annual congress liverpool
23 - 25 September 2009

workshop programme

There will be several practical workshops running throughout the meeting, the times and topics of which are detailed below. The number of registrants will be limited for each session. A fee of £25 will be payable for each workshop in addition to the registration fees for the day which you will be attending the workshop. Booking will be on a first come, first served basis.

Please click on the links below to view the Attendance lists for each workshop

Wednesday 23 September

Difficult airway 1 (0945–1145)

Difficult airway 2 (1400–1600)

Ultrasound (Group1) (0945–1145)

Ultrasound (Group2) (1400–1600)

CPX 1 (1015–1145)

CPX 2 (1400–1530)

Transthoracic echocardiography 1 (1400–1530)

Thursday 24 September

Difficult airway 3 (0900–1100)

Difficult airway 4 (1400–1600)

Thoracic epidural 1 (0900–1030)

Thoracic epidural 2 (1400–1530)

Transthoracic echocardiography 2 (1400–1530)

CPX 3 (1400–1530)

Friday 25 September

ACCEA (0900–1030)

Transthoracic echocardiography 3 (0900–1030)

CPX 4 (0900–1030)

Ultrasound

Workshop leader: Dr Diana Mathioudakis
Please note: The duration of each session will be 2 hours.

The practical application of ultrasound technology in routine clinical practice has blossomed in recent years, with the development of high resolution portable ultrasound machines. In line with the recent NICE guidelines, US machines are increasingly being used in critical care and routine anaesthetic practise. This workshop will introduce the application of ultrasound for regional anaesthesia, focusing on upper limb regional anaesthetic blocks. All sonoanatomic teaching will be perfomed in small groups with individuals scanning life models to ensure a thorough learning experience for every participant.

Aims:

• Introduction to and practise in basic ultrasound scanning techniques, probe handling and machine setup

• Sonoanatomy of the neck, safe identification of jugular vein including best visualisation for real time 2-dimensional ultrasound guided central vascular access

• Production of consistent image quality for safe performance of IJV cannulation

• Needling in out-of-plane and in-plane technique including awareness for major pitfalls to achieve safe performance of basic regional anaesthetic block techniques

• Sonoanatomy of brachial plexus with of interscalene, supraclavicular and axillary part

• Production of consistent image quality for safe performance of interscalenic, supraclavicular and axillary plexus block

Choosing a workshop group:

Please assess your current standard from the options below. From here you will be able to see which group you should register for.

A = No experience with ultrasound except some vascular access, no course in the past
B = Some experience with ultrasound, some vascular access, vascular access ultrasound course in the past
C = Some experience with ultrasound guided regional anaesthesia, self taught
D = Some experience with ultrasound guided regional anaesthesia, attended a course in the past

A & B should register for Group 1
C & D should register for Group 2

Difficult Airway

Workshop leaders: Dr Ravi Dravid & Dr Alex Marfin
Please note: The duration of each session will be 2 hours.

This newly designed workshop is intended to teach delegates both the technical skills and Human Behaviours/Nontechnical skills (NOTECHS) for management of a difficult airway. The workshop, invaluable for anaesthetists of all grades, will give an opportunity to learn and practice many airway techniques including fibreoptic intubation on models using different airway aids. Skills acquired at the workshop are intended to help delegates in the management of an anticipated difficult airway, an unanticipated failed intubation and a ‘can’t intubate, can’t ventilate scenario’. It will also provide the delegates ample opportunities to learn, discuss and practise both the technical skills (based on DAS guidelines) and simulator based non-technical skills (NOTECHS) by the ‘SMART’ approach.

The workstations will include:

• NOTECHS Training session – “SMART” approach on Simulator

• Fibreoptic endoscopy manipulation skills

• Oral and nasal fibreoptic intubation skills

• Intubation through LMA/ILMA

• Cricothyroidotomy techniques and Transtracheal ventilation

• Tips on successful awake fibreoptic intubation

Cardiopulmonary Exercise Testing (CPX)

Workshop leaders: Dr Michael Swart & Dr John Carlisle

This workshop is an introduction to cardiopulmonary exercise testing (CPX) and its use for the preoperative evaluation of patients. We have nine years’ experience of using CPX testing. This test is now an integral part of our preoperative assessment clinic.

The workshop will compose of:

• An explanation of the equipment

• A live demonstration of a CPX test (volunteers welcome)

• How to interpret the test

• A discussion on the clinical value of the test

We will be happy to tailor this workshop to your needs. If there is any aspect of CPX (theory, practicalities, cases etc) that you would like discussed please let us know.

Please contact either: Dr Michael Swart (michael.swart@nhs.net) or Dr John Carlisle (john.carlisle@nhs.net). Please register for the CPX network: http://www.networks.nhs.uk

ACCEA

Workshop leader: Dr Griselda Cooper

This workshop will provide step-by-step advice on the process of application for local and national clinical excellence awards, with the hope of increasing the likelihood of success in getting an award. Workshop leaders will advise on how to approach filling in the forms for optimal presentation and go over some of the common pitfalls. The group will work through examples relating to different job plans and contributions. They will consider the job plan and how to express the time spent over and above the NHS contract that represents excellence. Practical tips will be in abundance. There should be an opportunity to provide help and advice if you want to discuss your own form.

The workshop organiser has requested that you bring with you a summary of your own contributions that might cover your submission for ACCEA points according to the five domains

1. Delivering a high quality service
2. Developing a high quality service
3. Managing and leading a high quality service
4. Contributing to the NHS through Research and Innovation
5. Contributing to the NHS through Teaching and Training

This will enhance the value you will receive from the workshop.

Thoracic Epidural

Workshop leader: Dr Akbar Vohra

This workshop will focus on the practice and management of thoracic epidural anaesthesia. There will be a particular focus on the use of high thoracic epidural anaesthesia. The workshop will include short presentations, demonstrations and group discussions.

Participants will have an update on:

• Anatomy of the thoracic spine

• Pharmacology of drug combinations in current use

• Post procedure monitoring

• Minimisation and management of complications

• Teaching methods

There will be a video demonstration of the midline and lateral approaches to the high and mid thoracic segments. Novel techniques such as the use of high thoracic anaesthesia for abdominal surgery and the use of radiography for the insertion and management of thoracic epidurals, will be introduced and discussed.

Transthoracic Echocardiography

Workshop leaders: Dr Craig Morris & Dr Conn Russell

Transthoracic echocardiography (TTE) is a useful new technique for triage, diagnosis, monitoring and treatment of acutely ill patients. Availability of affordable, high specification, portable ultrasound equipment has led to a minor revolution in the way this technique can be used by appropriately trained clinicians to enhance patient care.

This workshop will provide an introduction to focused transthoracic echocardiography, which could usefully be incorporated into anaesthetic practice. We will introduce the delegates to the equipment used and the practical technique involved. After the introduction and demonstration, delegates will be given an opportunity to gain hands-on experience in scanning healthy volunteers.

This workshop will provide a tempting introduction to this hugely rewarding clinical skill and we hope that the delegates will take this enthusiasm into training and ultimately use it to benefit their patients.

Both workshop providers have been involved in the development of training and qualification in focused TTE and will outline the current arrangements for accreditation in this area. If you thought echocardiography was something that only existed on a request card, come and take a look!

Barema: Improving patient care through new medical devices

Workshop leader: Mr Harrie Cooke

The aim of the workshop is to outline the steps that need to be followed from the identification of a potential new device, through to marketable product. This will cover topics such as Intellectual Property, EU MDD, International Standards, Clinical Trials, Manufacturing (including Quality Systems), Marketing & Sales. Participants will hear of real examples, and have a chance to get an appreciation of what it takes to achieve successful innovation.

If you have any queries regarding the congress workshops please contact the Events Department
on Tel.+44 (0)20 7631 8804 or email. annualcongress@aagbi.org