ANNUAL SCIENTIFIC MEETING ON INTENSIVE CARE

ASMIC 2018September

2018SHANGRI-LA HOTEL

KUALA LUMPURMALAYSIA

20th 23rdto

www.msic.org.my

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Associate Professor Dr Tang Swee Fong (Chairperson)Dr Louisa Chan

Dr Tai Li LingDatuk Dr V Kathiresan

Dr Azmin Huda Abdul RahimAssociate Professor Dr Gan Chin Seng

ORGANISING COMMITTEE

INVITED SPEAKERS

AustraliaMarianne Chapman

Andrew HiltonDavid Tuxen

BelgiumJan De Waele

Aida Nani Don RahimAnis Siham Zainal AbidinAnis Suraya Abdul Ghani

Asmah ZainudinChor Yek Kee

Fong Choong YiFong Kean KangFoong Kit WengGan Chin SengHelmi Sulaiman

Ismail TanKhoo Tien Meng

IndiaArun Bansal

Sheila Nainan MyatraSumit Ray

SingaporeManish Kaushik

Kien KongLee Jan HauGene Ong

United KingdomFang Gao Smith

USAIra M Cheifetz

Lee Chew KiokLee Pei ChuenLim Chew Har

Lucy LumMahazir Kassim

Maznisah MahmoodMohd Nazri Ali

Mohd Ridhwan Md NoorMohd Shukri Jahit

Muhammad Zihni AbdullahNahla Irtiza Ismail

Noryani Mohd Samat

MalaysiaNor’azim Mohd Yunos

Omar SulaimanPazlida PauziPon Kah Min

Premela Naidu SitaramRafidah Atan

Siti Rohayah SulaimanTai Li Ling

Charlene TayWan Daud Wan Kadir

Wong Sau Wei

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WELCOME MESSAGE

Warm greetings to everyone.

It is with great pleasure that the Malaysian Society of Intensive Care invites you to join us in this year’s Annual Scientific Meeting on Intensive Care (ASMIC) 2018. The field of intensive and critical care is still considered one of the newer subspecialties. However, new research and knowledge in this area continues to increase rapidly each year. As we mature as an important discipline caring for the sickest patients in our hospitals, it is important to be able to utilise new evidence of care and practice at expected standards. The scientific programme for ASMIC 2018 has been planned to provide the most relevant topics and practice updates in this area and will be delivered by both renowned international and local speakers.

We are also very pleased to be continuing with a separate track for health care professionals who look after the critically ill child in both the paediatric as well as adult intensive care facilities.

We hope you will join us at this meeting and we look forward to welcoming you to ASMIC 2018.

Associate Professor Dr Tang Swee FongOrganising ChairpersonAnnual Scientific Meeting on Intensive Care 2018

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PRE-CONGRESS WORKSHOP20th September 2018 (Thursday)

1. Critical Care Nutrition

0800 - 0830

0830 - 0835

0835 - 0855

0855 - 0915

0915 - 0935

0935 - 0955

0955 - 1010

1010 - 1025

1025 - 1045

1045 - 1105

1105 - 1125

Registration and pre test

Introduction

Nutritional status assessment

Initiating and dosing EN

Monitoring tolerance and adequacy of EN

Choosing the appropriate enteral formulation

Adjunctive therapy

Tea

When to use PN

Maximizing the efficacy of PN

Special Situations 1Pulmonary failureHepatic failure

This workshop is designed from the most recent available evidence and concensus guidelines. It is intended for all healthcare providers involved in nutrition therapy of the critically ill - primarily, physicians (specialists and trainees), nurses, dietitians and pharmacists.

At the end of this workshop participants are expected to be familiar with enteral and parenteral feeding practises that are evidence-based and promote optimum and efficient energy and protein delivery. By bringing these skills back to the intensive care bedsides, it is hoped that nutrition delivery for the various groups of critically ill patients will be improved leading to better outcomes.

WORKSHOP INSTRUCTORSAhmad Shaltut OthmanMohd Basri Mat NorNoor Airini IbrahimShanti Rudra Deva

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PRE-CONGRESS WORKSHOP20th September 2018 (Thursday)

1125 - 1150

1150 - 1220

1220 - 1250

1250 - 1350

1400 - 1430

1430 - 1500

1500 - 1515

1530

Special Situations 2Chronically critically illObesity in critical illnessNutrition therapy at the end-of-life

Case Study 1Acute pancreatitis

Case Study 2Sepsis

Lunch

Case Study 3Postoperative major surgery

Case Study 4Burns / Trauma / Traumatic brain injury

Post test

Closing

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PRE-CONGRESS WORKSHOP20th September 2018 (Thursday)

2. Basic Paediatric Point-Of-Care Ultrasound

0700 - 0745

0745 - 0800

0800 - 0820

0820 - 0835

0835 - 0910

0910 - 0930

0930 - 1000

1000 - 1040

1040 - 1240

1240 - 1330

1330 - 1410

1410 - 1430

1430 - 1500

1500 - 1730

Registration

Introduction

Knobology, physics and artefact for ultrasound

Ultrasound neck and airway

Hemodynamic ECHO

Easy approach to critical congenital heart disease

Tea

Critical care lung ultrasound

Skill Station (40 minutes each)1. Ultrasound neck and airway2. ECHO3. Lung ultrasound

Lunch

Ultrasound in resuscitation

Ultrasound guided procedure

Ultrasound cranium, transcranial doppler and orbit

Skill Station (50 minutes each)1. Ultrasound guided procedure 2. Transcranial doppler and orbit ultrasound3. Ultrasound in resuscitation

OBJECTIVES• To equip participants with the basic knowledge and skills of point-of-care ultrasound• To demonstrate how point-of-care ultrasound can assist in the management of the critically ill child

(Limited to 36 participants only)

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PRE-CONGRESS WORKSHOP20th September 2018 (Thursday)

3. Nursing Pre-Congress: Care of Mechanically Ventilated Patients0800 - 0830

0830 - 0915

0915 - 1000

1000 - 1030

1030 - 1115

1115 - 1200

1200 - 1300

1300 - 1345

1345 - 1615

1615 - 1630

Registration

Mechanical ventilation - The basicsYam Siew Woan

Ventilator modes - Management and monitoringYap Pey Y’ng

Tea

Care of patient on non invasive ventilationKien Kong

Humidification / NebulizationYap Pey Y’ng

Lunch

Weaning from mechanical ventilationAzmin Huda

Workshop and group discussion (see below)

Feedback and wrap up session

Simple waveform analysis

Yam Siew Woan

Group A

Group C

Tea

Group B

WORKSTATION(Audiences are divided into 3 groups: A, B, C)

Non-invasive ventilation

Kien Kong

Group B

Group A

Group C

Patient with mechanical ventilation - Case study

Yap Pey Y’ng

Group C

Group B

Group A

Topic

Facilitator

1345 - 1430

1430 - 1515

1515 - 1545

1545 - 1630

7

0800 - 0900

0900 - 1000

1000 - 1100

1100 - 1200

1200 - 1300

1300 - 1400

1400 - 1500

1500 - 1600

1600 - 1700

1700 - 1730

DateTime

21st September 2018(Friday)

22nd September 2018(Saturday)

23rd September 2018(Sunday)

Registration

Tea / Trade Exhibition

Lunch

Tea Symposium

PLENARY 1

OPENING CEREMONY

SYMPOSIA

1 2 3

SYMPOSIA

7 8 9

SYMPOSIA

13 14 15

SYMPOSIA

Annual General Meeting of the Malaysian Society

of Intensive Care

10 11 12

MEET-THE-EXPERTS

Official Poster Round

PLENARY 2

PLENARY 3

Tea / Trade Exhibition

Tea

1 2MEET-THE-EXPERTS

PLENARY 4

PLENARY 5

Tea / Trade Exhibition

Lunch

3 4

Lunch Satellite

Symposium

SYMPOSIA

Best Oral Presentation

4 5 6

1630 - 1730

PROGRAMME SUMMARY

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DAILY PROGRAMME21st September 2018 (Friday)

SYMPOSIUM 1CardiovascularChairpersons:Ismail Tan /Fong Kean Kang

Figuring fluids and inotropes in heart failureAndrew Hilton

Defining the role of RRT in cardio-renal syndromeManish Kaushik

ICU management of decompensated heart failure in preganancyMohd Ridhwan Md Noor

Sepsis-induced heart failure - Current understanding and managementSumit Ray

SYMPOSIUM 2RespiratoryChairpersons:Shanthi Ratnam /Amelia Mohamed Ain

Thunderstorm asthmaDavid Tuxen

NIV in hypoxaemiaFoong Kit Weng

Reducing antibiotic exposure in pneumoniaJan De Waele

Antibiotics in pneumonia: Clinical application of PK/PD principlesHelmi Sulaiman

SYMPOSIUM 3Paediatric Symposium - SepsisChairperson:Choong Phaik Sian

Vasopressors and inotropes in children with septic shockArun Bansal

Steroids in paediatric sepsis - Where are we?Pon Kah Min

Defining acute kidney injury and outcomes of acute kidney injury in the PICUAnis Suraya Abdul Ghani

CRRT in paediatric sepsis - When and how?Chor Yek Kee

0800 - 0845

0845 - 0930

0930 - 1015

1015 - 1100

1240 - 1430

1100 - 1240

1100 - 1125

1125 - 1150

1150 - 1215

1215 - 1240

Registration

PLENARY 1Chairperson: Basri Mat NoorThe Story of Lung RecruitmentDavid Tuxen

OPENING CEREMONY

Tea / Trade Exhibition

Lunch

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DAILY PROGRAMME21st September 2018 (Friday)

SYMPOSIUM 4Ethics / OrganisationChairperson:Noor Airini Ibrahim

Increasing donor pool in Malaysia - What ICU can offerOmar Sulaiman

Ethics of RRT- Indications and withdrawal in cancer patientsManish Kaushik

The agony of triaging ICU bedsAndrew Hilton

Coming together for the care of the dyingSheila Nainan Myatra

SYMPOSIUM 5Intensive Care For Nurses IChairperson:Azmin Huda Abdul Rahim

What can be done to assist weaning from mechanical ventilation?Kien Kong

A refresher on how to ventilate a patient with severe COADWan Daud Wan Kadir

Fighting sepsis - What nurses should do moreNoryani Mohd Samat

Key points in disinfection of equipmentNahla Irtiza Ismail

SYMPOSIUM 6Paediatric Symposium - Fluids and NutritionChairperson:Chor Yek Kee

Intravenous fluid choices for critically ill child - What and why?Lee Jan Hau

Fluid balance in the critically ill child with dengue - Too much too little?Lucy Lum

Feeding the critically ill childLee Jan Hau

Timely parenteral nutrition for the sick childArun Bansal

1430 - 1610

1430 - 1455

1455 - 1520

1520 - 1545

1545 - 1610

1610 - 1700

1630 - 1730

Tea Symposium (BAXTER)Extracorporeal support for sepsis managementRafidah Atan

Best Oral PresentationModerator: Ismail Tan

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DAILY PROGRAMME22nd September 2018 (Saturday)

SYMPOSIUM 7GastrointestinalChairpersons:Shanthi Ratnam /Amelia Mohamed Ain

Open abdomen management in 2018Jan De Waele

Gut dysfunction in critical illnessMarianne Chapman

The challenge of ischaemic bowel - What you need to knowTBA

Pancreatitis - It’s all about the timingJan De Waele

MEET-THE-EXPERT 1Moderator: Lim Chew HarHow I approach a difficult-to-ventilate patientDavid Tuxen

SYMPOSIUM 8Sedation / PainChairperson:Nahla Irtiza Ismail

Delirium following critical illnessFang Gao Smith

Just how important is sleep in ICUMahazir Kassim

Sedation in the acute brain injured patientPremela Naidu Sitaram

Pain free comfort in ICU - More than just drugsSheila Nainan Myatra

SYMPOSIUM 9Paediatric Symposium - VentilationChairperson:Tang Swee Fong

The role of ultrasound in lung recruitmentChor Yek Kee

Is there still a role for HFOV in pARDS?Ira M Cheifetz

pARDS - When should I try HFNC / NIV first or should I?Gan Chin Seng

Do I need to have ECMO for management of pARDS?Ira M Cheifetz

MEET-THE-EXPERT 2Moderator: Aida Nani Don RahimHow I approach a haemodynamically unstable patientAndrew Hilton

0800 - 0900

1100 - 1240

1100 - 1125

1125 - 1150

1150 - 1215

1215 - 1240

0900 - 0945

0945 - 1030

1030 - 1100

PLENARY 2Chairperson: Tang Swee FongHuman thought or computer algorithm in paediatric mechanical ventilationIra M Cheifetz

PLENARY 3Chairperson: Tang Swee FongGetting smart with fluids in the critically illNor’azim Mohd Yunos

Tea / Trade Exhibition

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DAILY PROGRAMME22nd September 2018 (Saturday)

SYMPOSIUM 10VentilationChairpersons:Lim Chew Har /Fong Kean Kang

Tracheal intubation in ICU - Lifesaving or life threateningSheila Nainan Myatra

Diagnosing ventilator waveformsDavid Tuxen

ARDS: Is it about strain?Sumit Ray

Strategies to wean the chronic critically ill patient - A multimodal approachKhoo Tien Meng

SYMPOSIUM 11Intensive Care For Nurses IIChairperson:Aida Nani Don Rahim

Preventing drug medication errors in ICUCharlene Tay

Reducing depression in patients and their families - How can I helpMohd Nazri Ali

Maintaining muscle strength and function - Not just the domain of physiotherapistLee Chew Kiok

Arterial waveforms can tell us more than just blood pressureMuhammad Zihni Abdullah

SYMPOSIUM 12Paediatric Symposium - NeurologyChairperson:Pon Kah Min

What’s new in the management of status epilepticus in?Fong Choong Yi

The encephalopathic child - Approach to management beyond the ABCsPazlida Pauzi

Management of raised intracranial pressure in traumatic brain injury in childrenArun Bansal

Utilising CFM and EEG monitoring in the PICUWong Sau Wei

1430 - 1610

1430 - 1455

1455 - 1520

1520 - 1545

1545 - 1610

1300 - 1430 Lunch Satellite Symposium Official Poster Round

1610 - 1630

1630

Tea

Annual General Meeting of the Malaysian Society of Intensive Care

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1240 - 1400 Lunch

DAILY PROGRAMME23rd September 2018 (Sunday)

SYMPOSIUM 13SepsisChairpersons:Ismail Tan /Amelia Mohamed Ain

Identifying sepsis - A race against timeAsmah Zainudin

Source control in sepsis management - Why, when and howJan De Waele

Vasopressors in sepsis -A little of everythingSumit Ray

Maternal sepsisFang Gao Smith

MEET-THE-EXPERT 3Moderator: Fong Kean Kang“Mindfulness at end-of-life care”Tai Li Ling

SYMPOSIUM 14NutritionChairpersons:Wan Daud Wan Kadir /Fong Kean Kang

Interrupted enteral nutrition - Causes and consequencesSiti Rohayah Sulaiman

Fulfilling protein needs of the critically illMarianne Chapman

Feeding a patient with short gutMohd Shukri Jahit

RRT and nutrition - Replacing all that’s loss?Manish Kaushik

SYMPOSIUM 15Paediatric Symposium - MiscellaneousChairperson:Gan Chin Seng

Medical simulation in paediatric emergenciesGene Ong

Paediatric early warning tools: Which is the right system for us?Anis Siham Zainal Abidin

Code blue team or medical emergency team: Which one do we need more?Gene Ong

Paediatric transport system in Malaysia: Where are we now?Maznisah Mahmood

MEET-THE-EXPERT 4Moderator: Lee Pei ChuenPractical tips on feeding the child in ICULee Jan Hau

0800 - 0900

1100 - 1240

1100 - 1125

1125 - 1150

1150 - 1215

1215 - 1240

0900 - 0945

0945 - 1030

1030 - 1100

PLENARY 4Chairperson: V KathiresanResolutions of inflammation in sepsisFang Gao Smith

PLENARY 5Chairperson: V KathiresanClinical science versus bedside technology: Who wins?Andrew Hilton

Tea / Trade Exhibition

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CONGRESS SECRETARIATASMIC 2018Unit 1.6, Level 1, Enterprise 3B, Technology Park MalaysiaJalan Innovasi 1, Bukit Jalil, 57000 Kuala Lumpur, Wilayah PersekutuanTel: +603 8996 0700, 603 8996 1700, 603 8996 2700 Fax: +603 8996 4700Email: secretariat@msic.org.my Website: www.msic.org.my

PRE-CONGRESS WORKSHOPThe Pre-Congress Workshop on Care of Mechanically Ventilated Patients, will be held on20th September 2018, Thursday. These workshops will cater for a limited number of participants.

REGISTRATION FEES

Category

Local

Member of MSIC

Non-Member of MSIC - Doctor

Allied Health Professional

Overseas

Delegate

PRE-CONGRESS WORKSHOPS (20th September 2018, Thursday)

1. Critical Care Nutrition

2. Basic Paediatric Point-Of-Care Ultrasound

3. Care of Mechanically Ventilated Patients

On or Before15th June 2018

RM 800

RM 900

RM 800

USD 300

From 16th Juneto 15th September 2018

RM 900

RM 1000

RM 900

USD 350

On-Site

RM 950

RM 1100

RM 1000

USD 400

RM 280

RM 280

RM 200

CONGRESS INFORMATION

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PAYMENTAll payments are to be issued in favour of “Malaysian Society of Intensive Care”.

Payment should be sent with the completed Registration Form to the Congress Secretariat.Payments can be made via telegraphic transfer to:Name of Account : Malaysian Society of Intensive CareAccount No. : 873-1-5662806-4Name of Bank : Standard Chartered Bank BerhadAddress of Bank : Jalan Ipoh Branch, Kuala Lumpur, MalaysiaSwift Code : SCBLMYKXXXX(Please return the remittance note along with the Registration Form either by fax or email. Document image by email is also acceptable.)

CONGRESS INFORMATION

HOSPITAL - SPONSORED DELEGATESPlease submit LPO with Registration Form. Otherwise, a letter of undertaking from the hospital is required.

CANCELLATION AND REFUND POLICYThe Conference Secretariat must be notified in writing of all cancellations. Refund will be made after the conference as follows:Cancellation on or before 18th August 2018 : 50% refundCancellation after 18th August 2018 : Nil

For online registration and payment, please log on to www.msic.org.my

The above rates are inclusive of the 6% GST.

MEET-THE-EXPERT SESSIONS (Concurrent sessions, please choose one only for each day)(Limit to 30 participants. Only registrants are eligible to register for these sessions.)

22nd September 2018, Saturday

1. How I approach a difficult-to-ventilate patient

2. How I approach a haemodynamically unstable patient

23rd September 2018, Sunday

3. “Mindfulness at end-of-life care”

4. Practical tips on feeding the child in ICU

RM 20

RM 20

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CONGRESS VENUESHANGRI-LA HOTEL, KUALA LUMPUR11, Jalan Sultan Ismail, 50250 Kuala Lumpur, MalaysiaTel: (603) 2026 8488 Fax: (603) 2032 1245 Email: reservations.slkl@shangri-la.comAttention: Reservation Department, Shangri-La Hotel, Kuala Lumpur, Malaysia

The Daily Room Rates quoted above are:• Subject to 10% service charge plus 6% GST (Goods & Services Tax) thereon.• Inclusive of daily breakfast and Hotel Wifi (200 mbps) internet access.• Applicable for stays of three days prior to event and three days after the event dates.

HOTEL ROOM RATES

Room Type

Deluxe RoomExecutive RoomHorizon Executive Room

SINGLE OCCUPANCY

RM 530++RM 550++RM 700++

DOUBLE OCCUPANCY

RM 580++RM 600++RM 750++

DAILY ROOM RATES

LIABILITYThe Organising Committee will not be liable for the personal accidents, loss or damage to private properties of delegates during the Conference. Participants should make their own arrangements with respect to personal insurance.

SUBMISSION OF ABSTRACTSASMIC 2018 welcomes the submission of abstracts for consideration as Oral or Poster Presentations. The closing date for submission is 1st August 2018.

CERTIFICATE OF ATTENDANCECertificate of Participation will be issued to all delegates.

DISCLAIMERWhilst every attempt would be made to ensure that all aspects of the Conference as mentioned in this announcement will take place as scheduled, the Organising Committee reserves the right

to make last minute changes should changes should the need arise.

CONGRESS INFORMATION

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The Organising Committee welcomes the submission of abstracts for both Oral and Poster Presentations.

The following awards will be given:1. ASMIC Award comprising a certificate and cash prize of RM 1,000 for the Best Oral Presentation.2. Best Poster Award comprising a certificate and cash prize of RM 300. Authors whose abstracts are not short-listed for the ASMIC Award can opt for the poster presentation.

Deadline for Submission of Abstracts: 1st August 2018

GUIDELINES FOR SUBMISSION OF ABSTRACTS• Papers to be submitted must be on intensive care related topics.• No limit is imposed on the number of abstracts submitted by individuals.• Abstracts are to be submitted in English only.• Abstracts will only be accepted after payment of registration fees. If the abstract is subsequently not accepted for presentation, the registration fee will be refunded if cancellation is requested.• Scheduling details and guidelines for the final preparation of accepted presentations will be included with the notification of acceptance.• The final selection will be decided by the Organising Committee.

ABSTRACT PREPARATION AND SUBMISSION• Abstract can only be submitted via the online submission system.• Abstract should be formatted using the template in the website.• Abstract must not be more than 300 words [inclusive of title and author(s) name].• Title must be in bold capital letters at the top of the abstract.• A maximum of 5 authors can be listed under author(s) name and institution.• Presenting author’s name must be underlined.• Full instructions for submission of abstract is available on the website at www.msic.org.my• Graphs, tables and illustrations cannot be included in the abstract.

FREE COMMUNICATIONS

IMPORTANTPlease submit abstracts to www.msic.org.my

CONGRESS SECRETARIATASMIC 2018

Unit 1.6, Level 1, Enterprise 3B, Technology Park MalaysiaJalan Innovasi 1, Bukit Jalil, 57000 Kuala Lumpur

Wilayah PersekutuanTel: +603 8996 0700, 8996 1700, 8996 2700

Fax: +603 8996 4700Email: secretariat@msic.org.my

Website: www.msic.org.my