Courses & Workshops– CS

 
 

Vascular Access

Vascular punctures are part of the anesthesiologist's daily life, whether they are venous (peripheral or central) or arterial, and sometimes they represent a big challenge. This workshop will show you how to improve your practical skills. Also, it will discuss which devices fit each situation. The course consists of theoretical classes discussing puncture techniques and showing how new equipment and devices can assist them. The classes will discuss real cases of complications related to punctures, showing how to avoid them. In the practical part of the classes, a station will be available to practice ultrasound-guided puncture and another station will provide the students the possibility to scan vascular puncture points (arterial or venous). Some stations will also show the various puncture devices available on the market. The practice will occur safely and appropriately.


Obstetrics

Obstetric anesthesia is a challenge for the anesthesiologist, as it aims to maintain the health and life of two patients at the same time: Mother and fetus. Therefore, the anesthesiologist has an essential role in the pre, intra and postpartum periods in our health system.

The maternal-fetal binomial has distinct anatomical-physiological characteristics. In addition to that, we eventually face pregnant women who have pathophysiological conditions that are chronic or inherent to this period. Special situations of daily practice—even the most common ones—become a great challenge during the care of this group of patients. Thus, the approach, as well as the referral of possible complications and intercurrences, must be accurate and systematized.

The Anesthesia in Obstetrics Workshop addresses, with theory and practice, critical situations in obstetric care that directly affect maternal-fetal morbidity and mortality. Thus, this workshop aims to update some behaviors and treatments in obstetric emergencies, to help the anesthesiologist act in reducing peripartum morbidity, focusing on scientific evidence and the best practice of obstetric anesthesia.


Basic and Advanced Ultrasound

The use of ultrasound in regional anesthesia has increased interest in the area, with the development of new techniques and the improvement of others, reducing the risk of complications and increasing the success in regional blocks. Aiming at disseminating and training techniques, we present theoretical-practical courses (hands-on practices on human mannequins) of regional anesthesia guided by ultrasound. The basic course intends to introduce anatomy and sonoanatomy of the most common and prevalent upper and lower limb block techniques in everyday clinical practice. It also gives the opportunity to train needle alignment in phantom models and vascular accesses guided by ultrasound. The advanced course gives you the opportunity to dive into more complex techniques of upper and lower limb blocks, chest wall, abdominal and neuroaxis that are guided by ultrasound. Participants can enjoy theoretical content followed by practical application in small groups, discuss cases, and exchange ideas with instructors who have extensive experience in the field.


Venous Anesthesia

The Venous Anesthesia Workshop presents this technique to daily practice in a simple and objective way. With an accessible approach, instructors who are passionate about the subject will demystify apparently complex pharmacological concepts, such as volume of distribution, target concentration and context-sensitive half-life. The workshop will also discuss relevant topics such as intraoperative memory, hyperalgesia, and opioid-free anesthesia. Finally, in the simulation room, students will carry out the induction and conduction of typical clinical cases of daily life in adults and children with the most used target-controlled infusion pumps, which will enable them to start using the technique as early as the next day to the course.


Brain Monitoring

Anesthesia is used to let the patient unconscious during procedures or surgeries, maintaining homeostasis. However, only a small part of the anesthesiologist's training curriculum focuses on understanding the principles and tools available to interpret brain function monitoring during anesthesia.

The Brain Monitoring Workshop proposes to fill this knowledge gap, deepening the concepts of neuroscience focused on the practice of anesthesiologists in Brazil.

The course consists of lectures and, in the end, has a case session and problem-based learning. For each of the exposed scenarios, the course will provide a discussion on the role of neuro-monitoring devices, the intrinsic aspects related to the technique, and the particularities of the anesthetized patient.

The course provides anesthesiologists with the opportunity to deepen and disseminate knowledge about how to interpret signals from the brain, contributing to the maintenance of individualized anesthesia and the optimization of the neurological and cognitive outcome of patients undergoing different types of surgical procedures.


Advanced Pediatric Anesthesia Support

The course in Advanced Pediatric Anesthesia Support (SAAP) aims to educate and train anesthesiologists for crises that occur in the context of anesthesia for pediatric patients. To do so, several resources and teaching methods are offered, which include theoretical classes, practical training with workshops and realistic simulations, all taught by anesthesiologists experts in pediatric anesthesia and experienced in adult teaching. With the SAAP course, anesthesiologists will have the opportunity to deepen their knowledge on delicate topics of pediatric anesthesia, improving their technical and behavioral skills through practical training. This will help them in the early diagnosis and treatment of crises, thus improving the safety and quality in the clinical approach of pediatric patients.


Hemodynamic Monitoring

The Hemodynamic Monitoring Workshop is theoretical and practical. To approach the theory, it initially discusses the cardiovascular physiology, which is crucial for students to understand all the subjects that follow. After that, it focuses on the most current concepts involving volume replacement, goal-directed therapy, and hemodynamic monitoring using clinical cases and lectures.

The new edition will specially emphasize more controversial subjects, such as choosing between restrictive or liberal therapy, or zero balance of volume replacement during the perioperative period.

In the practice, a realistic simulation scenario will be used, allowing students to apply the concepts discussed during the theoretical classes, as if they were experiencing a common surgery.

At the end of the course, the student will be able to identify patients at high risk for complications, indicate the most appropriate hemodynamic monitoring for each group of patients, and practice goal-directed therapy.


Pain Intervention

The Pain Intervention Workshop focuses on the control of acute postoperative pain and its consequences, using interventional techniques, usually guided by ultrasound. The course will focus on major surgery (hip and knee arthroplasty, mastectomy, and thoracic surgery) that may lead to persistent post-surgical pain and on patients with cancer pain using opioids and requiring post-surgical approaches that are more complex. The course also addresses systemic analgesic medications such as NSAIDs, analgesics and opioids as well as adjuvants (ketamine, clonidine, gabapentinoids, antidepressants, local anesthetics, and muscle relaxants).

The course is divided into four modules:
1 - Acute postoperative pain, postoperative care of major surgeries - What to do?
2 - Implantation course of infusion pumps and PCA in patients who struggle in controlling postoperative pain.
3 - Multimodal Analgesia: Pharmacodynamics and pharmacokinetics. 4 - Analgesia in patients with cancer pain using opioids and submitted to anesthesia.
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Simulation Instructors Training

Realistic simulation has been validated as a powerful teaching tool for numerous medical specialties, including Anesthesiology.

Creating scenarios evidences that the anesthesiologist acts similarly during simulation cases and real cases in the operating room.

Adequate technical knowledge on the effect that the simulation environment has on behavior during teamwork is indispensable to create valid and useful learning experiences in everyday practice.

This immersion course aims to approach and experiment techniques to carry out activities in a simulation scenario, using several learning methodologies, including discussions and clinical scenarios with high-fidelity simulation.

Participants are exposed to the different roles in the scenario to understand the dynamics of the simulation and learn how to guide debates or debriefings.

By applying the didactic part, the idea is that this course will be a meeting point for specialists that are interested and active in clinical simulation to develop training and health safety processes. For years, anesthesiology has been compared to aviation; therefore, nothing better than adhering to the methodologies that have been used for a long time.


Bleeding Management

The patient is bleeding, what should I do? Plasma? Cryo? Okay, a hemoderivative! But which one is it? How was the previous INR? Is there a thromboelastogram here? Have you used tranexamic acid? Was it necessary? What about the platelet, does anybody remember? And will it take that long?

How many more questions fit here?
This workshop will answer each of them, demonstrating the necessary knowledge to treat coagulation disorders. A proposed new model will be presented to explain our coagulation system (demystifying), explaining how this new knowledge is applied in daily practice. The theoretical classes will address the treatment and monitoring strategies available (when and how to indicate them). At the end, we will see what the impact of these behaviors will be on the patient's outcome. And of course, the classes will present a view on administration and pharmaco-economic aspects of the subject. The practical classes will discuss some cases based on real situations, putting the therapeutic and monitoring strategies into practice. With the practice, the participants will see thromboelastogram devices, having the opportunity to handle them and answer questions regarding their use in anesthesia.

We want the new concept in coagulation to be part of your routine, whatever your routine is!


Intraoperative Monitoring using Echocardiography

The Workshop on Intraoperative Monitoring using Echocardiography was designed for anesthesiologists to acquire knowledge on this hemodynamic monitoring tool (indications, contraindications, usage techniques). It will have theoretical and practical sessions divided as follows:

1 - Hands-on pig heart dissection and echocardiographic correlation: This wet lab studies cardiac anatomy and how 2D echocardiographic images are created.

2 - Practical TTE station with human models: To learn the acquisition and optimization of windows to perform focused cardiac ultrasound and hemodynamic measures, such as the calculation of cardiac output and estimates of filling pressures.

3 - Practical station with TEE simulator: This simulation has revolutionized medicine, because in a short time, participants will see clinical cases that would take months to experience in clinical practice. With the simulator, the participant can learn the acquisition of the 11 windows of the basic TEE and discuss cases, in real time, of clinical situations such as cardiac tamponade, ventricular dysfunction, hypovolemia, among others.

4 - Practical station, videos, and TEE: The station proposes to discuss real clinical cases, in which ECO has modified hemodynamic management and altered the patient's outcome.

It is the era of ECOCARDIOGRAPHY in anesthesia!


Human factors on patient safety

Safe execution, whether from anesthesia or from a flight, is a combination of technical skills (learned in college and improved through experience and training); equipment (anesthesia machines, monitors, etc.); processes (such as checking equipment and medications, safe surgery checklist); and non-technical or soft skills.

In 1978, Cooper et al. stated that the vast majority (82%) of serious anesthesia incidents occurred not due to equipment failure, but due to “human factors.” Understanding that we are human, subject to failures and cognitive biases, knowing how to work as a team and having effective communication are just some items of non-technical skills.

For decades, aviation has been working on the four safety elements, while advances in anesthetic safety have occurred mainly at the expense of the first three.
This workshop addresses how errors happen and how non-technical skills can help us increase anesthetic safety. Therefore, the workshop combines theoretical classes with simulation scenarios, using high-fidelity mannequins or actors that provide a safe and appropriate environment to discuss risk situations and communicate bad news.


Mechanical Ventilation

Respiratory complications in the perioperative period are common problems and may increase surgical patients’ morbidity and mortality. Moreover, many factors may worsen this condition, such as lung injury induced by inadequate respiratory support during operation. Thus, with a simple and practical approach, the Mechanical Ventilation Workshop aims to portray relevant topics of ventilatory assistance in the perioperative period.

This course provides students with activities with 10-hour theoretical and practical classes on physiological changes related to mechanical ventilation, ventilation modes, ventilation monitoring with curves and loops, ventilation in obese patients, ventilation in patients with COPD and asthma, and protective mechanical ventilation in the intraoperative period. Therefore, students are trained to guide mechanical ventilation in the most common clinical situations of everyday life.

The SAESP Simulation Center’s structure fits the installation of several anesthesia ventilators, a partnership between the society and the main companies in the market, which enables students to put into practice the theoretical concepts they acquired in class.


Airway

In the operating room, intensive care or emergency environment, the airway adequate control represents a huge challenge for professionals. Failure to identify and stratify the risks involved in airway management may result in adverse events and catastrophic situations. The Airway Workshop, with highly qualified instructors, presents new approaches in the management of crises and the human factors related to adverse events. It also presents algorithms and a practical focus on the use of devices and their techniques.

Participants will see and use the various devices related to airway control, being able to choose those that best adapt to their everyday practice and local reality.