CAD GEN

CAD ACS & AMI

Workshop

THE TOP 5 ICU TRIALS OF 2019 FOR THE CLINICAL CARDIOLOGIST IN LESS THAN 5 MINUTES

Chair(s)

• 

  Sean Van Diepen, MS MSc

  Associate Professor
  University of Alberta

Co-Chair(s)

• 

  Christopher Overgaard, MD

  Physcian
  CANCARE

Presenter(s)

• 

  Emilie Belley-Côté

  Assistant professor
  McMaster University
• Mia B.

  Mia Bertic, MD FRCPC

  Cardiology Critical Care Fellow
• 

  Lior Bibas, n/a

  Critical Care Cardiologist
• Barry B.

  Barry Burstein, MD

  Critical Care (Cardiology) Fellow
  Mayo Clinic College of Medicine and Science
• Patrick L.

  Patrick Lawler, MD, MPH

  Clinician-Scientist/Assistant Professor
• 

  Maude Peretz-Larochelle, MDCM, FRCPC

  Device Fellow, Electrophysiology
• 

  Penelope Rampersad, MD, MSc, FRCPC, FACC

  Staff, Clinical Cardiology, Quality Improvement Officer CICU and HFICU
• 

  Janek Senaratne

  Attending Cardiologist, Intensivist
  University of Alberta
• 

  Louise Sun, MD SM

  Cardiac anaesthesiologist and Clinician Scientist
  University of Ottawa
• 

  Jordan Webber

  Cardiologist
  University of British Columbia

In a novel fast-paced presentation workshop format, 5 trainees (or junior attendings in their first year of clinical practice) will be paired with 5 practising intensivists to review the top 5 ICU trials published in the last year. Each trainee will present a brief 2 minute Cardiovascular Intensive Care Unit (CICU) case that highlights the potential impact of the major ICU clinical trial on CICU practice. The senior cardiac intensivists will provide a brief overview of the trial and discuss the applicability of the trial to CICU patient care. Both the junior and senior faculty will participate in the audience question and answer period. This workshop is timely and relevant to CICU patient care given many large centers have evolved from acute coronary syndrome monitoring units and cardiac surgery post-operative units into intensive care units for critically ill cardiovascular patients. Cardiologists and cardiac surgeons in tertiary non-academic and academic centers are caring for patients with non-cardiovascular complications and multi-system organ failure. A recently published statement authored by the Canadian CICU director’s group and endorsed by the CAIC advocated for ongoing critical care continuing medical education (CME) for cardiologists practicing in the CICU. A 2014 Canadian survey by the CICU director’s group identified that only 20% of tertiary non-academic CICUs and 46% of academic CICUs have available maintenance of competency for CICU practitioners. The purpose of this workshop is to provide a focused and relevant overview of recent critical care advances for the cardiac specialist. We are replicating a workshop that was extremely well received at the Canadian Cardiovascular Congress (CCC) in 2018. The session received very strong reviews though the CCC app and multiple attendees expressed the need for ongoing ICU-based CME in their clinical practice.

 

Target Audience(s):

Critical care cardiologists and specialists
Trainee (clinical)
General: All cardiovascular (clinical and research) health professionals

Learning Objectives

At the conclusion of this session, participants will be able to:

• evaluate whether the results of new practice changing general ICU studies can be applied to cardiovascular patient care;
• integrate new ICU-based research evidence into the care of critically ill CICU patients; and
• identify the strength and limitations of studies of mechanical ventilation tidal volume targets, timing of CRRT initiation, anti-psychotic use in delirium, resuscitation endpoints in critically ill patients and routine intra-arrest intubation in patients with cardiac arrest.