Alberto Medina Villanueva (Spain)

PICU full consultant at the University Central Hospital of Asturias (Oviedo), Spain. Editor of 14 books in Spanish and English, 10 of which are related to mechanical ventilation in paediatric and neonatal populations. Author of more than a 200 articles and book chapters. Author of more than a hundred and fifty presentations at International conferences. Teacher and coordinator of more than a hundred and fifty courses of CPR, paediatric trauma, paediatric transport, Medical simulation, mechanical ventilation (invasive and non-invasive). Some of these courses have taken place in places like Kuwait, Israel, Australia, Portugal, Switzerland, Turkey, Paraguay, UK. Current ESPNIC Chairman of Professional Development.

Author Of 17 Presentations

09:32 AM - 09:34 AM

CHAIRPERSON INTRODUCTION

Lecture Time
09:32 AM - 09:34 AM
04:10 PM - 04:15 PM

Take away messages

Lecture Time
04:10 PM - 04:15 PM
01:45 PM - 02:05 PM

HOW TO DESIGN AN ONLINE LEARNING PROGRAMME

Lecture Time
01:45 PM - 02:05 PM
12:30 PM - 01:30 PM

NEONATAL CASE I: NEWBORN RESPIRATORY DISTRESS SYNDROME IN A HOSPITAL WITHOUT NICU: INITIAL MANAGEMENT WITH NIV TO MIST OR NOT TO MIST? CAN WE SAFELY TRANSFER THE PATIENT?

09:30 AM - 09:32 AM

CHAIRPERSON INTRODUCTION

Lecture Time
09:30 AM - 09:32 AM
11:45 AM - 11:45 AM

VENTILATION SCENARIO (VIRTUAL ROOM 3) - 11:45-12:45

07:29 PM - 07:49 PM

MANAGING TEACHING ONLINE

Lecture Time
07:29 PM - 07:49 PM
01:45 PM - 02:45 PM

NRDS WITH BLPAP REQUIREMENT: SETTING UP OF NIV IN NICU WHICH MODE TO CHOOSE? ARE THEY THE SAME? SYNCHRONY IN THE NEWBORN. DOES IT MATTER?

03:15 PM - 03:20 PM

Introduction

Lecture Time
03:15 PM - 03:20 PM
10:27 AM - 10:35 AM

HIGH FLOW NASAL CANNULA IN BRONCHIOLITIS: SYSTEMATIC REVIEW AND NETWORK META-ANALYSES:

Lecture Time
10:27 AM - 10:35 AM

Abstract

Background and Aims

BACKGROUND AND AIMS:

The medical treatment in bronchiolitis is based in respiratory support. There has been an increase in the use of high flow nasal cannula (HFNC), despite the lack of evidence on its advantages over conventional oxygen therapy and non-invasive ventilation (NIV). The objective is to perform a systematic review on the efficacy of HFNC in bronchiolitis.

Methods

METHODS:

A search was carried out of clinical trials in which HFNC was compared with conventional oxygen therapy (LFOT) and/or NIV in bronchiolitis. Paired meta-analyses and network meta-analyses were performed, with subgroup analyses according to study setting. The main outcome was invasive mechanical ventilation (IMV).

Results

RESULTS:

In the paired meta-analyses, there were no differences in the risk of IMV between HFNC and LFOT (Odds Ratio [OR] 1.79, 95% confidence interval [CI] 0.59 to 5.41) nor between HFNC and NIV (OR 1.77, 95% CI 0.67 to 4.69). HFNC was more effective than LFOT in reducing treatment failure and oxygen days. In the network meta-analyses, NIV was the most effective intervention to avoid IMV (SUCRA 86.55%), as well as to avoid treatment failure (SUCRA 95.31%) and to reduce days under oxygen therapy (SUCRA 81.84%); HFNC only was superior to LFOT for treatment failure outcome.

Conclusions

CONCLUSIONS:

HFNC appears to be more effective than LFOT in reducing treatment failure and days under oxygen therapy, but not in preventing IMV or admission to pediatric intensive care unit (PICU). NIV is the most effective treatment to prevent IMV and reduce days under oxygen therapy.

Hide
09:20 AM - 09:56 AM

HOW TO VENTILATE THE PATIENT WITH OBSTRUCTIVE LUNG MECHANICS

Lecture Time
09:20 AM - 09:56 AM
03:20 PM - 03:35 PM

VILI theories. New concepts of Rheology (stress, strain, strain rate, resilience)

Lecture Time
03:20 PM - 03:35 PM
09:15 AM - 10:15 AM

PAEDIATRIC CASE I: ACUTE ASTHMA: HFNC VS NIV IN STATUS ASTHMATICUS HOW CAN WE SET IT UP? NEBULISATION TECHNIQUES

01:15 PM - 01:15 PM

CHAIRPERSON INTRODUCTION

Lecture Time
01:15 PM - 01:15 PM
03:50 PM - 04:10 PM

Interactive cases with questions and answers

Lecture Time
03:50 PM - 04:10 PM
10:30 AM - 11:30 AM

PAEDIATRIC CASE II: BRONCHIOLITIS: NIV IN THE ˂3 MONTHS' INFANT IDENTIFY ASYNCHRONY BASIC TROUBLESHOOTING FOR BETTER SYNCHRONY

Presenter of 16 Presentations

09:15 AM - 10:15 AM

PAEDIATRIC CASE I: ACUTE ASTHMA: HFNC VS NIV IN STATUS ASTHMATICUS HOW CAN WE SET IT UP? NEBULISATION TECHNIQUES

01:15 PM - 01:15 PM

CHAIRPERSON INTRODUCTION

Lecture Time
01:15 PM - 01:15 PM
03:50 PM - 04:10 PM

Interactive cases with questions and answers

Lecture Time
03:50 PM - 04:10 PM
10:30 AM - 11:30 AM

PAEDIATRIC CASE II: BRONCHIOLITIS: NIV IN THE ˂3 MONTHS' INFANT IDENTIFY ASYNCHRONY BASIC TROUBLESHOOTING FOR BETTER SYNCHRONY

09:32 AM - 09:34 AM

CHAIRPERSON INTRODUCTION

Lecture Time
09:32 AM - 09:34 AM
04:10 PM - 04:15 PM

Take away messages

Lecture Time
04:10 PM - 04:15 PM
12:30 PM - 01:30 PM

NEONATAL CASE I: NEWBORN RESPIRATORY DISTRESS SYNDROME IN A HOSPITAL WITHOUT NICU: INITIAL MANAGEMENT WITH NIV TO MIST OR NOT TO MIST? CAN WE SAFELY TRANSFER THE PATIENT?

09:30 AM - 09:32 AM

CHAIRPERSON INTRODUCTION

Lecture Time
09:30 AM - 09:32 AM
11:45 AM - 11:45 AM

VENTILATION SCENARIO (VIRTUAL ROOM 3) - 11:45-12:45

01:45 PM - 02:05 PM

HOW TO DESIGN AN ONLINE LEARNING PROGRAMME

Lecture Time
01:45 PM - 02:05 PM
01:45 PM - 02:45 PM

NRDS WITH BLPAP REQUIREMENT: SETTING UP OF NIV IN NICU WHICH MODE TO CHOOSE? ARE THEY THE SAME? SYNCHRONY IN THE NEWBORN. DOES IT MATTER?

03:15 PM - 03:20 PM

Introduction

Lecture Time
03:15 PM - 03:20 PM
07:29 PM - 07:49 PM

MANAGING TEACHING ONLINE

Lecture Time
07:29 PM - 07:49 PM
09:20 AM - 09:56 AM

HOW TO VENTILATE THE PATIENT WITH OBSTRUCTIVE LUNG MECHANICS

Lecture Time
09:20 AM - 09:56 AM
03:20 PM - 03:35 PM

VILI theories. New concepts of Rheology (stress, strain, strain rate, resilience)

Lecture Time
03:20 PM - 03:35 PM