FIRST INTERNATIONAL COURSE ON CRITICAL CARE NEPHROLOGY



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FIRST INTERNATIONAL COURSE ON CRITICAL CARE NEPHROLOGY President: Giuseppe La Greca Vice-President: Claudio Ronco General Secretary: Mariano Feriani FACULTY Prof. Vittorio Andreuci Chair of Nephrology - Medical School University Federico I Napoli - Italy Prof. Vicente Arroyo Liver Unit Hospital Clinic I Provincial Barcelona - Spain Prof. Rinaldo Bellomo Intensive Care Unit Austin & Repatriation Medical Center Heidelberg, Victoria - Australia Prof. Ernest Benjamin Surgical Intensive Care - Mount Sinai Hospital School of Medicine New York NY - USA Prof. Giorgio Berlot Institute of Anestesia e Rianimazione e T. Antalgica Ospedale Policlinico Cattinara Trieste - Italy Prof. David Bihari Intensive Care Unit St. George Hospital Kogarah - Australia Prof. Juan P. Bosch Renal Division Department of Medicine

George Washington University Hospital Washington D.C. - USA Prof. Umberto Buoncristiani City Hospital Perugia - Italy Prof. Antonio Braschi Division of Anesthesiology and Intensive Care Policlinico St. Matteo Pavia - Italy Prof. Hilmar Burchardi Zentrum Anaesthesiologie-Intensivemedizin University Hospital Gottingen - Germany Prof. Giovanni Camussi Chair of Nephrology - II Medical School University of Pavia - Div. of Nephrology Ospedale di Circolo - Varese - Italy Prof. Bernard J.M. Canaud Hospital University La Peyronie Montpellier - France Prof. William Clark Indiana University School of Medicine Nephrology Section Indianapolis, IN - USA Prof. Maurizio Dan Department of Intensive Care St. Bortolo Hospital Vicenza - Italy Prof. Fausto de Lalla Division of Infections Diseases St. Bortolo Hospital Vicenza - Italy Prof. Mariano Feriani Division of Nephrology St. Bortolo Hospital Vicenza - Italy Prof. Alessandro Gasparetto Institute of Anestesia e Rianimazione

University La Sapienza Roma - Italy Prof. Giampiero Giron Institute of Anestesia e Rianimazione Policlinico Universitario Padova - Italy Prof. Shaldon Glabman Nephrology Consultant Muont Sinai Hospital New York NY - USA Prof. Thomas Golper University of Arkansas for Medical Sciences Little Rock, Arkansas - USA Prof. Gaetano Gritti Department of Anestesia e Rianimazione Policlinico Universitario Padova - Italy Prof. Albert Grootendorst Department of Intensive Care St. Clara Hospital Rotterdam - The Netherlands Prof. Antonio Gullo Institute of Anestesia e Rianimazione e T. Antalgica Ospedale Policlinico Cattinara Trieste - Italy Prof. Didier Journois Department of Anestesy-Rianimation Hospital Laennec Paris - France Prof. John Kellum Division of Critical Care Medicine U niversity of Pittsburg Medical Center Pittsburg PA - USA Prof. Giuseppe La Greca St. Bortolo Hospital Vicenza Italy Prof. Norbert Lameire

University Hospital Gent - Belgium Prof. Xavier Leverve Laboratories of Bioenergy University J. Fourier Granoble - France Prof. Fernando Liano Hospital Ramon y Cajal Madrid - Spain Prof. Francesco Locatelli General Hospital Lecco - Italy Prof. Gerhard Lonemann School of Medicine Hannover - Germany Prof. Ravindra Mehta Department of Medicine - Nephrology UCSD Medical Center San Diego, CA - USA Prof. Allen Nissenson UCLA 200 Los Angeles, CA - USA Prof. Didier Payen Department of Anesthesiology and CCM University Hospital Paris - France Prof. Vittorio Pavoni Department of Anestesia e Rianimazione University Hospital Padova - Italy Prof. Antonio Pesenti Intensive Care Unit St. Gerardo Hospital Monza - Italy Prof. Pasquale Piccinni Departmento of Intensive care St. Bortolo Hospital Vicenza - Italy

Prof. Micheal Pinsky Division of Critical care Medicine University of Pittsburg Medical Center Pittsburg, PA - USA Prof. Roberto Pozzi Mucelli Institute of Radiology Ospedale Policlinico Cattinara Trieste - Italy Prof. Giuseppe Remuzzi Mario Negri Institute Bergsmo - Italy Prof. Claudio Ronco Division of Nephrology St. Bortolo Hospital Vicenza - Italy Prof. Francesco Paolo Schena Chair of nephrology University of Bari Bari - Italy Prof. Miet Schetz Intensive Care Unit University Ziekenhuizen Leuven - Belgium Prof. William Silvester Intensive Care Unit Austin & Repatriation Medical Center Heidelberg - Australia Prof. Sergio Stefoni Chair of Nephrology Policlinico St. Orsola Bologna - Italy Prof. Ciro Tetta Medical Department Bellco Laboratories Mirandola (MO) - Italy Prof. Lambert J. Thijs Department of Intensive Care VU Ziekenius Amsterdam The Netherlands Prof. Jean Louis Vincent Department of Intensive Care Erasmew University Hospital Brussels Belgium

Prof. Gerfried Zobel Department of Pediatrics University of Ganz Ganz - Austria SCIENTIFIC PROGRAM The scientific program is intended to include a complete overview of the problems encountered in the daily clinical practice of specialists in the fields of intensive care, nephrology, surgery, cardiology, gastroenterology and pneumology, seen from a multidisciplinary point of view. The problem of acute renal failure in the critically ill patient and ill therapeutic possibilities and interventions will be discussed by worldwide specialists of the field. MAY 20 Opening Ceremony (Auditorium Ente Fiera) (Sponsored by Hoechst Marion Russel) 17.30 Opening remarks G. La Greca 17.45 Critical care nephrology: the time has come C. Ronco 18.00 Assignation of the International Vicenza Awards for Critical Care Nephrology 18.15 Lecture: The critically ill patient M. Pinsky 18.45 Lecture: Normal and Abnormal renal function J.P. Bosch 19.15 Concert 20.00 Welcome reception MAY 21 Session 1: EPIDEMIOLOGY and PATHOGENESIS OF ARF IN THE ICU (Sponsored by Nissho) Chairmen: M. DAN, G. LA GRECA 9.0 Acute renal failure: definition and pathogenesis R. Bellomo 9.20 Medullary ischemia as a final common pathway to initial renal injury F.P. Schena

9.40 Risk factors for ARF in the ICU D. Journois 10.00 Incidence of ARF in the ICU F. Liano 10.20 Acute renal failure as a part of MOF The slippery slope of MOF W. Silvester 10.40 Discussion 11.00 Coffee break Session 2: THE KIDNEY IN THE SEPSIS (Sponsored by Bellco) Chairmen: G. GRITTI, F.P.SCHENA 11.30 Pathophysiology of the septic syndrome J.L. Vincent 11.50 The kidney in the sepsis and shock L. Thijs 12.10 The role of soluble mediators in sepsis and renal failure G. Camussi 12.30 Pyrogen transfer across artificial membranes G. Lonemann 12.50 Discussion 13.15 Lunch (only Delegates and Speakers admitted) Session 3: THE KIDNEY AND OTHER ORGAN DYSFUCTION (Sponsored by Braun Carex) Chairmen: A. GASPARETTO, P. PICCINNI 14.30 The hepato-renal syndrome V. Arroyo 14.50 The kindey in liver transplantation E. Benjamin 15.10 The hemolytic-uremic syndrome and the Takayasu disease G. Remuzzi 15.30 The kidney in heart failure R. Bellomo 15.50 The kidney during mechanical ventilation and ECMO A. Pesenti 16.10 Discussion 16.30 Coffee break Session 4: THE CONSERVATIVE MANAGEMENT OF ARF IN THE ICU (Sponsored by Sifra) Chairmen: V.E. ANDREUCCI, J. KELLUM 16.50 Stress metabolism and nutritional support X. Leverve 17.10 Use of diuretics in the critically ill J. Kellum

17.30 Hemodynamic support and the role of dopamine R. Bellomo 17.50 The use of dopamine in the oliguric patient G. Gritti, V. Pavoni 18.10 Discussion 18.30 Adjourn MAY 22 Session 5: CLINICAL MANAGEMENT OF ARF IN THE ICU (Sponsored by Bieffe-Medital) Chairmen: G. GIRON, T. GOLPER 9.0 Acid base disorsers and their correction in the critically ill J. Kellum 9.20 Antibiotic therapy and microbiologic considerations in ICU F. de Lalla 9.40 The role of biopsy in diagnosis and prognosis of ARF V.E. Andreucci 10.00 Coagulation problems in ARF M. Schetz 10.20 Imaging techniques in ARF R. Pozzi Mucelli 10.40 Discussion 11.00 Coffee break Session 6: RENAL REPLACEMENT AND SUPPORT (Sponsored by Baxter) Chairmen: S. STEFONI, A. BRASCHI 11.30 Indications and criteria for initiating RRT R. Bellomo 11.50 Nomenclature for RRT C. Ronco 12.10 Peritoneal dialysis in the ICU: advantages and limitations G. La Greca 12.30 Intermittent hemodialisis in the ICU: advantages and limitations N. Lameire 12.50 Discussion 13.10 Lunch (only Delegates and Speakers admitted) Session 7: CONTINUOUS RENAL REPLACEMENT THERAPY (Sponsored by Hospal-Cobe) Chairmen: A. GULLO, S. GLABMAN 14.30 History and development of continuous therapies H. Burchardi 14.50 Continuous versus intermittent renal replacement in the ICU R. Bellomo 15.10 Classical and alternative indications for CRRT M. Schetz

15.30 The importance of dose of treatment W. Clark 15.50 Outcome studies in CRRT in the ICU W. Silvester 16.10 Discussion 16.30 Coffee break Session 8: PRACTICAL ASPECTS OF CRRT (Sponsored by Fresenius) Chairmen: D. JOURNOIS, N. LAMEIRE 16.50 Temporary vescular access for extracorporeal therapies B. Canaud 17.10 Antithrombogenic therapy during CRRT R. Mehta 17.30 Acid Base balance and substitution fluids in CRRT M. Feriani 18.10 Discussion 18.30 Adjourn 20.30 Gala Dinner MAY 23 Session 9: TECHNIQUES AND INDICATIONS (Sponsored by Gambro) Chairmen: R. MEHTA, U. BUONCRISTIANI 9.00 Membranes, filters and machines for CRRT C. Ronco 9.20 Drug adjustments in CRRT T. Golper 9.40 CRRT in neonates G. Zobel 10.00 Hemofiltration during Cardiopulmonary-Bypass D. Journois 10.20 Plasmapheresis in the ICU G. Berlot 10.40 Coffee break Session 10: FUTURE TRENDS AND INNOVATIONS (Sponsored by Minntech) Chairmen: B. CANAUD, F. LOCATELLI 11.00 High volume hemofiltration A. Grootendorst 11.20 Coupled filtration-adsorption C. Tetta 11.40 Should we use HF for the septic patient? D. Payen 12.00 Round table: Quo vadis CRRT? Chairmen: R. BELLOMO, C. RONCO

Participants: W. Clark, R. Mehta, W. Silvester, D. Journois, D, Payen, A. Grootendorst, T. Golper, N. Lameire 13.00 Conclusive remarks G. La Greca 13.15 Farewell Party GENERAL INFORMATION Language: The official language of the course is English Place and date: The course will be held at the Congress center of ENTE FIERA, Via dell Oreficeria, 36100 Vicenza, on May 20 through 23, 1998 Exhibition: Scientific and technical exhibition will be open during the working hours. All major industries have joined the exhibition. The contact person at Ente Fiera for exhibition facilities is Patrizio Carotta (tel. 39 444 969990, fax 39 444 563954) Proceedings: The proceedings of the course have been published as a supplement of Kidney International. The volume of proceedings is included in the congress kit. Registration: On site registration is possible for a limited number of delegates. On site registration fee is 900.000 Italian Lire (Lit 750.000 + 150.000 IVA) and includes: - Congress kit - Attendace to all scientific session - Coffee breaks - Meals during the course - Opening Ceremony - Gala dinner - Transportation from and to the scheduled hotels The secretariat of the course will be open at the congress center of Ente Fiera from 10.00 a.m. of May 20. Hotels transfers: bus transfer to congress and back is scheduled from the following Hotels: Alfa, Forte Agip, Jolly Europa, Viest, Castelli Tickets for pubblic trasportation are available at the Secretariat. For travel and hotel arrangements please contact: Agenzia Tonello Corso Palladio 169-36100 Vicenza (Italy) Phone 39 444 913150 (Miss Marika) - Fax 39 444 913153 Alitalia is the official carrier of this scientific event. During the congress hours both Travel Agency and Alitalia will have a booth open in the exhibit area. Sighsighting: Vicenza is the city of the famuos architect Palladio. The Peaks of fine arts are due to its renaissance. However, important signs of the roman and middle age life in the city

are still present. You may soend some enjoyable hours just walking around in the center of the city. We warmly welcome you and hope you will have most enjoyable days The members of the Organizing Committee of the First International Course on Critical Care Nephrology express their gratitude to the following mayor sponsor: ARROW INTERNATIONAL INC. BAXTER CVG BELLCO-SORIN BIEFFE-MEDITAL BOEHRINGER MANNHEIM B.BRAUN CAREX BURKE & BURKE DOMPE BIOTECH FRESENIUS MEDICAL CARE GAMBRO GLAXO WELLCOME Gi Bi MEDICAL HOECHST MARION RUSSEL HOSPAL COBE JANSSEN CILAG LILLY HOSPITAL MEDICA MEDCOMP MERCH SHARP & DOME MINNTECH NISSHO NIPRO SIFRA TERUMO We would also like to thanks all those people and companies who made this scientific avent possible. We are indebted to Blackwell Science, Inc., and Shellie T. Newell of the KI Editorial Office for producing this issue of Kidney International in time for the course. This issue has been published under the auspices of Nephroprogress s.r.l.