ASA 2011

Chair: Dr Andrew Mulcahy - ASA President

Kester Brown Lecture - Professor Robert Sneyd

Chair: Prof Kate Leslie - ANZCA President

Chair: Prof Kate Leslie - ANZCA President

$22

Opioids come in many shapes and sizes. Are they really all that different or merely variations on a theme? There are some predictable variables in opioid pharmacokinetics, pharmacodynamics and pharmacogenetics. However throw into the mix individual variability in patient response to opioids and things start to get interesting.

This PBLD will use several case examples to explore when and why it makes sense to one opioid or perhaps a combination of opioids over another to treat perioperative pain. The aim is to come away with some practical guidelines for best practice in opioid use.

$22

You are the consultant on call at a busy metropolitan hospital. The registrar calls about a woman in casualty who has just arrived after a motor vehicle collision. Her injuries include a closed head injury, right sided chest injuries and a markedly displaced fractured femur. She is obviously pregnant, but has been unable to state how many weeks.

This session will discuss the pregnant trauma patient, including your initial assessment and resuscitation, problems with investigations, and ongoing management.

There will also be a discussion of the priorities and logistics of caring for both mother and foetus

$22

After completing an orthopaedic list at a small private hospital you are phoned by recovery staff who advise that your last patient is still in considerable pain, despite having had all of the fentanyl you had charted. The PCA was commenced, but is not providing any further benefit. The recovery nurse asks you, "Why aren't the opiates helping her? What do you want me to do for her now?"

This PBLD will provide an overview of neuropathic pain for anaesthetists, including its successful diagnosis and treatment, and when to refer for ongoing pain centre management. Emphasis will be directed towards perioperative neuropathic pain and first line management options most helpful in anaesthetic practice.

$22

A previously healthy 54 year old lady presents 2 years after colonic resection for andenocarcinoma with an hepatic metastasis in the right lobe of the liver. This was detected following surveillance with serial CEA and subsequent abdominal CT and PET scans. We will discuss the provision of anaesthesia for hepatic resection and explore the options of care in the perioperative period.

Facilitator: Dr Arun Ratnavadivel

Chair: Dr Clement Fong

Chair: Dr David Elliott

Chair: Dr Renald Portelli

Chair: Dr Adam Rehak

Adjudicators: Prof John Russell Dr Peter Smith Dr Vida Viliunas

Dr Brigid Brown
Dr Andrew Deacon
Dr Kevin Hartley
Prof Thomas Ledowski
Dr Nerida Telec 

$150

In this workshop we will outline the new neonatal resuscitation guidelines as developed by ARC in 2011. In addition to these updates we will review the neonatal algorithm for resuscitation and then have time to have practice positive pressure ventilation, CPR, neonatal intubation and UVC placement. We will also touch on the topic of neonatal cooling in hypoxic ischaemic encephalopathy.

$77

These regional anaesthesia workshops emphasize a hands-on approach using live models, and will guide participants through the sonoanatomy and principles of ultrasound scanning for upper limb, lower limb, and trunk blocks. Our expert faculty will also discuss approaches for catheter techniques. These workshops are ideal for participants with previous exposure to ultrasound.

Upper Limb Workshop. Participants will be taught ultrasound-guided techniques for the major approaches to the brachial plexus (interscalene, supraclavicular, infraclavicular and axillary) and the distal peripheral nerves of the upper limb.

$22

Humans are voracious consumers of the world's resources. The WWF's 2010 Living Planet report shows that by 2030 we will need the equivalent of 2 Earths to absorb our waste and provide the natural resources we use. Humanity is living beyond its means. Guided by the Australian Conservation Foundation's GreenHome Program, participants at this workshop will learn how they can make choices at home that will reduce their impact on the Earth's ecosystems. From water use to shopping sustainably, not only will participants find that it is easy to live a more sustainable lifestyle but, also, that it is cheaper in the long run to do so. An ACF GreenHome Guide and Green Clinic guide will be supplied. Improve your wellbeing, help heal the Earth and inspire positive change in those around you by attending this workshop.

$22

Humans are voracious consumers of the world's resources. The WWF's 2010 Living Planet report shows that by 2030 we will need the equivalent of 2 Earths to absorb our waste and provide the natural resources we use. Humanity is living beyond its means. Guided by the Australian Conservation Foundation's GreenHome Program, participants at this workshop will learn how they can make choices at home that will reduce their impact on the Earth's ecosystems. From water use to shopping sustainably, not only will participants find that it is easy to live a more sustainable lifestyle but, also, that it is cheaper in the long run to do so. An ACF GreenHome Guide and Green Clinic guide will be supplied. Improve your wellbeing, help heal the Earth and inspire positive change in those around you by attending this workshop.

In conjunction with Avant Medical Defence 

$22

This workshop is an interactive quiz with integrated case studies that explore the common and important medico-legal issues encountered by anaesthetists. There will also be discussion of the risk management strategies that are applicable in our specialty. The workshop facilitator will be Dr Joe Lizzio, who has extensive experience as both medical doctor, lawyer, and medical advisor to Avant Mutual Group.

Chair: Dr Clement Fong

Chair: Dr David Elliott

Chair: Dr Renald Portelli

Chair: Dr Adam Rehak

Chair: Dr Clement Fong

Chair: Dr David Elliott

Chair: Dr Renald Portelli

$22

"Next week's laparotomy is going to be big. There's lots of tumour to be cleared and debulked. It will probably take all day. I'll get the intern to cross match some blood."

This PBLD will explore the management of a patient undergoing cytoreductive surgery including massive blood product transfusion, near patient testing and intraperitoneal chemotherapy.

$22

A 30 year old primiparous woman is in labour requesting epidural analgesia. She has a history of scoliosis surgery to her thoracolumbar region with Harrington rods. This PBLD will focus on analgesic/anaesthetic options available during labour and subsequent progression to surgical delivery.

$22

Perioperative renal protection - a practical approach.

An elderly patient with numerous co-morbidities is having abdominal surgery.

In this session we will look at the risk factors for perioperative acute kidney injury, and at the practical ways anaesthetists can avoid or minimise this common complication.

$22

Andrew is a new anaesthetic registrar on the team. He is studying for exams. He seems very competent but he is hard to get on with and keeps to himself. Nursing staff report that he is sometimes difficult to find when he has been needed in recovery. There is now an issue on the Unit that drugs have gone missing. 

Are doctors at greater risk of health problems?
Are there any special concerns for anaesthetists?
Do selection and training make doctors more vulnerable than others?
What is the law around National Registration and mandatory reporting?

Discussion of recent literature on doctors' health covering issues around health and well-being, impairment, resilience and engagement, doctors as patients and looking after yourself and your peers.

$22

PERIOP-SCOPE UP! 
A 61 year old Greek man had a recent panendoscopy and you see him in clinic a week before his ultra-low anterior resection for cancer. Apart from insulin-dependent type 2 diabetes, hypertension, obesity, and poor exercise tolerance, you pick up clues to potentially new diagnoses of obstructive sleep apnoea, moderate renal impairment, and silent myocardial ischaemia. Also, past anaesthetics were complicated by prolonged intra and post-operative hypotension. What should be organised for this patient's perioperative evaluation and care? What are the implications of these co-morbidities, and what is his risk? This PBLD will stimulate discussion of our role as perioperative physicians in dealing with this increasingly common patient archetype.

Chair: Dr Elizabeth Feeney

Judges:

Dr Jim Bradley
Dr Margie Cowling 
Dr Nolan McDonnell 

Dr Babak Amin
Prof Lester Critchley
Dr David Donnelly
Dr Lokesh Kashyap
Dr Kathy Murphy
Mr Nicholas Myles
Dr Toshishiro Osugi

$77

These regional anaesthesia workshops emphasize a hands-on approach using live models, and will guide participants through the sonoanatomy and principles of ultrasound scanning for upper limb, lower limb, and trunk blocks. Our expert faculty will also discuss approaches for catheter techniques. These workshops are ideal for participants with previous exposure to ultrasound.

Lower Limb Workshop. Participants will be taught ultrasound-guided techniques for the major approaches to the femoral, sciatic and saphenous nerves as well as the distal peripheral nerves of the lower limb.

$33

Advanced life support in a pre-partum patient presents a stressful and challenging event for anaesthetists, as both maternal and foetal lives are in the balance. This workshop will present and discuss several scenarios on various aspects of maternal resuscitation. This will be followed by presentations of the most recent evidence and practice recommendations.

$22

Humans are voracious consumers of the world's resources. The WWF's 2010 Living Planet report shows that by 2030 we will need the equivalent of 2 Earths to absorb our waste and provide the natural resources we use. Humanity is living beyond its means. Guided by the Australian Conservation Foundation's GreenHome Program, participants at this workshop will learn how they can make choices at home that will reduce their impact on the Earth's ecosystems. From water use to shopping sustainably, not only will participants find that it is easy to live a more sustainable lifestyle but, also, that it is cheaper in the long run to do so. An ACF GreenHome Guide and Green Clinic guide will be supplied. Improve your wellbeing, help heal the Earth and inspire positive change in those around you by attending this workshop.

$33 

This workshop is aimed at non-medical accompanying partners of delegates. Would you know what to do if you found someone unconscious at home or in your workplace? Everyone should know the initial steps to take until professional help arrives. This workshop will cover the basics of resuscitation and CPR in the community. It will be led by an anaesthetist who teaches basic life support on a regular basis and will allow you to learn and practice using manikins.

Arterial pressure cardiac output - theory and case based applications. - Dr Neal Fleming

Chair: Dr Rob Carpenter - NZSA President

$77

These workshops are designed to introduce beginners starting on their ultrasound training to the knobs, switches and physics that power today's ultrasound machines. Participants will be guided by expert tutors in ergonomics, machine setup, and scanning techniques using current machines on live models. There will be stations exploring the use of ultrasound guided vascular access (central venous catheters, peripheral venous access, and arterial cannulation), regional anaesthesia (including the popular femoral nerve blocks and TAP blocks), and needle visualisation skills using a phantom.

Chair: Dr Rob Carpenter - NZSA President

$22

A 56 yr old, 150 kg man is scheduled as a day-only patient for peripheral hand surgery at a free-standing ambulatory centre. Does he have obstructive sleep apnoea? What pre-op tests are needed? How does this influence airway management? And is he an appropriate candidate for this day-surgery centre?

$22

A 24 yo male motor cyclist arrives at a regional hospital after a high speed accident. He has multiple rib fractures and a tension pneumothorax. A chest drain is inserted, but there is a very large ongoing right sided air leak, consistent with traumatic bronchopleural fistula. Whilst conscious, the patient remains haemodynamically unstable with a rigid abdomen and FAST ultrasound evidence of free fluid, likely from the liver. Your surgeons wish to take him to theatre urgently for a laparotomy. This PBLD will focus on management of lung isolation (& bronchopleural fistula) for the non thoracic anaesthetist.

$22

"Next week's laparotomy is going to be big. There's lots of tumour to be cleared and debulked. It will probably take all day. I'll get the intern to cross match some blood."

This PBLD will explore the management of a patient undergoing cytoreductive surgery including massive blood product transfusion, near patient testing and intraperitoneal chemotherapy.

$22

A 30 year old primiparous woman is in labour requesting epidural analgesia. She has a history of scoliosis surgery to her thoracolumbar region with Harrington rods. This PBLD will focus on analgesic/anaesthetic options available during labour and subsequent progression to surgical delivery.

Chair: Dr Murray Selig

Chair: Dr Elizabeth Feeney

Adjudicators: Prof Evan Kharasch, Prof Neville Gibbs, Dr John Loadsman

Dr Damian Castanelli Dr Mark Colson Dr Andrew Foster A/Prof Philip Peyton Dr Stephanie Phillips Dr Paul Stewart 

Chair: Prof Ross Holland

Chair: Dr Greg Purcell

Chair: Dr Richard Halliwell

$22

Healthcare delivery is by necessity an activity that consumes large amounts of resources and produces considerable quantities of waste. It can be somewhat distressing for the environmentally conscious anaesthetist to see how much waste we throw away at the end of a day's work. 

This workshop looks at ways the anaesthetist can minimise the amount of waste produced in the operating theatre and the best ways to segregate the waste produced. Whilst recycling is a common practice at home, it is considerably more difficult in the operating theatre. At this workshop we will examine the recyclability of commonly used products. Robert Sharp, a waste expert from SteriHealth, will explain the ins and outs of recycling operating theatre waste.

$77

Ask any anaesthetist what they fear most and invariably the answer is "can't intubate, can't ventilate" scenario. Less than half of us will ever need to perform an emergency surgical airway. However all of us must be able to perform this procedure competently and in a timely fashion, meaningly instantly. These workshops are in two parts. The first part will look at the role of video/optical laryngoscopes and LMA type devices in failed intubation. The second part will look at the rapid performance of a surgical airway- the anaesthetist's airway of last resort. Although a serious subject come and enjoy this fun and interactive workshop in a no-stress atmosphere so you'll be ready for the "real thing"!

$33

Maternal haemorrhage is becoming more common due to the change in mothers' demographics, including later pregnancies and the incidence of placenta previa and accreta. These cases are stressful, require intensive resources, and may develop into multi-organ failure with coagulopathy. This workshop will cover the management issues in both anticipated and unexpected maternal haemorrhage.

$33

Hypnosis provides valuable insights into how anaesthetists can communicate more effectively when patients are so stressed they cannot cooperate with their clinical care. These techniques are used on a daily basis by the facilitator in challenging patients, including those with needle phobia, women in labour, screaming children and patients presenting with excessive anxiety.

This workshop will demonstrate a structured, practical approach to communicating hypnotically with patients and its adaptation to enhancing anaesthesia care. The exploration of language structures, underlying conscious and intuitive (subconscious) aspects of communication can be utilised to improve almost any anaesthesia interaction.

Workshop participants will also be shown how a rapid self hypnosis technique can be taught to patients in less than 3 minutes so they can relax without the need for sedative pharmacological premedication.

$33

Do you have an interesting case that you would like to write up for publication? Are you overwhelmed even just thinking about trying to write a paper for publication? Are you struggling with having papers rejected and wondering what you are doing wrong? In this workshop we will explore issues surrounding getting a paper published, including common pitfalls, selecting the most appropriate journal, layout and how to write a discussion.

Chair: Prof Ross Holland

Chair: Dr Greg Purcell

Chair: Dr Richard Halliwell

Chair: Prof Ross Holland

Chair: Dr Greg Purcell

Chair: Dr Richard Halliwell

Chair: Dr Murray Selig

$22

"A case I wish I had made up" - unintentional cardiothoracic anaesthetics.

A 60 year old woman is having a laparoscopic repair of an incisional hernia. Her surgical history includes an abdominal hysterectomy complicated by post operative pulmonary edema requiring re-intubation. Her medical history is remarkable for morbid obesity, obstructive sleep apnea, hypertrophic cardiomyopathy, diastolic heart failure and anxiety. Your resident calls you for assistance after one of the access trocars lacerates the diaphragm and tears the left lower lobe of the lung.

This PBLD will raise issues including management of comorbidities with conflicting management priorities, lung isolation options for unexpected complications, and altering fluid and pain management when the case suddenly changes from abdominal to thoracic surgery.

$22

A colleague you've known for a few years is investigated for overuse of unusual item numbers for spirometry and ultrasound. Gradually, more suspicious behaviour is detected such as complications from unnecessary invasive monitoring - infections, arrhythmias, and haematomas from using pulmonary artery catheters for non-cardiac patients. This PBLD will explore the interests of the hospital, regulatory bodies, and the welfare of a struggling specialist.

$22

Perioperative renal protection - a practical approach.

An elderly patient with numerous co-morbidities is having abdominal surgery.

In this session we will look at the risk factors for perioperative acute kidney injury, and at the practical ways anaesthetists can avoid or minimise this common complication.

$22

A 3 year old boy presents to ED at 6pm with a purple bead firmly lodged in his ear. It needs to be removed under anaesthesia. He is extremely cranky, fasted since lunchtime at daycare and and pouring snot. How do you approach this case?

Anaesthesia for small children can provide interesting challenges for both the paediatric anaesthetist and the occasional paediatric anaesthetist. This discussion will use a case scenario to focus on common issues facing us when we anaesthetise children, such as fasting and premedication, children with an URTI, choice of method of induction and other pearls that may make the process easier on the anaesthetist and safer for the child.

Facilitator: Dr Michal Kluger

Should anaesthetists ever lie to their patients? - Dr Daniel Sokol

Chair: Dr Elizabeth Feeney

Dr Luke Baitch
Dr Melinda Ford
Prof Anna Lee
Dr Anthony McGirr
Dr Juan Schuitemaker Requena
Dr Derek Rosen
Dr Sharnie Wu 

Chair: Dr Alicia Dennis

$140

These interactive workshops on the anaesthesia of zoo and wild animals will be held on-site at Taronga Zoo. The workshop will include a lecture and a series of demonstrations that covers all aspects of chemical restraint of zoo and wild animals. This will include pre-anaesthetic considerations when anaesthetising these animals, equipment and drugs that are used and some of the unique and difficult scenarios that confront the zoo veterinarian. Delegates will have the opportunity to experience darting equipment first hand, have close encounters with some of the animals, and visit one of Sydney's most famous icons. Participants will also receive complimentary entry into the zoo at no extra cost either before or after their workshop (please bring your conference ID badge).

The ferry transfer to Taronga Zoo for this workshop departs at 1330 from the Convention Wharf outside the Sydney Convention and Exhibition Centre and will return to Darling Harbour at the conclusion of the workshop.

$77

These workshops are designed to introduce beginners starting on their ultrasound training to the knobs, switches and physics that power today's ultrasound machines. Participants will be guided by expert tutors in ergonomics, machine setup, and scanning techniques using current machines on live models. There will be stations exploring the use of ultrasound guided vascular access (central venous catheters, peripheral venous access, and arterial cannulation), regional anaesthesia (including the popular femoral nerve blocks and TAP blocks), and needle visualisation skills using a phantom.

$77

Ask any anaesthetist what they fear most and invariably the answer is "can't intubate, can't ventilate" scenario. Less than half of us will ever need to perform an emergency surgical airway. However all of us must be able to perform this procedure competently and in a timely fashion, meaningly instantly. These workshops are in two parts. The first part will look at the role of video/optical laryngoscopes and LMA type devices in failed intubation. The second part will look at the rapid performance of a surgical airway- the anaesthetist's airway of last resort. Although a serious subject come and enjoy this fun and interactive workshop in a no-stress atmosphere so you'll be ready for the "real thing"!

$33

The workshop, using clinical vignettes, will examine the evidence for and against the use of various colloids in the treatment of the trauma patient. It is expected that the experience of the group will promote vigorous debate and that each of us can gain something useful pertaining to our own practice from this interaction.

Jonathan Gibson: Staff Specialist Anaesthetist Westmead and a Medical Advisor to the Ambulance Service of NSW with an active interest in the resuscitation and ongoing care of the multiply injured patient.

$33

This workshop will cover various aspects of acute pain management in children and attempt to delineate the major differences between pain management in children and that in adults. 

Common post -operative scenarios from ENT, general surgery and orthopaedic lists will be used to facilitate discussion. Common techniques and drugs will be discussed together with their indications, contra-indications and specific precautions.

Available strategies and the difficulties involved in providing procedural pain management will also be covered. The contribution of an anaesthetist in the management of chronic pain will also be discussed. 

The workshop will be valuable to any anaesthetist who is called on to manage acute pain in paediatric patients within a hospital environment.

$22

Healthcare delivery is by necessity an activity that consumes large amounts of resources and produces considerable quantities of waste. It can be somewhat distressing for the environmentally conscious anaesthetist to see how much waste we throw away at the end of a day's work. 

This workshop looks at ways the anaesthetist can minimise the amount of waste produced in the operating theatre and the best ways to segregate the waste produced. Whilst recycling is a common practice at home, it is considerably more difficult in the operating theatre. At this workshop we will examine the recyclability of commonly used products. Robert Sharp, a waste expert from SteriHealth, will explain the ins and outs of recycling operating theatre waste.

Chair: Dr Alicia Dennis

Chair: Dr Connie Katelaris

Chair: Dr Alicia Dennis

Chair: Dr Connie Katelaris

Review of mechanisms of anaphylaxis - Dr Michael Rose

 - Prof Pascal Demoly

Anaphylaxis to NMBAs - the role of environmental agents - Prof Gunnar Johansson

Allergic reactions in theatre - anywhere anytime - Dr Michael Rose

Chair: Dr Alicia Dennis

Chair: Dr Connie Katelaris

Chair: Dr Connie Katelaris

Innovation and IT integration: considerations for future anaesthesia workstations - Professor Tony Gin

Prof Gunnar Johansson

Chair: Dr Tim Pavy

$77

Every anaesthetist must be able to competently manage cardiac arrest. As of December 2010 recommendations for the approach to basic and advanced life support have changed significantly. This timely workshop will bring you up to date with the latest changes in a friendly interactive atmosphere. Through mannequins and a full range of advanced life support equipment the steps in CPR management will be clearly explained and demonstrated and the science behind current CPR practice will be explained. You owe it to your patients and your registrars and nurses that you teach to attend this CPR refresher.

Chair: Dr Tim Pavy

Introduction by: Dr Tom Fraser    

Chair: Dr Tim Pavy

Introduction by: Dr Tom Fraser    

$22

A 38 year old man presents on your emergency list with a compound tibial plateau fracture. He underwent a heart transplant 6 years ago for idiopathic dilated cardiomyopathy. He has a permanent pacemaker and type 2 diabetes on insulin. Do you need to modify your anaesthetic technique and post-operative care?

$22

It's Sunday morning in a tertiary public hospital in footy season. "Little" Al needs a semi-urgent fixation of his jaw injury; but Al is an anxious, obese, 9 year old who is awaiting tonsillectomy for sleep apnoea and has just recovered from an exacerbation of atopic asthma. This PBLD will explore the considerations for an induction for trauma, requiring a nasal intubation, in a potentially tricky airway with risk of laryngospasm and aspiration. We will also discuss the combination of chronic respiratory disease with dental, ENT, and maxillofacial surgery.

$22

Laparoscopic cholecystectomy in a heavy smoking asthmatic with ischaemic heart disease and a BMI of 35 - is this a time for the LMA Supreme?

$22

The following patient is scheduled for right reverse total shoulder replacement:

A male aged 55 from country NSW, with past high alcohol intake and currently good exercise tolerance; has a "weak heart", last saw a cardiologist 2008 and may have had a coronary angiogram in 2006 with "clear coronaries". You do have a few days to seek test results and other medical opinions.

This PBLD will elucidate the role of regional and general anaesthesia in various types of shoulder surgery with their different required patient positioning. In addition the "tricks and traps" involved in caring for the occasional ASA 3 client in a community private hospital will be highlighted.

Facilitator: Dr Sam Cavallaro

Chair: Dr Richard Grutzner

Chair: Dr Orison Kim

Chair: Dr Minh H Tran

Chair: TBA

$77

These regional anaesthesia workshops emphasize a hands-on approach using live models, and will guide participants through the sonoanatomy and principles of ultrasound scanning for upper limb, lower limb, and trunk blocks. Our expert faculty will also discuss approaches for catheter techniques. These workshops are ideal for participants with previous exposure to ultrasound. Trunk Workshop. Participants will be taught ultrasound-guided techniques of both the anterior and posterior trunk, including the various approaches to the transversus abdominis plane, rectus, and ilio-inguinal and ilio-hypogastric blocks. There will also be coverage of blocks having a resurgence in popularity: the fascia iliaca, paravertebral, and psoas compartment blocks.

$77

Ask any anaesthetist what they fear most and invariably the answer is "can't intubate, can't ventilate" scenario. Less than half of us will ever need to perform an emergency surgical airway. However all of us must be able to perform this procedure competently and in a timely fashion, meaningly instantly. These workshops are in two parts. The first part will look at the role of video/optical laryngoscopes and LMA type devices in failed intubation. The second part will look at the rapid performance of a surgical airway- the anaesthetist's airway of last resort. Although a serious subject come and enjoy this fun and interactive workshop in a no-stress atmosphere so you'll be ready for the "real thing"!

$33

The lonely setting of anaesthesia outside of the operating theatre can be quite daunting and may be fraught with traps for the novice. This session helps to prepare you for your first few trips outside your comfort zone. Topics covered include but not limited to are: MRI/CT, Neuroanaesthesia coiling, and the Cardiac Catheter Lab.

$33

Malignant hyperthermia is an inherited predisposition to a life-threatening syndrome triggered by commonly used anaesthetic drugs. For a positive outcome early recognition and appropriate treatment are essential. During this workshop a number of different scenarios will be discussed in order to explore the changing presentation and treatment of this clinical syndrome, the diagnostic tests that are available as well as who and where patients should be sent for investigation. Anaesthesia preparation for a known susceptible patient will also be discussed.

Dr Neil Street: Deputy Head , Department of Anaesthesia, CHW, I was instrumental in setting up and running the MH Testing Unit based at Westmead. This unit was established in 2003 and services patients from NSW and Queensland. Dr Margaret Perry, also at CHW, who is completing her PhD in the genetic of malignant hyperthermia, is responsible for the genetic testing that is available.

$77

Anaesthetists are in an excellent position to take advantage of the increasing availability of high performance portable ultrasound machines. This workshop aims to provide an introduction to transthoracic echocardiography (TTE) and discuss how TTE may assist in perioperative anaesthesia care. It will include "hands on" instruction in scanning and cardiac imaging and demonstrate the anatomy visible in a limited study. The workshop is for those with little or no experience in TTE but does assume some basic familiarity with ultrasound.

Chair: Dr Richard Grutzner

Chair: Orison Kim

Chair: Dr Minh H Tran

Chair: TBA

Chair: Dr Richard Grutzner

Chair: Orison Kim

Chair: Dr Minh H Tran

Chair: TBA

A novel approach to sedation in theatre

$22

A 38 year old man presents on your emergency list with a compound tibial plateau fracture. He underwent a heart transplant 6 years ago for idiopathic dilated cardiomyopathy. He has a permanent pacemaker and type 2 diabetes on insulin. Do you need to modify your anaesthetic technique and post-operative care?

$22

It's Sunday morning in a tertiary public hospital in footy season. "Little" Al needs a semi-urgent fixation of his jaw injury; but Al is an anxious, obese, 9 year old who is awaiting tonsillectomy for sleep apnoea and has just recovered from an exacerbation of atopic asthma. This PBLD will explore the considerations for an induction for trauma, requiring a nasal intubation, in a potentially tricky airway with risk of laryngospasm and aspiration. We will also discuss the combination of chronic respiratory disease with dental, ENT, and maxillofacial surgery.

$22

It's Sunday morning in a tertiary public hospital in footy season. "Little" Al needs a semi-urgent fixation of his jaw injury; but Al is an anxious, obese, 9 year old who is awaiting tonsillectomy for sleep apnoea and has just recovered from an exacerbation of atopic asthma. This PBLD will explore the considerations for an induction for trauma, requiring a nasal intubation, in a potentially tricky airway with risk of laryngospasm and aspiration. We will also discuss the combination of chronic respiratory disease with dental, ENT, and maxillofacial surgery.

$22

Laparoscopic cholecystectomy in a heavy smoking asthmatic with ischaemic heart disease and a BMI of 35 - is this a time for the LMA Supreme?

Facilitator: Elizabeth Ward

Chair: TBA

SIG AGM

Chair: TBA 

Chair: Dr Peter Smith

Chair: Dr Alwin Chuan

A hands on practical workshop with live models in small groups focusing on the fundamental techniques and application of transthoracic echocardiography for assessment of cardiac performance and function. Tailored to trainees and the novice keen to learn where to put the probe, the basic views and importantly what information can be gained and how it may affect patient management. Skills in echocardiographic assessment will be the way of the future anaesthetist, so don't get left behind!

See one, do one, teach one. Ever wondered if effective teaching techniques might involve more than this? All trainees at some time or another will be involved in teaching and supervising more junior trainees, residents, interns or medical students and this is usually done with no formal guidance. This is made even more challenging in the busy and hectic environment of the operating or hospital system. This workshop is designed specifically for trainees interested in gaining skills in preparing, supervising, teaching and giving feedback to those who you might want to teach a thing or two.

Hone your skills, test your clinical acumen and responses to real time cardiac emergencies trying to save HARVEY. He is a very obliging full-size manikin who realistically simulates nearly any cardiac disease at the touch of a button by varying blood pressure, pulses, heart sounds and murmurs. It will be an adrenaline pumping ride of a workshop for trainees and the good news is that at the end of the day, HARVEY has a reset button.

$77

Ask any anaesthetist what they fear most and invariably the answer is "can't intubate, can't ventilate" scenario. Less than half of us will ever need to perform an emergency surgical airway. However all of us must be able to perform this procedure competently and in a timely fashion, meaningly instantly. These workshops are in two parts. The first part will look at the role of video/optical laryngoscopes and LMA type devices in failed intubation. The second part will look at the rapid performance of a surgical airway- the anaesthetist's airway of last resort. Although a serious subject come and enjoy this fun and interactive workshop in a no-stress atmosphere so you'll be ready for the "real thing"!

$33

In anaesthesia, bleeding is either expected or unexpected and in either case it adds considerably to one's intraoperative workload.

In this workshop we focus on the unexpected bleeding patient and will discuss three real life scenarios and focus on what happened, what went well, and what we can learn to from these cases.

One is a trauma patient, one is obstetric and one is a "surgical oops."

In all cases, managing the immediate situation is really important, but managing the logistics of a sudden increase in workload is also crucial as is the need for leadership in a crisis situation and we will focus on these two aspects.

$33

This workshop will focus on the use of the iPad for the anaesthetist in their everyday work. It will highlight some of the exciting capabilities of the iPad and the latest apps to help you in your work. Some key areas for demonstration will include the emerging technologies such as cloud computing.

$22

Federal and State based awards such as the 'Fair Work Act', cover workplace disputes but how do they combine with local institutional regulations to assist with the management of workplace conflict? How do they affect your department or private practice staff? And what if you have a colleague who consistently demonstrates disruptive behaviour in the operating suite (for example), throwing things or berating staff? This workshop delivered by Dr Andrew Miller, on behalf of MDA National, will discuss these topics and identify some pointers for addressing workplace issues.

Chair: Dr Peter Smith

Chair: TBA

SIG AGM

Chair: TBA 

Speaker: TBA

Chair: Dr Alwin Chuan

Chair: Dr Peter Smith

Chair: TBA

SIG AGM

Chair: TBA 

Future directions for database and billing applications in anaesthetic practices

Chair: Dr Alwin Chuan

Chair: Dr Peter Smith

APRG Prize Giving
Australian Society of Anaesthetists AGM
NSW section of Australian Society of Anaesthetists AGM 

GASACT Fellowship Forum

$33

This workshop is aimed at accompanying partners of delegates. Have you got hundreds of digital photos stored on your camera's memory card or in one huge disorganised folder on your computer? Have you ever wanted to resize or digitally enhance your photos? Would you like to create a photographic slideshow to share with family or friends? If you answered yes to any of the above then this workshop is for you. Bring your camera, connecting cable and if possible your laptop (not essential) for a practical hands-on demonstration of what can be achieved with modern digital photographic software programs.

Is informed consent a fairy tale? - Dr Daniel Sokol

$22

A 75 year old man is referred by an orthopaedic surgeon who has recently started working with you. He requires early preoperative evaluation with regard to a knee replacement, in light of his history of ischaemic heart disease treated with coronary artery stents. The surgeon wants your opinion on "should we take him on", and if so, "could you sort out his preparation?" When you meet the patient, his limited mobility and comorbid conditions raise questions about his evaluation, optimal preparation and suitability for the local private hospital versus a tertiary centre.

The global year against acute pain

Chair: Prof Neville Gibbs

Chair: Dr Michael Cooper

Chair: Dr Jim Bradley

Preoperative patient survey
Anaesthesia risk assessment
Consent & patient information

Dr Richard Grutzner Dr Mark Sinclair Dr Margie Cowling Dr Andrew Miller Dr Patrick Hughes 

The Final Examination is a considerable investment and commitment in terms of time, effort and money. The aim of this workshop is to walk through the various parts of the Final Examination. For each section, factual information as well as strategic approaches to study and performance will be presented. There will also be time for questions and discussion. This workshop is run by Dr Viliunas, who is the chair of the Final Examination Committee.

$22

Australian's have a love affair with investing in property. However, only a small proportion of all property is what independent financial advisors, ProSolution Private Clients would consider "investment grade", hence the love affair is unfounded. Attend this workshop to learn how to structure your property investment portfolio to dramatically increase the amount of cash flow it generates while minimising tax. You'll be surprised how seemingly small changes in structure can have large impacts on tax and cash flow.

$33

WebAIRS is the acronym for the web based anaesthetic incident reporting system developed by ANZTADC. It is the new kid on the block for assisting anaesthetists to report, evaluate and receive information regarding anaesthetic incidents. Think of it as QA for the 21st century. This hands-on workshop will guide you through the process of entering an incident into the WebAIRS system and how it can help enhance your anaesthetic practice. It also has features to facilitate the display and review of incidents at your departmental quality and safety meetings.

Chair: Dr Michael Cooper

The global year against acute pain

Chair: Prof Neville Gibbs

Chair: Dr Michael Cooper

The global year against acute pain

Chair: Prof Neville Gibbs

Chair: Dr Michael Cooper

The global year against acute pain

Chair: Prof Neville Gibbs

Chair: Dr Michael Cooper

$22

An obese 36 year old mother presents to A&E following a near-syncopal episode with severe headache and neck stiffness shortly after dinner. Previous history is unremarkable except for mild hypertension. CT shows an anterior communicator aneurysm not suitable for coiling. You are called in at 10pm for emergency clipping, and on the way in you are advised that the level of consciousness is falling. This PBLD will discuss issues including airway management on induction, blood pressure control, mannitol administration, and planning ahead in case of acute intra-operative aneurysm rupture.

$22

A 66-year-old widower who still smokes requires an endoluminal stent of his abdominal aortic aneurysm. He has had coronary stents, does not exercise, and ignores the advice of his cardiologist.

A 50-year-old lady with seemingly mild rheumatoid arthritis has accelerated atherosclerosis. She needs a total hip replacement. You are worried when she reports pain down her left arm of new onset.

In a private hospital the nurse rings you to say your next patient, who has a dangerous airway malignancy, has a pulse of 150bpm.

In considering these patients we will discuss smoking, stents, timing of surgery, pre-operative evaluation, airways, analgesia, and risk and postoperative complications. We will also find evidence and guidelines to help treat complex cardiac patients having non-cardiac major surgery.

$22

Part I: You are a middle-grade registrar working in a rural base hospital. An after-hours emergency caesarean section under spinal appears to go uneventfully, . until a crisis occurs in the recovery room - a number of outcomes ensue.

Part II: Same situation, but this time you're the consultant on-call. You must manage the aftermath.

Facilitator: Dr Richard Halliwell

Chair: Dr Piers Robertson

Chair: Dr Ken Harrison

HaemoVIEW Diagnostics "Assessing the Balance in Haemostasis"

Chair: Dr Jane McDonald

SIG Meeting

$77

Anaesthetists are in an excellent position to take advantage of the increasing availability of high performance portable ultrasound machines. This workshop aims to provide an introduction to transthoracic echocardiography (TTE) and discuss how TTE may assist in perioperative anaesthesia care. It will include "hands on" instruction in scanning and cardiac imaging and demonstrate the anatomy visible in a limited study. The workshop is for those with little or no experience in TTE but does assume some basic familiarity with ultrasound.

$33

Due to an increasing insertion rate for pacemakers and defibrillators, anaesthetists are faced with patients presenting for non-cardiac surgery with these devices in situ. 

This workshop will focus on the management of these patients by way of several case presentations. Special emphasis will be made on the use of the magnet and the dangers of electrocautery.

$33

"My Caesarean section patient has a heart murmur. Can I relax, or should I refer?" What if you're working in an environment with limited echo or cardiology support? The scenarios in this simulation session will cover the 'old school' art of cardiac auscultation.

$33

Poor communication is frequently at the heart of adverse incidents in healthcare, the source of many patient litigation and the basis of significant stress in our working lives. This workshop offers participants interactive learning experiences in the use of models of communication and language structure, in the context of dealing with difficult patients, colleagues, and trainees