Category: News


About Heart Failure Update 2018
The Canadian Heart Failure Society and the Ted Rogers Centre for Heart Research are pleased
to again host Canada’s largest meeting devoted to heart failure. With a dual lens of clinical
care and novel research, this compelling event has a unique bench-to-bedside makeup.
Interactive sessions feature a roster of expert plenaries, panel discussions, workshops, and
scientific sessions with a focus on improved heart failure treatment and prevention. Faculty
includes an array of both national and international heart failure key opinion leaders.
We hope you can join us this May in Toronto! (PDF file)

TORONTO, MAY 11-12
Metro Toronto Convention Centre
South Building, 222 Bremner Boulevard, Level 700

Background:

The CANadian CARdiovascular Critical CarE Society (CANCARE) is a multi-disciplinary Canadian Cardiovascular Society (CCS) affiliate dedicated to improving the quality of care of critically ill cardiovascular patients.  CANCARE has created a trainee position on the board of directors.  Suitable candidates will be expected to participate in board conference calls and meeting, serve as a non-voting board member, and will have the unique role of developing and promoting activities aimed at cardiovascular trainees. In addition, the trainee representative may be asked to lead a subcommittee to facilitate trainee content at the annual Canadian Cardiovascular Congress.

Term:

  • 1 year that may be renewed for a second 1-year term.

Eligibility:

  • Current Canadian trainees in a Cardiology, Cardiac Surgery, Critical Care Medicine core training program who have expressed interest in the cardiac critical care and who plan to/currently are/have been accepted to fellowships in critical care (2-year program) or cardiac critical care (1 year program).
  • Current Canadian trainees who have completed or are currently training in critical care or cardiac critical care residency/fellowship.
  • Member of CANCARE (trainee level membership)

Required documents:

  • CV
  • Statement of intent. This should outline your background, career goals, potential contributions and reasons for applying to the CANCARE Board of Directors

Selection process:

  • A CANCARE subcommittee consisting of 3 to 4 members will review all applications

Application Process:

  • Please send application documents to info@cancaresociety.com

Basic Transesophageal and Critical Care Ultrasound

André Denault, Annette Vegas, Yoan Lamarche, Jean-Claude Tardif, Pierre Couture
September 8, 2017 by CRC Press
Reference – 412 Pages – 476 Color Illustrations
ISBN 9781482237122 – CAT# K23154

Basic Transesophageal and Critical Care Ultrasound provides an overview of transesophageal ultrasound of the heart, lung, and upper abdomen as well as basic ultrasound of the brain, lung, heart, abdomen, and vascular system. Ultrasound-guided procedures commonly used in critically ill patients are also covered.

With more than 400 clinical images, this well-illustrated text and its accompanying videos demonstrate new developments and challenges for those interested in mastering basic transesophageal echocardiography (TEE) and bedside surface ultrasound.

Each chapter is presented in an easy-to-read format that includes color diagrams and ultrasound images which optimize interactive learning for both novice and experienced clinicians. The book is divided into two parts. The first is dedicated to basic TEE while the second provides focused coverage of bedside ultrasound.

The book also includes chapters on extra-cardiac TEE and ultrasound of the brain—unconventional areas that will become more important in the future as clinicians evaluate not only the etiology of hemodynamic instability but also the impact on multiple organs and systems such as the kidney, liver, splanchnic perfusion, and brain.

This text is an invaluable resource to those preparing for the National Board of Echocardiography’s Examination of Special Competence in Basic Perioperative Transesophageal Echocardiography (PTEeXAM) and its equivalents outside the USA and Canada.

In addition, it prepares physicians for the American College of Chest Physician’s critical care ultrasound certification. The contents follow the syllabus of the TEE basic echo exam to ensure complete coverage of a trainee’s requirements. It also includes sample questions and two helpful mock exams. Written by a multidisciplinary team of experts in TEE, the book is a must-have for those in training and in practice.

Us promo code FLR40 at check out to have 20% discount

Us this link to order

 

By DANIELA J. LAMAS
APRIL 1, 2017

 

He is breathing better and the doctors say his lungs will recover, but he can’t remember his appointments or where he put his keys.

It has been months since the surgery and the scars are fading, yet she still wakes almost nightly to the sound of phantom alarms.

Those are the sorts of stories I heard one morning at a support group for patients who had survived a critical illness and their family members. It seems simple — a few doctors, a social worker, a psychiatrist, former patients and their husbands and wives, a conference room, pastries, coffee. In a way it was. But this was the first time that many of these men and women had been asked to talk about their struggles after critical illness with those who’d shared similar experiences.

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By NICHOLAS BAKALAR

Taking statins the day of a coronary artery bypass operation may significantly improve survival, a study in the Annals of Thoracic Surgery found.

Researchers looked at 3,021 heart surgery patients, most of whom were taking cholesterol-lowering statins. The 1,788 who continued statins up to the day of surgery had a risk of death within 30 days of 1.7 percent, compared with 2.9 percent for 452 who stopped one to three days before surgery, and 3.8 percent for 781 who did not take statins or stopped more than 72 hours before their operations.

See article

THIS PODCAST COVERS:

How can we best describe ventricular function and the effect of ECMO?

What factors influence the net effect of VA ECMO on patient haemodynamics?

What are the primary haemodynamic effects of VA ECMO?

How does cannulation site influence the haemodynamics of VA ECMO?

What do you do about a non-ejecting heart on VA ECMO?

What about the RV? How does the unique functional anatomy and physiology contribute to RV failure?

What are the haemodynamic effects of VA ECMO on the RV?

What are the haemodynamic effects of VV ECMO?

Abstract
OBJECTIVE:
To provide an update to “Surviving Sepsis Campaign Guidelines for Management of Sepsis and Septic Shock: 2012″.
DESIGN:
A consensus committee of 55 international experts representing 25 international organizations was convened. Nominal groups were assembled at key international meetings (for those committee members attending the conference). A formal conflict-of-interest (COI) policy was developed at the onset of the process and enforced throughout. A stand-alone meeting was held for all panel members in December 2015. Teleconferences and electronic-based discussion among subgroups and among the entire committee served as an integral part of the development.
METHODS:
The panel consisted of five sections: hemodynamics, infection, adjunctive therapies, metabolic, and ventilation. Population, intervention, comparison, and outcomes (PICO) questions were reviewed and updated as needed, and evidence profiles were generated. Each subgroup generated a list of questions, searched for best available evidence, and then followed the principles of the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system to assess the quality of evidence from high to very low, and to formulate recommendations as strong or weak, or best practice statement when applicable.
RESULTS:
The Surviving Sepsis Guideline panel provided 93 statements on early management and resuscitation of patients with sepsis or septic shock. Overall, 32 were strong recommendations, 39 were weak recommendations, and 18 were best-practice statements. No recommendation was provided for four questions.
CONCLUSIONS:
Substantial agreement exists among a large cohort of international experts regarding many strong recommendations for the best care of patients with sepsis. Although a significant number of aspects of care have relatively weak support, evidence-based recommendations regarding the acute management of sepsis and septic shock are the foundation of improved outcomes for these critically ill patients with high mortality.
KEYWORDS:
Evidence-based medicine; Grading of Recommendations Assessment, Development, and Evaluation criteria; Guidelines; Infection; Sepsis; Sepsis bundles; Sepsis syndrome; Septic shock; Surviving Sepsis Campaign

The CJC supplement with our content is out.  Link to Jan 2017

Lantry – Complications of ECMO from maryland.ccproject.com on Vimeo.

In 1901 Jokichi Takamine (1854-1922) isolated the pure form of adrenaline, also known as epinephrine.

In 1893, George Oliver (1841– 1915), using his own instruments, studied the impact of glycerol extracts on arteries.

Routine use of adrenaline for cardiac arrest was first proposed in the 1960’s. Its inclusion within cardiac arrest management was based upon an understanding of the physiological role of adrenaline, and experimental data from animal research which showed that ROSC was more likely when the drug was used. It was not included on the basis of evidence of benefit in humans, but has remained, since today, a significant component of advanced life support despite minimal human data indicating beneficial effect .

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