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The First Annual Neuro ICU Symposium

Cutting-edge Management of Neurological / Neurosurgical Emergencies and Critical Care

Registration Now Open at UTcme.net

March 6-8, 2013

The University of Texas Cooley Conference Center
7500 Cambridge Street Houston, Texas


For questions or more information, please contact Brooke Beasley at Brooke.N.Beasley@uth.tmc.edu.

Registration Fees

  • Physicians: $275 for full course ($100/day for daily registration)
  • RN, PA, NP: $100 for full course ($50/day for daily registration)
  • Industry, Hospital Administrators: $500 for full course ($200/day for daily registration)
  • Medical Students, Residents and Fellows: Free

Course Objectives

The first annual Neuro-ICU Symposium is a three-day course designed to educate physicians and other healthcare professionals on how to optimally manage patients using a team approach.

Emphasis will be placed on treating patients early, starting in the emergency room. The course offers a one-day didactic and comprehensive review of core curriculum for preparation of the board certification examination and mini-fellowship program of Neuro-ICU.

Each day features interactive sessions including hand-on workshops for continuous EEG, invasive multimodality brain monitoring and advanced hemodynamic monitoring. Attendees can participate in the critical care jeopardy (with prizes), and debate session for controversial topics in neurocritical care.

As a result of attending this symposium, participants will:
  1. Discuss the latest evidence-based and cutting-edge medical literature in acute neurological and neurosurgical emergencies and how to resuscitate patients with injured brains due to various etiologies.
  2. Review current hot topics in neurological and neurosurgical emergencies.
  3. Apply knowledge to treat multiple end organ system failures that occur in patients with acute brain injury.
  4. Develop appropriate strategies for incorporating evidence-based protocols into clinical management through the use of case-based learning and real-life examples.
  5. Review the core curriculum of neurocritical care, including hands-on experience in multimodality monitoring, robotic technology for telemedicine, continuous EEG for critical care-epilepsy, airway management and tracheos tomy in the Neuro-ICU.

Audience

  • General and consult neurologists, stroke neurologists, neurointensivists
  • Neurosurgeons
  • Pulmonary critical care physicians
  • Surgical critical care and general/trauma surgeons
  • Anesthesia and critical care physicians
  • Emergency medicine physicians
  • Critical care registered nurses
  • Neurological nurses
  • Advanced critical care nurse practitioners
  • Physician assistants
  • Pharmacists
  • Physicians in training

Faculty

Course Director

Kiwon Lee, MD, FACP, FAHA, FCCM
Associate Professor, Department of Neurology and Vivian L. Smith Department of Neurosurgery
Vice Chair of Clinical Affairs
The University of Texas Health Science Center at Houston (UTHealth) Medical School

Director, Mischer Neuroscience Associates Neurology
Co-Director of Neurocritical Care
Mischer Neuroscience Institute
Memorial Hermann-Texas Medical Center

Invited Faculty Speakers

Derek Chong, MD
Assistant Professor
Dept of Neurology
New York University School of Medicine
New York, New York

E. Sander Connolly, MD
Bennett M. Stein Professor
Vice Chair, Department of Neurosurgery
Columbia University College of Physicians and Surgeons
New York, New York

Jose I. Suarez, MD
Professor of Neurology
Head of Section, Vascular Neurology and Neurocritical Care
Baylor College of Medicine
Houston, Texas

The University of Texas Health Science Center at Houston (UTHealth) Medical School Faculty Speakers

  • Imoigele Aisiku, MD, Director of Neurocritical Care, Mischer Neuroscience Institute; Associate Professor, Vivian L. Smith Dept. of Neurosurgery; Vice Chair, Division of Critical Care
  • Teresa A. Allison, Pharm.D., BCPS, Clinical Specialist, Neurosurgical Critical Care
  • Andrew Barreto, MD, Assistant Professor, Dept. of Neurology
  • P. Roc Chen, MD, Assistant Professor, Dept. of Neurosurgery
  • H. Alex Choi, MD, Assistant Professor, Dept. of Neurosurgery and Neurology
  • Mark Dannenbaum, MD, Assistant Professor, Dept. of Neurosurgery
  • Art Day, MD, Professor, Dept. of Neurosurgery
  • Kevin Finkel, MD, Professor and Vice-Chair of Medicine, Director of Renal Diseases, Chief of Critical Care Nephrology
  • Rima Gidwani, M.D., Assistant Professor, Clinical
  • Nicole Gonzales, MD, Assistant Professor, Dept. of Neurology
  • James C. Grotta, MD, Professor and Chairman, Dept. of Neurology
  • Michael Hines, MD, Professor of Pediatric Surgery and Cardiothoracic and Vascular Surgery, Dept. of Surgery
  • Giridhar P. Kalamangalam, MD, D. Phil., Assistant Professor, Dept. of Neurology
  • Daniel H. Kim, MD, Professor and Director, Spine Neurosurgery and Reconstructive Peripheral Nerve Surgery, Vivian L. Smith Dept. of Neurosurgery  
  • Dong H. Kim, MD, Professor and Chairman, Dept. of Neurosurgery
  • Kiwon Lee, MD, Associate Professor and Vice-Chair of Clinical Affairs of Neurology, Associate Professorand Co-Director of Neurocritical Care, Dept. of Neurosurgery
  • Sara L. Livesay, DNP, RN, CNS-A, ACNP-BC, Assistant Professor of Nursing, School of Nursing
  • George Lopez, MD, Associate Professor, Dept. of Neurology
  • Thy Nguyen, MD, Assistant Professor and Co-Director, Electromyography Laboratory 
  • Bela Patel, MD, Associate Professor of Medicine, Director of Critical Care Medicine, Executive Medical Director of Critical Care Medicine
  • Bilal Rana, DO, Assistant Professor, Dept. of Anesthesiology
  • Sophie Samula, Parm.D., BCPS, Clinical Specialist, Neurosurgical Critical Care
  • David I. Sandberg, MD, Associate Professor and Director of Pediatric Neurosurgery, Dept. of Neurosurgery
  • Scott Shepard, MD, Assistant Professor, Dept. of Neurosurgery
  • Jeremy D. Slater, MD, Associate Professor and Director, Epilepsy Division, Dept. of Neurology 
  • Nitin Tandon, MD, Associate Professor, Dept. of Neurosurgery
  • Hanh Truong, MD, Assistant Professor, Dept. of Neurosurgery
  • George Williams, MD, Assistant Professor and Assistant Program Director of Residency and Critical Care Fellowship, Dept of Anesthesiology
  • Teddy Wu, MD, Assistant Professor, Dept. of Neurology
  • Asma Zakaria, MD, Assistant Professor, Dept. of Neurosurgery

2012-13 Planning Committee

  • Kiwon Lee, MD, Co-Director of Neurocritical Care , Mischer Neuroscience Institute, Associate Professor, Department of Neurology and Vivian L. Smith Department of Neurosurgery, Vice Chair of Clinical Affairs, Department of Neurology, UTHealth
  • H. Alex Choi, MD, Assistant Professor, Vivian L. Smith Dept of Neurosurgery and Dept of Neurology, UTHealth
  • Mary Battaglia, Director of Management Operations, Dept of Neurosurgery, UTHealth
  • D'Ann Voss, Program Manager, Dept of Neurosurgery, UTHealth
  • Brooke Beasley, Program Coordinator of Residency Training Program, Dept. of Neurosurgery, UTHealth
  • Nicole Harrison, RN, BSN, MBA, Administrative Director, Mischer Neuroscience Institute, Memorial Hermann-Texas Medical Center 

Day One: Wednesday March 6, 2013

Pre-Meeting Refresher Course, Neurocritical Care Board Review & Mini-Fellowship 

  • A full-day course of comprehensive review on neurocritical care topics
  • Interactive and engaging questions-and-answers format
  • Case-based approach to provide the best simulation of the real board examination
  • Certificate of attending mini-fellowship training for neurocritical care core curriculum

 

7:00 a.m.  Continental Breakfast 
7:45 a.m.  Welcome Remarks and Orientation
Kiwon Lee, MD, Course Director, The Neuro ICU Symposium
  AM session Moderator: Kiwon Lee, MD
8:00 a.m. Acute Ischemic Stroke
Andrew Barreto, MD
8:20 a.m. Intracerebral Hemorrhage
Nicole Gonzales, MD
8:40 a.m. Subarachnoid Hemorrhage
Kiwon Lee, MD
9 a.m. Cerebral Venous Sinus Thrombosis
Andrew Barreto, MD
9:20 a.m. Cervical and Cerebral Artery Dissections
Teddy Wu, MD
9:40 a.m. Traumatic Brain Injury and Spinal Cord Injury
Asma Zakaria, MD
10 a.m. Herniation Syndromes and ICP Crisis
George Lopez, MD
10:20 a.m. Break
10:30 a.m. Meningitis and Encephalitis
Asma Zakaria, MD
10:50 a.m. Toxic Metabolic Encephalopathy
Teddy Wu, MD
11:10 a.m. GBS and Myasthenia Crisis
Thy Nguyen, MD
11:30 a.m. Seizure Disorder and Status Epilepticus
Guest Speaker
Derek Chong, MD
11:50 a.m. Neuroendocrine and Electrolyte Disorders
Kiwon Lee, MD
12:10 a.m. Lunch Break
Boxed lunch provided
  PM session: Imoigele Aisiku, MD
1 p.m. Airway and Mechanical Ventilation
Bilal Rana, MD
1:20 p.m. Acute Coronary Syndromes and Heart Failure
George Williams, MD
1:40 p.m. Acute Lung Injury and ARDS
Bela Patel, MD
2 p.m. DVT and Pulmonary Embolism
Imoigele Aisiku, MD
2:20 p.m. Thrombocytopenia and DIC
George Williams, MD
2:40 p.m. Break
3 p.m. Sepsis and Septic Shock
Imoigele Aisiku, MD
3:20 p.m. Acute Renal Failure and Renal Replacement
Kevin Finkel, MD
3:40 p.m. Critical Care Ethics: ICU Safety and Quality
Sara Livesay, DNP, RN, CNS-A, ACNP-BC
 Opening Night Welcome Reception
4:15 p.m. Refresher Course Certificate Awards
4:30 p.m. Opening Reception
The Cooley Conference Center Courtyard

Day Two: Thursday March 7, 2013

Neurological and Neurosurgical Emergencies and Critical Care
 

7:00 a.m.  Continental Breakfast
7:30 a.m.  Welcome Remarks

Dong H. Kim, M.D., Director, Mischer Neuroscience Institute, Chief of Neurosurgery, Professor and Chair, Vivian L. Smith Department of Neurosurgery, UTHealth

James C. Grotta, M.D., Co-Director, Mischer Neuroscience Institute, Chief of Neurology and Director, Stroke Center, Professor and Chair Department of Neurology, UTHealth
AM Session Moderator: Cerebrovascular Emergencies
Kiwon Lee, MD
7:40 a.m. Acute Ischemic Stroke: Past, Present and the Future
James C. Grotta, MD
8:05 a.m. Advanced Neurosurgical Practice and Research
Dong H. Kim, MD
8:30 a.m. Subarachnoid Hemorrhage: Saving Lives Beyond Expectation
Kiwon Lee, MD
8:55 a.m. Endovascular Neurosurgery: Welcome to the Future
P. Roc Chen, MD
9:20 a.m. Intracerebral Hemorrhage: Surgical and Medical Management
Nicole Gonzales, MD
9:45 a.m. Modern Management of Hydrocephalus
David Sandberg, MD
10:10 a.m. Break
10:20 a.m. Endovascular Intervention for Acute Ischemic Stroke: Thrombolysis
Mark Dannenbaum, MD
10:50 a.m. Ruptured Aneurysm and AVM Surgery: Past, Present and the Future
Arthur L. Day, MD
11:15 a.m. 2012 Keynote Speech: Introduction by Kiwon Lee, MD   
  Aneurysmal Subarachnoid Hemorrhage:
“The First 60 minutes, Surgery and Critical Care”

Guest Speaker
E. Sander Connolly, MD
Bennett M. Stein Professor and Vice Chairman
Department of Neurological Surgery
Columbia University College of Physicians and Surgeons
New York, New York
11:40 a.m. Hemodynamic and Multimodality Monitoring
“Importance of Neurological Critical Care in Brain Injury”
Guest Speaker
E. Sander Connolly, MD
12:05 p.m. Decompressive Hemicraniectomy: Ischemic Stroke and P- Fossa ICH
George Lopez, MD
12:30 p.m. Lunch Break
Boxed lunch provided
PM session One Moderator: Neurotrauma and Others
Imoigele Aisiku, MD
1:30 p.m. Traumatic Brain Injury: Guidelines and the Future
Scott R. Shepard, MD
1:55 p.m. Current Update on Management of Spine and Spinal Cord Injuries
Daniel Kim, MD
2:20 p.m. Updates in end of Life ICU Care: An Ethical Challenge
Sarah Livesay, DNP, RN, CNS-A, ACNP-BC
2:45 p.m. Break
PM Session Two
Moderator
 Status Epilepticus and Other Neuro Emergencies
Jeremy Slater, MD
3 p.m. Management of Seizure Disorders and Refractory Status Epilepticus
Guest Speaker
Derek Chong, MD
3:25 p.m. Refractory Status Epilepticus in the Real World: Illustrative Cases
Giridhar P. Kalamangalam, MD
3:50 p.m. Surgery for Status Epilepticus
Nitin Tandon, MD
4:15 p.m. Meningitis and Encephalitis: A Tough Enemy but Treatable
Guest Speaker
Derek Chong, MD
Workshop Hands-on simulation workshop based on real cases
Moderator: Derek Chong, MD
4:40 p.m. Room A:
Cerebral Blood Flow and Oxygenation Monitoring in ICU
H. Alex Choi, MD
  Room B:
Continuous EEG Monitoring in ICU
Guest Speaker
Derek Chong, MD
  Room C:
Robotic Technology for Tele-Stroke and Remote ICU Monitoring
Teddy Wu, MD
5:00 p.m. Adjourn

Day Three: Friday, March 8, 2013

Critical Care Medicine for Neuro-Patients

 

7 a.m. Continental Breakfast
8 a.m.  Welcome Remarks
Art Day, MD, Director of Clinical Education, Mischer Neuroscience Institute, Professor and Vice Chair, Vivian L. Smith Department of Neurosurgery
8:15 a.m.   Interactive session:
Neuro-ICU jeopardy:
“Who wants to be a REAL Neuro-Intensivist?”
Test your neurocritical care knowledge and win a prize!
Kiwon Lee, MD
AM Session 1
Moderator
 ABC and Neuro
Kiwon Lee, MD
9 a.m. Mechanical Ventilation
Rima Gidwani, MD
9:25 a.m. Blood Pressure and Hemodynamics
Kiwon Lee, MD
9:50 a.m. Sedation for Critically Ill Patients
Bilal Rana, DO
10:15 a.m. DVT Prophylaxis: When and Why
Sophie Samuel, Pharm.D., BCPS
10:30 a.m. Anticoagulation Reversal: It's Not Just Coumadin Bleed!
Teresa A. Allison, Pharm.D., BCPS
10:50 a.m. Break
AM Session 2 Moderator
 ARDS and Septic Shock
H. Alex Choi, MD
10:55 a.m. ARDS and Acute Lung Injury: Life-Saving with ECMO 
Michael Hines, MD
11:20 a.m. Severe Sepsis and Septic Shock
Imoigele Aisiku, MD
11:45 a.m. Extracorporeal Therapies for Sepsis and Inflammation
Kevin Finkel, MD
12:10 p.m Lunch Break
Boxed lunch provided
1 p.m. Special Lecture: Introduction by Kiwon Lee, MD
  “Research Priorities and Network in Neurocritical Care”
Guest Speaker
Jose I. Suarez, MD
Professor of Neurology
Head, Section of Vascular Neurology and Neurocritical Care
Baylor College of Medicine
PM Session 1 Moderator
 Homeostasis in Critical Care: Putting them all together
Bela Patel, MD
1:25 p.m. Management of Fluids and Volume Overload
Kevin Finkel, MD
1:50 p.m. Adrenergic Storm: Brain on Fire
H. Alex Choi, MD
2:15 p.m. Critical Care, Quality Improvement and Patient Outcomes
Bela Patel, MD
2:40 p.m. Break
PM Session 2
Moderator
 Crossfire Debate: Controversies in Neurocritical Care
George Lopez, MD
2:50 p.m. Bleeding while on Antiplatelet Therapy: Platelets vs. No Platelets
Kiwon Lee, MD (platelets) vs. Nicole Gonzales, MD (no platelets)
3:15 p.m. ICH Patients with Stupor and Coma: Surgery vs. No Surgery
James C. Grotta, MD (surgery) vs. Art Day, MD (no surgery)
3:40 p.m. Adjourn
   

 

Register at www.UTcme.net.

NCS

This event has been endorsed by the Neurocritical Care Society, an organization dedicated to improve the health care and outcomes of patients with life-threatening neurological illnesses by promoting quality patient care, professional collaboration, research, training and advocacy.

CME Accreditation and Designation Statements

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of The University of Texas Medical Branch at Galveston (UTMB) and The University of Texas Health Science Center at Houston. The University of Texas Medical Branch at Galveston is accredited by the ACCME to provide continuing medical education for physicians.

The University of Texas Medical Branch at Galveston designates this live activity for a maximum of 21.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

UTMB designates this educational activity for up to 1 hour in medical ethics/professional responsibility.

The University of Texas Health Science Center at Houston School of Nursing is an approved provider of continuing nursing education by the Texas Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This activity provides 20.0 contact hours of nursing continuing education.