C
LINICAL MANAGEMENT OF LIFE-THREATENING HYPOXEMIA
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SCHEDULE |
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| 07:15 | - | 07:45 | Registration |
| 07:45 | - | 09:00 | Pulmonary
Physiology Oxyhemoglobin dissociation curve Oxygen delivery Oxygen consumption V/Q mismatch Intrapulmonary shunt Hypoxic pulmonary vasoconstriction Mixed venous blood oxygenation Influence of cardiac output on arterial oxygenation
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| 09:00 | - | 09:15 | Break |
| 09:15 | - | 10:00 | Causes
of Hypoxemia V/Q mismatch Cardiogenic pulmonary edema Sepsis Acute lung injury ARDS Intrapulmonary shunt Acute lung injury ARDS |
| 10:00 | - | 10:45 | Bedside Monitoring in Severe Hypoxemia Gas exchange PaO2/FIO2 Shunt Respiratory mechanics Plateau pressure Mean airway pressure Compliance Hemodynamic and tissue oxygenation variables Cardiac output SvO2 Blood lactate Pulmonary artery pressure |
| 10:45 | - | 11:45 | Lung Protective Ventilation Initial ventilator settings Issues related to FIO2 Refractory hypoxemia Role of mean airway pressure Inspiratory time PEEP Setting PEEP Pressure control ventilation
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| 11:45 | - | 12:45 | Lunch (on your own) |
| 12:45 | - | 1:15 | Acute Right Ventricular Dysfunction in the Ventilated ARDS Patient Impact of plateau pressure, PEEP, and PaCO2 on RV function RV function as an indicator of balance between alveolar recruitment and overdistension Impact of RV dysfunction on prognosis Auto-PEEP as a cause of increased RV afterload leading to dysfunction Role of echocardiography RV protective approach |
| 1:15 | - | 2:00 | Hemodynamic Monitoring in the Mechanically Ventilated Patient Basic physiology of heart-lung interaction Effect of ventilation on determinants of cardiac performance Preload Afterload Contractility Monitoring parameters Blood pressure Significance of change in BP associated with change in ventilator settings CVP Limitations in use of CVP as an indicator of preload/volume responsiveness Practical considerations regarding CVP in the ventilated patient Cardiac output SvO2/ScvO2 Relationship between intrapulmonary shunt, low CO, low SvO2/ScvO2 and arterial hypoxemia Assessing preload responsiveness via respiratory variation in: CVP waveforms Arterial pressure waveforms Using CVP/PAWP waveforms to evaluate respiratory function |
| 2:00 | - | 2:15 | Break |
| 2:15 | - | 3:00 | Prone Positioning Mechanisms of improved oxygenation Complications Mortality benefits in more severely hypoxemic patients Role in lung protection |
| 3:00 | - | 3:45 |
Extracorporeal Membrane Oxygenation (ECMO) Identification of candidates Transfer to ECMO center Complications Outcomes Research findings
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