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EXPERT COURSE IN MECHANICAL VENTILATION FOR ...

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<strong>EXPERT</strong> <strong>COURSE</strong> <strong>IN</strong> <strong>MECHANICAL</strong><br />

<strong>VENTILATION</strong> <strong>FOR</strong> ANESTHESIOLOGISTS<br />

La Paz University Hospital<br />

Madrid, Spain<br />

Accredited by:<br />

Madrid Society of Anesthesia, Critical Care and Pain<br />

Pediatric Section of SEDAR (National Spanish Anesthesia Society)<br />

Public Health Agency for Formation. Lain Entralgo<br />

Public Heath Department of Madrid Community (CAM)<br />

Sponsored by:


Organizers<br />

ORGANIZERS AND SCIENTIFIC COMMITTEE<br />

Dr. D. Javier Garcia Fernandez. Department of Anesthesia and Intensive Care, La Paz Universitary Hospital.<br />

Dr. D. Luis Goldman. Department of Anesthesia and Intensive Care, La Paz Universitary Hospital.<br />

Dr. D. Francisco Reinoso. Department of Anesthesia and Intensive Care, La Paz Universitary Hospital.<br />

Profa. Dña. Paloma Garcia. Professor of the Veterinary School. UCM. Madrid.<br />

Prof. D. Ignacio Álvarez Gomez. Professor of the Veterinary School. UCM. Madrid.<br />

FACULTY<br />

Dr. D. Javier Belda. Department of Anesthesia and Intensive Care. H. Clinic Univ. de Valencia.<br />

Dr. D. Luis Castro Department of Anesthesia and Intensive Care, La Paz Universitary Hospital.<br />

Dr. D. Javier Garcia Fernandez. Department of Anesthesia and Intensive Care, La Paz Universitary Hospital.<br />

Dr. D. Luis Goldman. Department of Anesthesia and Intensive Care, La Paz Universitary Hospital.<br />

Dr. D. Francisco Reinoso. Department of Anesthesia and Intensive Care La Paz Universitary Hospital.<br />

Dr. D. Fernando Suarez Sipmann. Critical Care. Foundation Jimenez Díaz-Capio.


organizer contact information<br />

technical secretariat<br />

Hospital La Paz Foundation.<br />

contact<br />

web: www.ventilacionanestesiapediatrica.com<br />

e-mail: ventilacionanestesiapediatrica@gmail.com<br />

e-mail: ventilacionanestesiapediatrica@hotmail.com


WELCOME<br />

OBJECTIVES<br />

This accredited course will familiarize participants with<br />

anesthesia circuits and ventilation techniques in both open<br />

and circular circuits. It is designed for anesthesiologists<br />

who want to master the difficult subject of mechanical<br />

ventilation in anesthesia and critical care.


<strong>COURSE</strong> STRUCTURE<br />

14 THEORETICAL SESSIONS, 4 CL<strong>IN</strong>ICAL CASE<br />

DISCUSSIONS AND 4 WORKSHOPS<br />

The course will take place over the three<br />

consecutive days, Thursday and Friday include<br />

morning and afternoon sessions and Saturday a<br />

morning session. We will work with anesthesia<br />

stations, critical care ventilators, and in vivo and ex<br />

vivo pig lungs to simulate critical clinical situations.<br />

The technical theoretical curricula will be supplied<br />

via internet to participants before the course and the<br />

remaining material at the beginning of the course:<br />

Book, laboratory workbooks, Javierito CD Simulator,<br />

CD presentations and CD workshop videos.<br />

We will begin with a small review test of our basic<br />

knowledge of mechanical ventilation and a final<br />

test to evaluate the acquired knowledge for credits.<br />

Theoretical classes are 1 hour, with 40 minutes<br />

theory and an additional 20 minutes for questions<br />

and practical examples.<br />

A lunch will officially close the course at mid-day<br />

Saturday followed by a guided tour of the principal<br />

sightseeing spots of Madrid for those who wish to<br />

attend.


<strong>IN</strong><strong>FOR</strong>MATION<br />

LOCATION AND COST<br />

Place La Paz University Hospital, Madrid, Spain<br />

Date November 5 – 7, 2010<br />

Cost Course fee EUR 1 000<br />

Optional full service EUR 670 (Three nights in a 4 star hotel,<br />

two dinners in typical Spanish restaurants in the center of<br />

Madrid with the course professors, transportation to and from<br />

the hotel, and a guided tour of Madrid on Saturday afternoon.)


AGENDA DAY 1<br />

▪ ▪ “Ventilatory monitoring”, Dr Luis Goldman<br />

Dr. Javier Garcia<br />

▪ ▪ “Interpretation of the Pressure, Flow and Volume vs. Time<br />

curves in mechanical ventilation”, Dr Javier Garcia<br />

▪ ▪ “Interpretation of mechanical ventilation loops: Pressure-<br />

Volume, Flow-volume/ Pressure-volume, Flow-volume”, Dr<br />

Javier Garcia<br />

▪ ▪ “Mechanical ventilation: A physiological approach”, Dr Javier Garcia<br />

▪ ▪ “Anesthesia workstation: circular circuit”, Dr Javier Garcia<br />

▪ ▪ ”Low flow anesthesia: An easy and safe way to do it”, Dr Javier Belda,<br />

▪ ▪ “Mechanical ventilation anesthesia in special situations:<br />

Obesity, laparoscopy, thoracic surgery”, Dr Javier Belda<br />

▪▪<br />

Circular Circuit Workshop: The “Javerito” circular circuit<br />

simulator, Dr Javier Garcia<br />

▪▪<br />

Presentation of two clinical patient cases for discussion and<br />

questions


AGENDA DAY 2<br />

▪ ▪ “Ventilatory modes: an easy and functional way to understand<br />

them”, Dr Javier Garcia<br />

▪ ▪ “Pressure modes vs volume modes: When, why to use each<br />

one”, Dr Javier Garcia<br />

▪ ▪ “How to program critical care ventilator respecting the patient’s<br />

physiological needs”, Dr Javier Garcia<br />

▪ ▪ “Pulmonary recruitment maneuvers with conventional<br />

ventilation” Dr D Fernando Suarez<br />

▪ ▪ “New advances in mechanical ventilation (technology):<br />

Optimum PEEP and NAVA”, Dr D Fernando Suarez<br />

▪ ▪ “Workshop in OR with animal model (pig) (see next page)<br />

▪ ▪ “Sedation techniques in mechanical ventilation”, Dr D Fransisco<br />

Reinoso<br />

▪▪<br />

Presentation of two clinical patient cases for discussion and<br />

questions


WORKSHOPS DAY 2<br />

Workshop in OR with animal model (pig) - Clinical applications of the acquired knowledge<br />

Mechanical ventilation with an anesthesia machine:<br />

▪▪<br />

How to program an anesthesia machine respecting<br />

the patient’s physiological needs<br />

▪▪<br />

How to do pulmonary recruitment with an anesthesia<br />

machine<br />

▪▪<br />

How to do low-flow anesthesia<br />

▪▪<br />

How to resolve the most common problems that may<br />

occur with an anesthesia machine<br />

▪▪<br />

Protocol for action in patient desaturation inside of the OR<br />

▪▪<br />

How to ventilate a patient with morbid obesity<br />

▪▪<br />

How to ventilate in laparoscopic surgery<br />

▪▪<br />

How to manage a bronchospasm<br />

▪▪<br />

How to ventilate during thoracic surgery<br />

▪▪<br />

How to ventilate a neonate<br />

Mechanical ventilation with an critical care ventilator:<br />

▪▪<br />

How to program critical care ventilator respecting the<br />

patient’s physiological needs<br />

▪▪<br />

How to perform pulmonary recruitment maneuvers<br />

▪▪<br />

How to program the optimum PEEP for each patient<br />

▪▪<br />

How to do protective pulmonary ventilation<br />

▪▪<br />

Ventilatory modes: a different way to understand and<br />

classify them<br />

▪▪<br />

How to ventilate in a Acute Respiratory Distress<br />

Syndrome<br />

▪▪<br />

Methods of weaning from mechanical ventilation:<br />

Pressure Support, Volume Support, NAVA, CPAP


AGENDA DAY 3<br />

▪ ▪ “Summarizing: what are the main differences between<br />

open circuit and circular circuit and how to ventilate<br />

safely with both ventilators”<br />

▪ ▪ ”Summary of the main differences in mechanical<br />

ventilation between anesthesia and intensive care”<br />

▪▪<br />

Workshop: “Visualizing mechanical ventilation” With<br />

an isolated pig lung model we will go over all the main<br />

concepts for ventilating safely and physiologically adapted<br />

both with an anesthesia workstation and with a critical<br />

care ventilator in normal and pathological clinical situations<br />

▪▪<br />

Test for accreditation of the acquired knowledge


REGISTRATION AND <strong>IN</strong>QUIRIES<br />

This accredited course in mechanical ventilation<br />

is designed for anesthesiologists with at least<br />

4 years’ experience in ventilation techniques. It<br />

is especially appropriate for professionals such<br />

as Chief of Departments, Unit Coordinators or<br />

Resident Tutors who are responsible for training<br />

other professionals.<br />

Only 14 participants will be allowed per course.<br />

course professors; a DVD with the ventilation<br />

workshops; and a multimedia CD with the<br />

“Javerito” simulator, as well as workshops,<br />

diploma, and official accreditation. Coffee and<br />

two working lunches and a final lunch in a typical<br />

Madrid restaurant are included.<br />

Please also see the optional full service enrollment<br />

offer on the Information page.<br />

The enrollment fee includes classes, preparatory<br />

and course documentation; the book by the<br />

Registration and questions can be addressed to<br />

isabell.lundell@maquet.com


<strong>EXPERT</strong> <strong>COURSE</strong><br />

<strong>IN</strong> <strong>MECHANICAL</strong> <strong>VENTILATION</strong><br />

<strong>FOR</strong> ANESTHESIOLOGISTS<br />

Sponsored by:

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