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Chapters (7)
Description
Date : Saturday, June 20th 2020 from 09am to 12pm (GMT+1)
Honolulu : Friday, June 19th 2020 from 10pm to 01am (GMT-10)
San Francisco : Saturday, June 20th 2020 from 01am to 04am (GMT-7)
New York : Saturday, June 20th 2020 from 04am to 07am (GMT-4)
Buenos Aires : Saturday, June 20th 2020 from 05am to 08am (GMT-3)
Reykjavik : Saturday, June 20th 2020 from 08am to 11am (GMT)
London / Dublin : Saturday, June 20th 2020 from 09am to 12pm (GMT+1)
Paris / Berlin : Saturday, June 20th 2020 from 10am to 01pm (GMT+2)
Istanbul : Saturday, June 20th 2020 from 11am to 02pm (GMT+3)
Moscou / Dubaï : Saturday, June 20th 2020 from 12pm to 03pm (GMT+4)
Bangkok : Saturday, June 20th 2020 from 03pm to 06pm (GMT+7)
Shanghai : Saturday, June 20th 2020 from 04pm to 07pm (GMT+8)
Tokyo : Saturday, June 20th 2020 from 05pm to 08pm (GMT+9)
Sydney : Saturday, June 20th 2020 from 07pm to 10pm (GMT+11)
Wellington : Saturday, June 20th 2020 from 09pm to 12am (GMT+13)
Last update : 2020-09-07

Course submitted for accreditation in Belgium

Program

All hours indicated are CET

09:00am
...

Course submitted for accreditation in Belgium

Program

All hours indicated are CET

09:00am
INTRODUCTION
Jan Paul Mulier (AZ Sint-Jan Brugge)
 
09:05am
LOW IMPACT: TIPS & TRICKS
Matthieu Clanet (Chirec Delta Brussels)
 
 
09:30am
LOW IMPACT ROBOTIC PROSTATECTOMY
Charles Chatzopoulos (Chirec Delta Brussels)
 
10:00am
USE OF LOW PRESSURE AND SMOKE EVACUATION IN THE CONTEXT OF COVID-19
Ruben De Groote (OLV Aalst)
 
10:30am
LOW IMPACT SURGERY BY IMPROVING ANESTHETIC SUPPRESSION OF STRESS
Jan Paul Mulier (AZ Sint-Jan Brugge)
 
11:00am
MEDICO-LEGAL ASPECTS OF THE SURGEON- ANESTHETIST COLLABORATION
Fabien Clément (Judge at the French Court of First Instance in Brussels)
 
11:30am
PANEL DISCUSSION


 

Linked playlists (1)

Low Impact Surgery And Anesthesia In Laparoscopy

LOW IMPACT SURGERY AND ANESTHESIA IN LAPAROSCOPY Symposium How can we optimize outcomes through efficient collaboration ?   Course submitted for accreditation in Belgium ...

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  • Admar A. In the laparascopy surgery do you have ETT or LMA ?
    and do you use N2O

    • Admar A. laprascopy surgery for histerctomy or cystectomy

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  • Admar A. slide blurr

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    • Abdelazeem E. when we say OFA, does this include no opioids at induction of anesthesia?

      • Jan Paul M. OFA stay for opioid free anesthesia and means no opioid given before or during anesthesia till the last stitch, also not for induction and intubation. if you give an opioid after surgery it is an analgesic, not an anesthetic.. I know that this discussion is more semantic but important to know what you mean with it. Opioids given intra operative could be to block surgical stress, to stop spontaneous breathing to induce bradycardia or hypotension. Opioids given postoperative should work as analgesics and this is best achieved if tolerance did not develop yet due to the high doses given intra operative.

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    • Abdelazeem E. what is your opinion on use of moderate versus deep NMB in laparoscopy?

      • Jan Paul M. depending on the abdominal compliance (abd C) and the starting IAPressure at volume zero (PV0) you might be able to work with a moderate NMB when setting IAP above 12. ( ex if PV0 = 4 and abd C= 0,5L/mmHg you need 4+6=10 mmHg to get 3 liter workspace) with a deep NMB you can drop PV0 to 2 mmHg and use 8 mmHg still getting 3 liter the minimum good workspace) if the patient is obese the PV0 can start at 10 and if male with central obesity C can be only 0,1 L/mmHg meaning that even 20 mmHg is not enough and just gives 1 liter only. A deep NMB is now essential to reduce PV0 to lets assume 7 ( you have to measure as every patient is different) and this gives now at 20 mmHG 1,3 liter instead of 1 liter...
        If you want to use lowest IAP possible then it helps always to go to deep NMB and drop a few mmHg lower. Next to workspace there should be no movement where you have several options: deep NMB, deep hypnosis ( 2 MAC) or high dose opioids and hyperinflation as the last three will block respiratory centers ut not relax the muscles. However today we know that deep hypnosis, high dose opioids and hyperventilation are not without any risk while deep NMB is at no risk on the condition that you measure NMT and reverse till a TOF of 100 %

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    • Abdelazeem E. we still not open the OR fully for elective cases due to covid. I learned yesterday that you already back to normal. Do you have any prognostic tools which we can put ahead during planning of reopening of the OR for elective cases?

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      • Abdelazeem E. is there evidence that viral transmission can happen during pneumoperitoneum and also with smoke of the cautery: with reference to covid era.

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        • Nebojsa G. I see that Anesthesiologyst work "alone", without anesthesia nurse. As I uderstood, scrub nurse is asistent to anesthesiologyst and surgical team. Is it usual in Belgium?

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          • Abdelazeem E. yesterday we heard of reduced opioid technique arguing with OFA. Do you have any comment?

            • Jan Paul M. As I replied yesterday: it takes time to be able to reduce opioids but on one condition and that is that you add other drugs that suppress the surgical stress! If giving enough you can avoid all opioids intra operative even without loco regional blocks and classical analgesics but you will classical analgesics, loco regional blocks if possible post operative. AND in major surgery without loco regional you will need as analgesic ( not as anesthetic) after awakening a low dose of opioids in some patients and this not wrong and still opioid free anesthesia and indeed NOT opioid-free analgesia. the required opioid dose now postoperative is substantial ( 25 to 50%) lower and therefore also the impact on having less opioid side effects as respiratory depression, PONV, ileum just to name some..

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          • Nebojsa G. When you are giving dexamethasone, during induction or some time before surgery. Considering trah it takes time for effect.

            • Jan Paul M. it is essential to load drugs up early before induction or incision, depending on the pharmacokinetics: dexmedetomidine should be given at least 15 min before induction, dexamethasone (no clear studies yet) might be needed before PP insufflation but some studies ( in mice) have shown anti inflammatory effects still when given at end of laparoscopy! Ketamine should be given as a bolus 5 10 min before incision of the skin or other stimulating act, lidocaine iv, magnesium iv are both rapid working and better to give just before or after propofol given the strong vasodilatory effects that can give a warm flush in the head... No need for early loading but if you want to load give them very slowly and diluted, never as bolus if before induction.

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          • Abdelazeem E. Risk of covid transmission during patient hospitalization and surgical procedure, that is now included in the consent form. Is it enough or if covid infection occur the patient can sue the hospital and doctors?

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            Wednesday, December 11th 2019 from 06:30pm to 08pm (GMT+1)
            Honolulu : Wednesday, December 11th 2019 from 07:30am to 09am (GMT-10)
            San Francisco : Wednesday, December 11th 2019 from 09:30am to 11am (GMT-8)
            New York : Wednesday, December 11th 2019 from 12:30pm to 02pm (GMT-5)
            Buenos Aires : Wednesday, December 11th 2019 from 02:30pm to 04pm (GMT-3)
            London / Dublin : Wednesday, December 11th 2019 from 05:30pm to 07pm (GMT)
            Paris / Berlin : Wednesday, December 11th 2019 from 06:30pm to 08pm (GMT+1)
            Istanbul : Wednesday, December 11th 2019 from 07:30pm to 09pm (GMT+2)
            Moscou / Dubaï : Wednesday, December 11th 2019 from 09:30pm to 11pm (GMT+4)
            Bangkok : Thursday, December 12th 2019 from 12:30am to 02am (GMT+7)
            Shanghai : Thursday, December 12th 2019 from 01:30am to 03am (GMT+8)
            Tokyo : Thursday, December 12th 2019 from 02:30am to 04am (GMT+9)
            Sydney : Thursday, December 12th 2019 from 03:30am to 05am (GMT+10)
            Wellington : Thursday, December 12th 2019 from 05:30am to 07am (GMT+12)

            What are the benefits of performing colorectal laparoscopic surgeries using low stable pressure pneu...

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            Friday, June 19th 2020 from 06pm to 08:30pm (GMT+1)
            Honolulu : Friday, June 19th 2020 from 07am to 09:30am (GMT-10)
            San Francisco : Friday, June 19th 2020 from 10am to 12:30pm (GMT-7)
            New York : Friday, June 19th 2020 from 01pm to 03:30pm (GMT-4)
            Buenos Aires : Friday, June 19th 2020 from 02pm to 04:30pm (GMT-3)
            Reykjavik : Friday, June 19th 2020 from 05pm to 07:30pm (GMT)
            London / Dublin : Friday, June 19th 2020 from 06pm to 08:30pm (GMT+1)
            Paris / Berlin : Friday, June 19th 2020 from 07pm to 09:30pm (GMT+2)
            Istanbul : Friday, June 19th 2020 from 08pm to 10:30pm (GMT+3)
            Moscou / Dubaï : Friday, June 19th 2020 from 09pm to 11:30pm (GMT+4)
            Bangkok : Saturday, June 20th 2020 from 12am to 02:30am (GMT+7)
            Shanghai : Saturday, June 20th 2020 from 01am to 03:30am (GMT+8)
            Tokyo : Saturday, June 20th 2020 from 02am to 04:30am (GMT+9)
            Sydney : Saturday, June 20th 2020 from 04am to 06:30am (GMT+11)
            Wellington : Saturday, June 20th 2020 from 06am to 08:30am (GMT+13)

            LOW IMPACT SURGERY AND ANESTHESIA IN LAPAROSCOPY

            Day 1

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            Wednesday, January 31st 2018 from 06pm to 07:30pm (GMT+1)
            Honolulu : Wednesday, January 31st 2018 from 07am to 08:30am (GMT-10)
            San Francisco : Wednesday, January 31st 2018 from 09am to 10:30am (GMT-8)
            New York : Wednesday, January 31st 2018 from 12pm to 01:30pm (GMT-5)
            Buenos Aires : Wednesday, January 31st 2018 from 02pm to 03:30pm (GMT-3)
            London / Dublin : Wednesday, January 31st 2018 from 05pm to 06:30pm (GMT)
            Paris / Berlin : Wednesday, January 31st 2018 from 06pm to 07:30pm (GMT+1)
            Istanbul : Wednesday, January 31st 2018 from 07pm to 08:30pm (GMT+2)
            Moscou / Dubaï : Wednesday, January 31st 2018 from 09pm to 10:30pm (GMT+4)
            Bangkok : Thursday, February 1st 2018 from 12am to 01:30am (GMT+7)
            Shanghai : Thursday, February 1st 2018 from 01am to 02:30am (GMT+8)
            Tokyo : Thursday, February 1st 2018 from 02am to 03:30am (GMT+9)
            Sydney : Thursday, February 1st 2018 from 03am to 04:30am (GMT+10)
            Wellington : Thursday, February 1st 2018 from 05am to 06:30am (GMT+12)

            What are the potential clinical benefits of low pressure laparoscopic surgery?

            Live Broadcast from Orsi Academy - Belgium

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            Tuesday, November 27th 2018 from 06pm to 07:30pm (GMT+1)
            Honolulu : Tuesday, November 27th 2018 from 07am to 08:30am (GMT-10)
            San Francisco : Tuesday, November 27th 2018 from 09am to 10:30am (GMT-8)
            New York : Tuesday, November 27th 2018 from 12pm to 01:30pm (GMT-5)
            Buenos Aires : Tuesday, November 27th 2018 from 02pm to 03:30pm (GMT-3)
            London / Dublin : Tuesday, November 27th 2018 from 05pm to 06:30pm (GMT)
            Paris / Berlin : Tuesday, November 27th 2018 from 06pm to 07:30pm (GMT+1)
            Istanbul : Tuesday, November 27th 2018 from 07pm to 08:30pm (GMT+2)
            Moscou / Dubaï : Tuesday, November 27th 2018 from 09pm to 10:30pm (GMT+4)
            Bangkok : Wednesday, November 28th 2018 from 12am to 01:30am (GMT+7)
            Shanghai : Wednesday, November 28th 2018 from 01am to 02:30am (GMT+8)
            Tokyo : Wednesday, November 28th 2018 from 02am to 03:30am (GMT+9)
            Sydney : Wednesday, November 28th 2018 from 03am to 04:30am (GMT+10)
            Wellington : Wednesday, November 28th 2018 from 05am to 06:30am (GMT+12)

            Can low impact laparoscopy and opioid free anesthesia improve patient recovery after surgery?

            Live Broadcast from University hospital of Henri-Mondor - France

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