. Lingua: Inglese o Italiano, senza traduzione simultanea. 28 29
P R O GR A M P R OGR AM Smart Meeting Anesthesia Resuscitation Intensive Care Wednesday May 4 WeSmart Sessions Smart Meeting Anesthesia Resuscitation Intensive Care Thursday May 5 WeSmart Sessions WeSmart Space 1 WeSmart Space 2 WeSmart Space 1 WeSmart Space 2 WEDNESDAY ACCESSI VENOSI INNOVATIVI MIDLINE THURSDAY LE INFEZIONI POLMONARI THURSDAY UN APPROCCIO PRAGMATICO MAY 4 E MINI-MIDLINE IN OSPEDALE/ MAY 5 BATTERICHE E FUNGINE IN MAY 5 ALLA PRESSIONE ESOFAGEA 11.30 - 12.30 TERRITORIO: NUOVE OPPORTUNITÀ AMBITO INTENSIVO 11.30 - 12.30 10.00 - 11.00 NELL’ACCESSO VASCOLARE Moderatore: F.G. De Rosa Cosa fare nella pratica clinica Moderatori: C. Abbruzzese, D. Vailati di tutti i giorni L’approccio diagnostico clinico L’urgenza medica e chirurgica G. Montrucchio Speaker: F. Mojoli T. Fusco Gli aspetti microbiologici L’elezione medica/chirurgica A. Curtoni Supported by: S. Elli Ospedale/territorio: Con il contributo non condizionante di: gestione acuta e cronica F. Oleari Supported by: THURSDAY MEET THE EXPERT THURSDAY TECNOLOGIE PER OTTIMIZZARE MAY 5 UPDATE SULLE BUONE PRATICHE MAY 5 LA GESTIONE DEL SINERGISMO 13.30 - 14.30 D’USO DI NIV E HFOT 13.00 - 14.00 FARMACOLOGICO IN ANESTESIA Speakers: D.L. Grieco, S.M. Maggiore Principi di farmacocinetica WEDNESDAY EFFICIENZA E SICUREZZA IN SALA WEDNESDAY IL MONITORAGGIO L’utilizzo della ventilazione applicati all’anestesia MAY 4 OPERATORIA: FOCUS SULLA MAY 4 DELL’ANALGO-SEDAZIONE non invasiva e dell’ossigeno ad alti flussi: G.L. Rosboch 13.30 - 14.30 GESTIONE DELLE VIE AEREE 13.30 - 14.30 IN TERAPIA INTENSIVA Speakers: E. Momesso, F. Toffoletto quale scegliere in base al tipo di paziente Speaker: S. Romagnoli Smart Pilot: e alla situazione clinica. Discussione sui pro e contro. discussione di un caso clinico Un Lunch Bag sarà offerto ai partecipanti Un Lunch Bag sarà offerto ai partecipanti G. Paladini Un Lunch Bag sarà offerto ai partecipanti Un Lunch Bag sarà offerto ai partecipanti Supported by: Supported by: Supported by: Supported by: WEDNESDAY IL MONITORAGGIO EEG PER WEDNESDAY WORKSHOP THURSDAY UTILITÀ DELLE IMMUNOGLOBULINE THURSDAY MACHINE LEARNING E MAY 4 GUIDARE L’ANESTESIA E LA MAY 4 ENHANCING STRATEGIES MAY 5 ARRICCHITE IN IgM COME TERAPIA MAY 5 MONITORAGGIO EMODINAMICO 16.00 - 17.00 SEDAZIONE: IL NUOVO 16.00 - 17.00 FOR REDUCING VILI: ROLE OF 16.00 - 17.00 ADIUVANTE NEL PAZIENTE SETTICO 16.00 - 17.00 AVANZATO: NUOVI PARAMETRI PARAMETRO VITALE MINI-INVASIVE CO2 REMOVAL GRAVE: COME E QUANDO? PREDITTIVI PER LA GESTIONE Moderatore: P. Viale PERIOPERATORIA DEL PAZIENTE No BIS, no anestesia Less is More: the importance Moderatori: N. Salvini, G. Torricella C. Carozzi of avoiding VILI Terapie adiuvanti nel trattamento L. Gattinoni del paziente settico Monitoraggio emodinamico predittivo Anche la Terapia Intensiva reclama il BIS K. Donadello in chirurgia non cardiaca R.C. De Rosa Mini-invasive CO2 removal as protective F. Piccioni lung strategy: when and how Razionale d’uso delle IgM: setting M. Hilty di pazienti, timing, prospettive Monitoraggio emodinamico predittivo F. Forfori in chirurgia cardiaca Discussion F. Guarracino Un Aperitivo sarà offerto ai partecipanti Discussione casi clinici con HPI presso lo stand ESTOR al termine della Supported by: L. Frassanito sessione Supported by: Supported by: 30 31
P R O GR A M Smart Meeting Anesthesia Resuscitation Intensive Care Friday May 6 WeSmart Sessions Smart Meeting Anesthesia Resuscitation Intensive Care WeSmart Space 1 WeSmart Space 2 FRIDAY COME CAMBIA LA GESTIONE DEL MAY 6 PAZIENTE CRITICO NELL’ERA DELLA 9.30 - 10.30 DIAGNOSTICA SINDROMICA RAPIDA Moderatore: M. Girardis La visione della Terapia Intensiva B. Viaggi La visione dell’Infettivologia P. Viale Supported by: FRIDAY MEET THE EXPERT FRIDAY OTTIMIZZAZIONE DELL’ANESTESIA MAY 6 RUOLO DELLA pro-ADM NELLA MAY 6 GASSOSA E NUOVE OPPORTUNITÀ GESTIONE DEL PAZIENTE CRITICO 11.30 - 12.30 PER RIDURNE L’IMPATTO AMBIENTALE 11.30 - 12.30 DAL DIPARTIMENTO DI EMERGENZA Moderatore: L. Brazzi E ACCETTAZIONE ALLA TERAPIA INTENSIVA Anestesia generale e sostenibilità Discussant: M. Girardis F. Bassi Speakers: G. Montrucchio, E. Sozio Il sistema Contrafluran Temi da discutere: C. Oliveira - Quando e perché utilizzo pro-ADM - Quali i vantaggi e quali i limiti - Come implementarne l’uso in ambito Supported by: clinico Un Coffee Bag sarà offerto ai partecipanti Supported by: 32 33
Smart Meeting Anesthesia Resuscitation Intensive Care SIMULATION SESSIONS Language: Italian, no simultaneous translation. Lingua: Italiano, senza traduzione simultanea. 34 35
P R O GR A M P R OGR AM Smart Meeting Anesthesia Simulation Sessions Smart Meeting Anesthesia Simulation Sessions Resuscitation Intensive Care Resuscitation Intensive Care Simulation Center WEDNESDAY MAY 4 | 10.00 - 13.00 Simulation Center WEDNESDAY MAY 4 | 16.00 - 17.00 free Supported by 2 Supported by Simulation Session SPEAKER: A. Andreotti – Team Tecnico Accurate Simulation Session 2 SPEAKER: T. Pellis HIGH FIDELITY SIMULATION GESTIONE DELLA TEMPERATURA TARGET HIGH FIDELITY Mai come negli ultimi decenni, lo sviluppo scientifico e tecnologico ha portato a sistemi GESTIONE DELLA Lo scopo di questo scenario di simulazione è offrire ai partecipanti un training con rilevanti S I M U L AT I O N di formazione sempre più complessi cresciuti di pari passo con l’innovazione sanitaria. La T E M P E R AT U R A ricadute pratiche su come ottenere un controllo della temperatura target mediante un device simulazione è oggi diventata parte integrante e fondamentale della crescita degli operatori capace di rispondere automaticamente alle variazioni di temperatura del paziente, o anche TA R G E T sanitari, sempre più evidence-based e centrata sulle abilità tecniche e non tecniche, sul solo semplicemente a variazioni di tendenza. Verranno esaminati scenari clinici di gestione teamwork, la leadership ed il problem solving. Scopo dell’High Fidelity Simulation in sede della temperatura post-arresto cardiaco e di prevenzione della febbre, ripercorrendo i congressuale è riproporre ai discenti scenari di vita reale (secondo le regole del CRM), protocolli più utilizzati in ambito clinico. strutturati con l’obiettivo di implementare le proprie abilità e lavorare in tutta sicurezza al di Verrà illustrata la programmazione del device per inserire i protocolli clinici in uso presso fuori dalla propria “confort zone”. la propria unità operativa. L’interazione con il pubblico sarà favorita dall’utilizzo di un manichino ad alta fedeltà. Le sessioni saranno caratterizzate dall’utilizzo di simulatori avanzati di ultima generazione e potranno essere seguite dal pubblico in maniera del tutto free. Lo stesso pubblico sarà discente e spettatore: chiunque voglia cimentarsi potrà entrare nel gioco… vi aspettiamo Partecipazione a numero chiuso (max 40 posti) con preiscrizione obbligatoria. numerosi! Le iscrizioni saranno accettate in base all’ordine di arrivo, fino ad esaurimento posti. Partecipazione libera e gratuita, fino ad esaurimento posti. Per partecipare è necessario essere iscritti allo SMART. Simulation Center WEDNESDAY MAY 4 | 14.00 - 15.00 Simulation Center THURSDAY MAY 5 | 10.00 - 11.00 1 Supported by 3 Supported by & Simulation Session 1 SPEAKERS: G. Foti, E. Rezoagli Simulation Session 3 SPEAKERS: F. Mojoli, E. Arisi RECLUTAMENTO ALVEOLARE E IMPOSTAZIONE DELLA PEEP STRUMENTI PER UNA VENTILAZIONE MECCANICA PERSONALIZZATA VENTILAZIONE IN BASE ALLA MECCANICA RESPIRATORIA VENTILAZIONE IN PAZIENTI ATTIVI E PASSIVI MECCANICA Lo scopo di questo scenario di simulazione è offrire ai partecipanti un training sui possibili MECCANICA Lo scopo di questo scenario di simulazione è formare i partecipanti su come personalizzare approcci utilizzabili per realizzare manovre di reclutamento alveolare e per dosare la PEEP l’impostazione della ventilazione meccanica sia nei pazienti attivi che in quelli passivi grazie in base ai dati derivati dalle misure di meccanica respiratoria. Saranno simulate le alterazioni ai nuovi strumenti disponibili sui ventilatori. Verrà utilizzato un simulatore meccanico patologiche più rilevanti di questi parametri e ne saranno discusse le implicazioni cliniche. avanzato attivo e passivo per mostrare come ricavare beneficio dalle curve pressione- volume a flusso lento, dalla pressione esofagea, dalle opzioni di sincronizzazione. Partecipazione a numero chiuso (max 40 posti) con preiscrizione obbligatoria. Le iscrizioni saranno accettate in base all’ordine di arrivo, fino ad esaurimento posti. Partecipazione a numero chiuso (max 40 posti) con preiscrizione obbligatoria. Le iscrizioni saranno accettate in base all’ordine di arrivo, fino ad esaurimento posti 36 37
P R O GR A M P R OGR AM Smart Meeting Anesthesia Simulation Sessions Smart Meeting Anesthesia Simulation Sessions Resuscitation Intensive Care Resuscitation Intensive Care Simulation Center THURSDAY MAY 5 | 12.00 - 13.00 Simulation Center FRIDAY MAY 6 | 10.00 - 11.00 4 Supported by 7 Supported by Simulation Session 4 SPEAKERS: G. Bellani, S. Grasso MONITORAGGIO RESPIRATORIO AVANZATO TRAMITE PRESSIONE ESOFAGEA Simulation Session 7 SPEAKERS: G. Foti, E. Rezoagli VENTILAZIONE ED ATTIVITÀ ELETTRICA DIAFRAMMATICA IMPOSTAZIONE DEL VENTILATORE IN VENTILAZIONE ASSISTITA MECCANICA Nel corso della sessione di simulazione verranno trattati alcuni casi clinici, in cui il monitoraggio della pressione esofagea o della attività elettrica diaframmatica si riveli VENTILAZIONE Lo scopo di questo scenario di simulazione è offrire ai partecipanti un training su come particolarmente utile a fini diagnostici o come guida all’impostazione dei parametri MECCANICA affrontare le principali problematiche che si manifestano durante la ventilazione di un ventilatori. Gli scenari riguarderanno sia la ventilazione controllata protettiva che paziente con una aumentata resistenza delle vie aeree, una patologia ostruttiva o restrittiva, l’interazione paziente-ventilatore durante ventilazione assistita. L’interazione con il pubblico per esempio BPCO o ARDS o fibrosi polmonare. Tra le problematiche verranno considerate sarà favorita attraverso quiz a risposta multipla e la discussione informale. la rilevazione e la misura di una aumentata resistenza delle vie aeree e di una ridotta compliance. Partecipazione a numero chiuso (max 40 posti) con preiscrizione obbligatoria. Le iscrizioni saranno accettate in base all’ordine di arrivo, fino ad esaurimento posti. Partecipazione a numero chiuso (max 40 posti) con preiscrizione obbligatoria. Le iscrizioni saranno accettate in base all’ordine di arrivo, fino ad esaurimento posti. Simulation Center THURSDAY MAY 5 | 14.00 - 15.00 5 Supported by Simulation Session 5 SPEAKER: M. Rossi SESSIONE PRATICA SULL’UTILIZZO DELLA ANESTESIA TOTALMENTE Simulation Center FRIDAY MAY 6 | 11.30 - 14.30 ANESTESIA ENDOVENOSA TIVA/TCI CON UNO SGUARDO AI PIÙ RECENTI SVILUPPI free ENDOVENOSA Lo scopo di questa sessione pratica è offrire a chi è interessato ad ampliare le proprie conoscenze nel campo della TCI l’occasione di toccare con mano, attraverso la simulazione di un caso clinico, come la tecnologia abbia reso semplice questa tecnica ormai consolidata. Supported by Si accennerà inoltre alle ultime novità in termini di protocolli e si illustrerà come questi possano ampliare il campo di applicazione della tecnica. Partecipazione a numero chiuso (max 40 posti) con preiscrizione obbligatoria. Le iscrizioni saranno accettate in base all’ordine di arrivo, fino ad esaurimento posti. Simulation Session SPEAKER: A. Andreotti – Team Tecnico Accurate HIGH FIDELITY SIMULATION HIGH FIDELITY Mai come negli ultimi decenni, lo sviluppo scientifico e tecnologico ha portato a sistemi Simulation Center THURSDAY MAY 5 | 16.00 - 17.00 di formazione sempre più complessi cresciuti di pari passo con l’innovazione sanitaria. La S I M U L AT I O N simulazione è oggi diventata parte integrante e fondamentale della crescita degli operatori 6 Supported by sanitari, sempre più evidence-based e centrata sulle abilità tecniche e non tecniche, sul teamwork, la leadership ed il problem solving. Scopo dell’High Fidelity Simulation in sede congressuale è riproporre ai discenti scenari di vita reale (secondo le regole del CRM), strutturati con l’obiettivo di implementare le proprie abilità e lavorare in tutta sicurezza al di Simulation Session 6 SPEAKERS: D. Chiumello, E. Rezoagli fuori dalla propria “confort zone”. MIGLIORARE LA GESTIONE DELL’ARDS SULLA BASE DELLA MECCANICA Le sessioni saranno caratterizzate dall’utilizzo di simulatori avanzati di ultima generazione RESPIRATORIA E DELLA VALUTAZIONE ECOGRAFICA e potranno essere seguite dal pubblico in maniera del tutto free. Lo stesso pubblico sarà VENTILAZIONE discente e spettatore: chiunque voglia cimentarsi potrà entrare nel gioco… vi aspettiamo MECCANICA Lo scopo di questo scenario di simulazione è offrire ai partecipanti un’occasione di confronto numerosi! e di training su come sia possibile ottimizzare la gestione dei pazienti con ARDS attraverso la valutazione della meccanica respiratoria, del mechanical power e dell’ecografia del polmone e dei muscoli respiratori. Saranno presi in considerazione diversi scenari e ne saranno Partecipazione libera e gratuita, fino ad esaurimento posti. discusse le implicazioni cliniche. Per partecipare è necessario essere iscritti allo SMART. Partecipazione a numero chiuso (max 40 posti) con preiscrizione obbligatoria. Le iscrizioni saranno accettate in base all’ordine di arrivo, fino ad esaurimento posti. 38 39
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