Final Program. June 19 th to 22 nd, 2013 Hotel Transamérica São Paulo SP Brazil. Chairmen: Prof. Dr. Elias Knobel Prof. Dr. Jean-Louis Vincent

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1 Final Program June 19 th to 22 nd, 2013 Hotel Transamérica São Paulo SP Brazil : Prof. Dr. Elias Knobel Prof. Dr. Jean-Louis Vincent

2 não pode fazer parte da sua rotina. A prevenção sim. Conheça o programa que está mudando a cultura da profilaxia do Tromboembolismo Venoso no Brasil. Pergunte ao seu representante Sanofi sobre a oportunidade de implementar o TEV Safety Zone no seu hospital. Entre em contato através do site e solicite uma visita do nosso representante. TEV Safety Zone Mais qualidade e menos riscos no ambiente hospitalar.

3 Word From the Organizing Committee More recently, Critical Care Medicine has been growing driven by the quality of its scientific production, by focusing on patient safety and the crescent availability of education and training in this area. In this context, the International Symposium on Intensive Care and Emergency Medicine for Latina America (ISICEM-LA) has become a forum of excellence in education, allowing knowledge interchange between Latin-America institutions and the top Critical Care Medicine research centers. This can be shown by the increasing number of participants (average of 25% per event), the quality of the abstracts accepted and published in Critical Care Magazine (impact factor 4.61) and the quality of the scientific program. Consequently, the responsibilities of the Organizing Committee and the sponsor institutions, Albert Einstein Jewish Hospital and Free University of Brussels, in maintaining the high quality of ISICEM-LA have also increased. In order to achieve this goal, we invited well-known speakers and discussed with them the scientific program. The Scientific Committee, with Brazilian and International members, aimed to bring what are the cut-edge and most innovative issues in Critical Care Medicine as well as to address fundamental questions from daily practice. We also improved the infrastructure and logistics of the event, reserving the best auditoriums in Hotel Transamerica and offering a better commuting system for the participants. Additionally, we establish partnerships with important pharmaceutical and biotechnology companies which will exhibit their latest products and give us a glimpse of the near future. These partnerships allow us to maintain and improve the excellence of ISICEM-LA. Therefore, this year great speakers and researchers in Critical Care Medicine will gather in São Paulo during 4 days at the ISICEM-LA again. This meeting will be complete only with your participation. We are sure this Symposium has grown because you recognized on it an opportunity to learn, teach, exchange ideas and especially to take to your institution concepts with the potential to improve the quality of care you provide. Join us! 7 th International Symposium on Intensive Care and Emergency Medicine for Latin America 3

4 Organization Centro de Terapia Intensiva - Adultos do Hospital Israelita Albert Einstein Intensive Care Unit Sa o Paulo Brazil Centro de Educação em Saúde Abram Szajman do Instituto Israelita de Ensino e Pesquisa Albert Einstein São Paulo - Brazil Departamento de Terapia Intensiva do Hospital Erasme da Universidade Livre de Bruxelas - Bélgica Department of Intensive Care, Erasme Hospital Free University of Brussels - Belgium Apoio - Sociedades Endorsed by Medical Scientific Societies Instituto Latino Americano de Sepsis Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias Associação de Medicina Intensiva Brasileira Associação Brasileira de Medicina de Urgência e Emergência Sociedade Paulista de Terapia Intensiva Sociedade de Terapia Intensiva de Sergipe Sociedade de Terapia Intensiva do Estado do Rio de Janeiro 4 7 th International Symposium on Intensive Care and Emergency Medicine for Latin America

5 Organizing Committee Prof. Dr. Elias Knobel Prof. Dr. Jean-Louis Vincent Coordinator Executive / Scientific Dr. Eliézer Silva Gerente Médico do Departamento de Pacientes Graves - Hospital Israelita Albert Einstein Organizing Committee Dr. Antonio Capone Neto Dr. Eliézer Silva Dr. Haggéas da Silveira Fernandes Dr. Luiz Francisco Poli de Figueiredo (in memorium) Dr. Murillo Santucci Cesar de Assunção Dr. Nelson Akamine Dra. Tatiana Mohovic Dr. Thiago Domingos Correa Setor de Eventos Científicos - IIEP Brasil Scientific Committee Dra. Ana Claudia Ferraz Brasil Dra. Ana Paula Metran Nascente Brasil Dr. Antonio Capone Neto Brasil Dr. Antonio Eduardo Pereira Pesaro Brasil Dr. Arnaldo Dubin - Argentina Dra. Carmem Silvia Valente Barbas Brasil Dr. Décio Diament Brasil Dr. Daniel De Backer Bélgica Dr. Eduardo José Tonato Brasil Dr. Edward Abraham USA Dr. Eliézer Silva Brasil Dr. Fernando Colombari Brasil Dra. Gisele Sampaio Silva Brasil Dr. Gustavo Faissol Janot de Matos Brasil Dr. Haggéas da Silveira Fernandes Brasil Dr. Julio Cesar Martins Monte Brasil Dr. Leonardo Jose Rolim Ferraz Brasil Dr. Luis Fernando Aranha Camargo Brasil Dr. Luiz Francisco Poli de Figueiredo (in memorium) Dr. Marcos Knobel Brasil Dr. Michael Pinsky USA Dr. Murillo Santucci Cesar de Assunção Brasil Dr. Nelson Akamine Brasil Dr. Rui Moreno Portugal Dra. Tatiana Mohovic Brasil Dr. Thiago Domingos Correa Brasil Dr. Thiago Zinsly Sampaio Camargo Brasil 7 th International Symposium on Intensive Care and Emergency Medicine for Latin America 5

6 International Faculty Andrew Rhodes - Inglaterra Clinical Director of Critical Care at St George's Hospital in London. Council member of the UK Intensive Care Society and chairs their Education and Training Committee. Past-President of the European Society of Intensive Care Medicine Arnaldo Dubin - Argentina Professor de Medicina, Faculdad de Medicina, Universidad de La Plata Christian Storm - Alemanha Specialist Internal Medicine/ Emergency Medicine Charité Universitätsmedizin Berlin Departement for Internal Medicine and Intensive Care Daniel De Backer - Bélgica Professor Department of Intensive Care / Erasme University Hospital / Brussels Université Libre de Bruxelles / Brussels President elect of the European Society of Intensive Care Medicine Jean-Louis Vincent - Bélgica Is Professor of intensive care at the Université Libre de Bruxelles and Head of the Department of Intensive Care at the Erasme University Hospital in Brussels. He has authored or co-authored more than 750 peer-reviewed publications, about 90 books and more than 800 original abstracts. He is the editor-in-chief of 3 journals and member of the Editorial Boards of more than 30 journals. He is presently Secretary General of the World Federation of Societies of Intensive and Critical Care Medicine, a Past-President of the European Society of Intensive Care Medicine, the European Shock Society, and the International Sepsis Forum. He received several awards (Society of Critical Care Medicine, American College of Chest Physicians, European Society of Intensive Care Medicine and Belgian FRS-FNRS). 6 7 th International Symposium on Intensive Care and Emergency Medicine for Latin America

7 International Faculty Jerónimo Graf - EUA Pulmonary and Critical Care Research, Regions Hospital, St. Paul, MN, USA. Unidad de Cuidados Intensivos - Adultos, Clínica Alemanha de Santiago, Santiago do Chile. First Department of Critical Care, Univeresity of Athens Medical School, Athens, Greece. Radiology Department, Univeresity of Minnesota, Minneapolis. Radiology Department, Regions Hospital, St. Paul. University Minnesota Minneapolis. Health Partners Research Foundation, Minneapolis/St Paul, MN, USA Jukka Takala - Suíça University Hospital Bern-Inselspital. Director Department of Intensive Care Medicine. Marco Ranieri - Turim - Itália Department of Anesthesia and Intensive Care Medicine CHAIRMAN University of Turin S.Giovanni Battista Molinette Hospital Maurizio Cecconi - Inglaterra Is a consultant and honorary senior lecturer in Anaesthesia and Intensive Care at St George s Hospital, London. In 2010 he has been awarded a doctoral degree (MD) from the University of London focusing on monitoring cardiovascular function on critically ill patients. 7 th International Symposium on Intensive Care and Emergency Medicine for Latin America 7

8 International Faculty Michael Niederman - EUA Chairman, Department of Medicine Winthrop-University Hospital Professor of Medicine Vice-Chairman, Department of Medicine SUNY at Stony Brook Paolo Pelosi - Itália Full Professor in Anesthesiology, University of Geneo President of the European Society of Anesthesiology Raul Nogueira - EUA Director, Neuroendovascular Division Marcus Stroke & Neuroscience Center Rui Moreno - Portugal Director of the Intensive Care Unit at the Hospital de Santo António dos Capuchos (Hospitais Civis de Lisboa (Central). 8 7 th International Symposium on Intensive Care and Emergency Medicine for Latin America

9 Brazilian Faculty Adalberto Stape - São Paulo - SP Adriano Mendes Caixeta - São Paulo - SP Alejandra Del Pilar Gallardo Garrido - São Paulo - SP Alexandre Marini Isola - São Paulo - SP Alexandre Teruya - São Paulo - SP Ana Claudia Ferraz - São Paulo - SP Ana Maria Cristina Beltrami Sogayar - São Paulo - SP Ana Paula Metran Nascente - São Paulo - SP Antonio Capone Neto - São Paulo - SP Antonio Eduardo Pereira Pesaro - São Paulo - SP Antonio Luis Eiras Falcão - São Paulo - SP Arnaldo Colombo - São Paulo - SP Bento Fortunato Cardoso dos Santos - São Paulo - SP Bruno de Arruda Bravim - São Paulo - SP Bruno Franco Mazza - São Paulo - SP Carla Valeri - São Paulo - SP Carlos Eduardo Saldanha de Almeida - São Paulo - SP Carlos Roberto Ribeiro de Carvalho - São Paulo - SP Carmen Silvia Valente Barbas - São Paulo - SP Christiane Finardi Pancera - São Paulo - SP Cilene Sagahabi - São Paulo - SP Claudio Flauzino de Oliveira - São Paulo - SP Constantino José Fernandes Jr. - São Paulo - SP Daniel Perin - São Paulo - SP Danilo Teixeira Noritomi - São Paulo - SP Denise Varella Katz - São Paulo - SP Diego Marcelo May - São Paulo - SP Dimitri Gusmão Flores - Salvador - BA Eduardo da Rosa Borges - São Paulo - SP Eduardo Juan Troster - São Paulo - SP Elias Knobel - São Paulo - SP Eliézer Silva - São Paulo - SP Erica Albanez Giovanetti - São Paulo - SP Fabio de Vasconcelos Papa - São Paulo - SP Fabio Machado - São Paulo - SP Fernando Colombari - São Paulo - SP Fernando Gatti de Menezes - São Paulo - SP Fernando Gutierrez - Rio de Janeiro - RJ Fernando Suparregui Dias - Rio Grande do Sul - RS Flavia Ribeiro Machado - São Paulo - SP Francisco Garcia Soriano - São Paulo - SP Frederico Bruzzi de Carvalho - Belo Horizonte - MG Frederico Lomar - São Paulo - SP Gisele Sampaio Silva - São Paulo - SP Glauco Adriano Westphal - São Paulo - SP Guilherme Furtado - São Paulo - SP Guilherme Schettino -São Paulo - SP Gustavo Faissol Janot de Matos - São Paulo - SP Haggéas da Silveira Fernandes - São Paulo - SP Helio Penna Guimarães - São Paulo - SP Humberto Bassit Bogossian - São Paulo - SP João Carlos de Campos Guerra - São Paulo - SP João Fernando Lourenço de Almeida - São Paulo - SP Jorge Ibrahim Figueira Salluh - Rio de Janeiro - RJ Jorge Luis dos Santos Valiatti - Catanduva - SP Julio Cesar Martins Monte - São Paulo - SP Lara Poletto Couto - São Paulo - SP Leonardo Jose Rolim Ferraz - São Paulo - SP Lilian Moreira Pinto - São Paulo - SP Lubia Caus de Moraes - São Paulo - SP 7 th International Symposium on Intensive Care and Emergency Medicine for Latin America 9

10 Brazilian Faculty Luis Fernando Aranha Camargo - São Paulo - SP Luis Otavio Sales Ferreira Caboclo - São Paulo - SP Marcelino Souza Durão Júnior - São Paulo - SP Marcelo Brito Passos Amato - São Paulo - SP Marcelo Costa Batista - São Paulo - SP Marcelo Franken - São Paulo - SP Marcelo Katz - São Paulo - SP Marcia R. Makdisse - São Paulo - SP Marcio Soares - Rio de Janeiro - RJ Marco Perin - São Paulo - SP Marcos Augusto Stavale Joaquim - São Paulo - SP Marcos Knobel - São Paulo - SP Milton Steinman - São Paulo - SP Mineo Kaneko - São Paulo - SP Moacyr Silva Junior - São Paulo - SP Murillo Santucci Cesar de Assunção - São Paulo - SP Nelson Akamine - São Paulo - SP Otavio Berwange - São Paulo - SP Raquel Casserta Eid - São Paulo - SP Reinaldo Salomão - São Paulo - SP Ricardo Lima - Rio de Janeiro - RJ Roberta Del-Greco - São Paulo - SP Roberto Meirelles - São Paulo - SP Rodrigo Deliberato - São Paulo - SP Rubens Carmo Costa Filho - Rio de Janeiro - RJ Ruy Guilherme Rodrigues Cal - São Paulo - SP Sandrigo Mangini - São Paulo - SP Sergio Baldisserotto - Rio Grande do Sul - RS Tais Rodrigues de Lara - São Paulo - SP Talita Manzoli - São Paulo - SP Tatiana Mohovic - São Paulo - SP Telma Antunes - São Paulo - SP Thiago Domingos Correa - São Paulo - SP Thiago Lisboa - Rio Grande do Sul - RS Thiago Zinsly Sampaio Camargo - São Paulo - SP 10 7 th International Symposium on Intensive Care and Emergency Medicine for Latin America

11 Program Overview June 18 th, 2013 Hospital Israelita Albert Einstein Av. Albert Einstein, 627 1º subsolo Bloco A CESAS Room 07:00am 05:30pm 08:00am 05:00pm 08:30am 05:00pm Cardiovascular & Respiratory Physiology Course Ultrasonography in Intensive Care Medicine Course Difficult airway management Course June 19 th, 2013 Hotel Transamérica Av. da Nações Unidas, Alfa Theater 09:00am Opening Session 09:30am 10:00am 10:30am 11:00am 11:30am 12:00pm 12:30pm 01:30pm 02:00pm 02:30pm 03:00pm 03:30pm 04:00pm ICU: from past to the future Community-acquired pneumonia guidelines: a global perspective. How much hemodynamic monitoring is enough? Hemodynamic monitoring today. ICU structures and organization: putting together all the pieces of a very complex puzzle. Multifaceted intervention on use of evidence-based therapies in acute coronary syndromes How to improve outcomes in cardiac patient undergoing high risk surgery Lunch Time SSC bundles can be very attractive for patients and institutions Hemodynamic support: focus on monitoring tools or treatments? From Ashbaugh to Berlin definitions: what has challenged on ARDS definition? Safe solutions for resuscitation critically ill patients News for sepsis treatment: SSC revisited Cocktail and soccer match Brasil x México 7 th International Symposium on Intensive Care and Emergency Medicine for Latin America 11

12 Program Overview June 20 th, 2013 Comandatuba I Comandatuba II Comandatuba III Ilhéus, Una e Canavieiras 08:00am - 09:40am Neurointensive Care Emergency Medicine Infection in the ICU 09:40am - 10:20am Coffee-break 10:20am - 12:00pm Neurointensive Care Microcirculation and Tissue Oxygen Optimization Cardiac Critically ill 12:00pm - 02:00pm Lunch Time 12:00pm - 01:30pm Satellite Symposium 02:00-03:40pm Acute Renal Failure Hemodynamic Monitoring State of the Art in Cardiology 03:40pm - 04:20pm Coffee-break 04:20pm - 05:30pm PRO/CON TUTORIAL TUTORIAL - Pro/We need a coronary unit Setting the PEEP according to Echo in the ICU scenario - Con/We do not need a coronary functional residual capacity unit Workshop on Mechanical Ventilation June 21 st, 2013 Comandatuba I Comandatuba II Comandatuba III Ilhéus, Una e Canavieiras 08:00am - 09:40am Respiratory failure Tissue Oxygenation Surgery and transplantation 09:40am - 10:20am Coffee-break 10:20am - 12:00pm Mechanical ventilation Sepsis PRO/CON - Pro/Should we use early less invasive hemodynamic monitoring in unstable ICU patients? - Con/Should we use early less invasive hemodynamic monitoring in unstable ICU patients? TUTORIAL - How to cool and rewarm after cardiac arrest? 12:00pm - 02:00pm Lunch Time Satellite Symposium Satellite Symposium Satellite Symposium 12:00pm - 01:30pm Workshop on Mechanical Ventilation 02:00pm - 03:40pm 03:40pm - 04:20pm 04:20pm - 05:30pm 06:00pm The real world of infection in ICU Tutorial - The role of new anticoagulants in critical care - Goal directed hemostatic optimization in critical care patients Organ Dysfunction ICU Management and quality and Systemic Inflammation Coffee-break Pediatric critical care Hall - Comandatubas Room Posters / Presentation AMIB Session June 22 nd, :30am 09:00am 09:30am 10:00am 10:30am 11:00am 11:30am 12:00pm 12:30pm 01:00pm Comandatuba I Biomarker-guided antibiotic therapy in adult critically ill patients: a critical review Clinical review: scoring systems in the critically ill Lung ultrasound: can we do more? Diagnosis of Delirium in Patients under Noninvasive Ventilation in the Intensive Care Unit Coffee-break Guidelines for maintenance of adult patients with brain death and potential for multiple organ donations Physicians just need to be better trained to provide the best care at the end-of-life Tracheostomy in critically ill patients: back to the future SSC: What is the future? Poster Awards Closing Section 12 7 th International Symposium on Intensive Care and Emergency Medicine for Latin America

13 Pré-Symposium Course CARDIOVASCULAR & RESPIRATORY PHYSIOLOGY COURSE Tuesday - June 18 th - HIAE - CESAS ROOM - Room 23 Coordinators: Murillo Santucci Cesar de Assunção and Daniel De Backer Simultaneous Translation Ventilation 7:00 7:15 Registration 7:15 7:30 Welcome 7:30 8:00 Static lung and chest wall mechanics Carmen Silvia Valente Barbas 8:00 8:30 Pressure-volume curves / Airway measures at the bedside / intrinsic PEEP Carmen Silvia Valente Barbas 8:30 9:00 Lung edema: how does it come and how to evaluate? Gustavo Faissol Janot de Matos 9:00 9:30 Coffee break 9:30 10:00 Why is my patient hypoxemic or hypercapnic? Shunt, VA/Q, and blood gases Gustavo Faissol Janot de Matos 10:00 10:30 Lung protective strategies Gustavo Faissol Janot de Matos 10:30 11:00 Clinical cases (diagnosis and/or adaptation of ventilatory settings): ventilatory traces / Hypoxemia / Severe COPD Carmen Silvia Valente Barbas Cardiovascular physiology 12:00 12:30 The determinants of arterial pressure Daniel De Backer 12:30-13:00 The determinants of cardiac output Murillo Santucci Cesar de Assunção 13:00 13:30 Venous return and effective circulating blood volume Nelson Akamine 13:30 14:00 Heart-lung interactions Fluid responsiveness / Fluid challenge Daniel De Backer 14:00 14:30 Coffee break 14:30 15:00 Pulmonary hypertension & right ventricular dysfunction and R-L interdependence Daniel De Backer 15:00 15:30 Cardiovascular alterations in sepsis Murillo Santucci Cesar de Assunção 15:30 16:00 Assessment of tissue perfusion Nelson Akamine 16:30 17:00 Regional blood flow distribution and microcirculation Daniel De Backer 17:00 17:30 Clinical cases: Volume responsiveness and impaired cardiac function Daniel De Backer 7 th International Symposium on Intensive Care and Emergency Medicine for Latin America 13

14 Pré-Symposium Course Ultrasonography in Intensive Care Medicine Course Tuesday - June 18 th - HIAE - CESAS ROOM Lecture: Room 22 Hands-On: Room 2, 4, 5, 6, 8, Dr. Abraham Pfeferman Room, Prof. Dr. Saul Goldenberg Room and Dr. Kentaro Takaoka Room Coordinators: Haggéas da Silveira Fernandes, Danilo Teixeira Noritomi and Bruno de Arruda Bravim Basics (8:00-10:00) 08:00 Why should I use echocardiography in the ICU? Danilo Teixeira Noritomi 08:30 Principles of ultrasound and transthoracic planes Bruno de Arruda Bravim 09:00 How to diagnose cardiac tamponade Lilian Moreira Pinto 09:30 Evaluation of filling pressures Bruno de Arruda Bravim 10h00-10h20 Coffee-Break Hands-On (10:20-12:00) Free access to hands-on equipment Bruno de Arruda Bravim Tais Rodrigues de Lara Tatiana Mohovic Lilian Moreira Pinto Ana Maria Cristina Beltrami Sogayar Fabio de Vasconcelos Papa Fernando Colombari 12:00-13:00 Lunch 13:00-15:00 Introduction to hemodynamic monitoring 13:00 Left ventricular systolic function & measurement of cardiac output Tais Rodrigues de Lara 13:30 Heart-lung interactions and prediction of fluid responsiveness Bruno de Arruda Bravim 14:00 Right ventricular function & measurement of pulmonary artery pressure. Tais Rodrigues de Lara 14:30 Transesophageal Echo in the ICU Fabio de Vasconcelos Papa 15:00 Making diagnosis and taking decisions with echocardiography Daniel De Backer 15h30-15h50 Coffee-Break Hands-On (15:50-17:00) Free access to hands-on equipment Bruno de Arruda Bravim Tais Rodrigues de Lara Tatiana Mohovic Lilian Moreira Pinto Ana Maria Cristina Beltrami Sogayar Fernando Colombari Fabio de Vasconcelos Papa 14 7 th International Symposium on Intensive Care and Emergency Medicine for Latin America

15 Pré-Symposium Course Difficult airway management Course Tuesday - June 18 th - HIAE - CESAS ROOM - Lecture: Room 19 Skill station: Room 16, 20, 21 and Prof. Dr. Samuel Schvartsman Room Coordinator: Ruy Guilherme Rodrigues Cal 8:30 The importance for education and training in difficult airway management - Risk management in difficult airway control Ruy Guilherme Rodrigues Cal 9:00 Clinical evaluation of difficult airways Diego Marcelo May 9:30 Oro and nasotracheal intubation techniques and tube withdrawal Diego Marcelo May 10:00 10:30 Coffee break 10:30 Non-Invasive access for difficult airways Daniel Perin 11:00 Fibroscopy-assisted intubation Daniel Perin 11:30 Invasive access for difficult airways Ruy Guilherme Rodrigues Cal 12:00 Lunch Skill stations (13:00-17:00) Skill station 1 - Laryngeal mask and Fastrach Diego Marcelo May May Skill station 2 - Fibroscopy Daniel Perin Skill station 3 Jet ventilation and Cricothyrosdostomy Ruy Guilherme Rodrigues Cal Skill station 4 Glydescope and Exchange tube / Guides Carlos Eduardo Saldanha de Almeida 7 th International Symposium on Intensive Care and Emergency Medicine for Latin America 15

16 Workshop Workshop on Mechanical Ventilation Thursday and Friday - June 20 th and 21 st - HOTEL TRANSAMERICA ILHEUS, UNA AND CANAVIEIRAS ROOM Coordinator: Carmen Sílvia Valente Barbas 12:10 13:30 1. Choosing the possible interfaces, starting noninvasive ventilation in patients with acute respiratory failure and after weaning. Lubia Caus de Morais, Carla Valeri, Cilene Sagahabi, Raquel Casserta Eid 2. Using the new ventilation modes: NAVA Humberto Bassit Bogossian, Telma Antunes, Erica Albanez Giovanetti, Mineo Kaneko 3. Using the new ventilation modes: PAV-PLUS Eduardo Rosa Borges, Carmen Silvia Valente Barbas, Lara Poletto Couto 4. Metabolic monitoring during mechanical ventilation Frederico Lomar, Roberta Del-Greco 5. Alveolar recruitment and ECMO Gustavo Faissol Janot de Matos, Marco Ranieri, Paolo Pelosi 16 7 th International Symposium on Intensive Care and Emergency Medicine for Latin America

17 Program ALFA THEATER Wednesday - June 19 th Elias Knobel, Jean-Louis Vincent 09:00 Opening Session Elias Knobel, Jean-Louis Vincent 09:30 ICU: from past to the future Jean-Louis Vincent 10:00 Community-acquired pneumonia guidelines: a global perspective. Michael Niederman 10:30 How much hemodynamic monitoring is enough? Hemodynamic monitoring today. Maurizio Cecconi 11:00 ICU structures and organization: putting together all the pieces of a very complex puzzle. Andrew Rhodes 11:30 Multifaceted intervention on use of evidence-based therapies in acute coronary syndromes Otavio Berwange 12:00 How to improve outcomes in cardiac patient undergoing high risk surgery Elias Knobel 12:30 - Lunch time Eliézer Silva, Nelson Akamine 13:30 SSC bundles can be very attractive for patients and institutions Eliézer Silva 14:00 Hemodynamic support: focus on monitoring tools or treatments? Jukka Takala 14:30 From Ashbaugh to Berlin defintions: what has challenged on ARDS definition? Rui Moreno 15:00 Safe solutions for resuscitation critically ill patients Daniel De Backer 15:30 News for sepsis treatment: SSC reviseted Jean-Louis Vincent 16:00 Cocktail and soccer match Brasil x México 7 th International Symposium on Intensive Care and Emergency Medicine for Latin America 17

18 Program COMANDATUBA I ROOM Thursday - June 20 th Neurointensive Care Ana Claudia Ferraz, Antonio Capone Neto 08:00 Where are we therapeutic hypothermia after cardiac arrest? Crhistian Storm 08:20 The post-cardiac arrest syndrome: prognosis and evaluation Ana Claudia Ferraz 08:40 Vasospasm after subarachnoid hemorrhage: from brain tissue oxygenation to perfusion CT Fabio Machado 09:00 Delirium in the criticaly ill, is there anything new? Dimitri Gusmão Flores 09:20 Evaluation and management of unrecognized seizures in ICU. Luis Otavio Sales Ferreira Caboclo 9:40-10:20 Coffee-break Neurointensive Care Gisele Sampaio Silva, Antonio Capone Neto 10:20 Revisiting ICP in traumatic brain injury Antonio Eiras Falcão 10:40 The role of surgery in parenchymal hemorrhage Marcos Augusto Stavale Joaquim 11:00 Endovascular management for vasospasm in subarachnoid hemorrhage Raul Nogueira 11:20 Sedation in ICU: definetively less is more! Jukka Takala 11:40 Endovascular treatment for acute ischemic stroke Raul Nogueira Acute Renal Failure Marcelo Costa Batista, Marcelino Souza Durão Junior 14:00 Fluid Status and AKI in ICU Jean-Louis Vincent 14:20 Renal Replacement therapy in ICU: CRRT, Hemodialysis, hemodiafiltration and peritoneal dialysis: a critical review Marcelino Souza Durão Junior 14:40 AKI diagnosis: indexes and biomarkers Jean-Louis Vincent 15:00 Sepsis and AKI: disease mechanism and therapeutic Julio Cesar Martins Monte 15:20 Water metabolism Bento Fortunato Cardoso dos Santos 15:40-16:20 - Coffee-break Tutorial Chairman Carlos Roberto Ribeiro de Carvalho 16:20-17:30 Setting the PEEP according to functional residual capacity Jerónimo Graf 18 7 th International Symposium on Intensive Care and Emergency Medicine for Latin America

19 Program COMANDATUBA II ROOM Thursday - June 20 th Emergency Medicine Nelson Akamine, Milton Steinman 08:00 Use of telemedicine support in intravenous thrombolysis stroke. Gisele Sampaio Silva 08:20 Biomarkers: What is Their Benefit in the Identification of Infection, Severity Assessment, and Management of Community- acquired Pneumonia? Michael Niederman 08:40 Reduced mortality after the implementation of a protocol for the early detection of severe sepsis in the ER Glauco Adriano Westphal 09:00 Disaster priority inside hospital Milton Steinman 09:20 Learned lessons from Santa Maria tragedy Sergio Baldisserotto 09:40-10:20 Coffee-break Microcirculation and Tissue Oxygen Optimization Constantino Fernandes Jr., Thiago Domingos Correa 10:20 What is the optimal blood pressure for tissue perfusion Arnaldo Dubin 10:40 Microcirculatory Alterations in Patients With Severe Sepsis: Impact of Time of Assessment and Relationship With Outcome. Daniel De Backer 11:00 Sublingual microcirculation in septic patients: Is hyperdynamic flow present? Arnaldo Dubin 11:20 Vasopressin impact in microcirculatory flow in septic shock patient Ana Paula Metran Nascente 11:40 Cardiac Index and ERO2 are the key during ressuscitation assessment Jean-Louis Vincent 12:00 Satellite Symposium Hemodynamic Monitoring Nelson Akamine, Murillo Santucci Cesar de Assunção 14:00 Precision and acuracy, what is the matter? Maurizio Cecconi 14:20 Do we need to monitor cardiac output during major surgery? Jean-Louis Vincent 14:40 What is the best integration between monitoring tools? Daniel De Backer 15:00 Preemptive hemodynamic monitoring Maurizio Cecconi 15:20 Hydroxyethyl starches: what do we still know? Jukka Takala 15:40-16:20 Coffee-break Tutorial Chairman Bruno de Arruda Bravim 16:20-17:30 Echo in the ICU scenario Daniel De Backer 7 th International Symposium on Intensive Care and Emergency Medicine for Latin America 19

20 Program COMANDATUBA III ROOM Thursday - June 20 th Infection in the ICU Luis Fernando Aranha Camargo, Reinaldo Salomão 08:00 H1N1 again: what did we learn? Thiago Lisboa 08:20 Cytomegalovírus in ICU: guilty or innocent? Moacyr Silva Junior 08:40 Antibiotics control in the ICU: friend or foe? Thiago Lisboa 09:00 VAP Bundles Michael Niederman 09:20 Preemptive theraphy for Candida in ICU: can we use biomarkers? Arnaldo Colombo 09:40-10:20 Coffee-break Cardiac Critically ill Elias Knobel, Marcelo Katz 10:20 Biomarkers in critically ill patients. Maurizio Cecconi 10:40 Extracorporeal life support for treating cardiac arrest Sandrigo Mangini 11:00 Acute right ventricular failure approach Andrew Rhodes 11:20 Mechanical circulatory support for refractory cardiogenic shock in the current era Helio Penna Guimarães 11:40 PAC is still usefull Daniel De Backer State of the Art in Cardiology Marcelo Franken, Marcia R. Makdisse 14:00 New anticoagulants in ACS. Marcelo Franken 14:20 New percutaneous interventions in ACS. Adriano Mendes Caixeta 14:40 New antiplatelets in the ACS. Antonio Eduardo Pereira Pesaro 15:00 Transcatheter aortic valve replacement in elderly patients. Marco Perin 15:20 Analgesia and sedaton for critically cardiac patient Elias Knobel 15:40-16:20 Coffee-break PRO/CON Chairman Elias Knobel 16:20 Pro/We need a coronary unit Marcos Knobel 16:40 Con/We do not need a coronary unit Jean-Louis Vincent 17:00 Discussion 20 7 th International Symposium on Intensive Care and Emergency Medicine for Latin America

21 Program COMANDATUBA I ROOM Friday - June 21 th Respiratory failure Carmen Sílvia Valente Barbas, Gustavo Faissol Janot de Matos 08:00 New Berlin definition of ARDS: what are the changes? Carlos Roberto Ribeiro de Carvalho 08:20 Hipoxemic Respiratory failure: how to make and what are the diagnosis? Eduardo da Rosa Borges 08:40 How to monitor the patient during mechanical ventilation due to acute hypoxemic respiratory failure? An update Paolo Pelosi 09:00 How to access alveolar recruitment and set PEEP during mechanical ventilation? Gustavo Faissol Janot de Matos 09:20 How to best ventilate the patient with acute hipoxemic respiratory failure Marco Ranieri 9:40-10:20 Coffee-break Mechanical ventilation Humberto Bassiti Bogossian, Telma Antunes 10:20 Noninvasive ventilation: what are the news? Guilherme Schettino 10:40 Understanding the importance of driving pressure during mechanical ventilation Marcelo Britto Passos Amato 11:00 New modes of mechanical ventilation Paolo Pelosi 11:20 Nonconventional ventilatory techniques Marco Ranieri 11:40 How to best wean the patient from the mechanical ventilator Carmen Sílvia Valente Barbas 12:00 Satellite Symposium The real world of infection in ICU Luis Fernando Aranha Camargo, Thiago Zinsly Sampaio Camargo 14:00 Procalcitonin in ICU: what is its role? Rodrigo Deliberato 14:20 Pan resistant Gram-negative: epidemiology, control and treatment Fernando Gatti de Menezes 14:40 Polimixin - new concepts and clinicals implications Guilherme Furtado 15:00 Critically ill patient with AKI: how to set antibiotics dose Marcelino Souza Durão Junior 15:20 Critically ill patient with liver failure: how to set antibiotics dose Thiago Lisboa 15:40-16:20 Coffee-break Tutorial Chairman João Carlos de Campos Guerra 16:20-16:40 The role of new anticoagulants in critical care Rubens Carmo Costa Filho 16:40-17:00 Goal directed hemostatic optimization in critical care patients Alexandre Teruya 17:00-17:30 Discussion 18:00 Posters / Presentation Hall - Comandatubas Room 7 th International Symposium on Intensive Care and Emergency Medicine for Latin America 21

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