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., indicated that neither he nor his spouse/partner has relevant financial relationships with commercial interest companies, and he will not include off-label or unapproved product usage in his presentation(s) or discussion(s).

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 indicated that neither they nor their spouses/partners have relevant financial relationships with commercial interest companies.

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

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
Please login or register to take this course.

Required Hardware/software

This site is best viewed on the two most recent stable releases of the following browsers for all public pages:

PCs Running Windows

  • Google Chrome (Preferred): Download free web browser for PC, Mac, phone and tablet
  • Internet Explorer (IE 11 and above recommended): You will be prompted to download videos before you are able to view. Click “download” to view video.  After a momentary pause, the recording will play. 
  • Mozilla Firefox: You may be prompted under the “This Connection Is Untrusted” screen to add “cmeonline.baptisthealth.net” and “cdn.baptisthealth.net” under “add exceptions.”

Apple Computers Running OSX

  • Google Chrome (Preferred): Download free web browser for PC, Mac, phone and tablet
  • Safari
  • Mozilla Firefox: You may be prompted under the “This Connection Is Untrusted” screen to add “cmeonline.baptisthealth.net” and “cdn.baptisthealth.net” under “add exceptions.”

This site uses a responsive design, which allows the page layout of elements to change depending on the screen resolution. Certain functionality may change based on the resolution of smaller screens, such as the number of columns in a table.

Technical Support: If you are experiencing technical difficulties or have received an error message, please send an email to CME@BaptistHealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.