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SMART - ORGANIZING AND SCIENTIFIC COMMITTEE
M. Antonelli, G. Bellani, A. Braschi, G. Conti, L. Gattinoni, A. Pesenti, M. Quintel, F. Raimondi, M. Senturk
SMART - SCIENTIFIC ADVISORY BOARD
H. Amirfarzan, L. Berra, L. Brazzi, D. Brodie, M. Cecconi, G. Citerio, E. Cohen, A. De Gasperi, J. De Waele, J. Duranteau, G. Grasselli, A. Lucchini,
J.J. Marini, F. Mojoli, M. Panigada, D. Payen, P. Pelosi, F. Petrini, G. Ristagno, S. Romagnoli, F. Sangalli, A. Saporito, A. Slutsky, J.L. Vincent
SMART - ORGANIZING SECRETARIAT
Start Promotion Eventi SrlVia Mauro Macchi, 50 - 20124 Milano - Italy
Tel. +39 02 67071383 - Fax +39 02 67072294www.startpromotioneventi.it - E-mail: [email protected]
S M A R TMART EETING NESTHESIA ESUSCITATION IN ENSIVE CARE
Amirfarzan H., Boston (USA)
Antonelli M., Roma
Bellani G., Monza
Berra L., Boston (USA)
Brazzi L., Torino
Brochard L., Toronto (CDN)
Brodie D., New York (USA)
Caironi P., Torino
Camporota L., London (UK)
Capdevila X., Montpellier (F)
Cecconi M., Milano
Chidini G., Milano
Citerio G., Monza
Cohen E., New York (USA)
Colella D., Roma
Combes A., Paris (F)
Conti G., Roma
De Gasperi A., Milano
De Graaff J.C., Utrecth (NL)
De Luca D., Clamart (F)
De Waele J., Ghent (B)
Duranteau J., Le Kremlin Bicêtre (F)
Fassl J., Dresden (D)
Forni L.G., Guildford (UK)
Foti G., Monza
Fumagalli R., Milano
Gattinoni L., Goettingen (D)
Giannella M., Bologna
Girardis M., Modena
Grasselli G., Milano
Guarracino F., Pisa
Hansen T.G., Odense (DK)
Heunks L., Amsterdam (NL)
Ichai C., Nice (F)
Ince C., Rotterdam (NL)
Isgrò G., Milano
Kavanagh B., Toronto (CDN)
Kneyber M., Groningen (NL)
Laffey J., Toronto (CDN)
Landoni G., Milano
Leissner K., Boston (USA)
Lucchini A., Monza
Malbrain M.L.N.G., Brussels (B)
Marchesini L., Perugia
Marczin N., London (UK)
Marik P.E., Norfolk (USA)
Marini J.J., St. Paul (USA)
Meersch M., Munster (D)
Mercat A., Angers (F)
Mondino M., Milano
Mojoli F., Pavia
Oddo M., Lausanne (CH)
Panigada M., Milano
Papazian L., Marseille (F)
Paternoster G., Potenza
Payen D., Paris (F)
Pea F., Udine
Pelosi P., Genova
Pesenti A., Milano
Piastra M., Roma
Prabhu M., Newcastle (UK)
Quintel M., Goettingen (D)
Ranieri V.M., Roma
Ranucci M., Milano
Rimensberger P., Génève (CH)
Ristagno G., Milano
Romagnoli S., Firenze
Rubino A., Cambridge (UK)
Sangalli F., Monza
Saporito A., Bellinzona (CH)
Sbaraglia F., Roma
Scolletta S., Siena
Skrifvars M., Helsinki (FIN)
Slutsky A., Toronto (CDN)
Szuldrzynski K., Krakow (PL)
Tumbarello M., Roma
Van Haren F., Canberra (AUS)
Viale P., Bologna
Vieillard-Baron, Paris (F)
Vincent J.L., Brussels (B)
Zanatta P., Verona
Zarbock A., Muenster (D)
Online pre-registrations at www.smartonweb.orgDeadline: April 19, 2019
REGISTERNOW!
Online abstract submission at www.smartonweb.orgDeadline: March 15, 2019
CALL FORABSTRACT
Special plenary session & celebration cocktail on Thursday May 9
30th
ANNIVERSARYCELEBRATION
S M A R TMART EETING NESTHESIA ESUSCITATION IN ENSIVE CARE
Tentative Faculty 30° SMART MAY 8-10, 2019
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Celebrazione per la 30a Edizione SmartPer festeggiare i 30 anni dello SMART, nel pomeriggio di giovedì 9 maggio è prevista una sessione plenaria aperta anche al personale delle Aziende Sponsor. Seguirà un cocktail offerto a tutti i partecipanti.
Al tavolo con l’EspertoUna nuova tipologia di sessione sponsorizzata è prevista durante la pausa pranzo, con offerta di box lunch ai partecipanti. 1 ora di tempo totale, 1 singolo esperto come speaker, numero chiuso max 20 partecipanti, ingresso ad invito.
Simulation Center più ampioPer rispondere all’interesse crescente suscitato dalle sessioni di simulazione, sarà disponibile un Simulation Center di dimensioni più ampie.
Più Technical ForumAlla luce del successo registrato nell’ultima edizione, sarà incrementato il numero di Technical Forum organizzati all’interno dell’Area Espositiva, nello spazio dedicato.
Officina SmartUn nuovo spazio all’interno dell’Area Espositiva sarà messo a disposizione delle Aziende Espositrici a titolo gratuito per la realizzazione di sessioni Hands-On, gestite direttamente dalle Aziende con impiego di proprie apparecchiature e proprio personale.
Break pomeridianoSarà introdotto un break di 30 minuti nelle sessioni pomeridiane, dalle 16.00 alle 16.30.
Breakfast SessionUna nuova attività sponsorizzata, molto apprezzata nel Nord Europa, sarà disponibile dalle 8.00 alle 9.00 del mattino, con offerta di box breakfast ai partecipanti.
Meet the ExpertLe Aziende Espositrici potranno organizzaredelle iniziative “Meet the Expert” presso il proprio stand senza costi aggiuntivi, potendo contare sulla consulenza del Comitato SMART per la scelta dell’esperto e sul supporto della Segreteria Organizzativa per gli aspetti burocratici-amministrativi.
MASTERING BASIC PHYSIOLOGY TO MASTER ICU
- Cardiac output: what do we really know?
- Fluid physiology: what matters?
- Microcirculation derangement
- Protecting lungs and heart ventilation
- 5 minutes examination to understand all the above
THE BEAUTY OF A DYNAMIC CLINICALASSESSMENT OF THE CIRCULATION
- Clinical examination: never miss a sick patient
- Heart -lung interaction to assess cardiac function
- Assessing adequacy of perfusion
ULTRASOUND GUIDED MECHANICAL VENTILATION
- Bedside assessment of lung aeration: reliable and useful?
- Consider the heart while setting the ventilator
- Diaphragm protective mechanical ventilation
- Detection and management of respiratory complications
- Weaning assessment: the diaphragm, the lung or the heart?
VENTILATORY SUPPORT IN ARDS
- Positive End Expiratory Pressure: where are the limits?
- NMBA’s: what do they change?
- Abrupt changes in ventilator settings: what are the risks?
- Respiratory drive in ARDS: what do we know about it?
HOW TO CONTROL SEPSIS
- What strategy for Klebsiella and E. Coli bloodstream infections after the MERINO trial?
- Precision immunotherapy for sepsis, GM-CSF, INF-gamma and others?
- Biomarkers to stratify the immune status in septic patients?
- What strategy to control endotoxin after the EUPHRATES trial?
- Is there still a role for corticosteroids?
SEPSIS
- Tissue hypoxia in sepsis: a key feature
- Tissue hypoxia in sepsis: a minimal part of the problem
- Tissue hypoxia and fluid resuscitation: same recipe for all patients or…?
ANAPHYLAXIS IN ANESTHESIA
- Epidemiology and clinical features of anaphylaxis
- Pitfalls in anaphylaxis diagnosis
- Focus on the agents most frequently responsible for perioperative anaphylaxis
- Management and outcome of the life-threatening reactions during anesthesia
RENAL FAILURE IN THE CRITICALLY ILL PATIENT
- Mechanisms of renal failure in the critically ill
- Prevention of perioperative renal failure
- When should we start RRT in critically ill patients with AKI?
- Nutrition in patients with renal failure
- AKI and acute respiratory failure: which interactions?
EXTRACORPOREAL CO2 REMOVAL
- The CO2 body store and CO2 dynamics
- CO2 dialysis in COPD patients: if, how often?
- CO2 minimally invasive removal in severe ARDS
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COAGULATION ABNORMALITIES IN THE CRITICALLY ILL PATIENT
- Activation of coagulation in acute coronary syndrome
- Microcirculation and coagulation? Is there any connection?
- The endothelium and coagulation during sepsis
- Anticoagulants and inflammation in critically ill patients
- Is there any evidence that treating coagulation abnormalities in critically ill patients improves outcomes?
SEDATION IN THE CRITICAL ILL PATIENT
- Sleep in ICU and dexmedetomidine
- Are propofol and opioids the best choice for ICU sedation?
- Inhalatory sedation: more than an alternative?
- Oversedation prevention in mechanically ventilated patients
OBSTETRIC ANESTHESIA AND ANALGESIA
- Patient safety in obstetrics and obstetric anesthesia
- Labor analgesia: an update
- ERAS also for cesarean section?
- Postoperative cesarean pain management
- Management of obstetric hemorrhage
AIRWAY MANAGEMENT IN CRITICALLY ILL PATIENTS
- Bag mask - supraglottic airway or tube? Airway management in out-of-hospital cardiac arrest
- The parlous story of an hypoxic patient needing intubation
- A snapshot of current practice and risks of airway management in critically ill patients: the INTUBE study
PEDIATRIC RESPIRATORY SUPPORT
- News about the use of HFOV (high frequency oscillation ventilation): the PROPESS study
- New approaches in pediatric ventilation: NAVA and PAV
- What is new in noninvasive ventilation for PICU patients
- Pediatric Ventilator Associated Pneumonia: the new definition
- The future of surfactant for ARDS patients: an ESICM/ESPNIC joint position paper
PEDIATRIC RESPIRATORY CARE
- Ventilation monitoring: what is research and what is clinical tool?
- Interfaces: one fits or does not fit all?
- Lung ultrasound in pediatric critical patients: where are we?
HOT TOPICS IN PEDIATRIC ANESTHESIA
- Prophylactic use of tranexamic acid in the perioperative phase
- Old habits and new devices in pediatric monitoring
- What aims for the resolution of neuromuscular blockade?
- MRI in neonates: sedation or non pharmacological approach?
ECMO, THE GOOD AND THE BAD
- When to call an ECMO center
- The misuse of ECMO
- Cerebral hemorrhage during ECMO: preventable, treatable, unavoidable?
- ECMO complications other than bleeding
- ECMO lessons from the recent trials
- Lung rest or movement: the ROMEO trial
- Is VILI an unavoidable component of ARDS treatment?
- How to assess VILI in ARDS patients?
- VILI and mortality rate: where is the link?
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HOT TOPICS IN CARDIAC ANESTHESIA
- Management of DOAC (Direct Oral AntiCoagulants) in cardiac surgery
- Loco-regional anesthesia in cardiac surgery
- Vasoplegia in cardiac surgery: mechanisms and management
LEFT VENTRICULAR ASSIST DEVICES: A PRIMER
- Preoperative stratification/optimization
- Intraoperative management principles
- Avoiding organ dysfunction and optimal perioperative management
- Hemodynamic monitoring during mechanical circulatory support
CARDIAC ANESTHESIA FOR NON-CARDIAC ANESTHESIOLOGISTS
- GUCH (Grown-Up Congenital Heart) patients in non-cardiac surgery
- How to assess and treat the LVAD (Left Ventricular Assist Device) patient in emergency and non-cardiac anesthesia
- TEE (TransEsophageal Echocardiography) for non-cardiac anesthesiologists: what you need to know
HOT TOPICS IN CARDIAC INTENSIVE CARE
- How I manage coagulation in my ECMO patient
- Neuroprotection in cardiac intensive care: prevention, monitoring and management
- New configurations and nomenclature in extracorporeal life support: let’s put some order!
- What’s new in perioperative echocardiography
- Where are we heading? Insights on cardiac anesthesia and intensive care in 10 years
ARDS
- The first hour: what to do and what to plan
- The new-fashioned approach
- The old-fashioned approach
- Interaction with audience
ARDS TRIALS
- What have we learnt from the positive ones?
- What have we learnt from the negative ones?
- Why pharmacological intervention failed in ARDS?
BEDSIDE ULTRASOUND APPROACHTO THE SEPTIC PATIENT
- Multiorgan ultrasound assessment in the emergency department
- Septic shock: from pathophysiology to treatment
- LUS for the septic patient with respiratory failure
- Spleen and kidney: a mirror of organ perfusion
- Ultrasound to open a window into the brain
SPONTANEOUS ASSISTED BREATHING DURING ACUTE RESPIRATORY FAILURE
- Spontaneous breathing: an overview
- Spontaneous breathing in acute respiratory failure: experimental insights
- Spontaneous breathing versus controlled ventilation: clinical practice
- Monitoring pressures during assisted ventilation
- Protecting the lungs, the diaphragm and the heart
THORACIC ANESTHESIA AND PAIN MANAGEMENT IN THORACIC SURGERY
- Low tidal volume: how essential during OLV?
- Fluid management during OLV: does it make a difference?
- Inhaled or intravenous anesthetics: does it matter?
- Recent advances in lung isolation: DLT vs. blockers
- Pain management in thoracic surgery: traditional versus alternative therapies
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HOT TOPICS IN ANESTHESIA
- Opioid free anesthesia: an update
- Personalization of arterial pressure in the perioperative period
- Rebound pain after regional anesthesia in the ambulatory patient
- Difficult extubation
- Immune function after major surgical interventions: the effect of postoperative pain treatment
RECENT ISSUES IN ANESTHESIA
- Processed EEG for anesthesia
- Is anesthesia bad for your brain? What is the “Brain Health Initiative”
- ERAS in colorectal surgery
- ERAS in lung surgery: guidelines of the ESTS (European Society of Thoracic Surgery)
KIDNEY, FLUIDS AND ELECTROLYTES
- What furosemide does: producing saline
- Saline infusion and hyperchloremic acidosis: myth or reality
- Osmolarity and oncotic pressure: who cares about them?
- Strong ion difference: what the intensivist must know
ALBUMIN
- Albumin physiology
- Albumin use in surgery
- The oxidative stress
- Albumin and oxidation
KEYNOTE LECTURE Use of hydrocortisone, vitamin C and thiamine for the treatment of severe sepsis and septic shock
Presenter: L. Gattinoni - Lecturer: P.E. Marik
ACUTE PULMONARY THROMBOEMBOLISM (APE)
- Clinics and diagnosis of acute pulmonary thromboembolism: a multidisciplinary approach
- Risk stratification of APE
- Pathophysiology of cardiocirculatory acute failure in APE
- Old and new drugs for APE prevention
- How to remove the pulmonary circulation obstruction
SYSTEMIC EFFECTS OF LOCAL ANESTHETICS
- Systemic local anesthetics and cancer
- Systemic local anesthetics and inflammation
- Systemic local anesthetics and rehabilitation after surgery
SAFETY IN REGIONAL ANESTHESIA
- How close is too close? Safety standards in ultrasound guided peripheral nerve blocks
- Are ultrasound enough? Triple guidance in peripheral nerve blocks
NEW REGIONAL ANESTHESIA TECHNIQUES
- New chest wall blocks: a systematic approach in choosing the best technique
- New abdominal wall blocks: a systematic approach in choosing the best technique
SUPPORTING SPONTANEOUS BREATHING:CAN WE DO IT BETTER?
- Spontaneous breathing: temptation or pitfall?
- I set the ventilator looking at... electrical activity of the diaphragm
- I set the ventilator looking at… diaphragm ultrasound
- I set the ventilator looking at… ventilator waveforms
- Spontaneous breathing in ARDS: results of the BIRDS trial
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AMBULATORY AND DAY SURGERY ANESTHESIA
- Preoperative evaluation and inclusion criteria
- Anesthesia and postoperative management
- Short acting spinal anesthesia
- Organization and management
- Discharge criteria
MONITORING AND TREATING THE SEIZING BRAIN
- qEEG in ICU: nuts and bolts
- EEG derivates system: limits and indications
- Anti-epileptic drugs in neurocritical care: an update
- Ketamine: a promising agent
FUELING THE INJURED BRAIN
- How much oxygen
- Glucose, lactate, ketones
- Vasoactive agents to improve brain perfusion
TELL ME SOMETHING I DO NOT KNOW...
- Management of encephalitis
- The evolving treatment of ischemic stroke
- PRES (Posterior Reversible Encephalopathy Syndrome)
- CENTER TBI: an overview of the final results
PROCEDURAL ANESTHESIA
- Adult procedural sedation: an update
- Anesthesia for gastrointestinal endoscopy
- Anesthesia for interventional radiology
- Anesthesia for the cardiac electrophysiology laboratory
- Painful procedures in children
AIRWAY ISSUES
- Risk factors and outcomes for airway failure versus non-airway failure in the intensive care unit
- PRO-CON DEBATE: The traditional laryngoscope for direct laryngoscopy should be thrown away and replaced by the video laryngoscope
ETHICAL ISSUES IN ANESTHESIA AND INTENSIVE CARE
- Clinical ethics: what the anesthesiologist and the intensivist need to know
- Facing ethical problems in a multiethnic-multicultural society
- Informed consent and treatment advanced directives
- End-of-life care in ICU: to withhold or to withdraw care?
- Organ donation and transplantation after circulatory death: ethical issues
BL-PRODUCING ENTEROBACTERIACEAE INFECTIONS IN THE CRITICALLY ILL: LOOKING FOR A CONSENSUS
- Severe infections by ESBL-producing strains: what have we learned from the MERINO trial?
- Severe CPE infections: doubts and certainties
- Developing therapeutic options
POST CARDIAC ARREST CARE
- Post-resuscitation hemodynamics and oxygenation targets
- Post-resuscitation EEG: when, what, how? A pragmatic approach
- Management of post-resuscitation acute kidney injury and use of renal replacement therapy
- Cerebral oximetry during and after CPR: is it useful?
WHAT’S NEW IN CARDIAC ARREST MANAGEMENT
- Airway management during cardiopulmonary resuscitation: what is the new evidence?
- The ADRENALINE trial: evidence vs. ethics
- The evidence for using ETCO2 as a quality measure during CPR
- Is there a role for mechanical chest compression devices?
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Respiratory physiology: the essential to manage a critical patient
Respiratory mechanics during controlled ventilation
Respiratory mechanics during assisted ventilation
The driving pressure: how to measure and how to use it to set mechanical ventilation
How to improve patient-ventilator synchrony
High flow nasal cannula in acute respiratory failure
Capnometry and capnography
Hemodynamic effects of PEEP
Cardiocirculatory physiology: the essentials to manage a critical patient
Cardiac output measurement techniques
Basic echocardiographic evaluation of the right and left ventricular function
Blood oxygen saturation and plethysmography
Ultrasound for cardiac arrest
ICU admission criteria
Basic interpretation of acid base balance
Indications and management of CRRT
Practical use of blood purification systems
Management of acute on chronic liver failure
Optimal use of antibiotic therapy in ICU
Thromboelastographic monitoring of coagulation
Strategy for the difficult-to-intubate patient
General anesthesia for the patient with OSAS
Anaphylaxis in anesthesia
Preoperative evaluation of the respiratory function
Use of cardio-vasoactive drugs in anesthesia
Neuromuscular blocking agents monitoring
Perioperative ultrasound guided procedures
Procedural sedation
Perioperative thromboprophylaxis
NIV in the perioperative period
Cardiocirculatory monitoring in the operating room
Fluid management in the perioperative period
Perioperative myocardial injury prevention
Recreational drugs: an update on what can affect anesthesia and intensive care practice
Monitoring cerebral function and anesthesia depth during anesthesia
NUTRITION
NON INVASIVE VENTILATION
HIGH FLOW OXYGEN THERAPY
PATIENT TEMPERATUREMANAGEMENT
TRAUMA
MANAGEMENT OF THE OBESE PATIENT
SMART NURSING
Work in ProgressSmart Tutorials 30° SMART MAY 8-10, 2019 Smart Tutorials 30° SMART MAY 8-10, 2019
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QUOTE D’ISCRIZIONE
Entro il 16 Marzo Dopo il 16 Marzo
Soci SIAARTI - AAROI € 320,00 € 350,00
Non soci € 350,00 € 380,00
Quota giornaliera medici§ € 200,00 € 200,00
Infermieri € 130,00 € 140,00
Specializzandi/Studenti** ** Ingresso libero, preiscrizione obbligatoria
Le quote di iscrizione si intendono IVA di legge inclusa.
§
*
**
La preiscrizione online dovrà essere effettuata entro e non oltre il 19 Aprile 2019. Dopo tale data, l’iscrizione potrà essere effettuata esclusivamente in sede congressuale.
PAGABILE ESCLUSIVAMENTE IN SEDE CONGRESSUALE AL DESK NUOVE ISCRIZIONI. La quota giornaliera comprende: partecipazione alle sessioni scientifiche nel giorno richiesto e attestato di partecipazione per quella giornata.
Per la riduzione Infermieri, è richiesta la presentazione di un documento
comprovante il diritto. La cartella congressuale è garantita solo ai preiscritti.
Per gli Specializzandi/Studenti l’ingresso è gratuito, dietro presentazione
del libretto universitario, senza diritto al kit congressuale. Anche per gli Specializzandi/Studenti è richiesta obbligatoriamente la preiscrizione online, da effettuarsi ai siti www.smartonweb.org o www.startpromotioneventi.it.
ISTRUZIONI PER IL PAGAMENTO Il pagamento delle quote di iscrizione e delle prenotazioni alberghiere potrà essere effettuato tramite:
Bonifico bancario Intestato a: START PROMOTION EVENTI S.r.l. Banca: Banca Intesa San Paolo Spa IBAN: IT 87M0306911310100000063431 BIC CODE: BCITITMM Nella causale del bonifico dovrà essere indicato: SMART 2019, Nome e Cognome del Partecipante al Meeting. Nel caso i cui il pagamento sia relativo ad un Corso e/o ad una prenotazione alberghiera, si prega di menzionare anche il titolo del Corso e/o il nome dell’hotel.
Carta di credito (Visa, Mastercard, Maestro, Moneta)
PENALI DI ANNULLAMENTO ISCRIZIONELe rinunce, fatte pervenire ESCLUSIVAMENTE per iscritto entro il 29 marzo 2019, daranno diritto al rimborso del 50% della quota di iscrizione. Dopo tale data non si effettuerà rimborso.
FATTURAZIONELa fattura verrà emessa all’indirizzo fornito durante l’iscrizione online (compilazione obbligatoria) ai siti www.smartonweb.org o www.startpromotioneventi.it. Il ricevimento della fattura confermerà l’avvenuta iscrizione.
L’iscrizione aLLo smart dà diritto a: cartella congressuale, badge di accesso alle sessioni scientifiche, attestato di partecipazione, coffee break.
La cartella congressuale è garantita solo ai preiscritti registrati per l’intero evento (Medici e Infermieri).
ISCRIZIONI ONLINELe iscrizioni (Convegno SMART, SMART Nursing) e le prenotazioni alberghiere presso gli alberghi convenzionati dovranno essere effettuate esclusivamente online ai siti www.smartonweb.org o www.startpromotioneventi.it. Ai siti indicati saranno fornite le istruzioni dettagliate per la compilazione della scheda di iscrizione e il pagamento delle relative quote.
CONTRIBUTI OSPITALITÀÈ prevista la possibilità per le Aziende Sponsor di offrire contributi di ospitalità per la partecipazione di professionisti sanitari allo SMART, nel pieno rispetto dei nuovi Codici Etici MedTech Europe e Assobiomedica.
Educational grant per l’ospitalità di 1 partecipante: € 1.100,00
L’educational grant comprende: Iscrizione al convegno
Spese di viaggio (biglietteria aerea e ferroviaria nazionale)
Assicurazione assistenza alla persona e bagaglio
Pernottamento presso hotel 4**** nelle vicinanze della sede evento, camera DUS con trattamento di pernottamento e prima colazione (n. 2 notti), city tax compresa
Fee di contatto
Fee di gestione pratica
La Segreteria Organizzativa assicura la piena osservanza delle disposizioni dei nuovi Codici Etici MedTech Europe e Assobiomedica per quanto riguarda la gestione dei contributi di sponsorizzazione e le modalità di interazione tra industria e professionisti sanitari.
LINGUE UFFICIALI
SMART MEETING: Inglese con traduzione simultanea in Italiano.
COMUNICAZIONI ORALI E POSTER: Inglese o Italiano, senza traduzione simultanea.
Informazioni Generali 30° SMART MAY 8-10, 2019 Informazioni Generali 30° SMART MAY 8-10, 2019
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