Workshop

Simulation Crisis Management


-coming soon

RA for CVT Anesthesia


PRE-CONGRESS WORKSHOP: Regional anesthesia for CVT surgery 
Thursday 1 December 2022 13:00-16:30 Shangri-La Hotel Chiang Mai
50 attendances (10 / station) 10 instructors (2 / station) 

13:00-13:15 Registration
13:15-13:45 Benefits of regional anesthesia in enhanced recovery after open heart surgeries by Prof. Phillippe Macaire, MD, PhD.
13:45-14:00 Tea break and station distribution
14:00-16.30 Live scanning workshop (5 stations; 30 minutes/station)

Staion A) Thoracic paravertebral block by Assoc. Prof. Suwimon Tangwiwat, MD and Assoc. Prof. Aumjit Wittayapairoj, MD

Station B) Erector spinae plane block by Prof. Phillippe Macaire, MD, PhD and Assist. Prof. Sratwadee Lorsomradee, MD

Station C) Serratus anterior plane block by Assist. Prof. Sudsayam Manuwong, MD and Assoc. Prof. Prangmalee Leurcharusmee, MD

Station E) Transversus abdominis plane block and rectus sheath block by Prof. Justin Sangwook Ko, MD, PhD and Dr. Isarapong Pianngarn, MD

Advanced TEE for Valvular Surgery


Transesophageal echocardiography (TEE) has been increasingly integrated into anesthesia practice for cardiac anesthesiologists. TEE is beneficial for intraoperative monitoring, guiding treatment, and enhancing patient outcomes when appropriately utilized. In many circumstances, TEE helps guide clinical decision-making and make a surgical plan for complex valve repair. This workshop comprehensively includes advanced perioperative TEE training such as TEE assessment for mitral and tricuspid valve, post-repaired assessment, assessment of systolic and diastolic ventricular functions, and 3D TEE in perioperative settings.

Rescue TEE


Rescue transesophageal echocardiography (TEE) is used to diagnose and manage emergency hemodynamic instabilities during the perioperative period in non-cardiac surgery. The scan is focused on diagnosing the reversible condition unexplained by clinical cues such as cardiac tamponade, acute massive pulmonary embolism, and ventricular dysfunction. TEE can also be used to assess the effectiveness and responsiveness of the therapeutic measures. With increasing evidence to support the critical roles of TEE in non-cardiac surgery, this workshop will include hands-on essential TEE operation, basic views in rescue situations, and data interpretation to diagnose the possible cause of hemodynamic compromises.

ACLS Simulation


Extracorporeal membrane oxygenation (ECMO) is increasingly being used to improved patients survival rate in many situations included in cardiac arrest patients. Extracorporeal cardiopulmonary resuscitation (ECPR) is a potentially lifesaving treatment for patients in cardiac arrest when the circulation can’t be restored by conventional CPR. In ECPR, the patient’s circulation and gas exchange are restored using ECMO.

In this 1-hour workshop, we will have few scenarios of cardiac arrest patients to learn about the selection of patients who may benefit from ECPR, as well as when to activated ECPR. Team management, role assignment and approach to cannulation during ECPR are also demonstrated in this workshop.

Regional Anesthesia for Thoracic Surgery


Shangri-La Hotel Chiang Mai 50 attendances 6 instructors (2 / stations)
15:00-16.00 Live scanning workshop (3 stations; 20 minutes/station)

Staion A) Thoracic paravertebral block by Assoc. Prof. Suwimon Tangwiwat, MD and Assoc. Prof. Aumjit Wittayapairoj, MD

Station B) Erector spinae plane block by Prof. Phillippe Macaire, MD, PhD and Assist. Prof. Sratwadee Lorsomradee, MD

Station C) Serratus anterior plane block by Assist. Prof. Sudsayam Manuwong, MD and Assoc. Prof. Prangmalee Leurcharusmee, MD

POCUS for Non-Cardiac Anesthesiologists


Perioperative point-of-care ultrasound for non-cardiac anesthesiologists

Seeing is believing! Perioperative point-of-care ultrasound has emerged as a tool that helps diagnose many uncertain circumstances during perioperative periods. These sets of scans can help find the cause of unexplained perioperative hypotension, define volume status, and diagnose pneumothorax and lung consolidation. This workshop will focus on hemodynamic assessment, including transthoracic echocardiography, inferior vena cava assessment, and lung ultrasonography.

Thromboelastography


Massive hemorrhage and blood transfusions are associated with increased morbidity, mortality and cost. A point-of care viscoelastic testing (ROTEM) is used to evaluate coagulation status, optimize a management of bleeding and may reduce blood transfusion needed. The test provide a complete picture of clot formation, strength, and lysis in whole blood that includes the contribution of platelets, fibrinogen and coagulating factors. This workshop will includes (1) How to do the test? (2) ROTEM tracing interpretation and (3) coagulation management via case-based discussion.

Post-Cardiac Ventilator Setting


Patients undergoing cardiac surgery often require postoperative ventilatory support. Understanding the use of a ventilator is therefore very important to the caregivers after surgery. Pressure control ventilation (PCV) or volume control ventilation (VCV) is the basic ventilator setting used in most patients. In fast-track cardiac surgery with early extubation, some degree of respiratory support to the patients with spontaneous breathing is helpful to promote early recovery. This workshop was designed to enable participants to learn how to use the non-invasive respiratory support, i.e., CPAP, NPPV, high flow nasal cannula, and the ventilator mode to facilitate spontaneous breathing and prevent diaphragm dysfunction such as PAV and NAVA. We also provide knowledge of respiratory monitoring in patients on a ventilator, including ventilatory graphic monitoring, lung mechanic monitoring, and respiratory effort monitoring to prevent over and under support.

Workshop: Post-cardiac ventilator setting
1. Non-invasive respiratory supportObjective: to demonstrate
a. High flow via nasal cannula
b. CPAP and NIPPV, including Helmet (setting and monitoring)

Workshop: demonstration with healthy subjects
2. Graphic monitoringObjective: to demonstrate
a. To detect patient-ventilator asynchrony by waveform analysis
b. Interactive session (power vote)

3. Respiratory mechanics monitoring
a. How to measure airway resistance and lung compliance
i. Demonstrate with a test lung
b. How to measure chest wall compliance (esophageal pressure measurement)
i. Demonstrate with pig lung
c. How to do the best PEEP titration
i. Demonstrate with pig lung

Preparation
1. Staff 4
2. Healthy subject 2
3. Pig lung 1
4. HFNC 1 NIV 1 (Helmet 1)
5. MV (Bennett, Hamilton, Servo)

Update in Ventilator


-coming soon

TCI for Cardiac andThoracic Anesthesia


Should we go green on using TCI propofol? Can this be used safely with patients undergoing a cardiopulmonary bypass machine? How many brands of TCI pumps are there and which one is the best? What are the differences between Schnider, Marsh, Paedfusor, Kataria, Cortinez and what’s more? How’s about the plasma vs the effect concentration. Can we use TCI propofol with small babies? Much to learn, young Jedi, please join us in this TCI for cardiac surgery workshop.

ECMO Crisis


Extracorporeal membrane oxygenation (ECMO) provides support to patients with life threatening forms of respiratory and/or cardiac failure, which are unresponsive to conventional therapy. Despite being arguably one of the most complex treatments available in the Intensive Care environment, there is an implicit need for training in the additional skills of communication, teamwork and leadership that are required to manage the ECMO crisis. The aim of the workshop was to enable the participants to join the ECMO scenarios and learning together to be the ECMO specialist.

Crisis Management during CPB


Cardiopulmonary bypass (CPB) provides a bloodless field for cardiac surgery. It incorporates an extracorporeal circuit to provide physiological support in which venous blood is drained to a reservoir, oxygenated and sent back to the body using a pump. Team effort between Surgeon, Anesthesiologist and Perfusionist is paramount for the successful use of CPB. Joint the workshop which related to cardiopulmonary bypass and crisis scenarios sharing of complications and strategies to solve the problem and how to build the teamwork communication.

Difficult Weaning CPB


-coming soon

Advanced Hemodynamic Monitoring


Hemodynamic monitoring and oxygenation assessment during perioperative and critically ill patients are being cared for in many parts of the hospital beyond the operating room and intensive care unit. Different types of invasive and minimally invasive techniques have become a fundamental tool in the diagnosis approach and alert clinicians of changes in hemodynamic values and oxygenation status. Decision trees and algorithms using physiologic and hemodynamic parameters have been published and are widely used in daily practice. Since the practice of Anesthesiologists, critical care and its related technologies have greatly improved during the past decade, therefore advanced hemodynamic monitoring workshop will enhance health care providers’ skills which lead to decision-making to optimize patient hemodynamic status in the real practice.

This workshop will demonstrate how advanced hemodynamic monitoring provides clarity, proactive and comprehensive hemodynamic management (Hypotension Prediction Index Technology, Near-Infrared Spectroscopy for brain/tissue perfusion and continuous cardiac output monitoring). There will be an opportunity for hands-on practice demonstration via simulation-based case scenario.

Advanced Cerebral Monitoring


The most devastating morbidity after cardiac and aortic surgery is the neurologic complication. Understanding neurophysiologic techniques to monitor neurologic function is crucial to prevent and early manage this complication.

Updated in Lung Isolation


The lung isolation technique is not only applied in thoracic surgery, it is also used in various operations that many anesthesiologists have to attend. This 1-hour workshop focuses on the application of various lung isolation equipment, including double-lumen tubes and bronchial blockers of many types. The insertion methods, both classical and visual, will be demonstrated. Participants can experience these equipments and their application on mannequins. The workshop includes a brief introduction to the instrument, and hands-on skill training with the experts on each station, for example: how to apply various double-lumen tubes, how to apply various bronchial blockers, and how to manage lung isolation techniques in difficult situations.

Anesthesia Crisis Preparedness: The Safety Matter


An Anesthesia crisis can happen in any situation. Anesthesia personal preparedness is the key to safety. Participants will be able to form the concept of applying cognitive aids in the anesthesia crisis. Integrate your own experience and create the patient safety environment than ever