Weaning Symposium
 
Program
I. The Scope of the Problem - Current Epidemiology, Practice and Health Policy Implications of Weaning
Moderator: L. Brochard

8:15 - 8:30 Introduction to the Day: "Liberation versus Weaning - Why It Matters" L. Brochard
8:30 - 8:45
The Burden of Weaning in Ontario Hospitals D. Scales
8:45 - 9:00
Current Weaning Practices at Home and Abroad
K. Burns
9:00 - 9:15
Organization of Weaning Units in Ontario
I. Fraser
9:15 - 9:30
Questions and Discussion



BREAK 9:30 - 10:00


II. Components of a Successful Weaning Program - Optimizing Your Patient
Moderator:
J. Singh

10:00 - 10:15
Bedside Assessment: is it the Heart or the Lungs?
L. Brochard
10:15 - 10:30 
Bedside Assessment: Is It the Diaphragm?
E. Goligher
10:30 - 10:45 
Improving Sleep and Sedation in Your ICU
L. Burry
10:45 - 11:30
Setting the Ventilator in Prolonged Ventilation
A. Jubran
11:30 - 11:45
Is there a Role for PAV and NAVA?
K. Bosma
11:45 - 12:00
Questions and Discussion



LUNCH 12:00 - 13:00


III. Pro/ Con Debate - Be It Resolved: Hospitals Should Implement Weaning Protocols
Moderator:
D. Scales

13:00 - 13:20
PRO: A Program Needs a Protocol
G. Rubenfeld
13:20 - 13:40
CON: Individuals Need Individualized Strategies
A. Jubran
13:40 - 14:00
Rebuttal, Questions and Answers


IV. Group Round Table I - Improving ICU Culture to Promote Successful Weaning
Moderator:
N. Ferguson
Expert Panel: A. Jubran, D. Reid, L. Moisey, V. Lo, S. Goddard, D. Veniott, V. Campbell.

14:00 - 15:00






Theme: The focus of this session is on improving local ICU culture to adopt stategies that promote weaning success. This session is an interactive discussion between an expert panel and conference participants. Attendees are encouraged to share their own stories about successful local implementations.

Topics for Discussion:
  • Engaging the entire ICU team: Fostering true interdisciplinary care
  • Strategies and Barriers to Mobilization
  • Nutritional Support
  • Respiratory Muscle Training
  • Psychological Health


BREAK 15:00 - 15:30


V. Group Round Table II - Systems of Care for the Difficult-to-Wean Patient
Moderator:
B. Cuthbertson
Expert Panel: J. Singh, L. Rose, N. Ferguson, G. Rubenfeld, H. Wunsch, I. Fraser, F. Reinders.

15:30 - 16:30 Theme: The focus of this session is on improving systems of care to promote weaning success, in particular working with hospital administrators and other health system leaders. This sessions is an interactive discussion between an expert panel and conference participants. Attendees are encouraged to discuss local challenges and success stories

Topics for Discussion:
  • How to talk to hospital administrators and other leaders about weaning
  • Overcoming resource constraints
  • Building a business case to target difficult-to-wean patients
  • Advocating for more weaning resources and systems

VI. Conclusion: Making Change Happen

16:30 - 17:15
How to Unleash Your Leadership Potential
N. Ferguson
17:15 - 17:30
Wrap-up