UPMC Procirca Adult ECMO Training Course 2023

Pittsburgh, PA US
October 25, 2023 to October 28, 2023

UPMC Procirca is excited to announce our Adult ECMO Training Course. The course will be held in person at the Cambria Hotel Pittsburgh-Downtown on October 25-28, 2023.

The UPMC Procirca Adult ECMO Training Course will combine didactic lectures with high-fidelity simulation training to provide a well rounded look at the care of the adult ECMO patient. The strong didactic course will give attendees a solid base in which to start or grow their ECMO programs at their home institutions. The learner will be able to troubleshoot ECMO scenarios along with learning and practicing cannulation techniques with the high-fidelity portion of the course.

Target Audience

This comprehensive 3.5-day course is designed for the bedside ECMO caregiver including physicians, physician assistants, perfusionists, nurses, nurse practitioners, ECMO specialists, and respiratory therapists.

Additional Information

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PDF icon PRINT AGENDA.pdf473.66 KB
Course summary
Available credit: 
  • 27.00 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 27.00 Attendance
Course opens: 
04/11/2023
Course expires: 
12/31/2023
Event starts: 
10/25/2023 - 8:00am EDT
Event ends: 
10/28/2023 - 2:00pm EDT
Cost:
$1.00
Add to calendar: 
Rating: 
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PDF icon FINAL AGENDA

 

UPMC Procirca Adult ECMO Training Course 2023

Course Agenda and Learning Objectives

DAY 1 (WEDNESDAY, OCTOBER 25, 2023):

07:00-08:00       REGISTRATION AND BREAKFAST

08:00-08:30       Welcome and Overview                                          
Keri Hickman, CCP

ECMO OVERVIEW
Different modes of ECMO support
Global trends in ECMO utilization

08:30-09:00       Past to Present: History and Recent Evidence                            
Holt Murray, MD

HISTORY OF ECMO
List the key milestones in the development of ECMO
Describe the evolution of the Extracorporeal Life Support Organization
HISTORICAL STUDIES
List the historical ECMO studies and their limitations
RECENT EVIDENCE FOR VV ECMO
Interpret results and limitations of the main cohort studies on VV ECMO
Interpret results and limitations of the CESAR and the EOLIA trials
RECENT EVIDENCE FOR VA ECMO
Interpret results and limitations of the main cohort studies on VA ECMO
Interpret results of studies/trials comparing temporary VADs to VA ECMO

09:00-09:30       Circuit Components                        
Brandon D’Aloiso, CCP

CIRCUIT OVERVIEW
Define the main components of an ECMO circuit
List circuit monitoring tools
CANNULAS & TUBING
Describe the differences in ECMO cannula design
List the considerations for selecting the appropriate ECMO cannula
PUMP
Describe the requirements of a blood pump used in ECMO
Explain the physics and working principles of a centrifugal pump
MEMBRANE LUNG & BLENDER
Describe the structure and function of the membrane lung
Describe the function of the blender
PRESSURE MONITORING
List the different pressure zones in an ECMO circuit
Discuss the utility of monitoring drainage pressure
OTHER CIRCUIT COMPONENTS
Describe the utility of the flowmeter
Describe the function of the heater
Describe the utility of circuit clamps

09:30-10:00       Configurations & Cannulations                             
Pablo Sanchez, MD

CANNULATION
List the differences between percutaneous and open cannulation
Outline the process of percutaneous cannulation
Discuss the role of ultrasound in cannulation
VV ECMO CONFIGURATIONS
List the different configurational options for VV ECMO
Review the benefits and limitations of specific configurations
VA ECMO CONFIGURATIONS
List the different configurational options for VA ECMO
Review benefits and limitations of specific configurations
CANNULATION COMPLICATIONS
Identify complications of ECMO cannulation
Describe steps to prevent, recognize, and treat complications

10:00-10:15       BREAK

10:15-10:45       ECMO Physiology                                                               
Raj Ramanan, MD

OXYGEN DELIVERY & UPTAKE
Describe the normal physiology of oxygen delivery and uptake
GAS TRANSFER IN MEMBRANE LUNG
Describe the key determinants of oxygen uptake in the membrane lung
Describe the key determinants of carbon dioxide removal in the membrane lung
HEMODYNAMIC MONITORING OF VV
List the hemodynamic changes that accompany VV ECMO
Describe the changes in hemodynamic monitoring on VV ECMO
HEMODYNAMIC MONITORING OF VA
Discuss the hemodynamic changes that accompany VA ECMO
Describe the changes in hemodynamic monitoring on VA ECMO

10:45-11:15       Anticoagulation                                                       
Ryan Rivosecchi, PharmD

ANTICOAGULATION
List anticoagulation strategies on ECMO
Discuss anticoagulation monitoring on ECMO

11:15-11:45 Daily Management for the ECMO Specialist                                                           
Keri Hickman, CCP

RENAL REPLACEMENT THERAPY
Identify the benefits and limitations of administering RRT via a dialysis catheter
Identify the benefits and limitations of administering RRT via the ECMO circuit
INTRAHOSPITAL TRANSPORT
Identify considerations and logistics for intrahospital transport

11:45-12:45       LUNCH

12:45-13:00       Introduction to Simulation                                                  
Keri Hickman, CCP

13:00-17:15         Simulations:
Instructors: Raj Ramanan, Veronica Garvia-Bianchini, Timothy Kaselitz, Keri Hickman, Brandon D’Aloiso, Peter Arlia, Amber Palmer, Tyler Eadie

1. Circuit Components

2. CardioHelp Setup, Priming, & Knobology

3. CentriMag Setup, Priming, & Knobology

4. Pressures 101/CRRT

17:15                ADJOURNMENT DAY ONE

 

DAY 2 (THURSDAY, OCTOBER 26):

07:00-08:00       BREAKFAST

08:00-08:30       Respiratory Failure  
Timothy Kaselitz, MD

Provide an overview of respiratory failure
List standard management strategies for respiratory failure
Discuss the rationale of VV ECMO in respiratory failure

08:30-09:00       Patient Selection for VV ECMO                             
Raj Ramanan, MD

List the indications and contraindications for VV ECMO support

09:00-09:15       BREAK

09:15-09:45       Management of VV ECMO
Raj Ramanan, MD

INTIATION OF VV ECMO
Describe the steps in initiating a patient onto VV ECMO
VV ECMO MAINTENANCE
Describe titration of blood flow and gas flow to achieve adequate support on VV ECMO
Describe the concept of native lung rest
WEANING VV ECMO
Describe the process of weaning VV ECMO support
List exit strategies for the VV ECMO patient

09:45-10:15         VV ECMO Case Vignettes
Raj Ramanan, MD

DRAINAGE INSUFFIENCY
Define and diagnose drainage insufficiency
Troubleshoot drainage insufficiency
RETURN OBSTRUCTION
Define return obstruction and identify its causes
Diagnose and manage return obstruction
RECIRCULATION
Define and identify recirculation
Troubleshoot recirculation

10:15-10:30       BREAK

10:30-11:00       Circuit Complications                                                         
Peter Arlia, CCP

(MECHANICAL) COMPLICATIONS OVERVIEW
PUMP FAILURE
Define pump failure
Describe how to identify and manage pump failure
MEMBRANE LUNG DYSFUNCTION
Define membrane lung dysfunction
Describe how to diagnose and manage membrane lung dysfunction
AIR EMBOLISM
Define air embolism and its determinants
Define strategies to prevent air embolism
Describe how to detect and manage air embolism
CIRCUIT DISRUPTION
Identify determinants of circuit disruption
Recognize early signs of circuit disruption
Manage circuit disruption
ACCIDENTAL DECANNULATION
Manage an accidental decannulation
COMING OFF ECMO EMERGENTLY
List the indications for coming off ECMO emergently
List the steps required to come off and back on ECMO emergently

11:00-12:00       LUNCH

12:00-16:15       Simulations
Instructors: Raj Ramanan, Veronica Garvia-Bianchini, Timothy Kaselitz, Keri Hickman, Brandon D’Aloiso, Peter Arlia, Amber Palmer, Tyler Eadie

16:15             ADJOURNMENT DAY TWO

17:30-19:30    VENDOR MEET & GREET
 


DAY 3 (FRIDAY, OCTOBER 27):

07:00-08:00       BREAKFAST

08:00-08:30       Cardiac Failure                                                         
David Kaczorowski, MD

Provide an overview of cardiac failure
List standard management strategies for cardiac failure
Discuss the rationale of VA ECMO in cardiac failure

08:30-09:00       Patient Selection for VA ECMO     
Michael Lazar, MD

List the indications and contraindications for VA ECMO support

09:00-09:15       BREAK          

09:15-09:45         Management of VA ECMO                                                                  
David Kaczorowski, MD

INITIATION OF VA ECMO
Describe the steps for initiating a patient
VA MAINTENANCE
Describe vasopressor use and blood flow titration for cardiovascular support
Describe the concept of native heart rest
Describe ventilator management and blood and gas flow titration for pulmonary support
WEANING VA ECMO
Describe the process of weaning VA ECMO support
List exit strategies for the VA ECMO patient

09:45-10:15         VA ECMO Case Vignettes
Raj Ramanan, MD

LV DISTENTION
Describe the mechanism of LV distention
List strategies to unload the left ventricle
DIFFERENTIAL OXYGENATION
Define and identify differential oxygenation
Troubleshoot differential oxygenation

10:15-10:30       BREAK

10:30-11:00       ECPR                         
David Kaczorowski, MD

Describe ECPR
Interpret results and limitations of the major clinical trials on ECPR
Patient selection with emphasis on inclusion and exclusion criteria
Logistics of establishing and maintaining an ECPR program

11:00-12:00       LUNCH

12:00-16:15       Simulations
Instructors: Raj Ramanan, Veronica Garvia-Bianchini, Timothy Kaselitz, Keri Hickman, Brandon D’Aloiso, Peter Arlia, Amber Palmer, Tyler Eadie

16:15                ADJOURNMENT DAY THREE


DAY 4 (SATURDAY, OCTOBER 28):

07:00-08:00       BREAKFAST

08:00-08:30       Daily Management for the ECMO Physician
Timothy Kaselitz, MD

SEDATION
Identify the role of sedation during ECMO support
Discuss the paradigm shift towards awake ECMO
PROCEDURES
Discuss considerations for procedures on the ECMO patient
PHYSIOTHERAPY
Describe the rationale for physiotherapy during ECMO
Identify appropriate candidates for physiotherapy on ECMO

08:30-09:00       Patient Complications                                                                     
Veronica Garvia, MD

(MEDICAL) COMPLICATIONS OVERVIEW NEUROLOGICAL COMPLICATIONS
List the etiology and risk factors for neurological complications
Discuss the management of ischemic and hemorrhagic strokes
BLEEDING
List the etiology of bleeding
Discuss the management of bleeding
THROMBOSIS
List the etiology of thrombosis
Discuss the management of thrombosis
HEMOLYSIS
Understand the etiology and risk factors of hemolysis on ECMO
Discuss how to prevent and manage hemolysis
LIMB ISCHEMIA

List the risk factors for developing limb ischemia on VA ECMO
Describe how to monitor limb perfusion
Discuss the prevention and management of limb ischemia

CARDIAC ARREST DURING ECMO
Discuss the management of cardiac arrest on VV ECMO
Discuss the management of cardiac arrest on VA ECMO

09:00-09:15       BREAK

09:15-09:35       Inter-Hospital Transport                                                     
Frank Guyette, MD

INTERHOSPITAL TRANSPORT
Identify considerations and logistics for interhospital transport

09:35-09:55       Coding & Billing for the ECMO Provider
Alexandrea Bartow, MBA, MSN

Describe rationale for accurate documentation
Describe process of coding & billing Quality assurance

09:55-10:15       Ethical & Legal Challenges
TBD

END-OF-LIFE DECISION MAKING WITHDRAWAL OF ECMO SUPPORT

10:15-10:30       BREAK

10:30-13:30       Simulations: Comprehensive Sim/LUNCH
Instructors: Raj Ramanan, Veronica Garvia-Bianchini, Timothy Kaselitz,Keri Hickman, Brandon D’Aloiso, Peter Arlia, Amber Palmer, Tyler Eadie

13:30-14:00       Q&A WITH FACULTY
Moderator: Raj Ramanan

14:00                COURSE ADJOURNMENT

Cambria Hotel Pittsburgh-Downtown
1320 Centre Ave
Pittsburgh, PA 15219
United States

Cambria Hotel Pittsburgh – Downtown
1320 Centre Avenue
Pittsburgh, PA 15219

25 minutes from the Pittsburgh International Airport

Transportation options:  car rental, ride sharing (Uber, Lyft), public transportation (28X Airport Flyer), and taxis (Yellow Cab, ZTrip)

Course Directors 

Raj Ramanan, MD
Assistant Professor of Critical Care Medicine
Department of Critical Care Medicine
Medical Director, ECMO
Director, Procirca ECMO Education 
University of Pittsburgh Medical Center
Pittsburgh, PA

Pablo G. Sanchez, MD, PhD, FACS
Brack G. Hattler Professor in Cardiothoracic Transplantation
Vice-Chair for Diversity, Equity & Inclusion 
Chief, Division of Lung Transplant & Lung Failure 
Surgical Director, ECMO
Associate Program Director CT Surgery Residency Program
Department of Cardiothoracic Surgery
University of Pittsburgh School of Medicine
Pittsburgh, PA

David Kaczorowski, MD
Associate Professor of Cardiothoracic Surgery 
Surgical Director, Advanced Heart Failure Center
Department of Cardiothoracic Surgery
University of Pittsburgh School of Medicine
Pittsburgh, PA

Faculty

Brandon D'Aloiso, MS, CCP
Lead Perfusionist of Education
University of Pittsburgh Medical Center
Pittsburgh, PA

Peter Arlia, BS, CCP, LP, MBA
Director, Perfusion Services
University of Pittsburgh Medical Center 
Pittsburgh, PA

Alexandrea Bartow, MBA, MSN, ACNP-BC, RN, CSSGB
Director, Clinical/Quality Documentation
Wolff Center, Division of Corporate Quality
University of Pittsburgh Medical Center
Pittsburgh, PA

Veronica Garvia-Bianchini, MD
Assistant Professor of Critical Care Medicine
Department of Critical Care Medicine
University of Pittsburgh Medical Center
Pittsburgh, PA

Francis Guyette MD, MPH
Medical Director, STAT MedEvac
Professor of Emergency Medicine
University of Pittsburgh Medical Center
Pittsburgh, PA

Keri Hickman, CCP
Director, ECMO Management
University of Pittsburgh Medical Center
Pittsburgh, PA

Timothy Kaselitz, MD
Assistant Professor of Critical Care Medicine
Department of Critical Care Medicine
University of Pittsburgh Medical Center
Pittsburgh, PA

Michael Lazar, MD, MHA, FACC
Executive Medical Director, UPMC Williamsport HVI
Regional Director, HVI Cardiac Surgery UPMC Williamsport, Altoona and Western Maryland
University of Pittsburgh Medical Center 
Williamsport, PA 

Holt Murray, MD
Assistant Professor of Critical Care Medicine
Department of Critical Care Medicine
Medical Director, CTICU
University of Pittsburgh Medical Center
Pittsburgh, PA

Ryan Rivosecchi, PharmD, BCCCP
Clinical Pharmacist Cardiothoracic ICU
Supervisor of Critical Care, Cardiology and Transplant Clinical Pharmacy Services
University of Pittsburgh Medical Center
Pittsburgh, PA

Additional Simulation Faculty

Amber Palmer, MS, CCP
Lead Perfusionist of Simulation
University of Pittsburgh Medical Center
Pittsburgh, PA

Tyler Eadie, MS, CCP
Lead Perfusionist of Simulation
University of Pittsburgh Medical Center
Pittsburgh, PA
 

In support of improving patient care, the University of Pittsburgh 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 health care team.

Physician (CME)
The University of Pittsburgh designates this live activity for a maximum of 27 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.
 

Available Credit

  • 27.00 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 27.00 Attendance

Price

Cost:
$1.00
Please login or register to take this course.

IT IS OUR PRIORITY TO ENSURE THAT WE PROVIDE YOU WITH THE HIGHEST QUALITY EDUCATION.  BUT, UNFORTUNATELY, THIS COURSE IS AT CAPACITY, AND REGISTRATION IS CLOSED. However, we will be conducting another course in Spring 2024. Please email me at nealka3@upmc.edu for further details. Thank you for your time and interest. 

Cost: $3,000.00 (includes the ELSO Red Book and the ECMO Specialist Training Manual)

UPMC employees are eligible for a discounted rate which can be applied during the registration process. 

Questions? Contact procircaecmo@procirca.com

Cancellation/Refund statement--All cancellations must be sent via email, nealka3@upmc.edu. Cancellations received before 10/11/23 will be refunded in full. After 10/11/23, a $1,000 fee will be assessed, and no refunds will be made after 10/22/23.