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© 2007-2008 CRRT Inc.

CRRT 2008 Conference - Program and Workshops

Complete CRRT Brochure PDF (728K)


Wednesday, February 27


7:00am Registration for Wednesday's Hands-On Workshop
8:00-5:15

FULL DAY CONCURRENT WORKSHOPS

Full Day Concurrent Workshops- H01 & H02
8:00-5:15
8:00-5:15 H01 Gambro Prismaflex Hands-On Workshop
Training on setup, connections, operations, monitoring and troubleshooting for the Prismaflex platform systems for patients requiring various modalities of CRRT.
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 H02 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
Andrew Davenport, MD, FRCP
10:00-10:15 Discussion
10:15-10:30 Coffee Break
10:30-11:10 Solute Control and Dose
William R. Clark, MD
11:10-11:50 Solutions: Replacement & Dialysate
Michael A. Kraus, MD
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
Emil P. Paganini, MD, FACP, FRCP
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 WORKSHOPS
(concurrent with HO1 and HO2)

Half Day Concurrent Workshops-H03
8:00-12:30
8:00-12:30 H03 Pediatric CRRT
Patrick D. Brophy, MD, FAAP, FRCPC
Helen Currier, BSN, RN, CNN
Stuart L. Goldstein, MD
Michael Zappitelli, MD, MSc
How to prescribe and deliver CRRT for neonates and pediatric patients, including machine setup, operations, monitoring and managing alarm conditions.
10:15-10:30 Coffee Break
10:30-12:30 Pediatric CRRT (continued)
12:30-1:30 Lunch Hosted by Conference for Workshop Participants
Half Day Concurrent Workshops-H04
1:30-5:15
1:30-5:15 H04 Baxter Healthcare Corporation
Lee C. Ware, RN
An in-depth review of the new Aquarius instrument for CRRT & TPE demonstrates how to treat a wide range of patients with advanced therapy options, backed by Baxter's clinical support, technical services and enhanced offerings. Competence, Constancy, Confidence.
3:15-3:30 Coffee Break
3:30-5:15 Baxter Healthcare Corporation (continued)

Thursday Morning, February 28


7:00am-7:30pm Registration
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).
Workshop Group 1
8:00-9:30
8:00-9:30 A01 CRRT Systems I
I. B.Braun Diapact II
John Barnes, RN, CCRN
Device demonstrations of features, setup, operation, monitoring and discontinuation. Please note A01 is a two part workshop - 45 minutes in each (A01 I & A01 II)
8:00-9:30 A01 CRRT Systems I
II. Baxter Healthcare Aquarius System
Christopher Peticca, Sr. CRRT Account Exe
Device demonstrations of features, setup, operation, monitoring and discontinuation. Please note A01 is a two part workshop - 45 minutes in each (A01 I & A01 II)
8:00-9:30 B02 Vascular Access /Membrane and Circuit 1
Nigel Fealy, RN, MN, ACCCN
Michael A. Kraus, MD
Eileen Lischer, RN BSN MA
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 C03 Dialysis Dose Prescription and Delivery
William R. Clark, MD
Claudio Ronco, MD
Operational characteristics influencing solute removal in CRRT
8:00-9:30 D04 Critical Care Pharamacology: Vasopresors, and Ionotropes
Patrick T. Murray, MD
Andrew D. Shaw, MD FRCA FCCM
Pathophysiology of shock and the principles and practical use of vasopressors, ionotropes , vasodilators in critically ill patients.
8:00-9:30 E05 Organizational Aspects of CRRT Programs
Jorge Cerda, MD, FACP, FASN
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
8:00-9:30 F06 Extracorporeal Techniques for Sepsis 1: Pathophysiology and Targets
Hiroyuki Hirasawa, MD
John A. Kellum, MD
William L. Macias, MD, PhD
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 Biomarkers: Principles and Applications
Lakhmir S. Chawla, MD
Prasad Devarajan, MD
Principles and classification of biomarkers and their application for diagnosis and management of diseases. Criteria for using biomarkers as surrogate end points.
8:00-9:30 H08 CRRT Systems II
I. NxStage Therapy System
Christopher Kontzen
Device demonstrations of features, setup, operation, monitoring and discontinuation. Please note H08 is a two part workshop - 45 minutes in each (H08 I & H08 II).
8:00-9:30 H08 CRRT Systems II
II. Gambro
Device demonstrations of features, setup, operation, monitoring and discontinuation. Please note H08 is a two part workshop - 45 minutes in each (H08 I & H08 II).
9:30-10:00 Coffee Break
Workshop Group 2
10:00-11:30
10:00-11:30 A09a CRRT Systems III
Fresenius
Christian Schlaeper, MS
Device demonstrations of features, setup, operation, monitoring and discontinuation. Please note this workshop runs the full 1 1/2 hours and is simultaneous with A09b
10:00-11:30 A09b CRRT Systems III
Solutions for CRRT 1: Practical Issues
Edward Ross, MD
Sheldon W. Tobe, MD, FRCP(C)
Solutions of various compositions will be compared and the rational for selecting bicarbonate based solutions and electrolyte composition of solutions will be described. The effect of the composition of solutions on metabolic control particularly in higher flow prescriptions will be reviewed.
These principles will be expanded in a case based format in Workshop A25.
Please note this workshop runs the full 1 1/2 hours and is simultaneous with A09a
10:00-11:30 B10 Anticoagulation: Mechanisms and Techniques
Andrew Davenport, MD, FRCP
Ashita Tolwani, MD
Anticoagulation regimens: Mechanisms, selection, prescription, monitoring and implementation
10:00-11:30 C11 Fluid Management
Ravindra L. Mehta, MBBS, MD, DM, FACP
Principles of volume assessment, fluid removal and fluid regulation with different CRRT equipment
10:00-11:30 D12 Critical Care Management: Nutrition Assessment and Delivery
Oliver Joannes-Boyau, MD
Greet Van Den Berghe, MD, PhD
Pathophysiology of malnutrition in critically ill patients. Principles of nutritional assessment and support and adjustments for RRT.
10:00-11:30 E13 Competency Assessment in CRRT
Patty Graham, RN, MS, CCRN, CS
Eileen Lischer, RN BSN MA
Description on training requirements, core curriclulum and skills assessment for CRRT care delivery.
10:00-11:30 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
10:00-11:30 G15 Therapy Comparisons : 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
10:00-11:30 H16 Pediatric CRRT: The Basics
Steven R. Alexander, MD
Patrick D. Brophy, MD, FAAP, FRCPC
John J. Gardner, RN
Stuart L. Goldstein, 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
11:30-1:00 Lunch Hosted by Conference

Thursday Afternoon, February 28


SESSION I: PATIENT CHARACTERISTICS

1:00-1:10 Opening Remarks
Ravindra L. Mehta, MBBS, MD, DM, FACP
Plenary 1 MINI-SYMPOSIA
Organ Dysfunction in the Critically Ill Patient: Emerging Concepts
1:00-3:30
1:10-1:30 Glycemic Control: Does it Matter?
Greet Van Den Berghe, MD, PhD
1:30-1:50 Endothelial Dysfunction: The Common Pathway to MODS?
William L. Macias, MD, PhD
1:50-2:10 Acute Pancreatitis: Pathophysiology and Management
Hiroyuki Hirasawa, MD
2:10-2:30 Disordered Tissue Perfusion
Emanuel Rivers, MD
2:30-2:50 Liver Dysfunction in Critical Illness
Tarek Hassanein, MD
2:50-3:15 SPECIAL LECTURE
Endocrine Manifestations of Critical Illness
Greet Van Den Berghe, MD, PhD
3:15-3:30 Panel Discussion
3:30-4:00 Coffee Break - Exhibits Open
Plenary 2 MINI-SYMPOSIA
Acute Kidney Injury (AKI): Pathophysiology
4:00-6:00
4:00-4:20 Pathogenesis of AKI: What Have We Learned From Biomarkers?
Prasad Devarajan, MD
4:20-4:40 Contrast Nephropathy: Epidemiology and Prognosis
Peter A. McCullough, MD, MPH
4:40-5:00 Post Cardiac Surgery AKI: the EVOLVE Study
Emil P. Paganini, MD, FACP, FRCP
5:00-5:20 What Happens in the Operating Room?
Andrew D. Shaw, MD FRCA FCCM
5:20-5:45 SPECIAL LECTURE
Sepsis-Induced AKI: Natural History and Relationship to Inflammatory Response
John A. Kellum, MD
5:45-6:00 Panel Discussion
6:00 Adjourn
6:00-7:30 Exhibit Reception and Poster Session

Friday Morning, February 29


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 3 MINI-SYMPOSIA
Controversies in Management of the Critically Ill Patient
7:30-9:45
7:30-7:50 Targeted Resuscitation: Strategies for Success
Emanuel Rivers, MD
7:50-8:10 Multi Organ Failure or Multi Organ Success
Mervyn Singer, MD
8:10-8:25 Lung Kidney Interactions: Clinical Correlations
Stuart L. Goldstein, MD
8:25-8:40 Lung Kidney Interactions: Mechanisms and Pathways
Hamid Rabb, MD, FACP
8:40-9:00 Maintaining Renal Perfusion:What Works?
Patrick T. Murray, MD
9:00-9:30 SPECIAL LECTURE
Sepsis Induced Organ Dysfunction:
Strategies for Prevention and Treatment
Mervyn Singer, MD
9:30-9:45 Panel Discussion
9:45-10:15 Coffee Break
Plenary 4 MINI-SYMPOSIA
Emerging Concepts in AKI
10:15-12:45
10:15-10:35 Bench to Bedside: What's New in AKI?
Hamid Rabb, MD, FACP
10:35-10:55 Early Intervention in AKI: Is Erythropoietin Beneficial?
Zoltan Endre, MD, PhD
10:55-11:15 Heart Failure and the Kidney
Gregg C. Fonarow, MD
11:15-11:35 Cardiorenal Syndrome: Do We Know What it is?
Claudio Ronco, MD
11:35-11:55 AKI in the Tropics: What Have We Learned?
Emmanuel Burdmann, MD, PhD
11:55-12:15 Risk Assessment for AKI: The Evolving Toolkit
Lakhmir S. Chawla, MD
12:15-12:35 AKI and CKD: Cause or Consequence?
Ravindra L. Mehta, MBBS, MD, DM, FACP
12:35-12:45 Panel Discussion
12:45-2:15 Lunch Hosted by Conference

Friday Afternoon, February 29


2:15-5:45 WORKSHOPS
Workshop Group 3
2:15-3:45
2:15-3:45 A17 CRRT Systems I
I. B. Braun Diapact
John Barnes, RN, CCRN
Device demonstrations of features, setup, operation, monitoring and discontinuation. Please note A17 is a two part workshop - 45 minutes in each (A17 I & A17 II).
2:15-3:45 A17 CRRT Systems I
II. Baxter Healthcare Aquarius System
Christopher Peticca, Sr. CRRT Account Exe
Device demonstrations of features, setup, operation, monitoring and discontinuation. Please note A17 is a two part workshop - 45 minutes in each (A17 I & A17 II).
2:15-3:45 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.
2:15-3:45 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.
2:15-3:45 D20 Principles of Resuscitation
Daniel Davis, MD
Patty Graham, RN, MS, CCRN, CS
Emanuel Rivers, MD
Principles of resuscitation for the critically ill patient
2:15-3:45 E21 Acid Base and Electrolyte Problems in the Critically Ill 1
Andrew Davenport, MD, FRCP
Stuart L. Goldstein, MD
John A. Kellum, MD
Case based discussions of applications of solutions for acid-base and metabolic control.
2:15-3:45 F22 Heart Failure and Cardio-Renal Syndrome 1: Pathophysiology
Gregg C. Fonarow, MD
Peter A. McCullough, MD, MPH
James A. Tumlin, MD
Pathophysiology, recognition and management strategies for cardiac and renal failure in the critically ill patient
2:15-3:45 G23 Extracorporeal Techniques for Sepsis 2
Patrick M. HonorČ, MD
Oliver Joannes-Boyau, MD
Mervyn Singer, 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
2:15-3:45 H24 CRRT Systems II
I. NxStage Therapy System
Christopher Kontzen
Device demonstrations of features, setup, operation, monitoring and discontinuation. Please note H24 is a two part workshop - 45 minutes in each (H24 I & H24 II).
2:15-3:45 H24 CRRT Systems II
II. Gambro
Device demonstrations of features, setup, operation, monitoring and discontinuation. Please note H24 is a two part workshop - 45 minutes in each (H24 I & H24 II).
3:45-4:15 Coffee Break
Workshop Group 4
4:15-5:45
4:15-5:45 A25a CRRT Systems III
Fresenius
Christian Schlaeper, MS
Fresenius:Device demonstrations of features, setup, operation, monitoring and discontinuation. Please note this workshop runs the full 1 1/2 hours and is simultaneous with A25b
4:15-5:45 A25b CRRT Systems III
Solutions for CRRT 2
Geoff Sheinfeld
Balazs Szamosfalvi, MD
Sheldon W. Tobe, MD, FRCP(C)
This workshop complements workshop A09b that describes the basic concepts for formulation and application of various solutions in CRRT. Cases illustrate the practical approaches for achieving metabolic, acid-base, electrolyte and divalent ion control and complications related to the use of solutions and regional citrate anticoagulation.
Please note this workshop runs the full 1 1/2 hours and is simultaneous with A25a
4:15-5:45 B26 Acid Base and Electrolyte Problems in the Critically Ill 2
Noel Gibney, MD
Thomas A. Golper, MD
Paul Palevsky, MD
Case based discussion of management of common electrolyte and divalent ion problems in criticaly ill patients
4:15-5:45 C27 Plasma Exchange Therapy and Hybrid Techniques
Hiroyuki Hirasawa, MD
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.
4:15-5:45 D28 Hemodynamic Monitoring: Principles and Practice
Michael Joannidis, MD
Peter A. McCullough, MD, MPH
Andrew D. Shaw, MD FRCA FCCM
Principles of hemodynamic monitoring uding invasive and non-invasive techniques for assessment.
4:15-5:45 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
4:15-5:45 F30 Heart Failure and Cardio-Renal Syndrome 2
Gregg C. Fonarow, MD
Michael A. Kraus, MD
Technical considerations, practical application and results of different methods to treat heart failure and cardio-renal syndrome
4:15-5:45 G31 Liver and Kidney 2: Hepatic Support
Tarek Hassanein, MD
Technical considerations, practical application and results of different methods of hepatic support for patients with hepatic failure and hepatorenal syndrome
4:15-5:45 H32 CRRT for Metabolic Disorders and Intoxications
John J. Bissler, MD
James Fortenberry, MD
Pathophysiology and managemnt of metabolic disorders and intoxications with CRRT
5:45 Adjourn
6:30 Social Outing-Night at the Science Museum

Saturday Morning, March 1


7:00-5:00 Registration

SESSION III: TECHNIQUE CHARACTERISTICS

7:25-7:30 Announcements
Plenary 5 MINI SYMPOSIA
Challenges and Controversies in Renal Support and CRRT
7:30-10:00
7:30-7:50 Dialysis Dose: Can We Compare Therapies?
Claudio Ronco, MD
7:50-8:10 Intensity of Dialysis: Does it Matter?
Paul Palevsky, MD
8:10-8:30 When to Start and When to Stop RRT in the Critically Ill?
Ravindra L. Mehta, MBBS, MD, DM, FACP
8:30-8:45 Anticoagulation In CRRT: An Update
Miet Schetz, MD, PhD
8:45-9:00 Plasma Exchange, CRRT and Sepsis: The TAMOV Trial
James Fortenberry, MD
9:00-9:15 Care Delivery Models: Nursing Care for CRRT
Nigel Fealy, RN, MN, ACCCN
9:15-9:45 SPECIAL LECTURE
Debate: Immunomodulation with CRRT: Fact or Fantasy
Patrick M. HonorČ, MD
Michael Joannidis, MD
9:45-10:00 Panel Discussion
10:00-10:30 Coffee Break

SESSION IV: FUTURE TRENDS IN CRRT AND CRITICAL CARE

Plenary 6 MINI SYMPOSIA
Emerging Strategies in AKI and Extracorporeal Support
10:30-1:00
10:30-10:50 Current Status of Blood Purification in Critical Care in Japan
Kazou Kaizu, MD
10:50-11:10 Targeted Renal Therapy: A New Approach to Prevention and Treatment of AKI
James A. Tumlin, MD
11:10-11:30 Advances in Imaging Technology
Zoltan Endre, MD, PhD
11:30-11:50 Feedback Loops for Filtration Control
John J. Bissler, MD
11:50-12:10 Advances in Renal Support: Literature Review
Paul Palevsky, MD
12:10-12:30 Dialysis in Developing World: Challenges and Opportunities
Rajasekara Chakravarthi, MD, DNB (Nephrology)
12:30-12:50 Research Prerogatives in AKI and Renal Support
John A. Kellum, MD
12:50-1:00 Panel Discussion
1:00 Closing Remarks
Ravindra L. Mehta, MBBS, MD, DM, FACP
1:05 Conference Adjourns

Saturday Afternoon, March 1


CONCURRENT ELECTIVE HANDS-ON WORKSHOPS

1:05-2:00 Lunch Hosted by Conference for Workshop Participants
Concurrent Elective Hands-On Workshops
2:00-5:30
2:00-5:30 H05 CRRT With Gambro Prismaflex
This is a slightly condensed version of its original form presented on Wednesday (HO1). Training on setup, connections, operations,monitoring and troubleshooting for the Prismaflex platform systems for patients requiring various modalities of CRRT.
2:00-5:30 H06 Fresenius Workshop "SLED, CRRT and IHD with the 2008K"
Learn how to use the Fresenius system for SLED, CRRT and IHD for acute renal failure.
2:00-5:30 H07 Resuscitation: Principles and Practice
Daniel Davis, MD
Patty Graham, RN, MS, CCRN, CS
An interactive hands-on workshop covering the general approach to resuscitation and emerging concepts in resuscitation science. Case studies will be used to illustrate various principles and management of common scenerios. Skills performed on SIM_MAN a high-fidelity human patient simulator.
2:00-3:30 Session 1
3:30-3:45 Coffee Break
3:45-5:30 Session 2
5:30 Workshops Adjourn

 

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