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5C: Concepts in Contemporary Critical Care Cardiology
THIS IS A VIRTUAL COURSE
5C: Concepts in Contemporary Critical Care Cardiology is a novel offering of the MGH Heart Center designed to educate practicing clinicians about current topics at the forefront of cardiac intensive care – such as ECMO and mechanical circulatory support - and provide clinicians with a robust evidence base of medical knowledge to be able to provide comprehensive care to modern cardiac intensive care patients.
Target Audience
This activity is intended for physicians, nurses, pharmacists, physician assistants, and other members of the healthcare team. This activity is intended for providers in the specialties of Anesthesiology, Cardiac Electrophysiology, Cardiac Surgery, Cardiology, Critical Care, Emergency Medicine, Geriatric Medicine, Internal Medicine, Interventional Cardiology, Pulmonary Disease, Thoracic Surgery, and Vascular Surgery.
Learning Objectives
Upon completion of this activity, participants will be able to:
- Compare available strategies for urgent univentricular and biventricular mechanical support.
- Choose vasoactive medications based on an algorithmic approach to shock phenotypes.
- Practice consensus-based selection criteria for choosing ECMO and mechanical circulatory support strategies.
- Select strategies for optimal care of the post-arrest patient.
- Manage refractory hypoxemia with improved understanding of ventilator parameters and mechanics in cardiac patients, and acknowledge heart-lung interaction and impact on physiology and treatment.
- Evaluate contributions of right ventricular dysfunction and ventricular interdependence in acute cardiopulmonary dysfunction.
- Demonstrate appropriate systems-based practice in modern cardiac critical care by employing care bundles and evidence-based practice with nutrition and physical therapy.
- Recognize signs and causes of delirium in critically ill patients and implement appropriate neuropharmacologic treatment plan.
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Additional Information
Massachusetts General Hospital - Corrigan Minehan Heart Center and
Mass General Brigham
Friday, April 28, 2023 | 7:50am - 4:30pm
| 7:50am | Welcome & Introduction | David M. Dudzinski, JD, MD; Ivana Nikolic, MD; Jill Rackliffe, NP |
Section I: Tools of the Trade | |
8:00 | Contemporary Cardiac Critical Care; Trends, Importance of Non-Cardiac Comorbidities in Modern Cardiac Critical Care | David M. Dudzinski, JD, MD |
8:15 | Shock Phenotypes, Vasoactive Agents for Complex Cardiovascular Scenarios | |
8:35 | EKG pearls for the cardiac ICU | Phil Podrid, MD |
8:55 | Getting all the Right Stuff out of the Right Heart Catheter | Ioannis Mastoris, MD |
9:15 | Critical Care Echocardiography and Ultrasonography | Jona Ludmir, MD, & Aranya Bagchi, MD |
9:35 | Panel Discussion: Tools of the Trade |
9:55 | BREAK |
Section II: Initial Entry and Management of Cardiac Critical Care Patients | |
10:05 | Acute Myocardial Infraction – Cardiogenic Shock | Marc Sabatine, MD |
10:25 | Cardiac Arrest: Evidence-based Management | Michael Silverman, MD, MPH |
10:40 | Cardiopulmonary Bypass and Postoperative Monitoring and Management | |
10:55 | Critical Care of Post-Transcatheter Therapy Patients and Acute Valvular Emergencies | |
11:10 | Panel Discussion: Initial Entry of Cardiac Critical Care Patient |
| 11:30 | LUNCH |
Section III: Critical Heart and Lung Interactions in Cardiac Critical Care Patients | |
12:00pm | Invasive and Non-invasive Ventilation in the Cardiac Critical Care Unit: ARDS and Refractory Hypoxemia in Cardiac Disease | Kathryn Hibbert, MD |
12:15 | Cor Pulmonale and Ventricular Interdependence: Optimizing RV and LV Interactions at the Bedside | |
12:30 | Pulmonary Hypertension and Pulmonary Embolism for the Cardiac Intensivist | |
12:45 | Mastering VV and VA ECMO | Jerome Crowley, MD, MPH |
1:00 | Mobile ECMO: Strategies, Best Practices | Aaron Aguirre, MD |
1:15 | Panel Discussion: Critical Heart and Lung Interactions in Critical Care |
1:35 | BREAK |
Section IV: Acute and Chronic Cardiac Failure; Heart Replacement Therapies | |
| 1:45 | Cardiogenic Shock: Hub-and-Spoke Network Perspective and Optimal Practice for Transfers | Sohah Iqbal, MD |
| 2:00 | Percutaneous VAD and MCS: Overview and Indications | Ivana Nikolic, MD |
2:15 | Heart Transplant: Indications, Evaluation, and Surgery | Lana Tsao, MD |
2:30 | Critical Care of the Immediate post-VAD and post-Transplant Patient | |
2:45 | Alarm! MCS Device Emergencies | David Convissar, MD |
3:00 | Panel Discussion: Acute and Chronic Cardiac Failure; Heart Replacement Therapies |
3:20 | BREAK |
Section V: Case Records of the MGH Heart Center ICU | |
| 3:30 | Clinicopathologic Conference: Case Records of the MGH Heart Center ICU | David M. Dudzinski, MD; Mary Norine Walsh, MD; Christopher Newton-Cheh, MD, MPH; Malavika Prabhu, MD; Kyle Devins; Ina Ly, MD; Ryan Chung, MD |
| 4:30pm | Adjourn |
Saturday, April 29, 2023 | 7:50am - 12:15pm
7:50 | Welcome Back – Day 2 | David Dudzinski, JD, MD & Ivana Nikolic, MD |
| Section VI: Cardiovascular Comorbidities in the Cardiac Critical Care Units Moderators: Ivana Nikolic, MD & David Convissar, MD | |
8:00 | Tachyarrhythmia and Bradyarrhythmia in Cardiac Critical Care | Rajeev Malhotra, MD |
8:20 | Acute Aortic Syndromes: Diagnosis and Management | Eric Isselbacher, MD |
8:40 | Vascular Complications in Cardiac Critical Care: Limb Ischemia, Mesenteric Ischemia | |
9:00 | Panel Discussion: Cardiovascular Comorbidities in the Cardiac Critical Care Units |
9:20 | BREAK |
| Section VII: Non- Cardiovascular Comorbidities in the Cardiac Critical Care Units Moderators: Jill Rackliffe, NP & Amit Bardia, MD | |
9:30 | Sepsis and ICU Infection Update | Lisa Bebell, MD |
9:45 | Acute Kidney Injury and Renal Replacement Therapy | Man Piu (Mark) Wong, MD |
10:00 | Rational Approaches to Sedation and Neurologic Management in Cardiac Critical Care | |
10:15 | Rapid Evidence Review on ICU Prophylaxis and Quality in the ICU | Amit Bardia, MD |
10:30 | Panel Discussion: Optimizing Care of Non-Cardiac Comorbidities in Cardiac Critical Care |
10:50 | BREAK |
| Section VIII: Literature Update and Clinical Cases Moderators: David M. Dudzinski, MD & Kelly Tankard, MD | |
11:00 | Top 3 Papers from 2022-2023 in Cardiac Critical Care Literature | Kelly Tankard, MD |
11:15 | Challenging Cases from the MGH Cardiac Critical Care Units | David Dudzinski, JD, MD; Van-Khue Ton, MD, PhD; Jerome Crowley, MD; Eriberto Michel, MD, Emily Zern, MD |
12:05pm | Conclusion | David Dudzinski, JD, MD; Ivana Nikolic, MD; Jill Rackliffe, NP |
| 12:10pm | Adjourn |
Course Directors
David Dudzinski, MD, JD
Assistant Professor of Medicine, Harvard Medical School;
Director of Cardiac Intensive Care Unit, Massachusetts General Hospital
Ivana Nikolic, MD
Instructor in Medicine, Harvard Medical School;
Cardiologist, Massachusetts General Hospital
Faculty
Aaron Aguirre, MD, PhD
Assistant Professor of Medicine, Harvard Medical School;
Critical Care Cardiologist, Massachusetts General Hospital
Aranya Bagchi, MBBS
Assistant Professor of Anesthesia, Harvard Medical School;
Anesthesiologist, Critical Care and Pain Medicine, Massachusetts General Hospital
Amit Bardia, MBBS
Anesthesiologist, Massachusetts General Hospital
Lisa Bebell, MD, MSc
Instructor of Medicine, Harvard Medical School;
Critical Care Medicine and Infectious Diseases, Massachusetts General Hospital
Marvin Chang, MD, PhD
Assistant Professor of Anesthesia, Harvard Medical School;
Anesthesiologist, Massachusetts General Hospital
Ryan Chung, MD
Massachusetts General Hospital
David Convissar, MD
Instructor in Anesthesia, Harvard Medical School;
Anesthesiologist, Critical Care and Pain Medicine, Massachusetts General Hospital
Jerome Crowley, MD, MPH
Instructor in Anesthesia, Harvard Medical School;
Cardiothoracic Anesthesiologist, Critical Care Medicine, Massachusetts General Hospital
Kyle Devins, MD
Massachusetts General Hospital
Danielle Doucette, RRT
Massachusetts General Hospital
Mike Fitzsimons, MD
Associate Professor of Anesthesia, Harvard Medical School;
Anesthesiologist, Critical Care and Pain Medicine, Massachusetts General Hospital
Kathryn Hibbert, MD
Assistant Professor of Medicine, Harvard Medical School;
Critical Care Cardiologist, Massachusetts General Hospital
Sohah Iqbal, MD
Chief of Interventional Cardiology,
Massachusetts General Hospital - Salem
Eric Isselbacher, MD
Associate Professor of Medicine, Harvard Medical School;
Co-Director, Thoracic Aortic Center, Massachusetts General Hospital
Yvonne Lai, MD
Assistant Professor of Anesthesia, Harvard Medical School;
Anesthesiologist, Critical Care Medicine, Massachusetts General Hospital
Dennis Lu, MD
Ina Ly, MD
Massachusetts General Hospital
Jona Ludmir, MD
Assistant Professor of Medicine, Harvard Medical School;
Critical Care Cardiologist, Massachusetts General Hospital
Rajeev Malhotra, MD, MS
Assistant Professor of Medicine, Harvard Medicine School;
Cardiologist, Massachusetts General Hospital
Ioannis Mastoris, MD
Advanced Heart Failure and Transplant Cardiologist, Mass General Brigham;
Instructor of Medicine, Harvard Medical School
Eriberto Michel, MD
Assistant Professor of Surgery, Harvard Medical School;
Cardio-Thoracic Surgeon, Massachusetts General Hospital
Jahan Mohebali, MD, MPH
Assistant Professor of Surgery, Harvard Medical School;
Cardio-Thoracic Surgeon, Massachusetts General Hospital
Christopher Newton-Cheh, MD, MPH
Massachusetts General Hospital
Philip Podrid, MD
Cardiac Electrophysiology, Boston Medical Center
Malavika Prabhu, MD
Massachusetts General Hospital
Jill Rackliffe, CNP
Massachusetts General Hospital
Jonah Rubin, MD
Massachusetts General Hospital
Marc Sabatine, MD, MPH
Professor of Medicine, Harvard Medical School;
Cardiologist, Massachusetts General Hospital
Kenneth Shelton, MD
Assistant Professor of Anesthesia, Harvard Medical School;
Chief, Division of Critical Care, Massachusetts General Hospital
Michael Silverman, MD, MPH
Assistant Professor of Medicine, Harvard Medical School;
Cardiac Critical Care Cardiologist, Massachusetts General Hospital
Edmond Solomon, RPh
Massachusetts General Hospital
Kelly Tankard, MD
Instructor of Medicine, Harvard Medical School;
Critical Care Anesthesiologist, Massachusetts General Hospital
Lana Tsao, MD
Instructor of Medicine, Harvard Medical School;
Heart Failure Cardiologist, Massachusetts General Hospital
Van-Khue Ton, MD, PhD
Assistant Professor of Medicine, Harvard Medical School;
Advanced Heart Failure & Transplantation Cardiologist, Massachusetts General Hospital
Mary Norine Walsh, MD
St. Vincent Heart Center
Alison Witkin, MD
Assistant Professor of Medicine, Harvard Medical School;
Associate Director of Pulmonary Hypertension and Thromboendarterectomy, Massachusetts General Hospital
Man Piu (Mark) Wong, MD
Instructor of Anesthesia, Harvard Medical School;
Anesthesiologist, Massachusetts General Hospital
Evin Yucel, MD
Instructor of Medicine, Harvard Medical School;
Cardiologist Specializing in Echocardiography, Massachusetts General Hospital
Emily Zern, MD
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 11.5 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 11.5 ANCC contact hours. Nurses should only claim credit commensurate with the extent of their participation in the activity.
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 11.5 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
- 11.50 ABIM MOC II
- 11.50 AMA PRA Category 1 Credit™
- 11.50 Nursing Contact Hours
- 11.50 Participation
Price
| Registration Type | Registration Fee |
|---|---|
| Physicians/Allied Heart Care Professionals | $195.00 |
| Fellows in Training | $75.00 |
Cancellation Policy:
Registrations cancelled on or before April 14, 2023 will be refunded, less a $20 administrative fee. Registrations cancelled after April 14, 2023 will not be refunded.
Contact partnerscpd@partners.org if you require assistance in cancelling your online registration.