Interactive program
Tuesday 22 March 2022
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Welcome - after the pandemic
Fabio S Taccone (Brussels, Belgium)
Jean-Louis Vincent (Brussels, Belgium)
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Sepsis: what have we learned from COVID-19?
Thierry Calandra (Lausanne, Switzerland)
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Research will be much improved in the next pandemic
Lennie Derde (Utrecht, Netherlands)
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The place of antiplatelet agents in COVID-19
Charlotte Bradbury (Bristol, United Kingdom)
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High-flow nasal oxygen vs. non-invasive ventilation in immunocompromised patients with acute respiratory failure
Rémi Coudroy (Poitiers, France)
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Max Harry Weil lecture: Lessons from history
Mervyn Singer (London, United Kingdom)
INTERACTING WITH RELATIVES
Pierre Singer (Petah Tikva, Israel)
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How to communicate with families
Jan Bakker (New York, United States)
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Communicating bad outcomes to young children
Geert Meyfroidt (Leuven, Belgium)
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Family outcomes after critical illness
Margaret Herridge (Toronto, Canada)
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The influence of the media on our practices
Daniel Brodie (New York, United States)
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Discussion
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How I use pupillometry in brain injured patients
Mauro Oddo (Lausanne, Switzerland)
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NIRS monitoring
Markus Skrifvars (Helsinki, Finland)
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Cerebral blood flow autoregulation
Chiara Robba (Genoa, Italy)
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Discussion
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Invasive oxygen measurements
Fabio S Taccone (Brussels, Belgium)
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Which biomarkers?
Janneke Horn (Amsterdam, Netherlands)
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It should be multimodal
Soojin Park (New York, United States)
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Bedside data could be better integrated and displayed
Victoria McCredie (Toronto, Canada)
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Discussion
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Break
WORKING TOGETHER
Michelle Chew (Linköping, Sweden)
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How to deal with burnout: rescuing those on the front line
Heatherlee Bailey (Durham, United States)
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Psychological safety in the ICU team
Stephen Brett (London, United Kingdom)
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Impact of intensivist workload on patient outcomes
Hayley B Gershengorn (Miami, United States)
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Workforce and workload in US critical care organizations
Stephen M Pastores (New York, United States)
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Discussion
WE SHOULD USE INDIRECT CALORIMETRY ROUTINELY TO GUIDE NUTRITION
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We should use indirect calorimetry routinely to guide nutrition
PRO: Elisabeth De Waele (Brussels, Belgium)
CON: Arthur van Zanten (Ede, Netherlands)
SUBARACHNOID HEMORRHAGE
Markus Skrifvars (Helsinki, Finland)
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Early management
Soojin Park (New York, United States)
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Personalized neuromonitoring
Vasileios Papaioannou (Alexandroupolis, Greece)
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A new look at delayed cerebral ischemia
Fabio S Taccone (Brussels, Belgium)
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Management of vasospasm
Giuseppe Citerio (Monza, Italy)
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Discussion
SEPSIS: THE IMMUNE RESPONSE
Kordo Saeed (Southampton, United Kingdom)
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Mitochondrial dysfunction and immune dysfunction
Mervyn Singer (London, United Kingdom)
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Age-dependent host response dysregulation
Tom van der Poll (Amsterdam, Netherlands)
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Gender differences in the innate immune response
Peter Pickkers (Nijmegen, Netherlands)
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Host response and causative pathogen
Tom van der Poll (Amsterdam, Netherlands)
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Discussion
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Immune system changes in sepsis and ARDS
Manu Shankar–Hari (Edinburgh, United Kingdom)
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Immune dysfunction in liver disease
Julia Wendon (London, United Kingdom)
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The concept of trained immunity
Thierry Calandra (Lausanne, Switzerland)
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How do innate immune cells respond to danger?
John C Marshall (Toronto, Canada)
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Discussion
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Break
POLYTRAUMA: EARLY MANAGEMENT
Donat R Spahn (Zurich, Switzerland)
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Vasopressors in hemorrhagic shock: a never event?
Pierre Bouzat (Grenoble, France)
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Hypotensive resuscitation
Jacques Duranteau (Le Kremlin-Bicêtre, France)
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It´s all about stopping the bleeding
Marc Maegele (Cologne, Germany)
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Individualized management of the coagulopathy
Oliver Grottke (Aachen, Germany)
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A place for vitamin C?
Angelique de Man (Amsterdam, Netherlands)
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Discussion
BICARBONATE REVISITED
Antoine Vieillard–Baron (Boulogne-Billancourt, France)
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Metabolic acidosis: role of bicarbonate?
Samir Jaber (Montpellier, France)
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Only for acidosis associated with renal failure?
Lui Forni (Guildford, United Kingdom)
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Clinical experiences
Rinaldo Bellomo (Melbourne, Australia)
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Discussion
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Beyond refractory hypoxemia
Niall Ferguson (Toronto, Canada)
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Experience in COVID-19
Luigi Camporota (London, United Kingdom)
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Outcomes of patients with prolonged VV-ECMO
Alain Combes (Paris, France)
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Discussion
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Respiratory drive during awake ECMO
Giacomo Grasselli (Milan, Italy)
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Personalized mechanical ventilation during ECMO
Tommaso Mauri (Milan, Italy)
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Early mobilization
Daniel Brodie (New York, United States)
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Routine prone positioning?
Giacomo Grasselli (Milan, Italy)
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Discussion
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Optimal anticoagulation?
Julie Helms (Strasbourg, France)
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When to transfuse
Alexander Vlaar (Amsterdam, Netherlands)
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How to wean from ECMO?
Daniel Brodie (New York, United States)
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A national ECMO partnership can change practice
Carol Hodgson (Melbourne, Australia)
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Discussion
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Nebulized therapies
Lorenzo Ball (Genoa, Italy)
FLUID REMOVAL
Marlies Ostermann (London, United Kingdom)
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Physiological impact
Can Ince (Rotterdam, Netherlands)
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Optimal ultrafiltration rate
Rinaldo Bellomo (Melbourne, Australia)
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There are novel targets
Javier Neyra (Lexington, United States)
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There are new systems for artificial diuresis
Claudio Ronco (Vicenza, Italy)
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Discussion
SEPSIS: GEOPOLITICAL ISSUES
Manu Shankar–Hari (Edinburgh, United Kingdom)
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A program to fight sepsis in France
Djillali Annane (Garches, France)
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We still need a sepsis action plan in Belgium
Manu Malbrain (Lublin, Poland)
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Sepsis management in low income countries
Flavia Machado (Sao Paulo, Brazil)
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The important role of intensive care on the international public health agenda
John C Marshall (Toronto, Canada)
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Discussion
COVID-19: IMPROVED RESPIRATORY MANAGEMENT
Liesbet De Bus (Ghent, Belgium)
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We understand respiratory failure better
Lorenzo Ball (Genoa, Italy)
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Helmet use has been boosted
Massimo Antonelli (Rome, Italy)
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Non-invasive ventilation strategies have improved
Alexandre Demoule (Paris, France)
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Discussion
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We prone non-intubated patients
Domenico Luca Grieco (Rome, Italy)
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We can better predict the need for invasive mechanical ventilation
Pierre Singer (Petah Tikva, Israel)
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Ventilatory management of ARDS has evolved
Luigi Camporota (London, United Kingdom)
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We sometimes used ventilator sharing
Jeremy Beitler (New York, United States)
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Discussion
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Indications for ECMO are clearer
Daniel Brodie (New York, United States)
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VV-ECMO therapy has improved
James Doyle (London, United Kingdom)
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ECMO outcomes have evolved
Alain Combes (Paris, France)
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Discussion
NUTRITIONAL SUPPORT
Marcus Schultz (Chur, Switzerland)
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How we currently do it
Michael Hiesmayr (Vienna, Austria)
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Who is at high nutritional risk?
Michaël Casaer (Leuven, Belgium)
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How can we predict enteral nutrition failure?
Pierre Singer (Petah Tikva, Israel)
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Discussion
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Should we feed intermittently?
Mauro Oddo (Lausanne, Switzerland)
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Don´t forget the micronutrients
Angelique de Man (Amsterdam, Netherlands)
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Determinants of caloric needs
Elisabeth De Waele (Brussels, Belgium)
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Discussion
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We´re not sure we should match energy expenditure
Jean-Charles Preiser (Brussels, Belgium)
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Novel nutritional strategies to prevent muscle wasting
Zudin Puthucheary (London, United Kingdom)
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How to feed the obese patient?
Arthur van Zanten (Ede, Netherlands)
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Discussion
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How and when to use supplemental parenteral nutrition in gut intolerance
Pierre Singer (Petah Tikva, Israel)
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How to personalize ICU nutrition
Paul Wischmeyer (Durham, United States)
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Every ICU should have a dietician
Eloisa Garcia-Velasquez (Guayaquil, Ecuador)
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Discussion
INTRAAORTIC COUNTERPULSATION IN CARDIOGENIC SHOCK ?
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Intraaortic counterpulsation in cardiogenic shock?
CON: Daniel De Backer (Braine l´Alleud, Belgium)
PRO: Matthias Heringlake (Karlsburg, Germany)
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Long term outcomes after ARDS
Margaret Herridge (Toronto, Canada)
CARDIAC ASSISTANCE: AN UPDATE
Marek Mirski (Baltimore, United States)
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Cardiac assistance: an update
Carsten Tschöpe (Berlin, Germany)
BUNDLES OF CARE
Michel Slama (Amiens, France)
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The pros and cons
John C Marshall (Toronto, Canada)
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Sometimes it really is a prize package
Heatherlee Bailey (Durham, United States)
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Bundles of care to prevent renal failure?
Eric Hoste (Ghent, Belgium)
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Bundles of care for COVID-19?
Marc Leone (Marseille, France)
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Discussion
HEMATOLOGICAL ISSUES
Beverley Hunt (London, United Kingdom)
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Sepsis-associated coagulopathy
Julie Helms (Strasbourg, France)
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Macrophage activation syndrome
Evangelos Giamarellos–Bourboulis (Athens, Greece)
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Coagulation disturbances in liver disease
Julia Wendon (London, United Kingdom)
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Discussion
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Pulmonary complications after transfusion
Alexander Vlaar (Amsterdam, Netherlands)
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Thrombotic microangiopathies
Lara Zafrani (Paris, France)
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DIC: who will bleed and who will develop thrombosis?
Nicole Juffermans (Amsterdam, Netherlands)
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Vaccine-induced thrombocytopenia
Beverley Hunt (London, United Kingdom)
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Discussion
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Break
COVID-19: INFECTIOUS COMPLICATIONS
Michael S Niederman (New York, United States)
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Is hospital-acquired pneumonia more frequent?
Andre Kalil (Omaha, United States)
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ICU-acquired bloodstream infections
Niccolo Buetti (Geneve, Switzerland)
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Procalcitonin measurements could limit antibiotic prescriptions
Kordo Saeed (Southampton, United Kingdom)
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Discussion
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Secondary viral reactivations
Massimo Girardis (Modena, Italy)
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Herpes virus activation
Jean-François Timsit (Paris, France)
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Fungi and other secondary infections
Giacomo Grasselli (Milan, Italy)
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Discussion
THE IMPORTANCE OF THE MICROBIOME
Zudin Puthucheary (London, United Kingdom)
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The gut microbiome in critical illness
Craig M Coopersmith (Atlanta, United States)
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The gut-brain connection and the ´´psychobiome``
Paul Wischmeyer (Durham, United States)
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The role of the microbiome in ICU-acquired infection
John C Marshall (Toronto, Canada)
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Targeting the gut microbiome in sepsis
Joost Wiersinga (Amsterdam, Netherlands)
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Discussion
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Keys to successful rounds
Craig M Coopersmith (Atlanta, United States)
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Equity in the ICU
Katarzyna Kotfis (Szczecin, Poland)
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Unpacking the drivers of diversity-related outcomes
Hayley B Gershengorn (Miami, United States)
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Discussion
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Break
FLUID ADMINISTRATION IN THE PERIOPERATIVE PERIOD: BE LIBERAL!
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Fluid administration in the perioperative period: be liberal!
PRO: Lorenzo Ball (Genoa, Italy)
CON: Rinaldo Bellomo (Melbourne, Australia)
ACUTE RENAL FAILURE
Luigi Camporota (London, United Kingdom)
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Acute renal failure
Lui Forni (Guildford, United Kingdom)
THE HEART IN SEPSIS
Jean-Louis Teboul (Le Kremlin-Bicêtre, France)
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Mechanisms of myocardial depression
Mervyn Singer (London, United Kingdom)
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Is it some form of Takotsubo syndrome?
Anthony McLean (Sydney, Australia)
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Anything special in severe COVID 19?
Michel Slama (Amiens, France)
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Discussion
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How specific is myocarditis?
Alain Combes (Paris, France)
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A place for beta-blockers?
Chryssa Pourzitaki (Thessaloniki, Greece)
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Discussion
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Diaphragm ultrasound
Leo Heunks (Rotterdam, Netherlands)
THE ROLE OF PROCESSED EEG TO PREVENT OVER-SEDATION
Joost Wiersinga (Amsterdam, Netherlands)
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The role of processed EEG to prevent over-sedation
Frank Rasulo (Brescia, Italy)
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Passive leg raising test and other tests
Xavier Monnet (Le Kremlin-Bicêtre, France)
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Hemodynamics -from research to practice
Michael R Pinsky (Pittsburgh, United States)
Denise Veelo (Amsterdam, Netherlands)
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How to examine a patient in shock
Jan Bakker (New York, United States)
Maurizio Cecconi (Milan, Italy)
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CRRT
Javier Neyra (Lexington, United States)
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Echography in the patient with shock
Antonio Messina (Rozzano, Italy)
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After COVID: what has changed in my ICU
Jeremy Beitler (New York, United States)
Maurizio Cecconi (Milan, Italy)
Victoria Metaxa (London, United Kingdom)
Julia Wendon (London, United Kingdom)
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Heart-lung interactions
Yatin Mehta (Gurgaon, India)
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This patient has ARDS: so what?
Laurent Brochard (Toronto, Canada)
Luciano Gattinoni (Göttingen, Germany)
John J Marini (St Paul, United States)
Tài Pham (Le Kremlin-Bicêtre, France)
Lise Piquilloud (Lausanne, Switzerland)
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Severe pancreatitis: from ED to home
Pierre-François Laterre (Brussels, Belgium)
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Overfeeding
Annika Reintam Blaser (Tartu, Estonia)
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Bedside respiratory physiology
Lise Piquilloud (Lausanne, Switzerland)
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Endotracheal intubation
Samir Jaber (Montpellier, France)
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Reverse triggering
Laurent Brochard (Toronto, Canada)
DYSPNEA IN MECHANICALLY VENTILATED PATIENTS
Hayley B Gershengorn (Miami, United States)
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Dyspnea in mechanically ventilated patients
Alexandre Demoule (Paris, France)
Wednesday 23 March 2022
RESPIRATORY SUPPORT: FROM NON-INVASIVE TO INVASIVE
Jerry Nolan (Bath, United Kingdom)
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Use of high flow oxygen therapy
Giacomo Grasselli (Milan, Italy)
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Helmet support is the winner
Domenico Luca Grieco (Rome, Italy)
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New CPAP with low oxygen needs
Jean-Christophe Richard (Angers, France)
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Non-invasive ventilation
Samir Jaber (Montpellier, France)
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Discussion
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Non-invasive support: what determines efficacy?
Luigi Camporota (London, United Kingdom)
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How to put it all together
Alexandre Demoule (Paris, France)
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Tracheal intubation in the ICU: life-saving or life-threatening?
Sheila N Myatra (Mumbai, India)
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We should make intubation safer
Audrey De Jong (Montpellier, France)
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Unanswered questions
Sharon Einav (Jerusalem, Israel)
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Discussion
ELECTROLYTE DISORDERS
Jean-François Timsit (Paris, France)
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Management of hyponatremia: not what you may think!
Mervyn Singer (London, United Kingdom)
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How to avoid over-correction of severe hyponatremia
Stéphane Gaudry (Bobigny, France)
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How important is hypocalcemia/hypophosphatemia?
Arthur van Zanten (Ede, Netherlands)
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Electrolyte disorders after cardiac arrest
Markus Skrifvars (Helsinki, Finland)
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Discussion
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This is really important!
Niall Ferguson (Toronto, Canada)
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The PEEP test to personalize ventilation
Davide Chiumello (Milan, Italy)
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Should PEEP settings be different in supine and prone positions?
Paolo Pelosi (Genoa, Italy)
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Discussion
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We can use transpulmonary pressure to guide ventilation
Jeremy Beitler (New York, United States)
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Esophageal pressure measurements can help in obese patients
Laurent Brochard (Toronto, Canada)
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Electrical impedance tomography can be useful
Christian Putensen (Bonn, Germany)
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Don´t neglect the effects on the brain
Chiara Robba (Genoa, Italy)
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Discussion
WEANING FROM MECHANICAL VENTILATION
Laurent Brochard (Toronto, Canada)
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What do people actually do?
Tài Pham (Le Kremlin-Bicêtre, France)
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Let´s evaluate the patient first
Alexandre Demoule (Paris, France)
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Non-invasive ventilation to aid weaning
Gavin Perkins (Warwick, United Kingdom)
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High flow oxygen to aid weaning
Salvatore M Maggiore (Chieti, Italy)
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Discussion
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Weaning failure of cardiac origin: how common?
Xavier Monnet (Le Kremlin-Bicêtre, France)
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The role of diastolic dysfunction
Antonio Messina (Rozzano, Italy)
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How to improve weaning
Leo Heunks (Rotterdam, Netherlands)
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Discussion
THE CANCER PATIENT
Lui Forni (Guildford, United Kingdom)
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Management of hematology oncology patients
Elie Azoulay (Paris, France)
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Is sepsis different than in other patients?
Craig M Coopersmith (Atlanta, United States)
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Causes of renal dysfunction
Marlies Ostermann (London, United Kingdom)
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Discussion
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Tumor lysis syndrome
Lara Zafrani (Paris, France)
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Toxicities associated with immunotherapies
Stephen M Pastores (New York, United States)
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Extracorporeal immunomodulation after CAR-T cell infusion
Gabriella Bottari (Rome, Italy)
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Discussion
BEFORE THE ICU
Eloisa Garcia-Velasquez (Guayaquil, Ecuador)
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Can we prevent sepsis before hospitalization?
Vincent Liu (Oakland, United States)
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Optimal use of sepsis biomarkers in the ER
Pierre Hausfater (Paris, France)
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Some patients remain too long in the ER-
Heatherlee Bailey (Durham, United States)
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COVID-19 vaccine-related complications
Laurie Morrison (Toronto, Canada)
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Discussion
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Toxidrome and unusual intoxicants
Heatherlee Bailey (Durham, United States)
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Always videolaryngoscopy for intubation?
Audrey De Jong (Montpellier, France)
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Emergency management of stroke
Giuseppe Citerio (Monza, Italy)
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Discussion
COVID-19 THERAPIES IN THE ICU
David Grimaldi (Brussels, Belgium)
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An overview
Joost Wiersinga (Amsterdam, Netherlands)
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Anticoagulation and anti-platelet agents
Beverley Hunt (London, United Kingdom)
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A critical view of corticosteroids
Daniel De Backer (Braine l´Alleud, Belgium)
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Convalescent plasma and monoclonal antibodies
Manu Shankar–Hari (Edinburgh, United Kingdom)
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Antiviral therapies
Michael S Niederman (New York, United States)
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Discussion
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Nicotine?
Alain Combes (Paris, France)
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The pros and cons of baricitinib
E Wesley Ely (Nashville, United States)
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Complement modulation?
Alexander Vlaar (Amsterdam, Netherlands)
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Angiotensin converting enzyme inhibitors/angiotensin receptor blockers?
Lennie Derde (Utrecht, Netherlands)
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Nebulized heparin?
Frank van Haren (Sidney, Australia)
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Discussion
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Intravenous immunoglobulins?
Tim Rahmel (Bochum, Germany)
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Is trimodulin better?
Antoni Torres (Barcelona, Spain)
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Vitamins, zinc, and other micronutrients?
Angelique de Man (Amsterdam, Netherlands)
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Immunotherapies: what has worked so far?
Anthony Gordon (London, United Kingdom)
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We need a personalized approach
Massimo Girardis (Modena, Italy)
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When to combine therapies?
Andre Kalil (Omaha, United States)
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Discussion
COVID VS. NON-COVID SEPSIS
Peter Pickkers (Nijmegen, Netherlands)
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Is it different?
Joost Wiersinga (Amsterdam, Netherlands)
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Is the gene signature different?
Julie Helms (Strasbourg, France)
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Are endotypes different?
Evangelos Giamarellos–Bourboulis (Athens, Greece)
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Discussion
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Is capillary leak different?
Jan Bakker (New York, United States)
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Is coagulopathy different?
Beverley Hunt (London, United Kingdom)
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Is fluid management different ?
Flavia Machado (Sao Paulo, Brazil)
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Discussion
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Is cardiac dysfunction different?
Antoine Vieillard–Baron (Boulogne-Billancourt, France)
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Are the microcirculatory alterations different?
Jacques Duranteau (Le Kremlin-Bicêtre, France)
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Are long term outcomes different?
Zudin Puthucheary (London, United Kingdom)
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Are the mortality rates different?
Giovanni Landoni (Milan, Italy)
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Discussion
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ARDS definitions: from Ashbaugh to where?
Luciano Gattinoni (Göttingen, Germany)
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The dark side of antibiotics
Jan De Waele (Ghent, Belgium)
PERIOPERATIVE MANAGEMENT
Marc Leone (Marseille, France)
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Treating preoperative anemia
Donat R Spahn (Zurich, Switzerland)
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The high-risk cardiac patient
Matthias Heringlake (Karlsburg, Germany)
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Protecting the heart during anesthesia and surgery
Michelle Chew (Linköping, Sweden)
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Discussion
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The mini-fluid challenge
Antonio Messina (Rozzano, Italy)
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Colloids in major abdominal surgery
Alexandre Joosten (Villejuif, France)
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How to manage perioperative cardiac arrest
Jerry Nolan (Bath, United Kingdom)
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Discussion
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Is perioperative hypotension a problem?
Denise Veelo (Amsterdam, Netherlands)
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Bleeding management
Oliver Grottke (Aachen, Germany)
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Postoperative oliguria: pathological or physiological?
Lui Forni (Guildford, United Kingdom)
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Prevention of perioperative renal failure
Giovanni Landoni (Milan, Italy)
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Discussion
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Intraoperative optimized ventilatory strategy
Samir Jaber (Montpellier, France)
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Perioperative management of the obese patient
Audrey De Jong (Montpellier, France)
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How will technology change our future practice?
Alexandre Joosten (Villejuif, France)
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Discussion
TRAUMATIC BRAIN INJURY
Marc Maegele (Cologne, Germany)
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PCO2 management
Giuseppe Citerio (Monza, Italy)
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Can we use ketamine in these patients?
Geert Meyfroidt (Leuven, Belgium)
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The place of beta-blocking agents
Chryssa Pourzitaki (Thessaloniki, Greece)
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Is pupillometry important?
Pierre Bouzat (Grenoble, France)
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Discussion
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Monitoring brain tissue oxygenation
Jacques Duranteau (Le Kremlin-Bicêtre, France)
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Personalized hypertonic treatment
Mauro Oddo (Lausanne, Switzerland)
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Second tier therapies: time is brain
Chiara Robba (Genoa, Italy)
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Discussion
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Break
HOW MUCH FLUID?
Claudio Ronco (Vicenza, Italy)
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The physiological basis
Maurizio Cecconi (Milan, Italy)
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How to do a real fluid challenge: do amount and rate really matter?
Antonio Messina (Rozzano, Italy)
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How long do the effects of a fluid bolus last?
Rinaldo Bellomo (Melbourne, Australia)
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Discussion
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Using the ventilator to assess fluid responsiveness
Sheila N Myatra (Mumbai, India)
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Other ways to assess fluid responsiveness
Xavier Monnet (Le Kremlin-Bicêtre, France)
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We can measure left ventricular filling pressure with echocardiography
Anthony McLean (Sydney, Australia)
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Where does the fluid go?
Can Ince (Rotterdam, Netherlands)
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Discussion
METABOLIC SUPPORT
Jean-Charles Preiser (Brussels, Belgium)
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the HPA axis in critical illness: a paradigm shift
Greet Van den Berghe (Leuven, Belgium)
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Glycemic targets can vary over time
Jean-Charles Preiser (Brussels, Belgium)
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How to manage hyperammonemia
Rinaldo Bellomo (Melbourne, Australia)
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Who needs vitamin C?
Angelique de Man (Amsterdam, Netherlands)
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Who needs vitamin D?
Jean-Charles Preiser (Brussels, Belgium)
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Discussion
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Cardiac arrest: the most recent developments
Gavin Perkins (Warwick, United Kingdom)
ASYNCHRONIES ARE THE DEVIL DURING MECHANICAL VENTILATION
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Asynchronies are the devil during mechanical ventilation
PRO: Laurent Brochard (Toronto, Canada)
CON: Paolo Pelosi (Genoa, Italy)
MASSIVE BLEEDING
Lara Zafrani (Paris, France)
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Pre-hospital blood transfusion
Gavin Perkins (Warwick, United Kingdom)
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Tranexamic acid for all?
Marc Maegele (Cologne, Germany)
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Coagulation management in the anticoagulated trauma patient
Donat R Spahn (Zurich, Switzerland)
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The place of coagulation factors
Pierre Bouzat (Grenoble, France)
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Discussion
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The place of fibrinogen concentrate
Nicole Innerhofer (Innsbruck, Austria)
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How early should we give fibrinogen?
Marc Maegele (Cologne, Germany)
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Viscoelastic tests
Nicola Curry (Oxford, United Kingdom)
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Platelet transfusion in trauma
Jacques Duranteau (Le Kremlin-Bicêtre, France)
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Discussion
BLOOD PURIFICATION IN SEPSIS
Axel Nierhaus (Hamburg, Germany)
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Should we first increase the dose of RRT?
Stéphane Gaudry (Bobigny, France)
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Mechanisms and application of sorbents
Claudio Ronco (Vicenza, Italy)
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Hemadsorption in sepsis
Yatin Mehta (Gurgaon, India)
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Hemodynamic impact
Can Ince (Rotterdam, Netherlands)
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Discussion
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Impact on microcirculatory dysfunction
Gabriella Bottari (Rome, Italy)
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It can restore as well as eliminate
Jan T Kielstein (Braunschweig, Germany)
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Combination with ECMO
James Doyle (London, United Kingdom)
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What is the dark side?
Axel Nierhaus (Hamburg, Germany)
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Discussion
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Break
THERE IS AN OPTIMAL PEEP LEVEL IN EVERY PATIENT
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There is an optimal PEEP level in every patient
PRO: Marcelo Amato (Sao Paulo, Brazil)
CON: Luciano Gattinoni (Göttingen, Germany)
BEDSIDE ECHOGRAPHY
Craig M Coopersmith (Atlanta, United States)
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Training and research in critical care echocardiography
Antoine Vieillard–Baron (Boulogne-Billancourt, France)
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Head to toe basic ultrasound skills for intensivists
Chiara Robba (Genoa, Italy)
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Transesophageal lung ultrasonography
Paul H Mayo (New York, United States)
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How to use echocardiography to guide fluid resuscitation
Michel Slama (Amiens, France)
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When is non-invasive hemodynamic monitoring not enough?
Jean-Louis Teboul (Le Kremlin-Bicêtre, France)
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Discussion
CRITICAL CARE AND EMERGENCY MEDICINE DURING AN URBAN WAR
Oriol Roca (Sabadell, Spain)
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Humanitarian challenges
Heatherlee Bailey (Durham, United States)
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A military viewpoint
Sam Hutchings (London, United Kingdom)
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Working under fire
Sharon Einav (Jerusalem, Israel)
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The place of telemedicine
Michael R Pinsky (Pittsburgh, United States)
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Challenges posed and faced by refugees
Katarzyna Kotfis (Szczecin, Poland)
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Challenges to ICU doctors
Maurizio Cecconi (Milan, Italy)
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Discussion
RESPIRATORY FAILURE: WHAT CAN WE MEASURE?
Tài Pham (Le Kremlin-Bicêtre, France)
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Lung ultrasonography
Paul H Mayo (New York, United States)
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Ventilatory ratio: merits and limits
Luciano Gattinoni (Göttingen, Germany)
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Quantitation of the respiratory effort
Leo Heunks (Rotterdam, Netherlands)
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Respiratory drive
Lise Piquilloud (Lausanne, Switzerland)
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Discussion
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Respiratory mechanics during assisted spontaneous breathing
Giacomo Grasselli (Milan, Italy)
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Lung recruitment
Tommaso Mauri (Milan, Italy)
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V/Q measurements using electrical impedance tomography
Christian Putensen (Bonn, Germany)
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Functional lung imaging
Lorenzo Ball (Genoa, Italy)
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Discussion
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Rationale
Luigi Camporota (London, United Kingdom)
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How do we define "response" to prone positioning?
Giacomo Grasselli (Milan, Italy)
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Prone positioning in patients on ECMO?
Alain Combes (Paris, France)
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Posture may be more important than ventilator settings
Marcelo Amato (Sao Paulo, Brazil)
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Chest compression as a substitute
John J Marini (St Paul, United States)
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Discussion
HEMODYNAMIC ISSUES
Chryssa Pourzitaki (Thessaloniki, Greece)
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Venous return: practical relevance
Maurizio Cecconi (Milan, Italy)
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Basic cardiovascular physiology for the intensivist
Jean-Louis Teboul (Le Kremlin-Bicêtre, France)
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Blood pressure targets in the ICU
Ashish K Khanna (Winston-Salem, United States)
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We could predict the hemodynamic response to sepsis resuscitation
Michael R Pinsky (Pittsburgh, United States)
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Discussion
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Hemodynamic recommendations of the SSC: how we reached a consensus
Flavia Machado (Sao Paulo, Brazil)
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Hemodynamic recommendations of the SSC: a critical view
Daniel De Backer (Braine l´Alleud, Belgium)
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How to adapt hemodynamic monitoring it to a low resource environment
Xavier Monnet (Le Kremlin-Bicêtre, France)
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Novel methods to assess tissue perfusion
Sam Hutchings (London, United Kingdom)
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Discussion
SEVERE INFECTION IN CHILDREN
Matteo Bassetti (Genoa, Italy)
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Severe infection in children
Susanna Esposito (Parma, Italy)
INITIAL ANTIBIOTIC THERAPY
Axel Nierhaus (Hamburg, Germany)
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Initial antibiotic therapy
Niccolo Buetti (Geneve, Switzerland)
Thierry Calandra (Lausanne, Switzerland)
WHEN I GIVE CORTICOSTEROIDS IN SEPSIS
Tim Rahmel (Bochum, Germany)
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When I give corticosteroids in sepsis
Djillali Annane (Garches, France)
Greet Van den Berghe (Leuven, Belgium)
SEPSIS AND ARDS: TOWARDS AN INDIVIDUALIZED APPROACH
Tom van der Poll (Amsterdam, Netherlands)
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Critical illness needs some staging system
John C Marshall (Toronto, Canada)
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´ARDS` is too imprecise
John J Marini (St Paul, United States)
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Discussion
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Should we redefine ARDS?
Niall Ferguson (Toronto, Canada)
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Clinical phenotypes of ARDS
Massimo Antonelli (Rome, Italy)
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Clinical phenotypes in COVID-19
Soojin Park (New York, United States)
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Discussion
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We need personalized ventilatory support
Marcelo Amato (Sao Paulo, Brazil)
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Could respiratory management depend on etiology?
Davide Chiumello (Milan, Italy)
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Discussion
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We need biomarker profiles using ´omic technologies
Anthony Gordon (London, United Kingdom)
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We should focus more on specific pathophysiological mechanisms
Manu Shankar–Hari (Edinburgh, United Kingdom)
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Discussion
HOW TO MAKE THE KIDNEYS HAPPY?
Antoni Torres (Barcelona, Spain)
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Biomarkers, scores, or clinical judgment to recognize a problem?
Eric Hoste (Ghent, Belgium)
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Optimize arterial pressure
Jacques Duranteau (Le Kremlin-Bicêtre, France)
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Optimize fluid management
Marlies Ostermann (London, United Kingdom)
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Optimize right ventricular function
Antoine Vieillard–Baron (Boulogne-Billancourt, France)
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Discussion
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Consider levosimendan to improve renal perfusion
Patrick Honoré (Yvoir, Belgium)
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Avoid mechanical ventilation?
Michael Joannidis (Innsbruck, Austria)
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Avoid renal replacement therapy?
Stéphane Gaudry (Bobigny, France)
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Discussion
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Break
ARDS MANAGEMENT
John J Marini (St Paul, United States)
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Noninvasive respiratory support: the pros and cons
Salvatore M Maggiore (Chieti, Italy)
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Revisiting corticosteroids
Manu Shankar–Hari (Edinburgh, United Kingdom)
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Inhaled anesthetics may protect the lungs
Matthieu Jabaudon (Clermont-Ferrand, France)
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In obese patients
Davide Chiumello (Milan, Italy)
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Matching ventilation and perfusion may be a new goal
Tommaso Mauri (Milan, Italy)
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Discussion
THE BASICS OF THE HOST RESPONSE
Bruno François (Limoges, France)
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The basics of the host response
Michael Bauer (Jena, Germany)
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Non-invasive abdominal pressure measurement
Manu Malbrain (Lublin, Poland)
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Diaphragm-protective ventilation
Ewan Goligher (Toronto, Canada)
Leo Heunks (Rotterdam, Netherlands)
Samir Jaber (Montpellier, France)
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ECMO
Daniel Brodie (New York, United States)
Daniel De Backer (Braine l´Alleud, Belgium)
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A cirrhotic patient who may be septic
Pierre-François Laterre (Brussels, Belgium)
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Assessment of lung recruitability
Laurent Brochard (Toronto, Canada)
RAPID RATE CONTROL IN TACHYARRHYTHMIAS
Katerina Vaporidi (Heraklion, Greece)
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Rapid rate control in tachyarrhythmias
Vasileios Papaioannou (Alexandroupolis, Greece)
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A patient developing fever after cardiac arrest
Markus Skrifvars (Helsinki, Finland)
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A patient with intraabdominal hypertension
Manu Malbrain (Lublin, Poland)
Annika Reintam Blaser (Tartu, Estonia)
A PATIENT WITH SUSPECTED MYOCARDITIS
Bernd Saugel (Hamburg, Germany)
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A patient with suspected myocarditis
Alain Combes (Paris, France)
Carsten Tschöpe (Berlin, Germany)
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A patient with a multidrug resistant organism
Liesbet De Bus (Ghent, Belgium)
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Sepsis biomarkers
Axel Nierhaus (Hamburg, Germany)
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Severe community-acquired pneumonia
Michael S Niederman (New York, United States)
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Plasma exchange
Elie Azoulay (Paris, France)
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Venous return: practical relevance
Maurizio Cecconi (Milan, Italy)
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Promoting gender equity in intensive care
Hayley B Gershengorn (Miami, United States)
Flavia Machado (Sao Paulo, Brazil)
Sheila N Myatra (Mumbai, India)
Jean-Louis Teboul (Le Kremlin-Bicêtre, France)
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Metabolic case studies
Mervyn Singer (London, United Kingdom)
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Another patient? But my ICU is full!
Heatherlee Bailey (Durham, United States)
Jan Bakker (New York, United States)
Maurizio Cecconi (Milan, Italy)
Victoria Metaxa (London, United Kingdom)
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How I feed my patients
Arthur van Zanten (Ede, Netherlands)
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Optimal fluid management
Maurizio Cecconi (Milan, Italy)
Daniel De Backer (Braine l´Alleud, Belgium)
Sheila N Myatra (Mumbai, India)
Michael R Pinsky (Pittsburgh, United States)
Jean-Louis Teboul (Le Kremlin-Bicêtre, France)
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A patient with a complex intraabdominal problem
Jan De Waele (Ghent, Belgium)
WHEN TO GIVE SUPPLEMENTAL PARENTERAL NUTRITION
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When to give supplemental parenteral nutrition
Michaël Casaer (Leuven, Belgium)
Elisabeth De Waele (Brussels, Belgium)
Pierre Singer (Petah Tikva, Israel)
Paul Wischmeyer (Durham, United States)
Thursday 24 March 2022
ARDS: VENTILATION AND PERFUSION
Frank van Haren (Sidney, Australia)
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Ventilation and perfusion are both important
Lorenzo Ball (Genoa, Italy)
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Respiratory mechanics and recruitability
Domenico Luca Grieco (Rome, Italy)
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Discussion
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How to make the recruitment maneuver safer and more beneficial
Marcelo Amato (Sao Paulo, Brazil)
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Measuring alveolar recruitment: why and how?
Laurent Brochard (Toronto, Canada)
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Cardiovascular effects of lung recruitment
Michel Slama (Amiens, France)
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Discussion
POSTER AWARDS
Jesus Villar (Las Palmas de Gran Canaria, Spain)
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POSTER AWARDS
Xavier Monnet (Le Kremlin-Bicêtre, France)