Perioperative Care in Liver Transplantation

LICAGE Liver Intensive Care Group of Europe www.licage.net

LICAGE 2010 23-24 SEPTEMBER OPERA PRIMAZIALE, PISA, ITALY

PERIOPERATIVE CARE IN LIVER TRANSPLANTATION: UPDATE AND DEBATE

SECOND ANNOUNCEMENT

LICAGE 2010 will be held in the Opera Primaziale Museum, next to the Campo dei Miracoli in Pisa, a few metres from the magnificent Leaning Tower. Registration is limited to 120 and there will be an international faculty of 30.

LICAGE Organising Committee Co-Chairs

Gianni Biancofiore, Pisa John Klinck, Cambridge

Italian Organising Committee

Franco Filipponi, Professor and Head of Liver Transplantation, University School of Medicine, Pisa Francesco Giunta, Professor and Head of Anaesthesia and Critical Care, University School of Medicine, Pisa Giorgio Della Rocca, Professor and Head of Anaesthesia and Critical Care, University School of Medicine, Udine Alberto Passetto, Professor and Head of Anaesthesia and Critical Care, University School of Medicine, Modena Stefano Faenza, Professor and Head of Anaesthesia and Critical Care for Liver Transplantation, University School of Medicine, Bologna Andrea De Gasperi, Head of Anaesthesia and Critical Care, Ospedale Niguarda, Milano

Invited Faculty / Scientific Advisory Committee

Philip Bayly, Newcastle James Bennett, Birmingham James Findlay, Rochester Davide Ghinolfi, Pisa Ari Ercole, Cambridge Luciano Gattinoni, Milan Davide Ghinolfi, Pisa Klaus Gorlinger, Essen Paolo Grossi, Varese Olaf Guckelberger, Berlin President Secretary/Treasurer Scientific/Education Committee Chair Dr Phil Bayly Prof Claus-Georg Krenn Dr Claus Niemann Department of Anaesthesia Department of Anaesthesiology Department of Anesthesia and Freeman Hospital and General Intensive Care Perioperative Care, Department of Newcastle Medical University Surgery, Division of Transplantation UK Vienna, Austria University of California San Francisco, USA [email protected] [email protected] [email protected]

Kevin Gunning, Cambridge Can Ince, Rotterdam Claus-Georg Krenn, Vienna Alistair Lee, Edinburgh Susan Mallett, London Susan Mandell, Denver Marco Marietta, Modena Pilar Morales, Valencia Claus Niemann, San Francisco Mike Ramsay, Dallas Marco Ranieri, Torino Gemma Rodriguez, Valencia Fuat Saner, Essen Marco Senzolo, Padua Randolph Steadman, Los Angeles Armando Tripodi, Milan Gebhard Wagener, New York Ann Walia, Nashville Yatin Young, Auckland Gamal Fouad S Zaki, Cairo

PROGRAMME

THURSDAY 23 SEPTEMBER

08:15 – 10:30

Cardiovascular update  Cirrhotic cardiomyopathy and dysautonomia S Mandell  Cardiovascular events and outcomes Olaf Guckelberger  Controversies in preoperative evaluation: testing and selection James Findlay  Management of ischemic and valvular disease at UCLA Randolph Steadman  Monitoring : TEE, PAC, new modalities Giorgio Della Rocca  Interactive case presentation Alistair Lee

11:00 – 13:00

Respiratory update  Evaluating the potential recipient: the pulmonologist’s perpective P Morales  Heptatopulmonary syndrome: pathophysiology, diagnosis, outcomes S Mandell  Post-transplant respiratory complications Marco Ranieri

President Secretary/Treasurer Scientific/Education Committee Chair Dr Phil Bayly Prof Claus-Georg Krenn Dr Claus Niemann Department of Anaesthesia Department of Anaesthesiology Department of Anesthesia and Freeman Hospital and General Intensive Care Perioperative Care, Department of Newcastle Medical University Surgery, Division of Transplantation UK Vienna, Austria University of California San Francisco, USA [email protected] [email protected] [email protected]

 Acute lung injury: diagnosis and management Luciano Gattinoni  Interactive case presentation Kevin Gunning

14:15 – 16:00

Topics in Surgery and Hepatology  Alcoholic liver disease: epidemiology, selection, outcomes Marco Senzolo  Hepatocellular carcinoma: selection and management Jose Mir  Liver implantation: techniques and challenges Davide Ghinolfi  Arterial hypoperfusion in the transplanted liver Olaf Guckelberger  Management of fungal infections in liver recipients Paulo Grossi

16:30 – 18:00

Perioperative fluids and transfusion  Volume resuscitation in cirrhosis: do different solutions make a difference? Luciano Gattinoni  Transfusion and the microcirculation Can Ince  Vasoconstrictors during liver transplantation: why, when and which? Gebhard Wagener  Massive transfusion: what’s new? Yatin Young

18:00 – 18:30 LICAGE Business Meeting

19:30 – 22:30 CONGRESS DINNER

FRIDAY 24 SEPTEMBER

08:30 – 09:45

Basic Science and Physiology  Hepatocyte transplantation Jose Mir  Measuring the microcirculation Can Ince  Physics of arterial pressure monitoring and effects of vasopressors Ari Ercole  Monitoring function in the transplanted liver Claus-Georg Krenn

10:15 – 12:30

Coagulation update  Coagulation in end-stage liver disease: pathophysiology and monitoring Armando Tripodi  Factor concentrates: why should we use them in liver transplantation? Klaus Gorlinger  Plasma for coagulopathy: FFP vs SD-treated human plasma solution Marco Marietta  Operating room monitoring and management Susan Mallett  Hypercoagulation Michael Ramsay  Coagulation changes in liver resection Yatin Young

13:30 – 14:30

Meet the experts / Poster session: Small group topic-based Q+A sessions (20 minutes each), and discussions around selected posters.  Pediatrics  Patient selection  Cardiovascular  Intraoperative  Critical Care

14:30 – 15:30

Special topics  Hypoadrenalism in liver recipients Stefano Faenza*  Perioperative renal injury: novel markers Gebhard Wagener  Starting a liver transplant anesthesia service in a developing country Gamal Fouad S Zaki  Data collection and quality improvement in liver transplantation (panel) Ann Walia (presenter), Claus Niemann, Randolph Streadman

16:00 - 17.30

Interactive cases: cases of special interest or educational value, presented in stages with key pauses before diagnostic or therapeutic decisions. Audience input is invited (what would you do next?), as directed by the session chair.

17:30 Closing remarks

* speaker not yet confirmed

REGISTRATION (Euros)

STANDARD BEFORE 30 JUNE 250 STANDARD AFTER 30 JUNE 300 ABSTRACT PRESENTER* 200 RESIDENT / FELLOW* (first 20 only) 200 OUTSIDE EU AND NORTH AMERICA* 200 (* discount not guaranteed after 30 June)

CONGRESS DINNER - REGISTRANTS 25 - GUEST 50

Registrants are invited to submit scientific abstracts and interactive cases for a registration discount.

J Klinck 2.6.10