Lunchtime Educational Sessions
The congress will feature six Lunchtime Educational Sessions. Attendance to the sessions are included with registrations.
Intraoperative 3D Echocardiography for Valvular Heart Disease: Technical Innovation or Just Pretty Pictures?, Professor Stanton Shernan - Sponsored by Life HealthCare
Doctors Mental Health, Mr Nick Arvanitis - Sponsored by beyondblue
The mental health of medical students and doctors in Australia is an ongoing concern within the medical profession and community. As part of beyondblue’s commitment to the mental health of doctors beyondblue surveyed over 14,000 doctors and medical students to investigate issues associated with their mental health. The findings of the beyondblue National Mental Health Survey of Doctors and Medical Students launched in 2013 highlighted that although doctors are generally resilient:
- they experience higher rates of psychological distress compared with other professionals and the general community
- one in five medical students and one in 10 doctors had suicidal thoughts in the past year
- more than four in 10 students and a quarter of doctors are highly likely to have a minor psychiatric disorder, like mild depression or mild anxiety
- young doctors in particular are more psychologically distressed, think about suicide more and are more burnt-out than doctors at any other stage of their career
- perceived stigma is rife with almost half of respondents thinking doctors are less likely to appoint doctors with a history of depression or anxiety and four in 10 agreeing that many doctors think less of doctors who have experienced depression or anxiety.
Across all industries untreated mental health conditions in the workplace result in other significant costs in the form of absenteeism, presenteeism, staff turnover, accidents, and workers’ compensation claims. For hospitals doctors and other health professionals with untreated mental health conditions may also impact of the quality of care provided and patient safety. Research by PwC found a return on investment of $2.30 for every $1 invested in creating a mentally healthy workplace. beyondblue, in collaboration with the Mentally Healthy Workplace Alliance, has developed the Heads Up initiative to highlight the benefits of mentally healthy workplaces and assist individuals and organisations take action. The Heads Up website (www.headsup.org.au) was developed to provide individuals and organisations with free, simple, practical resources to manage a broad range of issues related to mental health in the workplace, including how to create a mentally health workplace.
The Heads Up website includes tailored resources for hospitals and the medical profession regarding mental health in the workplace (www.headsup.org.au/doctors). These resources include a case study of a hospital that has implemented a doctors’ wellbeing strategy and videos of doctors (including a former anaesthetist) talking about their personal experience of a mental health condition. beyondblue is also engaging directly with hospitals to provide practical assistance regarding creating mentally healthy workplaces.
Managing patients' pain from theatre to home, Dr Gavin Pattullo & Dr Charlotte Johnstone - Sponsored by Seqirus
Our guest speakers, Dr Gavin Pattullo and Dr Charlotte Johnstone, will provide an update on the latest in acute and chronic pain management. Patient case studies will be explored, with a focus on the importance of an individualised approach to pain management.
The symposium will address the importance of a multimodal approach to post-operative pain management, including:
- Providing analgesia
- Facilitating return of function
- Reducing incidence of chronic pain
- Reducing risk of opioid need and dependency
- Minimising side effects
- Improving patient satisfaction and quality of life
The impact of neuromuscular block management on outcomes for surgery within ERAS pathways, Professor Mike Scott - Sponsored by MSD
Enhanced Recovery After Surgery (ERAS) is becoming increasingly adopted into surgical practice. Although ERAS was originally described in Colorectal Surgery there are now ERAS Pathways and guidelines in place around the world in most surgical specialties including upper gastrointestinal surgery, urology and gynaecology. ERAS improves the quality of care, decreases length of stay and reduces complications after surgery.
ERAS is based on a bundle of evidence based elements aimed at reducing primary injury, the stress response and improving the metabolic response to surgery. Minimally Invasive Surgery – either laparoscopic or robotic assisted is a key element of ERAS as it reduced primary tissue damage and surgical wound size. There is currently increasing interest in the physiology of the pneumoperitoneum because prolonged procedures in the head down position can have a marked physiological impact for the patient. The effect of the pneumoperitoneum varies according to the patient’s anatomy,(e.g. obesity) cardiopulmonary and intravascular volume status, and the position of the patient (head up / head down). The result can be global changes in cardiac output and local changes in organ perfusion. Renal dysfunction and hepatic injury have also been reported.
As part of ERAS pathways reducing primary injury is key. This lecture aims to outline the physiological changes in laparoscopic surgery and how these may be mitigated or improved. Neuromuscular block is one of these interventions to allow surgery at lower abdominal pressures. Monitoring of NMB and correct reversal for a patient to ensure they have normal bulbar and respiratory function is also important to reduce secondary complications such as pneumonia.
Difficult airway management and optimising patient outcomes, Professor Friedrich Pühringer - Sponsored by Baxter
Unexpected Difficult Airway Management is a core issue in terms of patient safety in modern anaesthesia. Various international algorithms provide a huge amount of recommendations what to do. For my understanding all these algorithms are not precise to really support a team without discussion and confusion. Therefore, I suggest to define, communicate and to implement a local algorithms in every hospital, which is primarily based on the equipment available, the level of training on various tools and which is implemented by ongoing training of doctors and nurses, so all of them know what to provide and to do in each step of the algorithm. Continuous team training needs to be done, to keep the level of expertise high. Preventing postoperative hypoxia is of tremendous importance. Its incidence is attributed to various anaesthetic agents. Therefore it is of importance to look closer at the effects of various anaesthetics drugs on postoperative ventilation.
Overdosed opioids are quite easy to determine, but the adequate recovery from muscle relaxants can only be evaluated by quantitative neuromuscular monitoring. Without monitoring it has ben shown, that around 60 to 70 % of patients present undetected residual paralysis, if only clinically evaluated, even by experienced clinicians. Careful monitoring or the administration of sugammadex are of benefit. Concerning hypnotics, it has been shown, that propofol impairs postoperative ventilation, by leading to upper airway collapse, even in low concentrations not causing unconsciousness. Comparing the effects of volatile anaesthetics on airway reflexes, it is evident that the lower solubility of Desflurane and the much faster time course of action provides faster and more predictable recovery of the airway reflexes. These differences get even bigger in obese patients and in cases of longer duration, when compared with Sevoflurane.
Maximising your earnings, Mr Anthony Bongiorno - Sponsored by Bongiorno National Network
While in private practice it’s vital to remember that the financial decisions you make today will impact how you are rewarded now and in the future.
This important wealth management workshop is a not to be missed session no matter where you are in your anaesthetic career. The Bongiorno National Network will cover key areas that will ensure you make the right decisions financially to protect yourself and your future.
Topics covered include:
- Ensuring you are operating under the most efficient business structure
- 2016 Budget changes and how they affect you
- Wealth creation – can you create wealth without borrowing?
- Protecting your most important asset – yourself! Your ability to earn an income is paramount
- Making sure you are maximising your financial facilities with a focus on the best possible mix of non-deductible and deductible debt
- Superannuation with all the changes – is it still beneficial for you? What are the rules now and will you have enough saved to retire comfortably?
- Finance – what are the banks new rules on borrowing?
- Is there a “Gap” on what you require your members’ superannuation balance to be at retirement to fund an adequate income stream? If so, how do you bridge the “Gap”?
The Bongiorno National Network offer you a total financial solution. They are qualified to provide you advice on the following areas of tax & accounting, risk insurance, financial planning, superannuation and finance.
With affiliated offices in every state, the Bongiorno National Network can help you with your financial needs regardless of where you live in Australia.