WEDNESDAY Morning, March 13, 2024
7:00am-7:30pm Conference Registration Open
MEET THE EXPERT Elective Breakfast Sessions – Group 1 (CME Available)
7:00-8:00am
(choose one)
7:00-8:00am
Session 1 (ME1) – How do I Manage the Patient with Septic AKI
Derek Angus and Jean-Louis Vincent
7:00-8:00am
Session 2 (ME2) – How do I Dose Volume During CRRT?
Claudio Ronco and Ashita Tolwani
7:00-8:00am
MORNING SYMPOSIA – (CME Available for A and B)
(Seating is LIMITED, selection made during registration, coffee served)
Symposium A – Plasma Exchange in Critically Ill Patients: Who, When and How
Akash Deep and Ian Baldwin (Moderators)
Vedran Premuzic and Dana Fuhrman (Discussants)
Plasma exchange (PE) is increasingly utilized in the ICU with CRRT and other extracorporeal techniques. This symposium will describe the best approaches for applying PE in critically ill patients and explore merging opportunities for managing patients with hybrid therapies.
Symposium B – Deresuscitation in the ICU: How to use Diuretics, Ultrafiltration and Dialysis
Kat Gist and Matthew Legrand (Moderators)
Patrick Murray, Amir Kazory and Raghavan Murugan (Discussants)
Fluid accumulation and fluid overload are common features of critical illness. Regardless of the cause fluid removal is an integral component of management however can be difficult. This symposium will discuss approaches to restore fluid balance with different techniques.
Diuretic Strategies in Patients Who are Resistant to Loop Diuretics – Patrick Murray
Ultrafiltration and Diuretic Therapy in Acute Heart Failure – Amir Kazory
Fluid Removal with CRRT: How Much and How Fast? – Raghavan Murugan
OPTIONAL INDUSTRY BREAKFAST SYMPOSIUM (Non-CME)
S1 – Click Here for Details
SESSION I: PATIENT CHARACTERISTICS (CME Available)
8:20-10:30am
Plenary 1 – MINI-SYMPOSIA
Organ Dysfunction in the Critically Ill Patient: Emerging Concepts
Co-Chairs: Neesh Pannu and Michael Joannidis
8:20-8:30 Opening Remarks – Ravindra L Mehta
8:30-8:45 Hidden in Plain Sight; Chloride in Acute Heart Failure – Amir Kazory
8:45-9:00 What’s New in Organ Crosstalk – Kathleen Liu
9:00-9:15 Sepsis in 2024: What’s Next? – Derek Angus
9:15-9:30 Trajectories of Critical Illness – Defining Endotypes from Routine Data – John Prowle
9:30-9:45 Early Multi-modal Vasopressors in Critical Care – Is That a Thing? – Ashish Khanna
9:45-10:00 The Forgotten (Right) Ventricle in Critical Care Medicine – Andrew Shaw
10:00-10:30 SPECIAL LECTURE
Greening Critical Care: Can We Do It?
Yes: Jean-Louis Vincent
Maybe: Marlies Ostermann
No: Derek Angus
Moderator: Claudio Ronco
10:30-11:00 Coffee Break
Faculty Picture
SIMULTANEOUS STANDARD WORKSHOPS (CME Available)
Open to all participants (applicable to physicians, nurses and allied personnel)
These Standard Workshops are designed for smaller groups and allow for more interaction between presenters and attendees. Ample time is available for Q&A.
Codes: C= Core workshop, I = Intermediate, A = Advanced, N= Nurses, AP = Nurses & Allied Personnel
Workshop Tracks
A: AKI; B: CRRT Technique; C: Critical Care Topics ; D: Organ Support
11:00am-12:30pm
Standard Workshops – Group 1 (Choose 0ne)
A01 Enhancing Communication in the Workplace: Conversations in Clinical Encounters (C,N,AP)
This experiential workshop is designed to support patient care by promoting curiosity, listening and perspective taking skills and will include ways to achieve competence in responding mindfully to stressful and demanding situations in patient encounters. Along with brief interactive didactics, we will use medical improv, reflective and experiential exercises to enhance skills for patient interactions. (G. Mehta, JM Maury, Ostermann) Limited to 30 participants
B02 Citrate Anticoagulation for CRRT: How to Use it? (C,N,AP)
Regional citrate anticoagulation (RCA) is increasingly utilized for CRRT. Advances in technology have enabled automated citrate anticoagulation. However, concerns remain about its ease of use and application in patients with liver failure and reduced tissue perfusion. This workshop will discuss the best approaches for utilizing RCA for CRRT. (Tolwani, Joannidis, Ricci)
C03 Focus on POCUS: Assessment of Fluid Responsiveness, Hemodynamic Monitoring and Targets (C,N)
Determining which patient needs fluids, what type, when and how much will be addressed in this workshop which will cover the principles and strategies for volume assessment with point of care ultrasound and hemodynamic monitoring in critically ill patients. (Furhman, Souligny, Deschamps)
D04 Managing Patients with Combined Kidney and Liver Failure (C,N,AP)
Patients with combined liver and kidney failure are difficult to manage. This workshop will discuss the pathophysiology and illustrate best approaches for differential diagnosis and management of these patients. (Nadim, Deep, Juncos)
12:30-2:00pm LUNCH SYMPOSIA – (Non-CME)
(Seating is LIMITED, selection made during registration, lunch provided by conference.)
Please note: At this time, these are the only lunch options provided on Wednesday.
W1 Lost in Translation: Communication issues in Critical Care
Despite our best intentions, conversations with caregivers and patients and their surrogates often don’t go as planned. Strategies for effective communication need to recognize complexities to how families will perceive their interactions with the healthcare team. This symposium will review the evidence for approaches to improve communication when patients are often incapacitated, emotions run high and our unconscious bias is in play.
Moderators: Jorge Cerda and Raj Basu
Navigating Conflict or Mis-alignment of Expectations – Sean Bagshaw
Difficult Decisions with Family and Caregivers – Dana Fuhrman
The Case for Compassion – Gita Mehta
W2 Persistent Renal Vulnerability after AKI Recovery: Do Biomarkers Have a Role?
Current paradigms of kidney functional recovery from AKI are based on alterations in serum creatinine and urine output and are often dissociated with the underlying structural damage that may persist and increase the subclinical predisposition to new renal damage and subsequent progression to CKD. The availability of several biomarkers of kidney function and damage provides new approaches to evaluate patients post AKI and target appropriate interventions. This symposium will discuss the role of biomarkers post AKI to enhance patient management.
Moderators: Patrick Murray and Michael Zappitelli
Assessment of Kidney Function During and After AKI – John Prowle
Marrying the FST and Damage Markers to Assess Subclinical AKD – Jay Koyner
Role of Penenkephalin in Assessing Recovery from AKI and AKI-D – Christian Nusshag
OPTIONAL INDUSTRY LUNCH SYMPOSIA – (Non-CME)
I1 Click Here for Details
I2 Click Here for Details
SIMULTANEOUS STANDARD WORKSHOPS – (CME Available)
2:00-3:30pm
Standard Workshops – Group 2 (Choose One)
A05 Enhancing Communication in the Workplace: Addressing Conflict and Uncertainty
This workshop will share evidence-based communication tools useful in situations of conflict and decisional uncertainty. We will use clinical scenarios with role-plays to highlight challenges in decisional conversations with patients of diverse ages, cultures, and socio-economic status, and especially on situations of conflict with patients and families regarding treatment. (G Mehta, Kashani, Basu, Fuhrman) Limited to 30 participants
B06 Precision Solute Control and Dynamic Dosing with CRRT? (I,N,AP)
CRRT techniques have evolved with availability of new technology to customize dialysis delivery. This interactive case based workshop will discuss how to apply the technology for dose adjustments, monitoring for adequacy, modality selection and transitions in CRRT. (Claure, Kaushik, Prowle)
C07 Starting, Transitioning and Stopping RRT for AKI: Science and Art (A)
One of the most vexing issues for clinicians is determining when to initiate RRT in critically ill patients, when and how to transition modalities and when it can be stopped. This workshop will use case studies to explore various approaches and establish the principles for clinical decisions for renal support. (Mehta, Bagshaw, Lumertgul)
D08 Managing Patients with Sepsis: Modifying the Course with (ECOS) (C,N,AP)
Septic patients often require ECOS to allow time for recovery. This workshop covers the rationale and strategies for the practical application of extracorporeal support techniques for sepsis. Case studies will be utilized to delineate different options. (Pickkers, Reis, Cantaluppi)
3:30-4:00pm Coffee Break
SESSION I: PATIENT CHARACTERISTICS – continued (CME Available)
4:00-6:00pm
Plenary 2 – MINI-SYMPOSIA
Acute Kidney Injury (AKI): Pathophysiology
Co-Chairs: Samira Bell and Luis Juncos
4:00-4:15 AKI in the Neurocritical Unit – Zaccaria Ricci
4:15-4:30 AKI After Burn injury – Matthieu Legrand
4:30-4:45 AKI in Renal and Non-renal Solid Organ Transplantation – Vincenzo Cantaluppi
4:45-5:00 AKI in the Context of Invasive Management of Heart Disease – Matthew James
5:00-5:15 Arterial and Venous Blood Pressure in Cardiac Surgery Associated AKI – Andrew Shaw
5:15-5:30 Kidney-Ventilator Interactions and Kidney Protective Ventilation – Sean Bagshaw
5:30-6:00 ADQI UPDATE
5:30-5:45 ADQI 29: AKI in Liver Cirrhosis – Mitra Nadim and Akash Deep
5:45-6:00 ADQI 30: Adsorption-based Extracorporeal Therapies – Claudio Ronco and Thiago Reis
6:00pm Adjourn
6:00-8:00pm EXHIBIT RECEPTION AND POSTER SESSION