Toronto

November 8th, 2024

Key Information

  • Date: November 8th, 2024

  • Hosted by: Department of Anesthesiology & Pain Medicine, and the Interdepartmental Division of Critical Care Medicine of the University of Toronto

  • Duration: 8.5-hour course

  • Pre-course material: thirteen 20 minutes pre-recorded lectures on 3D anatomy, image acquisition, image optimization, and clinical applications.

The Department of Anesthesiology and Pain Medicine of the University of Toronto endorsed the 4th Annual Toronto 3D TEE Perioperative Course (2023). The new application is pending for 2024.

The 4th Annual Toronto 3D TEE Perioperative Echocardiography Course Accreditation Statements: 

“This activity is an Accredited Self-Assessment Program (Section 3) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by the Canadian Anesthesiologists' Society. You may claim a maximum of 5 hours (credits are automatically calculated).” 

“This activity is an Accredited Simulation Activity (Section 3) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by the Canadian Anesthesiologists' Society. You may claim a maximum of 9 hours (credits are automatically calculated).” 

International agreement statement: 

“Through an agreement between the Royal College of Physicians and Surgeons of Canada and the American Medical Association, physicians may convert Royal College MOC credits to AMA PRA Category 1 Credits™. Information on the process to convert Royal College MOC credit to AMA credit can be found at https://edhub.ama‐assn.org/pages/applications.” 

Agenda

7:30 Registration and Breakfast

7:50 Introduction to 3D TEE Course and Faculty – Jacobo Moreno

Introduction to 3D TEE (Moderator Elmari Neethling)

8:00 Echo Anatomy: 3D models & imaging correlation – Jacobo Moreno

8:30 Knobology: Know your system

2 Stations, with 5-6 participants per station, 25 minutes per station.

Image Optimization: Gain, Depth, Focus. Line Density, Frequency, HVR, Gating, Resolution/Frame Rate/Sector Size.

·       Station 1: Vivid Daniel Kim/ Jean Trines

·       Station 2:  EPIQ Wendy Tsang/Yannis Amador

·       Station 3: Vivid Jennifer Day/Fabio Papa

·       Station 4: EPIQ Ahmad Omran/Jacobo Moreno

09:15 Q&A (Moderator Elmari Neethling)

09:20 Refreshment break (10 min)

9:30 Image Acquisition and Optimization: Vivid and EPIQ platforms (Gain, Depth, Focus, Sector Size, 3D Live/Bird view vs 3D Zoom vs Full Volume/Large volume, Gating, HVR, Resolution/Frame Rate).

Phantoms/Models Hands-on (Moderator Elmari Neethling

4 stations, with 5-6 participants per station, 50 minutes per station.

·       Station 1: 3D TEE Acquisition AV (Vivid-Model) Daniel Kim/Jean Trines

·       Station 2: 3D TEE Acquisition TV (EPIQ-Model) Wendy Tsang/Yannis Amador

·       Station 3: 3D TEE Acquisition MV (Vivid-Phantom) Jennifer Day/Fabio Papa

·       Station 4: 3D TEE Acquisition LV/RV (EPIQ-Phantom) Ahmad Omran/Jacobo Moreno

12:50 Lunch Break (45 min)

13:35 Image postprocessing: Reset cropping, Auto crop, Box crop, Plane crop, iCrop, MPR, Dual View, True View, Glass View, Chroma Map, Vision, Compression, Smoothness, Flexi-light, Gamma, Shading, HD Live.

Moderator Pablo Perez 

4 stations, with 5-6 participants per station, 50 minutes per station.

·       Station 1: AV (Vivid) Daniel Kim/Jean Trines

·       Station 2: TV (EPIQ) Wendy Tsang/Yannis Amador

·       Station 3: MV (Vivid) Jennifer Day/Fabio Papa

·       Station 4: LV/RV (EPIQ) Ahmad Omran/Jacobo Moreno

16:50 Refreshment break (10 min)

17:00 3D Clinical Applications: Perform basic 3D measurements as areas and distances, semiquantitative calculation of 3D ejection fraction of the left (Qlab/Tom Tech) and right ventricle (EchoPAC), and 3D valve quantification (MV area or LVOT Area).

Moderator Pablo Perez

2 Stations, with 5-6 participants per station, 25 minutes per station.

1.     Station 1: EchoPAC – Daniel Kim/Jean Trines

2.     Station 2: QLAB – Wendy Tsang/Yannis Amador

3.     Station 3: EchoPAC station B – Jennifer Day/Fabio Papa

4.     Station 4: QLAB – Ahmad Omran/Jacobo Moreno

17:50 Summary & Concluding remarks – Jacobo Moreno

18:00 Adjournment – Jacobo Moreno


Faculty

  • Jacobo Moreno Garijo, MD MSc EDA FASE

    COURSE DIRECTOR

    Staff Cardiovascular Anesthesiologist, Department of Anesthesia, Sunnybrook Health Sciences Centre. Clinician-Investigator, Department of Anesthesia and Interdepartmental Division of Critical Care Medicine, University of Toronto. Dr. Moreno completed clinical fellowships in Critical Care Medicine (2008-2009), Cardiovascular Anesthesia (2013) and Thoracic Anesthesia (2014) at Toronto General Hospital. He is a Fellow of the American Society of Echocardiography (FASE), and is certified in Advance Perioperative Echocardiography (Advanced PTEeXAM) from the National Board of Echocardiography. He is an associate investigator at the Lynn & Arnold Irwin Advance Perioperative Imaging Lab (APIL) at Toronto General Hospital and is an active member of The Resuscitative TEE project and Perioperative Echocardiography Group at Sunnybrook Health Sciences Centre. He is the Director of the Toronto and Barcelona 3D Perioperative Echocardiography TEE courses and a long-standing member of the planning committee of the Toronto Perioperative Echo Symposium.

  • Elmari Neethling, MD FRCPC

    COURSE MODERATOR

    Staff Cardiovascular Anesthesiologist & Critical Care Physician, Department of Anesthesia & Pain Management, Toronto General Hospital, University Health Network. Assistant Professor, Dept of Anesthesiology & Pain Medicine, University of Toronto. Dr. Neethling graduated from Stellenbosch University and completed residency training at the University of Cape Town, South Africa. She subsequently completed both Cardiac Anesthesia and Critical Care Medicine Fellowships at the Toronto General Hospital in Canada and is certified in Advance Perioperative Echocardiography (Advanced PTEeXAM) from the National Board of Echocardiography. Her clinical and research interests in trans esophageal echocardiography, critical care medicine, perioperative outcome and point-of-care ultrasound (POCUS).

  • Pablo Perez D’Empaire, MD FRCPC FCCM FASE

    COURSE MODERATOR

    Staff Cardiovascular Anesthesiologist, Department of Anesthesia, Sunnybrook Health Sciences Centre. Lecturer, Dept of Anesthesiology & Pain Medicine, University of Toronto. Dr. Perex D'Empaire completed his undergraduate medical educaition at the University of Zulia, Venezuela. He completed his residency in anesthesiology and clinical fellowships in Critical Care Medicine and Cardiovascular Anesthesiology at the University of Toronto. He is a Fellow of the American College of Critical Care Medicine (FCCM) and the American Society of Echocardiography (FASE). He is certified in Advance Perioperative Echocardiography (Advanced PTEeXAM) and Critical Care Echocardiography (CCEeXAM) by the National Board of Echocardiography.

  • Wendy Tsang, MD FRCPC FASE

    SPEAKER

    Staff Cardiologist and Clinician Investigator, Toronto General Hospital, University Health Network. Associate Professor, Department of Medicine, University of Toronto. Dr. Tsang is the head of the Complex Valve clinic at Toronto General Hospital. She completed her medical degree at Queen’s University and went on to complete her Adult Cardiology fellowship at the University of Toronto. She then completed a CIHR-funded Multimodality Cardiac Imaging research fellowship at the University of Chicago. During that time, she also obtained a Master’s degree in Health Studies. She was a member of the writing groups for both the 2012 ASE/EACVI 3D Guidelines and the 2015 ASE/EACVI Chamber Quantification Guidelines. She also serves on the Editorial Board of the Journal of the American Society of Echocardiography and is a member of the Royal College of Physician and Surgeon’s Area of Focused Competency subcommittee in Adult Echocardiography. She currently holds a Heart and Stroke Foundation of Canada National New Investigator Award. Her research focuses on congenital and valvular heart disease, 3D echocardiography, and artificial intelligence.

  • Yannis Amador, MD FRCPC

    SPEAKER

    Staff Cardiovascular Anesthesiologist, Department of Anesthesiology & Perioperative Medicine, Kingston Health Sciences Centre Assistant Professor, Department of Anesthesiology, Queen's University. Dr. Amador completed residency training in anesthesiology and emergency medicine in Costa Rica. Subsequently he completed a research fellowship with Dr. Feroze Mahmood at Beth Israel Deaconess Medical Center, Harvard Medical School followed by a clinical fellowship in cardiovascular anesthesiology at Toronto General Hospital. He is certified in Advance Perioperative Echocardiography (Advanced PTEeXAM) from the National Board of Echocardiography. He is the organizer of the ulti-disciplinary echo rounds at the Kingston Health Sciences Centre and a member of the organizing committee for the POCUS workshop at the Canadian Anesthesia Society (CAS) meeting.

  • Ahmad Omran, MD FACC FESC FASE FECVI

    SPEAKER

    Staff Cardiologist, Toronto General Hospital, University Health Network. Dr. Omran completed his fellowship in echocardiography at Toronto General Hospital in 1996 and subsequently collaborated with Tirone David in developing intraopertive imaging techniques to support the development of novel techniquest for aortic and mitral valve repair. He is the author of landmark papers on TEE assessment of mitral valve anatomy and suitability for mitral valve repair and created the first map of TEE classification of the mitral valve segments and scallops which is still in use in many centers. Dr. Omran has published more than 35 papers in role of TEE in valves repair and contributed chapters in 5 textbooks of echocardiography including chapter of role of 3D TEE in cardiac operating room in the “Nanda’s Comprehensive Textbook of Echocardiography”. He is certified by National Board of Echocardiography and European Association of Cardiovascular Imaging (EACVI) and is an active member of American and European societies of echocardiography. He is currently working as staff cardiologist supporting the perioperative echocardiography program at Toronto General Hospital. He is a highly regarded teacher in echocardiography and runs the quality assurance program for intraoperative TEE at Toronto General Hospital.

  • Daniel Kim, MD FRCPC

    SPEAKER

    Since completing his residency in Anesthesiology at London Health Sciences Centre and completing a cardiac anesthesiology fellowship at St. Michael’s Hospital, Daniel Kim has been working as a cardiac anesthesiologist and cardiovascular ICU intensivist. He has been at Southlake Regional Hospital since it started its Cardiac Surgical Program in 2003. He has previously worked as the CVICU Director, was part of the Southlake’s MiniMitral program, and is currently part of the MitraClip team as an imager.  The imaging platform he  currently works with is the GE VividE95.

  • Jennifer Day, Cardiac Sonographer

    SPEAKER

    Cardiac Sonographer at University Health Network | UHN, Peter Munk Cardiac Centre, Toronto General Hospital

  • Fabio Papa, MD FASE

    SPEAKER

    Staff Anesthesiologist, St. Michael’s Hospital, Toronto. Assistant Professor, Department of Anesthesiology and Pain Medicine, University of Toronto. Dr. Papa graduate from University of São Paulo at Ribeirão Preto School of Medicine where he also finished his anesthesia residency. He completed his clinical fellowship in Cardiovascular Anesthesiology at the University of Toronto. Dr. Papa is Fellow of the American Society of Echocardiography (FASE), Associated Editor of the Brazilian Journal of Anesthesiology (BJAN) and completed a Master in Health Practitioner in Clinical Education at Dala Lana School of Public Health at the University of Toronto. He is certified in Advance Perioperative Echocardiography (Advanced PTEeXAM) and Critical Care Echocardiography (CCEeXAM) by the National Board of Echocardiography.


Location

Location: Sunnybrook Health Sciences Centre, McLaughlin Auditorium, Room EG18A.

Address: 2075 Bayview Avenue, Toronto, ON, M4N 3M5.

 

Updates

Previous Meetings

2023 4th Toronto 3D TEE Perioperative Course learning

“I learned some different techniques to make my 3D view very clear”

“I learned optimizing and achieving good quality 3D echo images and the possibilities of 3D echo application in the everyday practice in OR”

“I learned how to present the structures of the heart in 3D ECHO as per guidelines”

“Step by step How - to/avoiding pitfalls”

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