Workshops and Courses for ICM & Aneasthesia
Why should you use our services? What is your advantage?
Our nationally and internationally experienced team guarantees you a maximum of clinical competence, professional skills and teaching ability.
Advising, teaching and developing
We give new stimuli to your team. We demonstrate how the most current guidelines can be smoothly integrated into daily clinical routines. We advise, teach and develop staff enthusiastically and interactively and thereby increase their joy and motivation in learning and participating.
Our combined skills and competences in ICU practice, perioperative medicine, accident and emergency, prehospital medicine and acute admission units in both university and district hospitals are your opportunity to benefit from modern dual learning embedded into daily hospital routines.
From external problem analysis through teaching, tutoring and mentoring, to the development of economic and sustainable patient management on the ICU and in theatre, we are your strong and reliable partner.
Maria Contreras Padilla
Intensive Care Consultant
Clinical Governance & Professional
Development
Our success confirms us - we have been in business for many years!
We provide future-proof solutions. To facilitate your day-to-day delivery of ICU services is our job.
Do you need a professional partner for staff training?
Do you want to restructure old-fashioned work streams?
Do you want to establish new diagnostic or therapeutic interventions and techniques?
Do you want to extend your intensive care unit?
Do you want to extend the range of your perioperative and intensive care services?
Do you need a discreet and competent partner to improve the economic performance of your ICU?
Dr. Rami Khalil
Senior Specialist Anaesthesia
Intensive care medicine courses
Table of Contents
Principles of our method – Professional Development DAD Consulting Berlin
DAD tutorials support the implementation of change and provide new stimuli for quality management in theatre and on the ICU. Quality management is the basis for both improved patient care and increased transparency in your hospital.
Introductory course
Intensive care medicine for beginners
Course details:
General workflow on the ICU
- Daily “problems and plans” / documentation
- Daily assessment of ICU patients
- Ward rounds
- Indications of HDU/ICU admission
- Scoring systems on the ICU
- Patient discharge from the ICU/HDU
- Certification of death
Basic practical skills on the ICU
- Infection control
- Monitoring
- Vascular access techniques
- Central venous access techniques
- Arterial access
- Access for haemofiltration / haemodialysis
- Intubation
- Invasive and non-invasive ventilation
- Bronchoscopy
- Tracheostomy
- Sedation and analgesia
- Ultrasound on the ICU
- Lung ultrasound
- Bedside echocardiography
- US guided access to
- central and peripheral veins
- arteries
- chest/abdomen
- (US guides peripheral and regional blocks on the ICU)
ICU diagnostics
- Biochemistry
- Haematology and transfusion medicine
- Microbiology
Soft skills
- Breaking bad news
- The “complex patient / family”
- Ethics and law on the ICU
- Burnout prophylaxis
Common problems on the ICU: Recognition and management
- Shock
- Septic
- Cardiogenic
- Hypovolemic
- Complex
- Sepsis
- Hypoxia
- Cardiac emergencies
- Myocardial infarction and acute coronary syndrome
- Cardiac resuscitation and post-resuscitation management
- ALS (Acute Life Support guidelines)
- Arrhythmias
- Acute cardiac failure
- Renal failure / Oliguria
- Haemofiltration / Haemodialysis
- Liver failure
- Neurological emergencies and neurological deterioration
- Management on increased ICP
- Delirium on the ICU
- Seizures and Status Epilepticus
- DKA and other endocrine emergencies
- Major haemorrhage and DIC
- Polytrauma
- ATLS (Acute Trauma Life Support) approach
- Peripartum haemorrhage
- The pregnant patient on the ICU
- The burns patient
Workshops
- CPR (Cardiopulmonary resuscitation)
- Acute cardiopulmonary resuscitation
- Post resuscitation management
- Indications and contraindications for cardiopulmonary resuscitation
- Ultrasound on the ICU
- Arterial and venous access
- Lung ultrasound
- Bedside echocardiography
- Airway management and ventilation
- Invasive ventilation
- Non-invasive ventilation
- High flow oxygen
- Communication on ICU
- Breaking bad news
- The “difficult patient / relative”
How do we really do it? The DAD course for advanced practitioners
Intensive care medicine course for intermediate and advanced practitioners: current standards of care from the German clinical societies
Analgesia / sedation and management of delirium on the ICU
- S3 Guidelines of the German Society for Anaesthetics and ICU (DSGAI)
Management of increased intracranial pressure
- S1 Guidelines of the German Society for Neurology (DGN)
Management of cerebral trauma
- S2e Guidelines of the German Society for Neurosurgery (DGNC)
Antibiotic stewardship
- Infection control on the ICU
- Antibiotic selection
- Infection prophylaxis and surveillance
Invasive and non-invasive ventilation
- “the difficult airway”!
- Patient controlled ventilation
- Weaning strategies
- Pneumonia prophylaxis
Rehabilitation and homeostasis
- Physiotherapy and early mobilisation
- Chest physiotherapy
- Musculoskeletal physiotherapy
- Cardiovascular physiotherapy
- Management/prophylaxis of ICU polyneuropathy/myopathy
- Nutrition on ICU
- Early enteral nutrition
- Indications for parenteral nutrition
- Speech and language therapy on ICU
- Swallow assessment
- Speech and language diagnostic/rehabilitation
Invasive and non-invasive ventilation and weaning on the ICU
Invasive ventilation is a central part of organ support on the ICU. Technical and scientific advances as well as different providers of hardware have produced a sometimes confusing plethora of jargon and detail. This makes the application of evidence-based ventilation strategies at the bedside more difficult.
We provide course participants with a clear, practical and structured approach to lung protective ventilation, choice of appropriate mode of ventilation and a rational approach to the patient-specific setting of inspiratory and expiratory pressures and inspiration and expiration times.
We also discuss special interventions such as recruitment manoeuvres and less common modes of ventilation e.g. Airway Pressure Release Ventilation (APRV)
We present invasive ventilation in four modules:
Basics of invasive ventilation
- Monitoring of ventilation
- Pressure/volume curves
- Capnography
- Blood gas analysis
Therapeutic approach to acute and acute on chronic respiratory failure
- Non-invasive ventilation
- High flow nasal oxygen (Optiflow)
- CPAP (Continuous Positive Airway Pressure)
- NIPPV (Non-Invasive Positive Airway Ventilation)
- Indications
- Limitations
- Contraindications
- Invasive Ventilation
- PS/CPAP (Pressure Support/Continuous Positive Airway Pressure)
- Indications/limitations
- BiPAP (Bilevel Positive Airway Pressure)
- Patient specific modulation of ventilation profiles
- APRV (Airway Pressure Release Ventilation)
- Indications / contraindications
- Lung protective ventilation
- PEEP (Positive End-Expiratory Pressure) setting
- Minimal driving pressures
- Recruitment manoeuvres
- Oesophageal pressure monitoring
Weaning, analgosedation and management of delirium
Tracheotomy
- Surgical tracheotomy
- Evidence/indications/timing
- Percutaneous tracheotomy
- Evidence/timing
Weaning from mechanical ventilation
- Problems and strategies
- Standardised vs individualised weaning strategies
- Sedation and management of delirium during weaning
Airway management during weaning
Management of COVID-19 patients
The COVID-19 pandemic has posed significant challenges for intensive care doctors and nurses. The specific management of COVID-19 pneumonia and pneumonitis has been of particular importance for intensive care units worldwide. The extensive experience of our Intensive Care Consultants has enabled us to support and train intensive care colleagues in the treatment of COVID-19 patients. All our decisions regarding the management of individual patients are made in line with the most recent guidelines of the Robert Koch Institute and those of the German and international intensive care societies
Indications for hospital admission of COVID-19 patients
Incremental oxygen therapy in COVID-19 patients
- Optiflow
- Proning of awake patients
- NIV
- Mechanical ventilation
- Criteria for escalating from NIV to IPPV
- Proning of ventilated patients
- ECMO
- Indication for ECMO according to ASLO criteria
- Failure of mechanical ventilation
- Persistent hypoxia
- Persistent hypercarbia / acidosis
- Cardiac failure
- Broncho-pleural fistula
- Reversible cardiogenic shock
- Drug therapy in COVID-19 patients
Invasive organ support on the ICU
Invasive organ support has become one of the most important aspects of intensive care medicine. Especially different forms of extracorporeal respiratory and cardiac support techniques have been developed. These can be confusing even for experienced ICU practitioners.
We provide a pragmatic and comprehensive overview across the different available techniques:
- Vv ECMO
- Va ECMO
- Vav ECMO
- ILA (Interventional Lung Assist)
- ECCO2R (Extracorporeal CO2 elimination)
- IMPELLA/IABP (Intraaortic balloon pump)
Ultrasound on the ICU
While some decades ago in the Lung section of “Harrisons Textbook of Internal Medicine” the statement “the lung is not accessible to ultrasound” could be found, the works of Daniel Lichtenstein have radically altered reality.
Together with bedside echocardiography, his work has become a standard technique for real time monitoring of ICU patient’s cardiorespiratory function.
Lung US has bypassed the chest x-ray by a wide margin in the diagnosis of pneumothoraxes and allows reliable bedside diagnosis of acute pneumothorax within seconds.
Ultrasound-guided access to arteries and central veins has made insertion of central venous and arterial catheters more reliable and is now recommended by all major intensive care societies.
Ultrasound-guided nerve and nerve plexus blocks can be safely and efficiently utilised on the ICU to reduce systemic analgesia requirements and significantly improve patients’ comfort.
In our course we provide, revisit and expand the participants’ ability to use ultrasound efficiently and routinely in their day-to-day ICU practice
Ultrasound-guided access to veins and arteries
- In-plane and out-of-plane approach
- Internal jugular/femoral/peripheral vein/subclavian vein
- Radial and femoral artery
Lung ultrasound
- A-line and B-line pattern/confluent B-lines
- Real time response monitoring to therapeutic intervention
- Lung sliding and pneumothorax
- “Sea/shore pattern”
- Pitfalls in the ultrasound diagnosis of pneumothorax
- Pleural effusions and chest drain placement
Bedside echocardiography
- Left ventricular function
- Global dysfunction
- Systolic vs diastolic failure
- Regional wall motion abnormalities
- Acute right ventricular strain pattern
- Pericardial effusions
- Significant acute heart valve pathology
Part of our support is our offer of a 24-hour online telemedicine service and a 24-hour hotline to discuss clinical and technical challenges.
Patient and family communication on the ICU - general ethical considerations in German and UK law
Every patient on the ICU is critically ill and has a significant risk of dying. While many patients benefit from the ICU, many others will come to a point when active organ support is no longer in their best interest, and adjustment of the therapy goal to palliative care rather than cure becomes necessary. These decisions have to be appropriately discussed with the patient whenever possible, more often with the patient’s family and always with the rest of the ICU team.
Poor, unclear, delayed or evasive communication causes distress and is largely responsible for complaints from relatives.
Communicating “bad news” is another area in which many ICU doctors feel uncomfortable.
Together we can progress! We help you develop up-to-date intensive care technology in your hospital.
Contact us
Are you interested? Just give us a call! We would also be very pleased to discuss very unique and specific problems from the realm of ICU and perioperative medicine.
