final programme · 2017-09-21 · final programme espa in cooperation with the association of...

ESPA CONGRESS

September 28–30, 2017Radisson Blu Hotel Glasgow, Scotland, United Kingdom

Final Programme

ESPA IN COOPERATION WITH THE ASSOCIATION OF PAEDIATRIC ANAESTHETISTS OF GREAT BRITAIN AND IRELAND

2nd International Assembly for Pediatric Anesthesia – Excellence Knows No BordersSeptember 6–8, 2018Hotel Le Plaza: Brussels, Belgiumwww.euroespa.com

ESPA IN COOPERATION WITH THE BELGIAN ASSOCIATION FOR PAEDIATRIC ANAESTHESIOLOGY

ESPA CONGRESS

ESPA CONGRESSSeptember 28–30, 2017

Radisson Blu Hotel Glasgow, Scotland, United Kingdom

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TABLE OF CONTENTS

Welcome Letter 4

EACCME Accreditation 4

Board Members 5

Plan of Congress Floor 6

Scientific Programme

Thursday, September 28 7

Friday, September 29 9

Saturday, September 30 12

Best Posters 14

E-Posters 15

Partners and Exhibitors 23

Registration 25

Social Events 26

General Information 27

Congress Secretariat 29

ESPA CONGRESSSeptember 28–30, 2017Radisson Blu Hotel Glasgow, Scotland, United Kingdom

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WELCOME LETTER

Dear Colleagues,

It is our great pleasure and honour to invite you to our 9th European Congress for Paediatric Anaesthesiology which is being held September 28–30, 2017 at the Radisson Blu Hotel Glasgow, in Scotland, UK. The Congress is organized by the European Society for Paediatric Anaesthesiology (ESPA) in collaboration with the Association of Paediatric Anaesthetists of Great Britain and Ireland, the European Society of Paediatric and Neonatal Intensive Care Medicine (ESPNIC), the Academic Paediatrics Association (APA) and the International Assembly of National Paediatric Anaesthesiology Society.

The Congress gathers outstanding experts in the field of paediatric anaesthesiology from all over the world and covers the latest clinical and experimental evidence in the field.

We look forward to seeing you in Glasgow.

Sincerely Yours,

Ehrenfried SchindlerESPA President

Anne GoldieLocal Organizing Committee Chair

EACCME ACCREDITATION

The 9th European Congress for Paediatric Anaesthesiology is designated for a maximum of 13 hours of European external CME credits. Each medical specialist should claim only those hours of credit that he/she actually spent on the educational activity.



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BOARD MEMBERS

ESPA Executive BoardEhrenfried Schindler, President Sankt Augustin, GermanyFrancis Veyckemans, President-Elect Brussels, BelgiumJurgen de Graaff, Honorary Secretary Rotterdam, The NetherlandsMichael Brackhahn, Honorary Treasurer Hannover, GermanyNicola Disma Genoa, ItalyLaszlo Vutskits Geneva, SwitzerlandEva Schaffrath-Jurgens Maastricht, The NetherlandsNada Sabourdin Paris, FrancePertti Suominen Helsinki, FinlandMaria Vittinghoff Graz, Austria

Glasgow Local Organizing CommitteeAnne Goldie, ChairGraham BellLesley McKeeJon SmithAlyson Walker


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PLAN OF CONGRESS FLOOR

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List of Exhibitors1 – PRIMEX PHARMACEUTICALS AG2 – INTERSURGICAL3 – Medtronic Inc.4 – European Society for Paediatric Anaesthesiology (ESPA)5 – CAS Medical Systems, Inc.6 – ClearLine MD7 – Drägerwerk AG&Co.KGaA8 – European Society of Anesthesiology (ESA)



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SCIENTIFIC PROGRAMME

THURSDAY, SEPTEMBER 28, 2017

09:00–10:30 ACORNS Meeting (King Tuts)

09:00–12:00 Scottish Paediatric Anaesthetic Network Session (Megalithic 3)

10:30–12:00 Pediatric Anesthesia Societies Business Meeting (King Tuts)

12:00–13:00 Arrivals/ Registration

13:00–13:30 Opening Ceremony (Megalithic 1–2) ESPA President Ehrenfried Schindler (Sankt-Augustin, Germany)

13:30–15:00 Panel 1 – Perioperative Fluid Management (Megalithic 1–2)Moderators: Neil Morton (Glasgow, UK)

Ehrenfried Schindler (Sankt-Augustin, Germany)

13:30–13:55 The Physiology Behind Can Ince (Amsterdam, Netherlands)13:55–14:20 The Clinical Evidence and Recent UK Guidelines Christopher Gildersleve (Cardiff, Wales, UK)14:20–14:45 The German Guidelines Karin Becke (Nurnberg, Germany)14:45–15:00 Discussion

13:30–15:00 Panel 2 – Regional Anaesthesia: Tips and Tricks (Megalithic 3)Moderators: Françis Veyckemans (Lille, France)

Maria Vittinghoff (Graz, Austria)

13:30–13:55 Upper Limb Blocks Valeria Mossetti (Torino, Italy)13:55–14:20 Lower Limb Blocks Per-Arne Lönnqvist (Stockholm, Sweden)14:20–14:45 Truncal Blocks Graham Bell (Glasgow, Scotland, UK)14:45–15:00 Discussion

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13:30–15:00 Workshop 1 – How to Write/Review a Manuscript? (King Tuts) Andrew Davidson (Melbourne, Australia)

Brian Anderson (Auckland, New-Zealand)

15:00–15:30 Coffee Break and Exhibitions

15:30–17:00 Panel 3 – Monitoring Depth of Anaesthesia (Megalithic 1–2) and Beyond

Moderators: Laszlo Vutskits (Geneva, Switzerlan) Nicola Disma (London, UK)

15:30–15:55 EEG and Seizure Activity Nada Sabourdin (Paris, France)15:55–16:20 Pupillometry Nicolas Louvet (Paris, France)16:20–16:45 Neuromonitoring in the NICU/PICU Dick Tibboel (Rotterdam, Netherlands)16:45–17:00 Discussion

15:30–17:00 Panel 4 – What’s New in Paediatric (Megalithic 3) Cardiac Anaesthesia?

Moderators: Brian Anderson (Auckland, New Zealand) Walid Habre (Geneva, Switzerland)

15:30–15:55 The Benefits of Early Extubation Pertti Suominen (Helsinki, Finland)15:55–16:20 Extracorporeal Life Support Mark Davidson (Glasgow, Scotland, UK)16:20–16:45 Drugs to Assure Haemodynamic Stability in Paediatric Cardiac

Anaesthesia Matthias Müller (Giessen, Germany)16:45–17:00 Discussion

15:30–17:00 Workshop 2 – Teach the Teacher: (King Tuts) How to Prepare and Perform a Great Talk

Ehrenfried Schindler (Sankt-Augustin, Germany) Nigel Turner (Utrecht, Netherlands)

17:00–18:00 Poster Walk I. (Exhibition area)

18:00–18:30 ESPA General Assembly (Megalithic 1–2)

18:30–19:30 Welcome Drinks

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FRIDAY, SEPTEMBER 29, 2017 09:00–10:30 Panel 5 – Updates from the NICU/PICU (Megalithic 1–2)Moderators: Michael Brackhahn (Hannover, Germany)

Ehrenfried Schindler (Sankt-Augustin, Germany)

09:00–09:25 Update on Ventilation in the NICU for Anaesthesiologists Martin Kneyber (Groningen, Netherlands)09:25–09:50 Managing Haemodynamics in the PICU Simon Nadel (London, UK)09:50–10:15 Paediatric Major Haemorrhage Sabeena Qureshi (London, UK)10:15–10:30 Discussion

09:00–10:30 Panel 6 – Best Posters (Megalithic 3)Moderators: Laszlo Vutskits (Geneva, Switzerland)

Jurgen de Graaff (Rotterdam, Netherlands)

The best posters will be identified from the submitted abstracts. Authors will present for 7–8 min followed by 1–2 min of questions.

09:00–10:30 Workshop 3 – Chronic Pain (King Tuts) Maria Vittinghoff (Graz, Austria), Valeria Mossetti (Torino, Italy)

& Maarten Mensink (Utrecht, Netherlands)


11:00–12:30 Panel 7 – New Non-invasive Monitoring (Megalithic 1–2) Modalities in the Perioperative Period

Moderators: Thomas Engelhardt (Aberdeen, Scotland, UK) Eva Schaffrath (Maastricht, Netherlands)

11:00–11:25 Transcutaneous O2/CO2 Monitoring Jurgen de Graaff (Rotterdam, Netherlands)11:25–11:50 Silly Monitors Per-Arne Lönnqvist (Stockholm, Sweden)11:50–12:15 Capillary Microcirculation Can Ince (Amsterdam, Netherlands)12:15–12:30 Discussion

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11:00–12:30 Panel 8 – Update and Innovations in Chronic Pain (Megalithic 3)Moderators: Françis Veyckemans (Lille, France)

Valeria Mossetti (Torino, Italy)

11:00–11:25 Persistent Post-Surgical Pain: Lessons from Translational Research Suellen Walker (London, UK)11:25–11:50 Pathophysiology of Chronic Pain Maarten Mensink (Utrecht, Netherlands)11:50–12:15 European Standards and the Pain Ladder Initiative in Chronic Pain Maria Vittinghoff (Graz, Austria)12:15–12:30 Discussion

11:00–12:30 Workshop 4 – Transfer of Critically Ill Child (King Tuts) from Remote Locations

Mark Davidson, Christina Harry & Sandra Stark (Glasgow, Scotland, UK)

12:30–14:00 Industry-Sponsored Symposium (Megalithic 1–2)Moderators: Karin Becke (Nurnberg, Germany)

Laszlo Vutskits (Geneva, Switzerland)

12:30–13:15 Debate 1: Pre-Medication is Required Prior to General Anaesthesia Michael Brackhahn (Hannover, Germany)

Martin Jöhr (Luzern, Switzerland)13:15–14:00 Debate 2: Procedural Sedation in the Emergency Department Should

be Performed by a Paediatric Anaesthesiologist Anthony Moores (Southampton, UK)

Steven Foster (Glasgow, Scotland, UK)

14:00–15:30 Panel 9 – Defining Quality in Paeditric Anaesthesia (Megalithic 1–2)Moderators: Pertti Suominen (Helsinki, Finland)

Andrew Davidson (Melbourne, Australia)

14:00–14:25 How to Define Quality? Jurgen de Graaff (Rotterdam, Netherlands)14:25–14:50 How to Implement Quality Improvement Programmes? Dean Kurth (Philadelphia, USA)14:50–15:15 Paediatric Quality Improvement Programmes Which Make

a Difference Kathleen Thomson (Glasgow, UK)15:15–15:30 Discussion

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14:00–15:30 Panel 10 – The Paediatric Anaesthesiologist (Megalithic 3) in the CT/MRI / O2 Toxicity

Moderators: Nada Sabourdin (Paris, France) Anne Goldie (Glasgow, Scotland, UK)

14:00–14:25 How Do I Do Anaesthesia for CT/MRI in Children? Laszlo Vutskits (Geneva, Switzerland)14:25–14:50 How Not to Anaesthetise in the MRI: Alternative Techniques Mary Pirie (Glasgow, Scotland, UK)14:50–15:15 O2 Toxicity and the Neonate Ben Stenson (Edinburgh, Scotland, UK)15:15–15:30 Discussion

14:00–15:30 Workshop 6: Chronic Pain (King Tuts) Maria Vittinghoff (Graz, Austria), Valeria Mossetti (Torino, Italy) & Maarten Mensink (Utrecht, Netherlands)


16:00–17:00 Poster Walk II. (Exhibition area)

17:00–18:00 ESPA Guest Lecture (Megalithic 1–2)Moderator: Laszlo Vutskits (Geneva, Switzerland)

17:00–17:50 Neonatal Pain: A Journey Maria Fitzgerald (London, UK)17:50–18:00 Discussion

19:00–20:00 City Chambers Civic Reception

20:15–22:30 Trades Hall Congress DinnerFr

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SATURDAY, SEPTEMBER 30, 2017

09:00–10:30 Panel 11 – Best Papers Session (Megalithic 1–2)Moderators: Laszlo Vutskits (Geneva, Switzerland)

Dean Kurth (Philadelphia, US)

09:00–09:25 Anaesthesia Andrew Davidson (Melbourne, Australia)09:25–09:50 Intensive Care Brian Anderson (Auckland, New Zealand)09:50–10:15 Pain Per-Arne Lönnqvist (Stockholm, Sweden)10:15–10:30 Discussion

09:00–10:30 Panel 12 – My Worst Nightmare (Megalithic 3)Moderators: Nigel Turner (Utrecht, Netherlands)

Martin Jöhr (Luzern, Switzerland)

Six short presentations of challenging clinical cases (10 min each) followed by 5 min of discussion

09:00–10:30 Workshop 5 – Transfer of Critically Ill Child (King Tuts) from Remote Locations Mark Davidson, Christina Harry & Sandra Stark (Glasgow, Scotland, UK)


11:00–12:30 Panel 13 – Clinical Trials Session (Megalithic 1–2)Moderators: Jurgen de Graaff (Rotterdam, Netherlands)

Neil Morton (Glasgow, Scotland, UK)

11:00–11:25 APRICOT: The Results Walid Habre (Geneva, Switzerland)11:25–11:50 NECTARINE: An Update Nicola Disma (London, UK)11:50–12:15 GAS: Challenges for the 5-Year Follow-Up Andrew Davidson (Melbourne, Australia)12:15–12:30 Discussion

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11:00–12:30 Panel 14 – Red Flags in Paediatric Anaesthesia (Megalithic 3)Moderators: Françis Veyckemans (Lille, France)

Per-Arne Lönnqvist (Stockholm, Sweden)

11:00–11:25 The Child with a Funny Face Thomas Engelhardt (Aberdeen, Scotland, UK)11:25–11:50 The Child with a Murmur for Emergency Surgery Andrew Wolf (Bristol, UK)11:40–12:15 The Dyspnoeic Child Karin Becke (Nurnberg, Germany)12:15–12:30 Discussion

12:30–13:00 Prizes and Closing Ceremony (Megalithic 1-2)

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BEST POSTERS

Friday, September 29, 9:00–10:30Chair: Laszlo Vutkits

0008 1:2 DEXTROSE SOLUTION INFUSION DURING NUSS BAR REMOVAL IS ASSOCIATED WITH INCREASED FLACC SCORE AT PACU

Hyungmook Lee, Jisoo Lee, Kwangook Moon, Mihyun Kim0016 IMPLEMENTING ONE HOUR CLEAR FLUID GUIDELINES IN A PAEDIATRIC DAY

SURGERY UNIT – AN AUDIT OF FASTING TIMES Keith Lankester, Mark Pinnock, Kumarvel Veerappan0075 A NOVEL APPROACH TO THE MANAGEMENT OF DIFFICULT AIRWAY

IN CHILDREN – ONE UNIVERSAL ALGORITHM FOR ALL AGE GROUPS OF PATIENTS IN VARIOUS CLINICAL SITUATIONS

Wojciech Walas, Dawid Aleksandrowicz, Maria Katarzyna Borszewska-Kornacka, Tomasz Gaszynski, Ewa Helwich, Marek Migdal, Andrzej Piotrowski, Grazyna Siejka, Tomasz Szczapa, Alicja Bartkowska-Sniatkowska

0077 DESFLURANE USE IN CHILDREN < 1 YEAR OF AGE Robert Steur0082 A RANDOMIZED CONTROLLED TRIAL OF DEXMEDETOMIDINE SEDATION

VERSUS GENERAL ANAESTHESIA FOR INGUINAL HERNIA SURGERY ON PERI-OPERATIVE OUTCOMES IN INFANTS

Choon Bong, Josephine Tan, Serene Lim, Teddy Fabila, John Allen, Victor Rajadurai, Poh Choo Khoo, Michael Meaney, Anne Rifkin-Graboi

0091 VALIDATION OF THE BAXTER RETCHING FACES (BARF) SCALE AS A MEASURE OF THE SEVERITY OF NAUSEA IN SPANISH SPEAKING CHILDREN

Mehernoor Watcha, M. A. “Toni” Felberg, Sudha Bidani, Andrew Lee, Eddie Medellin

0103 DRUG ERRORS IN PAEDIATRIC ANAESTHESIA: A CULTURAL BLIND SPOT? A SURVEY OF PAEDIATRIC ANAESTHETISTS

Zoe Burton, Zoe Harclerode, Emily Hatton-Wyatt, Deborshi Sinha, Natasha Woodman, PATRN Committee, Peter Brooks, Thomas Engelhardt

0105 PERIOPERATIVE MANAGEMENT OF CRANIOPLASTY FOR SAGITTAL SYNOSTOSIS IN INFANTS – A COMPARISON OF THE PI-PLASTY AND SPRING – ASSISTED SURGICAL TECHNIQUES

Radha Sabaratnam, Kim Jemmett, Richard Newton, David De Beer0106 IMPLEMENTATION OF A NURSE-LED INTRAVENOUS DEXMEDETOMIDINE

SEDATION SERVICE FOR MRI Radha Sabaratnam, Amanda Cerullo, Pamela Green, Grant Stuart



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E-POSTERS

E-posters will be displayed in the foyer during the whole Congress. The poster walks will be available during Thursday, September 28 and Friday, September 29.

POSTER WALK I.

Thursday, September 28, 17:00–18:00Chair: Jurgen de Graaff, Per-Arne Lönnqvist, Nicola Disma, Eva Schaffrath-Jurgens

0003 RISK FACTORS FOR POST-OPERATIVE EMERGENCE DELIRIUM IN ELECTIVE PEDIATRIC SURGICAL PATIENTS

YiChia Wang, HsingHao Huang, ChiHsiang Huang 0004 ANESTHESIA RELATED FACTORS AFFECTING PARENTAL SATISFACTION

IN PEDIATRIC AMBULATORY SURGERY Aarti Sharma, Matthew Gomillion, Franklin Chiao, Matthew Henry0005 IS IT A PEANUT, IS IT POPCORN... NO IT’S CARCINOID!!! Suzanne Krosnar, Alistair Baxter0010 DECREASED COMPLICATIONS WITH ENHANCED RECOVERY AFTER SURGERY

PROTOCOL IN CHILDREN UNDERGOING RECONSTRUCTIVE OPERATIONS Kyle Rove, Amanda Saltzman, Muhammet Irfan Donmez, Megan Brockel,

Brian Caldwell, Vijaya Vemulakonda, Duncan Wilcox0011 ANESTHESIA IN POTOCKI-LUPSKI SYNDROME Ana Fernandez, Alvaro Revilla, Jose Ignacio Gomez Herreras0012 COMPARISON OF THE TIVA WITH DIFFERENT MIXTURE OF KETOFOL

IN PEDIATRIC PATIENTS: A RANDOMIZED CLINICAL TRIAL Ebru Biricik, Feride Karacaer, Ersel Güleç, Özgür Sürmelioğlu, Murat Ilgınel,

Dilek Özcengiz0013 REMIFENTANIL-KETAMINE VS PROPOFOL-KETAMINE FOR SEDATION

IN PEDIATRIC PATIENTS UNDERGOING COLONOSCOPY: A RANDOMIZED CLINICAL TRIAL

Feride Karacaer, Ebru Biricik, Murat Ilgınel, Çağatay Küçükbingöz, Mehmet Ağın, Gökhan Tümgör, Yasemin Güneş, Dilek Özcengiz

0014 AIRWAY MANAGEMENT IN A CHILD WITH A FACIAL RHABDOMYOSARCOMA AND RADIATION INDUCED TRISMUS: A CASE REPORT

Ravish Kapoor, Acsa Zavala, Antoinette Van Meter, Uduak Williams, Pascal Owusu-Agyemang

0015 ANESTHESIA IN NOONAN SYNDROME Ana Fernandez, Alvaro Revilla, Jose Ignacio Gomez-Herreras


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0018 INTRAOPERATIVE CLONIDINE FOR PREVENTION OF POSTOPERATIVE AGITATION IN CHILDREN ANESTHETIZED WITH SEVOFLURANE: THE PREVENT AGITATION RANDOMIZED TRIAL

Mogens Ydemann, Bettina Nygaard Nielsen, Steen Henneberg, Janus Christian Jakobsen, Jørn Wetterslev, Arash Afshari

0019 COMPARISON OF TWO DIFFERENT DOSES OF INTRANASAL DEXMEDETOMIDINE AS PREMEDICATION IN PAEDIATRIC POPULATION

Christiana Prodromou, Niki Kouna, Eleana Garini, Maria Skalistira, Paris Agios, Eri Evaggelopoulou

0020 WILL ULTRASOUND REPLACE THE STETHOSCOPE? – A CASE REPORT ON NEONATAL ONE-LUNG VENTILATION

Adriana Rodrigues, Carla Hipólito, Helena Salgado0021 THE EFFECT OF ONE HOUR FASTING FOR CLEAR FLUIDS ON THE RATE

OF PERI-OPERATIVE ASPIRATION IN A TERTIARY PAEDIATRIC HOSPITAL Thomas Donaldson, Alasdair Howie0024 PERIOPERATIVE FLUID INTAKE IN CHILDREN: AN OBSERVATIONAL STUDY

FOR ELECTIVE DAYCARE SURGERY Ruben Schreurs, Elly Vandermeulen, Dieter Mesotten, René Heylen,

Joris Vundelinckx0026 INTERACTIVE WEB-BASED FORMAT “VS”. CONVENTIONAL BROCHURE

MATERIAL FOR INFORMATION TRANSFER TO CHILDREN AND PARENTS: A RANDOMIZED CONTROLLED TRIAL REGARDING PREOPERATIVE INFORMATION

Gunilla Lööf, Cecilia Liljeberg, Staffan Eksborg, Per-Arne Lönnqvist 0027 LEARNING FROM EXCELLENCE (LFE): SUSTAINING IMPROVEMENTS

IN PRESCRIBING BEHAVIOUR Phillip Lo, Matthew Davies, Adrian Plunkett0029 PATIENT AND NURSE CONTROLLED OXYCODONE IN CHILDREN: A SINGLE

CENTRE EXPERIENCE IN THE UNITED KINGDOM Joel Chin, Jenny Brooke, Paul Rolfe0030 LIFE-THREATENING CASE OF UPPER GASTROINTESTINAL BLEEDING

IN A 15-MONTH-OLD BOY Teresa Martínez Marivela, Lara Jiménez García,

Juan Manuel Gutiérrez Agüera, Paloma Rubio Pascual0033 COMPARISON OF CMAC D BLADE VIDEO-LARYNGOSCOPY AND DIRECT

LARYNGOSCOPY IN PAEDIATRIC PATIENTS Konul Hajiyeva, Ozlem Selvi Can, Cigdem Yildirim Guclu, Volkan Baytas0034 NON OPERATING ROOM ANAESTHESIA (NORA) FOR A LARGE MEDIASTINAL

MASS BIOPSY IN CHILDREN: HOW DO WE DO IN TERTIARY CANCER CENTER? Madhavi Desai, Nayana Amin



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0035 LONG-TERM OPIOID REQUIREMENTS AFTER HIPEC SURGERY IN CHILDREN AND ADOLESCENTS: A RETROSPECTIVE COHORT STUDY

Pascal Owusu-Agyemang, Acsa Zavala, Antoinette Van Meter, Uduak Williams, January Tsai, Ravish Kapoor, Lei Feng, Juan Cata, Elizabeth Rebello

0036 A NEEDS-BASED ASSESSMENT TO JUSTIFY THE DEVELOPMENT OF A PAEDIATRIC ANAESTHETIC PREASSESSMENT SERVICE AT A TERTIARY CARE REFERRAL HOSPITAL: A SERVICE IMPROVEMENT PROJECT

Maria Clement, Bhaskar Dutta, Catherine Rimmer0037 THE IMPACT OF CAUDAL ANAESTHESIA ON POSTOPERATIVE

COMPLICATIONS IN CHILDREN UNDERGOING HYPOSPADIAS REPAIR Miki Yamada, Machiko Furuta, Satoshi Toyama, Yasuyuki Suzuki0038 SHOULD WE ROUTINELY MEASURE ENDOTRACHEAL TUBE CUFF PRESSURES

IN INFANTS AND CHILDREN? A QUALITY IMPROVEMENT AUDIT Nayana Amin, Pritish Kumbhare, Madhavi Desai, Jeson Doctor, Bhakti Trivedi0039 ANESTHETIC MANAGEMENT OF A PATIENT WITH RAPID ONSET OBESITY,

HYPOVENTILATION, HYPOTHALAMIC DYSFUNCTION AND AUTONOMIC DYSFUNCTION (ROHHAD) SYNDROME

Sevcan Buyuk, Ozlem Can, Nur Kalayci0040 A TALE OF TINY TOT Venu Mehta, Caroline Pruefer, Shireen Edmends0041 ANESTHETIC MANAGEMENT OF A PATIENT WITH THE TOTAL ARTIFICIAL

HEART FOR NONCARDIAC SURGERIES Özlem Selvi Can, Ahmet Onat Bermede, Zekeriyya Alanoglu, Çigdem Denker0043 SAFE USE OF PROPOFOL TOTAL INTRAVENOUS ANESTHESIA (TIVA)

IN PATIENTS WITH GORLIN-GOLTZ SYNDROME Pascal Owusu-Agyemang, Antoinette Van Meter, Acsa Zavala,

Ursula Williams, Ravish Kapoor, Sylvia Moore, Anuj Shah, January Tsai0045 APNOEIC OXYGENATION TO FACILITATE MRI SCANNING OF THE URINARY

TRACT Peter Frykholm, Alexandra Ramström, Dragan Bajic0046 PAIN AFTER PAEDIATRIC TONSILLECTOMY – AUTOMATED SMS TEXTING

AS A NOVEL AUDIT TOOL Poh Lin Lee, Adrian Barker, Judith Short0048 EMERGENCE AGITATION AFTER SEVOFLURANE ANESTHESIA FOR PEDIATRIC

MAGNETIC RESONANCE IMAGING Estefania Gomez-Pesquera, Beatriz Martínez-Rafael, Rodrigo Poves-Álvarez,

Mario Lorenzo-López, Andrea Sánchez-Miguel, Elisa Álvarez-Fuente0049 ANESTHESIA IN PEDIATRIC PATIENT WITH LYSINURIC PROTEIN INTOLERANCE Beatriz Martinez-Rafael, Estefanía Gómez-Pesquera, Rodrigo Poves-Alvarez,

Mario Lorenzo-López, Elena Arias-García, Jose Ignacio Gómez-Herreras


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0050 QUANTIFYING AIR REMOVAL FROM IV FLUID ADMINISTRATION IN SURGICAL PATIENTS: HOW MUCH AIR IS IN YOUR IV LINES?

Christopher Tirotta, Richard Lagueruela, Danielle Madril, Marysory Irizarry, John McBride, Jerra Lobozzo

0051 HEMIFACIAL MICROSOMIA: A REVIEW OF PERI-OPERATIVE AIRWAY MANAGEMENT OVER THE LAST DECADE IN GREAT ORMOND STREET HOSPITAL

Catalina Stendall, Renuka Arumainathan, Timothy Liversedge0052 THE EFFICACY OF LOCAL ANAESTHETIC WOUND CATHETERS FOLLOWING

ABDOMINAL SURGERY – EVALUATING THE IMPACT IN PAEDIATRIC RENAL TRANSPLANTATION

Ijeoma Okonkwo, Jai Sivaprakasam, Davandra Patel0053 CREATING A NEW POST-OPERATIVE PLAN FOR DELAYED BLADDER

EXSTROPHY CLOSURE Ijeoma Okonkwo, Anju Bendon, Rita Vashisht0054 POST DURAL PUNCTURE HEADACHE IN A PEDIATRIC PATIENT SUCCESSFULLY

TREATED WITH COSYNTROPIN Kerri Lydon, Asca Zavala, Jose Soliz, Keyuri Popat, Ian Lipski, Barbara Speer,

Shannon Hancher-Hodges0056 OUTCOMES AFTER GENERAL ANESTHESIA AND SURGERY IN INFANCY,

CHILDHOOD AND ADOLESCENCE: A SYSTEMATIC LITERATURE REVIEW Nicola Groes Clausen, Stine Kähler, Tom Giedsing Hansen0057 UNPLANNED PAEDIATRIC ADMISSIONS AFTER DAY SURGERY IN A LARGE

TEACHING HOSPITAL Simon Denning, Deborshi Sinha, Joy Abbott0058 MORPHINE INDUCED SLEEP DISTURBING MYOCLONUS IN YOUNG

CHILDREN: AN UNDER RECOGNISED SIDE EFFECT Davandra Patel, Frances Harrison0060 ACHONDROPLASIA – MULTIDISCIPLINARY CHALLENGE Lucie Jureckova, Karel Axmann, Frantisek Kopriva, Olga Klementova0061 A CASE REPORT: A TEENAGER WITH A SPONTANEOUS SPINAL

CERBROSPINAL FLUID LEAK AND INTRACRANIAL HYPOTENSION Cristina González Serrano, Itziar Olaizola San Jose0062 ANAESTHESIA FOR PAEDIATRIC POSTERIOR FOSSA SURGERY Katharina Kohler, Joel Chin, Amer Abdelaal0063 EFFICACY OF CARTOONS AS A DISTRACTION TECHNIQUE FOR CHILDREN

UNDERGOING SURGICAL REPAIR OF FACIAL LACERATIONS IN THE EMERGENCY DEPARTMENT

Haejung Kim, Hojung Kim, Hyojeong Choi, Bora Lee0064 CYTOKINE DISCRIMINATION OF INFLAMMATION DEGREE IN PEDIATRIC

ACUTE APPENDICITIS Nikola Stankovic, Ivan Stanojevic, Maja Surbatovic, Dragana Lekic,

Vesna Stevanovic, Branislav Mojsic, Sladjana Vasiljevic, Ana Mandras, Igor Krunic, Bojana Slavkovic, Lana Vranic, Zoran Stevanovic, Danilo Vojvodic



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0066 POST-OPERATIVE PAEDIATRIC PERIPHERAL INTRAVENOUS CANNULA USE David Nesvadba, Kay Davies0067 ANXIETY AMONG TEENAGERS BEFORE SURGERY Ilona Razlevice, Jurgita Dieckute, Dominykas A. Dirzys, Modestas Maslovas,

Laura Lukosiene, Jurgita Borodiciene, Andrius Macas

POSTER WALK II.

Friday, September 29, 16:00–17:00Chair: Thomas Engelhardt, Pertti Suominen, Martin Jöhr, Nada Sabourdin

0022 CARDIAC CT UNDER GENERAL ANAESTHESIA WITH A BETA-BLOCKED HEART RATE IN A 1.8KG NEONATE USED TO DIAGNOSE ALCAPA. A NOVEL TECHNIQUE

Daniel Lake, Francesca Holt, Neena Seth, Israel Valverde Perez0031 TACKLING EMERGENCE DELIRIUM AND ACUTE PAIN IN THE POST ANAESTHETIC

CARE UNIT Hal Robinson, Thomas Engelhardt, Kay Davies0032 HOW EFFECTIVE ARE YOUR PAEDIATRIC “PREMEDS”? – A LOCAL SURVEY

OF ANXIOLYTIC PREMEDICATION IN CHILDREN Hal Robinson, Kay Davies, Wei Nee Lim, Thomas Engelhardt0044 PARENT SATISFACTION SURVEY: PAEDIATRIC ANAESTHESIA AT A DISTRICT

GENERAL HOSPITAL Zoe Neilson, Stuart Joy, Anamika Agrawal0047 PAPER VERSUS ELECTRONIC PREOPERATIVE LEAFLETS: WHAT DO PARENTS

PREFER? Satinder Dalay, Barry Lambert0059 ALWAYS BE PREPARED. IMPROVING THE PROVISION OF EMERGENCY

PAEDIATRIC ANAESTHETIC CARE AT A DISTRICT GENERAL HOSPITAL Caroline Stevens, Jo Han Gan, Sally Renwick0068 PERIOPERATIVE ALLERGY AND ANAPHYLAXIS IN CHILDREN: A REVIEW Stefanie Provinciael, Vera Saldien, Guy Hans, Marcel Vercauteren, 0069 PAEDIATRIC DIETARY PREPARATION FOR COLONOSCOPY: EVALUATING

A CHANGE IN PRACTICE IN PRE-OPERATIVE MANAGEMENT Victoria Scott-Warren, Martin Harty, Ruth Thomson, Andrew Fagbemi,

Jacques Diacono, Victoria Barlow0070 DURATION OF ANAESTHESIA FOR GROIN HERNIA REPAIR IN CHILDREN LESS

THAN 3 YEARS OLD: AN AUDIT Victoria Scott-Warren, Russell Perkins0071 EVALUATION OF THE AMBU ASCOPE 3 SLIM FOR PAEDIATRIC DIFFICULT

AIRWAY MANAGEMENT Katherine Zealley, Alistair Baxter, Jon McCormack


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0072 USE OF THROMBOELASTOGRAPHY (TEG) IN THE ROYAL MANCHESTER CHILDREN’S HOSPITAL

James Garbarino, Jacques Diacono0073 DO EDUCATION AND EXPERIENCE MAKE A DIFFERENCE WHEN INDUCTING

AND INTUBATING NON-FASTING CHILDREN – A NORDIC SURVEY Stine Kähler, Rolf Bilberg, Frode Kristensen, Anna Bernardson,

Casper H. Jørgensen, Jane B. Andersen0074 CASE REPORT: NIRS MONITORING IN MYELOMENINGOCELE REPAIR

SURGERY IS USEFUL AS AN EARLY INDICATOR OF ALTERED BRAIN PERFUSION DUE TO A RAPID DROP IN CSF VOLUME

Itziar Olaizola San José, Cristina González Serrano0076 PAEDIATRICIAN ATTENDANCE AND REFERRAL RATE IN 10,864 CHILDREN

UNDERGOING GENERAL ANAESTHESIA IN A STAND-ALONE SURGICAL SPECIALTY UNIVERSITY HOSPITAL

Rania Haydar, Lorna Murphy, Michael O’Sullivan, Anthony Hennessy, Stephen Mannion

0078 TO RESTRAIN OR NOT TO RESTRAIN, AN AUDIT OF INDUCTION OF ANAESTHESIA IN PAEDIATRIC PATIENTS AGED 1-5YEARS

Rania Haydar, Lorna Murphy, Michael O’Sullivan0079 PAEDIATRIC REGIONAL ANAESTHESIA EDUCATION AND TRAINING Catarina C Cruz, Filipa Carioca, Catarina Oliveira, Mara Cravid,

Hugo Trindade, Teresa Rocha0080 LESS ANXIETY/DISTRESS DURING INDUCTION OF ANAESTHESIA

IN CHILDREN PREMEDICATED WITH MIDAZOLAM THAN WITH CLONIDINE Caroline Zickerman, Ann-Catrin Hult, Lars Hedlund, Ola Winsö0081 ULTRASOUND-GUIDED SUPRACLAVICULAR APPROACH

OF THE BRACHIOCEPHALIC VEIN Catarina C Cruz, Catarina Oliveira, Filipa Carioca, Ivanete Peixer0083 A REVIEW OF PERIOPERATIVE MANAGEMENT FOR EPISPADIAS REPAIR

AT THE ROYAL MANCHESTER CHILDREN’S HOSPITAL (RMCH) Yinni Loo, Jai Sivaprakasam0084 INTUBATION CONDITIONS WITH MACINTOSH BLADE AND C-MAC

VIDEOLARYNGOSCOPE IN PEDIATRIC PATIENTS WITH EPIDERMOLYSIS BULLOSA

Ozlem S. Can, Ufuk Ates, Ergun Ergun, Gülnur G. Bahadir, Olcay Dilken, Volkan Baytas, Huseyin Dundar, Zekeriyya Alanoglu

0086 SEVERE TRACHEAL STENOSIS IN A 3 YEAR OLD CHILD: A CASE OF THREE BRONCHOSCOPIC GUIDED TRACHEAL DILATATION SESSIONS BY THE USE OF PEDIATRIC I-GEL AND BALLOON CATHETER AS A TREATMENT METHOD

Despoina Iordanidou, Ioanna Dimitropoulou, Ira Kalaitsidou, Kyriaki Matsi, Dimitrios Vranas, Dimitrios Rimarev, Chrysi Mpratzou, Elpis Chatziagorou, Fotios Kirvassilis, Ioannis Tsanakas



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0087 POINT-OF-CARE TRANSFUSION MANAGEMENT BY THE USE OF THROMBOELASTOMETRY ROTEM IN AN INFANT WITH MASSIVE HAEMORRHAGE AFTER ACCIDENTAL ILIAC ARTERY AND VENOUS PERFORATION

Despoina Iordanidou, Evangelia Bali, Serafia Kalamitsou, Eleni Volakli, Athanasios Babzelis, Ioanna Dimitropoulou, Merkourios Ntavlis, Maria Milona

0088 ANALGESIC PRESCRIPTION FOR MODERATE TO SEVERE PAIN IN TWO DIFFERENT DEPARTMENTS OF A PEDIATRIC HOSPITAL THAT JOINED THE PROJECT “TOWARDS PAIN FREE HOSPITAL”

Giuliano Marchetti, Valeria Alessandri, Valentina Caverni, Sandra D’Alessandro, Fabio Ferrari, Ilaria Mascilini, Vincenzo Tortora, Alessandro Vittori, Antonietta Cimino, Sergio Giuseppe Picardo

0089 ANESTHETIC MANAGEMENT OF NEONATES WITH CONGENITAL MAJOR ABDOMINAL MALFORMATIONS IN ESTONIA – A COMPARATIVE STUDY BETWEEN YEARS 2003–2007 AND 2012–2016

Merle Väli, Reet Kikas, Piret Piip, Marika Karhu, Jelena Kuznetsova, Mari-Liis Ilmoja

0090 A CASE SERIES OF THE ANAESTHETIC MANAGEMENT OF CHILDREN WITH MOYA MOYA DISEASE FOR PIAL SYNANGIOSIS SURGERY AND THE BENEFITS OF NEAR INFRARED SPECTROSCOPY

Matthew Bowler, James Garbarino, Jan Owen0092 PAEDIATRIC EMERGENCY LAPAROTOMY AUDIT (PELA) AT GREAT ORMOND

STREET HOSPITAL Ross Hutchison, Katherine Railton, Elena Fernandez0093 IMPROVING PAIN MANAGEMENT FOR PAEDIATRIC DAYCASE PROCEDURES:

A QUALITY IMPROVEMENT PROJECT Olivia Clancy, Melissa Dransfield, Seth Galton0094 A REVIEW OF THE ANAESTHETIC MANAGEMENT IN A TERTIARY PAEDIATRIC

CENTRE OF CHILDREN UNDERGOING ADENOTONSILLECTOMY FOR OBSTRUCTIVE SLEEP APNOEA

Matthew Bowler, Catherine Doherty, Isobel Rothera, Joseph Stone, Neil Bateman, Jaya Nichani

0095 ANESTHETIC CARE OF NEONATAL GIANT CONGENITAL NAEVI: INFLUENCE OF SURGICAL TECHNIQUE

Agathe Szmacinski, Benedicte Bayet, Francis Veyckemans, Caroline Prégardien

0097 I-GELTM IN PAEDIATRIC LAPAROSCOPIC SURGERY – CASE SERIES Carla Hipólito, Petra Alves, Adriana Rodrigues, Maria João Santos0098 WHEN LARYNGOSPASM GETS THE WHOLE FAMILY Carla Hipólito, José Pedro Abreu, Maria João Santos


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0099 TOTAL INTRAVENOUS ANAESTHESIA WITH PROPOFOL AS THE SOLE AGENT FOR AMBULATORY PAEDIATRIC MRI

Alexander Chadha, Jun Ng, Owen Boyle, Nalini Malarkkan0100 THE NOSE: UNBLOCKED Amee Samani, Seth Galton0101 PATIENT SATISFACTION – WHAT REALLY MATTERS TO PARENTS Clover-Ann Lee, Sian Griffiths0102 DIAPHRAGM ACTIVITY IN PEDIATRIC PATIENTS VENTILATED WITH INVASIVE

AND NON-INVASIVE MODES: AN ULTRASOUND PILOT STUDY FROM AN ITALIAN PICU

Raffaella Sagredini, Simona Italiano, Alessandra Conio, Valeria Mossetti, Giorgio Ivani

0104 IMPACT OF INTRODUCING A MEDICAL PERI-OPERATIVE SERVICE AT A TERTIARY PAEDIATRIC CENTRE

Katy Miller, Zoe Harclerode, Barry Lambert0107 ANESTHESIA PROTOCOL IN AUTISM SPECTRUM DISORDER (ASD) PATIENTS Daciano Gaona-Atienza, MDolores Carceles, MMar Asensio, Pablo Motta0109 PENETRATING TRAUMA ON THE RISE – WHAT CAN WE DO? Christa Morrison, Breda O’Neill0110 LET THE THIRSTY KIDS DRINK! Christa Morrison, Sanjeet Chana, Sophie Liu0111 AN AUDIT OF OVERWEIGHT AND OBESE CHILDREN ADMITTED

FOR SURGERY: IMPLICATIONS FOR PARACETAMOL DOSING Davandra Patel, Ria Marwaha0112 ANESTHETIC MANAGEMENT OF OSTEOGENISIS IMPERFECTA – ABOUT A CASE Diogo Andrade, Margarida Gonçalves, José Luis Ferreira, Isabel Fragata0113 AGE AND CHARACTERISTICS OF INNOMINATE ARTERY PEXY IN PATIENTS

WITH TRACHEO OESOPHAGEAL FISTULA (TOF) AND OTHER CONDITIONS Mihaela Gresoiu, Andrew Durward, Simona Turcu0114 SINGLE CENTRE – ANALYSIS OF AMBULATORY PAIN MANAGEMENT

IN TERTIARY PAEDIATRIC HOSPITAL IN THE UNITED KINGDOM Chandrika Sathasivam, Neena Seth0115 PARENTS UNDERSTANDING OF POST-OPERATIVE PAIN MANAGEMENT

ON DISCHARGE IN CHILDREN UNDERGOING AMBULATORY SURGERY (WITHIN 48 HOURS OF SURGERY); AGAINST PARENTAL BELIEFS AND PAST EXPERIENCES

Chandrika Sathasivam, Neena Seth0116 AN AUDIT OF LARYNGEAL MASK AIRWAY CUFF PRESSURES IN A PAEDIATRIC

TERTIARY CENTRE Elspeth Paterson



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PARTNERS AND EXHIBITORS

The organizers would like to express their sincere thanks to the ESPA 2017 Congress Partners!

Gold Partners

Bronze Partners

Partners


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PRIMEX INDUSTRY SPONSORED SYMPOSIUM

Pro-Con Debates on CurrentControversies in Paediatric Sedation

Friday, September 29, 201712:30–14:00Room: Megalithic 1, 2Radisson Blu Hotel, Glasgow, Scotland

Moderators: Karin Becke (Nürnberg, Germany), Laszlo Vutskits (Geneva, Switzerland)

12:30–13:15 Debate 1: Pre-Medication is Required Prior to General Anaesthesia Michael Brackhahn & Martin Jöhr

13:15–14:00 Debate 2: Procedural Sedation in the Emergency Department Should Be Performed by a Paediatric Anaesthesiologist

Anthony Moores & Steven Foster



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REGISTRATION

Opening Hours

Thursday, September 28 08:00–18:30Friday, September 29 08:00–18:00Saturday, September 30 07:30–13:00

On-Site Registration Fees

Whole congress

ThursdaySep 28

Friday Sep 29

Saturday Sep 30

ESPA Member 510 GBP 264 GBP 264 GBP 132 GBPNon-Member of ESPA 561 GBP 281 GBP 281 GBP 140 GBPESPA Member from

Reduced Fee Countries332 GBP 170 GBP 170 GBP 85 GBP

Trainee Member of ESPA 332 GBP 170 GBP 170 GBP 85 GBPNurses/Students 264 GBP 136 GBP 136 GBP 68 GBP

Registration Fee Includes:• Congress Scientific Sessions• Admission to the Exhibition Area• Congress Bag with Congress Documents & Final Programme• Participation in Opening Ceremony and Welcome Drink• Coffee Breaks and Lunch (Friday)• Civic Reception (Friday)


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SOCIAL EVENTS

Welcome DrinkThursday, September 28, 18:30–19:30Radisson Blu Hotel Glasgow, FoyerLight RefreshmentsDress Code: Informal

Civic ReceptionFriday, September 29, 19:00–20:00Glasgow City Chambers (Address: George Square, Glasgow G2 1DU) (15-minute Walk from Radisson Blu Hotel)

Congress DinnerFriday, September 29, 20:15–22:30Trades Hall of Glasgow (Address: 85 Glassford Street, Glasgow G1 1UH) (3-minute Walk from Glasgow City Chambers, 15-minute Walk from Radisson Blu Hotel)Buffet Meal & Scottish Ceilidh Dancing Price 75 GBP (has to be ordered and paid in advance)Transfer not arranged, both events are in walking distanceMap with directions on the other side of the invitationDress Code: Smart Casual



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GENERAL INFORMATION

Congress VenueRadisson Blu Hotel GlasgowAddress: 301 Argyle St, Glasgow G2 8DL, United Kingdom

How to get there from the airportGlasgow airport is 12 kilometres from the hotel (about 20 minutes by taxi). The airport bus is a quick and affordable option to reach the hotel; leave the bus at Central Station and walk 200 metres down Hope Street to find the hotel.

Name BadgesParticipants will receive a name badge. Everyone is requested to wear this badge for all congress activities.

LanguageEnglish is the official language of the congress. All congress materials and presentations must be in English.

RefreshmentCoffee breaks between the sessions will be served to all delegates wearing their name badge at the congress floor foyer.

Lunch is provided on Friday, will be served as buffet before the Industry-sponsored Symposium starts, in the Megalithic Reception (Exhibitors area).

InternetFree wifi internet is available on the congress floor.Network: ESPA_2017Password: Espa2017

Evaluation Form You are kindly requested to fill out the on-line evaluation form available in the mobile application. It is also a requirement of accreditation by the European Accreditation Council for Continuing Medical Education (EACCME). Please fill it in and submit it. You will receive the Certificate of Attendance by e-mail afterwards.

CME Credits ESPA 2017 has been accredited by the EACCME to provide the following CME activity for medical specialists. The congress is designed for a maximum of 13 European CME credits. Event code is LEE17-00360.


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Video RecordingsAll lectures and PowerPoints will be video recorded. These records will be available to ESPA members at the Members’ portal of the ESPA website after the congress.

Speakers Ready RoomSpeakers Ready Room will be located in the Festival Suite. Presentations must be in PowerPoint form only (MAC or PC) and saved on an empty USB key. All presenters must announce themselves to the AV technician in the Speakers ready room at least 60 minutes before the scheduled session time.

Opening hours

Thursday, September 28 08:00–17:00Friday, September 29 08:00–16:30Saturday, September 30 07:30–11:00

E-PostersE-posters will be displayed in exhibition area on plasma screens during the whole congress.

ESPA Congress App Congress information at your fingertips• Browse the programme • Build a personalized schedule• View a list of speakers• Search for abstracts• Fill out our evaluation form, rate each presentation you attended,

and get your CME certificate• Network with participants• Ask your speaker

Search for ESPA 2017 on the App Store or Google Play or use QR code



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DisclaimerThe congress secretariat and congress organizer do not accept liability for damages and/or losses of any kind which may be incurred by congress participants or by any persons accompanying them, both during the official activities and the scientific programme. The client participates in all events at his/her own risk. Participants are strongly advised to take out insurance against loss, accidents or damage that could be incurred during the congress. Verbal agreements will not be binding unless they are confirmed in writing.

The final programme was issued on September 14, 2017.

CONGRESS SECRETARIAT

GUARANT InternationalNa Pankráci 17, 140 00 Prague 4, Czech RepublicPhone: +420 284 001 444Fax: +420 284 001 448E-mail: [email protected]: www.euroespa.com

Improving Quality of Life

Primex Pharmaceuticals aims to become the leading global innovative pharmaceutical company in the anaesthesia field

by helping patients undergo a wide range of medical procedures. A portfolio of strong, trusted anaesthesia products

including propofol and a novel, oral solution for paediatric sedation. Primex Pharmaceuticals will continue to identify and acquire

new drugs that complete the ’Triad of Anaesthesia’.

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Primex_ESPA17_Glasgow_A5_children_PRINT.pdf 1 21.8.2017 14.12

PRIMEX Industry Sponsored Symposium

Pro-Con Debates on Current

Controversies in Paediatric Sedation

Friday 29th September 2017

12:30-14:00

Room: Megalithic 1,2,3

Radisson Blu Hotel, Glasgow, Scotland

Lunch will be served before the symposium.

Supported by an unrestricted educational grant from

Moderators:

Michael Brackhahn

Hannover, Germany

Martin Jöhr

Luzern, Switzerland

Anthony Moores

Glasgow, Scotland, UK

Steven Foster

Glasgow, Scotland, UK

Pre-medication is Required Prior to General Anaesthesia? – Yes or No?

Procedural Sedation in the Emergency Department Should be Performed by a

Paediatric Anaesthesiologist? – Yes or No?

Karin Becke

Nürnberg, Germany

Laszlo Vutskits

Geneva, Switzerland

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Primex_ESPA17_Glasgow_A5_children_PRINT.pdf 2 21.8.2017 14.12

Room: Megalithic 1, 2

Pre-Medication is Required Priorto General Anaesthesia? – Yes or No?

Southampton, UK

ESPA CONGRESS

CONGRESS SECRETARIAT

GUARANT InternationalNa Pankráci 17, 140 00 Prague 4, Czech RepublicPhone: +420 284 001 444Fax: +420 284 001 448E-mail: [email protected]: www.euroespa.com

www.euroespa.com

ESPA IN COOPERATION WITH THE ASSOCIATION OF PAEDIATRIC ANAESTHETISTS OF GREAT BRITAIN AND IRELAND