PROSA2018CONFERENCEDAY1(Thursday29thofNovember2018)CentralTheme:PATIENT-CENTERED,COMFORT-DIRECTEDPROCEDURALCARE

TIME TITLE/CONTENT CHAIR/SPEAKER07.00-08.45 Registration–Coffee–Breakfast(exhibitionhall) 08.45-09.00Room:LectureRoom:WelcomeandIntroduction(15min) PietLeroy

09.00-12.00Room:LectureRoom–Theme:Themeaningofproceduralpainandfearforchildren,parentsandprofessionals EgidioBarbi(chair)09.00-09.30 Proceduralburdeninchildrenwithcognitiveimpairment–aparent’sperspective(30min) VeraTomassen09.30-09.50 Achildwithcancer:isproceduralpainworsethanthedisease?–aparent’sperspective(20min) BibivanderVelden09.50-10.35 Short-andLongtermeffectsofProceduralPainandFearinchildren(45min) AnnaTaddio10.35-11.20 ProfessionalskillsforEstablishingTrustandAlleviatingFearinchildren(45min) BaruchKrauss11.20-11.50 OpenForum(Q&A)(30min) Allspeakers

12.00-13.15LUNCHWORKSHOPS(Registrationrequired!)orLUNCH

LunchWORKSHOP1(75min)* LunchWORKSHOP2(75min)* LunchWORKSHOP3(75min)* LunchWORKSHOP4(75min)*Topic:‘NoMoreTears’:PatientIntegratedmodelsforoptimalproceduralcomfortandsuccess

Topic:ManagingpatientcomfortduringroutineVascularAccessprocedures.

Topic:ManagingpatientcomfortduringcommonEmergencyProcedures

Topic:DevelopingandStartingaPediatricSedationProgram

Room**:Londen(0.1) Room**:Rome(0.8) Room**:Athene(0.9) Room**:Berlijn(0.2)Faculty:AnnaTaddio,

Faculty:GiorgioCozzi,PaoloValerio,RobertKennedy

Faculty:BaruchKrauss,JuliaHoeffe,CyrilSahyoun,SilviaBressan

Faculty:EgidioBarbi,MarkRoback,

13.30-15.10Room:LectureRoom–Theme:Goal-directedPSAPharmacology–Part1:CommonProceduresinDailyPractice AnnickDeJaeger(chair)13.30-13.55 ProceduralAnalgesia:Howtotreatproceduralpaineffectively(topically,locallyandsystemically)(25min) GiorgioCozzi13.55-14.20 Nitrousoxidesedation(with/withoutINfentanyl):indications&contraindications(25min) JuliaHoeffe14.20-14.45 Oral,mucosalandintranasaldrugs:aretheremanyroutestoRome?(25min) PietLeroy14.45-15.10 Intravenoussedatives:apracticaloverview(25min) MarkRoback

15.10-15.40 CoffeeBreakwithexhibitors(exhibitionhall)(30min)

15.45-18.00Room:LectureRoom–Theme:HighQualityProceduralCare–FromTheoreticalConcepttoPractice CyrilSahyoun(chair)15.45-16.10 TheImpactofDesignonComfortinChildren(25min) PatrickLerou16.10-16.45 Goal-directedProceduralCare:definingquality,efficacyandpatient-centeredoutcomes(35min) MarkRoback16.45-18.15 Interactivecasediscussionsbetweenaudienceandfullfacultypanel(90min) PietLeroy,CyrilSahyoun

18.15-19.30 Socialmeeting-Reception-Entertainment *SeeWorkshopContentbelow/**SeeFloorPlanbelow

PROSA2018CONFERENCEDAY2(Friday30thofNovember2018)CentralTheme:HIGHQUALITYPROCEDURALSEDATIONANDANALGESIA

TIME TITLE/TOPIC CHAIR/SPEAKER7.15-8.15BreakfastDrugPanelsMeetTheExperts(Registration+Feerequired)

DEXMEDETOMIDINE(60min) KETAMINE(60min) PROPOFOL(60min) NITROUSOXIDE(60min) MIDAZOLAM(60min)Room**:Londen(0.1) Room**:Berlijn(0.2) Room**:Rome(0.8) Room**:Athene(0.9) Room**:Lissabon(0.7)Faculty:MohamedMahmoud,PaoloValerio

Faculty:MarkRoback,RobertKennedy

Faculty:EgidioBarbi,PietLeroy

Faculty:JuliaHoeffe,FelixKreier Faculty:MichaelBrackhahn

7.30-8.30 Registration–Coffee(ExhibitionHall)

8.30-12.00Room:LectureRoom–Theme:Goal-directedPSAPharmacology–Part2:MajorProceduresinDailyPractice FelixKreier(chair)8.30-9.00 MajorPunctureProcedures(OncologyandOrganBiopsies)(30min) MarkVogt9.00-9.30 MajorEndoluminalProcedures(NasogastricTube–UrinaryCatheter–Endoscopy)(30min) EgidioBarbi9.30-10.00 Majorwoundcare(30min) AnnickDeJaeger

10.00-10.30 CoffeeBreakwithexhibitors(exhibitionhall)(30min)

10.30-11.15 SafetyofProceduralSedativesinyoungchildren:isneurotoxicityanissue?(45min) LaszloVutskits11.15-11.45 OpenForum(Q&A)(30min) AllSpeakers

12.00-13.15LUNCHWORKSHOPS(Registrationrequired)orLUNCH

LunchWORKSHOP5(75min)* LunchWORKSHOP6(75min)* LunchWORKSHOP7(75min)* LunchWORKSHOP8(75min)*Topic:Beyondthedrugs Topic:Capnography

PracticalExercisesTopic:SedationStrategiesforRadiologicImagingProcedures

Topic:SedationStrategiesforspecialneedschildren

Room**:Londen(0.1) Room**:Rome(0.8) Room**:Athene(0.9) Room**:Berlijn(0.2)Faculty:SaradeBulpaep,AlicevanBeukering

Faculty:BhavaniKodali Faculty:KeiraP.Mason,LindaSchuiten,PaoloValerio

Faculty:EgidioBarbi,GiorgioCozzi,MicheleVranken

13.30-15.30Room:LectureRoom–Theme:ProceduralSedationSafety EvaSchaffrath(chair)13.30-14.10 AdverseEventsinSedation?Etiologyandstrategiestoimprovesafety.(40min) KeiraP.Mason14.10-14.40 ProceduralSedationandthePediatricAirway:interactionsandprecautions(30min) MohamedMahmoud14.40-15.10 Pre-sedationfasting:whatistheevidence?(30min) MarkRoback15.10-15.35 OpenForum(Q&A)(25min) Allspeakers

15.35-16.05 CoffeeBreakwithexhibitors

16.05-17.35Room:LectureRoom–Theme:ImplementationandProfessionalEducationchallenges KeiraMason(chair)16.00-16.25 Professionalskillsandcompetenciesforhighqualityproceduralsedation/analgesia(25min) PietLeroy16.25-16.55 InterprofessionalCollaboration,EducationandResearch:TimeforaEuropeanCollaborativenetwork(30min) CyrilSahyoun16.55-17.30 PediatricProceduralSedationinEurope:QuoVadis?Conferencesummaryanddebate(35min) FrancisVeyckemans*SeeWorkshopContentbelow/**SeeFloorPlanbelow

WORKSHOPContentSummaryWorkshop1:‘NomoreTears’

• Manyclaimofferingapatient-centeredservicewhendealingwithdistressingproceduresinchildren.Buthowmuchchoicedowereallygranttochildrenandtheirparents?Andhowcanwemakepatients/parentscompetentformakingappropriatechoicesthatcontributetooptimalproceduralperceptionsandexperiences?

• AnnaTaddiodevelopedwithherteamamethodforactiveknowledgetranslationsothatchildren/parentsthemselvescanlearnwhichmethodsworkbestforthem.FromtheUniversityofTorontoWebsite:“Inthepast,we’veburdenedthehealth-careproviderwitheverything,”saysTaddio.“ButIthinkit’sbettertoshowthekidsandthentheycanchoosehowtobestcope.Intheend,Taddiosaysit’sallaboutmedicalcommunityacknowledgingtheexistenceofpainandworkingwithpatientstoreduceitsimpactduringinjectionsandotherprocedures.Treatingpainhasmanybenefits,”shesays.“Itnotonlypreventsunnecessarysuffering,itensureswearedeliveringthebestcarepossible,improveseveryone’ssatisfactionwiththeexperience,andimproveshealthbecausepeoplearemorelikelytoparticipateinpositivehealthbehaviourslikegettingvaccinatedandgoingtoadoctortogetabloodtesttolookforhighcholesterolandthesesortsofthings.”(https://www.utoronto.ca/news/no-more-tears-publicly-funded-research-u-t-s-anna-taddio-taking-pain-out-vaccinations-canada)

Workshop2:ManagingpatientcomfortduringroutineVascularAccessprocedures.• Simpletechniquesofdistraction• Correctuseoftopicalanesthetics(location,timing,tips–tricks,logisticalchallenges)• Misconceptions(e.g.emlageneratesmorefailureofIVaccess)• Othertechniques(cooling,J-tip,subcutaneousinfiltrationofbufferedlidocainewitha30Gneedle,Buzzy,...):evidence,experiences,practices...• Additionalelementsfordiscussion:roleofexpertiseinthetechniqueofvascularaccessassuch,nojuniortraineesfordifficultaccesspatients?Useofinteresting

toolsasveinviewersysteminanticipateddifficultaccess,ashelptoguidethepunctureandasdistraction…

Workshop3:ManagingpatientcomfortduringcommonERprocedures.• Suggestedprocedurestodiscuss/tousefordiscussion:Woundcareandsuturing;Non-complexforearmfracture;Abscessdrainage• Pointsfordiscussion:patientapproach;optimallocal/topicaltechniques;whentousesedation?Whichsedation(importantpointtodiscuss:indicationsversus

limitationsofnitrousoxide)• Keyquestionsaprofessionalshouldaskhim/herselfbeforestartingprocedures:(1)Isthechildinpainbefore(i.e.inneedforacutepainmanagement).(2)

Environmentalsetting.(3)Adaptivedistractionpossible?(4)Howpainfulistheprocedureanticipatedbyyou,thefamily/child?(4)Useoftopicalanalgesics.(5)Mostoptimaladditionalsedative(anxiolysisordeepsedation?)

Workshop4:DevelopingandStartingaPediatricSedationProgram.

• Existingguidelines;mainguidelineprinciples• Howtoguarantee24/247/7coverage?• MultidisciplinaryServiceinsteadof‘AnesthesiologyversusNon-anesthesiology’;whichprofessionalsmaybeinvolvedinaSedationProgram?• Whoshouldruntheservice?Whichsedationlevelbywhom?• AuditingandQuality:howtodefinegoodsedationquality

Workshop5:Beyondthedrugs–practicalexercises

• Howtoapplyprinciplesofhypnosis?Comforttalk?• RoleandexamplesofVirtualReality(whichchildren?Whichsettings?Whichprocedures?)• UseofSmartphoneapps• Controllingthescene/Controllingtheprocess

Workshop6:Capnography–practicalexercises

• Practicalapplicationsofcapnographyduringdeepsedation• Typicalcurvesfornormalventilation,typesofhypoventilation,partialandtotalairwayobstruction,...• Meaningofcapnometry

Workshop7:Sedationforradiologicimaging

• Whichchildrenwillneedsedation?Whichmaybenefitfromnon-pharmacology?• Howcanpreparation/educationofparent/childtoelectiveproceduresavoidsedation?Eveninyoungchildren?UseofSimulation/Preparation/Mockscanner...• Bestpracticefor<3-6months;6m-5yrs;>5yrs• Propofol?Dexmedetomidine(IV?IN?Doses?)• Patient-centeredsedationcareonaradiologydepartment.Whatisneeded?

Workshop8:Sedationinspecialcarekids.

• Forexample:autismspectrumdisorder,severeanxiety,hyperactivity,mentalretardation,...• Howtoinvolveparents/caretakers?• Whichdrugsmightbemoreoptimal?

PROSA2018Conference–FLOORPLAN