The Cleveland Clinic Oncology ICU Summit 2026 examines the problems that arise when cancer treatment and critical illness overlap. Led by Simon Mucha, MD, the program brings together oncology, hematology, pharmacy, and critical care perspectives on respiratory failure, treatment toxicity, sepsis, and hematologic emergencies. Sessions address advanced bronchoscopy, immune checkpoint inhibitors, targeted therapies, and CAR T-cell complications, alongside prognosis and goals-of-care discussions. The two half-day meeting took place on October 1–2, 2026, at Cleveland Clinic Lerner College of Medicine in Cleveland, Ohio, with virtual participation. Its case-based discussions are relevant to clinicians caring for patients with cancer in emergency, inpatient, and intensive care settings.
Learning Objectives
Upon completion of this activity, learners will be able to:
- Describe the mechanisms and toxicity profiles of major classes of novel anticancer therapies, including targeted agents, immune checkpoint inhibitors, antibody-drug conjugates, bispecific antibodies, and cellular therapies.
- Apply evidence-based approaches to the evaluation and management of acute respiratory failure in patients with cancer.
- Differentiate sepsis, disease progression, and treatment-related toxicities in critically ill oncology patients to support timely diagnosis and management.
- Recognize and manage key toxicities associated with CAR T-cell therapy, including cytokine release syndrome, neurotoxicity, and hemophagocytic lymphohistiocytosis.
- Incorporate evolving evidence on treatment response, prognosis, and toxicity into multidisciplinary communication, shared decision-making, and care planning.
- Identify practical strategies for effective, patient centered interdisciplinary care delivery for critical care for oncology patients across practice settings.
Course Director and Faculty
Activity Director
Simon Mucha, MD
Planning Committee
- Maria Holztrager, PA-C
- Deepa Jagadeesh, MD
- Megan James, PharmD
- Aneela Majeed, MD
- John Molina, MD
- Laura Rhodes, ACNP
- Michael Smith, MD
- Heather Torbic, PharmD
The agenda below describes the original meeting; breaks, discussions, and other scheduled activities do not confirm individual recording coverage. The original live activity listed up to 8 AMA PRA Category 1 Credits; these credits are not included with store files.
+ Topics:
Day 1 | Thursday, October 1
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12:00 PM
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Welcome Simon Mucha, MD |
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12:10–1:00 PM
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Keynote: Respiratory Failure in Oncology Patients Elie Azoulay, MD Université Paris Cité, St. Louis Hospital, Paris, France |
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1:00–1:30 PM
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Advanced Bronchoscopy for Oncologic Airway Emergencies Christine Girard, MD and Sangita Goel, MD |
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1:30–1:50 PM
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ID-BAL: How Does It Change Outcomes and Management? Dr. Majeed and Christine Girard, MD |
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1:50–2:00 PM
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Break – Q&A |
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2:00–2:20 PM
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Drug-Induced Pneumonitis Michael Smith, MD |
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2:20–2:40 PM
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Neurotoxicity of Novel Therapies Amy Kunchok, MD |
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2:40–3:00 PM
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Immune Checkpoint Inhibitor Toxicity Lucy Boyce Kennedy, MD |
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3:00–3:20 PM
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Break – Q&A |
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3:20–3:40 PM
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Toxicology of Targeted Therapies Megan James, PharmD |
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3:40–4:00 PM
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Pragmatic Approach to Cancer Treatment in the ICU in the Age of Targeted Therapies Marc Shapiro, MD |
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4:00–4:30 PM
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Prognostication and Goal Setting – Time Limited Trials and Return to Therapy Simon Mucha, MD and Anirudh Yalamanchali, MD |
Day 2 | Friday, October 2
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12:00 PM
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Welcome to Day 2 Simon Mucha, MD |
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12:10–1:00 PM
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Keynote: The Evolving Landscape of Immune and Cell Therapy: What Every Intensivist Needs to Know Nirali Shah, MD, M.H.Sc National Institutes of Health |
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1:00–1:30 PM
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Real-World CAR-T ICU Journey: Case-Based Discussion of CRS, ICANS, and IEC-HS Paolo Caimi, MD, MBA |
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1:30–1:50 PM
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HLH Sudipto Mukherjee, MD, PhD |
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1:50–2:00 PM
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Break – Q&A |
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2:00–2:20 PM
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“Not Included in RCTs”: Sepsis in the Oncology Population Angel Coz Yataco, MD, FCCP |
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2:20–2:40 PM
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Steroids in Sepsis and Septic Shock Jonathan Kissam, PharmD |
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2:40–3:00 PM
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Managing Complex Coagulopathies: DIC and TMA Bethany Samuelson Bannow, MD, MCR |
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3:00–3:20 PM
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Break – Q&A |
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3:20–3:40 PM
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Critical Care Considerations for Acute Leukemias John Molina, MD, EdM |
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3:40–4:00 PM
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Tumor Lysis Syndrome Deepa Jagadeesh, MD |
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4:00–4:30 PM
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The Future of Oncology Critical Care
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4:30 PM
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Closing Remarks Onc ICU Team |




