Pre-Congress Course

Dysphagia in Critical Care and Respiratory Disease

Thursday 27th September 2018

The pre-congress course will focus on the assessment and management of swallowing disorders in critical care and respiratory disease. The course aims to provide delegates with the knowledge necessary to deliver care in these settings according to current best practice. Topics and speakers are being updated all the time, so please check back regularly.

Programme

Delegates will attend plenary sessions delivered by leading experts in the field. Each session will include time for discussion and questions to enhance learning.

 

Topics will include:

 

  • Prevalence and nature of dysphagia

  • Multidisciplinary management of dysphagia

  • Current guidelines and future directions for                  patient care

  • Dysphagia management in chronic respiratory             disease

Martin Brodsky


Martin B. Brodsky, Ph.D., Sc.M., CCC-SLP, F-ASHA,

is an Associate Professor of Physical Medicine and Rehabilitation at Johns Hopkins University, School of Medicine. His peer-reviewed research publications and book chapters focus on swallowing and swallowing disorders.

 

Dr. Brodsky’s clinical research is funded by the National Institutes of Health, studying the effects of critical illness and critical care medicine on swallowing and the airway and their long-term outcomes. His clinical practice specializes in adult swallowing and communication disorders.

 

Dr. Brodsky is a Fellow of the American Speech-Language-Hearing Association and a member of the Editorial Board for Dysphagia. He is a frequent reviewer for scientific journals and grant applications. Professional memberships include Dysphagia Research Society and the American Psychological Association.

 
Confirmed Speakers Include:

Peter Spronk


Peter E. Spronk is Staff Physician and Head of the expertise centre for longterm outcomes in the critically ill of the ICU department at the University affiliated Gelre Hospitals in Apeldoorn, The Netherlands. He is also a Research Associate at the department of ICU at the Academic Medical Center in Amsterdam, The Netherlands. Dr. Spronk finished training in general internal medicine at the Free University of Amsterdam in 1999 and subsequent training in intensive care medicine (EDIC program) in 2001. He has actively participated in all of Dale Needham’s early mobility symposia at ATS since 2006, has been a member of the Board of European Conference of Weaning and Rehabilitation since 2015, and a member of the ATS and the Critical Care Assembly since 2007. 

Dr. Spronk’s research is focussed on the longterm outcome trajectories of ICU patients and potentially modifiable behavioural issues during ICU stay like pain, agitation, delirium, early mobility, sound, sleep, cognitive stimulation, and end-of-life care and has extensively published on these subjects. His hospital was one of the first to organize a formal follow-up ICU outclinic in The Netherlands. Currently, Dr. Spronk is working on several studies on dysphagia in the critically ill and is supervising PhD students on this subject in collaboration with the Radboud University in Nijmegen, The Netherlands.

Dr. Spronk has always worked together with several professional societies like ATS, SCCM, ANZICS, and ESICM to improve the

active participation of international members by sharing information and building bridges.     

 

Judith Merriweather


Judith Merriweather is a clinical academic dietitian in the Department of Critical Care at the Royal Infirmary of Edinburgh. Judith has worked as a critical care dietitian for the last 20 years and has undertaken a PhD which explored the factors that influence nutritional intake after ICU. She was awarded an NHS Research Scotland (NRS) fellowship to develop a patient-centred strategy to promote nutritional recovery after critical illness. Judith is part of the Edinburgh Critical Care Research Group and was involved in the RECOVER study, a randomized clinical trial that looked at the effect of providing increased hospital-based physical rehabilitation and information provision in ICU survivors. Her research interests include nutrition in and after ICU, muscle wasting and recovery in long term ICU patients.

 

Jackie McRae

 

Jackie McRae, Ph.D, MRCSLT, HCPC, is Consultant Speech and Language Therapist and Professional Lead for Speech and Language Therapy at St George’s University Hospitals NHS Foundation Trust, London. She has over 25 years’ experience working with adults with acquired dysphagia in teaching and specialist hospitals in and around London. Whilst working with complex spinal cord injury patients at the London Spinal Cord Injury Centre she developed effective weaning strategies as part of the multi-disciplinary tracheostomy team using flexible nasendoscopy to evaluate laryngeal function and optimise patients’ speech and swallowing functions. After successfully completing an MClinRes, Jackie was awarded an NIHR clinical doctoral research fellowship, investigating the early identification and management of dysphagia in acute cervical spinal cord injury, known as the DAISY project (www.daisyproject.info). This year she won the national NIHR Research Champion Award for AHPs in recognition of her engagement with patients and other clinicians in developing research.

 

She is a professional advisor to the Royal College of Speech and Language Therapists and chair of the strategic group for SLTs working in critical care aiming to raise standards of practice. As an AHP committee member of the Intensive Care Society she aims to increase awareness of the role of SLTs in critical care and improve collaborative working. She uses social media to link up with groups and individuals to share and promote best practice.

Twitter: @daisy_project; @CriticalCareSLT

 
 

Alexandre Demoule

 

Alexandre Demoule is professor of intensive care medicine at the Sorbonne University Medical Centre in Paris. He is the medical director of the medical intensive care unit, the step down unit and the weaning centre within the Department of Pneumology and Intensive Care Medicine, La Pitié-Salpêtrière University Hospital in Paris. He is the chair of the European Research Network on Mechanical Ventilation (REVA).

His main research field is patient-ventilator interactions. It involves specific research topics such as brain-ventilator interactions, the impact of mechanical ventilation on respiratory sensations and comfort and respiratory muscles dysfunction in mechanically ventilated patients. He also conducts clinical studies on non-invasive mechanical ventilation in acute respiratory failure, on new modes of mechanical ventilation and on acute respiratory failure in immunocompromised patients. 

 

Ulrike Franke

 

Ulrike Franke, Ph.D. is a Speech and Language Therapist and Associate Researcher at the University of Potsdam, Germany. Her clinical practice focuses on adults and children with dysphagia, speech disorders and respiratory disease in early neurorehabilitation inpatient and outpatient settings in Germany and Switzerland.

 

In her Ph.D. research she developed an interdisciplinary tracheostomy weaning and decannulation concept. Since 2009, she is the founder and leader of the Swallowing Research Lab at the University of Potsdam; a research and education facility that supports and encourages students to develop their clinical and research skills on a strong multidisciplinary basis.

 

Dr. Franke’s research interests include: development of respiratory intervention concepts for dysphagia and tracheostomy management, implementation of biofeedback methods and principles of motor learning into dysphagia and speech and language therapy, and invention of educational and training materials for patients and multidisciplinary clinical teams.

 

Dr. Franke is co-chair of the ethics committee and editor of the scientific journal of the German Association of Academic Speech Language Therapists (dbs), reviewer of scientific journals and grant applications and has published and presented her work in many journals, books and scientific and clinical meetings.

 

Bonnie Martin-Harris

 

Dr. Martin-Harris is the Alice Gabrielle Twight Professor in the Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, and Associate Dean for Academic Affairs in the School of Communication at Northwestern University. Dr. Martin-Harris’ research interests include voice and swallowing impairment and treatment approaches for patients with head and neck cancer, neurologic and pulmonary diseases. Her program of research focuses on the cross-system interactions between respiratory and upper aerodigestive functions and standardization of swallowing metrics to guide treatment and optimize functional outcomes.

 

She is the Past Chair of the Specialty Board for Board Certification in Swallowing and Swallowing Disorders, and Past-President of the Dysphagia Research Society. She is Associate Editor for the Dysphagia Journal, past Associate Editor for the Journal of Speech-Language-Hearing Research, Editorial Board member for the American Journal of Speech-Language Pathology and the Canadian Journal of Speech-Language Pathology and Audiology, Editorial Board member for the Bulgarian Journal of Communication Disorders, and reviewer for multiple peer-reviewed journals. She is a Fellow of the American Speech Language and Hearing Association (ASHA), recipient of the 2016 Admiral Albert J. Baciocco Innovation Award – Medical University of South Carolina (MUSC), Honorary Member of the MUSC Chapter of The National Academy of Inventors, recipient of Honors from the South Carolina Speech-Language-Hearing Association (SCHA), 2010 MUSC College of Health Professions Scholar of the Year Award and associate member of the Academy of Otolaryngology-Head and Neck Surgery, the American Head and Neck Society and the Society for Abdominal Radiology.

 

She is the author and developer of the first standardized method for videofluoroscopic assessment of swallowing impairment (Modified Barium Swallowing Impairment Profile, MBSImP), translated to clinical practices in the US, Canada and 13 additional countries. Her work is funded by the National Institutes on Deafness and Other Communication Disorders (NIDCD), the Veteran’s Administration, and the Mark and Evelyn Trammell Foundation.

Rachael Moses

 

Rachael graduated from the University of Hertfordshire and after spending some time working for the British Army and London Hospitals settled at the Newcastle Upon Tyne NHS Foundation Trust in 2001. Rachael specialised in respiratory physiotherapy initially within cardiothoracic transplantation before moving into rotational ICU Band 7 posts.
 
More recently Rachael was Respiratory Lead at St Georges Hospital, London managing a diverse team and specialities to now working in a new Consultant Physiotherapy post at Royal Preston Hospital. Rachael’s area of expertise include complex ventilation and weaning and advanced airway clearance techniques for which she lectures and presents both in the UK and internationally and at pre and post graduate level. 
 
Rachael currently sits on BTS Council and the Critical Care Specialist Advisory Group representing AHPs, is an expert member of NHSE Patient Safety Group, AHP representative on the NIV NCEPOD study, Co-chair HMV-UK and Chair Respiratory Leaders in Physiotherapy UK. 

 

Des Cox

 

Dr Des Cox is a consultant in paediatric respiratory medicine and the head of the respiratory department at Our Lady’s Children’s Hospital, Crumlin (OLCHC). He is an associate clinical professor with the UCD School of Medicine and the chair of the RCPI policy group on tobacco.

 

Dr Cox has a number of current research interests including the role of viruses in wheezing disorders and CF in young children. His research to date has focused on examining the impact of rhinovirus (RV) on children with preschool wheezing. He is a co-investigator on the SHIELD CF programme (Study of Host Immunity and Early Lung Disease in Cystic Fibrosis) which is a comprehensive, longitudinal study examining the factors which influence early lung disease in cystic fibrosis.

 
 

Annemie Schols

 

Annemie Schols is professor of nutrition and metabolism in chronic diseases at Maastricht  University since 2004. She is furthermore Scientific Director of NUTRIM School for Nutrition and Translational Research in Metabolism (www.maastrichtuniversity.nl/nutrim) at Maastricht University Medical Centre since 2006. NUTRIM was awarded in 2011 as Centre of Excellence  on “Metabolism and Chronic Disease” by the Netherlands Organisation for Scientific Research. In 1998 she initiated MINT Institute for Post Graduate Education (www.mintonline.org) to accelerate translation of new scientific insights in nutrition and metabolism to tailored education for medical specialists and paramedics.

 

Maggie-Lee Huckabee

Prof Maggie-Lee Huckabee practiced as a clinical speech language pathologist for 15 years before the frustration of never knowing ‘the answers’ led her to an academic career. She is now Founder and Director of the University of Canterbury Rose Centre for Stroke Recovery and Research and Professor in the Department of Communication Disorders in Christchurch, New Zealand. Her research interests are focused on the complexities of behaviorally-driven neural adaptation and biomechanical change leading to swallowing recovery following neurological injury. Maggie-Lee has co-authored three books, one of which is going into its 3rd edition, 15 book chapters and has published 83 peer reviewed scientific papers.  She was recently awarded one of the top research medals from the University of Canterbury – The Innovation Medal.  She is well known as a clinical teacher and is an invited speaker by health systems worldwide to provide clinical training, particularly in rehabilitation practices.

 

Michelle S. Troche

Dr. Michelle S. Troche is currently an Associate Professor in the Communication Sciences and Disorders Program, Department of Biobehavioral Sciences at Teachers College, Columbia University.  Additionally, she holds adjunct positions in the departments of Neurology and Otolaryngology.  She is director of the Laboratory for the Study of Upper Airway Dysfunction.  Her research is aimed at improving health outcomes and quality of life associated with disorders of airway protection (i.e., swallowing and cough).  Basic science research goals focus on developing a better understanding of the mechanisms underlying airway protection and its disorders.  Clinical research goals are the development of novel and robust evaluation and treatment techniques for dystussia (deficits of cough function) and dysphagia.  Her research has been funded by the National Institutes of Health, Michael J Fox Foundation, and CurePSP Foundation.  Her clinical work has mainly been in Movement Disorders where she has evaluated and treated the motor speech and airway protective function of hundreds of patients.    

 
Preliminary Programme, Thursday 27th September
Please note that the schedule is subject to change
8:30 - 10:30 Critical Care: Dysphagia Epidemiology and Assessment Considerations

8:30 - 8:45

Welcome

Prof Pere Clave

8:45 - 9:00

Dysphagia in the Critical Care Patient: Aetiology and Risk Factors

Dr Peter Spronk

9:00 - 9:15

Clinical Swallowing Evaluation in Critically Ill Patients in ICU

Dr Martin Brodsky

9:15 - 9:45

FEES in the ICU: Challenges and Opportunities

Dr Tobias Warnecke

9:45 - 10:15

Management of Aspiration Pneumonia in ICU

Prof Alexandre Demoule

10:15 - 10:30

Panel Discussion/Q&A

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10.30-11.00 Coffee Break

11:00 - 13:00 Dysphagia Rehabilitation in Critical Care

11:00 - 11:30

Multidisciplinary management of the critically ill ICU patient

J McRae and R Moses

 

11:30 - 11:45

Nutritional Considerations in the Acute Phase of Critical Illness

Dr Judith Merriweather

11:45 - 12:15

Management of Post Extubation Dysphagia

Dr Ulrike Franke

12:15 - 12:30

Dysphagia in Critically Ill Patient: Current Awareness and Practice

Dr Peter Spronk

12:30 - 12:45

Future Directions in Management of Dysphagia in the Critically Ill Patient

Dr Martin Brodsky

12:45 - 13:00

Discussion/Q&A

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13:00 - 14:00 Lunch & Symposium

14:00 - 15:30 Dysphagia in Chronic Respiratory Disease

14:00 - 14:15

Dysphagia in Chronic Respiratory Disease: Nature and Risk Factors

Dr Eric Verin

14:15 - 14:35

Challenges in the Assessment of Patients with Dysphagia Associated with Respiratory Disease

Dr Bonnie Martin-Harris

14:35 - 14:55

Cough Reflex Testing: State of the Art and Clinical Applications

Dr Maggie-Lee Huckabee

14:55 - 15:15

Management of Children with Chronic Wet Cough: Current Guidelines

Dr Des Cox 

15:15 - 15:30

Discussion/Q&A

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15:30 - 16:00 Coffee Break

16:00 - 17:00 Interventions for Dysphagia in Chronic Respiratory Disease

16:00 - 16:20

Physiologic Advantages and Training Methods for Respiratory-Swallow Coordination in Patients with Head and Neck Cancer and Pulmonary Disease

Dr Bonnie Martin-Harris

16:20 - 16:35

Nutritional assessment and therapy in COPD

Prof Annemie Schols 

16:35 - 16:50

Respiratory Strength Training: What is the Evidence?

Dr Michelle Troche

16:50 - 17:00

Discussion/Q&A

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17:00 - 18:00 ESSD General Assembly for members
18:00 - 19:00 Welcome Reception

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