• Describe key indications and contraindications for ECMO.
• Identify ECMO circuit components and prime a circuit.
• Learn about common ECMO emergencies.
• Troubleshoot problems on ECMO using high fidelity simulation.

• Pathophysiology of Massive Bleeding
• Viscoelastic Haemostatic Assays (VHAs) – How do they work and what can they do?
• Role of Coagulation Factor Concentrates in Massive Bleeding
• Using VHAs (ROTEM and TEG) to guide management of the bleeding cardiac, obstetric, trauma, liver and anticoagulated patients
• Intra-operative cell salvage and rapid transfusor systems
• Platelet dysfunction

Complex Home Ventilation is the term proposed by an NHS (National Health Services – UK) workgroup to denote

1. Invasive (Tracheostomy) ventilation
2. Patients dependent on noninvasive ventilation ( > 14 hours in 24 hours)
3. Patients assisted by non-invasive ventilation ( < 14 hours/day), but having complex medical conditions – involving multiple organ systems – e.g. neuromuscular disorders, cardiomyopathy, chronic neurodisability, etc
4. Transition from paediatric home ventilation.

The goal of complex home ventilation is to maximise function and QoL of such patients while maintaining a high standard of safety and preserving survival as far as possible.

Success in complex home ventilation depends on attention to the multi-faceted needs of such patients, preferably delivered by a dedicated multidisciplinary team.

This year’s course faculty includes specialists from National University Hospital Paediatrics Home Care Programme and KK Women’s and Children’s Hospital Children’s Complex and Home Care Services. The content will include aspects of Complex Home Ventilation relevant for the paediatric age group.

This workshop will cover the physiology and pathophysiology of respiratory failure, mechanical ventilation tips applied to the complex patient; advanced tracheostomy care - breathing / speaking / eating with a trach; airway clearance; setting up a patient for long term ventilation; emergency drills.

Special considerations for the paediatric home ventilation patients and their families will also be touched upon.

1. Local Doctors = S$60
2. Foreign Doctors, Trainee Physicians, Nurses, Allied Health Professionals = S$40

Here we are again! Last year’s Bare bones course our first, was met with a very positive response. This year we have reviewed our course content taking into account the valuable feedback from our participants and faculty. This year the course will allow more time at the practical stations so you get more hands on.

We all know that ultrasound use in the ICU is now routine. It has clearly proven its usefulness in the managing of critically ill patients. The use of ultrasound in the diagnosis and management of shock states has resulted in better outcomes. No more guess work. The use of ultrasound to guide invasive procedures have also improved patient safety and minimised the need to move patients around for procedures like drainage of effusions or PICC insertion.

The aim of this course is to introduce participants to the basic use of ultrasound in its simplest form to aid patient management. We aim to minimise complex jargon and measurements to introduce easy to remember algorithms and skills that anyone can learn and use while at the same time providing sufficient scientific background. Emphasis is on the things that make a difference. More emphasis will be placed on cardiac ultrasound and common procedural ultrasound.

This course is aimed at all who are interested in ICU ultrasound especially the total newbie, resident or consultant new to ultrasound. We hope to be able to impart practical skills that you can immediately use in your ICU. More practical time will be devoted for you to learn the most crucial skills of good reproducible image acquisition and simple but reliable and usable interpretation to aid you in your work.

General

Cardiac Ultrasound

Lung Ultrasound

Abdominal Ultrasound

Vascular Ultrasound

Practical Stations

In no particular order:

Dr Kenneth Tan
Intensivist and anesthesiologist
MBBS (NUS, Singapore)
M Med (Anaes) (NUS, Singapore)
MRCP (Int Med) (RCP, United Kingdom)
EDIC (European Society of Intensive Care Med, Belgium)

Dr Tan Wah Tze
Intensivist and anesthesiologist
MBBS (NUS, Singapore)
M Med (Anaes) (NUS, Singapore)
PGCertAeroRT (U of Otago, New Zealand)

Dr Francis Lee
Emergency Physician
MBBS (NUS, Singapore)
FRCS (A&E;) (RCS, Edinburgh, United Kingdom)

Dr Toh Hong Chuen
Emergency Physician
MBBS (NUS, Singapore)

Dr Alvin Teo Yeng Hok
Intensivist and anesthesiologist
MBBS (NUS, Singapore)
M Med (Anaes) (NUS, Singapore)
FANZCA (Anaes) (ANZCA, Australia)
EDIC (European Society of Intensive Care Med, Belgium)
FJFICM (ANZCA, Australia)

Dr Loh Meng Woei
Intensivist and anesthesiologist
MBBS (NUS, Singapore)
M Med (Anaes) (NUS, Singapore)
FANZCA (Anaes) (ANZCA, Australia)
EDIC (European Society of Intensive Care Med, Belgium)
FJFICM (ANZCA, Australia)

Dr Leong Kwok Wah
Intensivist and anesthesiologist
MBBS (NUS, Singapore)
M Med (Anaes) (NUS, Singapore)

Dr Lee Tze Wee
Intensivist and Anestheiologist
MBBS (NUS, Singapore)
M Med (Anaes) (NUS, Singapore)
EDIC (European Society of Intensive Care Med, Belgium)

Dr David Tan Liang Hui
Intensivist and Anestheiologist
MBBS (NUS, Singapore)
FANZCA (Anaes) (ANZCA, Australia)
EDIC (European Society of Intensive Care Med, Belgium)

Dr Wong Her Shann
Intensivist and anesthesiologist
MBBS (NUS, Singapore)
M Med (Anaes) (NUS, Singapore)

EDIC (European Society of Intensive Care Med, Belgium)

Dr Tan Tee Yong
Anesthesiologist and Pain Specialist
MBBS (NUS, Singapore)
M Med (Anaes) (NUS, Singapore)
FFPMANZCA (ANZCA, Australia)

Dr Dave Kang Song Chua
Anesthesiologist and Cardiac anesthesiologist
MBBS (NUS, Singapore)
M Med (Anaes) (NUS, Singapore)

1st Session (1350 – 1440)

2nd Session (1620 – 1710)

1st Session (1020 – 1120)

2nd Session (1410 – 1510)

• Describe the physiology of asynchrony
• Describe the types of asynchrony and how to recognise them with ventilator waveforms.
• Describe the practice and approaches to lung protective ventilation.
• Describe the mechanisms by which the mechanical breath causes tissue damage at the alveolar level
• Describe how the parameters of a mechanical breath (i.e. lung volumes, pressures, rates, flows and the duration they are applied to the lung at inspiration and expiration) can be adjusted to minimize VILI.
• Describe available pharmacological interventions for ventilated patients.
• Describe the management of hypoxia and adjunctive approaches.

Advanced ventilation workshop day 1, asynchrony

LUNG PROTECTIVE WORKSHOP

https://www.ttsh.com.sg/haemodynamic-monitoring/

1. Prioritise assessment needs for the critically ill or injured infant and child
2. Select appropriate diagnostic tests
3. Identify and respond to significant changes in the unstable paediatric patient
4. Recognise and initiate management of acute life-threatening conditions
5. Determine the need for expert consultant and/or patient transfer and prepare the practitioner for completing optimal transfer

A one-day workshop for the paediatric specialist or trainee interest to learn or refresh their knowledge in paediatric airway and ventilation.

The workshop consists of basic and advanced skills stations (both wet and dry) and problem-based learning scenarios for discussion.

1. Learn and refresh advanced airway skills in animal models
2. Demonstration of ventilation strategies in animal models
3. Practice bronchoscopy/one lung ventilation in manikin lung models
4. Round table discussions

1. Understand the specific clinical needs of patients in the early phases of neurological and neurosurgical emergencies
2. Meet these needs by standardising the management using ENLS protocols
3. Use of checklists to address important clinical points
4. Use of checklists to improve handovers
5. General Critical Care (e.g. airway and ventilation, pharmacotherapy)

RACE (Rapid Assessment by Cardiac Echo) is a transthoracic echocardiography (TTE) course specifically designed for the critical care and acute care physicians. Its objective is to equip physicians in these areas with the skills and knowledge to perform focused bedside TTE so that common cardiac and haemodynamic disorders can be identified quickly. There is a strong focus on HANDS-ON practice in this course.

RACEplus covers the RACE content plus some advanced TTE and critical care general ultrasound topics. These topics include Doppler TTE, lung ultrasound, pleural ultrasound, abdominal ultrasound, vascular ultrasound and ultrasound-guided vascular access.