Expanding ECMO Horizons

D7004

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This activity is designed to discuss, define and resolve outstanding clinical and regulatory issues related to extracorporeal membrane oxygenation (ECMO) therapy. Discussions will be led by international leaders in the field. New technologies and advanced techniques for cannulation and circuitry will be presented. Explore unique and effective methods for managing long-term ECMO patients in the intensive care unit.

Cardiothoracic surgeons; heart and lung transplant surgeons; cardiologists, including interventional, acute care, heart failure, and heart transplant; cardiac and cardiothoracic fellows; pulmonologists; intensivists; cardiovascular/pulmonary/critical care anesthesiologists; nurse practitioners; physician assistants; and perfusion, nursing, and ECMO teams can benefit from attending this activity.

• 7:30-7:55 a.m. | Check-In/Exhibits
• 7:55-8 a.m. | Welcome and Overview
• 8-9:45 a.m. |
  

  Session 1: The Ins and Outs of ECMO

  Patient Selection for ECMO
  Octavio Falcucci, MD

  Objectives

  • Discuss common objectives for ECMO insertion.
  • Identify the indications for ECMO.
  • Identify the contraindications for ECMO.

  Alternate Strategies for ECMO and Temporary VAD Cannulation Strategies
  Lucian Durham, III, MD, PhD

  Objectives

  • Describe the strategies for alternative access for ECMO and Temporary VADs.
  • Discuss the rationale for deciding on alternative access for ECMO and temporary VADs.

  Anticoagulant Strategies to Target the Coagulopathy of ECMO
  Michael Creer, MD, FCAP, FASCP

  Objectives

  • Explain why anticoagulant therapy should be individualized to inhibit clot-promoting events that are unique to the patient and targeted to the coagulopathy of ECMO.
  • Recognize the need for and optimize selection of laboratory approach to anticoagulant monitoring.

  Percutaneous vs. Open Repair Closure of Large Bore Vascular Access: A Debate
  Moses Mathur, MD, MSc and Aditya Safaya, MB, BS

  Objectives

  • Compare advantages and disadvantages of a percutaneous strategy to vascular closure.
  • List advantages and disadvantages of an open strategy to vascular closure.

  Panel Discussion
  Moderator: Aly El Banayosy, MD
  Michael Creer, MD, FCAP, FASCP, Lucian Durham, III MD, PhD, Octavio Falcucci, MD, Moses Mathur, MD, MSc and Aditya Safaya, MB, BS

• 9:45-10:30 a.m. | Break/Exhibits
• 10:30-Noon |
  

  Session 2: ECMO Outside of the Box

  ECMO in the Severely Injured: An Important and Under-Utilized Technology Across the Spectrum of Traumatic Injury
  Steven Allen, MD

  Objectives

  • Distinguish the utility of ECMO in injured patients.
  • Demonstrate how ECMO may be beneficial across multiple types of traumatic mechanisms.

  ECMO and Temporary VAD Support in the Pregnant Patient
  Lucian Durham, III, MD, PhD

  Objectives

  • Review the complications and issues necessitating extracorporeal support during pregnancy.
  • Explain anticoagulation and interventions on pregnant patients supported on ECMO/LVAD.

  Ambulation of Veno-Arterial (VA) and Veno-Venous (VV) ECMO
  Chris Wells, PhD, PT, CCS, ATC, FCCM

  Objectives

  • Examine the benefits of devoting valuable resources to early rehabilitation. Describe the process to promote safe patient mobility, including ambulation.

  Pre-Induction of Anesthesia Veno-Venous (VV) ECMO for Protection from Hypoxia During Surgical Removal of Intra-Tracheal Mass
  Amit Prasad, MD

  Objectives

  • Discuss use of VV ECMO for airway compromise.
  • Explain bifemoral cannulation technique vs. bicaval cannulation technique.
  • Review cannulation without use of anticoagulation due to possible surgical bleeding risk.

  Panel Discussion
  Moderator: Amit Prasad, MD
  Steven Allen MD, Lucian Durham, III MD, PhD and Chris Wells, PhD, PT, CCS, ATC, FCCM

• Noon-1:15 p.m. | Lunch and CME Presentation: Building an ECMO Network for Post-Operative
  (Lunch buffet at noon and CME presentation to begin at 12:30 p.m.)

  Cardiogenic Shock
  Aly El Banayosy, MD

  Objectives

  • Describe post cardiotomy cardiogenic shock.
  • Review the importance of a regional network and network infrastructure.
  • Discuss inter-hospital collaboration and transfer.
• 1:15-3 p.m. |
  

  Session 3: The Right Pump for the Right Patient & the Right Time

  Society for Cardiovascular Angiography & Interventions (SCAI) Shock – A Contemporary Approach to the Staging of Cardiogenic Shock
  Christoph Brehm, MD

  Objectives

  • Describe the history of cardiogenic shock staging.
  • Explain the SCAI cardiogenic shock stages.
  • Discuss future implications of contemporary cardiogenic shock staging.

  Cardiogenic Shock – What is the Best Device Strategy?
  Aly El Banayosy, MD

  Objectives

  • Describe cardiogenic shock phenotypes.
  • Review temporary mechanical cardiac support devices and competitive effectiveness.
  • List strategies for device selection.

  Utilizing ECHO in the ECMO Patient
  Ryan Wilson, MD

  Objectives

  • Review utilizing echocardiogram in mechanical circulatory support.
  • Discuss weaning ECMO and how to utilize cardiac imaging.

  Then What: LVAD, Transplant, Wean?
  Balakrishnan Mahesh, MBBS, PhD

  Objectives

  • Discuss mechanical circulatory support including indications, techniques, and contraindications.
  • Explain indications for transplantation from durable mechanical circulatory support.

  Panel Discussion
  Moderator: Christoph Brehm, MD
  Aly El Banayosy, MD, Balakrishnan Mahesh, MBBS, PhD and Ryan Wilson, MD

• 3-3:15 p.m. | Break/Exhibits
• 3:15-4 p.m. |
  

  Session 4: Life After ECMO

  Supporting the Psychological Needs of Post-ECMO Patients
  Cora Tomasko, PsyD

  Objectives

  • Discuss history of the identified need and development of the support group.
  • Review benefits of peer support.

  ECMO Patient Experience

• 4-4:15 p.m. | Closing Remarks/Adjournment
  Christoph Brehm, MD

Christoph Brehm, MD

Carol Dziedzina, RN
Angela Lambert, DNP
Allana Langley, MSN
Kelly Rothbart, CRNP
Karl Woitas, CCP

Steven Allen, MD
Professor, Department of Surgery
Division of Trauma, Acute Care and Critical Care Surgery
Penn State College of Medicine
Penn State Health Milton S. Hershey Medical Center

Christoph Brehm, MD
Associate Professor, Department of Surgery
Penn State Heart and Vascular Institute
Penn State College of Medicine
Penn State Health Milton S. Hershey Medical Center

Michael Creer, MD, FCAP, FASCP
Laurence M. Demers Distinguished Professor in Pathology and Laboratory Medicine
Vice Chair, Clinical Laboratory Operations and Laboratory Medicine Division Chief
Penn State Cancer Institute
Penn State College of Medicine
Penn State Health Milton S. Hershey Medical Center

Lucian Durham, III, MD, PhD
Associate Professor of Surgery (Cardiothoracic)
Director Mechanical Circulatory Support, ECMO and Cardiogenic Shock Programs
Cardiothoracic Surgery
Froedtert & Medical College of Wisconsin

Aly El Banayosy, MD
Medical Director Mechanical Circulatory Support/Heart and Vascular Intensive Care Unit
Heart and Vascular Institute
Saint Francis Health System

Octavio Falcucci, MD
Associate Professor, Department of Anesthesiology and Perioperative Medicine
Division of Mechanical Circulatory Support
Penn State Heart & Vascular Institute
Penn State College of Medicine
Penn State Health Milton S. Hershey Hospital

Balakrishnan Mahesh, MBBS, PhD
Associate Professor, Department of Surgery
Penn State College of Medicine
Penn State Health Milton S. Hershey Medical Center

Moses Mathur, MD, MSc
Assistant Professor, Department of Medicine
Division of Cardiology
Penn State College of Medicine
Penn State Health Milton S. Hershey Medical Center

Amit Prasad, MD
Associate Professor, Department of Anesthesiology and Perioperative Medicine
Penn State Heart and Vascular Institute
Penn State College of Medicine
Penn State Health Milton S. Hershey Medical Center

Aditya Safaya, MB, BS
Assistant Professor, Department of Surgery
Penn State College of Medicine
Penn State Health Milton S. Hershey Medical Center

Cora Tomasko, PsyD
Assistant Professor, Department of Psychiatry and Behavioral Health
Division of Adult Outpatient Services
Penn State College of Medicine
Penn State Health Milton S. Hershey Medical Center

Chris Wells, PhD, PT, CCS, ATC, FCCM
Clinical Specialist, Physical Therapy
Department of Rehabilitation Services
University of Maryland Medical Center

Ryan Wilson, MD
Assistant Professor, Department of Medicine
Division of Cardiology
Penn State College of Medicine
Penn State Health Milton S. Hershey Medical Center

AMA

Penn State College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Penn State College of Medicine designates this live activity for a maximum of 6.5 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses Using AMA Credit

Nurses will receive a certificate from Penn State College of Medicine verifying their participation in up to 6.5 hours of approved continuing medical education. Continuing education activities which are approved by accredited institutions of higher education and that are relevant to patient care or professional nursing meet the requirements of mandatory continuing education for registered nurses in Pennsylvania, as required by the Pennsylvania State Board of Nursing. The Board of Nursing recommends that nurses retain their certificates for a period of at least five years. Additional information is available through the State Board of Nursing.

American Board of Cardiovascular Perfusion

This activity has been approved for 6.5 Category 1 CEU hours by the American Board of Cardiovascular Perfusion.

$200 Physicians
$150 Advanced Practice Providers
$125 Others

The fee includes the cost of instruction, online handout materials and all listed meals.

Payment is required at the time of registration. If you have any questions or concerns, please email us at ContinuingEd@pennstatehealth.psu.edu.

Registrations received after Thursday, Oct. 17, will incur a $25 late fee.

Cancellations received after Friday, Oct. 11, will be assessed a $25 processing fee.

No refunds will be made for cancellations received after Tuesday, Oct. 15.

Accommodations are the responsibility of the program participant. A list of Hershey area lodging is available upon request or online.

Join us in Hershey

Hershey is conveniently located in central Pennsylvania, just 90 minutes from Baltimore and Philadelphia, two hours from Washington, D.C., and three hours from New York City.

• Harrisburg-Area Attractions
• Hershey Attractions
• Tanger Outlets in Hershey
• Historic Gettysburg
• Pennsylvania Dutch and Amish Country

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