Please note the Expert Sessions are concurrent to the Plenary sessions.
Please view the programme here

Expert Sessions 1

Friday 15th November

11:00- 12:30 (90 mins)

1. Extubation in the high risk patient- management and planning for failure1. Extubation in the high risk patient- management and planning for failure
Extubation is a high risk phase of ananestheasia, which few anaesthetists approach with total confidence, fearing patient harm and the potential for professional embarrassment. Most discussions about airway management concentrate on laryngoscopy and intubation. Complications associated with extubation have been largely ignored or thought to be unavoidable. Minor issues such as coughing and breath-holding are common; more serious complications are rare and often preventable with proper planning. Maintaining oxygenation of the patient’s lungs is the priority during and after extubation. The session will address key concerns in the extubation phase of anaesthesia and how to plan for it.

2. Ultrasound for the safer management of the airway
The session will also cover gastric ultrasound with basic techniques and how it can be of use in airway management and patients with potentially full stomach.

3. How to get your work published – strategies and pitfalls
“In this interactive and informal ‘How to’ session, the audience of both interested readers and prospective authors will have the opportunity ask questions of Editors-in-Chief from several of the leading anesthesiology journals and other experts in publishing regarding their perspectives on writing pitfalls and optimal strategies for successful publication.”

4. Jet ventilation and laser safety in shared airway surgery
This session will address the physiology of jet ventilation including comparing their types, the typical indications for interventional bronchology, ENT and thoracic anaesthesia and especially gas monitoring which should be important during laser interventions.We will further discuss the potential use of supraglottic jet oxygenation and ventilation (SJOV) in laser surgery, its advantage and disadvantage

5. Updates in anaesthesia for Thoracic surgery / one lung ventilation
Objectives:
1) To develop a systematic approach based on physical examination and imaging to predict abnormalities of the upper and/or lower airways that may interfere with lung isolation.
2) To discuss new advances in anesthetic equipment that can potentially aid achieving lung isolation in specific patients with difficult airways.
3) To enable the formation of strategies to manage patients with known or unsuspected difficult upper or lower airways requiring lung isolation for surgery.

Intro: Complete and reliable lung Isolation is increasingly required to facilitate open and minimally invasive thoracic and cardiac surgery. With the expansion of indications for lung isolation, the practitioner may be required to provide lung isolation for a patient with a known or unanticipated difficult airway.  This review course lecture will outline an approach to providing lung isolation in patients with abnormal upper and/or lower airways.

6. Oxygenation: new modalities, evidence and perspectives 
This session will focus on the various methods to maintain oxygenation in various clinical settings.  The expert panel will lead a discussion that answers questions regarding the strengths and limitations of various methods of oxygenation ranging from the NO Desat ( Low flow nasal oxygenation) to Non Invasive Positive Pressure Oxygenation including high flow nasal cannula devices, facemark ventilation, and continuous positive airway pressure devices.

 

Expert Sessions 2

Saturday 16th November

09:00- 10:30 (90 mins)

7. The tracheostomy patient – how to trouble shoot and plan airway management
The session will cover:

a. Airway management for performing surgical trachy
b. Airway management for perc trachy in the critically ill ICU patient 
c. Tracheostomy ‘Red Flags’ (warning sings) and what to do about it 

8. Whats new in Obstetric airway management 
The session will cover:
a) Use of High Flow Nasal Oxygen in Pregnancy”.
b) Use of suxamethonium  vs rocuronium
c) Role of VL in obstetrics.
d) Anticipated difficult airway in Obstetric patient.
e) The Role of Supraglottic Airways in Failed Intubation during GA in Obstetric patients
f) The Importance of Cricothyroidotomy in a Critical Airway in Obstetric Patients 

 9. Is the Videolaryngoscope  a necessity and not a luxury? Advances and novel uses of VL in current practice
This session will cover:

  • What is the role of VL for routine airway management in the OR?
  • What is the role for emergency indications?
  • What are the unique benefits and drawbacks of standard blade designs vs. hyperangulated vs. channeled devices and how do we overcome difficulties?
  • What is the role for awake airway management?

10. Novel methods of ventilation?
This session will cover the new modalities and advances in perioperative ventilation and challenges around this. Flow controlled ventilation (FCV) is a new mode of lung protective ventilation. By precisely controlling the expiratory phase, FCV achieves a more homogeneous aeration of the lungs, better oxygenation and improved ventilation efficiency. Furthermore, FCV minimizes the overall applied and also dissipated energy which are both related to lung injury. Finally, it allows to get a more accurate view of dynamic lung mechanics while normoventilating the patient and to individualize ventilator settings based on the obtained measurements and pressure-volume-loops.

11. SHANA Head & neck session – 
This session will address the following topics

  • Innovative Strategies for Managing the Challenging Upper and Lower “ENT Airway”o The Use of Augmented Reality in Airway Education
  • High-Flow Nasal Oxygenation or Jet Ventilation: Friends or Foes?
  • Lower Airway Management in Interventional Pulmonology and Beyond

This interactive presentation and Q&A session will address some of the recent advances and controversies in airway and ventilation management in head and neck surgery. The discussion will center on the evolving use of augmented reality in training and education of the airway, the advantages, disadvantages and limitations of the application of high-flow nasal oxygen (HFNO) and jet ventilation in laryngologic surgery, and the challenges in lower airway management for head and neck and interventional pulmonology procedures.

12. Training the trainers in airway management
Format: Round table discussion
Aim: To discuss the best ways to teach airway management.During this group discussion we plan to cover the following topics:

1. Why is an airway-teacher education program needed?
2. What are the goals and expectations for such a program (teachers’ and trainees’ few)?
3. Are there specific qualities of a “good” airway instructor?
4. What are core components of such an airway teacher education?
5. The importance of a syllabus or curriculum, a rotation or fellowships in airway education.
6. The role of simulation in airway management education.
7. Aspects of assessment, feedback and debriefing for the trainees and educators

13. Best practice for airway equipment: High level disinfection strategies versus single-use devices
High level disinfection of airway equipment has come under increased scrutiny from accrediting organizations and regulatory agencies. This session will explore strategies to minimize the risk of cross contamination associated with airway management practices and equipment.  

After the session the learner should be able to:
1. Understand the risks of airway device cross-contamination.
2. Explain the role of biofilm in failure of device cleaning and decontamination.
3. Describe the pros and cons of single use and reusable airway devices.Develop strategies to minimize cross contamination and patient risk.

Expert Sessions 3

Saturday 16th November

14:00 – 15:30 (90 mins)

14.The difficult airway in Paediatrics
This session dedicated to paediatric airway management will cover the following:

a) Describe airway management principles unique to the difficult pediatric airway
b) Understand the various airway devices that are clinically effective in the management of the pediatric airway
c) Appreciate management options of the anticipated and unanticipated difficult airway in a child

15.Airway management challenges in the Obese patient 
This session will focus and highlight key areas in peri-operative airway management of the morbidly obese patient. This will include: Pre-assessment and factors associated with and predictive of difficulty; The importance of optimal positioning and pre-oxygention techniques;  How to ensure appropriate dosing of induction and relaxant drugs; Where and when the use of supraglottic devices is indicated, and when they should be avoided; Awake intubation in the Obese and the pitfalls; and Rescue techniques for CICO scenarios.The format will include short ten-minute presentations followed by a moderated clinical scenarios Q&A session

16. Controversies in the use of Supraglottic airway devices– new trends and concepts
Since their introduction three decades ago, the role of SGAD in airway management continues to evolve to include more challenging scenarios and new indications.The continuous improvement of SGAD designs, to combine more features in a single device or to meet specific needs, is contributing to such expansion worldwide.This session focuses on examining the essential role of SGAD in airway management, discussing the current controversies over their safety in specific applications, and summarizing the recommendations for correct use of SAGD

17. DART and DAARC – Difficult Airway Response Team and  Difficult Airway Algorithm and Rescue Cricothyrotomy 
This panel will consist of brief overviews of 1) How to establish a DART Program: operations, safety and education;  2) How to establish a Just-in-Time Airway Education Program with emphasis on techniques of infrequently used flexible bronchoscopy (ORSIM) and emergency surgical airways; 3)  How to incorporate high-fidelity airway management simulations that integrate the use of the DAARC video game with avatar-based simulation into clinical practice; 4) DART Programs/Difficult Airway Response Team successes internationally; 5 ) “One breath from death” patient testimonial and advocacy for DART Programs and patient wellness; 6) Wellness programs and Integrative Medicine strategies to support practitioners and patients involved in difficult airway management.
Participants will receive pre-meeting presentations, tool boxes, and reference materials, and are encouraged to share their experiences with the panel and participants.

18. Airway management in the prehospital and emergency departments- disasters, challenges and solutions
The session will cover the following topics:
Several common themes, controversies and challenges with airway management in the emergency department and prehospital setting will be discussed. This session topics will in part be driven by attendees questions. Potential topics for discussion: What metrics define success for ED and PH airway management? RSI in the prehospital setting who/when/why. The pendulum swing to performing more awake intubations in the ED. Equipment needs and/or luxuries. Airway priorities for the sick patent. Bring your case and questions.

19. The history of airway management, innovations and device development
This panel will focus on the invention, creation, and business models for development of novel airway devices.  The audience can be expected to pose questions and understand hurdles regarding bringing products to market, device creation challenges, and strategies for device modification based on usability testing.

20. Human performance when things go awry during airway management
This expert session will facilitate discussion regarding the sources of human error during airway management, tools to improve training regarding human factors, and common themes encountered in airway management.

 

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