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Short Term Mechanical Support Heart and Lung Symposium 2023
Monday, March 13, 2023
8:00am - 5:00pm
Livestream
This course provides interactive didactic lectures and video demonstration of management approaches in the multidisciplinary care of patients with acute heart and lung failure. While there are other CME courses offered at regional academic centers, no center offers an integrated course on heart and lung support.
Our Short-term MCS course brings together a uniquely multidisciplinary panel of speakers, not only including cardiologists, cardiothoracic surgeons and pulmonologists, but also respiratory therapists, nurses and palliative care physicians. The course faculty reflects the complexity of care for patients with acute heart and lung failure and illustrates how a team of diverse providers work together to address challenges to improve quality of care.
Target Audience
This activity is intended for physicians, nurses, and physician assistants in Anesthesiology, Cardiac Surgery, Cardiology, Critical Care, Hospice and Palliative Care, Internal Medicine, Interventional Cardiology, Pulmonary Disease.
Learning Objectives
Upon completion of this activity, participants will be able to:
- Describe an Extracorporeal membrane oxygenation (ECMO) circuit including pumps, filters, tubing, safety monitors, oxygenators, heating and cooling elements, and different variations in the set up.
- Recognize and explain the different types of cannulae and cannulation strategies for ECMO.
- Recognize and manage cardiogenic shock.
- Identify and manage acute lung failure.
- Recognize the indications for TCS devices (heart pumps, cannula devices, and ECMO).
- Diagnose and manage common complications associated with ECMO and other TCS devices.
- Interpret hemodynamic data for patients with short-term support.
- Evaluate and manage weaning from ECMO and other short term support.
- Demonstrate the importance of involving Palliative Care and Ethics in the management of acute heart and lung failure.
- Describe the steps in building a multidisciplinary team.
- Describe physical therapy strategies to mobilize and “pre-hab” patients on short term support while waiting for heart and lung transplant.
- Describe the role of heart transplant and durable mechanical circulatory support in the care of patients with cardiogenic shock.
- Determine the latest development of heart and lung support devices in the pipeline.
Social Media
Twitter:
Mass General Brigham Professional Development
@MassGenBrighCPD
MGH Corrigan Minehan Heart Center
@MGHHeartHealth
LinkedIn:
Mass General Brigham Professional Development
Additional Information
Massachusetts General Hospital - Corrigan Minehan Heart Center and
Mass General Brigham
PART 1 (Morning): | |
| 8:00am | Welcome & Introduction | Van-Khue Ton, MD, PhD; Jerome Crowley, MD, MPH; Eriberto Michel, MD; Jona Ludmir, MD |
Act 1: Cardiogenic Shock & Temporary Circulatory Support | |
| 8:05 | Keynote Presentation: Recent Advances in Cardiogenic Shock Treatment | Navin Kapur, MD |
| 8:25 | Rationale Behind Temporary Circulatory Support | Van-Khue Ton, MD, PhD |
| 8:40 | ECMO: Circuits & Basic Trouble Shooting | Ali Disanto & Danielle Doucette, RT |
| 8:55 | ECMO: Selection Criteria – Indication, Contraindications, Risk Stratification | David Convissar, MD |
| 9:10 | Panel Q&A |
| 9:25 | BREAK |
| 9:30 | 3 Case Study Presentations with Q&A and Polling |Presented by Fellows; Moderated by Van-Khue Ton, MD, PhD; Jerome Crowley, MD, MPH; Eriberto Michel, MD; Jona Ludmir, MD |
| 10:15 | BREAK |
Act 2: All of the Bridges | |
| 10:25 | How and When to Wean Temporary MCS | Jona Ludmir, MD |
| 10:40 | Transition from Temporary to Durable MCS | Erin Coglianese, MD |
| 11:10 | When You Can't Wean | Christine McCarthy, MD & Emily Rubin, MD |
| 11:25 | Panel Q & A |
| 11:40 | LUNCH BREAK |
PART 2 (Afternoon): | |
| 12:20pm | Welcome Back! | Van-Khue Ton, MD, PhD; Jerome Crowley, MD, MPH; Eriberto Michel, MD; Jona Ludmir, MD |
Act 1: Lungs | |
| 12:25 | Severe ARDS: Considerations for Veno-venous ECMO | Alison Witkin, MD |
| 12:40 | Non-ARDS indications for VV ECMO | Jonah Rubin, MD |
| 12:55 | Massive PE: Considerations for ECMO | Ivana Nikolic, MD |
| 1:10 | Transitioning From Short-Term Support to Lung Transplant | Eriberto Michel, MD |
| 1:25 | Panel Q&A |
| 1:40 | BREAK |
| 1:45 | 3 Case Study Presentations with Q&A and Polling | Presented by Fellows; Moderated by Van-Khue Ton, MD, PhD; Jerome Crowley, MD, MPH; Eriberto Michel, MD; Jona Ludmir, MD |
| 2:30 | BREAK |
Act 2: Advanced Clinical Management | |
| 2:35 | ECMO 102: Beyond the Basics | Jerome Crowley, MD |
| 2:50 | Post-Cardiotomy Shock | Yvonne Lai, MD |
| 3:05 | Innovative Approaches to “Pre-Habbing” Patients on Temporary Support | Sarah Wright, PT DPT CCS & Alyssa Taubert, OT, OTD, OTR, CBIS |
| 3:20 | Panel Q&A |
| 3:35 | BREAK |
Act 3: Moving Forward - Future of Temporary Heart/Lung Support | |
| 3:40 | Building a Multidisciplinary Team (combined talk) | Kamal Medlej, MD & Gaston Cudemus, MD |
| 3:55 | Medicolegal Risks of Temporary Support | David Dudzinski, MD, JD |
| 4:10 | Over the Horizon: Temporary Heart/Lung Support in the Pipeline | Mauricio Villavicencio, MD |
| 4:25 | Panel Q&A |
| 4:35 | Complex Case Presentation (ECMO CPC) | Adil Yunis, MD; Kenneth Shelton, MD; Van-Khue Ton, MD, PhD; Jerome Crowley, MD, MPH; Eriberto Michel, MD; Jona Ludmir, MD |
| 4:55 | Closing Remarks | Van-Khue Ton, MD, PhD; Jerome Crowley, MD, MPH; Eriberto Michel, MD; Jona Ludmir, MD |
| 5:00pm | Adjourn |
Course Co-Directors
Van-Khue Ton, MD, PhD
Assistant Professor of Medicine, Harvard Medical School;
Advanced Heart Failure & Transplantation Cardiologist, Massachusetts General Hospital
Jerome Crowley, MD, MPH
Instructor in Anesthesia, Harvard Medical School;
Cardiothoracic Anesthesiologist, Critical Care Medicine, Massachusetts General Hospital
Eriberto Michel, MD
Assistant Professor of Surgery, Harvard Medical School;
Cardio-Thoracic Surgeon, Massachusetts General Hospital
Jona Ludmir, MD
Assistant Professor of Medicine, Harvard Medical School;
Critical Care Cardiologist, Massachusetts General Hospital
Faculty
Erin Coglianese, MD
Assistant Professor of Anesthesia, Harvard Medical School;
Medical Director, Mechanical Cardiac Support, Massachusetts General Hospital
David Convissar, MD
Instructor in Anesthesia, Harvard Medical School;
Anesthesiologist, Critical Care and Pain Medicine, Massachusetts General Hospital
Gaston Cudemus, MD
Chief, Cardiac Anesthesiology and Medical Director of ECMO Program, NCH Heart Institute
David D'Alessandro, MD
Associate Professor of Surgery, Harvard Medical School;
Surgical Director, Heart Transplantation and Ventricular Assist Devices, Massachusetts General Hospital
Danielle Doucette, BS, RT
ECMO Coordinator, Cardiology Division, Massachusetts General Hospital
David Dudzinksi, MD
Assistant Professor of Medicine, Harvard Medical School;
Director of Cardiac Intensive Care Unit, Massachusetts General Hospital
Navin Kapur, MD, FAHA, FACC, FSCAI
Associate Professor, Tufts University School of Medicine;
Director, Acute Mechanical Circulatory Support Program, Tufts University School of Medicine
Yvonne Lai, MD
Assistant Professor of Anesthesia, Harvard Medical School;
Anesthesiologist, Critical Care Medicine, Massachusetts General Hospital
Christine McCarthy, CNP
Nurse Practitioner, Palliative Care and Geriatric Medicine, Massachusetts General Hospital
Kamal Medlej, MD
Instructor in Emergency Medicine, Harvard Medical School;
Emergency Medicine Specialist, Critical Care Physician, Massachusetts General Hospital
Ivana Nikoli, MD
Instructor in Medicine, Harvard Medical School;
Cardiologist, Massachusetts General Hospital
Ali Pitti, CCP, LP, MS
Senior Perfusionist, Massachusetts General Hospital
Emily Rubin, MD
Instructor in Medicine, Harvard Medical School;
Pulmonary and Critical Care Physician, Massachusetts General Hospital
Jonah Rubin, MD
Instructor in Medicine, Harvard Medical School;
Critical Care Physician and Pulmonologist, Massachusetts General Hospital
Kenneth Shelton, MD
Assistant Professor of Anesthesia, Harvard Medical School;
Chief, Division of Critical Care, Massachusetts General Hospital
Alyssa Taubert, OT, OTD, OTR, CBIS
Doctor of Occupational Therapy, Massachusetts General Hospital
Mauricio Villavicencio, MD
Associate Professor of Surgery, Mayo Clinic College of Medicine;
Surgical Director of Heart & Lung Transplantation and Mechanical Circulatory Support, Mayo Clinic
Alison Witkin, MD
Assistant Professor of Medicine, Harvard Medical School;
Associate Director of Pulmonary Hypertension and Thromboendarterectomy, Massachusetts General Hospital
Sarah D. Wright, PT
Board Certified Cardiovascular and Pulmonary Clinical Specialist,
Doctor of Physical Therapy, Massachusetts General Hospital
Adil Yunis, MD
Cardiology Clinical Fellow, Harvard Medical School;
Cardiology Division, Massachusetts General Hospital
Accreditation
In support of improving patient care, Mass General Brigham is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Credit Designation Statements
AMA PRA Category 1 Credits™
Mass General Brigham designates this live activity for a maximum of 8 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing
Mass General Brigham designates this activity for 8 ANCC contact hours. Nurses should only claim credit commensurate with the extent of their participation in the activity.
Physician Assistants
Mass General Brigham has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 8 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
MOC COMPLETION CRITERIA
Participant completion for MOC points will be reported to the boards at the conclusion of the course.
Please have your ABIM ID available when completing the evaluation at the end of the course.
Instructions: Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) Program
Upon successful completion of this activity, if you wish to receive MOC Part 2 points you will need to enter your ABIM ID number in the post-course evaluation. The Mass General Brigham Office of Continuing Professional Development will verify completion of your activity and report to the ABIM. Diplomates must check their ABIM Portfolio for confirmation of your MOC Part 2 points.
MOC Recognition Statement
Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 8 MOC points in the American Board of Internal Medicine (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
Available Credit
- 8.00 AAPA Category I CME
- 8.00 AMA PRA Category 1 Credit™
- 8.00 Nursing Contact Hours
- 8.00 Participation
Price
| Registration type | Early Bird Rate (Before February 20th) | Standard Rate (After February 20th) |
|---|---|---|
| General Tuition | $150.00 | $175.00 |
| Fellows | $50.00 | $50.00 |
Cancellation Policy:
Registrations cancelled on or before February 27, 2023 will be refunded, less a $20 administrative fee. Registrations cancelled after February 27, 2023 will not be refunded.
Contact partnerscpd@partners.org if you require assistance in cancelling your online registration.