Meet the GRIP – Events

04072026

17:30

Respiratory Care Network meeting

By admin
Kyoto International Conference Center, 2nd floor, room K
Congress

Aim:
Network consensus on the assessment of the actively breathing patient - with Dr. F. Mojoli
…
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Aim:
Network consensus on the assessment of the actively breathing patient - with Dr. F. Mojoli

Saturday July 4th, 17:30 to 18:30
Japan Society of Respiratory Care Medicine congress Kyoto International Conference Center, 2nd floor, room K

All Day

48th Annual Meeting of the Japanese Society of Respiratory Care Medicine

By admin
Kyoto International Congress Center
Congress

 The theme of this year’s meeting is “Connecting Expertise for the Future of Respiratory Care,” with a…
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 The theme of this year’s meeting is “Connecting Expertise for the Future of Respiratory Care,” with a focus on multidisciplinary collaboration and the sharing of expertise among healthcare professionals. Meet Pr. Mojoli in two sessions

1. Overdistention, collapse, or tidal recruitment/derecruitment: Which one should we really care about?

Ventilator-Induced Lung Injury (VILI) is driven by excessive lung stress, which arises from three primary mechanisms: overdistention, tissue inhomogeneity-interdependency, and the cyclic opening and closing of lung units. Overdistention occurs predominantly in nondependent regions where end-inspiratory transpulmonary pressure (PL) is highest; it is mainly prevented by limiting plateau pressure. Lung inhomogeneities behave as “stress raisers” that amplify local stress through alveolar interdependency; recruitment and stabilization of collapsed lung tissue, along with low tidal volume ventilation, are recommended to mitigate this mechanism. Cyclic opening and closing (tidal recruitment/derecruitment, or R/D) is driven by the respiratory oscillation of PL above and below local opening and closing pressures. Limiting airway driving pressure—by decreasing plateau pressure and/or increasing PEEP—is therefore used to prevent tidal R/D. This presentation reviews evidence identifying tidal R/D as the leading mechanism of lung stress and injury during mechanical ventilation. Furthermore, it compares quantitative CT scanning with pressure-volume loops for assessing tidal R/D and introduces lung instability maps. Finally, we describe a method to prevent tidal R/D based on 1) limitation of driving pressure and 2) further optimization guided by tidal hysteresis. This highly flexible approach enables clinicians to individualize treatment, offering a spectrum of options from a full 'open lung approach' to extensive 'permissive atelectasis'.

2. Lung Ultrasound in acute respiratory failure
Lung ultrasound (LUS) is widely used to diagnose, monitor, and guide the treatment of patients with acute respiratory failure (ARF). Recently, LUS was included in the diagnostic criteria for ARDS. In critical care settings, a quantitative LUS approach is now predominantly utilized. In hypoxemic ARF patients receiving noninvasive respiratory support, LUS can facilitate the early detection of treatment failure and the need for escalation. To personalize the respiratory management of intubated patients with hypoxemic ARF/ARDS, an integrated approach based on LUS and tidal pressure-volume (PV) loops can be adopted. Daily fluid management in ARDS patients is a challenging task that can be addressed by testing fluid responsiveness via the ventilator, while monitoring the early respiratory side effects of fluid loading with LUS. Furthermore, LUS enables the early detection of mechanical ventilation complications, such as ventilator-associated pneumonia and pneumothorax. Daily monitoring of regional and global lung aeration using quantitative LUS serves as a convenient complement to CT assessments. Finally, automated weaning procedures can improve the early assessment of patient readiness and ensure safe, well-documented spontaneous breathing trials (SBTs); implementing LUS during this phase can help predict extubation failure after a successful SBT.

20112023

13:30

FORMAZIONE OSM: Il paziente pediatrico in Rianimazione

By admin
Conferences and courses

Responsabile Scientifico Dr. Maggio

Piano 1, Aula 2 Torre A

5.2 crediti ECM
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Responsabile Scientifico Dr. Maggio

Piano 1, Aula 2 Torre A

5.2 crediti ECM

09102023

13:30

FORMAZIONE OSM: Il paziente pediatrico in Rianimazione

By admin
Conferences and courses

Responsabile Scientifico Dr. Maggio

Piano 1, Aula 2 Torre A

5.2 crediti ECM
More

Responsabile Scientifico Dr. Maggio

Piano 1, Aula 2 Torre A

5.2 crediti ECM

24032023

15:00

SEMINARIO: Physiotherapy in ICU

By admin
Conferences and courses

Seminario per tutti gli anni di specialità sul ruolo della fisioterapia in terapia intensiva

Relatore: Dr. Adi Pauker

Responsabile fisioterapia, General ICU Soroka Medical…
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Seminario per tutti gli anni di specialità sul ruolo della fisioterapia in terapia intensiva

Relatore: Dr. Adi Pauker

Responsabile fisioterapia, General ICU Soroka Medical Center, Ben-Gurion University of the Negev, Beer Sheva, Israel

Aula Rianimazione 1