ECHOCARDIOGRAPHY IN THE CRITICALLY ILL PATIENT: A MULTIDISCIPLINARY TEAM APPROACH

Saturday, October 28, 2023

16:30 – 17:20 EST

Location: Palais, 520A-F

Target Audience: Clinical cardiologists, Critical care practitioners, Echocardiologists

Co-Chair(s)

Brian Buchanan, BSc(hon) MD MMEd FRCPC (he/him/his)

Associate Professor
Department of Critical Care Medicine, University of Alberta
Department of Critical Care Medicine, University of Alberta
SM

Sharon Mulvagh, MD

Professor of Medicine
CSE
Dalhousie University

Planning Committee Member(s)

JA

Jeremy Adams

Hamilton Health Sciences
Ian Burwash, MD

Professor of Medicine, University of Ottawa Heart Institute
CSE
University of Ottawa Heart Institute
LB

Leon Byker
Robin Ducas, MD

Assistant Professor
University of Manitoba
University of Manitoba
WE

Wiens Evan, MD, MSc, FRCPC

Critical Care Cardiology Fellow
BH

Bennett Haynen
CH

Cooley Heather, DMS

Cardiac sonographer
Canadian Society of Echo

Disclosure(s):

Brian Buchanan, BSc(hon) MD MMEd FRCPC: Exo Imaging: Consultant/Advisory Board (Ongoing)

Sharon L. Mulvagh, MD: Lantheus Medical Imaging: Consultant/Advisory Board (Ongoing); Novo Nordisk: Consultant/Advisory Board (Ongoing)

Robin A. Ducas, MD: No financial relationships to disclose

Learning Objectives / Objectifs d'apprentissage:

At the end of this session participants will be able to / Au terme de cette conférence, vous serez:

describe causes of cardiogenic shock and how echocardiography can be used to
identify the mechanism;
list the key echocardiographic images needed in the evaluation of the hypoxic critically ill patient;.
explain the indications for TEE in the setting of a cardiac arrest; and
describe how ultrasound imaging can change the management in patients with sepsis.

Workshop Description: The role of echocardiography in critically ill patients is expanding, both in multidisciplinary
accessibility and applications. This workshop will include 4 case-based presentations that will
explore the role of echocardiography the management of critically ill patients. Discussion will
focus on the echocardiographic diagnosis of cardiogenic shock, the imaging approach to
evaluation of unexplained hypoxia, the role of TEE post cardiac arrest and how ultrasound can
help guide management in the septic patient. Talks will focus on a case-based approach, and
will be 8 minutes long and will engage the audience with questions and include time for
discussion. Speakers will include both critical care physicians and echocardiographers from
across Canada. At the end there will be an additional 5 minutes to cover discussion and any
follow up questions from the audience.

Presentations:

16:30 – 16:35 EST

INTRODUCTIONS
Co-Chair: Brian Buchanan, BSc(hon) MD MMEd FRCPC (he/him/his) – Department of Critical Care Medicine, University of Alberta
Co-Chair: Sharon L. Mulvagh, MD – CSE
16:35 – 16:45 EST

THE ROLE OF ECHO IN CARDIOGENIC SHOCK
Presenter: Jordan H. Hutson – University of Ottawa Heart Institute
Discussant: Katie Connolly, MD FRCPC (she/her/hers) – St Joseph’s Healthcare Hamilton / Hamilton Health Sciences
16:45 – 16:53 EST

CAUSES OF HYPOXIA IN THE CRITICAL CARE PATIENT
Presenter: Scott Millington – The University of Ottawa / The Ottawa Hospital
16:53 – 17:01 EST

TEE IN CARDIAC ARREST
Presenter: Craig Ainsworth, MD FRCPC (he/him/his) – CANCARE
17:01 – 17:09 EST

THE ROLE OF ULTRASOUND IN THE SEPTIC PATIENT
Presenter: Ghislaine Douflé – University of Toronto
17:09 – 17:20 EST

PANEL DISCUSSION
Co-Chair: Brian Buchanan, BSc(hon) MD MMEd FRCPC (he/him/his) – Department of Critical Care Medicine, University of Alberta
Co-Chair: Sharon L. Mulvagh, MD – CSE
Presenter: Craig Ainsworth, MD FRCPC (he/him/his) – CANCARE
Presenter: Katie Connolly, MD FRCPC (she/her/hers) – St Joseph’s Healthcare Hamilton / Hamilton Health Sciences
Presenter: Ghislaine Douflé – University of Toronto
Presenter: Jordan H. Hutson – University of Ottawa Heart Institute
Presenter: Scott Millington – The University of Ottawa / The Ottawa Hospital