Critical Care

Heart Failure

Mechanical Circulatory Support

Canadian Association of Interventional Cardiology (CAIC)

Canadian Cardiovascular Critical Care Society (CANCARE)

Canadian Cardiac Transplant Network (CCTN)

Canadian Heart Failure Society (CHFS)

Nursing & Allied Health

220 - CARDIOGENIC SHOCK: I DID IT MY WAY- END OF LIFE CONSIDERATIONS

Panelist(s)

• 

  Andrew Caddell, MD, FRCPC

  Cardiac Intensivist
  CANCARE, CCTN
  Dalhousie University
• 

  Yoan Lamarche, MD, MSc

  Cardiac surgeon and Intensivist
  Montreal Heart Institute
  Montreal Heart Institute
• PN

  Pierre-Emmanuel Noly, MD, PhD

  Cardiac surgeon
  Montreal Heart Institute
• 

  Maude Peretz, MD, FRCPC

  CARDIOLOGIST
  CCS, CANCARE
  McGill University

Presenter(s)

• 

  Lior Bibas, MD FRCPC

  Cardiologist
  Hôpital Pierre Boucher
  Université de Montréal
• WL

  Warren Luksun, MD MSc [QIPS] FRCPC

  Assistant Clinical Professor
  CANCARE
  University of Alberta
• DN

  Dave Nagpal, MD

  Cardiac Surgery / Critical Care Medicine
  CCS, CSCS, CANCARE, CCTN
  Western University
• CM

  Caroline McGuinty, MD

  Cardiologist
  University of Ottawa Heart Institute
  University of Ottawa
• 

  Maude Peretz, MD, FRCPC

  CARDIOLOGIST
  CCS, CANCARE
  McGill University

Trainee(s)

• 

  Andrew Cao, MD

  Cardiology Fellow
  University of Toronto

Moderator(s)

• CF

  Christopher Fordyce, MD, MHS, MSc

  Assistant Professor
  University of British Columbia
• 

  Adriana Luk, MD

  Cardiologist
  CANCARE
  Toronto General Hospital, University Health Network and St. Michael's Hospital, Unity Health

Planning Committee Member(s)

• 

  Filio Billia, MD, PhD

  Clinician-Scientist
  University Health Network (UHN)
• 

  Andrew Cao, MD

  Cardiology Fellow
  University of Toronto
• 

  Anique Ducharme, MD, MSc, FCCS, FACCC (she/her/hers)

  Cardiologist
  Montreal Heart Institute
  University of Montreal
• CF

  Christopher Fordyce, MD, MHS, MSc

  Assistant Professor
  University of British Columbia
• 

  Yoan Lamarche, MD, MSc

  Cardiac surgeon and Intensivist
  Montreal Heart Institute
  Montreal Heart Institute
• 

  Sean Van Diepen, MD, FRCPC

  Associate Professor
  University of Alberta
  University of Alberta

Workshop Description: Cardiogenic shock is a life-threatening condition where impaired heart function that leads to inadequate end-organ perfusion. In these cases, select patients may be supported using short term temporary mechanical circulatory support (t-MCS). Once patients are supported on MCS, decision making may include palliation due to progressive organ failure or following a complication of MCS therapy. In addition, there is uncertainty of best practices on when and how to test for readiness to wean from MCS therapies.
This symposium is designed for all health care provider who care for patients in cardiogenic shock, especially those in the critical care setting. We will present a clinical case followed by didactic sessions led by multidisciplinary faculty who will provide clinical pearls in initiating discussions for end-of-life care, as well as a summary of avoidance of MCS related complications. Given the lack of robust data regarding weaning of MCS strategies (ie. extracorporeal membrane oxygenation), we will have experts discuss timing and method of weaning in a debate format.