תכנית הקורס - בית ספר לאקמו

Gathering and coffee

07:30-08:00

Dr. J. Ben-Ari

Welcome and Course Overview

08:00-08:15

Dr. J. Ben-Ari

Definition and History

• ECMO Overview

• History of ECMO

• ELSO Registry

08:15-09:00

Dr. J. Ben-Ari

ECMO evidence and indications

• Historical Studies

• Recent evidence for VA ECMO

• Recent evidence for VV ECMO

• Indications and Contraindication

09:00-09:50

Dr. J. Ben-Ari

ECMO Physiology

• Oxygen Delivery & Uptake

• Gas Transfer in the Membrane Lung

• Hemodynamic Monitoring on VV ECMO

• Hemodynamic Monitoring on VA ECMO

09:50-10:40

Coffee Break

10:40-10:50

Mr. R. Haizler

Mr. D. Levi

ECMO Anatomy

· Circuit Overview

· Cannulas and Tubing

· Pump

· Membrane Lung and Blender

· Pressure Monitoring

10:50- 11:50

Dr. R. Ilan

• Respiratory Failure Supported with VV ECMO Provide an overview of Respiratory failure.

• List standard management strategies for respiratory failure.

• Discuss the rationale of VV ECMO in respiratory failure.

11:50-12:30

Lunch

12:30-13:00

Dr. Y. Dotan

VV ECMO Overview

· Initiation of VV ECMO

· VV Cannulation

· VV ECMO configuration

13:00-13:45

Dr. Y. Dotan

VV ECMO

· Maintenance

· Recirculation

· Weaning VV ECMO

13:50-14:40

Dr. A. Hadash

Special considerations in Neonatal & Pediatric ECMO

· Cannulations

· Site of cannulation

· Physiological differences

· Differences fro Adults ECMO

14:40-15:20

Coffee Break

15:20-15:30

Mrs. A. Knany

Nursing on ECMO

· Daily management

· Describe the roles of the bedside nurse.

· Explain positioning and pressure-sores.

· Outline the circuit monitoring for clots and air bubbles.

15:30-16:10

Dr. J. Ben-Ari

Day 1 Summary

16:10-16:30

Dr. J. Ben-Ari

Day 2 Overview, questions and remarks on Day 1

08:00-08:15

Dr. O. Caspy

Cardiac Failure

· Pathophysiology of Heart failure

· The role of Devices in Heart Failure

· Prognosis 

08:15-09:00

Dr. Z. Adler

VA ECMO Overview

· Initiation of VA ECMO

· VA ECMO Configurations

· VA Cannulation

· VA Maintenance

· Weaning VA ECMO

09:00-10:30

Coffee Break

10:30-10:40

Dr. Z. Adler &

Dr. A. Darawshe

Complications of VA ECMO & Case Discussion

· Left Ventricular Distention

· Differential Oxygenation

· Pulmonary Edema

· Limb Ischemia

10:50- 11:50

Mrs. L. Binyamin

Family support

· Explain the difficulties of the family.

· Describe strategies to support the family

11:50-12:10

Mrs. E. Manor

Physiotherapy

· The Role of Physiotherapist

12:10-12:30

Lunch

12:30-13:00

Dr. N. Mandel

Hematology

· Anticoagulation

· Transfusion

· Bleeding

· Thrombosis

· Hemolysis

13:00-13:45

Dr. S. Pollack

Nephrology

· Acute Kidney Injury

· Fluid Overload and Conventional Therapy

· Renal Replacement Therapy

13:50-14:40

Coffee Break

14:40-14:50

Dr. Z. Adler

Medical Complications on ECMO

· Medical Complications Overview

· Pulmonary Edema

· Pneumothorax & Tamponade

· Cardiac Arrest

· Uncontrolled Bleeding

· Sepsis

14:50-15:50

Dr. D. Eytan

Neurology

· Neurological Complications on ECMO

· Sedation

· Neurological Monitoring

15:50-16:10

Dr. J. Ben-Ari

Day 2 Summary

16:10-16:30

Mr. R. Haizler

Day 3 • Introduction to simmulation and Hand On

08:00-08:15

Mr. R. Haizler

Mr. D. Levi

Mechanical Complications

· Mechanical Complications Overview

· Emegent ECMO Decannulation

· Drainage Insufficiency

· Obstruction of Blood return

· Pump Failure

· Membrane Lung Dysfunction

· Air Embolism

· Circuit Disruption

· Accidental Decannulation

08:15-09:15

Dr. Z. Adler

Transport of an ECMO patient

09:15-09:30

Coffee Break

09:30-09:45

Mr. R. Haizler

Mr. D. Levi

Hands on ECMO

· ECMO circuit and accessories

· Priming an ECMO circuit

· Preparing the Hemofilter – prime and assembly

· Cannulation – preparation and assistance to the surgeon

· Pressure Monitoring

· The patient with unstable flow

· Trial off – from evaluation to weaning

09:45-12:00

Lunch

12:00-12:30

Simulation: Air Embolism

12:30-13:00

Simulation: Pump Failure

13:00-13:30

Simulation: Gas Failure

13:30-14:00

Simmulation: Membrane Lung Failure

14:00-14:30

Simulation: Drainage Insufficiency

14:30-15:00

Coffee Break

15:00-15:10

Final Examination

15:10-16:10

Course Summary

16:10-16:30