The Neuro-ICU Symposium Cutting-edge Management of Neurological / Neurosurgical Emergencies and Critical Care

Transcription

1 The Neuro-ICU Symposium Cutting-edge Management of Neurological / Neurosurgical Emergencies and Critical Care The First Annual Meeting: Saving lives beyond expectation March 6-8, 2013 The University of Texas Cooley Conference Center, Houston, Texas Mischer Neuroscience Institute The Vivian L. Smith Department of Neurosurgery The University of Texas Health Science Center at Houston Memorial Hermann - Texas Medical Center

2 Date March 6-8, 2013 Location The University of Texas Cooley Conference Center 7500 Cambridge Street Houston, Texas Course objectives The first annual The Neuro-ICU Symposium is now proud to offer: 1. A comprehensive review of core curriculum for preparation of the board certification examination and mini-fellowship program of Neuro-ICU: This one full day didactic course provides an excellent refresher program which covers the most of the topics in neurocritical care. 2. A practical review of current hot topics in neurological and neurosurgical emergencies 3. Case-by-case approach and real life example-driven lectures and evidencebased review of protocols and clinical management 4. One day of neurological and neurosurgical topics followed by another day of major critical care medicine topics 5. Each day of the three-day program features interactive sessions including hand-on workshops for continuous EEG, invasive multimodality brain monitoring and advanced hemodynamic monitoring 6. Participate in the critical care jeopardy (with prizes), and debate session for controversial topics in neurocritical care Audience General and consult neurologists, stroke neurologists, neurointensivists Neurosurgeons Pulmonary critical care physicians Surgical critical care and general/trauma surgeons Anesthesia and critical care physicians Emergency medicine physicians Critical care registered nurses Neurological nurses Advanced critical care nurse practitioners Physician assistants Pharmacists Physicians in training

3 Faculty Course Director Kiwon Lee, MD, FACP, FAHA, FCCM Associate Professor and Vice Chairman of Neurology for Clinical Affairs Associate Professor of Neurological Surgery Co-Director of Neuroscience and Neurotrauma-ICU The Mischer Neuroscience Institute The University of Texas Health Science Center Medical School at Houston Memorial Hermann Texas Medical Center Houston, Texas The University of Texas Health Science Center Medical School at Houston Faculty Speakers (Alphabetical order) Imoigele Aisiku, MD, Associate Professor and Vice-Chair of Critical Care, Director of Neurocritical Care, Dept of Neurosurgery, UT Health Teresa A. Allison, Pharm.D., BCPS. Clinical Pharmacist, Neurosciences, Program Director, PGY2 Critical Care Residency, Dept of Pharmacy Services, Memorial Heramnn-Texas Medical Center Andrew Barreto, MD, Assistant Professor, Dept of Neurology, UT Heath P. Roc Chen, MD, Assistant Professor, Dept of Neurosurgery, UT Heath H. Alex Choi, MD, Assistant Professor, Dept of Neurosurgery and Neurology, UT Health Arthur Day, MD, Professor, Dept of Neurosurgery, UT Health Mark Dannenbaum, MD, Assistant Professor, Dept of Neurosurgery, UT Health Randall C. Edgell, MD, Assistant Professor, Dept of Neurosurgery and Neurology, UT Health Kevin Finkel, MD, Professor and Vice-Chair of Medicine, Director of Renal Diseases, Chief of Critical Care Nephrology, UT Health Rima Gidwani, MD, Assistant Professor, Department of Medicine, UT Health Nicole Gonzales, MD, Assistant Professor, Dept of Neurology, UT Health James C. Grotta, MD, Professor and Chairman, Dept of Neurology, UT Health Michael Hines, MD, Professor of Pediatric Surgery and Cardiothoracic and Vascular Surgery, Dept of Surgery, UT Health Michele M. Johnson, MD, Assistant Professor, Dept of Neurosurgery, UT Health Dong H. Kim, MD, Professor and Chairman, Dept of Neurosurgery, UT Health

4 Kiwon Lee, MD, Director of Mischer Neuroscience Associate Neurology, Associate Professor and Vice-Chair of Clinical Affairs of Neurology, Associate Professor of Neurosurgery, and Co-Director of Neurocritical Care, Dept of Neurosurgery, UT Health George Lopez, MD, Associate Professor, Dept of Neurology, UT Health Bela Patel, MD, Associate Professor of Medicine, Director of Critical Care Medicine, Executive Medical Director of Critical Care Medicine, UT Health Bilal Rana, DO, Assistant Professor, Dept of Anesthesiology, UT Health Sophie Samuel, Pharm.D., BCPS, Critical Care Clinical Specialist, Neurosciences, Dept of Pharmacy Services, Memorial Hermann-Texas Medical Center David I. Sandberg, MD, Associate Professor and Director of Pediatric Neurosurgery, Dept of Neurosurgery, UT Health Scott Shepard, MD, Assistant Professor, Dept of Neurosurgery, UT Health Nitin Tandon, MD, Associate Professor, Dept of Neurosurgery, UT Health Teddy Wu, MD, Assistant Professor, Dept of Neurology, UT Health George Williams, MD, Assistant Professor and Assistant Program Director of Residency and Critical Care Fellowship, Dept of Anesthesiology, UT Health Asma Zakaria, MD, Assistant Professor, Dept of Neurosurgery, UT Health Invited Faculty Speakers Derek Chong, MD, Assistant Professor, Dept of Neurology, New York University School of Medicine, New York, New York E. Sander Connolly, MD, Bennett M. Stein Professor and Vice-Chair of the Department of Neurosurgery, Columbia University College of Physicians and Surgeons, New York, New York Jose I. Suarez, MD, Professor of Neurology, Head of Section of Vascular Neurology and Neurocritical Care, Baylor College of Medicine, Houston, Texas 2012 Annual Meeting Committee Kiwon Lee, MD, Associate Professor and Vice-Chair of Clinical Affairs, Dept of Neurology, Associate Professor and Co-Director of Neurocritical Care, Dept of Neurosurgery, UT Health H. Alex Choi, MD, Assistant Professor, Dept of Neurosurgery and Neurology, UT Health Mary Battaglia, Director of Management Operations, Dept of Neurosurgery, UT Health D Ann Voss, Program Manager, Dept of Neurosurgery, UT Health Brooke Beasley, Program Coordinator of Residency Training Program, Dept of Neurosurgery, UT Health Nicole Harrison, RN, BSN, MBA, Administrative Director, Mischer Neuroscience Service Line, Memorial Hermann Hospital- Texas Medical Center, Houston, Texas

5 Accreditation This activity has been planned and implemented in accordance with the essential areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of The University of Texas Medical Branch at Galveston (UTMB) and The University of Texas Health Science Center at Houston. The University of Texas Medical Branch at Galveston is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The University of Texas Medical Branch at Galveston designates this live activity for a maximum of AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity The University of Texas Health Science Center at Houston School of Nursing is an approved provider of continuing nursing education by the Texas Nurses Association, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. This activity provides 20.0 contact hours of nursing continuing education. Registration Fees Physicians: $275 for full course ($100/day for daily registration) RN, PA, NP: $100 for full course ($50/day for daily registration) Industry, Hospital Administrators: $500 for full course ($200/day for daily registration) Disclosure The Neuro-ICU Symposium adheres strictly to the regulations and policies set forth by the CME office of the University of Texas Medical Branch. In order to maintain independence, fair balance and validity, all program contents are to be reviewed by the CME office. All faculty speakers, annual meeting committee members, and coordinators are obligated to fully disclose any potential conflicts of interest in providing support and/or content for this educational event.

6 Welcome Neurocritical Care is an exciting, young field of medicine which has now gone through several decades of rapid evolution. Modern neuro-intensive care units (Neuro-ICU) now feature the most advanced medical devices and equipment including the cutting-edge multimodality neuro-monitoring along with capability to obtain neuroimages without even leaving the unit. There has been an emphasis on the importance of full time, dedicated staffing with neuro-intensivists and specially trained critical care nurses. Neuro-ICU is not just for the neurology and neurosurgery issues. Patients often have multi-organ failure, and as such successful resuscitation is not only geared towards the injured brain but also for the rest of the body and all other end organ systems. Brain injured patients are at high risk of aspiration and ventilator associated pneumonia proficiency in airway management skills are critical. ARDS and other refractory cardiopulmonary conditions are not uncommon. All different states of shock can occur requiring multiple vasoactive pharmacologic agents and occasionally even the need for ECMO and aortic balloon counterpulsation. A modern Neuro-ICU has become diagnostically and therapeutically a challenging place for clinicians. Our conference is launched with all of these concerns in mind. We welcome you to join us and interact with the nationally and internationally renowned speakers, get on the stage to win prizes at the who wants to be a real neuro-intensivist? - a medical jeopardy-like quiz contest, and obtain valuable skills from the hands on simulation workshop. Each day, the program is full of dynamic speakers and plenty of audience involvement. Welcome to Houston and join us in celebrating our first annual meeting with the theme we can all be proud of: Saving lives beyond expectation. Kiwon Lee, MD, FACP, FAHA, FCCM Course Director, The Neuro-ICU Symposium Associate Professor and Vice Chairman of Neurology for Clinical Affairs Associate Professor of Neurological Surgery Co-Director of Neuroscience and Neurotrauma-ICU The University of Texas Health Science Center at Houston Mischer Neuroscience Institute Memorial Hermann-Texas Medical Center

7 DAY ONE: Wednesday March 6, 2013 Pre-meeting Refresher Course, Neurocritical Care Board Review & Mini-Fellowship A full-day course of comprehensive review on neurocritical care topics Interactive and engaging questions-and-answers format Case-based approach to provide the best simulation of the real board examination Certificate of attending mini-fellowship training for neurocritical care core curriculum 7:00 a.m. Continental Breakfast 7:45 a.m. Welcome remarks and orientation Kiwon Lee, MD, Course Director, The Neuro-ICU Symposium AM session Moderator: Kiwon Lee, MD 8:00 a.m. Acute ischemic stroke Andrew Barreto, MD 8:20 a.m. Intracerebral hemorrhage Nicole Gonzales, MD 8:40 a.m. Subarachnoid hemorrhage Kiwon Lee, MD 9:00 a.m. Cerebral venous sinus thrombosis Andrew Barreto, MD 9:20 a.m. Cervical and cerebral artery dissections Randy Edgell, MD 9:40 a.m. Traumatic brain injury and spinal cord injury Asma Zakaria, MD 10:00 a.m. Herniation syndromes and ICP crisis George Lopez, MD 10:20 a.m. Break 10:30 a.m. Meningitis and encephalitis Asma Zakaria, MD 10:50 a.m. Toxic metabolic encephalopathy Teddy Wu, MD

8 11:10 a.m. GBS and myasthenia crisis H. Alex Choi, MD 11:30 a.m. Seizure disorder and status epilepticus Derek Chong, MD 11:50 a.m. Neuroendocrine and electrolyte disorders Kiwon Lee, MD 12:10 a.m. Lunch Break Boxed lunch provided PM session Moderator: Imoigele Aisiku, MD 1:00 p.m. Airway and Mechanical ventilation Bilal Rana, DO 1:20 p.m. Acute coronary syndromes and heart failure George Williams, MD 1:40 p.m. Acute Lung Injury and ARDS Bela Patel, MD 2:00 p.m. DVT and pulmonary embolism Imoigele Aisiku, MD 2:20 p.m. Thrombocytopenia and DIC George Williams, MD 2:40 p.m. Break 3:00 p.m. Sepsis and septic shock Imoigele Aisiku, MD 3:20 p.m. Acute renal failure and renal replacement Kevin Finkel, MD Opening night welcome reception 3:40 p.m. Refresher Course Certificate Awards 4:30 p.m. Opening reception Outdoor courtyard The Cooley Conference Center Courtyard

9 DAY TWO: Thursday March 7, 2013 Neurological and Neurosurgical Emergencies and Critical Care 7:00 a.m. Continental breakfast 7:30 a.m. Welcome remarks Dong H. Kim, MD, Professor and Chairman of Neurosurgery James C. Grotta, MD, Professor and Chairman of Neurology AM session Cerebrovascular Emergencies Moderator: Kiwon Lee, MD 7:40 a.m. Acute Ischemic Stroke: Past, Present and the Future James C. Grotta, MD 8:05 a.m. Advanced Neurosurgical Practice and Research Dong H. Kim, MD 8:30 a.m. Subarachnoid Hemorrhage: Saving Lives Beyond Expectation Kiwon Lee, MD 8:55 a.m. Endovascular Neurosurgery: Welcome to the Future P. Roc Chen, MD 9:20 a.m. Intracerebral Hemorrhage: Surgical and Medical Management Nicole Gonzales, MD 9:45 a.m. Modern Management of Hydrocephalus David Sandberg, MD 10:10 a.m. Break 10:20 a.m. Endovascular Intervention for Acute Ischemic Stroke: Thrombolysis Mark Dannenbaum, MD 10:35 a.m. Endovascular Intervention for Acute Ischemic Stroke: Clot Retrieval Randall C. Edgell, MD 10:50 a.m. Ruptured Aneurysm and AVM Surgery: Past, Present and the Future Arthur L. Day, MD

10 11:15 a.m Keynote speech: Introduction by Kiwon Lee, MD Aneurysmal Subarachnoid Hemorrhage: The First 60 minutes, Surgery and Critical Care E. Sander Connolly, MD Bennett M. Stein Professor and Vice Chairman Department of Neurological Surgery Columbia University College of Physicians and Surgeons New York, New York 11:40 a.m. Hemodynamic and Multimodality Monitoring Importance of Neurological Critical Care in Brain Injury E. Sander Connolly, MD 12:05 p.m. Decompressive hemicraniectomy: Ischemic Stroke and P- Fossa ICH George Lopez, MD 12:30 p.m. Lunch boxed lunch provided PM session Moderator: Neurotrauma and Others Imoigele Aisiku, MD 1:30 p.m. Traumatic Brain Injury: Guidelines and the Future Scott R. Shepard, MD 1:55 p.m. Traumatic Spine Injury: Where are we going? Michele M. Johnson, MD 2:20 p.m. Therapeutic Hypothermia: Beyond Cardiac Arrest Indication H. Alex Choi, MD 2:45 p.m. Break 3:00 p.m. Management of Seizure Disorders and Refractory Status Epilepticus Derek Chong, MD 3:25 p.m. Surgery for Status Epilepticus Nitin Tandon, MD 3:50 p.m. Innovative Minimally Invasive and Complex Spine Surgery Daniel Kim, MD 4:15 p.m. Meningitis and Encephalitis: A Tough Enemy but Treatable Derek Chong, MD

11 Hands-on simulation workshop based on real cases Moderator: Derek Chong, MD 4:40 p.m. Room A: Cerebral blood flow and oxygenation monitoring in ICU H. Alex Choi, MD Room B: Continuous EEG monitoring in ICU Derek Chong, MD Room C: Robotic technology for tele-stroke and remote ICU monitoring Teddy Wu, MD 5:00 p.m. Adjourn Faculty Dinner Reception 7:00 p.m. Faculty speakers only DAY THREE: Friday March 8, 2013 Critical Care Medicine for Neuro-patients 7:00 a.m. Continental breakfast 8:00 a.m. Welcome remarks Arthur Day, MD, Professor and Vice Chairman of Neurosurgery 8:15 a.m. Interactive session: Neuro-ICU jeopardy: Who wants to be a REAL neuro-intensivist? Test your neurocritical care knowledge and win a prize! Kiwon Lee, MD AM session 1. ABC and Neuro Moderator: Kiwon Lee, MD 9:00 a.m. Mechanical Ventilation Rima Gidwani, MD 9:25 a.m. Blood Pressure and Hemodynamics Kiwon Lee, MD

12 9:50 a.m. Sedation for Critically Ill Patients Bilal Rana, DO 10:15 a.m. DVT Prophylaxis: When and Why Sophie Samuel, PharmD, BCPS 10:32 a.m. Anticoagulation Reversal: it s not just Coumadin bleed! Teresa A. Allison, PharmD, BCPS 10:50 a.m. Break AM session 2. ARDS and Septic Shock Moderator: H. Alex Choi, MD 10:55 a.m. ARDS and Acute Lung Injury: life-saving with ECMO Michael Hines, MD 11:20 a.m. Severe Sepsis and Septic Shock Imoigele Aisiku, MD 11:45 a.m. Extracorporeal Therapies for Sepsis and Inflammation Kevin Finkel, MD 12:10 p.m. Lunch - Boxed lunch provided 1:00 p.m. Special Lecture: Introduction by Kiwon Lee, MD Research priorities and network in neurocritical care Jose I. Suarez, MD Professor of Neurology Head, Section of Vascular Neurology and Neurocritical Care Baylor College of Medicine PM session 1. Homeostasis in Critical Care: putting them all together Moderator: Bela Patel, MD 1:25 p.m. Management of Fluids and Volume Overload Kevin Finkel, MD 1:50 p.m. Adrenergic Storm: Brain on Fire H. Alex Choi, MD 2:15 p.m. Critical Care, Quality Improvement and Patient Outcomes Bela Patel, MD

13 2:40 p.m. Break PM session 2. Crossfire Debate: Controversies in Neurocritical Care Moderator: George Lopez, MD 2:50 p.m. Bleeding while on Antiplatelet Therapy: Platelets vs. No Platelets Kiwon Lee, MD (platelets) vs. Nicole Gonzales, MD (no platelets) 3:15 p.m. ICH Patients with Stupor and Coma: Surgery vs. No Surgery James C. Grotta, MD (surgery) vs. Arthur Day, MD (no surgery) 3:40 p.m. Adjourn