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Gulf Pediatric
Critical Care
Conference

23-26 January 2025

Register Now


Overview /Agenda

Gulf Pediatric Critical Care Conference January 23-26 2025

All Sessions THURSDAY, 23 Jan 2025 FRIDAY, 24 Jan 2025 SATURDAY, 25 Jan 2025 SUNDAY, 26 Jan 2025

Fundamentals of ECMO

Course Director: Dr. Grace Van Leeuwen (Qatar) and Dr. Patricia Bastero (USA)
Expert Faculty: Dr. Jana Assy (Belgium), Dr. Nada Al Jassim (KSA), Dr. Ecryd Elias (Brazil), Gisela Ponce, RN (Argentina), Dr. Yasser Kazzaz (Saudi Arabia), Dr. Hamza EL Khidir (Qatar), Elisabetta Giacomini, CCP(Qatar), Dr. Ririe Fachrina (Indonesia)

0800-0900

ECMO overview– VA and VV

Understand the basic principles of ECMO therapy and its application in pediatric care

Grace Van Leeuwen

0900-1000

ECMO Components and disposables

Identify and describe the components of an ECMO circuit.

Discuss the functionality and purpose of each component in the ECMO setup

Eliabetta Giacomini

1000-1015

Break

1015-1045

Monitorization and blood gases

Discuss strategies for monitoring and managing pediatric patients on ECMO, including hemodynamic.

Patricia Bastero

1100-1145

Group A – ECMO demonstration
Group B – ECMO demonstration

Demonstrate the ability to monitor and interpret ECMO circuit parameters effectively in a clinical setting

(All Speakers)

1145-1230

Intro to SIMS

Explain the importance of teamwork and effective communication within the ECMO team and its impact on patient outcomes.

Elisabetta Giacomini

1230-1330

Lunch break

1330-1430

Group A – VA SIM

Identify common ECMO circuit issues and develop troubleshooting skills

(All Speakers)

Group B Anticoagulation and transfusion with game

Discuss strategies managing pediatric patients on ECMO and anticoagulation

Grace Van Leeuwen

1430-1530

Group A: Anticoagulation and transfusion with game

Identify common ECMO circuit issues and develop troubleshooting skills

Grace Van Leeuwen

Group B – VA SIM

Discuss strategies managing pediatric patients on ECMO and anticoagulation

(All Speakers)

1530-1545

Break

1545-1630

Group A – VV SIM

Demonstrate knowledge of safe decannulation techniques

(All Speakers)

Group B – complications+ weaning

Jana Assy

1630-1715

Group A: complications and weaning

Demonstrate knowledge of safe decannulation techniques

Jana Assy

Group B: – VV SIM

(All Speakers)

1715-1730

Wrap up

Advanced Airway Management in the Critically ill Child (Sold Out)

Course Director: Ikram Haque
Expert Faculty: Taseer Feroz Din(Qatar), Tripiti Sinha (Qatar), Antonio Perez Iranzo (Spain), Manu Sundaram (Qatar), Ben Griffith (UAE), Nithin George(Qatar), Eidah Al Ahmari( Saudi Arabia), Ahmad Almosawi (Kuwait), Dr. Sidra Ishaque (Pakistan)

0800-0825

Coffee and Registration

0825-0835

Welcome and Introduction – Ikram Haque

0835-0925

Pediatric Airway Anatomy and Physiology

Identify the importance of strategic airway assessments and demonstrate how to perform them effectively in various pediatric age groups

Demonstrate strategic airway assessments.

Faculty: Ahmad Al Mosawi

Talk/Lecture
Full Group

0925-1015

Management of the Difficult airway – Tips and tricks

Identifying predictors of a difficult airway; pre-intubation assessment; airway evaluation tools and risk assessment scores

Faculty: Tripiti Sinha

Talk/Lecture
Full Group

1015-1100

Bronchoscopy in a critically ill child

Demonstrate the technique and describe the indications for bronoscopy in children

Faculty: Antonio Perez/Manu Sundaram

Hands on Session
Split Group in 2 rooms – 15 attendees each

1100-1115

Break

1115-1200

Management of difficult pediatric airway with adjuncts

Identify and manage difficult airway scenarios in pediatric patients effectively.

Develop strategies for managing a difficult airway, including use of video laryngoscopy.

Faculty: Sidra Ishaque/Eidah Alahmari/Nithin George

Hands on Session
Split Group in 2 rooms – 15 each

1200-1245

Surgical airway And Rigid Bronchoscopy

Understand the need for a surgical airway procedure in pediatric patients when all other airway management options have failed.

Faculty: Taseer Freroz Din

Talk/Lecture
Full Group

1245-1330

Lunch

1330-1345

Preparing for difficult intubation

Discuss medication, techniques, RSI, Gas Induction

Faculty: Tripiti Sinha

Talk/Lecture
Full group

1345-1415

Video Review of difficult airways and bronchoscopy

Identify the various pathologies from videos

Faculty: Taseer Feroz Din/Antonio Perez

Hands on Session
Split the group in 2 rooms


1445-1530

Flexible Bronchoscopy- BAL and Foreign body

Describe how to use a bronchoscope as an intensivist.

Faculty: Antonio Perez/ Manu Sundaram/ Nithin George/Ben Griffith

Hands on Session
Split the group in 2 rooms

1530-1545

Coffee

1545-1630

Bronchoscopy Simulator

Demonstrate the application of learned techniques and skills in a controlled environment.

Faculty: Manu Sundaram/Antonio Perez/Ben Griffin

Hands on Session
Split the group in 2 rooms

1630-1715

Airway Management in Special Circumstances

Demonstrate practical training on manikins in scenario-based simulations

Faculty: Taseer Feroz Din/Eidah Alahmari/Nithin George/Ben Griffin

Hands on Session
Split the group in 2 rooms

1715-1800

Review of Guidelines and Protocols and wrap up

Identify and summarize the relevant clinical guidelines and protocols, including the 2022 Difficult Airway Society (UK), the 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway, and the 2024 Society of Anesthesiology and Intensive Care guidelines for airway management in infants and pediatrics.

Faculty: Sidra Ishaque/Ahmad Al Mosawi/Tripiti Sinha and Manu Sundaram

Talk/Lecture/Discussion
Full group

Conference Day 1

08:00 - 08:10

Opening remarks

0810 - 0850

Plenary Session: Past present and future of pediatric critical care

Explain the evolution of pediatric critical care practices and how past innovations have shaped current standards of care.

(Duncan Macrae)

0850-1020

Cardiac Critical Care Symposium

08:50-09:10 – Brain in the Cardiac Intensive Care
Analyze the impact of cardiac surgeries and interventions on brain health and neurological outcomes in the ICU.

Explain the relationship between cardiac conditions and brain injury in critically ill pediatric patients.

(Ricardo Munoz)

09:10-09:30 – Intensive care of complex single ventricle
Describe the unique hemodynamic challenges associated with caring for patients with complex single ventricle in the ICU.

(Abdullah Alwadai)

09:30-09:50 – Simulation in ECMO – The mini-SIM
Evaluate the effectiveness of mini-simulation (Mini-SIM) as a method for revalidation and ongoing skill maintenance in ECMO management.

(Elizabetta Giacomini)

09:50-10:10 – Diagnostic Approach of tracheobronchomalacia in CICU
Describe the diagnostic strategies for tracheobronchomalacia specifically for patient scenarios in the CICU.

Explain how cardiac conditions can exacerbate airway co-morbidities and complicate their management in the ICU.

(Antonio Perez Iranzo)

10:10-10:20 – Discussion

10:20-10:30

Short Break

10:30-11:10

Plenary Session: Critical Care Monitoring in the AI era

Describe the challenges in implementing AI in critical care monitoring

Explain the utility of AI in pediatric critical care monitoring

(Ricardo Munoz)

11:10-11:30

Opening Ceremony

11:30-13:00

Prayer and Lunch break

13:00-13:40

Plenary Session: The Brain in Pediatric Critical Illness

Describe the potential neurological derangements that occur in critical illness

(Barney Scholefield)

13:40-15:10

Scientific Session: Neurocritical Care

13:40-14:00 – Advanced Neuro monitoring: luxury or necessity
Assess whether advanced neuro monitoring is a necessity based on patient outcomes and resource allocation.

(Ricardo Branco)

14:00-14:20 – Acute Neuroinflammatory disorders in the PICU
Differentiate between various neuroinflammatory disorders based on their clinical presentations and responses to treatment.

Evaluate current therapeutic strategies for acute neuroinflammatory disorders in the PICU, considering both efficacy and safety.

(Ayman Khalil)

14:20-14:40 – Super refractory status epilepticus
Explain the underlying mechanisms leading to super refractory status epilepticus and its progression.

Describe the challenges and treatment failures in patients with super refractory status epilepticus.

(Ammar Al Zadjali)

14:40-15:00 – Early Mobilization in Pediatric Critical Care
Recall the key principles and goals of early mobility in pediatric patients.

Explain the importance of neurorehabilitation in the recovery process after neurological injury or illness.

( Saif Awladthani)

15:00-15:10 – Discussion

15:10-15:40

Coffee break and Poster session

15:40-16:20

Plenary Session: Update in the Management of Septic Shock

Analyze the impact of recent advancements on patient outcomes in septic shock management.

Evaluate the effectiveness of emerging therapies in septic shock management, particularly in reducing mortality.

(Joseph Carcillo)

16:20-17:50

Scientific Session: Sepsis

16:20-16:40 – Sepsis early recognition and Phoenix Criteria
Describe how to use the Phoenix Criteria to recognize and diagnose early sepsis in clinical practice.

Differentiate between early sepsis and other conditions with similar presentations using the Phoenix Criteria.

(Yasser Kazzaz)

16:40-17:00 – Fluid resuscitation and de-resuscitation in sepsis
Apply appropriate fluid management strategies, including resuscitation and de-resuscitation, in septic patients.

Assess the balance between effective resuscitation and the prevention of fluid overload in septic patients.

(Vinay Nadkarni)

17:00-17:20 – Recognition and management of Ped Sepsis phenotypes
Explain how recognizing sepsis phenotypes can influence treatment decisions and patient outcomes.

Describe the clinical criteria for recognizing and managing different sepsis phenotypes in pediatric patients.

(Nesreen Faqih)

17:20-17:40 – Managing emerging inf & multi-resistant organism sepsis?
Identify common emerging infections and multi-resistant organisms involved in pediatric sepsis.

Analyze the clinical and microbiological data to optimize the management of sepsis involving multi-resistant pathogens.

(Eman Al Maslamani)

17:40-17:50 – Discussion

Conference Day 2

08:00-08:40

Plenary Session: Advances in Pediatric Resuscitation

Understanding the latest guidelines and how to improve outcomes through innovative resuscitation strategies for children.

(Vinay Nadkarni)

08:40-09:50

Resuscitation Update Session

08:40-09:00 – Post Resuscitation Management
Describe the key components of post resuscitation management.

(Barney Schofield)

09:00-09:20 – E-CPR: who, when, and where?
Describe the clinical indications for E-CPR

(Maika Schumacher)

09:20-09:40 – POCUS guided resuscitation
Describe the current guidelines and protocols for POCUS usage in pediatric resuscitation.

(Arun Bansal)

09:40-09:50 – Discussion

09:50-10:20

Coffee Break and poster viewing

10:20-11:00

Plenary session: Advances in Pediatric ARDS

Identify the latest diagnostic criteria for pediatric ARDS.

Evaluate new therapeutic modalities, including ventilatory and pharmacological interventions, in the treatment of pediatric ARDS.

(Christopher Newth)

11:00-12:30

Respiratory Symposium

11:00-11:20 – NIV in Viral Infections with Acute Respiratory Failure
Identify the indications for using non-invasive ventilation (NIV) in pediatric patients with viral infections and acute respiratory failure.

Implement appropriate NIV strategies for managing pediatric patients with viral-induced acute respiratory failure.

(Manu Sundaram)

11:20-11:40 – Can’t Extubate: Managing Complex airways in PICU
Evaluate the effectiveness of different airway management strategy in a pediatric patient with a complex airway issue

(Taseer Din)

11:40-12:00 – Life Threatening Pertussis
Explain the pathophysiology of pertussis and the reasons it can become life-threatening, especially in infants and young children.

Apply evidence-based interventions for the management of life-threatening pertussis in the PICU.

Analyze the risk factors and complications leading to severe or fatal outcomes in children with pertussis

(Abdullah Alfraij)

12:00-12-20 – Obstructive phenotype of respiratory infections in children
Understand the pathophysiology, identify the symptoms, and management strategies for obstructive respiratory conditions in pediatric patients.

(Christopher Newth)

12:20-12:30 – Discussion

12:30-13:30

Lunch break and poster viewing

13:30-15:00

Scientific session: Extracorporeal Support in Pediatric Critical Care

13:30-13:50 – Renal Replacement Therapies
Describe the appropriate renal replacement therapy strategies based on patient assessment and clinical guidelines for pediatric patients in acute or chronic renal failure.

(Ahmad Kaddourah)

13:50-14:10 – Extracorporeal Liver Support
Describe the mechanisms and principles behind extracorporeal liver support therapies, such as molecular adsorbent recirculating system (MARS) and Prometheus.

(Akash Deep)

14:10-14:30 – Ventricular Assist and long-term cardiac support
Explain the indications and patient selection criteria for the use of ventricular assist devices in pediatric populations.

(Gehan Mostafa)

14:30-14:50 – Plasma Exchange
Evaluate the effectiveness of plasma exchange compared to other therapeutic options in the management of specific pediatric conditions in the PICU.

(Diego Uribe)

14:50-15:00 – Discussion

15:00-15:10

Short Break

15:10-16:20

Enhancing Quality, Safety and Outcomes

15:10-15:30 – Pre and Post PICU Management-EWS, RRT, Outreach
Analyze the effectiveness of outreach services and rapid response systems in reducing PICU admissions and improving patient outcomes.

(Marina Demosthenous)

15:30-15:50 – PICU transition and long-term home ventilation
Understand the evidence-based practices to ensure a safe and effective transition from PICU to home ventilation, including caregiver training and equipment management.

(Marti Pons)

15:50-16:10 – Embedding a safety culture in the PICU
Identify key principles and strategies for creating a safety culture in the PICU environment.

(Jihad Zahraa)

16:10-16:20 – Discussion

16:20-16:40

Break and poster viewing

16:40-17:00

Plenary Session: Ethically Charged situations in Pediatric Critical Care an Islamic Perspective.

Analyze the intersection of Islamic ethical principles with modern medical practices in the context of pediatric critical care.

Evaluate the ethical implications of decisions made in pediatric critical care, considering both Islamic values and medical guidelines.

(Mohammad Ghaly)

17:00-18:00

Round Table: Ethical Challenges in the Gulf Region

Describe the influence of cultural, religious, and legal factors on ethical decision-making in the GCC

Evaluate case-based examples of how ethical principles are applied to difficult situations, such as organ donation and brain death, in different cultural and legal contexts.

(Fajer Al Tammar, Raghad Al-Abdwani, Jihad Zahraa, Yasser Kazzaz, Amrita Sarpal, Ririe Malisie)

18:00-18:20

Abstract Presentations and Prize

Identify current research in critical care and its’ application

18:20-18:30

Closing remarks

Post-Conference Workshops

Acute Non-Invasive Ventilation Workshop

Course Director: Dr. Manu Sundaram Qatar
Expert Faculty: Dr. Marti Pons Odena (Spain), Dr. Arun Bansal (India) , D.r Tareq Alayid(Saudi Arabia), Dr AbdulRahman Al-Daithan(Kuwait), Abirami Balasubramaniyan(Qatar) Dr. Khaloud Al Mukhaini (.Oman) Dr. Vinay Nadkarni (USA)

0700-0730

Registration

0730-0740

Introduction

0740-0800

Applied NIV physiology

Explain how NIV supports respiratory mechanics by improving gas exchange, reducing work of breathing, and enhancing alveolar ventilation.

Identify the basic physiological principles behind Non-Invasive Ventilation (NIV), such as pressure support, positive end-expiratory pressure (PEEP), and tidal volume.

Marti Pons

0800-0900

How to use NIV: ICEMAN ALGORITHM

I & C: Know your Indications/Contraindications for NIV

Describe a systematic approach to initiating NIV

Improve understanding of the rationale of safe patient selection for NIV.

Explain the rationale behind each step in the algorithm for NIV initiation.

Manu Sundaram

M: Modes: Let’s make it clear

Understand the various mode in NIV

Arun Bansal

A: Analysis of failure

Describe how to identify a patient improving or deteriorating on NIV

Marti Pons

N: Next steps: Monitoring & Weaning

Explain how to monitor a patient on NIV and facilitate weaning

Abdul Rahman Al-Daithan

0900-0920

HFNC and CPAP

Explain the clinical scenarios where HFNC would be preferred to CPAP

Tariq Alayid

0920-0945

Break

0945-1030

Practical demonstration: NIV with home machines

Explain how various types of machines and interfaces work and the differences between ventilation modes.

Identify key parameters to monitor in patients receiving NIV therapy.

Manu Sundaram, Tariq Alayid

1030-1115

Practical demonstration: NIV with NIV specific machines

See above

Marti Pons, Khaloud Al Mukhaini

1115-1200

Practical demonstration: NIV with conventional ventilator

See above

Arun Bansal, AbdulRahman Al-Daithan, Abhirami Balasubramanyam

1200-1245

Lunch break

1245-1300

Case based scenario: hypercarbia

Explain the physiological effects of NIV on reducing hypercarbia by enhancing alveolar ventilation and removing excess carbon dioxide.

Recall the various interventions to reduce hypercarbia.

Manu Sundaram, Khaloud Al Mukhaini

1300-1345

Case based scenario: Hypoxia

Describe how NIV improves oxygenation in hypoxic patients by increasing positive end-expiratory pressure (PEEP) and preventing alveolar collapse.

Marti Pons, Abhirami Balasubramanyam Vinay Nadkarni

1345-1500

Case based scenario: HFNC and CPAP

Compare different clinical scenarios to determine when the algorithm should be adjusted or modified.

Arun Bansal, Tareq Alayid

1500-1515

Coffee break

1515-1545

NAVA in NIV

Explain the principle of NAVA

Marti Pons

1545-1600

Question, feedback and closing remarks

Continuous Kidney Replacement Therapy (CKRT), Apheresis and Tandem Extracorporeal Therapies Workshop (Sold Out)

Course Director: Dr Prabh Nayak
Expert Faculty: Dr Ahmad Kaddourah, Dr Akash Deep (UK), Dr Dua Qutab( Qatar) Arulkumar Natarajan ( Qatar), Dr Satheesh Ponnarmeni (UAE)

0730 – 0800

Registration and welcome

0800 -0830

CKRT in critically ill children: Introduction & Principles

Explain the principles of working of CKRT and Apheresis with examples and case scenarios and how to utilize them in the treatment of critically ill children

Prabh Nayak

0830 – 0900

How I write a good CKRT prescription

Explain and demonstrate the various parameters to focus on whilst writing a safe and efficient prescription for CKRT

Ahmad Kaddourah

0900- 0930

Anti-coagulation in CKRT

Explain the use of different anticoagulation agents like heparin, citrate and prostacyclin in the various clinical situations as well their monitoring for safe administration

Dua Qutob (heparin and citrate)
Akash Deep (prostacyclin)

0930 – 0945

CKRT in ECMO

Explain how CKRT is to be used whilst a patient is already on ECMO as a modality for tandem extracorporeal therapies

Prabh Nayak

0945 – 1000

CKRT in Liver failure

Explain the benefits and safe use of CKRT as a treatment modality in critically ill children with acute liver failure

Akash Deep

1000-1015

Break

1015-1045

Setting up the CKRT machine

Demonstrate the set up the CKRT machine on a critically ill patient

Ahmad Kaddourah

1045 – 1115

Trouble shooting and Alarms on CKRT

Demonstrate how to trouble shoot the various potential issues whilst on CKRT and understand the different alarms on the machine

Ahmad Kaddourah, Akash Deep

1115-1145

CKRT on ECMO Application

Demonstrate how to connect and manage the patient to the ECMO machine which is already connected to the patient

Prabh Nayak, Dua Qutob, Arul Kumar

1145 - 1245

PRAYER and LUNCH BREAK

1245 – 1315

Apheresis ABC

Explain the principles of use of apheresis in critically ill children, the various indications and the pitfalls to avoid

Ahmad Kaddourah

1315 - 1330

Plasma exchange for TAMOF

Explain the benefits of plasmapheresis in children with TAMOF and how to safely use it and the duration of treatment

Ahmad Kaddourah

1330 – 1345

Plasma Exchange for Liver Failure

Describe how plasma exchange if beneficial in the setting of liver failure and the principles of safely and effectively using it an essential mode of therapy

Akash Deep

1345 – 1400

RBCs exchange Critically Ill Sickler’s

Describe how Apheresis should be used in children with sickle cell anemia and the indications and safe administration of the treatment

Arul Kumar

1400 – 1415

Leukapheresis in Critically Ill children

Explain the principles, indications and management of leukapheresis in critically ill children as lifesaving therapy

Arul Kumar

1415 - 1430

BREAK

1430 – 1500

Setting up the Apheresis Machine

Practice how to safely and effectively setting up the Apheresis machine in a critically ill patient

Arul Kumar

1500 - 1520

Membrane Apheresis

Practical hands-on session to utilize the Apheresis machine effectively to provide membrane apheresis

Ahmad Kaddourah

1520 – 1540

TPE in Action – Hands on and Trouble Shooting

Practice in a hands-on practical session to troubleshoot various alarms on an apheresis machine and apply strategies to ensure safe and effective treatment.

Arul Kumar, Dua Qutob

1540 -1600

Pro-Con Debate: CKRT in ICU should be run by intensivists vs Nephrologists (UK model vs North American Model)
(Actually it is all about Teamwork = Sidra Model)

Recall the different models of setting up and running a CKRT service in ICU for critically ill children.

(ALL speakers)

1600 - 1615

Closing remarks, feedback and goodbyes

This activity is an Accredited (Category 1) as defined by the Ministry of Public Health’s Department of Healthcare Professions-Accreditation Section and is approved for a maximum of _hour(s).


In support of improving patient care, Sidra Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

The Scientific Planning Committee has reviewed all disclosed relevant relationships of speakers, moderators, facilitators, and/or authors in advance of this CPD activity and has implemented procedures to manage any potential or real conflicts of interest.