Cardiopulmonary Physiology, Hemodynamic Monitoring and End-Points of Resuscitation to Prevent Organ Failure in the 21st Century

An essential aspect of the care of the critically ill patient is to identify cardiovascular insufficiency, treat it, and know when to stop over resuscitation while also attending to the various other aspects of pathology that each patient brings to the clinical environment. No two patents are alike in their presentation of acute illness, response to therapy, or potential for a good outcome from the treatment of disease and a minimal amount of treatment-associated morbidities. Furthermore, most people, if they live long enough, will experience some acute, potentially life-taking, process that if not treated correctly and rapidly will result in death or morbidity before their time. These realities make the practice of critical care medicine one of the most demanding of all medical specialties, and one of its greatest attractions in the recruitment of dedicated and passionate bedside clinicians.

Target Audience

Critical Care Physicians, Cardiologists, Surgeons, Anesthesiologists, Emergency Medicine Physicians, Nephrologists, Pulmonologists, Infectious Disease Physicians, Neurologists, Gastroenterologists, Hospitalists, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists, Respiratory Therapists (Direct Delivery) and other interested healthcare providers. 

Learning Objectives

  • Apply individualized treatment strategies to optimize arterial pressure and ensure adequate tissue perfusion. 
  • Recognize the uses and limitations of monitoring blood lactate levels over time.
  • Describe the continued importance of central venous oxygen saturation (S(c)vO2) even in the presence of negative randomized controlled trials on early goal-directed therapy. 
Additional information
Bibliography: 
  • Vincent, J. L., e Silva, A. Q., Couto, L., & Taccone, F. S. (2016). The value of blood lactate kinetics in critically ill patients: a systematic review. Critical Care, 20(1), 257.3
  • Vincent, J. L., & De Backer, D. (2018). From early goal-directed therapy to late (r) ScvO2 checks. Chest, 154(6), 1267-1269.
  • Vincent JL. How I treat septic shock. Intensive Care Med 2018;44:2242-2244
Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.00 Florida Board of Pharmacy
  • 1.00 Florida Board of Respiratory Therapy
Course opens: 
02/01/2020
Course expires: 
01/31/2023

Jean-Louis Vincent, M.D., Ph.D.
Professor of Intensive Care Medicine
Université Libre de Bruxelles
Dept. of Intensive Care, Erasme University Hospital
Brussels, Belgium

Jean-Louis Vincent, M.D., Ph.D., faculty of this educational activity, has no relevant financial relationships with ineligible companies* to disclose and has indicated that the presentation or discussion will not include off-label or unapproved product usage. 

Symposium Directors
Louis T. Gidel, M.D., Ph.D., FCCP, Donna Lee Armaignac, Ph.D. APRN, CCNS, CCRN-K, and Eduardo Martinez-DuBouchet, M.D., have no relevant financial relationships to disclose with ineligible companies.*

Non-faculty contributors and others involved in the planning, development, and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*.

*Ineligible companies -- Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.00 Florida Board of Pharmacy
  • 1.00 Florida Board of Respiratory Therapy
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