Search © 2007-2009 CRRT Inc. CRRT 2009 Conference - Program and Workshops Complete CRRT Brochure PDF (902K) Tuesday, February 24 5:00-8:00 pm Conference Registration Opens Wednesday, February 25 7:00am-8:00pm Conference Registration Open 8:00-5:15 Full Day Concurrent Elective Workshops - H01 8:00-5:15 FULL DAY CONCURRENT ELECTIVE WORKSHOPS 8:00-5:15 Full Day Concurrent Elective Workshops- H01 8:00-5:15 HO1 Gambro Workshop - Mimic the Native Kidney w/ Prismaflex This workshop will offer the participants the opportunity to learn about Gambro's Prismaflex¨ System and will include a combination of lecture and hands-on use of the Prismaflex System, hemofilter sets as well as PrismaSATE¨ dialysate and PrismaSOL¨ replacement solution. Review the physician's order set, prescription decisions regarding hemofilter selection, anticoagulation approaches, solution choices and preferred patient/system management. The session will provide you with the skills to optimally manage the CRRT patient treated with Gambro's Prismaflex System. CME Credits Do Not Apply 8:00-10:15 Session 1 10:15-10:30 Coffee Break 10:30-12:30 Session 2 12:30-1:30 Lunch Hosted by Conference for Workshop Participants 1:30-3:15 Session 3 3:15-3:30 Coffee Break 3:30-5:15 Session 4 8:00-5:15 HO2 Fundamentals of CRRT This workshop offers an introduction to CRRT techniques and is developed to provide a core set of information on the principles and practice of CRRT. This workshop will cover the components and basic principles of continuous renal replacement therapy. The operating characteristics of CRRT techniques for solute and fluid management, drug management will be discussed along with the potential applications of these techniques. Requirements for developing a successful CRRT program and selecting machines will also be described. 8:00-8:40 Operating Principles of CRRT William R. Clark, MD 8:40-9:20 Access/Membrane and Circuit Michael A. Kraus, MD 9:20-10:00 Anticoagulation Ashita Tolwani, MD 10:00-10:15 Discussion 10:15-10:30 Coffee Break 10:30-11:10 Solute Control and Dose Paul Palevsky, MD 11:10-11:50 Solutions Andrew Davenport, MD, FRCP 11:50-12:15 Fluid Management Ravindra L. Mehta, MBBS, MD, DM, FACP 12:15-12:30 Discussion 12:30-1:30 Lunch Hosted by Conference for Workshop Participants 1:30-2:10 Drug Management Bruce A. Mueller, PharmD, FCCP 2:10-3:00 Patient Selections and Outcomes Paul Palevsky, MD 3:00-3:15 Discussion 3:15-3:30 Coffee Break 3:30-4:10 Organizational and Financial Aspects Jorge Cerda, MD, FACP, FASN 4:10-5:15 CRRT Machine Comparisons 8:00-5:15pm Half Day Concurrent Elective Workshops-H03 8:00-5:15pm HALF DAY ELECTIVE WORKSHOPS (concurrent with HO1 and HO2) 8:00-12:30 Half Day Concurrent Elective Workshops-H03 8:00-12:30 HO3 Baxter Workshop - Aquarius - A Comprehensive System for Optimal Care Darlene Valet, RN Lee C. Ware, RN Sharon Whitaker, RN An in-depth workshop covering both the Aquarius System for CRRT & TPE and Baxter's AdvanCCE nurse education program. Learn how the innovative and easy-to-use Aquarius System benefits you and your patients and interact with our newly released, customer-focused AdvanCCE nurse education program offering foundational education, refresher training and just-in-time support tools. CME Credits Do Not Apply 10:15-10:30 Coffee Break 10:30-12:30 Baxter Workshop (continued) 12:30-1:30 Lunch Hosted by Conference for Workshop Participants 1:30-5:15 Half Day Concurrent Elective Workshops-H04 1:30-5:15 HO4 How to Deliver CRRT to Pediatric Patients, from Neonates to Adolescents Steven R. Alexander, MD Amelia Allsteadt, BSN,RN,CNN Cheryl Baker, BSN, RN Patrick D. Brophy, MD, FAAP, FRCPC Timothy E. Bunchman, MD Helen Currier, BSN, RN, CNN Stuart L. Goldstein, MD This workshop will focus upon the practical aspects of care including clinical program development, discussion of various models of ICU and Nephrology medical nursing care and hands on machine setup and operation. 3:15-3:30 Coffee Break 3:30-5:15 Pediatric Workshop (continued) 5:30-8:00pm Conference Registration Opens 6:00-7:30pm Reception and Poster Review Thursday Morning, February 26 7:00am-7:30pm Registration 8:00am-11:30am 8:00am-11:30am WORKSHOPS (open to all participants - applicable to physicians, nurses and allied personnel) (Codes: C= Core workshop, I = Intermediate, A = Advanced, N= Nurses, AP = of interest to nurses and allied personnel) Workshops designated by an asterisk (*) will be presented twice in different time slots. Workshops presented in a series are marked with a ""1"" for a primary workshop discussion in this area and ""2"" for a more complex or advanced discussion in this area. Please note that the series workshops 1 and 2 can be either taken subsequently (following each other) or they can each be taken independently (e.g. workshop 1 can be taken without taking workshop 2 and vice versa). 8:30-10:00 Workshop Group 1 8:30-10:00 A01 CRRT Systems I (2 parts - I & II, 45 min. each) A01 I. B. Braun Diapact John Barnes, RN, CCRN Device demonstrations of features, setup, operation, monitoring and discontinuation CME Credits Do Not Apply 8:30-10:00 A01 II. Baxter - Aquarius System Chuck Gradoville Darlene Valet, RN Device demonstrations of features, setup, operation, monitoring and discontinuation CME Credits Do Not Apply 8:30-10:00 B02 Vascular Access /Membrane and Circuit 1 Ian Baldwin, RN, PhD, ACCCN Michael A. Kraus, MD Principles of catheter choice, placement, maintenance, recognition and management of complications, selection and use of membranes for different applications, circuit design, setup and monitoring 8:30-10:00 C03 Dialysis Dose Prescription and Delivery William R. Clark, MD Claudio Ronco, MD Operational characteristics influencing solute removal in CRRT 8:30-10:00 D04 Critical Care Pharamacology: Vasopresors, and Ionotropes Lakhmir S. Chawla, MD Bruce A. Mueller, PharmD, FCCP Pathophysiology of shock and the principles and practical use of vasopressors, ionotropes , vasodilators in critically ill patients. 8:30-10:00 E05 Organizational Aspects of CRRT Programs Jorge Cerda, MD, FACP, FASN Eileen Lischer, MA, BSN RN Emil P. Paganini, MD, FACP, FRCP Practical issues for organization and implementation of a CRRT program. Developing and implementing policies and protocols for CRRT. Multidisciplinary teams, collaborative precatice, Finanical models and other strategies for succsess 8:30-10:00 F06 Extracorporeal Techniques for Sepsis 1: Pathophysiology and Targets Rinaldo Bellomo, MD Patrick M. Honoré, MD Mark Williams, MD, FCCM, FCCP Pathophysiology of sepsis and rationale for use of extracorporeal support in treatment of sepsis. Experimental models for high permeability membranes, HVHF, VHVHF and hybrid therapies 8:30-10:00 G07 Biomarkers: Principles and Applications William L. Macias, MD, PhD Alan Maisel, MD Bruce A. Molitoris, MD Sushrut S. Waikar, MD, MPH Principles and classification of biomarkers and their application for diagnosis and management of diseases. Criteria for using biomarkers as surrogate end points. 8:30-10:00 H08 CRRT Systems II - I. Fresenius Christian Schlaeper, MS Device demonstrations of features, setup, operation, monitoring and discontinuation CME Credits Do Not Apply 8:30-10:00 I09 Fluids and Solutions in the Critically Ill 1 Timothy E. Bunchman, MD Anthony M. Roche, MBChB, FRCA, MMed Miet Schetz, MD, PhD How to select and use colloids, crystalloids and blood products. 10:00-10:15 Coffee Break 10:15-11:45 Workshop Group 2 10:15-11:45 A09 CRRT Systems III (2 parts - I & II, 45 min. each) A09 I. NxStage Therapy System Device demonstrations of features, setup, operation, monitoring and discontinuation CME Credits Do Not Apply 10:15-11:45 A09 II. Gambro Device demonstrations of features, setup, operation, monitoring and discontinuation CME Credits Do Not Apply 10:15-11:45 B10 Anticoagulation: Mechanisms and Techniques Andrew Davenport, MD, FRCP Ashita Tolwani, MD Anticoagulation regimens: Mechanisms, selection, prescription, monitoring and implementation 10:15-11:45 C11 Fluid Management Ravindra L. Mehta, MBBS, MD, DM, FACP Anthony M. Roche, MBChB, FRCA, MMed Principles of volume assessment, fluid removal and fluid regulation with different CRRT equipment 10:15-11:45 D12 Critical Care Management: Nutrition Assessment and Delivery Enrico Fiaccadori, MD PhD Pathophysiology of malnutrition in critically ill patients. Principles of nutritional assessment and support and adjustments for RRT. 10:15-11:45 E13 Competency Assessment in CRRT Ian Baldwin, RN, PhD, ACCCN Patty Graham, RN, MS, CCRN, CS Eileen Lischer, MA, BSN RN Description on training requirements, core curriclulum and skills assessment for CRRT care delivery. 10:15-11:45 F14 Liver and the Kidney 1: Principles of Hepatic Dysfunction Tarek Hassanein, MD Michael Joannidis, MD Pathophysiology of hepatic failure and rationale for use of different techniques for extracorporeal support techniques (Cell based systems, MARS, CRRT) for hepatic support 10:15-11:45 G15 Therapy Comparisons : SLED vs. CRRT vs. PD Rajasekara Chakravarthi, MD, DNB (Nephrology) Norbert Lameire, MD, PhD Mark R. Marshall, MBChB, FRACP Comparisons of operational characteristics including anticoagulation, membranes, solutions and flows and approaches for ongoing and future research 10:15-11:45 H16 Pediatric CRRT: The Basics Steven R. Alexander, MD Patrick D. Brophy, MD, FAAP, FRCPC Timothy E. Bunchman, MD Jordan M. Symons, MD Michael Zappitelli, MD, MSc Technique requirement and application for use in children including neonates. Practical issues for setting up and maintaining a pediatric CRRT program. Policies and procedures and protocol based management 11:45-1:15 Lunch Hosted by Conference Thursday Afternoon, February 26 SESSION I: PATIENT CHARACTERISTICS 1:15-1:20 Plenary 1 MINI-SYMPOSIA Organ Dysfunction in the Critically Ill Patient: Emerging Concepts 1:15-1:20 Opening Remarks Ravindra L. Mehta, MBBS, MD, DM, FACP 1:20-1:40 Plenary 1 MINI-SYMPOSIA Organ Dysfunction in the Critically Ill Patient: Emerging Concepts 1:20-1:40 Disordered Tissue Perfusion: The Role of the Microcirculation in Critical Illness Can Ince, PhD 1:40-2:00 Sepsis Induced Organ Dysfunction: Strategies for Prevention and Treatment William L. Macias, MD, PhD 2:00-2:20 The Pathophysiology of Burns: A Unique Model for Organ Dysfunction Kevin K. Chung, MD 2:20-2:40 Acute Lung Injury Boyd Taylor Thompson, MD 2:40-3:00 Repair Mechanisms: Stem Cells and the Kidney Cristof Westenfelder, MD 3:00-3:30 SPECIAL LECTURE Surviving Critical Illness: Lessons from Caudwell Xtreme Everest 2007 Monty Mythen, MD 3:30-3:45 Panel Discussion 3:45-4:15 Coffee Break 4:15-4:35 Plenary 2 MINI-SYMPOSIA Acute Kidney Injury (AKI) Pathophysiology 4:15-4:35 Pathogenesis of AKI: Translating 2-photon Fluorescent Microscopy to the Patient with AKI Bruce A. Molitoris, MD 4:35-4:55 Renal Microcirculatory Dysfunction is the Motor of AKI Can Ince, PhD 4:55-5:15 Biomarkers in AKI: New Insights into Pathophysiology? Sushrut S. Waikar, MD, MPH 5:15-5:35 Post-operative AKI: What Happens in the Operating Room? Monty Mythen, MD 5:35-6:00 SPECIAL LECTURE Sepsis-Sepsis-Induced AKI: Natural History and Relationship to Inflammatory Response Rinaldo Bellomo, MD 6:00-6:15 Panel Discussion John A. Kellum, MD 6:15 Adjourn 6:15-7:30 6:15-7:30 Exhibit Reception and Poster Session Friday Morning, February 27 7:00am-4:00pm Registration SESSION 2: EMERGING CONCEPTS IN AKI AND CRITICAL CARE 7:25-7:30 7:25-7:30 Announcements Ravindra L. Mehta, MBBS, MD, DM, FACP 7:30-7:50 Plenary 3 MINI-SYMPOSIA Controversies in Management of the Critically Ill Patient: Fluid Management 7:30-7:50 Early Goal Directed Therapy - The US Multi-center Trial John A. Kellum, MD 7:50-8:10 Crystalloids, Colloids and Blood: What Should One Use? Rinaldo Bellomo, MD 8:10-8:30 Perioperative Fluid Optimization Anthony M. Roche, MBChB, FRCA, MMed 8:30-8:50 Fluid Regulation in the Critically Ill: Optimizing Renal Support Ravindra L. Mehta, MBBS, MD, DM, FACP 8:50-9:10 Challenging Cases 1 The Patient with Heart Failure and Cardio Renal Syndrome Noel Gibney, MD Alan Maisel, MD Emil P. Paganini, MD, FACP, FRCP 9:10-9:30 SPECIAL LECTURE Optimizing Lung Function: Fluid Management in Respiratory Failure Boyd Taylor Thompson, MD 9:30-9:45 Panel Discussion Stuart L. Goldstein, MD 9:45-10:15 Coffee Break 10:15-10:35 Plenary 4 MINI-SYMPOSIA Challenges and Controversies in Renal Support and CRRT 10:15-10:35 CRRT Dose, Modality and Sepsis Stuart L. Goldstein, MD 10:35-10:50 High Volume Hemofiltration in Sepsis: Hemodynamics and Beyond - Have we Found the Missing Link? Patrick M. Honoré, MD 10:50-11:10 Systems based and Patient Minded Care: Models for CRRT Linda Awdishu, PharmD, MAS 11:10-11:25 Dialysis in the Developing World: Challenges and Opportunities Rajasekara Chakravarthi, MD, DNB (Nephrology) 11:25-11:40 Is PD a Viable Option for Critically Ill Patients? Emmanuel Burdmann, MD, PhD 11:40-12:00 The ATN Study: What Have We Learned? Paul Palevsky, MD 12:00-12:20 Challenging Cases 2 A Patient with Severe Electrolyte and Acid Base Problems Post TBI Lakhmir S. Chawla, MD Kevin K. Chung, MD 12:20-12:50 Debate Dose of Dialysis in the Critically Ill Patient Norbert Lameire, MD, PhD Claudio Ronco, MD 12:50-1:00 Panel Discussion Rinaldo Bellomo, MD 1:00-2:30 Lunch Hosted by Conference 1:00-2:30 Special Panel Discussion Technology for RRT: Do We Have What We Need? Physicians Nursing & Allied Personnel Industry Update Discussion Ian Baldwin, RN, PhD, ACCCN Rinaldo Bellomo, MD Bruce A. Mueller, PharmD, FCCP Emil P. Paganini, MD, FACP, FRCP Claudio Ronco, MD Friday Afternoon, February 27 2:30-6:00 2:30-6:00 WORKSHOPS 2:30-4:00 Workshop Group 3 2:30-4:00 A17 CRRT Systems I (2 parts - I & II, 45 min. each) A17 I. B. Braun Diapact John Barnes, RN, CCRN Device demonstrations of features, setup, operation, monitoring and discontinuation CME Credits Do Not Apply 2:30-4:00 A17 II. Baxter - Aquarius System Chuck Gradoville Darlene Valet, RN Device demonstrations of features, setup, operation, monitoring and discontinuation CME Credits Do Not Apply 2:30-4:00 B18 Drug Management in CRRT Bruce A. Mueller, PharmD, FCCP Miet Schetz, MD, PhD Drug Dosing principles for critically ill patients and adjustments in extracorporeal support techniques. 2:30-4:00 C19 Timing of Initiation for RRT: Principles and Practice Emmanuel Burdmann, MD, PhD Ravindra L. Mehta, MBBS, MD, DM, FACP Paul Palevsky, MD Principles of determining when to start and stop RRT. Case based dsicussion of various approaches. 2:30-4:00 D20 Principles of Resuscitation Daniel Davis, MD Patty Graham, RN, MS, CCRN, CS Monty Mythen, MD Principles of resuscitation for the critically ill patient 2:30-4:00 E21 Acid Base and Electrolyte Problems in the Critically Ill 1 Noel Gibney, MD John A. Kellum, MD Richard Solomon, MD Case based discussions of applications of solutions for acid-base and metabolic control. 2:30-4:00 F22 Heart Failure and Cardio-Renal Syndrome 1 Alan Maisel, MD Claudio Ronco, MD Pathophysiology, recognition and management strategies for cardiac and renal failure in the critically ill patient 2:30-4:00 G23 Extracorporeal Techniques for Sepsis 2 Patrick M. Honoré, MD Oliver Joannes-Boyau, MD Mark Williams, MD, FCCM, FCCP Technical considerations and practical application of extracorporeal support techniques for sepsis. Results of human studies for use of high permeability membranes, HVHF, VHVHF and hybrid techniques for sepsis 2:30-4:00 H24 CRRT Systems III - I. Fresenius Systems Christian Schlaeper, MS Device demonstrations of features, setup, operation, monitoring and discontinuation CME Credits Do Not Apply 2:30-4:00 I25 Fluids and Solutions in the Critically Ill 2 Thomas A. Golper, MD Sheldon W. Tobe, MD, FRCP(C) Ashita Tolwani, MD Solutions for CRRT: What's available and applications for Electrolyte and Acid Base Balance. 4:00-4:35 Coffee Break 4:30-6:00 Workshop Group 4 4:30-6:00 A25 CRRT Systems III (2 parts - I & II, 45 min. each) A25 I. NxStage Therapy System Device demonstrations of features, setup, operation, monitoring and discontinuation CME Credits Do Not Apply 4:30-6:00 A25 II. Gambro Device demonstrations of features, setup, operation, monitoring and discontinuation CME Credits Do Not Apply 4:30-6:00 B26 Acid Base and Electrolyte Problems in the Critically Ill 2 Enrico Fiaccadori, MD PhD Paul Palevsky, MD Case based discussion of management of common electrolyte and divalent ion problems in criticaly ill patients 4:30-6:00 C27 Plasma Exchange Therapy and Hybrid Techniques Oliver Joannes-Boyau, MD Andre A. Kaplan, MD David M. Ward, MD, FRCP Principles of plasma exchange, sorbent based and hybrid therapies for extracorporeal support. Case based discussion of practical application of plasma exchange, sorbent based and hybrid therapies for extracorporeal support. 4:30-6:00 D28 Renal Support in Disasters: Principles and Experience Kevin K. Chung, MD Norbert Lameire, MD, PhD Li Wang, MD Principles for managing crush injury, and practical aspects of RRT support in natural and man made disasters. Experience from earthquakes, hurricanes and battlefield injuries. 4:30-6:00 E29 A Systems-based Approach to CRRT Linda Awdishu, PharmD, MAS Ravindra L. Mehta, MBBS, MD, DM, FACP Principles of systems based management strategies and their application to CRRT. Approaches to reduce errors in therapy prescription and delivery 4:30-6:00 F30 Heart Failure and Cardio-Renal Syndrome 2 Alan Maisel, MD Emil P. Paganini, MD, FACP, FRCP Technical considerations, practical application and results of different methods to treat heart failure and cardio-renal syndrome 4:30-6:00 G31 Liver and Kidney 2: Hepatic Support Andrew Davenport, MD, FRCP Michael Joannidis, MD David Kravetz, Professor Clinical M Technical considerations, practical application and results of different methods of hepatic support for patients with hepatic failure and hepatorenal syndrome 4:30-6:00 H32 CRRT in the New Born: Principles and Application Nursing Issues in Pediatric CRRT Steven R. Alexander, MD David Askenazi, MD Pathophysiology and managemnt of metabolic disorders and intoxications with CRRT. 6:00 Adjourn Saturday Morning, February 28 7:00-5:00 Registration SESSION III: TECHNIQUE CHARACTERISTICS 7:25-7:30 7:25-7:30 Announcements 7:30-7:50 Plenary 5 MINI SYMPOSIA Emerging Concepts in AKI 7:30-7:50 Diagnosing and Staging AKI: What are the Issues? Michael Zappitelli, MD, MSc 7:50-8:10 AKI in the Developing World: What Have We Learned? Norbert Lameire, MD, PhD 8:10-8:35 Mini Review The Heart and the Kidney: ADQI VII update Claudio Ronco, MD 8:35-8:55 Predicting Recovery From AKI: What Criteria? John A. Kellum, MD 8:55-9:15 Contrast Nephropathy: What Do We Know? Richard Solomon, MD 9:15-9:35 Pre-renal Azotemia: Changing Paradigms Ravindra L. Mehta, MBBS, MD, DM, FACP 9:35-9:55 Challenging Cases 3 How I Manage a Patient With Liver Failure and Renal Dysfunction Andrew Davenport, MD, FRCP Michael Joannidis, MD David Kravetz, Professor Clinical M 9:55-10:10 Panel Discussion Jorge Cerda, MD, FACP, FASN 10:10-10:30 Coffee Break SESSION IV: FUTURE TRENDS IN CRRT AND CRITICAL CARE 10:30-10:50 Plenary 6 MINI SYMPOSIA Emerging Strategies in AKI and Extracorporeal Support 10:30-10:50 Functional Evaluation of the Critical Care Patient Using Fluorescence Technology Bruce A. Molitoris, MD 10:50-11:10 Guidelines for AKI: Update from KDIGO Norbert Lameire, MD, PhD 11:10-11:30 Multi-organ Support Therapy Matthew Paden, MD 11:30-11:50 Improving Outcomes in AKI: Its All About Nursing! Ian Baldwin, RN, PhD, ACCCN 11:50-12:20 CRRT Support in Disasters: The Chengdu Experience The Battlefield Experience Kevin K. Chung, MD Li Wang, MD 12:20-12:35 Endotoxin Removal in Sepsis: The EUPHAS Study Dinna Cruz, MD, MPH 12:35-12:55 Critical Care Nephrology: Literature Review Noel Gibney, MD 12:55-1:00 12:55-1:00 Closing Remarks Ravindra L. Mehta, MBBS, MD, DM, FACP 1:00 Conference Adjourns Saturday Afternoon, February 28 2:00-5:30 2:00-5:30 CONCURRENT ELECTIVE HANDS-ON WORKSHOPS 1:00-2:00 Lunch Hosted by Conference for Workshop Participants 2:00-5:30 Concurrent Elective Hands-On WorkshopsWorkshop Session 1 2:00-5:30 HO5 Fresenius Workshop "SLED, CRRT and IHD with the 2008K" Christian Schlaeper, MS Learn how to us the Fresenius system for SLED, CRRT and IHD for acute renal failure. CME Credits Do Not Apply 2:00-5:30 HO7 Hemodynamic Monitoring and Ventilator Management Can Ince, PhD Monty Mythen, MD Anthony M. Roche, MBChB, FRCA, MMed Boyd Taylor Thompson, MD Critically ill Patients require frequent assessments and monitoring of hemodynamic and respiratory parameters to optimize stability and guide ventilator support. Several techniques are now available and utilized to manage patients including devices to assess the microcirculation, volume responsiveness and cardiac performance. This workshop will cover the principles and strategies for hemodynamic and microcirculatory monitoring and ventilator management in critically ill patients. 2:00-5:30 HO8 Essentials for Developing, Nurturing and Growing a CRRT Program Linda Awdishu, PharmD, MAS Ian Baldwin, RN, PhD, ACCCN Jorge Cerda, MD, FACP, FASN Eileen Lischer, MA, BSN RN Emil P. Paganini, MD, FACP, FRCP Successful CRRT programs require careful planning, nurturing and ongoing monitoring for growth and effectiveness.. This workshop will cover the key elements for building and enhancing a program. Topics to be covered include developing a multidisciplinary team, creating tool kits for training, assessments and monitoring effectiveness of the program, dealing with administration, financial considerations and strategies for program growth. 2:00-3:15 Session 1 3:15-3:30 Coffee Break 3:30-5:30 Session 2 5:30 Workshops Adjourn

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