I Simpósio Internacional do paciente de alto risco – 03 e 04 de agosto de 2018

 

Organização:
Profa. Dra. Ludhmila Abrahão Hajjar
Prof. Jean-Louis Vincent
Prof. Rupert Pearse
Prof. Daniel De Backer
Supervisão:
Prof. Dr. José Otávio Costa Auler Jr.
Profa. Dra. Filomena Regina Barbosa Gomes Galas
Prof. Dr. Fábio Biscegli Jatene
Profa. Dra. Eloisa Silva Dutra de Oliveira Bonfá
Dr. Roberto Kalil Filho
Comissão científica:
Dra. Claudia Marquez Simões
Dr. Juliano Pinheiro de Almeida
Programação Científica

03 de agosto de 2018

08:00 – 08:30
Welcome
08:30 – 08:45
Opening Session
08:45 – 09:15

PLENARY SESSION- Personalized care in surgical patients

09:20 – 09:50

PLENARY SESSION- How and why to identify the high surgical risk patients

09:50 – 10:15
Coffee Break
10:15 – 11:30
ROUND TABLE – Preoperative interventions to reduce surgical complications10:15 – Risk stratification and triage – CPET, biomarkers, scoring systems
10:30 – Preoperative pharmacological strategies
10:45 – Perioperative ICU admission and alternatives
11:00 – Organisational perioperative medicine
11:15 – Discussion
11:30 – 12:45
ROUND TABLE – Perioperative Hemodynamic monitoring11:30 – Goal directed hemodynamic therapy
11:45 – Why would we measure cardiac output ?
11:55 – Ultrasound is the best
12:15 – SVO2, ScVO2, PCO2 gap and lactate are the goals
12:30 – How to measure (dys)function of the heart
12:45 – Discussion

13:00 – 13:45
Lunch
13:00 – 13:45
SATELLITE SYMPOSIUM– My patient needs an assist device (IABP, ECMO, Impella, LVAD)
13:45 – 15:15
ROUND TABLE – Hemodynamic therapy13:45 – Which is the best fluid for surgery?
14:00 – How to assess fluid status in the perioperative period?
14:15 – Vasopressors: when and how to start
14:30 – Inotropes: when and how to start
14:45 – When to transfuse high surgical risk patients?
15:00 – Discussion
15:15 – 16:45
ROUND TABLE – The best anesthetic approach15:15 – Regional and axial anesthesia – is there a role ?
15:30 – Organic protection during anesthesia
15:45 – How to prevent delirium and cognitive dysfunction?
16:00 – Intraoperative glycemic control
16:15 – The Surgical Safety Checklist
16:30 – Discussion

16:45 – 17:15
Coffee Break
17:15 – 18:15
CONFERENCE – Approach to my patient in shock17:15 – Septic Shock
17:45 – Cardiogenic Shock
18:15 – 19:00

Meeting of the optimise 2Brazilian centers

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Programação Científica

04 de agosto 2018

08:30 – 09:00

PLENARY SESSION- Patient Blood Management

09:00 – 10:00
ROUND TABLE – The bleeding patient09:00 – Goal directed therapy with thromboelastometry is better
09:15 – Prothrombin complex or FFP ? Cryo or fib concentrate ?
09:30 – Management of Hemorragic shock
09:45 – Discussion

10:00 – 10:20
Coffee Break
10:20 – 11:50
ROUND TABLE – Sepsis – from prevention to best treatment10:20 – How to prevent sepsis in surgical patients
10:35 – Management of intra-abdominal sepsis
10:50 – Approach to fungal infection
11:05 – Antimicrobial Stewardship in MDR sepsis
11:20 – Adjunctive therapies in surgical septic patients
11:35 – Discussion
11:50 – 12:20
Perioperative Nutrition11:50 – Early gastrointestinal is the best
12:05 – When early parenteral nutrition is needed

12:20 – 13:05
Lunch
12:20 – 13:05
SATELLITE SYMPOSIUM – Point-of-care in critically ill patients (Ultrasound, Biomarkers, thromboelastometry)
13:05 – 13:25

PLENARY SESSION- Personalized IgM therapy in specific populations of septic patients

13:25 – 14:40
ROUND TABLE – Challenges in perioperative setting13:25 – The obese patient
13:40 – The cancer patient
13:55 – Vasoplegic Shock
14:25 – Discussion
14:40 – 15:55
ROUND TABLE – Reducing postoperative pulmonary complications14:40 – Components of the care bundle
14:55 – The best strategy of intraoperative ventilation
15:10 – How to manage postoperative hypoxemia ?
15:25 – Postoperative ARDS
15:40 – Discussion

16:00 – 16:30
Coffee Break
16:30 – 17:30
ROUND TABLE – Postoperative acute kidney injury16:30 – How to prevent AKI
16:45 – Pathophysiology and management of postoperative AKI –
17:00 – Short term and long term outcomes
17:15 – Discussion
17:30 – 18:00

Plenary SessionTHE RESEARCH AGENDA IN HIGH-RISK SURGICAL PATIENTS: WHAT COMES NEXT?

18:05
Closing Remarks