Title: Trainee Review Course
Details: Date: 20 – 21 August 2022 (Saturday and Sunday)
Venue: Suntec Singapore Convention & Exhibition Centre, Hall 405, Level 4
Synopsis: APICS Trainee Review is a workshop designed specially with trainees in mind. Clinical pearls in core topics CKRT, Mechanical ventilation, Hemodynamic monitoring and Advance acid base are each condensed into 4x 1-hour masterclass sessions, delivered by experienced intensivists expert in these fields. These advance concepts will be taught through a mix of didactic and interactive methods, complete with clinical vignettes for enhanced illustration and applicability. Each masterclass will also be paired with a case based discussion session run in a viva exam style, to allow participants to practice their exam answering techniques with our panel of faculties who are experienced examiners of local and international intensive care medicine (ICM) exams. Pick and choose to attend the bite size classes that most interest you, without needing to spare long hours or miss out on much of the main conference.
Learning Objectives: Masterclass

Continuous Kidney Replacement Therapy (CKRT) – Practical Approach in the critical care population

  • Principles of CKRT prescription: How to order and titrate an appropriate CKRT prescription to best meet your ICU patient’s needs
  • How to troubleshoot common CKRT problems e.g., frequent clotting, inefficient solute clearance

Cardiac Output Monitors – Caveats and Limitations

  • Principles of cardiac output monitors and when to choose what
  • Identify the limitations of each CO monitor in order to make interpretation more meaningful

Mechanical ventilation – Patient-ventilator dysynchrony

  • Learn to recognise the various types of patient-ventilator dysynchrony waveforms
  • Learn to diagnose and troubleshoot patient-ventilator dysynchrony accurately

Advance Acid Base

  • Learn about the concepts in Stewart’s approach to acid base physiology
  • Demystify common misconceptions in acid base physiology
  • Apply these concepts to solve real life acid base problems
  • Learn about the impact of administering various fluid administration on acid base in the ICU patient

Case Based Discussion (CBD)

  • Learn to solve practical clinical challenges that may potentially arise in day-to-day practice

Acquire important viva exam answering techniques
Target Audience All intensivists-in-training, planning to or preparing for exams, physicians considering a career path in intensive care medicine
Schedule: Masterclass/CBD Date/Time Faculty
Advance Acid Base +
Case Based Discussion		 Sat, 20 Aug 0900 – 1000
Sat, 20 Aug 1015 – 1100		 Dr Addy Tan
Continuous Kidney Replacement Therapy
Case Based Discussion		 Sat, 20 Aug 1200 – 1300
Sat, 20 Aug 1315 – 1400		 Dr Manish Kaushik
Dr Andrew Li
Cardiac Output Monitors
Case Based Discussion		 Sun, 21 Aug 1030 – 1200
Sun, 21 Aug 1215 – 1300		 A/Prof Chia Yew Woon
Dr Adrian Wong
Mechanical ventilation
Case Based Discussion		 Sun, 21 Aug 1400 – 1500
Sun, 21 Aug 1515 – 1600		 Dr See Kay Choong
Prof Shehabi Yahya
Faculty: Course Directors

  • Dr Lee Si Jia
  • Dr Tay Sok Boon

Faculty

  • Dr Addy Tan
  • Dr Andrew Li
  • Dr Adrian VK Wong
  • A/Prof Chia Yew Woon
  • Dr Manish Kaushik
  • Dr See Kay Choong
  • Prof Yahya Shehabi
Targeted Participant No. 20
Price per participant SGD 20

Programme and timing are subjected to changes at the discretion of the Scientific Committee.

Title 2-Day POCUS Workshop
Details Date: 20 – 21 August 2022 (Saturday and Sunday)
Venue: Suntec Singapore Convention & Exhibition Centre, Hall 405, Level 4
Course Director Dr Lau Yie Hui
Synopsis This modular workshop over 2 days, designed for any healthcare professional who wishes to learn core POCUS skills that is applicable to a wide range of settings. This workshop focuses on image acquisition components of POCUS, and it would be appropriate for learners who would like either a taste or refresher of foundational POCUS skills and exposure to some less frequently used POCUS modalities that would be useful in the critical care setting.

It utilises a small-group, hands-on format, where participants will get to practice on live models and receive instant feedback regarding their techniques. There will also opportunity for Meet the Expert discussions during each workshop.

It can be attended as individual modules (with the exception of Introduction to CCE which comprises of 2 modules). Pre-reading material will be provided prior to the workshops.
Course Objective At the end of the workshop, participants will have had exposure on how to perform POCUS on various organ systems and discussions on clinical applications.
Target Audience · Junior doctors hoping to be exposure to the full breadth of POCUS
· Senior doctors hoping to refresh their knowledge
· Allied health, nurse practitioners, respiratory therapists
Modules Day 1 1. POCUS Critical Care Echocardiography Primer – Part 1 and Part 2
2. POCUS Airway Ultrasound
Day 2 3. POCUS Deep Vein Thrombosis
4. POCUS Lung Ultrasound
5. POCUS Diaphragm Ultrasound
Workshop Structure & Duration Day 1 – 20 August 2022, Saturday
1000 – 1105 Module 1: Critical Care Echocardiography Primer – Part 1

Objectives:
· Image acquisition of basic CCE views (PSAX, PLAX, Apical 4 chamber, subcostal view)
· Tips and pitfalls
· Introduction to useful haemodynamic assessments

 Expert: Dr Adrian Wong
1000 – 1030 Introduction A/Prof Chia Yew Woon
1030 – 1105 Hands On 1. Dr Alvin Teo
2. Dr Claudia Tien
3. Dr Chew Si Yuan
4. A/Prof Chia Yew Woon
5. Dr Choo Wee Sen
6. Dr Fong Wee Kim
7. Dr Lau Yie Hui
8. Dr Xu Huiying
1300 – 1405 Module 1: Critical Care Echocardiography Primer – Part 2  
1300 – 1340 Hands On 1. Dr Alvin Teo
2. Dr Chew Si Yuan
3. A/Prof Chia Yew Woon
4. Dr Choo Wee Sen
5. Dr Fong Wee Kim
6. Dr Lau Yie Hui
7. Dr Xu Huiying
1340 – 1405 Pathological clips, case discussion
1515 – 1620 Module 2: Airway Ultrasound

Objectives: Introduction to airway sono-anatomy, image acquisition-cricothyroid membrane / cartilage ring identification
1515 – 1545 Lecture Dr Zhang Jin Bin
1545 – 1620 Hands On 1. Dr Zhang Jin Bin
2. Dr Tan Leng Zoo
Day 2 – 21 August 2022, Sunday
1000 – 1105 Module 3: Deep Vein Thrombosis

Objectives:
1. Introduction to lower limb venous anatomy
2. Basic DVT assessment and scanning protocols

 Expert: Dr Nicolas Lim
1000 – 1030 Talk Dr Peh Wee Ming
1030 – 1105 Hands On 1. Dr Fong Wee Kim
2. Dr Lau Yie Hui
3. Dr Ng Kang qi
4. Dr Peh Wee Ming
5. Dr Sandra Hui
6. Dr Xu Hui Ying
1330 – 1435 Module 4: Introduction to Lung Ultrasound

Objectives:
1. Image acquisition
2. Common pathologies / signs and case discussion

 Expert: Dr Nicolas Lim
1330 – 1400 Lecture Dr Tan Geak Poh
1400 – 1435 Hands On 1. Dr Chew Si Yuan
2. Dr Ng Kang Qi
3. Dr Sandra Hui
4. Dr Tan Geak Poh
5. Dr Tee Kuan Sen
6. A/Prof Peh Wee Ming
7. Dr Tan Yi Hern
1545 – 1655 Module 5: Diaphragm Ultrasound

Objectives:
· Image acquisition
· Diaphragmatic excursion
· Diaphragm thickening
· Image interpretation
1545 – 1615 Lecture Dr Kay Ng
1615 – 1655 Hands On 1. Dr Amanda Chin
2. Dr Kay Ng
3. Dr See Kay Choong
4. Dr Quak Zhi Xuan
Targeted Participant Number 24
Fee SGD 20

Programme and timing are subjected to changes at the discretion of the Scientific Committee.

Title Mechanical Ventilation Workshop
Details Date: 20 – 21 August 2022 (Saturday and Sunday)
Time: Suntec Singapore Convention & Exhibition Centre, Hall 405, Level 4
Course Format The course will be a hybrid of hands-on interactive sessions with ventilators with case study discussions and lectures by course experts
Course Sponsors Getinge, Medtronic, Vyaire
Target Audience Healthcare professionals who look after ventilated patients, including junior doctors who will work in the Emergency Department or ICU, senior doctors who would like a refresher on mechanical ventilation, nurse practitioners and allied health who look after ventilated patients.
Course Experts Dr Georgopoulos Dimitri
Dr Ivan Gerald Lee
Dr Matthew Cove
Dr Ross Freebairn
Dr Sim Wenyuan
Course Director Dr Pipetius Quah
Session 1
20 August 2022
Course Objectives At the end of the workshop, participants will be able to understand the:

Basics of Mechanical Ventilation

  • Understand the physiological terms and concepts upon which mechanical ventilation is based
  • Understand how to select an appropriate mechanical ventilator, breath type and mode of ventilation
  • Understand the function of trigger, limit and cycle variables

Ventilator Dyssynchronies

  • Understand and troubleshoot ventilator dyssynchronies

Respiratory Drive

  • Understand the assessment of respiratory drive and optimization of mechanical ventilation
Schedule  Time Description Course Expert(s)
1300 – 1305 Introduction Dr Pipetius Quah
1305 – 1335 Overview of mechanical ventilation and ventilator modes Dr Sim Wenyuan
1335 – 1415 Basics of ventilator dyssynchrony (hands-on session)

  • 20 mins lecture by Dr Ivan Gerald Lee
  • 20 mins hands-on with ASL, project PB980 screen to projector screen
 Dr Ivan Gerald Lee
Dr Matthew Cove
Dr Sim Wenyuan
1415 – 1430 Tea break
1430 – 1500 Respiratory drive: Do we care in our ventilated patients? Dr Matthew Cove
1510 – 1550 Pressure support may damage the lung and diaphragm – The role of IE sync + PAV Dr Georgopoulos Dimitri
1550 – 1600 Tea break
1600 – 1630 Interactive session on ventilator Dr Ivan Gerald Lee
Dr Matthew Cove
Dr Sim Wenyuan
Hands-on Session Ventilator dyssynchronies and how to manage them

1.       Triggering dyssynchronies (Dr Sim Wenyuan)

  • Autotriggering
  • Ineffective triggering
  • Reverse triggering

2.       Flow dyssynchronies (Dr Matthew Cove)

  • Flow limitation
  • Double triggering

3.       Cycling dyssynchronies (Dr Ivan Gerald Lee)

  • Early cycling
  • Delayed cycling
Session 2
21 August 2022
Course Objectives At the end of the workshop, participants will be able to understand:

Adaptive mechanical ventilation

  • Review the various modes of adaptive ventilation and the clinical applications

Complications of mechanical ventilation

  • Patient self-induced lung injury and ventilator induced lung injury

Positive End-Expiratory Pressure

  • Application and titration of PEEP in mechanical ventilation

Lung recruitment
Schedule Time Description Course Expert(s)
1000 – 1005 Introduction Dr Pipetius Quah
1005 – 1030 Review of adaptive ventilation Dr Matthew Cove
1030 – 1100 AVM+ case study Dr Ross Freebairn
1100 – 1130 Interactive session on ventilators Dr Matthew Cove
Dr Ross Freebairn
1130 – 1215 Patient self-induced lung injury, ventilator induced lung injury Dr Ross Freebairn
1215 – 1315 Tea break
1315 – 1345 PEEP Dr Matthew Cove
1345 – 1445 Lung recruitment + case studies Dr Ross Freebairn
1445 – 1515 Tea break
1515 – 1600 Interactive session on ventilators Dr Matthew Cove
Dr Ross Freebairn
Hands-on Session Three ventilator stations, 10 minutes at each station, round-robin format

1.       Pressure support ventilation (Dr Sim Wenyuan)

  • Basics of settings on pressure support and applications of pressure support

2.       IE sync (Dr Ivan Gerald Lee)

  • Basics of settings of IE sync and applications of IE sync

3.       Proportional assist ventilation (Dr Matthew Cove)

  • Basics of settings on PAV+ and application of PAV

Programme and timing are subjected to changes at the discretion of the Scientific Committee.