Postgraduate Course PG11 Acute interstitial lung diseases

167 Pages·2017·33.09 MB·English

by  Alexandre Delage

ERS Annual Congress Milan

09–13 September 2017

Postgraduate Course
PG11 Acute interstitial lung diseases

Saturday, 9 September 2017
09:30-13:00
Amber 3 + 4 (South) MICO
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Postgraduate Course : PG11
Acute interstitial lung diseases

Aims : To describe the pathobiological basis, imaging features, diagnostic work-up, and ventilatory and
non-ventilatory therapeutic strategies for acute ILDs.
Tracks: Acute and chronic respiratory failure/sleep
Tags: Clinical
Target audience: Clinician - Emergency medicine doctor - Intensivist/critical care physician -
Pathologist - Pulmonologist - Radiologist - Respiratory physician - Scientist

Chairs : António Manuel Martins Morais (Maia, Portugal), Raffaele Scala (Arezzo, Italy)

09:30 Acute lung injury and ILDs: biological and pathological bases
Alessandra Dubini (Forlì, Italy)
10:00 Imaging features of ILDs that present with rapidly progressive respiratory failure
Gilbert R Ferretti (Grenoble, France)
10:30 Group assignment
11:00 Break
11:30 Diagnostic work-up in patients with acute ILDs
Sissel Kronborg-White (Lystrup, Denmark)
12:00 Mechanical ventilation and beyond
Philipp Lepper (Homburg/Saar, Germany)
12:30 Group assignment
THE ERS HANDBOOK OF
respiratory medicine
EDITED BY PAOLO PALANGE AND ANITA K. SIMONDS ISBN 978-1-84984-040-8
ERS Handbook of Respiratory Medicine
Th e is a concise, compact and easy-to-read guide to each of the
key areas in respiratory medicine. Its 18 chapters, written by clinicians and researchers at the forefront of
the fi eld, explain the structure and function of the respiratory system, its disorders and how to treat them.
Handbook
Th e is a must-have for anyone who intends to remain up to date in the fi eld, and to have within
arm’s reach a reference that covers everything from the basics to the latest developments in respiratory
medicine.
Accredited by EBAP for 18 hours of European CME credit
To buy printed copies, visit the ERS Bookshop in the World Village at the ERS International
Congress 2017.
WWW.ERSPUBLICATIONS.COM
Electronic:
WWW.ERSBOOKSHOP.COM
Print:
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 2017 by the authors
Postgraduate course: PG11 Acute interstitial lung diseases
9 September, 2017
Acute lung injury and ILD: biological and pathological bases
Alessandra Dubini
Morgagni-Pierantoni Hospital
Forlì (italy)
Conflict of interest disclosure
I have no real or perceived conflicts of interest that relate to this presentation.
ThiseventisaccreditedforCMEcreditsbyEBAPandEACCMEandspeakersarerequiredtodisclosetheirpotentialconflictofinterest.Theintentofthisdisclosure
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for audience members to determine whether the speaker’s interests, or relationships may influence the presentation. The ERS does not view the existence of these
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Introduction
AIMS
• To describe biological and pathological basis
• To introduce histomorphological pattern
• To correlate ALI/DAD with ILD’s
Definition
• Acute lung injury (ALI) is defined as the rapid alteration of
alveolar walls with resultant impaired gas exchange that
follows a toxic insult to the lung.
• The most severe cases are classified as the acute respiratory
syndrome (ARDS) (based on the degree of hypoxemia).
• ALI and ARDS patients have bilateral infiltrates on chest Xray in
the absence of heart failure.
Katzenstein and Askin’s Surgical Pathology of Non-Neoplastic Lung Disease
ALI for pathologist
Diffuse alveolar damage (DAD) is the underlying histological
pattern in most of cases of ALI and ARDS, and describe
pathologic changes.