The MV Masterclass will provide basic and advanced knowledge on important aspects of paediatric mechanical ventilation, including respiratory monitoring, patient-ventilator asynchrony and ventilation liberation.

We will also discuss in detail how to ventilate the patient with obstructive and restrictive lung mechanics. The Masterclass will have a live Q&A where you can ask anything you want.

08:30  Respiratory monitoring at the bedside

09:15   How to ventilate the patient with obstructive lung mechanics
Alberto Medina Villanueva, Spain 

10:00   How to ventilate the patient with restrictive lung mechanics
Vicente Modesto, Spain 

10:45    Patient-ventilator asynchrony
Robert Blokpoel, Netherlands 

11:30     Weaning and weaning tests
Alette Koopman, Netherlands 

12:15     High-frequency oscillatory ventilation
Martin Kneyber, Netherlands 

13:00    Prone positioning
Stavrina Ilia, Greece 

13:45     Live Q&A

During this interactive Masterclass, participants will learn about basic haemodynamic physiology and basic and advanced haemodynamic monitoring including point of care ultrasound technology. There will be breakout sessions including simulation scenarios and ECG interpretation for the intensivist.

Cardiovascular management in the pediatric intensive care unit

Lecture 1. Basic hemodynamic physiology (heart rate stroke volume, DO2, VO2, venous return, Starling law, etc)
Joris Lemson, Netherlands 

Lecture 2. Hemodynamic pathophysiology (shock, supply dependency, cardiac failure, hypovolemia, lactate etc)
Joris Lemson, Netherlands 

Lecture 3. Hemodynamic monitoring (blood pressure, cardiac output, ScvO2 etc)
Javier Urbano, Spain 

Lecture 4. Functional echocardiography in the pediatric intensive care
Yogen Singh, UK

Lecture 5. Fluid therapy (fluid responsiveness, what, how much, when etc)
Javier Urbano, Spain 

Lecture 6. Vasoactive drugs (what, how much, when etc)
Yogen Singh, UK

Click here for more information

Learning objectives:

Participants will be able to:

1. Describe the basics of CRRT provision to children across the entire spectrum of pediatric critical illness including peritoneal dialysis
2. Discuss the latest information regarding the entire CRRT prescription from modality choice, anticoagulation, access choice and timing of CRRT initiation, and the application of CRRT in various disease states.

Target audience: Critical care physicians including trainees, nursing staff, pharmacists involved in the delivery of CRRT to critically ill children.

Desired Results: The participant in each aspect will be able to apply knowledge attained from attending this workshop to improve their care of children who undergo CRRT in their intensive care unit.

Introduction to the masterclass – Akash Deep, UK and Pauliene Raymakers-Janssen, Netherlands

08:30-09:00  Terminology, Machines, membranes and solutions
Zaccaria Ricci, Italy 

09:00-09:30  Prescription in CRRT
Jordan Symons, USA

09:30-10:00  Anticoagulation in CRRT
Patrick Brophy, USA

10:00-10:30  Peritoneal dialysis in Pediatric critical care
Yap Hui Kim, Singapore 

10:30-11:00 CRRT in septic shock
Rajit Basu, USA

11:00-11:30  CRRT on ECMO
Katja Gist, USA

11:30-12:00  RRT in acute liver failure
Akash Deep, UK

12:00-12:30 AKI and CRRT in neonates
David Askenazi, USA

12:30-13:00 Tandem therapies and CRRT Quality dashboard
Theresa Mottes, USA

13:00-13:30- Future of CRRT in children
Stuart Goldstein, USA

13:30-14:30 – Live panel discussion with ALL speakers moderated by:
Anna Zanin, Italy; Pauliene Raymakers-Janssen, Netherlands; Akash Deep, USA; Tenille Webb, USA

08:30-08:40 Neuromonitoring in PICU brief introduction
Barney Scholefield, UK

09:00-09:30 ICP monitoring and integrated software (eg PRx)
Hari Krishnan, UK  &  Stefano Pezzato, Italy

09:30-10:00 EVD monitoring at the bedside – set up & troubleshooting
Tracey Rowberry, UK

10:00-10:30 Quantitative EEG (aEEG/qEEG/CFM) monitoring in PICU and NICU
Gauthier Loron, France

10:30-11:00 Keeping bedside staff up to date and knowledgeable in aEEG / qEEG
Bryony Carr, UK

11:00-11:30 NIRS in the Paediatric Cardiac ICU
Aparna Hoskote, UK

11:30-12:00 Transcranial Doppler & optic nerve sheath monitoring
Bogdana Zoica, UK

12:00-12:30 Brain tissue monitoring PbtO2 and micro-dialysis
Shruti Agrawal, UK

12:30-13:00 Question and Answer session
All Faculty

Objectives:

• Report the outstanding experiences and achievements of PICU NICU nurses in Europe
• Report lessons learned from caring for adult patients in ICU
• Report how the pandemic experience has improved PICU NICU practice

Session chairs: Julie Menzies, UK and Orsola Gawronski, Italy
Speakers: 
The experience and COVID-19 challenge of PICU – NICU nursing in the UK (NICU)
Izabela Andrzejewska, UK

The experience and COVID-19 challenge of PICU – NICU nursing in the UK (PICU)
Kate Baptiste, UK

The experience and COVID-19 challenge of PICU – in Italy (PICU)
Chiara Tosin, Italy

The experience and COVID-19 challenge of PICU – in Poland (PICU)
Aleksander Wisniewski, Poland

The experience and COVID-19 challenge of PICU – in Spain
Maria Camila Forero Giraldo, Spain

The experience and COVID-19 challenge of PICU – in Holland
Paulien Raymakkers, Netherlands

The experience and COVID-19 challenge of PICU – in Portugal
Rui Silva, Portugal

Panel discussion on actions moving forward & live questions and answers

This workshop is aimed to paediatric intensive care and neonatal intensive care staff with different levels of expertise.

Visualisation of WFPICCS NIV Workshop (available in the ESPNIC Education platform) is advised, but not required.

We will perform 4 remote simulations of different topics of interest, which we will debrief and comment the evidence available with experts in the field. You will be able to reply and interact with the speakers via chat.

You can join us for the whole day, or only for the paediatric or neonatal sections. Is up to you! There is a maximum of 100 attendees per session.

9.00 Welcome

9.15 Paediatric case I: Acute asthma

HFNC vs NIV in status asthmaticus

How can we set it up?

Nebulisation techniques

10.15 Short break

10.30 Paediatric case II: Bronchiolitis

NIV in the <3 months’ infant

Identify asynchrony

Basic troubleshooting for better synchrony

11.30 Early lunch break

12.30 Neonatal case I: Newborn respiratory distress syndrome in a hospital without NICU

Initial management with NIV

To MIST or not to MIST?

Can we safely transfer the patient?

13.30 Short break

13.45 NRDS with BLPAP requirement

Setting up of NIV in NICU

Which mode to choose? Are they the same?

Synchrony in the newborn. Does it matter?

14.45 Closure

During this Masterclass, participants will learn about conditions requiring PICU admission resulting from cancer and/or from complications related to therapy directed against the malignant disease. In addition, participant will learn to recognize and effectively manage the most important emergencies in pediatric cancer patients.

08:30-08:45  Introduction
Roelie Wosten-van Asperen, Netherlands

08:45-09:15  Tumor lysis syndrome / Hyperleucocytosis
Roman Crazzolara, Austria

09:15-09:45  Intracranial pathology
Angela Amigoni, Italy

09:45-10:15  Mediastinal tumors
Emanuele Rossetti, Italy

10:15-10:45  VOD & liver dysfunction in HSCT patients
Omer Aziz, UK

10:45-11:15  Acute respiratory failure in HSCT patients
Adriana Margarit, Spain

11:15-11:45  CAR-T cell therapy and cytokine release syndromes
Maria Sanchez Martin, Spain 

11:45-12:15  Sepsis & hyperinflammatory syndromes
John Pappachan, UK

12:15-12:45  Ethics and decision making
Joe Brierley, UK

12:45-13:00  Summary & conclusions
Roelie Wosten-van Asperen, Netherlands