Airway management in anaesthesia remains a key skill that every anaesthetist should master. Management of an unanticipated difficult airway is like preparing for that unexpected iceberg that can wreak havoc to the best of ships. To retain skills these must be regularly practiced as frequently as once in 6 months. Despite some well published guidelines by specialist societies, airway tragedies still occur. In the last decade alone there have been a few airway related deaths and there is an ever present risk of these happening again. This workshop aims to arm you with skills to prevent and overcome the unanticipated and anticipated difficult airway. A team of international experts will be at the desks to update you on these core skills.
The workshop will focus on the latest in videolaryngoscopy, supraglottic airways as rescue airways, Flexible scope, awake intubations, ORSIM training and front of neck access. In each station, human factors related to the topic will be discussed.
Faculty: Dr Subrahmanyan Radhakrishna, Dr Emile Hoogenboom, Dr Fiona Kelly, Dr Ellen O'Sullivan
Critical incident simulation
Learning opportunities and education in general are continually being squeezed in today’s NHS. Clinical pressures, staffing issues and the ongoing effects of the pandemic make learning in the workplace a challenge. Simulated education/simulation/simulated scenarios offer an opportunity to maximise learning opportunities for the multidisciplinary team - put simply they offer “more bang for your buck”, allowing teams to train in a safe environment, covering topics that can range from the non-technical skills needed in common, everyday events to the clinical management of “once in a career” events.
Come and see how simulated education can transform learning for your team!
Faculty: Dr Will Donaldson, Dr Martin Duffy, Dr Jonny Holland, Dr Claire Martin, Dr Andrew Topping
Extracorporeal membrane oxygenation (ECMO)
The use of extracorporeal membrane oxygenation (ECMO) played a major part in H1N1 and COVID-19 pandemic. However, ECMO is a specialist area with only five commissioned centres and each with only a handful of consultants. Most anaesthetists will therefore not receive exposure to the care these patients receive, as well as the basic science underpinning its use. Yet, ECMO pushes the boundaries of what we know about physiology, pathology and pharmacology as we know it.
This workshop will interactively deliver material on:
- How ECMO alters the physiology of oxygen delivery and gas exchange
- The uncertainties about how patients on ECMO should be ventilated
- The challenges around sedation
- ECMO-related emergencies and their management
- The use of ECMO in patients with refractory cardiac arrest (ECPR)
- How to have an holistic approach to ultrasound in the ECMO patient.
This workshop will draw on experiences of real patients and include clinical images, scenarios and simulation.
Faculty: Dr Antonio Rubino, Dr Mike Charlesworth, Dr Andre Vercueil
Getting a paper published is hard work with potential pitfalls at every step along the way. For starters, the topic must be interesting, the design perfect and the communication precise.
Join the Editors of Anaesthesia and Anaesthesia Reports for these workshops, which cover all aspects of designing a project and writing a paper for submission for publication. Learn from the mistakes of others and save yourself time and effort with insider tips from the experts. Ask questions about your own projects and papers and find out what is likely to be accepted and how to do it.
Workshop 1 - How to publish a paper (FREE)
This workshop allows participants to discuss their own projects with the Editors and learn about common and avoidable reasons for publication rejection. Get direct advice from the people who will be reading, reviewing and handling your manuscript.
Workshop 2 - How to design, write and publish a case report, an audit or QI project and a review
This workshop looks at commonly used study types (prospective, retrospective, review, case report, consensus etc), how they should be done and how to maximise the chances of publication success.
Focused Transoesophageal Echocardiography (fTOE)
Focused Transoesophageal echocardiography (fTOE) is valuable when unexplained life-threatening circulatory instability persists despite corrective therapy.
When available, Focused TOE examination should be considered, in non- cardiac surgery procedures, when patients are at increased risk of hemodynamic instability or ischemia.
The increased risk of cardiac instability is either due to the nature of surgery (significant blood loss/fluid shifts including but not limited to liver transplant, other major abdominal surgery, redo major joint replacement) or due to major surgery in the presence of significant comorbidity like valvular or ischaemic heart disease.
In this context fTOE can be used as an additional monitor and point-of-care tool for real-time answers. The practitioner needs to weigh the potential added value of fTOE against the known risks of TOE. The intended risks and benefits should be explained to the patient and explicit consent for fTOE should be gained.
This workshop will include:
- Simulation-based learning and hands- on in small groups
- Debrief and case base discussion
- Interactive talks on basic views and main clinical scenarios
Faculty: Dr Antonio Rubino and Dr Henry Skinner
Point of Care Ultrasound (POCUS)
This workshop, run by international experts in point of care ultrasound, will teach you how the 5th pillar of clinical examination can be utilised to help your patients in day-to-day practise. You will be hands on scanning the key aspects of heart, lung, airway, gastric and abdominal ultrasound. Learn how easy it is to move beyond procedural ultrasound and aid your critical peri-operative decision making.
Faculty: Dr Jonny Wilkinson, Dr Rosie Hogg, Dr Kariem El-Boghdadly, Dr Alex Scott, Dr Antonio Rubino
TIVA - how, when and why
TIVA has several increasingly obvious advantages over inhalation anaesthetics. We believe TIVA is unfairly perceived as being complicated, difficult and riskier. Join us during our TIVA workshop to learn how to deliver TIVA safely and smoothly to your patients, commonly used adjuncts, various models and depth of anaesthesia monitoring. We will also cover TIVA in some special scenarios including what to do in the absence of remifentanil. This workshop aims to dispel myths and misunderstandings and bridge the gap in translating theoretical knowledge into everyday practice.
Welcome and Introduction (15 minutes)
• A brief overview of pharmacokinetic models
• Plasma vs effect-site targeting
• Useful definitions: Keo, CSHT, decrement time
Station 1 (20 minutes) Safety and practicality
• TIVA set-up (samples of TIVA sets). One-way valves, dead space
• Pump location and safety (pressure, disconnection, power)
• TIVA dosing: start low, go slow (titration: induction & maintenance expected concentrations)
• Remifentanil infusion: manual v TCI
Station 2 (20 minutes)
• TIVA adjuncts/analgesia management
• Getting a smooth recovery
• Decrement time (demonstration on the pump)
• DOA monitors: use, advantages, and limitations
Station 3 (20 minutes) Special situations
• Obesity / frailty / blood loss
• TIVA without remifentanil (alfentanil / sufentanil / fentanyl)
• Emergency Rapid Sequence Induction
Q&A and close (15 minutes)
Faculty: Dr Mike Irwin, Dr Claire Nestor, Dr Kim Caulfield, Dr Laura Flood, Dr Claire Firth-Keyes, Dr Eimear Keane
Ultrasound: regional blocks
This regional anaesthesia workshop will have a focus on the Plan A Blocks.Proficiency in this group of basic nerve blocks can allow for the delivery of high quality perioperative analgesia and facilitate greater access to regional anaesthesia for patients.
The workshops will provide small group, hands-on teaching from a team of internationally recognised experts. Suitable for anyone wishing to develop their skills and confidence in regional anaesthesia there will be ample opportunity for hands on scanning and discussion.
Blocks covered to include:
- Interscalene brachial plexus block
- Axillary brachial plexus block
- Erector spinae block
- Rectus sheath block
- Femoral nerve block
- Adductor canal block
- Popliteal sciatic block
Faculty: Dr Rosie Hogg, Dr Kariem El-Boghdadly, Dr Clara Lobo, Dr Athma Thottungal, Dr Louise Moran, Dr Lloyd Turbitt, Dr David Johnston, Dr Ed Mariano