• VV ECMO: principles, practice, problems & troubleshooting
• VA ECMO: principles, practice, problems& troubleshooting
• ECMO circuit problems & hands-on troubleshooting
• ECMO cannulation
• Basic and Advanced ECMO simulation & scenarios

• 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.
• Basic cannulation techniques would be taught on cannulation simulators during the hands-on sessions.

• 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.

• Applied renal physiology
• Epidemiology of acute kidney injury
• Acute kidney injury: causes, pathophysiology and management
• Acute kidney injury and sepsis
• Rhabdomyolysis
• AKI and abdominal compartment syndrome
• Urinary tract infections
• Continuous renal replacement therapy
• Intermittent haemodialysis and SLEDD
• Peritoneal dialysis
• Drug dosing in renal failure

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.

A practical workshop for ICU healthcare professionals, focusing on managing ethical and communication situations in the ICU. Topics include:

• Overview of basic ethical principles in healthcare
• Ethical framework to guide decision making in complex (including End of Life) situation in the ICU
• Essential communication techniques
• Situations covered in communications include
  • Conducting family conferences
  • Communicating uncertain prognosis
  • Managing expectations
  • Managing complex family dynamics
  • Managing Interdisciplinary communication between professionals

At the end of the workshop, learners will be able to

• Articulate basic ethical principles in healthcare and apply the ethical framework in decision making in the ICU
• Navigate through common communication ‘stuck points’ using communication techniques
• Acquire skills in principled negotiation to improve interdisciplinary collaboration
• Understand the approach to managing complex family dynamics

Online learning module for pre- workshop (max 30min)

Morning Session: Ethics module which includes lectures and case discussions

Afternoon Session: Communication module which includes simulation practice

• General principles of respiratory drive and patient self-inflicted lung injury
• General identification and management of patient-ventilator asynchrony
• Practice using mechanical ventilators and simple test lung models

• Understand and measure respiratory drive
• Identify and manage patient-ventilator asynchrony

1. Overview of respiratory drive and patient self-inflicted lung injury (20 min) – Professor Laurent Brochard
2. Overview of identification and management of patient-ventilator asynchrony (20 min) – Dr See Kay Choong
3. Practical stations x 2 (10 min each)
   1. Measurement of respiratory drive – Professor Laurent Brochard
   2. Identification of patient ventilator-asynchrony – Dr See Kay Choong

Welcome and overview of the program (Graeme A’Court)

Symposium 1 (Automation of MV)

Symposium 2 (Automation of Synchrony)

Symposium 3 (Lung protection tools)

Professor Ross Freebairn, Hawkes Bay New Zealand

Professor Patrick Tan, Kuala Lumpur Malaysia

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 - neuromuscular disorders, cardiomyopathy 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.

Following the successful collaboration with paediatric specialists in 2019, we will continue to have a combined faculty with paediatric specialists from KK Women’s and Children’s Hospital and National University Hospital. Paediatric content may be interwoven into the course, or there may be separate breakout sessions for paediatric topics if there is substantial representation from paediatric healthcare workers amongst the participants.

This workshop will cover the physiology and pathophysiology of respiratory failure, mechanical ventilation ( invasive and non-invasive ventilation) tips applied to the complex patient; breathing and sleep; non-respiratory concerns of the complex home ventilated patient; advanced tracheostomy care - breathing / speaking / eating with a trach; airway clearance; setting up a patient for long term ventilation; roles of the multi-disciplinary team members; emergency drills.

The topics will be oriented towards both the Adult and Paediatric Complex Home Ventilation Patient.

Doctors, Nurses and Therapists from Tan Tock Seng Hospital - Home Ventilation and Respiratory Support Service; Woodlands Health, KK Women’s and Children’s Hospital Complex and Home Care Services; and National University Hospital Paediatrics Complex Home Care Service

Faculty convened upon invitation of Society of Intensive Care Medicine ( SICM) , Singapore. Proceeds from the course will be channelled to SICM to help support registration of delegates from Low-Middle income countries .

Course convenor – Dr Chan Yeow

1. Identify unique features of the cardiac surgery patient that warrant modifications to standard resuscitation technique
2. Distinguish critical differences between protocols for ACLS vs CALS
3. Describe the EACTS standard protocol for manangement of a cardiac arrest in a cardiac surgery patient
4. Discuss 5-point-plan
5. Demonstrate successful CALS re-sternotomy within 5 minutes

A workshop on the management of the massively bleeding patient.

• 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