Learning Objectives:
At the conclusion of this session, participants will be able to:
- evaluate whether post cardiac arrest targeted temperature management goals should be revised;
- identify the strength and limitations of a trial reporting improved return of spontaneous circulation with the addition of methyl prednisone and vasopressin to standard care in in-hospital cardiac arrest;
- critically appraise whether of the two most recent randomized trials on extracorporeal CPR should change clinical practice;
- evaluate if Propofol or Precedex is the preferred sedation agent for patient with cardiovascular disease undergoing mechanical ventilation; and
- incorporate ways to reduce family grieving when patients with cardiovascular disease receive palliative care.
Summary:
In a previous successful format introduced at the CCC, this fast-paced presentation workshop will pair 5 trainees (or junior attendings in their first year of clinical practice) with 5 practicing intensivists to review the top 5 ICU trials published in the last year to 18 months. Each trainee will present a brief 1.5 min Cardiovascular Intensive Care Unit (CICU) case that highlights the potential impact of the major ICU clinical trial on CICU practice. The senior cardiac intensivists will provide a brief overview of the trial and discuss the applicability of the trial to CICU patient care. Both the junior and senior faculty will participate in the audience question and answer period. Please see attached run of the show for topics and presenters.
This workshop is timely and relevant to CICU patient care given many large centers have evolved from acute coronary syndrome monitoring units and cardiac surgery post-operative units into intensive care units for critically ill cardiovascular patients. Cardiologists and cardiac surgeons in tertiary non-academic and academic centers are caring for patients with non-cardiovascular complications and multi-system organ failure. A recently published statement authored by the Canadian CICU director’s group and endorsed by the CAIC advocated for ongoing critical care continuing medical education (CME) for cardiologists practicing in the CICU. A prior Canadian survey by the CICU director’s group identified that only 20% of tertiary non-academic CICUs and 46% of academic CICUs have available maintenance of competency for CICU practitioners. The purpose of this workshop is to provide a focused and relevant overview of recent critical care advances for the cardiac specialist. We are replicating a workshop that was extremely well received at the Canadian Cardiovascular Congress (CCC) in 2020. The session received very strong reviews though the CCC app and multiple attendees expressed the need for ongoing ICU-based CME in their clinical practice.