Souvenir Programme & Abstract Book Paediatric Anaesthesia Meeting 2222nndd -- 2233rrdd MMaarrcchh 22001133 KKuuaallaa LLuummppuurr,, MMaallaayyssiiaa Jointly organised by Ministry of Health Malaysia College of Anaesthesiologists Academy of Medicine of Malaysia www.acadmed.org.my CONTENTS Message from the President of the College of Anaesthesiologists 2 Academy of Medicine of Malaysia Message from the Organising Chairperson 3 Organising Committee 4 Programme at a Glance 5 Pre-Congress Workshops 6 Daily Programme 8 Floor Plan & Trade Exhibition 11 Acknowledgements Acknowledgements 12 Abstracts 13 1 MESSAGE FROM THE PRESIDENT OF THE COLLEGE OF ANAESTHESIOLOGISTS, ACADEMY OF MEDICINE OF MALAYSIA It is with great pride and honor that I welcome you to this long awaited Paediatric Anaesthesia Meeting (PAM) 2013. On behalf of the College of Anaesthesiologists, Academy of Medicine of Malaysia, I would like to take this opportunity to firstly congratulate our Paediatric Anaesthesia Special Interest Group (SIG) for being an active and cohesive force over the last few years in their road-show symposia and teaching sessions all over the country. It has now culminated into a national meeting of this caliber led by its Convenor and also Organising Chairperson, Dr Sushila Sivasubramaniam. Our gratitude goes to Dr Sushila and her dedicated team for their effort in bringing back this important get-together. In this country, the perioperative and critical care management of paediatric patients is of great interest, not only to the handful of paediatric anaesthetists and intensivists, but also to larger pool of specialist anaesthetists, anaesthetic trainees and medical officers as well as nurses and allied health professionals. I am glad that the Scientific Committee has taken into consideration the interests of everyone, with the ultimate intention of improving and updating knowledge in the management of our precious children. This PAM promises interesting and exciting sessions with the participation of prominent overseas speakers and local experts with a wealth of experience to share. I have no doubt that it will be well received and that there will be a big demand for more of it! I wish everyone an enjoyable and stimulating meeting, and perhaps it may convince some to subspecialize as paediatric anaesthetists or intensivists! Associate Professor Datin Dr Norsidah Abdul Manap 2 MESSAGE FROM THE ORGANISING CHAIRPERSON It gives me great pleasure to invite you to the Paediatric Anaesthesia Meeting organised by the College of Anaesthesiologists on 22nd and 23rd March 2013 at the Shangri-La Hotel, Kuala Lumpur. This two-day meeting is an opportunity for specialist anaesthetists, paediatric anaesthetists, paediatric intensivists, medical officers, nurses and allied health professionals to update their knowledge and improve their anaesthetic and intensive care management of children. The Scientific Committee has planned a wide-ranging programme with the ultimate aim of improving perioperative care of children undergoing anaesthesia and in the care of the critically ill children. The programme incorporates current topics and controversial issues which are relevant not only to the paediatric anaesthetists but also to the generalists. The meeting format will feature plenaries, lectures, panel discussion and debates. There are also two hands-on workshops which will address handling of the difficult airway in children and total intravenous anaesthesia in children. Three prominent speakers from the United Kingdom and local eminent speakers have been invited to share their expertise. The Paediatric Anaesthesia Special Interest Group, College of Anaesthesiologists last held a similar meeting in 2003. This is a long overdue meeting. We do hope you will not only gain knowledge from this meeting but also take the opportunity to renew ties. Dr Sushila Sivasubramaniam 3 ORGANISING COMMITTEE Chairperson Dr Sushila Sivasubramaniam Hon Secretary Dr Usha Nair Hon Treasurer Dr Rajeswary Kanapathypillai Dr Ruwaida Isa Publicity / Publications Dr Lakshmi Thiyagarajan Dr Hamidah Ismail Business Manager / Venue Dr Intan Zarina Fakir Mohamed Dr Teo Su Ching Scientific Committee Dr Thavaranjitham Sandrasegaram Dr Felicia Lim Professor Dr Lucy Chan Dr Vinod Suppiah 4 PROGRAMME AT A GLANCE Time 21st March 2013 22nd Ma2r2chnd 2 M01a3rch 2013 23rd Ma2rc3hrd 2 M01a3rch 2013 Date (Thursday) (Friday)(Friday) (Saturda(Sy)aturday) PLENARY 3 0830 - 0900 0800 - 1600 OPENING REMARKS The Difficult Paediatric Airway PRE-CONGRESS 0900 - 0930 WORKSHOP 1 PLENARY 1 PLENARY 4 Total Intravenous TIVA in Children Use Of Cuffed 0930 - 1000 Anaesthesia (TIVA) Endotracheal Tube In Infants & Children TEA / VISIT TO TEA / VISIT TO 1000 - 1030 EXHIBITION EXHIBITION 1030 - 1100 SYMPOSIUM 1 SYMPOSIUM 2 1100 - 1130 Updates A Mixed Goodie Bag 1130 - 1200 1200 - 1300 1200 - 1700 LUNCH PRE-CONGRESS LUNCH / FRIDAY SYMPOSIUM 3 1300 - 1400 WORKSHOP 2 PRAYERS Children Aren’t Scary! Paediatric Difficult Airway Workshop 1400 - 1430 PLENARY 2 CASE DISCUSSION: 1430 - 1500 Advanced Ventilatory Meet-The-Experts Strategies in Children 1500 - 1530 1530 - 1600 TEA PRO-CON DEBATE 1600 - 1630 1630 - 1700 TEA 1700 - 1730 5 PRE-CONGRESS WORKSHOP 1 21st March 2013 (Thursday) Total Intravenous Anaesthesia (TIVA) TIVA can be defined as a technique of general anaesthesia that uses a combination of agents given solely by the intravenous route without simultaneous administration of any inhalational agent except for oxygen and air. The use of TIVA is made possible because of two main reasons. Firstly the pharmacokinetic and pharmacodynamic properties of modern drugs like propofol and newer synthetic short-acting opiods like remifentanil. Secondly, new concepts in pharmacokinetic modelling and advances in computer technology resulting in specialized infusion pumps have made TIVA user friendly hence recently there has been a surge in its usage. A team of experts in the field of paediatric anaesthesia will provide hands-on clinical training during this workshop to show us that TIVA for paediatric patients can be administered with confidence and that this method can be widely used in daily clinical practice. Coordinators : Thavaranjitham Sandrasegaram Venue : Paediatric Institute, Hospital Kuala Lumpur Facilitator : Rajeswary Kanapathipillai Usha Nair Teo Shu Ching Invited Faculty : Oliver Bagshaw 0730 - 0800 Registration 0800 - 0805 Introduction by Thavaranjitham Sandrasegaram 0805 - 0815 Opening Speech by V Sivasakthi 0815 - 0900 Presentation by Oliver Bagshaw - TIVA in Children 0900 - 0915 Change to OT Attire 0915 - 1200 Hands-on in OT (Group 1 and Group 2) Algorithm For Practical Management of TIVA Live Demo by Oliver Bagshaw 1200 - 1300 Lunch 1300 - 1545 Hands-on in OT (Group 3 & Group 4) Algorithm For Practical Management of TIVA Live Demo in by Oliver Bagshaw 1545 - 1600 Closing (Light refreshment will be served) 6 PRE-CONGRESS WORKSHOP 2 21st March 2013 (Thursday) Paediatric Difficult Airway Workshop Coordinator : Vinod Suppiah Venue : Clinical Skills Laboratory, Faculty of Medicine, University Malaya Medical Centre, Kuala Lumpur Invited Faculty : Ann Black 1200 - 1300 Registration and Lunch 1300 - 1310 Welcome and Introduction Vinodh Suppiah 1315 - 1400 The Difficult Paediatric Airway Ann Black 1415 - 1615 Airway Skills Stations 1. The Basics 2. Laryngeal Masks 3. Videolaryngoscopes 4. Bronchoscopes 5. Cricothyroidotomy and Jet Ventilation 6. Miscellaneous Devices 1615 - 1700 Tea and Case Scenarios 7 DAILY PROGRAMME 22nd March 2013 (Friday) 0845 - 0900 Opening Remarks by Dr Sushila Sivasubramaniam, Organising Chairperson Speech by Associate Professor Datin Dr Norsidah Abdul Manap, President, College of Anaesthesiologists, Academy of Medicine of Malaysia 0900 - 1000 PLENARY 1 Chairperson: Thavaranjitham Sandrasegaram TIVA in Children Oliver Bagshaw (United Kingdom) 1000 - 1030 TEA / VISIT TO EXHIBITION 1030 - 1200 SYMPOSIUM 1: Updates Chairpersons: Rajeswary Kanapathypillai / Intan Zarina Fakir Mohamed 1 Sedation in Neonates & Children Linda Murdoch (United Kingdom) 2 Anaesthesia in Remote Areas Thavaranjitham Sandrasegaram (Malaysia) 3 Cardiac Children for Non-cardiac Surgeries Hamidah Ismail (Malaysia) 1200 - 1430 LUNCH / FRIDAY PRAYERS 1430 - 1515 PLENARY 2 Chairperson: Felicia Lim Advanced Ventilatory Strategies in Children Linda Murdoch (United Kingdom) 1515 - 1645 PRO-CON DEBATE: Moderator: Vinodh Suppiah 1 Rapid Sequence Induction in Paediatric Anaesthesia: A Must? • Yes: Ina Ismiarti Shariffuddin • No: Azmil Farid Zabir 2 Albumin or Starch in Kids? • Albumin: Ruwaida Isa • Starch: Usha Nair 1645 - 1715 TEA 8 DAILY PROGRAMME 23rd March 2013 (Saturday) 0830 - 0915 PLENARY 3 Chairperson: Usha Nair The Difficult Paediatric Airway Ann Black (United Kingdom) 0915 - 1000 PLENARY 4 Chairperson: Hamidah Ismail Use Of Cuffed Endotracheal Tube In Infants & Children Felicia Lim (Malaysia) 1000 - 1030 TEA / VISIT TO EXHIBITION 1030 - 1200 SYMPOSIUM 2: A Mixed Goodie Bag Chairpersons: Teo Shu Ching / Thavaranjitham Sandrasegaram 1 Overview of Liver Transplantation in Malaysia Sushila Sivasubramaniam (Malaysia) 2 Smart Infusion Technology Linda Murdoch (United Kingdom) 3 Anaesthesia for Thoracic and Thoracoscopic Surgery in Children Oliver Bagshaw (United Kingdom) 1200 - 1300 LUNCH 1300 - 1400 SYMPOSIUM 3: Children Aren’t Scary! Chairpersons: Sushila Sivasubramaniam / Ruwaida Isa 1 Coping with Unexpected Airway Problems in the Child Ann Black (United Kingdom) 2 Paediatric Simulation – The Way Forward Rajeswary Kanapathypillai (Malaysia) 9