Oncologic Critical Care

Dr. Joseph L. Nates is a Professor at the University of Texas MD Anderson Cancer Center. He has lived and practiced medicine in several countries. Currently, he is the Deputy Chair of the Department of Critical Care in the Division of Anesthesiology, Critical Care, and Pain Medicine. Dr. Nates is also the Medical Director of the 70-bed Oncologic Surgical and Medical Intensive Care Units and the Founder and President of the Oncologic Critical Care Research Network (ONCCC-R-NET), a global organization dedicated to the advancement of oncologic critical care research and education. Through his organization, Dr. Nates has been leading the pioneering efforts to establish Oncologic Critical Care as a new subspecialty and disseminate this knowledge worldwide. As the foundation for this objective, he has led and coauthored the first two comprehensive oncologic critical care textbooks, in both Spanish and English languages. He has also established regional and global collaborative networks and organized several Oncologic Critical Care symposiums.Throughout his career, Dr. Nates has occupied multiple leadership positions and received numerous awards, among them the Presidential Award for “Outstanding Achievement and Leadership for Elimination of Ventilator-Associated Pneumonia” from the Department of Health and Human Services and the four leading Critical Care Societies in the USA in 2012, the “Bill Aston Award for Quality” from the Texas Hospital Association, and Distinguished Service Award in 2015, as well as many other research awards during his career. In 2018, for his contributions to critical care, the American College of Critical Care Medicine awarded him the title Master of Critical Care Medicine. The same year, for his international contributions to the development of Oncologic Critical Care, the Chilean Society of Critical Care and Emergency Medicine awarded him the title International Master of Critical Care Medicine.Dr. Kristen J. Price was born and raised in New Orleans, Louisiana. She received her undergraduate degree in Marine Science from the University of Tampa followed by a Doctor of Medicine degree from Louisiana State University Medical Center in New Orleans. She completed an Internal Medicine residency, Chief Medical Residency, and Pulmonary and Critical Care fellowship at the University of Texas Health in Houston. Following training, she joined the faculty at the University of Texas MD Anderson Cancer Center and currently holds the title of Professor and Chair, Department of Critical Care and Respiratory Care. Under her leadership, the number of faculty and advance practice providers has grown substantially. She also oversees the Respiratory Care Department and the Section of Integrated Bioethics in Cancer Care. Dr. Price developed the multifaceted “Intensive Care Unit Organizational Infrastructure” to systematically organize, establish, and sustainevidence-based clinical, educational, and research initiatives in the ICU. Her main focus of research has been in the outcomes of critically ill oncology patients, particularly those with hematologic malignancies and respiratory failure. She is an active member of the Society of Critical Care Medicine and currently serves on the “Academic Leaders in Critical Care Medicine” task force. Dr. Price has four grown children and currently resides in Houston, Texas.

• Oncologic Critical Care Department Organization.- Critical Care Staffing.- ICU Admission and Discharge Criteria.- Quality Assurance and Improvement.- ICU Utilization.- Current Trends in ICU Beds, Use, Occupancy, and Costs in the United States.- Early Warning Systems for the ICU.- Patient Risk Prediction Model (Severity of Illness Scores).- Rapid Response Team.- Nursing.- Pharmacy.- Nutrition.- Physical and Occupational Therapy.- Patient Support.- Advocacy and Social Work.- Chaplaincy.- Role of the APPs in the Onco-ICU.- Credentialing.- Competencies.- Chemotherapy.- Considerations for Medications Commonly Utilized in the Oncology Population.- Supportive Care Considerations.- GHVD, TEN, and Mycosis Fungoides.- Medication-induced Neurotoxicity.- Delirium and Psychosis.- Seizures and Status Epilepticus.- Stroke.- Increased Intracranial Pressure (brain mets, ich, hydrocephalus, etc).- Posterior Reversible Encephalopathy Syndrome (PRES).- Tumor-related Diseases/Neoplastic Meningitis/Leptomeningeal Disease.- Frequent CNS Infections in the Immunosuppressed Patient.- Intracranial Hemorrhage Focused on Cancer and Hemato-oncologic Patients.- Spinal Cord Compression.- TCD in the ICU.- Acute and Chronic Respiratory Failure.- Oxygen therapy (low-flow and high-flow oxygen therapy).- Respiratory Care of the Critically Ill Patient.- Management of Tracheobronchial Diseases.- Pulmonary Hypertension.- ARDS and the differential diagnosis of pulmonary infiltrates in the cancer patient.- Diffuse Alveolar Hemorrhage.- Differentiation (Retinoic acid ATRA) Syndrome.- Late Non Infectious Pulmonary Complications in Hematopoietic Stem Cell Transplantation.- Treatment-related Lung Injury.- Pneumonia in the Cancer Patient.- Ventilatory Strategies and Weaning from Mechanical Ventilation.- Noninvasive Ventilation.- High Frequency Ventilation.- Prone Ventilatory Therapy.- Bi-Level and Airway Pressure Release Ventilation.- NAVA.- ECMO in Cancer Patients.- Tracheostomy: Appropriateness and Indications in Cancer Patients.- Pleural Disease, Malignant and Benign Pleural Effusions.- Sleep Disorders in the Oncologic ICU.- Hemodynamic evaluation.- Acute Coronary Syndrome Thrombocytopenia and Antiplatelet Therapy in the Cancer Patient.- Interventional Cardiology in the Cancer Patient.- Arrhythmias in the Cancer Patient.- Management of Pericardial Effusions/Tamponade.- Chemotherapy-related Cardiovascular Complications.- Cardiopulmonary Resuscitation in the Cancer Patient.- Gastrointestinal Bleeding.- Malignant Ascites.- Hepatobiliary Disease.- Acute abdomen in the cancer patient.- Hematuria.- Hemorrhagic cystitis.- Obstructive Uropathy in the Cancer Patient.- Acute Renal Failure.- Renal Replacement Therapy.- Adrenal Emergencies.- Carcinoid Crises.- Thyroid Emergencies.- Electrolytic Abnormalities.- Hypoglycemia and Hyperglycemia in the Cancer Patient.- Malignant Hematological Diseases.- Benign Hematological Diseases.- Immunology and molecular biology for the intensivist.- Statistics.-Blood Products.- Transfusion Reactions.- Transfusion Related Lung Injury.- Alternatives to Blood Products.- Massive Bleeding Protocol.- Transfusion Thresholds.- Management of Arterial Bleeding.- Prevention and Management of Venous Thromboembolism in the Cancer Patient.- SVC Syndrome.- Catheter-related Deep Vein Thrombosis.- Infection Control Procedures.- Neutropenic Fever.- Sepsis and Management of Septic Shock.- Management of Multi-Drug Resistant Organisms.- Fungal Infections.- Viral Infections.- Bacterial and Atypical Infections.- Catheter and Device Related Infections.- Nosocomial Infections and Ventilator Associated Pneumonia.- Protozoal Infections in the Cancer Patients.- Antibiotic Stewardship.- Tropical diseases in the cancer patient.- Soft tissue infections.- Neurosurgery.- Head & Neck Surgery.- Plastic Surgery & Flap Graft Management.- Thoracic Surgery.- GI Surgery.- Hepatic Surgery.- Pancreatic Surgery.- Genitourinary Surgery.- Orthopedic Surgery.- Interventional Radiology.- Radiation Therapy & Gamma Knife Procedures.- MRI.- Outpatient Surgery.- Management of the Pregnant Critically Ill Cancer Patient.- Special Considerations of Hemato-Oncologic Critically Ill Patient.- Pediatric Cancer Critical Care.- ICU Procedures by APP.- Management of the Airway in the Cancer Patient.- Use of Ultrasound Guidance.- Interventional Radiology Procedures.- Do Not Resuscitate Orders.- Ethics Consultation.- End of Life Care.- Medical Futility.- Acute Pain.- Chronic Pain.- Substance Withdrawal.- Palliative Care in the critically ill cancer patient.- Outcomes in Critically Ill Oncologic Patients.