1. health and fitness
2. therapy

MESSAGES
Intensive care had its beginning during the Polio epidemic of 1952 at Copenhagen
when patients were shifted to a common location for purpose of ventilation. Since
Dr. NALLA G PALANISWAMI
then we have come a long way. However Intensive care management of Pulmonary
Chairman
problems still occupies an important position in the management of Critically ill patients. Keeping this in mind, the department of Critical Care Medicine is organising
an update in Pulmonary Critical Care on the November 8th & 9th, 2014.
During the Programme, various common pulmonary problems requiring intensive
care management will be discussed and current lines of management as well as
recent advances will be deliberated. I wish the organizing committee all the very best
in order to make this endeavor a grand success.
Greetings
It’s my pleasure to invite you all for the 9th ICU Update. We had an overwhelming response and
very good feedback from participants of previous CME’s, which kept our enthusiasm to conduct
regular CMEs for past 8 years. Critically ill patients are admitted with Pulmonary problems (or)
develop major Pulmonary problems like pneumonia, Pulmonary Embolism and ARDS during their
ICU stay. Keeping this in mind we have kept Pulmonary Critical Care as theme for this year ICU
Update.
November 8th we have a CME & Workshop for Paramedics focusing on how to take care
of patients on Mechanical Ventilation. It focuses on various basic issues like Basic Ventilator
Dr M N SIVAKUMAR
Organising Secretary
settings, Monitoring of patients on Mechanical Ventilation, Suctioning, Humidification, Aerosol
therapy, Nutrition and Weaning.
November 9th we have a CME Programme on Pulmonary Critical Care. Course objective is to review Critical Care subjects
of major Clinical importance together with current approach to diagnosis and management. The topics include, Interpretation
of Chest X-Ray, Arterial Blood Gas analysis, Respiratory Failure, COPD, ARDS, Pulmonary Embolism, Ventilator Associated
Pneumonia and difficult weaning. Evidence based presentations are designed to inform and inspire participants to improve
the newly acquired knowledge into their daily practice.
It will be very useful to Intensivists, Pulmonologists, Anesthesiologists, Post Graduates and Paramedics.
Looking forward to see at the ICU Update 2014.
ORGANISING TEAM
From left to right
Dr Gopinathan T, Dr Sureshkumar T, Dr Sivakumar M N, Dr Pattabiraman V R, Dr Selvarajan N,
Dr Arjun srinivasan, Dr Senthil Kumar R S, Dr Mahadevan S, Dr Nandhakumar V
Dr Kumaran V
Dr Murugan A N
Dean
Medical Director
MEMBERS OF ORGANISING COMMITTEE
Dr Nandakumar P
DA, DNB, IDCCM.,
Dr Lakshmikanth Charan S MD,IDCCM.,
Senior ICU Registrar, KMCH, CBE
Senior ICU Registrar, KMCH, CBE
Dr Selvakumar M MBBS, DNB.,PDFICM.,
Dr Yuvaraj S DA,IDCCM,
Senior ICU Registrar, KMCH, CBE
Senior ICU Registrar, KMCH, CBE
Dr Saraswathi T DA, EDIC.,
Dr Parvathy Narayanan M MD, IDCCM.,
Senior ICU Registrar, KMCH, CBE
Senior ICU Registrar, KMCH, CBE
Dr Nandhini T MBBS,PDCCM.,
Dr Saravin S N
ICU Registrar, KMCH, CBE
ICU Registrar, KMCH, CBE
Dr Chaitanya J S K MBBS, DNB.,
Dr Murugaraj S MBBS, DNB.,
ICU Registrar, KMCH, CBE
ICU Registrar, KMCH, CBE
MD.,
SUPPORTIVE STAFF
Nurses - Thamarai Selvi, Shanmuga Priya, Lakshmi, Yuvaraj & Chitra Devi
Respiratory Therapist - Radhakrishnan, Vijay Saravanaraj, Satheesh, Kannan, Muthu & Jayakumar
Clinical Pharmacist - Mohamed Hisham
Secretary - Revathy, Lalitha, Shanmuga Priya & Saroja
DAY - 1
November 8th 2014
SESSION I
1. Basics of Mechanical Ventilation
a) Indications for Mechanical Ventilation
b) What modes to choose?
c) Initial Settings of Mechanical Ventilation
2. Monitoring of Patients on Mechanical Ventilation
a) Hemodynamic Monitoring
b) Respiratory - Spo2, ETCo2, CXR & ABG
c) Ventilator Graphics
3. Troubleshooting of Patients on Mechanical Ventilation
a) High or Low Peak Airway Pressure
b) Low Tidal Volume
c) What to accept & When to React?
4. Care of Patients on Mechanical Ventilation Part - 1
a) Humidification
b) Suctioning
c) Aerosol Therapy
CME & WORKSHOP ON CARE OF PATIENTS ON
MECHANICAL VENTILATION
SESSION 2
5. Care of Patients on Mechanical Ventilation Part -2
a) Ventilator Care Bundle
b) Prevention of Ventilator Associated Pneumonia (VAP)
c) Nutrition
6. Weaning of Patients on Mechanical Ventilation
a) Weaning Modes & Criteria
b) Protocolized Weaning
c) Difficult weaning
7. Non-Invasive Ventilation
a) Indication, Modes
b) Settings & Monitoring
c) Troubleshooting
Workshop
Limited Registrations Only
DAY - 2
November 9th 2014
CME on PULMONARY CRITICAL CARE
SESSION I
1. Respiratory failure - Evaluation & Management
a) Physiology, Types
b) Bedside Diagnosis
c) Evaluation & Management
2. Interpretation of Arterial Blood Gas & Chest X-RAY
a) 7 Step approach to ABG
b) Interpretation of CXR - Systematic approach
c) Are daily Chest X-Ray necessary in ICU?
3. Monitoring of Patient on Mechanical Ventilation
a) Hemodynamics
b) Spo2, ETCo2, Airway Pressure
c) Ventilator Graphics
SESSION 2
4. Community Acquired Pneumonia (CAP)
a) Etiology - Bacterial, Viral, Fungal & Atypical organisms
b) Diagnosis - Role of Biomarkers
c) Empirical Therapy
5. Massive Pulmonary Embolism - Diagnosis & Management
a) Algorithm for Diagnosis
b) Indication for Thrombolysis
c) Anticoagulation & IVC Filter
6. Ventilator Associated Pneumonia (VAP) - Diagnosis, Management & Prevention
a) Diagnosis - BAL Vs ET Culture, Biomarkers
b) Management - Drugs, Combination Therapy, Aerosolized Antibiotics & Duration of Therapy
c) Prevention - Subglottic Tubes, Role of Closed Suction, HME Vs Heated Humidifier
SESSION 3
7. Acute Severe Asthma & COPD
a) Bronchodilator Therapy - Dose, When and What to use?
b) Steroids - Dose, route and duration
c) Rescue Therapy - Megnesium, Heliox
8. How do you safely ventilate an Asthma & COPD Patients?
a) Role of NIV
b) Initial Settings - TV, RR, I:E Ratio, PEEP
c) How to Monitor & Treat AUTOPEEP, Aerosol Delivery?
9. ARDS Management - What’s New?
a) Ventilatory & Non-Ventilatory
b) Lung Protective Ventilation - TV, Plateau Pressure, PEEP - How to Choose?
c) Prone Ventilation, HFO, ECMO.
d) Steroids & Immuno Nutrients - Is it Useful?
SESSION 4
10. Supportive Care of Patients on Mechanical Ventilation
a) Humidification, Suctioning & Aerosol Therapy
b) Sedation, Nutrition, Positioning & Oral Care
11. Approach to Difficult Weaning
a) Cause for Difficult Weaning, Evaluation
b) Protocolized Approach
12. Non-Invasive Ventilation
a) Modes, Settings, Interface selection
b) Indications & Contraindications
c) Monitoring & Troubleshooting
This CME to be Accredited with Dr MGR MEDICAL UNIVERSITY
FACULTY
Dr. RAM E RAJAGOPALAN
Dr. BABU K ABRAHAM
Head - Department of Critical Care Medicine
Sr. Consultant Critical Care Physician
SMF, Chennai.
Apollo Hospitals, Chennai.
Dr. VIVEK P
Dr. BINILA CHACKO
Consultant Intensivist & Pulmonologist
Associate Professor, Department of Critical Care
PRS Hospitals, Thiruvananthapuram.
CMC Vellore.
Dr. SIVAKUMAR M N
Dr. ARJUN SRINIVASAN
Head - Department of Critical Care Medicine
Consultant Interventional Pulmonologist
KMCH, CBE
KMCH, CBE
Dr. GOPINATHAN T
Consultant Intensivist
KMCH, CBE
ABOUT ICU
KMCH ICU being a referral centre to all the ICUs in the region, is one of the busiest ICUs in South India. It has dedicated ICUs to treat Surgical, Trauma,
Medical, Coronary and Neuro patients with the total bed strength of 100. As Intensive Care Team our primary responsibility is to provide safe, appropriate,
high quality care and comfort to all patients with any form of Critical Illness. Standardized and Protocolized care has major impact on outcome measures
like mortality, nosocomial infections and length of stay.
INFRASTRUCTURE
ICUs have got state of the art technology that enables us to give high quality patient care. Equipment’s include Multiparameter monitors, Invasive and Noninvasive Ventilators, Intra Aortic Balloon Pump (IABP), Syringe Pumps, Infusion Pumps, Sequential Compression Devices (SCD), Patient Warming System,
Fluid warmers and motorized cot. Portable X-RAY, Ultrasound and ECHO machines are exclusively available for ICU. Hemodialysis can be performed in all
the ICUs. Cardiac output monitoring, ICP monitoring, Continuous Renal Replacement Therapy (CRRT) & Extra Corporeal Membranous Oxygenation (ECMO)
are some of the recent additions. We also have dedicated transport monitor, Ventilator and well-equipped critical care ambulance for transport of Critically
ill. ICUs are fully backed by good Biochemistry, Microbiology, Nutrition and Radiology services round the clock.
Intensivists
ICU Doctors Team
PERSONNEL
ICUs are managed by formally trained Intensivists and are well supported by a team of Registrars and Junior Medical Officers.
Most of our ICU consultants come from Anesthesia background and subsequently specialized in Critical Care. It has 24 hours
consultant backup from other specialities. Other members of the multidisciplinary team include Clinical Pharmacist, Respiratory
Therapists, Critical Care Nurses, Nurse Educators, Department Secretaries, Physiotherapists, Nutritionists, Social Workers and
Support staffs.
RT Team
Sr. Nursing Team & Clinical Pharmacist
Dept Secretaries
PATIENT CARE
KMCH ICU has been providing state of the art care for the last 25 years. Tasks are carried out with precision, Synchronization and Co-ordination by
a multidisciplinary team in all ICUs with unwavering commitment and teamwork. Nursing care is focussed to meet the Psychological, Physical &
Emotional needs of the patient.
Cases handled include Acute Coronary Syndrome, Polytrauma, ARDS, Acute Stroke, Poisoning, Envenomation, Acute Kidney Injury & Severe Sepsis.
We are one of the referral centres for complex Polytrauma, Sepsis with multi organ failure and ARDS. Hypothermia for Cardiac arrest survivors, Good
Primary PCI Programme, Stroke Thrombolysis, ICP Monitoring in severe TBI, Multi organ support in severe sepsis, ECMO and Prone ventilation for
ARDS are some of our best practices.
EDUCATION AND RESEARCH
KMCH ICU has strong emphasis on teaching and Research. Our ICU is a premier training center for Critical Care and Respiratory therapy. Currently
we have four Training programmes in Critical Care.
1. One year fellowship by Indian Society of Critical Care Medicine
2. One year fellowship in Critical Care by Dr.M.G.R Medical University
3. BSc Respiratory therapy by Dr.M.G.R Medical University
4. Post Graduate Diploma in Critical Care Nursing by Christian Medical Association
As a tertiary referral ICU we provide state of the art care with the help of very good professionals and infrastructure. At the same time we are very
cost effective, ethical and evidence based in our management.
ICU TEAM
Team Work Works
For more details please visit
www.kmchicu.com
KOVAI MEDICAL
CENTER AND HOSPITAL
Excellence in Healthcare
Avanashi Road, Coimbatore – 641014. Ph: 0422 – 4323800, 3083800
Email : [email protected], Webste : www.kmchhospitals.com
CIN: L85110TZ1985PLC001659