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Program and Workshops

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Wednesday, March 7


8:00am Registration for Gambro Hands-On Workshop
9:00am-4:30pm H01 Gambro Prismaflex Hands-On Workshop
(this workshop has reached maximum enrollment, please consider the slightly condensed version, Workshop H03, on Saturday afternoon.)
9:00-10:30am Session 1
10:30-10:45 Coffee Break
10:45-12:15 Session 2
12:15-1:15 Lunch Hosted by Conference for Workshop Participants
1:15-2:45 Session 3
2:45-3:00 Coffee Break
3:00-4:30 Session 4
5:30pm-8:00 pm Conference Registration

Thursday Morning, March 8


7:00am-7:30pm Registration
8:00am-4:15pm 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).
Workshop Group 1
8:00-9:30
8:00-9:30 A01 CRRT Systems I - I. B. Braun Diapact II
Please describe the key features of your device and the different modalities supported. Describe the safety features of your machine. Discuss how your device supports various applications for extracorporeal support for renal and non-renal indications. Hands on demonstrations are welcome.
8:00-9:30 A01 II. Baxter - Edwards Lifescience Critical Care Nephrology Alliance Accura/Aquarius
Bev Ryan, RN
Lee C. Ware, RN
Device demonstrations of features, setup, operation, monitoring and discontinuation
8:00-9:30 B02 Dialysis Dose Prescription and Delivery 1
William R. Clark, MD
Mark R. Marshall, MBChB, FRACP
Claudio Ronco, MD
Operational characteristics influencing solute removal in IHD, PD and CRRT
8:00-9:30 C03 Vascular Access /Membrane and Circuit 1
Ian Baldwin, RN, MN, PhD, ACCCN
Michael A. Kraus, MD
Maria T Pascual, RN BSN MPH
Principles of catheter choice, placement, maintenance, recognition and management of complications, selection and use of membranes for different applications, circuit design, setup and monitoring
8:00-9:30 D04 Resuscitation 1
Daniel Davis, MD
Patty Graham, RN, MS, CCRN, CS
Principles of reseuscitation for the critically il patient
8:00-9:30 E05 Pediatric CRRT: The Basics
Steven R. Alexander, MD
Patrick D. Brophy, MD, FAAP, FRCPC
Timothy E. Bunchman, MD
Jordan M. Symons, MD
Technique requirement and application for use in children including neonates
8:00-9:30 F06 Extracorporeal Techniques for Sepsis 1
Patrick M. HonorČ, MD
John A. Kellum, MD, FACP, 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
8:00-9:30 G07 Plasma Exchange Therapy and Hybrid Techniques 1
Arthur Bradwell, MD
Andre A. Kaplan, MD
Joerg Rammo, MD
Principles of plasma exchange, sorbent based and hybrid therapies for extracorporeal support. Results from experimental models and human studies
9:30-9:45 Coffee Break
Workshop Group 2
9:45-11:15
9:45-11:15 A08 CRRT Systems II - I. CHF Solutions
Device demonstrations of features, setup, operation, monitoring and discontinuation
9:45-11:15 A08 II. NxStage Therapy System
Device demonstrations of features, setup, operation, monitoring and discontinuation
9:45-11:15 B09 Anticoagulation 1: Mechanisms and Techniques
Andrew Davenport, MD, MA
Oliver Joannes-Boyau, MD
Ashita Tolwani, MD
Anticoagulation regimens: Mechanisms, selection, prescription, monitoring and implementation
9:45-11:15 C10 Fluid Management 1
Ravindra L. Mehta, MBBS, MD, DM, FACP
Michael R. Pinsky, MD
Principles of volume assessment, fluid removal and fluid regulation with different CRRT equipment
9:45-11:15 D11 Acid Base and Electrolyte Problems in the Critically Ill 1
John A. Kellum, MD, FACP, FCCM, FCCP
Richard Sterns, MD
James A. Tumlin, MD
Principles and diagnosis of comon acid base and electrolyte problems in the critically ill patient
9:45-11:15 E12 Organizational Aspects of CRRT Programs 1:
Development and Implementation
Ian Baldwin, RN, MN, PhD, ACCCN
Jorge Cerda, MD, FACP, FASN
Rhonda K. Martin, RN, MS, MLT(ASCP)
Practical issues for organization and implementation of a CRRT program. Developing and implementing policies and protocols for CRRT
9:45-11:15 F13 Heart Failure and Cardio-Renal Syndrome 1
Inder S Anand, MD, FRCP, DPhil
Giancarlo Marenzi, MD
Pathophysiology, recognition and management strategies for cardiac and renal failure in the critically ill patient
9:45-11:15 G14 Therapy Comparisons I: SLED vs. CRRT vs. PD
Rajasekara Chakravarthi, MD, DNB (Nephrology)
Thomas A. Golper, MD
Mark R. Marshall, MBChB, FRACP
Comparisons of operational characteristics including anticoagulation, membranes, solutions and flows and approaches for ongoing and future research
11:15-12:45 Lunch hosted by Conference

Thursday, Afternoon March 8


Workshop Group 3
12:45-2:15
12:45-2:15 A15 CRRT Systems III - I. Gambro Prismaflex
Device demonstrations of features, setup, operation, monitoring and discontinuation
12:45-2:15 A15 II. Fresenius Systems
Device demonstrations of features, setup, operation, monitoring and discontinuation
12:45-2:15 B16 Solutions for CRRT 1
Timothy E. Bunchman, MD
Michael A. Kraus, MD
Sheldon W. Tobe, MD, FRCP(C)
Basic concepts for formulation and application of various solutions for pre-dilution, replacement and dialysate in critically ill patients
12:45-2:15 C17 Drug Management 1
Bruce A. Mueller, Pharm.D., FCCP
Miet Schetz, MD, PhD
Dosing principles for critically ill patients and adjustments in extracorporeal support techniques
12:45-2:15 D18 Nutritional Assessment and Support 1
Wilfred Druml, MD
Martine Leblanc, MD
Pathophysiology of malnutrition in critically ill patients. Principles of nutritional assessment and support
12:45-2:15 E19 A Systems-based Approach to CRRT 1
Linda Awdishu, BSc Pharm
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
12:45-2:15 F20 Liver and the Kidney 1
Tarek Hassanein, MD
Stefan Herget-Rosenthal, MD
Pathophysiology of hepatic failure and rationale for use of different techniques for extracorporeal support techniques (Cell based systems, MARS, CRRT) for hepatic support
12:45-2:15 G21 Biomarkers 1
Bertrand L. Jaber, MD
Kathleen Liu, MD
Principles and classification of biomarkers and their application for diagnosis and management of diseases. Criteria for using biomarkers as surrogate end points
2:15-2:30 Coffee Break
Workshop Group 4
2:30-4:00
2:30-4:00 A22 CRRT Systems I - I. B. Braun Diapact
Device demonstrations of features, setup, operation, monitoring and discontinuation
2:30-4:00 A22 CRRT Systems I - II. Baxter - Edwards Lifesciences Critical Care Nephrology Alliance Accura/Aquarius
Bev Ryan, RN
Lee C. Ware, RN
Device demonstrations of features, setup, operation, monitoring and discontinuation
2:30-4:00 B23 Dialysis Dose Prescription and Delivery 2
William R. Clark, MD
Mark R. Marshall, MBChB, FRACP
Case based discussions of prescription of dose, modality choice and optimal dose delivery to match the therapy to the patients need
2:30-4:00 C24 Vascular Access/Membrane and Circuit 2
Ian Baldwin, RN, MN, PhD, ACCCN
Michael A. Kraus, MD
Maria T Pascual, RN BSN MPH
Case based discussion of various factors influencing circuit longevity, membrane function and troubleshooting for problems encountered
2:30-4:00 D25 Resuscitation 2
Daniel Davis, MD
Patty Graham, RN, MS, CCRN, CS
Case studies using SIM-Man for resuscitation scenarios
2:30-4:00 E26 CRRT in the New Born:
Principles and Application Nursing Issues in Pediatric CRRT
Helen Currier, BSN, RN, CNN
Jordan M. Symons, MD
Practical issues for setting up and maintaining a pediatric CRRT program. Policies and procedures and protocol based management
2:30-4:00 F27 Extracorporeal Techniques for Sepsis 2
Patrick M. HonorČ, MD
Oliver Joannes-Boyau, MD
Claudio Ronco, MD
Ciro Tetta, MD
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 G28 Plasma Exchange Therapy and Hybrid Techniques 2
Arthur Bradwell, MD
Andre A. Kaplan, MD
Lei-shi Li, MD, FHKCP
Case based discussion of practical application of plasma exchange, sorbent based and hybrid therapies for extracorporeal support

SESSION I PATIENT CHARACTERISTICS

4:30-7:00 OPENING SESSION
4:30-4:35 Opening Remarks
Ravindra L. Mehta, MBBS, MD, DM, FACP
Plenary 1 MINI-SYMPOSIA
Organ Dysfunction in the Critically Ill Patient
4:30-7:00PM
4:35-4:55 Predicting Lung Injury: Which Markers
Kathleen Liu, MD
4:55-5:15 Cardio-Renal Syndrome
Inder S Anand, MD, FRCP, DPhil
5:15-5:35 Nutritional and Energy Requirements in Critical Illness
Wilfred Druml, MD
5:35-5:55 Mechanisms of Ischemic AKI
Mark D. Okusa, MD
5:55-6:15 SPECIAL LECTURE
Renal Effects of Critical Illness
Michael R. Pinsky, MD
6:15-6:35 Kidney Disease: Common, Harmful, Treatable
Introducing "World Kidney Day"
6:35-7:00 Panel Discussion
7:00-8:30 pm Welcome Reception and Poster Viewing and Exhibits Open

Friday Morning, March 9


7:00am-4:00pm Registration

SESSION II: EMERGING CONCEPTS IN AKI AND CRITICAL CARE

7:25-7:30 Announcements
Ravindra L. Mehta, MBBS, MD, DM, FACP
Plenary 2 MINI-SYMPOSIA
Acute Kidney Injury (AKI): What's New?
7:30-9:45AM
7:30-7:50 Metabolic Consequences of AKI
Jonathan Himmelfarb, MD
7:50-8:05 Genetic Determinants in AKI
Bertrand L. Jaber, MD
8:05-8:20 Pediatric AKI: Do Biomarkers Predict Injury?
Stuart L. Goldstein, MD
8:20-8:35 Recovery from AKI: Predictive Factors
Jonathan Himmelfarb, MD
8:35-8:50 Long Term Prognosis of Patients with AKI: Is Intensive Care Worth It?
Wilfred Druml, MD
8:50-9:05 Management of Cirrhotic Ascites: Can We Prevent AKI?
Mark D. Okusa, MD
9:05-9:20 Challenging Cases 1
Richard Sterns, MD
9:20-9:45 SPECIAL LECTURE: Acute Kidney Injury
Network: A Strategy to Improve Outcomes from AKI
Ravindra L. Mehta, MBBS, MD, DM, FACP
9:45-10:00 Panel Discussion
10:00-10:30 Coffee Break
Plenary 3 MINI-SYMPOSIA
Controversies in Management of the Critically Ill Patient
10:30-12:45
10:30-10:50 Targeted Resuscitation: Strategies for Success
Michael R. Pinsky, MD
10:50-11:10 Wet, Dry, and AKI: Just the FACTTs
Kathleen Liu, MD
11:10-11:30 Rapid Response Teams: Do They Save Lives?
Daniel Davis, MD
11:30-11:45 ELSO and PALISI Trials
James Fortenberry, MD
11:45-12:00 Infection Control in The ICU: An Update
Maria T Pascual, RN BSN MPH
12:00-12:15 Challenging Cases 2
Lei-shi Li, MD, FHKCP
12:15-12:45 SPECIAL LECTURE
Acid-Base Physiology in Critically Ill Patients:
Traditional vs Modern Approaches
John A. Kellum, MD, FACP, FCCM, FCCP
12:45-1:00 Panel Discussion
1:00-2:15 Lunch Hosted by Conference

Friday Afternoon, March 9


WORKSHOPS
Workshop Group 5
2:15-3:45
2:15-3:45 A29 CRRT Systems II - I. CHF Solutions
Device demonstrations of features, setup, operation, monitoring and discontinuation
2:15-3:45 A29 CRRT Systems II - II. NxStage Therapy System
Device demonstrations of features, setup, operation, monitoring and discontinuation
2:15-3:45 B30 Anticoagulation 2: Special Techniques Citrate
Noel Gibney, MD
Ashita Tolwani, MD
David M. Ward, MD, FRCP
Comparison of various techniques for regional citrate anticoagulation including requirements, setup, monitoring and results
2:15-3:45 C31 Fluid Management 2
Ravindra L. Mehta, MBBS, MD, DM, FACP
Michael R. Pinsky, MD
Case based discussion of application of techniques for fluid regulation in CRRT
2:15-3:45 D32 Acid Base and Electrolyte problems in the critically ill 2
Jonathan Himmelfarb, MD
John A. Kellum, MD, FACP, FCCM, FCCP
Richard Sterns, MD
Case studies of common problems and strategies for management including use of dialytic therapies including CRRT
2:15-3:45 E33 Organizational Aspects of CRRT Programs 2:
Development and Implementation
Ian Baldwin, RN, MN, PhD, ACCCN
Jorge Cerda, MD, FACP, FASN
Case studies of proven techniques for growing and enhancing a CRRT program. Multidisciplinary teams, collaborative practice, Financial models and other strategies for success
2:15-3:45 F34 Heart Failure and Cardio-renal Syndrome 2
Inder S Anand, MD, FRCP, DPhil
Giancarlo Marenzi, MD
Technical considerations, practical application and results of different methods to treat heart failure and cardio-renal syndrome
2:15-3:45 G35 Therapy Comparisons 2: SLED vs. CRRT vs. PD
Emmanuel Burdmann, MD, PhD
Vijay Kher, MD
Mark R. Marshall, MBChB, FRACP
Case Based Examples of SLED (daily and Continuous), PD (intermittent, tidal) and practical aspects for recognizing and managing complications and approaches for ongoing and future research.
3:45-4:00 Coffee Break
Workshop Group 6
4:00-5:30
4:00-5:30 A36 CRRT Systems III - I. Gambro Prisma
Device demonstrations of features, setup, operation, monitoring and discontinuation
4:00-5:30 A36 CRRT Systems III - II. Fresenius Systems
Device demonstrations of features, setup, operation, monitoring and discontinuation
4:00-5:30 B37 Solutions for CRRT 2
Jeffrey F Barletta, PharmD, FCCM
Timothy E. Bunchman, MD
Edward Ross, MD
Sheldon W. Tobe, MD, FRCP(C)
Case based discussions of applications of solutions for acid-base and metabolic control, electrolyte and divalent ion homeostasis
4:00-5:30 C38 Drug Management 2
Thomas A. Golper, MD
Miet Schetz, MD, PhD
Case based discussion of practical aspects for drug prescription, delivery and management of drug interactions in CRRT
4:00-5:30 D39 Nutritional Assessment and Support 2
Wilfred Druml, MD
Martine Leblanc, MD
Bruce A. Mueller, Pharm.D., FCCP
Case based discussion of technical and practical considerations for nutritional support with CRRT
4:00-5:30 E40 A Systems-based Approach to CRRT2
Linda Awdishu, BSc Pharm
Ravindra L. Mehta, MBBS, MD, DM, FACP
Case studies of applications of systems based approaches for problem solving and continuous quality improvement in CRRT. Strategies to implement best practices to improve patient safety and outcomes.
4:00-5:30 F41 Liver and Kidney II: Hepatic Support
Andrew Davenport, MD, MA
Stefan Herget-Rosenthal, MD
Rhonda K. Martin, RN, MS, MLT(ASCP)
Technical considerations, practical application and results of different methods of hepatic support for patients with hepatic failure and hepatorenal syndrome
4:00-5:30 G42 Biomarkers 2
Kathleen Liu, MD
Gunars E. Valkirs, PhD
Applications for biomarkers as diagnostics and theranostics
5:30pm Adjourn
6:00-7:00pm Meet the Faculty Reception

Saturday Morning, March 10


7:00am-5:00pm Registration

SESSION III: TECHNIQUE CHARACTERISTICS

7:25-7:30 Announcements
Plenary 4 MINI-SYMPOSIA
Challenges and Controversies in Renal Support and CRRT
7:30-10:00
7:30-7:50 Ultrafiltration for Heart Failure: What is the Evidence?
Giancarlo Marenzi, MD
7:50-8:10 Dose of Dialysis in CRRT: Results of a Randomized Controlled Trial
Ashita Tolwani, MD
8:10-8:30 Advances in Renal Support: What's New?
Noel Gibney, MD
8:30-:8:45 Fluid Balance Errors with CRRT Machines:
Should We Have Standards?
Claudio Ronco, MD
8:45-9:00 Applying Pharmacodynamic Principles to CRRT Patients
Bruce A. Mueller, Pharm.D., FCCP
9:00-9:15 Challenging Cases 3
Vijay Kher, MD
9:15-9:45 SPECIAL LECTURE
Debate
Contrast Nephropathy: To Filter or Not?
Giancarlo Marenzi, MD
James A. Tumlin, MD
9:45-10:00 Panel Discussion
10:00-10:20 Coffee Break

SESSION IV FUTURE TRENDS IN CRRT AND CRITICAL CARE

Plenary 5 MINI SYMPOSIA
Emerging Strategies in Extracorporeal Support
10:20-12:50 Co-chair: Amit Varma, MD
10:20-10:40 Wearable Kidney: Does it Exist?
Claudio Ronco, MD
10:40-11:00 High cut off Membranes: Applications for Cancer
Arthur Bradwell, MD
11:00-11:20 Diffusive Clearance of Cytokines in Sepsis?
Fact or Fantasy?
Ian Baldwin, RN, MN, PhD, ACCCN
11:20-11:35 High Volume or High Permeability Membranes for Sepsis:
Which Technique?
Patrick M. HonorČ, MD
11:35-11:50 SPECIAL LECTURE
Looking to the Future:
Applying Systems Biology to Extracorporeal Support
John A. Kellum, MD, FACP, FCCM, FCCP
11:50-12:10 Liver Support Systems: Ready for Prime Time?
Stefan Herget-Rosenthal, MD
12:10-12:35 Challenging cases 4
Emmanuel Burdmann, MD, PhD
12:35-12:50 Panel Discussion
12:50 Closing Remarks
Ravindra L. Mehta, MBBS, MD, DM, FACP
12:55:00 PM Conference Adjourns

Elective Hands On Workshops


12:45-1:45 Lunch Hosted by Conference for Workshop Participants
1:00-5:00 H02 Fresenius Workshop "SLED , EDD and CRRT with the K machines"
Learn how to use the Fresenius system for CRRT, SLED and EDD
1:00-5:00 H03 Gambro Prismaflex Hands-On Workshop (condensed version of H01)
This workshop has been added to handle the enrollment interest in H01. It will be a slightly condensed version of its original form presented on Wednesday.
1:00-5:00 H04 CHF Solutions "The Aquadex FlexFlow System"
Use of Aquapheresis and the Aquadex FlexFlow in fluid overload states.
1:00-5:00 H05 Pediatric Hands-on Workshop
Timothy E. Bunchman, MD
Helen Currier, BSN, RN, CNN
How to prescribe and deliver CRRT for neonates and pediatric patients, including machine set up, operations, monitoring and managing alarm conditions
1:45-3:15 Session 1
3:15-3:30 Coffee Break
3:30-5:00 Session 2
5:00 Workshops Adjourn

 
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