seminar report - open medical institute | omi · the department of anaesthesia, general intensive...

SEMINAR REPORT

ANESTHESIOLOGY AND

INTENSIVE CARE

SEMINAR IN SALZBURG

October 18 – October 24, 2020

A Global Educational Initiative by the American Austrian Foundation

© Open Medical Institute 2020

TABLE OF CONTENTS

1. GROUP PHOTO

2. SCHEDULE

3. FACULTY BIOGRAPHIES

4. FELLOWS’ CONTACT INFORMATION

5. DIARY

SALZBURG WEILL CORNELL SEMINAR IN

ANESTHESIOLOGY AND INTENSIVE CARE


19 fellows from 10 different countries

10 faculty members from the United States of America and Austria

20 lectures given by faculty

17 interesting case presentations by fellows

5 excellent case presentations by fellows

Group Photo of Faculty and Fellows

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

18.10.2020 19.10.2020 20.10.2020 21.10.2020 22.10.2020 23.10.2020 24.10.2020

Invasive Methods in Cancer

Pain

Principles of Regional

Anaesthesia I

Ultrasound in Anaesthesia and

Intensive Care Medicine I

Obstetric Analgesia and

Anesthesia

Rudolf Likar, MD, MSc Peter Marhofer, MD Peter Marhofer, MD Emilia Guasch, PhD

Principles of Paediatric

Anaesthesia

Invasive Methods in Low Back

Pain

Principles of Regional

Anaesthesia II

Ultrasound in Anaesthesia and

Intensive Care Medicine II

COVID-19: Past-Present-Future

(streamed)

Birgit Stoegermueller, MD Rudolf Likar, MD, MSc Peter Marhofer, MD Peter Marhofer, MD Guenter Weiss, MD

Polytrauma Management

Lukas Kirchmair, MD, PD, DESA,

EDRA

Management of Sepsis Fluid ManagementBlood Management in Cardiac

Surgery

Sheida Tabaie, MD Rohan Panchamia, MD Meghann M. Fitzgerald, MD

Resuscitation Ultrasonography Robotic Cardiac Surgery Respiratory Critical Care

Rohan Panchamia, MD US Faculty Meghann M. Fitzgerald, MD Sheida Tabaie, MD

COFFEE BREAK COFFEE BREAK COFFEE BREAK COFFEE BREAK

Prothrombin Complex

ConcentratesLung Ultrasound TAAA Repair

Sheida Tabaie, MD Rohan Panchamia, MD Meghann M. Fitzgerald, MD

20:00 - 21:00

2:00-3:00 pm

19:00 - 20:00

1:00 - 2:00 pm

18:00 - 19:00

12:00 - 1:00 pm

WELCOME RECEPTION &

DINNER

FACULTY MEETING*

DINNER

13:00 - 14:30

7:00 - 8:30 am

BJA Webinar

Pain

Workshop**

Fellows' Case Presentations

Salzburg Weill Cornell Seminar in Anesthesiology and Intensive Care

Sunday, October 18 – Saturday, October 24, 2020

DEPARTURESBREAKFASTBREAKFASTBREAKFASTBREAKFAST7:30 - 9:00

1:30 - 3:00 amBREAKFAST

15:30 - 16:30

9:30 - 10:30 am

16:30 - 18:00

10:30 - 12:00 am

15:00 - 15:30

9:00 - 9:30 am

LUNCH

14:00 - 15:00

8:00 - 9:00 am

13:00 - 14:00

7:00 - 8:00 am

09:00 - 10:00

3:00 - 4:00 am

12:00 - 13:00

6:00 - 7:00 am

11:00 - 12:00

5:00 - 6:00 am

10:00 - 11:00

4:00 - 5:00 am

Introductions

Pre-Seminar Test

*** Graduation Ceremony: US & AUT/EU Faculty** Workshops Fellows' Case Presentations: AUT/EU Faculty (am), US & AUT/EU Faculty (pm)* Faculty Meeting: US and AUT/EU Faculty

LUNCH

DINNER

LUNCH LUNCH LUNCH

FAREWELL RECEPTION

GRADUATION CEREMONY***

Certificates AwardedDINNER DINNER

Post-Seminar Test

Evaluation & Discussion

Workshop**


Workshop**


Workshop**



FACULTY BOOKLET

ANESTHESIOLOGY AND

INTENSIVE CARE

SEMINAR IN SALZBURG


A Global Educational Initiative by the American Austrian Foundation


Wolfgang Aulitzky, MD Director, Open Medical Institute American Austrian Foundation

Associate Dean and Gerhard Andlinger Professor for International Medicine & Distance Learning Adjunct Professor of Clinical Urology Adjunct Professor of Clinical Reproductive Medicine Weill Medical College of Cornell University

Adjunct Professor of Pediatrics Perelman School of Medicine at the Children’s Hospital of Philadelphia

Associate Professor of Urology Medical University of Innsbruck, Austria

Wolfgang Aulitzky, MD is the Medical Director of the American Austrian Foundation. He is Associate Dean for International Medicine and Distance Learning, Adjunct Prof. of Clinical Urology and Adjunct Prof. of Clinical Reproductive Medicine at the Weill Medical College of Cornell University/New York Presbyterian Hospital. In 2016, he was appointed Adjunct Professor of Pediatrics in the Associated Faculty of the Perelman School of Medicine at the Children’s Hospital of Philadelphia. He is also Associate Prof. of Urology at the Medical University of Innsbruck and Visiting Professor at the Medical University of Vienna. Amongst others he is a member of the American, German and Austrian Societies of Urology and was awarded the Zuckerkandlpreis of the Austrian Society of Urology in 1989. In 1995 he received the Silver Medal, in 2007 the Golden Medal for Merits to the Republic of Austria and in 2014 the cross of honor of the Land Salzburg. As Director of the Medical Program of the American Austrian Foundation he has initiated the Open Medical Institute, a scientific and educational collaboration of Weill Cornell and the NewYork Presbyterian Hospital, the Children Hospital of Philadelphia, Duke University, Columbia University, the Cleveland Clinic and leading hospitals in Austria. Dr. Aulitzky earned his medical degree at the University of Innsbruck in 1977, was a research associate at the University of Uppsala, Sweden and the Rockefeller University, New York. He received his training as an urologist at the University of Innsbruck and the General Hospital of Salzburg. He is the author of more than 140 publications on Urology, Andrology and Health Care issues and is co-author of books on basic and clinical urology/andrology.


Hugh C. Hemmings Jr., MD, PhD, FRCA (Course Director) Joseph F. Artusio Professor and Chair of Anesthesiology Professor of Pharmacology Weill Cornell Medical College Anesthesiologist-in-Chief NewYork-Presbyterian Hospital-Weill Cornell 1300 York Avenue, Box 124 New York, NY 10065 USA Phone: +1-212-746-2962 Fax: +1-212-746-8316 Email: [email protected] http://weillcornellanesthesiology.org/ http://hemmingslab.org/

Hugh C. Hemmings Jr., MD, PhD, FRCA is Joseph F. Artusio Professor and Chair of Anesthesiology and Professor of Pharmacology and Senior Associate Dean of Research at Weill Cornell Medical College, and Anesthesiologist-in-Chief at NewYork-Presbyterian Hospital/Weill Cornell Medical Center. Dr. Hemmings earned a BS in Biochemistry from Yale College, a PhD in pharmacology from Yale Graduate School, and an MD from Yale Medical School. His graduate work in the laboratory of Paul Greengard, PhD was cited in his 2000 Nobel Prize in Physiology and Medicine. He completed postdoctoral work at The Rockefeller University, a residency in anaesthesia at the Massachusetts General Hospital, and a fellowship in cardiac anesthesia at NewYork-Presbyterian Hospital/Weill Cornell Medical Center, where he has been a faculty member for 29 years. An internationally recognized neuropharmacologist, Dr. Hemmings is an expert in the synaptic effects of general anesthetics and mechanisms of neuronal signal transduction. His research in these areas is supported by grants from the National Institutes of Health. He is active in several national and international societies for anesthesiology and neuroscience, and serves as the Editor-in-Chief for the British Journal of Anaesthesia. He has been elected Fellow of the Royal College of Anaesthetists and as a member of the Association of University Anesthesiologists. Dr. Hemmings has authored more than 100 articles in anesthesiology and neuroscience, and has edited four books, including Foundations of Anesthesia 2e published in 2006 and Pharmacology & Physiology for Anesthesia: Foundations and Clinical Application 2e published in 2019.


Klaus Markstaller, MD (Co-Course Director) Head of Department of Anaesthesia General Intensive Care and Pain Medicine Vienna General Hospital/Vienna Medical University Waehringer Guertel 18-20 1090 Vienna Austria Phone: +43-1-40400/41010 Fax: +43-1-40400/41040 Email: [email protected]

Klaus Markstaller, MD is an anaesthesiologist and intensivist who engages in patient safety and perioperative medicine. His research focus is on functional lung imaging and pathophysiology of acute lung injury. Prof. Markstaller was born in Nuernberg/ Germany. In 1998 he graduated magna cum laude at Ulm University and qualified as a professor of anaesthesia and intensive care at Johannes Gutenberg University in Mainz in 2004. He is a reviewer for institutional funding organisations (e.g. German Research Foundation, Alexander von Humboldt Foundation) and recognized scientific journals. Prof. Markstaller published a large number of articles in international peer reviewed journals and received numerous international research awards and grants. As a member of a group of investors he realized two patent applications in Germany and the USA. He is a member of the European Academy of Sciences and Arts and Fleischner Society. Prof. Markstaller is currently Head of the Department of Anaesthesia, General Intensive Care and Pain Medicine as well as President of the Austrian Society of Anaesthesiology, Resuscitation and Intensive Care Medicine. He lives in Vienna with his wife Monica, who is ophthalmologist.


Kane O. Pryor, MD (Co-Course Director) Vice Chair for Academic Affairs Director of Clinical Research Director of Education Associate Professor of Clinical Anesthesiology Associate Professor of Clinical Anesthesiology in Psychiatry Department of Anesthesiology Weill Cornell Medical College 525 East 68th St, Box 124 New York, NY 10065 USA Phone: +1-212-746-2969 Email: [email protected]

Kane O. Pryor, MD is Vice Chair for Academic Affairs in the Department of Anesthesiology

at Weill Cornell Medicine, in New York City. He holds appointments as Associate Professor

of Clinical Anesthesiology and Associate Professor of Psychiatry in Clinical Anesthesiology

at Weill Cornell, and also holds an appointment in the Department of Anesthesiology at

Memorial Sloan-Kettering Cancer Center. Dr. Pryor grew up in Sydney, Australia, where he

graduated with Honors from the University of Sydney. He completed a research fellowship in

functional magnetic resonance imaging (fMRI) at Harvard Medical School in Boston, before

moving permanently to the United States in 1999. He completed his anesthesia residency at

Weill Cornell, and then a dual fellowship in neuroanesthesia and neuroscience research at

Weill Cornell and Memorial Sloan-Kettering Cancer Center. Dr. Pryor’s clinical focus is

anesthesia for neurosurgical procedures. A significant portion of Dr. Pryor’s career is

dedicated to research. As Director of Clinical Research and head of the Anesthesia Trials

Group, he oversees the conduct of ~50 clinical research studies, including several

international, multi-institutional randomized controlled trials. Dr. Pryor conducts research in a

number of different areas and is recognized as an authority on the effects of anesthetic drugs

on memory. His credits include publications in JAMA, The Lancet, and the New England

Journal of Medicine. He has received several research awards and grants, including from the

National Institutes of Health, has been an invited speaker at multiple national and

international meetings, and is an Associate Editor for the British Journal of Anaesthesia.

Another substantial portion of Dr. Pryor’s career is dedicated to education and mentorship.

He has developed and implemented multiple curricula and courses for the 78 interns and

residents that train in the department, and has designed or is involved in a number of

mentorship programs for medical students, residents, and faculty. He is the recipient of a

number of teaching and educator awards, including as developer of only the second medical,

and only anesthesia program to be recognized as an Apple Distinguished Program. Dr. Pryor

also has a special interest in global health, which has involved several research and

education projects, as well as mission trips to Mwanza, Tanzania. Dr. Pryor lives in New York

City with his two sons, Anders and Luca, and a collection of cats and dogs. Outside of work

and family, his interests include travel, photography, classical music, and NBA basketball.


Peter Marhofer, MD (Co-Course Director) Professor of Anesthesia and Intensive Care Medicine Department of Anesthesia and Intensive Care Medicine Medical University of Vienna Spitalgasse 23 1090 Vienna Austria Phone: +43-1-40400-41000 Fax: +43-1-40400-41280 Email: [email protected]

Peter Marhofer, MD is an anesthesiologist and intensive care physician who specialized in trauma, pediatric - and regional anesthesia. Dr. Marhofer grew up in Vienna, Austria and studied medicine at the School of Medicine, University of Vienna (now Medical University of Vienna). He started his fellowship in Anesthesia and Intensive Care in 1994, and habilitated in 2000. Dr. Marhofer's research interest includes regional anesthesia and pediatric anesthesia. He was part of the research group developing ultrasound in regional anesthesia. He leads the scientific working group "Regional and Pediatric Anesthesia" at the Department of Anesthesia and Intensive Care Medicine, Medical University of Vienna. The group designs currently several volunteer studies in cooperation with the University Department of Clinical Pharmacology, Medical University of Vienna. This cooperation is only one part of a large international network, which was created during the last 20 years. Dr. Marhofer has a current H-factor of 44 with 128 Pubmed citations, and 270 publications. He wrote 2 books and gave more than 580 national and international lectures. He was editorial board member of the highest ranked anesthesia journal, the British Journal of Anesthesia and Pediatric Anesthesia. Dr. Marhofer is currently on the faculty of the Department of Anesthesia and Intensive Care Medicine, Medical University of Vienna as Professor and the head of pediatric anesthesia and pediatric intensive care medicine. He lives close to Vienna with his wife PD Dr. Daniela Marhofer, MBA (also anesthesiologist and intensive care physician). He has one daughter (Melanie, 22 years old and medical student).


Meghann M. Fitzgerald, MD Assistant Professor of Clinical Anesthesiology Chief, Cardiothoracic Anesthesiology NewYork-Presbyterian/Weill Cornell Department of Anesthesiology Division of Cardiothoracic Anesthesiology 525 E 68th St, Box 124 New York, NY 10065 USA Phone: +1-212-746-2775 Fax: +1-212-746-8563 Email: [email protected]

Meghann M. Fitzgerald, MD is the Chief of Cardiothoracic Anesthesiology at Weill Cornell Anesthesiology with expertise in anesthesia for major aortic surgery, robotic cardiac surgery and transesophageal echocardiography. Dr. Fitzgerald grew up in Buffalo, New York where she completed her bachelor’s degree at Canisius College and Doctor of Medicine at the State University of New York at Buffalo, School of Medicine and Biomedical Sciences. She completed her residency in Anesthesiology at NewYork-Presbyerian- Weill Cornell Medical Center where she served as Chief Resident. Subsequently she completed additional fellowship training in Adult Cardiothoracic Anesthesiology at NewYork-Presbyterian-Columbia University Medical Center. Dr. Fitzgerald joined the Weill Cornell faculty in 2010. Before being promoted to Division Chief in 2018, Dr. Fitzgerald’s focus was education, developing materials and courses for students, residents, fellows and faculty on the local, regional and national and international levels. In her role as Division Chief, Dr Fitzgerald leads a team of 17 Cardiac Anesthesiologists. Under her leadership, the Division established a Consult Service for Cardiac Anestheisa, an Algorithm for Coagulation Management in Cardiac Anesthesia, and facilitated the initiation of a Chronic Pulmonary Thromboendarterectomy and re-initiation of the Robotic Cardiac Surgery Programs. Dr. Fitzgerald supports the growth of the Division, including 8 new faculty in 3 years, with clinical and academic mentorship. She also supports the Division’s mid- and senior- level faculty with advocacy and assistance with resource allocation to further the Division’s academic mission. Dr. Fitzgerald’s academic interests include resident education and Patient Blood Management. She is currently studying coagulation patterns in open thoracoabdominal aortic aneurysm repairs. Dr. Fitzgerald lives in Brooklyn with her wife and daughter.


Lukas Kirchmair, MD, PD, DESA, EDRA Bezirkskrankenhaus Schwaz Swarovskistrasse 1-3 6130 Schwaz Austria Phone: +43-5242-600-0 Email: [email protected]

Lukas Kirchmair, MD, PD, DESA, EDRA is a specialist in anesthesiology and intensive care. He is chairman of the Department of Anaesthesia & Intensive Care at the Community Hospital Schwaz/ Tirol (teaching hospital of the Medical Universities Innsbruck & Vienna). The department is dedicated as regional anesthesia competence center in the Tyrolean area. From 2005-2010 Lukas Kirchmair received training in anesthesiology and intensive care at the Innsbruck Medical University. During residency he already developed a strong interest in the field of regional anesthesia. Several publications starting in 2000 together with the group around Stephan Kapral and Peter Marhofer marked the beginning of the ultrasound era in regional anesthesia. From 2010 to 2016 Lukas Kirchmair worked as attending anesthesiologist/ intensivist at the AUVA Trauma Center Salzburg. During this period, he focused on acute trauma care/ trauma anesthesia. In 2016 he completed his scientific work with the habilitation at the Paracelsus Medical University Salzburg. Lukas Kirchmair is lecturing nationally and internationally. He is serving for the Austrian HEMS (ÖAMTC Flugrettung) and physician in charge of the “Christophorus 4” helicopter. Together with his family Lukas Kirchmair lives near Innsbruck/ Austria.


Rudolf Likar, MD, MSc Head Department of Anesthesiology and General Intensive Medicine Specialist Palliative Medicine Klagenfurt am Woerthersee Clinic Feschnigstrasse 11 9020 Klagenfurt Austria Phone: +43-(0)463-538-34303 Fax: +43-(0)463-538-34309 Email: [email protected]

Rudolf Likar, MD, MSc is a specialist in anesthesiology and general intensive medicine and also specializes in pain therapy and palliative medicine. He is head of the department for anesthesiology and intensive care medicine at the Klagenfurt am Woerthersee Clinic and head of the department for anesthesiology and intensive care medicine at the LKH Wolfsberg. He is chair of the department for anesthesiology and intensive care medicine at the LKH Wolfsberg, chair of Palliative Medicine at the SFU Vienna, court expert for anesthesiology, general intensive care medicine and palliative medicine, president of the Austrian Palliative Society (OPG), past president of ÖGARI and secretary general of the Austrian Pain Society (ÖSG).


Rohan Panchamia, MD Assistant Professor of Clinical Anesthesiology Weill Cornell Medical College New York-Presbyterian Hospital 525 E. 68th Street New York, NY 10065 USA Phone: +1-212-746-2755 +1-646-387-2457 Email: [email protected]

Rohan Panchamia, MD is a board-certified Anesthesiologist specializing in critical care medicine and transplant anesthesiology. He graduated from the Seven-Year Dual B.A./M.D. program at The George Washington University. Dr. Panchamia completed his anesthesia residency at New York-Presbyterian Hospital/Weill Cornell Medical College. He then pursued a fellowship in critical care medicine at the University of Pittsburgh Medical Center. Within the department, he oversees the point-of-care ultrasound curriculum for faculty and house staff. His clinical interests include critical care ultrasound, anesthesia for liver transplant surgery, trauma anesthesia, advanced airway education, and resuscitative transesophageal echocardiography. Dr. Panchamia has a research interest in understanding the role of machine learning in echocardiography. He lives in Albertson, New York with his wife Ami.


Birgit Stoegermueller, MD Consultant of Anesthesiology and Intensive Care, Emergency Medicine Specialist in Pediatric Anesthesia and Pediatric Intensive Care Department of Anesthesia and Intensive Care Emergency Doctor BKH Schwaz Swarovskistrasse 1-3 6132 Schwaz Austria Phone: +43-5-242-600-56665 Email: [email protected]

Birgit Stoegermueller, MD was born in Linz and spent her childhood in Upper Austria and Salzburg. She already started to be interested in anesthesia when she was a young girl. After she had visited the university in Vienna for six years, she did her qualification for a medical internship for four years in Linz. In 2003, she moved back to Salzburg and started the education for specialist in anesthesia and intensive care. The special education in pediatric anesthesia began in 2008, she had visited the pediatric intensive care unit in Munich for a month. A really exciting time for her was when she worked as an instructor in the Salzburg medical simulation center (partnership of the Paracelsus Private Medical University of Salzburg). In 2017, the moved to Tirol. A new challenge began. Pediatric anesthesia is a matter close to her heart. One of her hobbies is traveling, visiting all her friends and relatives in every part of the world, discovering new cultures from middle East to Africa, South America to Asia. To live in Tirol enables her different opportunities for instance climbing to discover the fascinating mountains. She enjoys every free minute with wonderful friends, they cook and celebrate together.


Sheida Tabaie, MD Assistant Professor of Clinical Anesthesiology Medical Director, Post Anesthesia Care Unit Weill Cornell Medicine NewYork-Presbyterian Hospital 525 E 68th Street Box 124 New York, NY 10065 USA Phone: +1-212-746-9362 +1-315-345-5642 Fax: +1-212-746-8563 Email: [email protected]

Sheida Tabaie, MD is an anesthesiologist and intensivist who specializes in cardiothoracic surgical critical care and global health. Dr. Tabaie grew up in the northeastern United States in the state of New York and completed her undergraduate studies at the University of Pennsylvania in Philadelphia, Pennsylvania. She graduated from the Perelman School of Medicine at the University of Pennsylvania and completed her anesthesiology residency and fellowships in both adult critical care and global health at Weill Cornell. Dr. Tabaie is an active medical researcher and global health advocate who is committed to utilizing both research and clinical insights to improve healthcare for vulnerable populations. She has participated in numerous research and educational trips in Botswana, Uganda, Tanzania, and India. Recent publications include a survey study of global health opportunities in anesthesia residency in BMC Medical Education, a review on global health education for anesthesiology trainees in Current Anesthesiology Reports and an editorial about female feticide and ultrasound use in India in the Journal of Global Health. She is currently doing research investigating sexual health knowledge in female asylum seekers in New York City. Dr. Tabaie is on the faculty of Weill Cornell Medical College and NewYork-Presbyterian Hospital as Assistant Professor of Clinical Anesthesiology. She also serves as the Medical Director of the Post Anesthesia Care Unit. She lives in New York City with her husband Jason and child Oliver.

Fellow Booklet

Holger Baumann, MDAmsterdam Academic Medical Center Department of Anesthesiology and Intensive Care Meibergdreef 91105 AZ [email protected]

Anna Cermakova, MDIKEM - Institut Klinické a Experimentální MedicínyDepartment of Anesthesiology and Intensive CareVidenska 914021 PragueCzech [email protected]

Jolita Egle Dobrovolskiene, MDChildren's Hospital affiliate of Vilnius University Hospital Santaros ClinicsDepartment of Emergency MedicineSantariskiu 7Lt09219 [email protected]

Emilia Guasch, MD, PhDGeneral Public Hospital of MadridDepartment of Anesthesiology and Intensive CarePaseo de la Castellana 26128046 [email protected]

Anett Kiss, MDJósa A. Szabolcs-Szatmár-Bereg County Hospital and University HospitalDepartment of Anesthesiology and Intensive CareSzent István Király Street 684400 Nyíregyhá[email protected]

Kristián Kopáčik, MDPediatric Cardiocenter, National Institute of Cardiovascular Diseases Department of Anesthesiology and Intensive CareLimbová 183340 [email protected]

Miroslav Kotoč, MDCity Hospital of VsetínDepartment of Anesthesiology and Intensive CareNemocnicni 95575501 VsetínCzech [email protected]

Andrii Kovach, MDDr. Alexander's Hospital of KezmarokDepartment of Anesthesiology and Intensive CareHuncovska 4206001 [email protected]

Vaidas Kriksciunas, MDHospital of Lithuanian University of Health Sciences Kaunas ClinicsDepartment of Anesthesiology and Intensive CareEiveniu Street 2LT-50009 [email protected]

Anne Le Roy, MDFakultní Nemocnice Královské VinohradyDepartment of Anesthesiology and Intensive CareSrobarova 1150/50100 34 PragueCzech [email protected]

Brenda Lezcano, MDMedicaDepartment of Anesthesiology and Intensive CareTorrielo14050 Ciudad de [email protected]

Andrus Lomp, MDTartu University HospitalDepartment of Anesthesiology and Intensive Care Puusepa 850406 [email protected]

Irena Marin Tanasoski, MDOrthopedic hospital ValdoltraDepartment of Anesthesiology and Intensive CareJadranska cesta 316280 [email protected]

Vladislav Mihnovitš, MDTartu University HospitalDepartment of Anesthesiology and Intensive CarePuusepa 850406 [email protected]

Barbara Nicińska, MD, PhDDepartment of Anesthesiology and Intensive CareAlpejska 4204-628 [email protected]

Kristina Radinovic, MD, PhDUniversity Clinical Center LjubljanaDepartment of Anesthesiology and Intensive CareZaloska 21000 [email protected]

Zuzana Salamonova, MDNational Cancer Institute of SlovakiaDepartment of Anesthesiology and Intensive CareKlenova 182101 [email protected]

Klara Skipalova, MDTrans Hospital Řevnice Department of Emergency MedicineMařákova 1076252 30 ŘevniceCzech [email protected]

Mari Umbleja, MDTartu University HospitalDepartment of Anesthesiology and Intensive CarePuusepa 850406 [email protected]

DIARY

Anne Le Roy, MD Fakultní Nemocnice Královské Vinohrady

Department of Anesthesiology and Intensive Care

Prague, Czech Republic

Sunday, October 18, 2020

I drove to Salzburg from Prague, arriving right before dinner. I am really glad to have been able to come despite the COVID-related restrictions. After an introductory toast, we were welcomed and also informed about the anti-epidemic measures that have been put in place. Everyone of has been tested negative for COVID, masks and hand hygiene are compulsory, and air purifiers have been installed everywhere. After this short talk, we had a lovely introductory dinner, and we had the possibility to informally meet with everyone. Our amazing cohort is made of people at different carrier levels, from very different country and it has been amazing to hear everybody’s experience. Monday, October 19, 2020 After a very much needed good night’s sleep, we took the pre-test, which I thought was quite difficult! It highlighted my need to deepen my knowledge in some areas, which hopefully I will be able to do in the next few days. In the morning, we had lectures from top Austrian lecturers, which were able to come in person. Since the beginning of 2020, it has been a while that I had been able to enjoy a face-to-face lecture and this has been done in both a safe and interactive way. I think the other members in my cohort have been refreshed by this as well, as the lectures inspired a lot of questions. After lunch, we met with our American lecturers, which unfortunately had to be streamed via Zoom.

We braved the physical distance and time difference and mad it into a very enjoyable experience. While the human contact was missing, it has been amazing to interact with lecturers from Weil Cornell hospital in New York. In the evening, we went for a walk to Salzburg castle, and enjoyed some breath taking views of the Alps. Tuesday, October 20, 2020 In the morning, we were able to enjoy a lecture from algesiology on the topic of invasive chronic pain management. While it is something that is done in my hospital, I am not trained to do these procedures and I was inspired to learn more about them. Maybe pain medicine is the way to go! We continued with our case presentations, and I was in the first group of presenters – while presenting in front of a crowd of specialists is always tough, everybody made it very comfortable, and we were able to exchange views on different tough cases. In the afternoon, we participated in the international BJA webinar on pain management. This is probably the only advantage of this pandemic. We got used to streaming and web meetings, and international seminars have never been easier to attend. We continued with more cases and had dinner. After dinner, we went to explore the nightlife in Salzburg (only until 10pm, when everything has to close), and we were able to enjoy a drink outdoors, social distancing, at a terrace. Wednesday, October 21, 2020 We were met with Prof. Manhofer from Vienna, who is a world-leading specialist in regional anaesthesia. We were able to get some practical tips from his practice, which I hope to implement in mine as soon as I come home! Some f the fellows’ cases were very inspiring as well and we learned a lot from each other. In the afternoon, we had a Zoom with our lecturer from New York and talked about some universally applicable topics, such as fluid management and lung ultrasound, but also about a niche topic – anaesthesia in robotic cardiac surgery. I have no experience in cardiac anaesthesia, let alone with robotic cardiac surgery, so it felt very distant from what I normally do, but it was very interesting to see the intricacies of preparation and management of such cases. Who knows? Maybe one day, I will be able to apply this knowledge in practice. Thursday, October 22, 2020 Prof. Manhofer greeted us again in the morning with a lecture on the use of ultrasound in anaesthesia. It is useful to go back to the basics sometimes! More cases were presented by fellows and we were inspired by each other’s practice again. In the afternoon, our New York lecturers introduced us to how they manage cardiac and vascular surgery patients in a large centre with years of expertise. It was followed by a lecture on ARDS and respiratory critical care, which is an extremely relevant topic to all of our practice at the moment. Hearing the American perspective on things made me want to read some more on the topic. After dinner, we were able to socialize a bit more with the group and get a good night of sleep. Friday, October 23, 2020 This is the last day. We only had two more lectures. We had a lecture on obstetric anaesthesia, which was very relevant to my practice, and a lecture about the Austrian experience with the pandemic, which has been particularly enlightening. We took the post-seminar test, which I felt quite confident about – definitely more that at the beginning of the course, so I guess I did learn something!

While my experience in Salzburg has been tainted by a pandemic, I believe that I was able to have worthwhile educational and social experience while keeping as safe as possible in these difficult times. For that, I want to thank all the organising team, the lecturers and the staff of Schloss Arenberg to make this event possible.

seminar report - open medical institute | omi · the department of anaesthesia, general intensive...

Documents