Small group discussions (SGDs)

Small group discussions (SGDs)
Small group discussions (SGDs) will be held daily from Saturday
through to Tuesday throughout the day. SGDs will take place
within the Adelaide Convention Centre and will be open to all
registered delegates. Lunchtime sessions will be held after the
commencement of the lunch break to allow time for delegates to
have lunch prior to the commencement of the SGD. Facilitators
may contact participants in the lead up to the meeting to provide
background or preparatory material.
A ticket is required for entry to all SGD sessions. Delegates are
able to register for ONE SGD prior to the close of early bird
registration on Friday March 20, 2015. After this time delegates
are welcome to register for any remaining SGD places.
Cost per SGD: $25
Maximum number of participants for all SGD: 12
Anaesthesia for the adventurous bronchoscopist
Facilitator:
Date/time:
Dr Kate Drummond
Sunday May 3, 2015
SGD04
10.30-11.30am
Case discussions will cover techniques for sedation and
anaesthesia for a variety of airway procedures performed in the
bronchoscopy suite. Procedures include EBUS, tracheal stent
management and manipulation and dilation of tracheal stenosis
whilst sharing an airway with thoracic medicine physicians.
Dr Kate Drummond is a staff specialist anaesthetist at the
Royal Adelaide Hospital with a special interest in cardiothoracic
anaesthesia, transoesophgeal echocardiography and
perioperative medicine.
SGD STREAM: Cardiac/thoracic
SGD STREAM: PERIOPERATIVE MEDICINE
Cath lab crisis
There are bariatric patients, and then there are bariatric
patients- decision making at the end of the line
Facilitator:
Dr Kelly Bratkovic
Date/time:
Saturday May 2, 2015
SGD01
12.15-1.15pm
In this session we will discuss the challenges unique to all
procedures performed in cardiac catheterisation and angiography
suits. Cases will be made available to discuss, and participants are
encourage to bring along any of their own cases to brain storm.
Dr Kelly Bratkovic is a staff specialist at Flinders Medical Centre,
South Australia. Her case mix includes cardiac surgery, cathlab
procedures including transcathater aortic and mitral valve surgery.
Tavi in non-hybrid theatre
Facilitator:
Dr William Cheng
Date/time:
Saturday May 2, 2015
SGD02 3.30-4.30pm
This session will cover some management issues of
transcutaneous aortic valve implantation (TAVI) in a smaller
theatre. This session will highlight the importance of
multidisciplinary approach for TAVI program.
Dr William Cheng is a cardiothoracic anaesthetist at Flinders
Medical Centre, Adelaide. He has been involved with TAVI program
since it was established in 2008. Thoracotomy- analgesic options and dilemmas
Facilitator:
Dr Helen Vlachtsis
Date/time:
Monday May 4, 2015
SGD03 12.15-1.15pm
The discussion will address some of the options for analgesia for
patients having thoracic surgery and potential dilemmas relating
to relative risks and benefits of the various techniques.
Dr Helen Vlachtsis is a consultant anaesthetist at Flinders Medical
Centre and The Repatriation General Hospital, South Australia,
with an interest in anaesthesia for cardiothoracic, vascular and
orthopaedic surgery, echocardiography and regional anaesthesia.
Facilitator:
Dr Simon Macklin
Date/time:
Monday May 4, 2015
SGD05 12.15-1.15pm
This SGD will discuss assessment, management, peri-operative
interventions for the end stage bariatric patient. This SGD will
discuss assessment, management, perioperative interventions for
the end stage bariatric patient.
Case presentation: 56 year-old indigenous Australian from
Alice Springs. BMI 56, diabetes requiring insulin, OSA on CPAP,
hypertensive and on maximal dose frusemide plus ACE inhibitor.
Your surgeon says “what do you think? I want to do a Roux-en-Y
gastric bypass. I plan to do this laparoscopically, but I haven’t seen
him yet and I may need to perform an open operation”. How will
you optimise the patient? What investigations are relevant? How
will you conduct the anaesthetic? What will you do for post-op
analgesia? Where will you manage the patient post-operatively?
Dr Simon Macklin is a senior specialist anaesthetist at the Royal
Adelaide Hospital (RAH). He migrated from the UK in 1995, FRCA,
to be appointed to a staff specialist position at RAH. He has a
special interest in anaesthesia for upper GI surgery and airway
management. He has been lead anaesthetist at RAH for patients
undergoing bariatric surgery for nearly 20 years.
The patient with pulmonary hypertension for
non-cardiac surgery
Facilitator:
Dr Sam Tong
Date/time:
Saturday May 2, 2015
SGD06 10.30-11.30am
Pulmonary hypertension is a challenging clinical condition that
increases perioperative risk. The aim of this SGD is to provide a
framework for managing patients with pulmonary hypertension
for non-cardiac surgery with a focus on preoperative evaluation
and management of acute right ventricular failure.
Dr Sam Tong is a staff specialist anaesthetist at Royal Adelaide
Hospital and has diverse experience in cardiothoracic anaesthesia.
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Small group discussions (SGDs) (CONTINUED)
Is transthoracic echocardiography for you?
Facilitator:
Dr Tony Pearce
Date/time:
Monday May 4, 2015
SGD07
1.30-2.30pm
Cardiology has declined to perform an echocardiogram on your
demented 94 year old patient with a #NOF. You become fired
up with missionary zeal and begin agitating for the purchase of
a TTE probe for your department’s ultrasound machine. What
happens when it actually arrives? We will look at the indications for
perioperative focused TTE and the thorny issues of appropriate use,
training and audit.
Dr Tony Pearce is a senior staff specialist anaesthetist at the Royal
Adelaide Hospital. When not at work covered in ultrasound gel, he
can be found at home covered in flour trying to bake the perfect
sourdough loaf.
Decision making in perioperative resuscitation
Facilitator:
Dr Cameron Main
Date/time:
Monday May 4, 2015
SGD08
1.30-2.30pm
Cases will be presented to explore issues such as boundaries of
intervention where advance directives are in place, duration of
active resuscitation efforts when potentially reversible causes are
present, and the role of emerging therapies such as ECMO.
Dr Cameron Main is a staff specialist anaesthetist at the Royal
Adelaide Hospital. He is regularly involved with the emergency
and orthopaedic trauma services. Current areas of interest are
anaesthesia for major hepato-biliary, spinal and ENT surgery.
Non-pharmacological anxiolysis -vegas style
Facilitator:
Dr Michael Goldblatt
Date/time:
Sunday May 3, 2015
SGD09
3.30-5pm
How many times have you heard …”I’m needle phobic?” or had
patients demand general anaesthesia to cope with MRI. Even more
dramatic are the patients who are so scared they abscond from
the hospital before their surgery! Whilst we are all experts in the
pharmacological management of these extreme behavior there are
times when patients can be managed quickly and effectively using
non pharmacological techniques such as hypnosis.
This SGD will provide a brief introduction to hypnosis and how it
can be used during our daily work to relieve anxiety and stress,
remove phobias and make lifestyle modifications that make
anaesthesia and surgery safer e.g. stop smoking.
Dr Michael Goldblatt completed his primary medical degree at the
Flinders University of South Australia. He completed his anaesthetic
fellowship in 1999 after training in South Australia and Queensland.
His experience included being the anaesthetist for a flying obstetric
service in rural Queensland as well as subspecialty training in
aeromedical medicine, paediatrics and cardiothoracic anaesthesia.
As a result of seeing the successful use of hypnosis to resolve his
daughter’s fear of flying (in one 45 minute drug free session),
he trained in hypnosis and was awarded a Diploma of Clinical
Hypnosis. He currently holds a half time position as a staff specialist
at Flinders Medical Centre in the department of anaesthesia as well
as working half time in private practice with State
Anaesthetic Services.
Iron shield: patient blood management in action
Facilitator:
Dr Bernd Froessler
Date/time:
Tuesday May 5, 2015
SGD10
1.30-2.30pm
Patient blood management (PBM) is a patient-focused approach to
improving patient outcomes by minimising or avoiding unnecessary
exposure to blood components. Optimisation and maintaining the
patient’s own red cell mass is crucial. Preoperative screening of iron
status, with timely and adequate treatment modalities is a valuable
part of the concept. Utilising appropriate alternatives to blood
transfusion is cost-effective, complies with clinical governance
requirements, and falls within the scope of the National Safety and
Quality Health Service Standard 7 Blood and Blood Products.
Dr Bernd Froessler is a staff specialist in anaesthesia at the Lyell
McEwin Hospital in Adelaide and a clinical senior lecturer at the
University of Adelaide. Bernd was born in Germany and completed
undergraduate training in 1988 at the University of Cologne in
Germany. He trained in anaesthesia and intensive care in Germany
and worked as a specialist in Germany, Holland and Australia. He
has been involved in patient blood management initiatives since
2006 which has also become his main research focus.
Getting to the heart of perioperative myocardial injury in non
cardiac surgery
Facilitator:
Dr Oliver David
Date/time:
Monday May 4, 2015
SGD11 3.30-4.30pm
Using case based discussion we will examine the various aspects of
perioperative myocardial injury. Who is at risk, how can we avoid it
and what to do when it happens.
Dr Oliver David’s interest in perioperative medicine began after
completing the Perioperative Medicine Short Course through
Monash University and went on to do a formal project looking
at preoperative anaemia in cardiac surgical patients at the Royal
Adelaide Hospital. Oliver began his anaesthesia training in South
Australia and the Northern Territory and went on to spend his
provisional fellowship year at Changi General Hospital in Singapore.
His special interests are in regional anaesthesia, pain medicine,
perioperative cardiology and transfusion medicine.
Where neurologist and anaesthetist may clash:
anaesthesia for acute stroke
Facilitator:
Dr Shona Osborn
Date/time:
Sunday May 3, 2015
SGD12
3.30-4.30pm
Increasing numbers of patients suffering an acute ischaemic
stroke who fail thrombolysis are taken to the angiography suite for
endovascular therapy. The impact of general anaesthesia versus
minimal sedation on patient outcomes after such endovascular
therapy has been greatly debated among neurologists, but the riskbenefit balance may be less familiar to anaesthetists, particularly
those who rarely undertake such cases. Using a case-based format,
this SGD will examine the issues involved. Participants will be
encouraged to discuss their own experiences. The SGD will also
cover the anaesthetic management for non-cardiac surgery of
patients who are at particularly high risk of stroke, and review cases
where perioperative stroke has occurred.
Dr Shona Osborn is a staff specialist and a current supervisor of
ANZCA’s Specialised Study Unit in neurosurgery and neuroradiology,
at the Royal Adelaide Hospital.
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Eye lists made easier
Facilitator:
Dr Jon Clarke
Date/time:
Saturday May 2, 2015
SGD13
10.30-11.30am
A small group discussion of common pitfalls in ophthalmic lists,
how to avoid them and offer advice and group discussion on any
issues experienced in your lists. This SGD is aimed at the occasional
or improving ophthalmic anaesthetist.
Dr Jon Clarke has a longstanding interest in all aspects of
ophthalmic anaesthesia. This includes teaching and research as
well as a large ophthalmic workload in both the public and
private sectors.
Utilising lumbar drains for spinal cord protection during TEVAR (thoracic endovascular aortic repair)
or major aortic surgery
Facilitator:
Dr Dave Cardone
Date/time:
Sunday May 3, 2015
SGD14 12.15-1.15pm
This SGD will cover lumbar CSF drain indications, kit, insertion
technique, anticoagulation issues, monitoring CSF pressures,
draining CSF, trouble shooting, clinical utility, and clinical evidence.
Dr Dave Cardone works as a consultant cardiothoracic anaesthetist
at Royal Adelaide Hospital, having competed a cardiothoracic
fellowship at Papworth Hospital, Cambridge UK (2008/2009)
and recently returned from 12 months work as an ‘attending’ at the
University of Michigan Cardiovascular Centre, USA.
Anaesthesia for cancer surgery
Facilitator:
Dr Jason Chou
Date/time:
Sunday May 3, 2015
SGD15 12.15-1.15pm
What is the anaesthetists’ modus operandi in cancer surgery, with
its major nociceptive input and a high risk of nerve damage? We
want something that is effective, opioid sparing and have little
effects on major organ systems. We also want our patients to leave
the hospital as soon as possible. On a bigger picture, we want to
reduce our patients’ risk of developing persistent post-surgical pain
and even have improved cancer recurrence-free survival. Is it all
too much to ask? What is the evidence?
Dr Jason Chou is an anaesthetist and adult and paediatric pain
medicine specialist. He heads the Acute Pain Service at the Peter
MacCallum Cancer Centre and is also a clinical senior lecturer at the
University of Melbourne. His other public appointments include the
Alfred and the Austin Hospitals. His main clinical interests include
the role of perioperative interventions in improving both short and
long term outcomes, especially in cancer surgery.
This interactive SGD will explore the concept of “effective” TP and
provide participants with an evidence based guideline to assist
in the assessment of thromboembolic risk and the provision of
standardised recommendations based on these risk profiles. At
the conclusion of the SGD, participants will be equipped with
the quality improvement tools required to implement a surgical
thromboembolism prevention protocol at their own
institutions, thus expanding the role of anaesthetists as
perioperative physicians.
Dr Rani Chahal trained in anaesthesia at the Royal Melbourne
Hospital and currently works as a specialist anaesthetist at Peter
MacCallum Cancer Centre and Western Health in Melbourne,
Australia. His interests include anaesthesia for surgical oncology,
ENT surgery, quality improvement and perioperative medicine,
specifically surgical thromboembolism prevention.
To cement or not to cement……
Facilitator:
Dr Jo Melick
Date/time:
Sunday May 3, 2015
SGD17
12.15-1.15pm
The aetiology and risks of cement implantation syndrome,
looking at risk stratification in regard to anaesthetic and surgical
considerations in the management of fractured neck of femur.
Dr Jo Melick is a staff anaesthetist at Flinders Medical Centre and
Repatriation Hospital, with interests in orthopaedics and
regional anaesthesia.
Anaesthesia for electroconvulsive therapy - is there more
to it than Propofol and Sux?
Facilitator:
Dr Ivan Ward
Date/time:
Tuesday May 5, 2015
SGD18
9-10am
This small group discussion will review of current evidence related
to the anaesthetic management of patients undergoing ECT, and a
discussion of some interesting cases. Dr Ivan Ward is a senior anaesthetic consultant at Flinders
Medical Centre and private anaesthetist with Pulse Anaesthetics.
Dr Ward was an anaesthetic representative on the ECT advisory
committee in the formation of the South Australian Guidelines
for Electroconvulsive Therapy (2014) ECT manual. He has a broad
range of experience in anaesthesia for ECT, working in both private
and public ECT centres. As a supervisor of training at Flinders
Medical Centre Dr Ward is heavily involved in teaching, and has
previously given presentations on anaesthesia for ECT at both
national and state psychiatric meetings.
Perioperative thromboprophylaxis: expanding the role of
anaesthetists in risk reduction and quality improvement
Facilitator:
Dr Rani Chahal
Date/time:
Sunday May 3, 2015
SGD16 1.30-3.30pm
Preventative thromboprophylaxis (TP) is one of the most important
interventions to improve patient safety in surgical patients.
Evidence, however, points to significant underutilisation of and
heterogeneity in perioperative TP, placing patients at significant risk
of hospital-acquired venous thromboembolism (VTE).
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Small group discussions (SGDs) (CONTINUED)
YOU THINK THAT IS A COMPLEX CASE...CHECK THIS OUT!
Facilitator:
Dr Jeremy Fernando
Date/time:
Sunday May 3, 2015
SGD19
12.15-1.15pm
This is a small group, interactive case discussion about an elderly
patient who required urgent, life and limb saving orthopaedic
surgery, managed in a regional center.
Dr Jeremy Fernando is an anaesthetist and intensive care specialist
at Rockhampton Hospital. He is a senior lecturer at the Rural Clinical
School, University of Queensland. His interests include perioperative
medicine, teaching and education, high fidelity simulation training,
recognition and management of the deteriorating patient and
collaborative health care.
Practical aspects of IV iron prescribing, dosing and
administration for the anaesthetist
Facilitator:
Dr Kathryn Robinson
Date/time:
Sunday May 3, 2015
SGD20
1.30-2.30pm
This SGD will cover the nuts and bolts of how to get IV iron
prescribing from an idea to a reality.
Dr Kathryn Robinson is a haematologist and transfusion medicine
specialist at the Australian Red Cross Blood Service and the Queen
Elizabeth Hospital in Adelaide, South Australia. She holds a joint
fellowship with the Royal Australian College of Physicians and
Pathologists, training in Adelaide, Melbourne and Oxford. Kathryn is
the clinical lead of “BloodSafe”, a state-wide collaborative program
to improve the safety and appropriateness of clinical transfusion
practice. She has a particular interest in iron deficiency and has
been involved in a number of improvement programs, including the
development of resources and academic detailing programs for GPs.
SGD STREAM: UNUSUAL ENVIRONMENTS
Beam me up Scotty! transporting the morbidly obese
Facilitator:
Dr Kylie Stanton
Date/time:
Saturday May 2, 2015
SGD21
1.30-3pm
With the nation’s obesity levels on the rise, transfer of the morbidly
obese critically ill patient is an increasing challenge in anaesthesia
and retrieval medicine. This session will use case based discussion
to examine the issues faced and how to solve them. BMI 90+ with
severe sepsis...let’s make it look easy.
Dr Kylie Stanton combines retrieval medicine and private practice
anaesthesia in Adelaide.
Anaesthetists and Aircrafts: preparing for the fall
Facilitator:
Dr Alex Zanker
Date/time:
Saturday May 2, 2015
SGD22
12.15-1.15pm
A case based discussion on anaesthesia in the aeromedical setting
with an emphasis on the different safety aspects to be considered,
and preparedness for the worst case scenario.
Dr Alex Zanker is a staff specialist at the Queen Elizabeth Hospital,
South Australia.
SGD STREAM: RESEARCH
Getting started in research
Facilitator:
Professor Kate Leslie and Ms Karen Goulding
Date/time:
Saturday May 2, 2015
SGD23 1.30-3pm
Would you like to conduct research? This workshop is aimed at
people new to multi-centre research who are unsure of where
to start. The session will cover: developing your research idea;
protocol development; pilot and feasibility studies; funding
opportunities; funding your own research coordinator - the
business case; setting up your site; ethics and research governance;
where to get help and Trials Group support.
Professor Kate Leslie is the current chair of the ANZCA Trials Group
Executive and is a member of the ANZCA Research Committee and
Foundation Board of Governors. Kate’s current research interest
is in mentoring emerging researchers in order to establish large
multicentre randomised trials in anaesthesia and
perioperative medicine.
Ms Karen Goulding is an ANZCA Trials Group Coordinator at ANZCA
and Monash University. She has a background in basic research and
public health. Getting your research published
Facilitator:
Associate Professor Andrew Davidson and
Professor David Story
Date/time:
Sunday May 3, 2015
SGD24
1.30-3.30pm
This workshop is aimed to teach participants how to design,
execute, analyse and write up research in such a way as to ensure
publication in the best possible journal.
Associate Professor Andrew Davidson is editor-in-chief of
Paediatric Anaesthesia and on the editorial boards of several other
leading journals. He is the Director of Clinical Research, Royal
Children’s Hospital, and head of anaesthesia and pain management
research at the Murdoch Children’s Research Institute. Andrew is a
member of the ANZCA Trials Group Executive.
Professor David Story is the coordinator of the Clinical Sciences and
Health Practice Research Domain at the University of Melbourne.
He holds the foundation Chair of Anaesthesia at the University of
Melbourne and is Head of the Anaesthesia, Perioperative and Pain
Medicine Unit within the Melbourne Medical School. David is a
member of the ANZCA Trials Group Executive.
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Navigating the ethics committee
Facilitator:
Dr Tim Porter
Date/time:
Saturday May 2, 2015
SGD25
3.30-4.30pm
This SGD will address the issues of why we have ethics
committees, what they do, and most importantly, how to ensure
that research proposals get through the relevant committee
as quickly and happily as possible. In particular, it will focus on
common holdups in ethics reviews.
Dr Tim Porter is a staff specialist anaesthetist at Flinders Medical
Centre, has a Masters degree in Bioethics and is a deputy chair of
the Southern Area Local Health Network’s Human Research
Ethics Committee.
Ethical legal consent
Facilitator:
Dr Bernadette Richards
Date/time:
Tuesday May 5, 2015
SGD26
1.30-3pm
Consent to medical treatment is the subject of much debate,
discussion and disagreement. At its base is the foundational
right to determine what is or is not done to our own body, but
it is not always straightforward to put into practice. Patients are
by definition unwell, their cognitive processes impaired by pain
or their illness. They have come to the hospital for a cure but
this may not be possible. Often it is said that a patient will be
‘consented’ as though it is a process, something that is either
done to or extracted from the patient. There are many layers to
the consent conversation and this session will present scenarios in
which the process of consent is opaque, it will involve a practical
consideration of the legal and ethical foundations of consent and
provide the opportunity to talk through the concerns that arise
when the consent process is not straightforward.
Dr Bernadette Richards comes from the Law School at the
University of Adelaide and is an active researcher in the areas
of Tort Law, Medical Law, and Bioethics. She has written a text
book on Tort Law (Tort Law Principles,) has contributed to a
collaborative text, Health Law in Australia and has recently
completed a new text, Medical Law and Ethics: A Problem
Based Approach. Bernadette is Deputy Chair of a major clinical
research ethics committee, Associate Editor (Law) of the Journal
of Bioethical Inquiry and provided advice to the Minister of Health
as a member of the South Australian Council of Reproductive
Technology. Her current research projects include a major grant
project considering innovative surgery, the misapplication of
the Australian Human Tissue Acts to posthumous donation of
reproductive material and the role of ethical dialogue in
popular entertainment.
SGD STREAM: EDUCATION AND WELFARE
Asleep at the wheel
Facilitator:
Dr Simon Jenkins and Dr Matthew Thomas
Date/time:
Tuesday May 5, 2015
SGD27
9-10am
An investigation has been initiated into a sentinel event in a
hospital in your area where a patient died after a cardiac arrest
during a cholecystectomy. You have been given the task of
investigating the circumstances around the event. Initial reports
suggest the anaesthetist failed to detect subtle deterioration of
the patient during the procedure.
In this interactive session, we will lead you through the
investigation as more detailed information comes to light. We
will explore the relationship between fatigue and error, the
implications for those involved at all levels of the health service
with respect to roles and responsibility. The session will provide
participants with an overview of best practice in terms of fatigue
risk management.
Dr Simon Jenkins is a consultant anaesthetist and Department
Director at Lyell McEwin Hospital in the northern reaches of
Adelaide. He previously ran the simulation unit at the Royal
Adelaide Hospital where he had interests in human factors and
performance in clinical anaesthesia. He is an Aquarius and would
like to sail across an ocean before he dies.
Dr Matthew Thomas is a leading human factors scientist in
Australia. He has contributed to projects enhancing safety for
airlines, health services, rail operators, mining organisations,
utilities, and others across the Asia-Pacific region.
Monsters in the mind
Facilitator:
Dr Michael Goldblatt
Date/time:
Monday May 4, 2015
SGD28
3.30-5pm
Remember as a child when you were frightened of monsters
hiding under your bed or in your bedroom cupboard? As an adult
many of us experience the same fear and anxiety when faced
with examinations, assessments of our performance in the work
place or when having to give presentations to our colleagues.
Whilst some degree of stress is required to achieve, there are
situations where the increased stress and anxiety will detract from
your performance. Hypnosis and Neurolinguistic programming
(NLP) are well documented as techniques to help change how
you feel in these situations. This SGD will demonstrate how you
can simply use hypnotic techniques to reduce anxiety and stress
and improve your performance where it counts-exams, vivas, and
presentations-regaining control of these monsters which lurk in
your mind!
Dr Michael Goldblatt completed his primary medical degree
at the Flinders University of South Australia. He completed his
anaesthetic fellowship in 1999 after training in South Australia and
Queensland. His experience included being the anaesthetist for a
flying obstetric service in rural Queensland as well as subspecialty
training in aeromedical medicine, paediatrics and cardiothoracic
anaesthesia. As a result of seeing the successful use of hypnosis
to resolve his daughter’s fear of flying (in one 45 minute drug
free session), he trained in hypnosis and was awarded a Diploma
of Clinical Hypnosis. He currently holds a half time position as a
staff specialist at Flinders Medical Centre in the department of
anaesthesia as well as working half time in private practice with
State Anaesthetic Services.
Moving from clinical practice to academic teaching
Facilitator:
Dr Robin Limb
Date/time:
Sunday May 3, 2015
SGD29
10.30-11.30am
Are you interested in developing your career outside the operating
theatre?
Dr Robin Limb is a staff anaesthetist, now working also in Clinical
Education for the University of Adelaide. She has explored options
in detail, including medical education, academic medicine and
perioperative medicine.
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Small group discussions (SGDs) (CONTINUED)
Performance issues
Facilitator:
Dr Di Khursandi
Date/time:
Saturday May 2, 2015
SGD30 1.30-2.30pm
Have you wondered about performance issues in one of your
colleagues? Do you know what you can do? This SGD will explore
some common issues and the actions you might take.
Dr Di Khursandi is the Director of Clinical Training, Caboolture
Hospital, Queensland. Di is the founder and past chair of the Rural
and Welfare of Anaesthetist Special Interest Groups. Di was a
member of ANZCA Council and a number of other committees from
1998-2007.
Building a happy department
Facilitator:
Dr Di Khursandi
Date/time:
Monday May 4, 2015
SGD31 1.30-2.30pm
Do you look forward to coming to work? Are you supported in your
department? Do you as a leader, or does your leader, have the
right qualities to run a department or group? Let’s discuss what
strategies might build great morale and an enviable reputation for
your team.
Dr Di Khursandi is the Director of Clinical Training, Caboolture
Hospital, Queensland, Australia. Di is the founder and ex-chair of
the Rural and Welfare of Anaesthetist Special Interest Groups. Di
was a member of ANZCA Council and a number of other committees
from 1998-2007.
How green is my anaesthetic?
Facilitator:
Dr Kristen Llewelyn
Date/time:
Monday May 4, 2015
SGD32 1.30-2.30pm
Interested in the environmental impact of anaesthesia? Concerned
about sustainability issues? Come, learn and share ideas to move
towards a more sustainable practice.
Dr Kristen Llewelyn is a senior staff anaesthetist at Flinders Medical
Centre. She enjoys providing anaesthesia for a wide variety of
surgical disciplines. She is also a closet greenie.
The expert trap
Facilitator:
Dr Dave Sainsbury
Date/time:
Monday May 4, 2015
SGD33
10.30-11.30am
“The expert trap” centers on issues of unconscious bias in
recognition-primed decision making. This is generally a valuable
cognitive shortcut to free up the scarce but unique resources of
working memory. It is important to recognise this shortcut as a
potential source of error, exemplified by task fixation, myside bias,
confirmation bias, accessibility bias etc. There are many implications
for quality and safety in health care delivery, from premature closure
in the diagnostic process to the impact of ageing in clinical practice.
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Dr Dave Sainsbury graduated from the University of Adelaide
in 1978, completing postgraduate training in anaesthesia in
1985. After one year in the Netherlands, he settled into a staff
position at the Women’s and Children’s Hospital where he has
remained, including five years as director. His interest in training
in non technical skills started with a pilot project for TeamSTEPPS
in South Australia in 2008. He is now a master trainer in that
program, instructor in the national Teaching on the Run course,
graduate of the original AusSETT program, facilitator/instructor in
two programs with the Royal Australasian College of Surgeons; Non
Technical Skills for Surgeons and Training in Professional Skills.
Understanding the emotional patient
Facilitator:
Dr Dave Sainsbury
Date/time:
Saturday May 2, 2015
SGD34
3.30-4.30pm
A simple model is described that traces difficult emotional states
to loss and consequent grief. Scripts are suggested for avoiding our
habitual response to patients demonstrating denial, anger, anxiety
and depression. Some approaches to conflict resolution will
also be covered.
Dr Dave Sainsbury graduated from the University of Adelaide
in 1978, completing postgraduate training in anaesthesia in
1985. After one year in the Netherlands, he settled into a staff
position at the Women’s and Children’s Hospital where he has
remained, including five years as Director. His interest in training
in non technical skills started with a pilot project for TeamSTEPPS
in South Australia in 2008. He is now a master trainer in that
program, instructor in the national Teaching on the Run course,
graduate of the original AusSETT program, facilitator/instructor in
two programs with the Royal Australasian College of Surgeons; Non
Technical Skills for Surgeons and Training in Professional Skills.
SGD STREAM: ANAESTHETIC REGISTRARS
Difficult airways: a PFY experience
Facilitator:
Dr Adam Badenoch
Date/time:
Monday May 4, 2015
SGD35
10.30-11.30am
Twelve months at a busy tertiary referral hospital in Adelaide, a city
with its fair share of oral and airway cancers courtesy of an excess
of cigarette smoke and V8 engine exhaust, delivered many difficult
airway scenarios. How would you handle them?
Dr Adam Badenoch has recently completed an airway provisional
fellowship at the Royal Adelaide Hospital, and is currently working
as the medical education and simulation Fellow at Flinders
Medical Centre.
Teaching anaesthetic skills... the blind leading the blind
Facilitator:
Dr Faith Crichton
Date/time:
Monday May 4, 2015
SGD36
3.30-4.30pm
The SGD is aimed at registrar’s where discussion will focus on
teaching anaesthetic skills to junior trainees and/or other members
of staff.
Dr Faith Crichton has recently completed her medical education and
simulation Fellowships at Flinders Medical Centre.
The uncooperative paediatric patient versus the trainee
Facilitator:
Dr Rachelle Augustes
Date/time:
Monday May 4, 2015
SGD37
12.15-1.15pm
What premedication do you give the screaming child in holding
bay? What about the autistic child on tomorrows dental list? How
can you prevent emergence delirium? This SGD is for trainees or
the occasional paediatric anaesthetist facing common paediatric
behavioural issues.
Dr Rachelle Augustes is a provisional Fellow at the Woman’s and
Children’s Hospital Adelaide.
Anaesthesia for the high risk vascular patient - more than just
vasopressor and an arterial line?
Facilitator:
Dr Jim London
Date/time:
Tuesday May 5, 2015
SGD38
9-10am
Patients presenting for vascular surgical procedures represent a
high risk patient group. There are many factors to consider in order
to improve patient outcomes. The preoperative assessment and
optimisation of these patients is essential. The literature on the
intra-operative management can be conflicting. By the end of this
session you will have a frame work for the optimal perioperative
care of this high risk patient group.
Dr Jim London is an anaesthetic fellow at the Royal Adelaide
Hospital with an interest in perioperative medicine and high risk
anaesthesia. James has completed a Bachelor of Medical Science,
Bachelor of Science (Honours), Bachelor of Medicine and Bachelor
of Surgery.
Obstetrics and obesity for beginners
Facilitator:
Dr Sam Lumb
Date/time:
Monday May 4, 2015
SGD39
10.30-11.30am
This SGD will cover approaches to the high BMI obstetric patient:
from when you’re seeing a BMI 45 patient in high-risk anaesthetic
clinic in the obstetric hospital at 20 weeks, to the 160kg patient
who’s presented to the labour ward at 4am with a sketchy trace.
Dr Sam Lumb is a provisional fellow at the Women’s and Children’s
Hospital/LMH.
Approaches and considerations for the acute and chronic
liver failure patient and liver resection
Facilitator:
Dr Rick Champion
Date/time:
Sunday May 3, 2015
SGD40 10.30-11.30am
This small group discussion is aimed at the trainee approaching
patients with liver disease and patients for liver resection
surgery. This group of patients have a complex pathophysiology
which changes with the progression of disease. The anaesthetic
management of these patients can be challenging but ultimately
extremely rewarding.
Dr Rick Champion is a provisional fellow at Flinders Medical Centre
(upper GI).
The troubleshooting epidural
Management of the opioid addicted patient in acute pain
for beginners
Facilitator:
Dr Irina Hollington
Date/time:
Saturday May 2, 2015
SGD42 1.30-2.30pm
Patients with addiction disorders are often complex in their
perioperative management. With case based scenarios we will give
you a step-wise approach to review preoperative risk factors, the
various pharmacological options available, the role of expectation
setting and education of patients about their part in managing
pain, the importance of discharge planning and how to manage
weaning successfully.
Dr Irina Hollington is an anaesthetist with a fellowship in acute
pain and incoming chronic pain fellow at the Royal Adelaide Hospital.
SGD STREAM: PAEDIATRICS
Paediatric dilemmas
Facilitator:
Dr Dave Barker
Date/time:
Saturday May 2, 2015
SGD43 12.15-1.15pm
Practical paediatric dilemmas for the occasional paediatric
anaesthetist bring your favourites to the table. Cases will be
available to discuss. Participants are encouraged to bring along any
of their own cases to brainstorm.
Dr Dave Barker is a paediatric anaesthetist (occasional adult
anaesthesia) and staff specialist Women’s and Children’s
Hospital Adelaide.
Beads, peanuts, coins and batteries- the challenges of inhaled or
swallowed foreign bodies in paediatric anaesthesia
Facilitator:
Dr Yasmin Endlich
Date/time:
Saturday May 2, 2015
SGD44
3.30-4.30pm
This SGD will cover the different management in various
inhaled or swallowed foreign bodies in paediatric anaesthesia.
Discussion will be around the urgency and the necessity of various
procedures. This SGD will focus on tips and tricks about induction,
maintenance of anaesthesia and post operative care, and will
touch base on surgical techniques. This session is ideal for trainees
and the occasional paediatric anaesthetist.
Dr Yasmin Endlich commenced anaestetic training in Vienna in
2007 and is now a staff specialist at the Women’s and Children’s
Hospital and Lyell McEwin Hospital in Adelaide.
Facilitator:
Dr Irina Hollington
Date/time:
Monday May 4, 2015
SGD41
3.30-4.30pm
Well working epidurals are a blessing, however troublesome
epidurals are often considered hardly worth the effort. In this
interactive SGD we will review the indications and complications,
anatomy, insertion site and technique, how to secure and run
the epidural effectively in the perioperative setting and how to
swiftly troubleshoot and assess if and how it can be salvaged. The
SGD aims to give pre-part 2 registrars the skills and confidence to
manage a call for help in the middle of the night!
Dr Irina Hollington is an anaesthetist with a fellowship in acute
pain and incoming chronic pain fellow at the Royal Adelaide
Hospital.
29
Small group discussions (SGDs) (CONTINUED)
SGD STREAM: PAIN MEDICINE
TIPS AND TRICKS: THE OPIOID-TOLERANT PATIENT WITH ACUTE PAIN
Facilitator:
Dr Lindy Roberts
Date/time:
Monday May 4, 2015
SGD45
10.30-11.30am
The 4th edition of Acute Pain Management: Scientific Evidence
will be released at the Adelaide ASM. The focus of this session is
on how the new guidelines on opioid-tolerant patients, including
those with opioid addiction, can be applied to your practice.
Participants are encouraged to bring along their curly questions,
tricky cases and tips for how they manage these patients. The
approach will be case-based and practical.
Dr Lindy Roberts is an anaesthetist and specialist pain medicine
physician at Sir Charles Gairdner Hospital, Western Australia, with
a particular interest in complex acute pain management. She has
contributed chapters on opioid tolerance and addiction to Acute
Pain Management: Scientific Evidence (ANZCA and FPM) and been
an FPM examiner.
Beyond morphine in paediatric pain management
Facilitator:
Dr Matthew Crawford
Date/time:
Tuesday May 5, 2015
SGD46
1.30-2.30pm
This discussion will centre around acute pain management in
children and the possible transition to chronic pain. How common
is chronic pain in children? Are the chronic pain risk factors for
children the same as adults? What are the most effective acute
pain management strategies in this group?
Dr Matthew Crawford is an anaesthetist, intensivist and pain
medicine fellow at Prince of Wales/Sydney Children’s Hospital. He
is Director of Pain and Palliative Care, and the Clinical Director of
Surgery and Anaesthesia Program at Sydney Children’s Hospital.
Acute neuropathic pain
Facilitator:
Associate Professor David Scott
Date/time:
Sunday May 3, 2015
SGD47
1.30-2.30pm
Acute neuropathic pain is increasingly recognised as a component
of early acute pain following surgery. Acute neuropathic pain
needs to be recognised and treated as a specific entity to ensure
optimal patient outcomes.The conventional treatment of acute
postoperative pain often fails to address this, resulting in suffering
and distress which may in fact be preventable and lead to longer
term pain. During this small group discussion we will explore some
of these issues from a practical point of view.
Associate Professor David Scott is the Director of the Department
of Anaesthesia and Acute Pain Medicine at St. Vincent’s Hospital
in Melbourne. He was head of the Acute Pain Service for almost
20 years. He has a PhD in neuropharmacology and is interested in
neuropathic pain. Over the last decade, his research has focussed
on outcomes - including the cognitive effects of anaesthesia and
surgery, also outcomes related to Acute Pain management and
cardiac surgery. He has researched, published and presented
extensively in these areas.
New opioids and the anaesthetist
Facilitator:
Dr Tim Semple
Date/time:
Sunday May 3, 2015
SGD48
10.30-11.30am
30
With an ever increasing range of patches and formulations of
opiates working out a perioperative management plan can start to
seem daunting. In this session we will explore the ins and outs of
these new chronic pain options and their impact on anaesthesia.
Dr Tim Semple works at the Royal Adelaide hospital specialising in
chronic pain and cardiac anaesthesia.
SGD STREAM: OBSTETRIC ANAESTHESIA
Fun with pregnant fontans
Facilitator:
Dr Jason Koerber
Date/time:
Saturday May 2, 2015
SGD49
10.30-11.30am
A small case series of pregnant women with Fontan circulations
who received a variety of anaesthetic types is presented. This
series is used as a basis for discussion about the problems
involved, the evidence in the literature, and possible management
for this intimidating and increasingly less rare challenge.
Dr Jason Koerber is a staff specialist Flinders Medical Centre. His
interests include obstetric anaesthesia and regional anaesthesia.
The ABC of pregnancy: adiposity, breathlessness and
coagulopathy
Facilitator:
Dr Susmita Bhattacharya and Dr Helena Choi Date/time:
Sunday May 3, 2015
SGD50
3.30-4.30pm
This SGD will discuss a complex obstetric case, involving morbid
obesity in pregnancy, dilemmas in the diagnosis and management
of breathlessness and the impact of coagulopathy on obstetric
management. During the session, the role of transthoracic
echocardiography in pregnancy will be discussed and images
relevant to the case will be presented. Participants will be
encouraged to explore options in diagnosis and management of
this challenging case, focussing particularly on the practical issues.
Dr Susmita Bhattacharya and Dr Helena Choi are anaesthetists
working at Westmead Hospital, who hold a special interest in
high risk obstetrics. Both have completed an obstetric anaesthetic
fellowship, and have been involved in the management of multiple
high risk obstetric patients. Dr Helena Choi holds a special interest
in the use of transthoracic echocardiography in pregnancy, while
Dr Susmita Bhattacharya holds a special interest in peripartum
cardiomyopathy.
SGD STREAM: REGIONAL ANAESTHESIA
Finessing your spinal anaesthesia
Facilitator:
Dr Dave McLeod
Date/time:
Monday May 4, 2015
SGD51
12.15-1.15pm
Instead of using 3mls of 0.5% in your spinal why not tailor
your dose and technique to suit your patient and the surgical
procedure. We will look at spinal techniques for day surgery, prone
position, anorectal and perineal procedures, patients with severe
aortic stenosis, urological procedures in the decrepit, unilateral
blocks, and hypobaric spinals for fractured NOF.
Dr Dave McLeod is an anaesthetist at Flinders Medical Centre
and in private practice. He has an interest spanning 20 years in
low dose, unilateral, hypobaric and day surgery spinals, and has
researched and published in the area. He is a foundation member
of the executive of the Regional Anaesthesia Special Interest Group.