minnesota perfusion society annual meetingmnperfsoc.org/images/mps_program_10.17.2013.pdf · talk a...

October 25 - 27

2013 ANNUAL FALL CARDIOVASCULAR PERFUSION PRACTICE AND ECMO MANAGEMENT MEETING Marriott Hotel, Rochester, MN

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Minnesota Perfusion Society Annual Meeting 2013


Mission Statement

The Minnesota Perfusion Society seeks continuing education for perfusionists by encouraging the open exchange of ideas regarding perfusion technology while advocating for the highest quality of care for patients who require extracorporeal circulation and support.

Meeting Objective

The object of this meeting is to provide a common ground for the distribution of latest information to perfusionists and their teams in and out of the operating room.

CEU

The American Board of Cardiovascular Perfusion (ABCP) has awarded Minnesota Perfusion Society’s 2013 Fall Cardiovascular Perfusion Practice & ECMO Patient Management Meeting 17.4 CEU’s. You must sign in each day at the registration desk to receive credit. Your certificate is located in the back of the program and can be signed upon completion of the meeting.

Location

Rochester Marriott Mayo Clinic Area 101 First Avenue SW Rochester, Minnesota 55902 USA Sponsored by the Minnesota Perfusion Society For questions please contact: [email protected]

Welcome to Rochester Minnesota!

Consistently recognized as one of the

most livable cities in America, Rochester

was rated number six of the “10 Best

Cities for the Next Decade” by

Kiplinger’s Personal Finance magazine,

July 2010. Rochester is built on the

world renowned Mayo Clinic’s rock-

solid foundation. In return, the

community serves as host to 2.7 million

visitors each year, many of them

receiving care at Mayo Clinic.

Currently, more than 100,000 people

reside in the growing community of

Rochester. We are defining what is to be

a Destination Medical Community.

If this is your first visit, or you have not

been here in some time, you’ll be

pleasantly surprised at the new

developments and amenities around

Rochester. We are a city that values

diversity, the arts, higher education and

our many cultures. The University of

Minnesota Rochester has added a new

dimension of student life. Start

experiencing Rochester by strolling

along the vibrant Peace Plaza, around

the Peace Fountain, into The Shops at

University Square and throughout

downtown. Talk a walk along the newly

reconstructed 2nd Street over to the

Rochester Art Center and Mayo Civic

Center. Restaurants, fine shops and food

courts are connected by our climate-

controlled pedestrian skyway/subway

system.

Find out for yourself why the people of

Rochester, Minnesota are so excited

about this city that we can’t help but

cheer, “Rah! Rah! Rochester!”

Sincerely,

Ardell Brede, Mayor

City of Rochester, Minnesota

http://www.rochestercvb.org/

mailto:[email protected]


FRIDAY, OCTOBER 25, 2013 Moderator: Caitlin Blau

1:00 - 5:00pm ECMO Symposium (pre-registration required) James Neal, CCP, Mandy Cornelius, CCP, Caitlin Blau, CCP, Bill Clark R.R.T.

Lectures: 1:00 - 2:15pm ECMO Insertion and Coagulation ECMO and Plasma-free Hgb ECMO Experiences Wet Labs: 2:30 - 5:00pm Adult ECMO Circuit Air Removal CARDIOHELP Thrombus Mapping - ECMO Specialist Perspective

5:00 - 7:00pm REGISTRATION - LOBBY

Social Reception with Hors d’oeuvres and Cash Bar Vendor Updates in Perfusion and ECMO 6:15 - 7:00pm Joe Nylin Carrie Klissing Nona Splett Jim McCabe Jee Choih-Niesen Paul Lenord Scott Pelton Aaron Miller Tom Kasinak Timothy Chase

7:00 – 7:30pm Volumetric Capnography Steve Holets, RRT Mayo Clinic, Rochester, MN

7:30 – 8:00pm Cold Agglutinins and Cardiac Surgery; David W. Barbara, MD Mayo Clinic College of Medicine


SATURDAY, OCTOBER 26, 2013 Moderator: James Neal

7:00 – 8:00am BREAKFAST - LOBBY

8:00 – 8:30am Round Table Discussion of ECMO Experiences & Questions

8:30 – 9:00am Therapeutic Hypothermia in the Management of Post-

Cardiac Arrest Syndrome

Roger D. White, MD

Dept. of Anesthesiology, Mayo Clinic, Rochester, MN

9:00 – 9:30am ECMO and Extreme ARDS

Gregory Schears, MD

Dept. of Anesthesiology, Mayo Clinic, Rochester, MN

9:30 – 10:00am Right Sizing: The Next Step

Joshua Blessing, CCP

Perfusion, Mayo Clinic, Rochester, MN

10:00 – 10:30am BREAK

10:30 – 11:00am Immune Mechanisms in Vascular Remodeling: Intimal Hyperplasia Tiffany Robb, CCP Perfusion, Mayo Clinic, Rochester, MN

11:00 – 11:30am Re-entry on the Complex Redo Sternotomy

Sameh M. Said, MB, ChB

Cardiovascular Surgery, Mayo Clinic, Rochester, MN

11:30 – 12:00pm Ed Berger Lifetime Achievement Lecture

Mike Friemann

12:00 – 1:00pm LUNCH – LOBBY


Moderator: Bill Levenick

1:00 – 1:30pm Poster Presentations- Lobby

Ex Vivo Lung Perfusion: An Overview; Molly Hageman

Pediatric ECMO Circuit Display; James Neal, CCP

CV Team Improvement Processes (TIPs); Amanda Cornelius, CCP

Prescriptive Patient Extracorporeal Circuit and Oxygenator Sizing Reduces Hemodilution and Allogenic Blood Product Usage During Adult Cardiac Surgery; Josh Blessing, CCP

1:30 – 2:00pm Hyperthermic Chemotherapy

Brittany Hei

Mayo School of Health Sciences Perfusion Student

Midwestern Cardiovascular Sciences, AZ

2:00 – 2:30pm How long can you go? Minimizing Laboratory Blood Volume

and Cost During ECMO

Kieth Bryant, RN, Laurie Utne, RN, Carrie Nelson, RN

ECMO Specialists, Mayo Clinic, Rochester, MN

2:30 – 3:00pm BREAK

3:00 – 3:30pm Antithrombin III and ECMO

Jeff Riley, MHPE, CCT, CCP


3:30 – 4:00pm From Heart Failure to Heart Transplant: My Donor

Recognition

Bill Carlson

LifeSource

4:00 – 4:30pm Percutaneous RVAD Overview: Another Way to Support the

Failing Heart

James Bikakis, CCP

Nebraska Medical Center, Omaha, NE


SUNDAY, OCTOBER 27, 2013 Moderator: Amanda Cornelius

7:00 – 8:00am BREAKFAST - LOBBY

8:00 – 8:30am What is Appropriate? Tubing Size vs. Flow

Phil Scott, CCP


8:30 – 9:00am International Consortium for Evidence-Based Perfusion

Shahna Bronson, CCP


9:00 – 9:30am Hypotrophic Cardiomyopathy

Hartzell V. Schaff, MD

Cardiovascular Surgery, Mayo Clinic, Rochester, MN

9:30 – 10:00am Implementation of a Perfusion Care Plan

Caitlin Blau, CCP


10:00 – 11:00am MPS Business Meeting


PRESENTATION NOTES

Volumetric Capnography Presenter: Steven Holets, RRT Objectives: 1. Discuss the differences between capnometry, capnography, and volumetric capnograpy (NICO) monitoring 2. Describe what cardiopulmonary information may be obtained using volumetric capnography 3. Describe how volumetric capnography may aid in ventilator management of the patient receiving ECMO Notes: Cold Agglutinins and Cardiac Surgery Presenter: David W. Barbara, MD Objectives: 1. Recognize the differences between asymptomatic cold agglutinins and cold hemagglutinin disease 2. Formulate a perioperative treatment plan for the patient with cold agglutinins undergoing cardiac surgery requiring cardiopulmonary bypass 3. Identify the potential perioperative complications of cold agglutinins Notes:

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PRESENTATION NOTES

Therapeutic Hypothermia in the Management of Post-Cardiac Arrest Syndrome Presenter: Roger D. White, MD Objectives: 1. Discuss the mechanisms of central nervous system injury during cardiac arrest and following perfusion 2. Describe procedures for inducing therapeutic hypothermia 3. Discuss patient selection and outcomes following induction of therapeutic hypothermia Notes: ECMO and Extreme ARDS Presenter: Gregory Schears, MD Objectives 1. Discuss the pathophysiology of ARDS 2. Review the use of Veno-Veno ECMO for respiratory failure 3. Discuss a case of extreme ARDS and its implications Notes:

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PRESENTATION NOTES Right Sizing: The Next Step Presenter: Joshua Blessing, CCP Objectives: 1. Review right sizing process improvement project and the results generated from it 2. Expand on the future of right-sizing protocol and the new components we will be adding to it 3. Elaborate on the incorporation of a Data Wall to track and monitor the continued use of the right-sizing algorithm Notes:

Immune Mechanisms in Vascular Remodeling: Intimal Hyperplasia Presenter: Tiffany Robb, CCP Objectives: 1. Create a carotid ligation injury model in which left common carotid artery blood flow cessation is accomplished 2. Compare histological neoitima formation and transcriptional factor gene expression in the carotid artery at varying ligation endpoints in two different strains of mice 3. Test a therapeutic on an IH susceptible murine strain adherent to the carotid artery ligation model 4. Describe the relevance of intimal hyperplasia remodeling in perfusion and cardiac surgery Notes:


PRESENTATION NOTES Re-entry on the Complex Redo Sternotomy Presenter: Sameh M. Said, MB, ChB Notes: Hyperthermic Chemotherapy Presenter: Brittany Hei Objectives: 1. Discuss hyperthermic intraperitoneal chemotherapy 2. Discuss why hyperthermia is effective against cancer Notes:

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PRESENTATION NOTES How long can you go? Minimizing Laboratory Blood Volume and Cost During ECMO Keith Bryant, RN, Laurie Utne, RN, Carrie Nelson, RN Objectives: 1. Understand how to reduce amount of blood drawn on ECMO patients 2. Understand how to reduce cost associated with lab draws for ECMO patients 3. Learn how to reduce number of line entry’s per ECMO patient Notes: Antithrombin III and ECMO Presenter: Jeff Riley, MHPE, CCT, CCP Notes:

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PRESENTATION NOTES From Heart Failure to Heart Transplant: My Donor Recognition Presenter: Bill Carlson Objectives: 1. Share my personal story and make people aware of donors and their role Notes:

Percutaneous RVAD Overview: Another Way to Support the Failing Heart Presenter: James Bikakis, CCP Objectives: 1. Alternate support for the failing right heart 2. Patient selection 3. Insertion technique, equipment and maintenance Notes:

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PRESENTATION NOTES What is Appropriate? Tubing Size vs. Flow Presenter: Phil Scott, CCP Objectives: 1. Review history of blood flow limits 2. Assess pressure degradation and effects of cannula selection 3. Discuss opportunities for ¼” arterial lines Notes:

International Consortium for Evidence-Based Perfusion Presenter: Shahna Bronson, CCP Objectives: 1. Introduce ICEBP, our goals and out mission 2. Introduce the new standards and guidelines 3. Discuss implementation of the standards and guidelines Notes:

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PRESENTATION NOTES

Hypotrophic Cardiomyopathy Presenter: Hartzell V. Schaff, MD Notes: Implementation of a Perfusion Care Plan Presenter: Caitlin Blau, CCP Objectives: 1. Discuss the process of implementing a change 2. Discuss the content of the revised care plan 3. Review the results of the new care plan Notes:

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POSTER NOTES Ex Vivo Lung Perfusion: An Overview Presenter: Molly Hageman Objectives: 1. History of lung transplants 2. Ex Vivo Lung Perfusion overview 3. Materials and Methods of Ex Vivo Lung Perfusion Notes: Pediatric ECMO Circuit Display Presenter: James Neal, CCP 1. Decreasing interventions and increasing component life span 2. Reducing ECMO circuit prime for neonates 3. Using the pediatric Quadrox iD oxygenator to full flow range Notes: CV Team Improvement Processes (TIPS) Presenter: Amanda Cornelius, CCP Notes: Prescriptive Patient Extracorporeal Circuit and Oxygenator Sizing Reduces Hemodilution and Allogenic Blood Product Usage During Adult Cardiac Surgery Presenter: Josh Blessing, CCP Notes:

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EVALUATION

Please circle the number that best describes your reaction to the following questions.

1 Strongly Disagree to 5 Strongly Agree

This meeting helped meet my continuing education requirement.

1 2 3 4 5 Comments: The program content gave me something to take back to my practice.

1 2 3 4 5 Comments: The speakers were knowledgeable and the topics were relevant to today’s perfusion practice.

1 2 3 4 5 Comments: The meeting accommodations met my needs.

1 2 3 4 5 Comments: The meeting venue was well suited for this meeting.

1 2 3 4 5 Comments: The ECMO Symposium added value to the meeting.

1 2 3 4 5 Comments: Additional Comments:


Please circle the number that best describes the content of the presentation or poster.

1 Uninformative to 5 Very Informative and Beneficial

ECMO Symposium/James Neal, CCP, Amanda Cornelius, CCP, Caitlin Blau, CCP, Bill Clark, RRT

1 2 3 4 5 Comments: Volumetric Capnography/Steve Holets, RRT

1 2 3 4 5 Comments: Cold Agglutinins and Cardiac Surgery/David Barbara, MD

1 2 3 4 5 Comments: Therapeutic Hypothermia in the Management of Post-Cardiac Arrest Syndrome /Roger D. White, MD

1 2 3 4 5 Comments: ECMO and Extreme ARDS/Gregory Schears, MD

1 2 3 4 5 Comments: Right Sizing: The Next Step/Joshua Blessing, CCP

1 2 3 4 5 Comments: Immune Mechanisms in Vascular Remodeling: Intimal Hyperplasia/Tiffany Robb, CCP

1 2 3 4 5 Comments:




Re-entry on the Complex Redo Sternotomy/Sameh M. Said, MB, ChB

1 2 3 4 5 Comments: Hyperthermic Chemotherapy/Brittany Hei

1 2 3 4 5 Comments: How long can you go? Minimizing Laboratory Blood Volume and Cost During ECMO/Keith Bryant, RN, Laurie Utne, RN, Carrie Nelson, RN

1 2 3 4 5 Comments: Antithrombin III and ECMO/Jeffrey Riley, MHPE, CCT, CCP

1 2 3 4 5 Comments: From Heart Failure to Heart Transplant: My Donor Recognition /Bill Carlson

1 2 3 4 5 Comments: Percutaneous RVAD Overview: Another Way to Support the Failing Heart/James Bikakis, CCP

1 2 3 4 5 Comments: What is Appropriate? Tubing Size vs. Flow/Phil Scott, CCP

1 2 3 4 5 Comments:




International Consortium for Evidence Based Perfusion/Shahna Bronson, CCP

1 2 3 4 5 Comments: Hypotrophic Cardiomyopathy /Hartzell V. Schaff, MD

1 2 3 4 5 Comments: Implementation of a Perfusion Care Plan/Caitlin Blau, CCP

1 2 3 4 5 Comments: Poster: Ex Vivo Lung Perfusion: An Overview/Molly Hageman

1 2 3 4 5 Comments:

Poster: Pediatric ECMO Circuit Display/James Neal, CCP

1 2 3 4 5 Comments:

Poster: CV Team Improvement Processes (TIPs)/Amanda Cornelius, CCP

1 2 3 4 5 Comments:

Poster: Extracorporeal Circuit and Oxygenator Sizing Reduces Hemodilution and Allogenic Blood Product Usage During Adult Cardiac Surgery /Josh Blessing, CCP

1 2 3 4 5 Comments:


We would like to thank our sponsoring vendors for

making this meeting possible!

http://www.terumo-cvs.com/index.aspx

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