Official eLearning Portal of EACTAIC

❐ Type: That eLearning module is a highly specialized course, including problem-based learning discussions

❐ Rationale: The e-learning module aims to enrich the candidate's knowledge and skills in terms of providing an update on the reliability and applicability of minimally invasive haemodynamic monitoring during adult cardiac surgery, the ability to define the indications and contraindications for using the minimally invasive haemodynamic monitoring during cardiac surgery and on appropriate decision making according to the derived parameters from these and other monitoring after validating their reliability

❐ Contents: include THREE TALKS (80 min) + FOUR PROBLEM BASED LEARNING DISCUSSION (60 min) + THREE QUIZZES (30 min)

1. The New Perspectives about Using the PAC to Monitor RV Function. (25 minutes)

Dr. André Denault (Associate Professor, University de Montréal, Canada)

The speaker introduced the current knowledge on the pathophysiology of RV failure. He then proposed a strategy for monitoring RV function. Finally, he presented management of RV through interesting case-based presentations

Interactive Case # 1: see below for details

QUIZZES (30 min)

SELF ASSESSMENT (10 min)

2. Decision Making Based on the Derived Parameters from Minimally-Invasive Haemodynamic Monitors. (25 minutes)

Prof Daniel, De Backer (Department of Intensive Care, CHIREC Hospitals, University Libre de Bruxelles, Brussels, Belgium.)

The speaker started with explaining which haemodynamic variables we measure to monitor the haemodynamic status. Then he addressed how to integrate these variables to make decisions. He demonstrates the algorithmic approach for both diagnoses and treatment of haemodynamic perturbations

Interactive Case # 2: see below for details

QUIZZES (30 min)

SELF ASSESSMENT (10 min)

3. Minimally-Invasive Haemodynamic Monitoring during Cardiac Surgery in Adults (30 minutes)

Prof Fabio Guarracino, (Pisa University, Italy -President of EACTA, Department of Anaesthesia and Critical Care Medicine Azienda Ospedaliero-Universitaria Pisana)

The speaker addressed the reliability and values of using minimally-invasive haemodynamic monitors in conjunction with the other monitors and TEE for haemodynamic control after cardiac surgery

Interactive Case # 3: see below for details

Interactive Case # 4: see below for details

QUIZZES (30 min)

SELF ASSESSMENT (10 min)

Detail of the four Interactive problem-based case-discussions quizzes including  recordings from the screens of minimally-invasive haemodynamic monitoring from real cases:

Interactive Case # 1: (15 minutes) It includes step-to-step critical thinking to make decision on complicated discontinuation of cardiopulmonary bypass because of post-cardiotomy RV failure. It demonstrates the need for systematic diagnostic approach to detect RV outflow obstruction and decide on the proper treatment

Interactive Case # 2: (15 minutes) It includes step-to-step critical thinking to make decision on diagnosis and treatment of vasoplegia associated with hypovolaemia in a patient who underwent CABG surgery complicated with oliguria, hypoperfusion and ARDS.

Interactive Case # 3: (15 minutes) It includes step-to-step critical thinking to make decision on notable hypovolaemia during cardiac surgery based on changes in dynamic fluid responsiveness indicator after confirming the occurrence of hypotension and using adequate tidal volume to make the reading reliable

Interactive Case # 4: (15 minutes) It includes step-to-step critical thinking to make decision on treatment of reported haemodynamic perturbations following cardiac surgery secondary to the systolic anterior motion of mitral valve leaflet.

*** The e-learning module has been realized thanks to an unrestricted grant by Edwards ***