TIVA Workshop

(“Target Controlled Infusion Practicum”)
Audience: Specialist Trainees, Post-fellowship Trainees and Consultants
Format: A highly practical one day course delivering:
  • Consultant led teaching and advice, by clinicians using TCI and BIS everyday
  • Small group ‘hands on’ clinical workshops, using simulation with BIS
  • Problem solving and trouble shooting
  • TCI in a wide range of settings
08:50 Registration and Coffee
09:00 Introduction to RMH TCI and Adult Sedation   Alex Oliver, UK 
09:45 Day Case Surgery   Anjalina Majumder, UK 
10:15 The Difficult Airway and TCI    Olivia Mingo, UK
10:45 Coffee and Refreshments
11:00 Difficult Scenarios – Obesity, Elderly, EEG…   Rohit Juneja, UK
11:30 Paediatrics   Robert Self, UK
12:00 Questions to Panel  
12:15 Lunch
13:15 Introduction to Workshops   Alex Oliver, UK 
13:30 2 x 45 Minute Workshops
15:00 Coffee and Refreshments
15:30 2 x 45 Minute Workshops  
17:00 Close

CPET Workshop

Cardiopulmonary Exercise Testing For Pre-operative Assessment Course
An overview of cardiopulmonary exercise testing exploring both the practicalities of the test and the clinical information it provides, and why it can be useful for pre-operative fitness assessment. The session will also include a variety of actual clinical cases as examples of its utility.
Lectures, small group tutorials and workshops
  • Faculty – Dr R Rao Baikady, Dr J Wilson, Dr G Minto, Mr J Otto
  • Physiology of exercise testing
  • Normal exercise testing and interpretation
  • Live demo of exercise testing and practical tips
  • Role of exercise testing in major surgery
  • Small group sessions on interpretation of exercise test results.- 4 groups
  • Practical test and group discussion on real patient tests
Program and speakers will be soon announced

Opioid workshop

  • The genetic basis for opioid rotation
  • Opioids and cancer progression opioids for non-malignant pain
  • Opioids, addiction and dependence
  • Opioid induced hyperalgesia
Opioids and cancer progression   Rohit Juneja, UK
Perioperative management of patients taking opioids   Paul Farquhar-Smith, UK
Opioid induced hyperalgesia: fact or fiction?   Kirsty Bannister, UK
Opioid dependence, addiction, and abuse   David Nutt, UK
Opioids for non-malignant pain    Cathy Stannard, UK
What is the Evidence of the Effectiveness of Opioids?    Jane Ballantyne, USA

Workshop D

Tackling the tough talk: Breaking bad news in the ICU
Series of lectures and workstations concentrating on best practice in breaking bad news and communicating in the ICU
“Tackling the Tough Talk” (TTT) is a communication workshop specifically designed for medical professionals to communicate with patients and families on end of life care issues. The module has been developed in Melbourne, Australia, as a high intensity interactive course where clinicians can develop and enhance skills in communicating complex medical information with immediate feedback and proctoring from experienced peers. It provides a format for structured, meaningful and empathetic communication for clinicians.


Area 1 – Perioperative Cancer Care
Chair: Tim Wigmore / Donal Buggy
09:00 Welcome  Timothy Wigmore, UK
09:10 The global cancer burden and implications for care   Vijjay Gottumakala, US
09:30 Oncology for the anaesthetist   Robin Jones, UK
09:55 Cardiac injury and the cardio-oncology clinic   Alex Lyon, UK
10:20 Break
Chair: Bernard Riedel / V.Gottumakkala
10:45 Pre-op assessment and cardiac revascularization before major cancer surgery   Ramanathan Kasivisvanathan, UK
11:10 The role of CPET and Prehabilitation   Malcom West, UK
11:35 Surgery – Developments in Complex Colorectal Cancer Surgery   Shanu Rasheed, UK
12:00 Novel cancer treatments and their implications for the anae   Martin Gore, UK
12:25 Group 1 – Abstract review part 1. (In Meston Suite)  Donal Buggy, UK and Hans Huitink, Netherlands
13:00 Lunch
Chair: JV Divatia / Juan Cata
14:00 What is the significance of the perioperative insult and its role in cancer progression?   Jonathan Hiller, Australia
14:20 Making a difference – evidence for effect – NSAIDs, opiates, inhalationals versus TIVA   Bernhard Riedel, Australia
14:45 Making a difference – evidence for effect – Local anaesthetics, Stress reduction and beta blockade   Juan Cata, USA
15:10 Can regional anaesthesia or analgesia during cancer surgery affect cancer recurrence or metastasis   Donal Buggy, UK
15:35 Tea
Chair: V.Gottumakkala
16:00 Pro-Con: Can Anaesthetists really make a difference to onc  Juan Cata versus Gareth Ackland
16:30 Round table discussion/Q+A


Area 2 – Blood Management
  Session – Understanding Blood.
Chair: Ravi Rao Baikady
09:00 Introduction  Ravi Rao Baikady, UK
09:15 Pre-operative anaemia management is first pillar of patient blood management    Donat Spahn, Switzerland
09:45 Patient blood management in surgery – current challenges   Toby Richards, UK
10:10 Post operative anaemia management – new concepts   Young-Woo Kim, Korea
10:30 Coffee
  Session – Coagulation and thrombosis  
11:00 Monitoring coagulopathy during haemorrhage  Jecko Thachil, UK
11:25 Pathophysiology of thrombosis in cancer – new evidence?   Ingrid Pabinger, Austria
11:50 Drugs in haemostasis   Ravi Rao Baikady, UK
12:15 Discussion all speakers   Ravi Rao Baikady, UK
12:30-14:00 – (Lunch provided)
Patient Blood Management.
Chair: Andrew Klein / Ravi Rao Baikady
12:35 Patient Blood Management in cancer   Donat Spahn, Switzerland
12:55 Management of Iron Deficiency anaemia and evidence   Toby Richards, UK
13:20 Management of anaemia in upper GI surgery   Young-Woo Kim, Korea
13:40 Discussion
  Afternoon session  
14:10 Platelet transfusion in oncology   Simon Stanworth, UK
14:30 Current and future research in transfusion   Simon Stanworth, UK
14:45 Thrombosis and anticoagulation in cancer   Ingrid Pabinger, Austria
15:10 Transfusion practice in cancer – Sceince and reality   Jecko Thachil, UK
15:30 Coffee
16:00 Guidelines vs reality in blood management   Andrew Klein, UK
16:25 Blood transfusion – role of transfusion practitioner   Wendy McSporran, UK
16:45 Round table discussion with all the speakers. Q & A



Area 3 – Research
Surgical Stress, Anaesthesia agents and adjuncts.
Chair: Erica Sloan, Australia
08:30 Introduction   Erica Sloan, Australia
08:35 Catecholamines and inflammation: latest findings from clinical beta-blockade and mechanistic studies  Shamgar Ben-Eliyahu, Israel
09:00 Psychological stress and cancer   Bernadette Wilks, Australia
09:20 Amide local anesthetics and cancer cell biology   Tobias Piegeler, Switzerland
09:40 Tumors and translation: targeting perioperative stress to stop cancer recurrence   Erica Sloan, Australia
10:00 Discussion/questions
10:15 Break
Pain Session.
Chair: Shamgar Ben-Eliyahu, Israel
10:45 Can Xenon or Oxygen as therapeutic gases  affect cancer metastatic potential   Donal Buggy, Ireland
11:05 Effects of inhalational and intravenous anaesthetics on solid cancer cell biology   Daqim Ma, UK
11:25 Perioperative care of patients with cancers: Can we improve patients’ survival?   Juan Cata, USA 
11:45 Using the neutrophil-lymphocyte ratio to predict cancer outcomes after surgery.   Patrice Forget, UK
11:55 Understanding the role of cyclooxygenase inhibitors during cancer surgery – results of a pilot study.
 Jonathan Hiller, Australia
12:10 Discussion
12:30 Drug repurposing in the perioperative setting. Pancreatic Resection with Off-label Study of Propranolol and Etodolac, a Randomized trial (PROSPER)  Ilse Rooman, Belgium
12:45 Can CAN cancel cancer? A presentation of a running RCT – Cancer and Anaesthesia, CAN-study  Mats Enlund, Sweden
13:00 Abstract Presentations and lunch
Chair: Marie-Odile Parat
14:05 The influence of pain and opioids on cancer progression  Kalpna Gupta, USA
14:30 Pain research and the trials of translation
 Kirsty Bannister, UK
14:45 Quantification of circulating mu-opioid and TLR4 receptor activation potential to assess influence of morphine on tumour metastasis
 Marie-Odile Parat, Australia
New Directions.
Chair: Daqim Ma, UK
15:50 Immunoscore for assessment  Jerome Galon, France
16:20 Is metabolism the key to the perioperative influence?  George Poulogiannis, UK


Major Surgery. Area 1 – Perioperative Care
Chair: David Chisholm
09:00 The peri-operative physician   Mike Grocott, UK
09:25 Special delivery: Periop planning for Upper GI surgery   Gary Minto, UK
10:00 Break
Chair:Hans Huitink
10:30 Making a difference: Enhanced recovery   Jonathan Wilson, UK
10:55 Goal directed therapy for Plastic surgery/Flaps – Is there any point?   David Chisholm, UK
11:20 One lung ventilation for the expert   Richard Chapman, UK
11:45 The rise of the robots: Pathology and physiology that affects the anaesthetist   Ramanathan Kasivisvanathan, UK
12:15 Developments in fast track surgery Henrik Kehlet , Denmark
12:45 Group 1 Abstract review part 2 Ramanathan Kasivisvanathan, UK / Sham Jhanji, UK
13:15 Lunch
Chair: Mats Enlund
13:30 Breaking research news: impending or most recent relevant publications   Donal Buggy, UK
13:55 Dealing with the impossible airway   Anil Patel, UK
14:20 Head and neck – novel ways of dealing with age old problems   Hans Huitink, Netherlands
14:55 Break
Chair: Bernhard Riedel
15:20 Surgery School – Preparing Patients and Families For Major Cancer Surgery   Daniel Conway, UK
15:55 Fluids – Is there really any difference?   Sham Jhanji, UK
16:20 Can CAN cancel cancer ? The Cancer and Anaesthesia study   Mats Enlund, Sweden
16:55 Wrap up and Abstract Prize presentation   Tim Wigmore, UK


Area 2 – Pain and Cancer
Chair: Paul Farquhar- Smith
09:00 Post surgical chronic pain   Henrik Kehlet, Denmark
10:00 Bone cancer pain: from mechanisms to medicines   Pat Mantyh, USA
11:00 Coffee break  
11:30 Chemotherapy induced neuropathy  Sarah Flatters, UK
12:15 Lunch break
13:00 The importance of descending and ascending pathways in cancer pain  Leslie Colvin, UK
14:00 Break
14:30 Explaining negative studies of analgesics in cancer pain: poor trial methodology or genuine lack of clinical effect?  Mike Bennett, UK
15:30 Integration of pain and palliative care services  Tony O’Brien, Ireland
16:15 Review and close


Area 3
Chair: Tim Wigmore
09:00 Introduction  Tim Wigmore, UK
09:05 Haemato-oncology for the intensivist  Amit Patel, UK
09:30 Oncology for the intensivist  Mark Harries, UK
09:55 Prognosis of critically ill cancer patients admitted to the ICU: recent trends   Djamel Mokart, France
10:20 Break
Chair: Shaman Jhanji
10:50 Confusion: detecting and managing delirium  Valerie Page, UK
11:15 Controversies in care of the post bone marrow transplantation patient in ICU   Victoria Metaxa, UK
11:40 Caring for patients with advanced malignancies  Pascal Gruber, UK
12:05 End of life care  Jayne Wood, UK
12:30 Lunch
Chair: Pascale Gruber
13:15 Long term outcomes session  Steve Brett, UK
13:40 Cancer critical care follow up – The survivorship agenda  Natalie Pattison, UK
14:00 Everyone deserves a trial of ICU – pro-con  Niall McAllum versus Martin Kuper
14:40 Break  
Chair: Niall McAllum
15:00 Novel diagnostic techniques in sepsis  David Brealey, UK
15:25 Antimicrobial resistance and infections in the immunosuppressed patient   Luke Moore, UK
15:50  Fungi matter   Elizabeth Johnson,UK
16:15 Sepsis Bundles: Evidence For Benefit ?   Jigeeshu Vasishtha Divatia, India