Pre-Forum Workshops


Title: Haemodynamic Monitoring with Live Porcine Physiologic Models
Details Date: Wednesday, 19 April 2017
Time: 8.15am – 4.30pm
Venue: Tan Tock Seng Hospital, L1 Conference Rooms and B1 Surgical Sciences Training Centre (SSTC)
Synopsis: The haemodynamic workshop is designed for doctors working in anaesthesia, emergency and critical care medicine taking care of haemodynamically unstable patients. The main objective is to equip participants with the knowledge in interpreting basic and advanced haemodynamic parameters like ScVO2, stroke volume variation and its limitations. Live animals will be used to demonstrate the changes in haemodynamic parameters for various shock states and response to pharmacological and physiological manoeuvres. Continuous haemodynamic parameters will be correlated with “live” echocardiographic examinations.
Schedule

Time

Topic

Speaker

07:30 – 08:15 Registration @ L1 Conference Rooms
08:15 – 08:30 Welcome and workshop overview Dr Jonathan Tan
08:30 – 09:15 Physiology of Fluid Responsiveness – ‘How and Why’ Professor Stephen Huang
09:15 – 10:00

Echocardiography and continuous dynamic parameters – ‘Better together than Apart’

Professor Anthony McLean
10:00 – 10:30 MORNING TEA
10:30 – 11:15 Echocardiography in the shock patient Professor Anthony McLean
11:15 – 12:00 Review of 2014 ESICM Shock Consensus Dr Chia Yew Woon
12:00 – 12:30 Parameter overview and discussion Dr Paul Drakeford
12:30 – 13:30 LUNCH
13:30 – 16:15 Physiology lab
@ B1, Surgical Sciences Training Centre (SSTC)
Facilitator – Dr Fong Wee Kim
16:15 – 16:30 Summary and Close Dr Jonathan Tan
Faculty Tan Tock Seng Hospital, Singapore

  • Dr Jonathan TAN, Senior Consultant, AICPM
  • Dr FONG Wee Kim, Consultant, AICPM
  • Dr CHIA Yew Woon, Consultant, Cardiology
  • Dr Paul DRAKEFORD, Registrar, AICPM

Sydney, Australia

  • Professor Anthony MCLEAN
  • Professor Stephen HUANG

France

  • Professor Michel SLAMA
Targeted Participant No. 18
Price per participant SGD$250 (before GST)
Title: Implementing an Inter-professional In-Situ Protected Code Blue Resuscitation Simulation Program
“Is your healthcare facility prepared to combat the next lethal airborne respiratory disease?”
Details Date: Thursday, 20 April 2017
Time: 9am – 5.00pm
Venue: Changi Simulation Institute, Changi General Hospital
Synopsis: Patients admitted to the hospital with a deadly airborne respiratory disease present a challenge to the healthcare team. Since the 2003 SARS pandemic, there has been development of policies with regards to infection control and isolation procedures. Infrastructure and acquisition of equipment such as PAPR are also in place. However, the resuscitation protocols and training of the healthcare team in managing a deteriorating patient with such a condition have not been established. This would be the loophole in infection control and containment policies should a lethal airborne disease strike again. There is a lack of inter-professional training amongst the doctors, nurses and respiratory therapist, who are the primary team managing such patients. There is much confusion on the ground on effective resuscitation of the contagious deteriorating patient without compromising the well-being of the healthcare team. This workshop comprise of 3 components. Firstly, discussion on current available knowledge and workflows for effective resuscitation of such a patient. Secondly, participants will be engaged in planning and determining the needs of their organization and frontline staff through small group discussions and simulation scenarios. Thirdly, participants will engage in planning an in-situ inter-professional simulation training program for managing such patients.
Learning Objectives
  • To describe the challenges faced by the healthcare team in performing effective inter-professional resuscitation of a patient with deadly airborne respiratory disease
  • To plan and perform needs assessment of the inter-professional team in managing such patients using a protected code blue resuscitation protocol
  • To implement an inter-professional in-situ simulation training program for managing such patients
Schedule Workshop Outline:

9:00am – 10:00 am Component 1: Discussion and Sharing on current knowledge, workflow and policies
10:00am – 12:00pm Component 2: Discussion & Simulation on needs assessment of the healthcare team
12:00pm – 1:00pm Lunch
1:00pm – 5:00pm Component 3: Implementing an In Situ Simulation Training Program
Faculty
  • Dr Jansen Koh
  • Dr Roshni Sadashiv Gokhale
  • Ms Zakiah Binte Aswami
  • Ms Nurul Binte Muhamad Suhaimi
  • NC Mashithah Binte Mansor
  • NC Suraya Abdullah
  • Ms Leylane Anselmo
Targeted Participant No. 20
Price per participant SGD$500 (before GST)

Facilitators: Dr. Graeme MacLaren, Dr. Ramanathan K, Ms. Pauline Oh, Mr. Si Guim, Ms. Patsy

Venue: MD6 Centre for Health Simulation, 14, Medical Drive, National University of Singapore

For the participants:  A bus has been arranged to transport ECMO workshop participants from Suntec City Conference Venue to NUS.  Participants who want to avail the facility should meet Ms. Jing Qi Hoa at Suntec convention Centre, Level 1, Big Screen at 7am on both days.  The return trip to Suntec City Conference venue would be at 1700.

Day 1                                                                                                                                     20.04.2017

 

Group 1

Group 2

0800-0815

Pre-workshop questionnaire

0815-0900

Overview of Contemporary ECMO (Dr MacLaren)

0900-1000

Waterdrill – Introduction to equipment

1000-1030

Tea break

1030-1100

Anticoagulation &
Medical management (Dr MacLaren)

Waterdrill – set up and priming

1100-1115

1115-1145

Waterdrill – set up and priming

Anticoagulation &
Medical management (Dr MacLaren)

1145-1200

1200-1300

Lunch

1300-1400

ECMO (patho)physiology (Dr MacLaren)

Waterdrill – circuit maintenance

1400-1500

Waterdrill – circuit maintenance

ECMO (patho)physiology (Dr MacLaren)

1500-1530

Tea break

1530-1700

Combined Sim Session (Dr Ramanathan)

Day 2                                                                                                                                     21.04.2017

 

Group 1

Group 2

0800-0815

Reorientation and Introduction

0815-0845

Waterdrill – troubleshooting

Initiating ECMO (Dr Ramanathan)

0845-0915

Nursing management (Sr Pauline)

0915-0945

Initiating ECMO (Dr Ramanathan)

Waterdrill – troubleshooting

0945-1015

Nursing management (Sr Pauline)

1015-1045

Tea Break

1045-1115

Weaning ECMO (Dr MacLaren)

Waterdrills

1115-1130

Organization and Outcomes (Dr MacLaren)

1130-1200

Waterdrills

Weaning ECMO (Dr MacLaren)

1200-1215

Organization and Outcomes (Dr MacLaren)

1215-1330

Lunch

1330-1400

Q&A

1400-1500

Combined Sim Session (Dr Ramanathan)

1500-1530

Tea Break

1530-1630

Combined Sim Session continued (Dr Ramanathan)

1630-1700

Post-workshop questionnaire and wrap up

Title: ‘Intensive Care Nephrology’ Workshop – Beyond BASIC Nephrology
Details Date: Thursday – Friday, 20 – 21 April 2017
Time: 9am – 4.30pm
Venue: Ng Teng Fong General Hospital
Synopsis: Jointly developed by the BASIC collaboration (The Chinese University of Hong Kong) and the European Society of Intensive Care Medicine (ESICM), this international course has been conducted at multiple locations in a similar format to the original BASIC ICU course. This is a pre-conference workshop of the SG-ANZICS conference 2017.

This 2 day course has several components; including a pre and post course MCQ test, comprehensive structured lectures, demonstrations, small group discussions and practical skill stations and hands on interaction with dialysis machines at several skill station.

Participants can expect to complete the course with a thorough knowledge of conditions causing AKI, strategies for prevention and detection, supportive and disease specific therapies and renal replacement strategies and troubleshooting. They will be able to then deploy this knowledge in general, acute care and critical care areas.

Learning Objectives
  • Applied renal physiology
  • Epidemiology of acute kidney injury
  • Acute kidney injury: causes, pathophysiology and management
  • Acute kidney injury and sepsis
  • Rhabdomyolysis
  • AKI and abdominal compartment syndrome
  • Urinary tract infections
  • Continuous renal replacement therapy
  • Intermittent haemodialysis and SLEDD
  • Peritoneal dialysis
  • Drug dosing in renal failure
Schedule Intensive Care Nephrology Beyond BASIC Course Provider course Schedule:

Thursday, 20 April 2017

9:00am – 9:15am Registration
9:15am – 9:30am Welcome
9:30am – 10:00am AKI – Definition & epidemiology
10:00am – 10:30am AKI
10:30am – 11:00am Chronic kidney disease
11:00am – 11:30am Tea Break
11:30am – 12:00pm CRRT Troubleshooting
12:00pm – 12:30pm Rhabdomyolysis
12:30pm – 1:30pm Lunch
1:30pm – 4:30pm Skill stations – (40 mins per station)
1450-1510 – 20mins tea-break after 2 stations rotation

  • AKI
  • Chronic kidney disease
  • Prescribing CRRT
  • Vascular access

Friday, 21 April 2017

9:00am – 9:30am Abdominal compartment syndrome
9:30am – 10:00am Peritoneal dialysis
10:00am – 10:30am IHD and Hybrid techniques
10:30am – 11:00am Drug dosing in renal failure
11:00am – 11:30am Tea Break
11:30am – 12:50pm

1:30pm – 2:50pm

Skill stations – (40 mins per station)
1250-1330 – 40min lunch break after 2 stations rotation

  • Troubleshooting CRRT
  • Intermittent hemodialysis
  • Peritoneal dialysis
  • Drug Dosing
2:50pm – 3:15pm Tea Break
3:15pm – 3:45pm Questions and answers
3:45pm– 4:45pm MCQ
Faculty
Overseas Course Faculty Local Course Faculty
Hawke’s Bay, New Zealand

  • Dr Ross Freebairn

Royal Hobart Hospital, Australia

  • Dr Benoj Varghese
Ng Teng Fong General Hospital, Jurong Health Services

  • Dr Tan Chee Keat
  • Dr Shekhar Dhanvijay
  • Dr Monika Gulati
  • Dr Amit Kansal

Tan Tock Seng Hospital

  • Dr Lai Poi Leng
  • Dr Shirley Goh
Targeted Participant No. 24
Price per participant SGD$400 (including GST)
Title:  
Advanced Ventilation Workshop Day 1 – Patient Ventilator Asynchrony
 
Details
Date: Thursday, 20 April 2017
Time: 9.00am – 5.00pm
Venue: Suntec Singapore Convention & Exhibition Centre, Level 3, Meeting Room 302
 
Synopsis:
According to the latest research, in observed ventilated patients, 27% exhibited asynchrony in greater than 10% of breaths; ICU physicians were only able to detect less than 1/3 of the asynchronies. On average, when ITI* is greater than or equal to 10%, mechanical ventilation times are increased by 6 days; hospital stays are longer by an average of 13 days and ICU stays are longer by an average of 4 days, Exhibiting a significant proportion of asynchronous breaths is associated with an almost 5 times increase in ICU mortality. This program is designed to help intensivists/RTs to understand patient-ventilator asynchrony from the physiology cause to clinical remedy; the program also integrates interactive simulation training sessions using preprogramed clinical case scenarios to help understanding and mastering the whole content.
 
Learning Objectives
 

  • To refresh the physiology of mechanical ventilation related with lung mechanics/control of breathing
  • To understand the occurrence of patient-ventilator asynchrony
  • To grasp the significance of improving patient-ventilator synchrony
  • To manage patient-ventilator asynchrony in conventional modes as well as advanced modes.
  • To understand the role of proportional assist mode in improving patient-ventilator synchrony.
Schedule  

Time

Topics

Key areas

Speaker/Faculty

08:30 – 09:00

Registration

09-00 – 09.10

Opening Address
  • Welcome
  • Goal of workshop
  • Orientation to the day
 

M Cove

09:10 – 09:35

Respiratory System Mechanics Prof G

09:35 – 10:00

Control of Breathing and Lung Protection Prof G

10:00 – 10:20

Recognising and Managing Patient Ventilator Asynchrony  

KC

10:20 – 10:45

Coffee Break

10:45 – 11:10

Patient Ventilator Asynchrony: Does it matter?  

J Phua

11:10 – 11:35

Proportional Assist Ventilation: Any role in your practice?  

M Cove

11:35 – 12:35

Lunch

12:35 – 13:00

Workshop rotation #1 Yasuhiro Norisu

13:00 – 15:40

Workshop rotation #2 NapplikaKongpolprom

15:40 – 16:00

Coffee Break

14:45 – 15:30

Workshop rotation #3 M Cove

15:30 – 15:50

Wrap up by course director M Cove

SCENARIO BASED SKILL STATION

  • Ventilation Strategies (basic modes and lung mechanic)
  • Recognizing and Managing Patient Ventilator Asynchrony
  • Initiating & Optimizing Proportional Assist Ventilation
 
Faculty
  • Prof. Georgopoulos Dimitrios
  • Dr. Jason Phua
  • Dr. See Kay Choong
  • Dr. Matthew Cove
  • Dr. Yasuhiro Norisue
  • Dr. Napplika Kongpolprom
Targeted Participant No. 25
Price per participant SGD$250 (before GST)
*SGD$450 for Day 1 and Day 2 Advanced Ventilation Workshop (before GST)
Title:  
Advanced Ventilation Workshop Day 2 – Lung Protection
 
Details
Date: Friday, 21 April 2017
Time: 9.00am – 4.00pm
Venue: Suntec Singapore Convention & Exhibition Centre, Level 3, Meeting Room 302
 
Synopsis:
This workshop seeks to take participants beyond the standard ventilation practices. We will review lung protective ventilation and the current understanding of ventilator induced lung injury mechanisms. The workshop will focus on equipping participants with knowledge and hands on skills to recognize and manage complex scenarios at the extremes of pulmonary physiology, including the role of PEEP, lung recruitment and adjunctive pharmacological interventions. The program will include lectures (including keynote international guest speakers), hands on simulation stations and group discussion with international experts.
 
Learning Objectives
 

  • To review practices of lung protective ventilation and how creating a mechanical breath profile can potentially prevent the onset of ARDS.
  • To explain the mechanisms by which the mechanical breath causes tissue damage at the alveolar level, known as ventilator induced lung injury (VILI).
  • To describe how the parameters that comprised the mechanical breath (i.e. lung volumes, pressures, rates, flows and the duration they are applied to the lung at inspiration and expiration) can be adjusted to minimize VILI.
  • To review pharmacological intervention for ventilated patients.
  • To review management of hypoxia via lung recruitment maneuver and adjunctive approaches.
Schedule  

Time

Topics

Key areas

Speaker/Faculty

08:30 – 09:00

Registration

09-00 – 09.10

Opening Address
  • Welcome
  • Goal of workshop
  • Orientation to the day
 

M Cove

09:10 – 09:35

Respiratory System Mechanics Prof G

09:35 – 10:00

Control of Breathing and Lung Protection Prof G

10:00 – 10:20

Recognising and Managing Patient Ventilator Asynchrony  

KC

10:20 – 10:45

Coffee Break

10:45 – 11:10

Patient Ventilator Asynchrony: Does it matter?  

J Phua

11:10 – 11:35

Proportional Assist Ventilation: Any role in your practice?  

M Cove

11:35 – 12:35

Lunch

12:35 – 13:00

Workshop rotation #1 Yasuhiro Norisu

13:00 – 15:40

Workshop rotation #2 NapplikaKongpolprom

15:40 – 16:00

Coffee Break

14:45 – 15:30

Workshop rotation #3 M Cove

15:30 – 15:50

Wrap up by course director M Cove

Workshops for Lung Protection

Session Number Activity Faculty
1 Lung recruitment deomonstration and hands on (Porcine lung) M.Cove and TJ
2 Recognising patient ventilator interactions – focus on when LPV not providing LPV (inadequate support in metabolic acidosis). Major teaching point…up to 8ml/kg still within ARDSnet protocol. KC and Norisue
3 How do I? (approach ventilation in severe ARDS) Prof G
4 Recognizing derange pulmonary mechanics using ventilator waveforms SewaDuu, Amanda

TOPICS

  • Lung Recruitment Demonstration (Pig lung)
  • Recognizing Deranged Pulmonary Mechanics Using Ventilator Wave Forms. (Passive Mechanics)
  • Group Discussion – Meet the Prof (Delta P, Penduluff, Assisted modes in ARDS)
  • Recognizing Patient Ventilator Interactions (ASL5000)
 
Faculty
 

  • Prof GeorgopoulosDimitrios
  • Dr Matthew Cove
  • Dr SewaDuu Wen
  • Dr Yasuhiro Norisue
  • Dr Lim Tian Jin
  • Dr See Kay Choong
Targeted Participant No. 25
Price per participant SGD$250 (before GST)
*SGD$450 for Day 1 and Day 2 Advanced Ventilation Workshop (before GST)
Title: Medical Emergency Team & Rapid Response Systems 
Details Date: Friday, 21 April 2017
Time: 12.30pm – 5.00pm
Venue:
Changi General Hospital (CGH)
Auditorium @ CGH Training Centre
Main Building Level 1
Synopsis:
  • Rapid response systems (RRSs) are organisation-wide, patient-focused systems developed to prevent potentially avoidable deaths and serious adverse events. Implementation of a rapid response system includes education of the ward staff to systematically detect signs of physiological instability and identify patients needing urgent evaluation by a medical emergency team (MET).
  • The MET includes medical doctors and/or nurses experienced in management of critical patients; it is activated by ward staff in patients’ fulfilling criteria or in response to staff’s concern, and its roles are to stabilise the patient in the ward or move the patient to a higher level of care.
  • Its widespread increasing adoption in the US, UK, Australia and New Zealand is a testament to its local benefits.
  • The workshop aims to introduce the concept of Rapid Response Systems and in particular, Medical Emergency Team (MET) for the rescue of deteriorating hospitalised patients.
  • The programme consists of talks by experienced Rapid Response Practitioners and case discussions on video-recorded MET cases.
  • Participants will be equipped with concepts & models in implementing or improving the response to clinical deterioration in ward patients.
Learning Objectives
  • Introduction to the concept of Rapid Response Systems
  • Understanding different models of RRS and how they may be applicable in different hospital systems.
  • Experience a typical Medical Emergency Team activation via video simulation.
Schedule Workshop Outline:

12:30pm – 1:00pm Registration
1:00pm – 1:15pm Introduction
1:15pm – 1:45pm What are Rapid Response Systems and Why Do Hospitals Need Them? – A/Prof Daryl Jones
1:45pm – 2:15pm When and How Do Rapid Responses Systems Work? Afferent & Efferent Limbs – Dr Paolo Calzavacca
2:15pm – 2:45pm Starting a Rapid Response System and Keeping It Going. An Asian Experience – A/Prof Augustine Tee
2:45pm – 3:15pm Tea Break
3.15pm – 3.45pm Roles of Nurses & Respiratory Therapists in Rapid Response Systems – NC MashithahMansor
3:45pm – 4:15pm Video 1: The Hypoxic Patient
4:15pm – 4:45pm Video 2: The Hypotensive Patient
4:45pm – 5:00pm Closing
Faculty
  • A/Prof Daryl Jones ( Care Specialist, Austin Health, Australia)
  • Dr Paolo Calzavacca (Anaesthesia and Intensive Care specialist, ASST Melegnano e Martesana, P.O. Uboldo, Cernusco sul Naviglio, Italy)
  • A/Prof Augustine Tee (Chief / Senior Consultant, Respiratory and Critical Care Medicine, Changi General Hospital, Singapore)
  • Ms Mashithah Mansor (Nurse Clinician, Changi General Hospital, Singapore)
Targeted Participant No. 200
Price per participant

SGD$100 (before GST)
Local CME 2 CME Points (TBC)
For any enquiries, please contact: BD@cgh.com.sg | View brochure here.

Affiliated Workshops

Title: PAWs- Paediatric Airway Ventilation Workshop, Singapore (FULLY BOOKED)
Registration Fully Booked
Details Date: Friday, 21 April 2017
Time: 8.00am – 5.00pm
Venue: Academia, Singapore General Hospital Campus
Synopsis: PAWs is co-organized by the departments of Paediatric Anesthesia and Children’s Intensive Care Unit of KK Women’s and Children’s Hospital, Singapore. The course aims to refresh and update the participant’s skills and knowledge in handling the paediatric airway and common modes of ventilation in the ICU. Some highlights of our workshop include hands-on advanced airway skill stations and live demonstration of the various ventilation strategies on anesthetized animals; simulations sessions; problem-based roundtable discussions and interactive lectures.
Learning Objectives At the conclusion of the workshop, participants should be able to:

  • appreciate the armamentarium available in paediatric airway management
  • discuss and practice basic paediatric airway skills
  • develop skills for advanced airway management, including one-lung ventilation
  • discuss and understand the common ventilation strategies in children’s ICU
  • develop or improve crisis resources management skills at airway crisis
Schedule  

To be confirmed

Faculty Local and foreign faculty including experts from Duke University
Targeted Participant No. Participant numbers are capped at 30 to allow maximum opportunity for hands-on and interact with faculty.
Price per participant To be confirmed
Title: RACEplus Workshop
Registration Click here to reserve your slot!
Details Date: Thursday – Friday, 20 – 21 April 2017
Time: 8.30am – 5.00pm
Venue: Tan Tock Seng Hospital, Singapore
Synopsis: RACE (Rapid Assessment by Cardiac Echo) is a transthoracic echocardiography (TTE) course specifically designed for the critical care and acute care physicians. Its objective is to equip physicians in these areas with the skills and knowledge to perform focuses bedside TTE so that common cardiac and haemodynamic disorders can be identified quickly. There is a strong focus on HANDS-ON practice in this course.
Course Content At the conclusion of the workshop, participants should be able to:

  • Left heart function
  • Right heart function
  • Pericardial effusion and cardiac tamponade
  • Intravascular volume (fluid status) assessment
Schedule  

Tentative Programme:
DAY 1: RACE

8.30am Introduction to RACE
8.45am Knobology and basic TTE views
9.15am Demonstration: How to perform TTE?
9.45am Hands-on I: Parasternal views
10.45am Morning break
11.00am Hands-on II: Apical and subcostal views
12.00am Lecture:
LV evaluation
RV evaluation
1.00pm Lunch
1.30pm Fluid status assessment
Pericardial effusion and tamponade
2.15pm Demonstration/Case: Going through & interpreting RACE study
2.45pm Hands-on III: Performing RACE
3.30pm Afternoon Break
3.45pm Hands-on IV: Performing RACE
4.30pm Summary
5.00pm End of Programme

DAY 2: RACEplus

8.30am Case studies (2D and M-mode)
9.00am Hands-on: Performing RACE
10.00am Echo in hypotensive patients
10.30am Morning break
10.50am Hands-on: Student-directed
12.00pm Lung ultrasound
12.30pm Lunch
1.30pm Hands-on
3.00pm Afternoon break
3.30pm Case interpretation workshop
4.45pm Summary and evaluation
5.00pm Finish
Faculty Nepean Hospital, Sydney
Professor Anthony Mclean, Sydney
Professor Michel Slama, France
A/Professor Stephen Huang, SydneySingapore
Dr Jonathan TAN
Dr Yew Woon CHIA
Dr Wee Kim FONG
D Alvin TEODr Tze-Wee LEE
Price per participant AUD1,300.00
*Registration fee includes a copy of Critical Care Ultrasound Manual (2012) AS McLean & SJ Huang (eds). Elsevier Press
Title: Asia Pacific ICU Mobility Network 3rd Annual Conference
Registration Click here to reserve your slot!
Details Date: Friday, 21 April 2017
Time:8.30am – 5.30pm
Venue: York Hotel, Level 2, Carlton Hall
21 Mount Elizabeth, Singapore 228516
Faculty
  • Prof Dale Needham, Johns Hopkins Hospital, USA
  • Prof Yahya Shehabi, Monash Hospitals, Melbourne
  • A/Prof Sue Berney, Austin Health, Melbourne
Price per participant Allied Health and Nurses: SGD$100 (inclusive of GST)
Doctors: SGD$170 (inclusive of GST)