This is a multidisciplinary course sponsored by:
The American Society of Nephrology (ASN)
The International Society of Nephrology (ISN)
The European Dialysis and Transplantation Association (EDTA)
The European Society of Intensive Care Medicine (ESICM)
The European Society for Artificial Organs (ESAO)
The International Society of Peritoneal Dialysis (ISPD)
The National of Kidney Foundation (NKF)
The Italian Society of Anesthesiology and Intensive Care (SIAARTI)
The Italian Society of Nephrology (SIN)
The First and Second International Courses on Critical Care Nephrology were held in 1998 and 2001. We gathered participants from more than 50 different countries. A series of lectures and panel discussions were delivered during the three days of each course. The proceedings were published in a special issue of Kidney International for the first case and in a special book entitled “Blood Purification in Intensive Care” for the second case. A widespread consensus on the format of the course and the timely publication of the proceedings was recorded from the participants and a remarkably positive feedback was collected from physicians, nurses and members of the industry of the field. For this reason we decided to continue to host this course every three years; sufficient time required in our opinion for a real advancement in technology and scientific knowledge and a sufficient accumulation of new data. Our task is to put together specialists from different disciplines in a single scientific event with a multidisciplinary approach to the critically ill patient with acute renal failure and multiple organ dysfunction. The scientific quality of the course and its multidisciplinary nature are guaranteed by the reputation of the faculty and the endorsement of the European Society of Intensive Care Medicine, The American Society of Nephrology, The International Society of Nephrology and the European Renal Association. We really hope that a large number of delegates will join this important event which is becoming a classic appointment for the experts and the physicians who want to receive updated information in the field of Critical Care Nephrology.

Claudio Ronco
LIST OF THE HOTEL AGREEMED WITH THE SPONSORS

3RD INTERNATIONAL COURSE ON CRITICAL CARE NEPHROLOGY
Chairman
Claudio Ronco		 General Secretary
Alessandra Brendolan		 Event Organizer
Anna Saccardo
Ilaria Balbo		 Local Organizing Committee
Monica Bonello
Valeria Bordoni
Stefano Chiaramonte
Carlo Crepaldi
Roberto Dell' Aquila
Pierluigi Di Loreto
Vincenzo D' Intini
Daniela Dissegna
Fiorella Gastaldon
Volker Goepel
Massimo Milan
Mariapia Rodighiero

International Scientific Advisors
Rinaldo Bellomo
John Kellum
Ravindra Mehta


FACULTY
Derek Angus
Critical Care Medicine
University of Pittsburgh
School of Medicine
604 Scaife Hall
Pittsburgh, PA 15261, USA
 Nathan W. Levin
Renal Research Institute
New York, NY USA
Stephen R. Ash
Chairman and Director of R & D
Hemocleanse Inc.
West Lafayette, IN USA
 Francesco Locatelli
Department of Nephrology
General Hospital
Lecco, Italy
Juan Calors Ayus
Divisione of Nephrology
University of Texas
San Antonio Tx USA
 		John Kellum
Division of Critical Care Medicine
Scaife hall
University of Pittsburgh Medical Center
Pittsburgh PA , USA
Ian Baldwin
Critical Care Nurse Educator
Department of Intensive Care
Austin & Repatriation Medical Centre
Melbourne, Australia		 William Macias
Medical Director
Lilly Corporate Center
Indianapolis - USA
Rashad S. Barsoum
Cairo Kidney Center
Bab-El-Louk, Cairo, Egypt
 Silvio Marafon
Transplant Coordinator Department of Intensive Care San Bortolo Hospital
Vicenza - Italy
Rinaldo Bellomo
Department of Intensive Care
Austin & Repatriation Medical Center
Melbourne, Australia		 Ravindra Mehta
Department of Medicine - Nephrology
UCSD Medical Center
San Diego- Ca - USA
Giorgio Berlot
Istituto Anestesia e Rianimazione e T. Antalgica
Ospedale Policlinico Cattinara
Trieste, Italy		 Robert G. Narins
Director of Postgraduate Education
American Society of Nephrology
Washington D.C. - USA
Joseph Bonventre
R.H.E. Professor of Molecular Medicine
Harvard Medical School
Massachusetts General Hospital East
Charlestown MA, USA 		Emil P. Paganini
Department of Nephrology and Hypertension
Cleveland Clinic
9500 Euclid Avenue
Cleveland, OH - USA
Alessandra Brendolan
Divisione di Nefrologia
Ospedale San Bortolo
Vicenza, Italy		 Paul Paleysky
Professor of Medicine
University of Pittsburg
School of Medicine
Pittsburg, PA - USA
Bernard J.M. Canaud
Department of Nephrology
Hopital Universitaire La Peyronie
Montpellier, France		 Francesco Paolini
R&D Manager - Monitor Division
Gambro Dasco
Medolla (Modena) Italy
Jean-Marc Cavaillon
UP Cytokines & Inflammation
Institut Pasteur
Paris, France		 Brian Pereira
New England Medical Center.
Boston MA , USA
William Clark
Indiana University School of Medicine
Nephrology Section
Indianapolis IN USA
 Pasquale Piccinni
Department of Intensive Care
San Bortolo Hospital
Vicenza - Italy
Giorgio Conti
Istituto di Anestesiologia e Rianimazione
Università Cattolica del Sacro Cuore
Roma, Italy		 Michael R. Pinsky
Division of Critical Care Medicine
Scaife hall University of Pittsburgh Medical Center
Pittsburgh PA - USA
Maurizio Dan
Dipartimento Terapia Intensiva
Ospedale San Bortolo
Vicenza, Italy
 Hamid Rabb
Nephrology Division
Johns Hopkins Hospital
Baltimore
Maryland - USA
Andrew Davenport
Consultant Renal Physician and
Honorary Senior lecturer
University College London
Royal Free Hospital
London, England 		Claudio Ronco
Divisione di Nefrologia
Ospedale San Bortolo
Vicenza, Italy
Jean Francois Dhainaut
Reanimation Medicale Polyvalente
Cochin Hospital AP-HP, Cochin medical school and Institute, Paris V University,
Paris Cedex 14, France
 Antonio Santoro
Divisione di Nefrologia e Dialisi
Ospedale Malpighi
Bologna - Italy
Vincent D’Intini
Divisione di Nefrologia
Ospedale San Bortolo
36100 Vicenza, Italy
 Miet Schetz
Intensive Care Unit
Universitaire Ziekenhuizen
Herestraat
Leuven - Belgium
Flaviano Ghiotto
Divisione di Nefrologia
Ospedale San Bortolo
Vicenza, Italy		 Klaus Sodemann
Dialysis Center Lahr-Ettenheim
Lahr - Germany
Giampiero Giron
Istituto di Anestesia e Rianimazione
Policlinico Universitario
Via Giustiniani
Padova, Italy		 Sergio Stefoni
Department of Nephrology and Applied Biotechnology and Hemodialysis
Policlinico Sant’Orsola
Bologna - Italy
Stuart Goldstein
Assistant Professor of Pediatrics
Baylor College of Medicine
Medical Director, Renal Dialysis Unit
Texas Children's Hospital
Houston, Texas		 Ciro Tetta
Ciro Tetta
Renal Research Division of Medicine
Fresenius Medical Care
Bad Homburg - Germany
Thomas Golper
Professor of Medicine
Division of Nephrology & Hypertension
Vanderbilt University Medical Center
Nashville, TN USA
 Ortrud Vargas
Dept. of Anesthesiology and Intensive Care Medicine
Charite Medical School, Campus Mitte Humboldt
Berlin - Germany
Antonio Gullo
Istituto di Anestesia e Rianimazione
Policlinico Universitario Cattinara
Trieste, Italy 		Julia Wendon
Liver ITU
Kings College Hospital
London UK
Norbert Lameire
Department of Nephrology
University Hospital
Gent, Belgium

Jean Louis Vincent
Department of Intensive Care
Erasme University Hospital
Free University of Brusslels
Route de Lennik 808
Brussels - Belgium
Martine Leblanc
Nephrology Center
Maisonneuve-Rosemont Hospital
Montreal, PQ CANADA
 a

top
SCIENTIFIC PROGRAM
The scientific program has been designed to offer a comprehensive review of the most important issues related to the management and care of the critically ill patient suffering from acute renal failure and multiple organ dysfunction. The course is intended to be a valuable educational occasion for beginners and for the experts in the field matching personal experiences with presentations from leading experts, data from current literature with everyday clinical practice and finally new problems and requirements with the most advanced technological innovations. The industry of the field is in fact considered a partner in this project where a continuous osmosis between clinical requirements and technological advances is mandatory.
The scientific program includes a complete overview of the problems encountered in the daily clinical practice of specialists in the fields of intensive care, nephrology, surgery, cardiology, gastroenterology and pneumology, seen from a multidisciplinary point of view. The problem of acute renal failure in the critically ill patient and all therapeutic possibilities and interventions will be discussed by worldwide specialists of the field. At the same time, multiple organ dysfunction and sepsis will be debated as part of the complex clinical picture of the critically ill patient. New therapeutic options will be discussed and evidence for current practice will be presented. The program is sponsored by several scientific societies and it has been designed under the auspices of the Acute Dialysis Quality Initiative (ADQI). All the presentations will be collected in a formal publication which will allow the participants to better follow the presentations and to prepare possible questions and comments in advance. We wish a fruitful course to all participants and we hope to have covered systematically most of the material in the field of critical care nephrology.


JUNE 1
Opening Ceremony
18.30 Critical Care Nephrology: The journey has begun C. Ronco
19.00 International "Vicenza" Award for Critical Care Nephrology R. Bellomo
19.20 Concert
20.00 Welcome Reception  
 
JUNE 2
Session 1 (Room Palladio)
EPIDEMIOLOGY AND PATHOGENESIS OF ARF, SEPSIS AND MOF
Chair: P Piccini-R. Bellomo
8.15 Incidence and definition of ARF J. Kellum
8.35 Incidence and definition of SIRS, Sepsis and MOF D. Angus
8.55 Risk factors for ARF in the ICU P. Piccini
9.15 Pathophysiology of ARF J. Bonventre
9.35 Pathophysiology of Sepsis and MOF M. Pinsky
9.55 Panel Discussion  
10.15 Coffe Break and Exhibition visit  
 
Session 2 (Room Palladio)  

THE CRITICALLY ILL PATIENT: PREDICTORS OF OUTCOME
Chair: M. Dan-M. Pinsky

  
10.45 Mechanisms of ARF and Acute Lung Injury Interaction H. Rabb
11.05 Severity of illness, ARF and clinical scoring E. Paganini
11.25 Do we have reliable markers to predict outcome? M. Schetz
11.45 Cytokine Gene Polymorphism: a new predictor of outcome? B. Pereira
12.05 Mechanisms of immunodysregulation in sepsis J.M. Cavaillon
12.25 Is practice pattern affecting outcome? The B.E.S.T. Study R. Bellomo
12.45 Panel Discussion  
13.00 Lunch  
   
Session 3A (Room Palladio)  
FLUID, ELECROLYTE AND ACID BASE: A COURSE IN THE COURSE
 Chair: R. Bellomo-R. Narins		  
14.10 Principles of fluid resuscitation and hemodynamic monitoring M. Pinsky
14.30 Fluid resuscitation-acid base balance and the kidneys R. Bellomo
14.50 Glucose control in the critically ill M. Schetz
15.10 Sodium/Potassium Disorders and their management C. Ajus
15.30 Anion Gap and acid-base disorders R. Narins
15.50 Panel Discussion  
16.10 Coffe Break and Exibition visit  
   
Session 4A (Room Palladio)
 CONSERVATIVE MANAGEMENT OF ARF AND SEPSIS
Chair: G. Giron-N. Lameire
  
16.40 Rasburicase in acute hyperuricaemia C. Ronco
17.00 The safe trial R. Bellomo
17.20 Use of Diuretics in ARF M. Schetz
17.40 How to manage vasopressors in ARF and septic shock M. Dan
18.00 Activated Protein C W. Macias
18.20 Panel Discussion  
18.40 Adjourn  
   
Session 3B (Room Trissino)
NURSES SYMPOSIUM ON PRATICAL ASPECTS OF CRRT
Chair: J. Baldwin-F.Ghiotto
  
14.10 The role of ICU Nurse in Acute RRT J. Baldwin
14.30 The role of Nephrology Nurse in Acute RRT F.Ghiotto
14.50 Critical Care Nephrology: the Nurse Care The CCNN Group
15.10 The basics of extracorporeal circulation J. Baldwin
15.30 Membranes and filters for RRT W. Clark
15.50 Panel Discussion
16.10 Coffe Break and Exibition visit
   
Session 4B (Room Trissino)
NURSES SYMPOSIUM ON PRATICAL ASPECTS OF CRRT
Chair: J. Baldwin-F.Ghiotto 		 
16.40 How to deal with the evolving CRRT technology The CCNN Group
17.00 Management of catheters for Acute RRT V. D' Intini
17.20 Monitoring of anti-coagulation in CRRT O. Vargas
17.40 Nephrology and Cardiac Surgery: Nursing Interaction The CCNN Group
18.00 Trouble shooting strategies in CRRT J. Baldwin
18.20 Panel Discussion  
18.40 Adjourn  
   
JUNE 3
Session 5 (Room Palladio)
 RENAL REPLACEMENT THERAPY IN THE ICU: CONSENSUS AND RECOMENDATIONS FROM ADQI
Chair: N. Levin-B. Pereira		  
8.10 D.O.Q.I.-ADQI Relationship N. Levin
8.25 The Acute Dialysis Quality Initiative R. Metha
8.40 CRRT: selection of patiens and starting criteria P. Palevsky
9.00 Membranes, tecniques and operational characteristics W. Clark
9.20 Fluid Composition for CRRT L. Leblanc
9.40 Vascular Access and anticoagulation A. Davenport
10.00 Panel Discussion  
10.20 Coffe Break and Exibition visit  
   
Session 6 (Room Palladio)
WHICH TREATMENT FOR ARF IN ICU?
Chair: S. Marafon-M. Schetz
  
11.00 Peritoneal Dialysis in the ICU S. Ash
11.20 Intermittent Hemodialysis N. Lameire
11.40 Continuous Renal Replacement T. W. Clark
12.00 Extended Daily Hemodialysis T. Golper
12.20 Renal replacement therapy in children S. Goldstein
12.40 Panel Discussion
13.00 Lunch
Session 7A (Room Palladio)
TECHNICAL ASPECTS AND INFORMATION TECHNOLOGY IN CRRT
Chair: S. Goldstein -A. Gullo
14.00 Vascular Access for RRT in ICU B. Canaud
14.20 Anticoagulation in CRRT O. Vargas
14.40 Replacement fluids for CRRT A. Davenport
15.00 Hemodynamic control via continuous blood volume and venous oxygen saturation monitoring K. Sodemann
15.20 Panel Discussion
15.30 Coffe Break and Exibition visit
Session 8A (Room Palladio)
CRRT INFORMATION TECHNOLOGY
Chair: A. Santoro-R. Bellomo
16.00 Information Technology for CRRT F. Paolini
16.20 Fluid Management in CRRT R. Metha
16.40 Patient Scoring in the ICU R. Bellomo
17.00 Dose Delivery Versus Prescription C. Ronco
17.20 Panel Discussion
17.45 Special lecture Acute Renal Failure in Tropical Areas R. Barsoum
18.15 Adjourn
   
Session 7B (Room Trissino-Simultaneous translation)
PRESENTATION OF CRRT MACHINES 1
Chair: J. Baldwin -F. Ghiotto		  
14.00 The Acquarius Machine
14.45 The Diapac Machine
15.30 Coffe Break and Exibition visit  
   
Session 8B (Room Trissino)
PRESENTATION OF CRRT MACHINES 2
Chair: J. Baldwin -F. Ghiotto		  
16.00 The Equasmart Machine
16.45 The Multifiltrate Machine
17.30 The Prisma Machine
18.15 Adjourn
   
JUNE 4
Session 9(Room Palladio)
 MANAGEMENT OF ARF AND SEPSIS
Chair: G. Conti-S. Stefoni		  
8.00 How to approach sepsis today? J. L. Vincent
8.20 Rationale for EBT in sepsis C. Tetta
8.40 EBT in Sepsis:the evidsence J. Kellum
9.00 Which EBT for septic patients R. Bellomo
9.20 HD versus HF in sepsis: the French Trial C. Vinsonneau
9.40 Liver support in MOF and Sepsis J. Wendon
10.00 Panel Discussion
10.20 Coffee Break
   
Session 10 (Room Palladio)
 NEW HORIZONS IN CRRT
Chair: F. Locatelli-J. Kellum		  
10.45 High Volume Hemofiltration R. Bellomo
11.10 Coupled Plasmafiltration adsorption A. Brendolan
11.35 Plasmapheresis in sepsis G. Berlot
12.00 Liver support system R. Metha
12.30 Extra support for Myocardial Disfunction A. Santoro
12.50 Endotoxin removal by Toraymixin J. L. Vincent
13.10 Future Trends C. Ronco
13.30 Farewell Party

An important scientific exhibition featuring the most update technology in the field of Critical Care Nephrolgy will be open during the Course. For further information contact Dr. C. Ronco or Dr. A. Saccardo www.vicenzanephrocourses.com
top
3rd INTERNATIONAL COURSE ON CRITICAL CARE NEPHROLOGY -REGISTRATION FORM-

DEADLINE: May 15, 2004

Name ______________________________________________________

Surname ____________________________________________________

Address (home) _____________________________________________________

City ________________________________________________________

Country _____________________________________________________

Tel. ________________________________________________________

Fax ________________________________________________________

E-mail ______________________________________________________

Codice Fiscale ________________________________________________

(ONLY FOR ITALIANS)
To facilitate the organization, could you please tick one this following choices:

Session 3 A B
Session 4 A B
Session 7 A B
Session 8 A B
Invoice to: ________________________________________________

I herewith enclose a copy of Bank Transfer of 650 €.
Registration forms without copy of bank transfer will not be accepted.
The total amount for registration has been payed to:
NEW PROGRESS SERVICE s.r.l.
Banca Intesa BCI – AmbroVeneto
Filiale di Porta Padova, 51/53 - Vicenza
Account n. 10020/66
IBAN IT42 D030 6911 8320 0000 1002 066
SWIFF-BAVE IT MM 902 ABI 03069 CAB 11832 CIN D
BIC: BCI TIT 22 902

Send to: STUDIO dr. Anna Saccardo
Via Bertesina, 394 36100 – Vicenza (Italy)
Fax (+39) 0444 – 993949 or 303088

top

GENERAL INFORMATION
LANGUAGE: The official language is English. In the Session 3B, 4B, 7B and 8B simultaneous translation English-Italian-English will be provided

VENUE: The Course will be held at the Congress Center of ENTE FIERA, Via dell’Oreficeria, 36100 Vicenza (Italy), on June 1 trough 4, 2004

REGISTRATION: The deadline for registration is May 15, 2004. The registration fee is 650 € (€ 541,7 + 108,3 iva) and includes: congress kit, proceedings, attendance to scientific sessions, coffee breaks, meals during the course. Registration after May 15 and on-site registration will be subject to space availability and the registration fee will be 720 € (€ 600 +120 iva).

For information please contact:
dr. Anna Saccardo, STUDIO SACCARDO,
Secretariat of the 3rd International Course on Critical Care Nephrology
Via Bertesina, 394, 36100 – Vicenza – Italy , or e-mail to:info@vicenzanephrocourses.com
Tel/fax +39 444 993949

TRANSPORTATION: Vicenza is a small city without an airport. However, several daily connections are available from Milano, Venice, Verona and Rome. Venice and Verona airports are located 45 minutes from Vicenza. During the course, shuttle buses will be provided from Congress Center to selected hotels.

HOTEL ACCOMODATION: you may see a complete list of available hotels with telephon, fax, e-mail and notices to provide directly at the reservation. The selected hotels will be served by a bus transfer to and from the congress center.

CLIMATE: in June the weather in Vicenza is generally mild and sunny with occasional showers. The average temperature is 32°C max and 20°C min.

The course is incorporated in the Continuous Medical Education program and will be given CME credits by the Italian Ministry of Health and the European Comunity

top
List of the Hotel agreemed with the
EIGHTH INTERNATIONAL COURSE ON PERITONEAL DIALYSIS
Stars Hotel E-mail Notice
4 sup. Hotel De la Ville
Viale Verona - Vicenza
Tel. +39 444 549049
Fax +39 444 569183		 reservation@delaville.boscolo.com
 Served by bus transfer
4 Jolly Hotel Tiepolo
Viale San Lazzaro - Vicenza
Tel. +39 444 954011
Fax +39 444 966111		 vicenza_tiepolo@jollyhotels.it Served by bus transfer
Hotel Europa
S.S. Padana v/VR - Vicenza
Tel +39 444 564111
Fax +39 444 564382		 europa@sogliahotels.com Served by bus transfer
Hotel Alfa
Via dell’Oreficeria - Vicenza
Tel. +39 444 565455
Fax +39 444 566027		 info@alfafierahotel.it 150 mt. from the Congress Center
Transfer to Gala Dinner
Hotel Castelli
Alte di Montecchio Magg. (VI)
Tel. 0444 697366
Fax 0444 490489		 info@hotelcastelli.it Served by bus transfer
Quality Inn Viest
Strada Pelosa - Vicenza
Tel. +39 444 582677
Fax +39 444 582434		 booking@viest.it Served by bus transfer
3 Sup. Hotel Tre Torri
Altavilla Vicentina (VI)
Tel. 0444 572411
Fax 0444 572609		 info@hoteltretorri.it Served by bus transfer
3 Hotel Piramidi
Torri di Q.lo (VI)
Tel. +39 444 267466
Fax +39 444 267455		 info@hotelpiramidi.com Near a big commercial center and Warner Village Cinema
Served by bus transfer

top
The course is sponsored by:

The American Society of Nephrology

The European Society of Intensive Care Medicine

The European Renal Association

The International Society of Nephrology

The Italian Society of Anesthesiology and Intensive Care



The National Kidnay Foundation (NKF)


The International Society of Peritoneal Dialysis

The Italian Society of Nephrology