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High flow Nasal oxygen in Acute Respiratory Failure
High flow nasal oxygen (HFNO) therapy represents a significant advancement in the management of acute respiratory failure, offering a blend of heated and humidified oxygen at high flow rates through nasal cannulae. This innovative approach enhances patient comfort, reduces the need for invasive mechanical ventilation by improving oxygenation and CO2 clearance, and supports the natural airway defenses. HFNO's precise delivery of oxygen improves the efficiency of gas exchange and reduces the work of breathing, making it a preferred choice for patients with acute hypoxemic respiratory failure, particularly those with conditions such as pneumonia or COVID-19.
About the Speaker
Dr. Fernando Suparregui Dias
MD, MSc, PhD Director of Critical Care Department at Hospital São Lucas da PUCRS, Porto Alegre, Brazil
Fernando Dias is Head of the Department of Critical Care at the Hospital Pompéia in Caxias do Sul, Brazil. He graduated with a Degree in Medicine from the Federal University of Santa Maria in 1977, Brazil, followed by a medical residency in cardiology at Instituto de Cardiologia do Rio Grande do Sul in 1979. Between 1983 and 1989 he joined the staff of surgical critical care unit at the Instituto de Cardiologia do Rio Grande do Sul before moving to Pontificia Universidade Católica do Rio Grande do Sul (PUCRS) in 1989. In PUCRS was Director of the Cardiac Surgical Unit from 1989 to 1997 and of the General Intensive Care Unit from 1992 to 2013. Dr Dias has a degree in intensive care medicine from the Brazilian Intensive Care Association (AMIB) since 1985, a Master's Degree in Postgraduate Course in Medicine from the Instituto de Cardiologia do Rio Grande do Sul in 1997 and completed his PhD in Cellular and Molecular Biology at PUCRS in 2008. Dr. Dias was president of Critical Care Society of Rio Grande do Sul (SOTIRGS) in 1995/1996 and President of AMIB in 2014/2015. Dr Dias has extensive experience in medicine, focusing on intensive care but with specific interests in hemodynamic monitoring, sepsis, acute respiratory distress syndrome, shock and multiple dysfunction organs and systems and genetics in critical illness. He is Editor of books on shock and monitoring in critical care and has published in the fields of hemodynamic monitoring, sepsis and genetics in critical illness.
Upcoming Case Discussions
AI in Medicine: Challenges and Opportunities
AI in Medicine: Challenges and Opportunities explores the transformative potential of artificial intelligence in improving diagnostics, treatment planning, and healthcare delivery. The session highlights how AI can enhance clinical accuracy, streamline workflows, and support personalized medicine. At the same time, it addresses key challenges such as data privacy, algorithm bias, and the need for regulatory oversight. Real-world applications and case studies illustrate both the promise and the pitfalls of integrating AI into clinical practice. This session aims to equip healthcare professionals with a balanced view of how AI can complement human expertise in medicine.
A Case Based Approach to Acute Care Bronchoscopy: Skills for the Intensivists
A Case-Based Approach to Acute Care Bronchoscopy: Skills for the Intensivists focuses on enhancing practical bronchoscopy skills essential for managing critically ill patients. Through real-world case discussions, the session will cover key techniques, decision-making strategies, and troubleshooting during acute interventions. It aims to build confidence in handling airway emergencies, performing diagnostic procedures, and improving patient outcomes in the ICU. This interactive approach ensures intensivists are better prepared to apply bronchoscopy effectively in urgent care settings.
Congenital Uterine Anomalies
Congenital uterine anomalies are structural abnormalities of the uterus resulting from improper fusion, canalization, or resorption of the Müllerian ducts during fetal development. These anomalies include septate, bicornuate, unicornuate, and didelphys uterus, among others. They can be asymptomatic or associated with infertility, recurrent pregnancy loss, preterm birth, or abnormal menstruation. Diagnosis is typically made using imaging modalities like ultrasound, MRI, or hysterosalpingography. Treatment depends on the type and severity of the anomaly, with surgical correction such as hysteroscopic septum resection often indicated in symptomatic cases. Early detection is crucial for optimizing reproductive outcomes and guiding appropriate management strategies.
Approach to severe hyperkalemia in ICU
Approach to Severe Hyperkalemia in the ICU focuses on rapid identification and targeted intervention to prevent life-threatening complications. The session outlines key steps including ECG monitoring, membrane stabilization with calcium gluconate, intracellular potassium shift using insulin-dextrose and beta-agonists, and potassium elimination via diuretics or dialysis. It emphasizes prioritizing reversible causes like renal failure or medication-induced hyperkalemia. Real-world ICU scenarios and evidence-based protocols will guide clinicians in managing this critical electrolyte emergency effectively.
Sleep Apnea and Daytime Fatigue
Sleep Disorder Breathing is a term for a group of conditions with abnormal breathing patterns during sleep. This affects everyday functioning and well being.There are few types of SDB which include upper airways resistance, hypopnea, apnea, catathrenia and heavy snoring. People suffering with SDB can have daytime symptoms that result in poor sleep also. There can also be sleepiness, depressed mood, irritability and cognitive dysfunction.
