| Nga Kairua - Fixation Errors. What is it? Can we fix it? |
Overview: Fixation errors occur when the practitioner concentrates solely on a single aspect of a case to the detriment of other more relevant aspects. It is well recognised in any Anaesthetic Technical or Clinical setting. I will present some results and summaries from a series of studies, experiments and a real life incident that highlighted this phenomenon. This will perhaps cast some light on how relevant and how we all can apply this to our Anaesthetic medical emergencies.
Bio: Charge Anaesthetic Technician at Auckland Surgical Centre and Supervisor of Training for the SX Northern Regional Hospitals. SX Ultrasound (Sonosite) and Airway Management Co-Trainer. Anaesthetic Technician for 33 years. |
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| Malcolm Stuart - Surgery on Wheels |
Overview: Surgery in a mobile operating theatre in rural New Zealand has many challenges and rewards.
Bio: Malcolm is a specialist (itinerant) anaesthetist and has worked in New Zealand since 1991. He is the ANZCA NZ National Committee representative on NZATS. |
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| John Byrne - Changing Roles of the Anaesthestic Technician at The Royal Children's Melbourne |
Overview: History and Role of Anaesthesia Technologists at RCH
Bio: John Byrne is the ASAPO President. He has been in the health industry for 30 years. His experience has been in the public, private and corporate sectors where he worked as a National Sales and Marketing manager for a monitoring company. He is currently a Senior Anaesthesia Paramedical Officer and Clinical Educator at the Royal Children's Hospital in Melbourne Victoria.
He has an extensive history with ASAPO/ ASAT where he held the position of Public Relations Officer past President and Education Officer of the Victorian Society of Anaesthesia Technicians for six years.
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| Doug Williams - A Comparison of Absorbents and Absorbers Used in NZ |
Overview: To explain a trial undertaken to investigate the performance of three CO2 absorbents, investigating if channelling can be reduced by using inline water traps, to improve CO2 exhaustion times, and to present what I feel is the most suitable CO2 Absorbent.
Bio: Doug has been employed with Canterbury District Health Board for the past ten years as an Anaesthetic Technician, previous to this he worked at several hospitals in Auckland.
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| Dr Christian Brett - Clinically Relevant Monitoring of SV / SVV Concepts - Interactive case studies with Audience Response System |
Overview:
In the high risk patients there is the potential for rapid changes in vascular volume. This session will take you through the use of dynamic parameters to understand fluid optimisation. The Audience will need to be interactive as case studies provided will give the treatment choices with the use of haemodynamic monitoring.
Bio: Christian is an anaesthetic consultant at Christchurch Hospital.
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| Andrew Smith - Another Bleedin' Caesarian |
| Overview: Following enquiries regarding the use of Cell Salvage for obstetric surgery, we conducted a departmental review of the appropriateness of the use of Cell Salvage techniques in the obstetric setting and the creation of a programme to tackle any obstetric specific issues.
Obstetrics is an area of surgery where Cell Salvage has been traditional considered contraindicated. What does the research tell us about the risks of amniotic fluid emboli and foetal cell transfusion?
Bio: Andrew is an Anaesthetic Technician Team Leader working for Canterbury DHB, based at Christchurch Hospital for the past 14 years. Since the mid-1990’s he has had an interest in Autotransfusion and currently heads Cellsaver Service. |
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| Kirsten Hansen - Work Place Assessor Update |
Overview: This talk is for those Technicians who are already Work Place Assessors. This is a refresher for them to go over the Anaesthetic Technology manuals, how to give feedback to the trainees and other AUT updates regarding the manuals. It is also an opportunity to share ideas about how other hospitals get their trainees through case studies.
Bio: Kirsten is the Anaesthetic Technology Co-ordinator for AUT - a role she started July 2009 6 hours a week, which has now increased to 12 hours a week.
She has a Paramedic background, working for London Ambulance Service for 4 years during her OE. She started her training at ADHB in 2001 and initially worked at National Womens hospital when she qualified and the took up the Educator role in November 2008. This is a part time role 3 days a week which Kirsten really enjoys. Her other role is Anaesthetic Technology Co-ordinator |
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| Dr Vaughan Laurenson - Substance Abuse |
Overview: The perils of dealing with drug abuse.
Bio: Vaughan is a former Clinical Director of the Christchurch Department of Anaesthesia and former Chair of the New Zealand Committee of ANZCA. His knowledge of drug abuse was acquired while he was in an administrative role. |
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| Vince Ellis - Temperature Research - That's the Way to do it! |
Overview: With registration showing its face in the near future and the need for academic knowledge increasing daily, it is time to start investigating, questioning and changing anaesthetic technician practice.
During 2009/10 I asked a question, and then conducted an investigation that has changed the care of the patient in the elective cardiac setting. This experience I can reflect upon. This is my experience!
Bio: Vince originally qualified in 1994 as a military operating theatre technician in the British Army. He then went on to qualify as an Orthopaedic Surgical Care Practitioner (Physician’s Assistant). From 2006 he has been here in NZ working as an Anaesthetic Technician in the cardiac setting and enjoying his role in its second term as a National Assessor. He also have a great interest in Anaesthetic pre-assessment clinics. |
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| Andrew Owen - Thoracic Dissection - A Walk in the Park? |
Overview: This presentation is designed to give an insight into some of the causes and treatment options for Thoracic Dissection. It will provide a brief overview of Bypass options and advances and some Anaesthetic concerns both during Bypass and post. It will also present new and cutting edge treatments for this disease.
Bio: Originally trained in the UK qualifying in 1993 as a Operating Department Practitioner Andy was lucky enough to work in many theatre units across the country before moving to Christchurch in 2005 since where he has been an employee of CDHB. He has since been able to pick up new skills as an Anaesthetic Technician including working in the Cardio-Thoracic Theatre. |
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| Graham Roper - Physicians Assistants |
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| Overview: Physician Assistants in Anaesthesia (PAA) is the new term that replaces Nurse Anaesthetists. PAA have been used in the USA and Northern Europe for many years as part of the Anaesthesia care model. There are differences in scopes of practice and responsibilities for PAA’s between countries and within the same country. Recently the UK has introduced a training program for PAA’s with the Royal College of Anaesthetists being involved in the development and implementation of the training program. One of the drivers for this model has been the introduction of reduced hours of work for junior Doctors (European time directive). New Zealand is facing a medical / clinical workforce shortage due to the population demographics and subspecialisation of the health workforce. Is the PAA model one that will help to solve our medical manpower issues? |
| Bio: Graham has been a Specialist Anaesthetist in Christchurch for 11 years with an interest in cardiothoracic and regional anaesthesia and preoperative assessment of high risk cases. He began his Anaesthetic training in Hawkes Bay and Wellington and finished with a year in Australia and 2 years in the UK. For the last 5 years he has been the Clinical Director of Anaesthesia CDHB and this has made him more aware of the workforce issues that are facing anaesthesia and operating theatres in New Zealand. His interest in teaching has resulted in becoming involved with the ANZCA Primary Examination process and he regularly participates in the pre-exam course run by Christchurch in January each year. He is a member of the NZSA workforce sub-committee which is working with Health Workforce NZ to address the issues of Anaesthesia training and staffing.
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| Matthew Lawrence and Ian Boxsell - A Look at Liver Donors |
Overview:
The topic of living-related transplants where a donor is found and a portion of their liver is transplanted to a recipient has many facets, from outlined protocols to the practical aspect of the transplant itself. The idea of living-related donors goes back to the 1950s in kidney transplantation. The first was performed in 1988 and was popularised by Christoph Broelsch from Hamburg, Germany. Live donor liver transplantation offers alternative sources that enable timely transplantation.
The aim of the presentation is a factual insight into Living-Related Liver Transplantation and to include the role of the Anaesthetic Technician.
Bios: Matthew Lawrence, Senior Anaesthetic Technician, ADHB, Part of the Liver Team since 2006, passion for rugby.
Ian Boxsell, Senior Anaesthetic Technician, ADHB, part of the liver team since 2007, have a private pilot’s licence, enjoys golf. |
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| Richard Pattenden - 1300 from Picton - the Bodies Response to Trauma |
Overview: A PowerPoint presentation covering the Hinshaw +Cox classification of shock, with a brief description covering the grades and types of shock. Also A basic look at the systemic response to trauma. This will be divided into the sympathetic, the acute, the cardiovascular and the endocrine phases.
Bio: Richard lives in christchurch with his family.Since he's been in nz he has caught the fitness bug and have competed in about 6 tri-athlons - he says he's still waiting for the six pack to arrive. |
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| Mike Lucas - No Anaesthetic Required - Embalming History and Practice |
Overview: Provide and interesting overview of the History of Embalming from Mummification to present day.
Provide details of current practice.
Bio: Before starting training as an Anaesthetic Technician at Christchurch Hospital in 1999, Mike worked as an Embalmer, gaining his qualification in Wellington 1992. During those 8 years he embalmed around 3 thousand human bodies. |
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| Simon Donald - Isolated Limb Infusion |
Overview: Isolated limb infusion is a procedure used to deliver anticancer drugs directly to an arm or let but not to the rest of the body. This presentation looks at the history and theory of the procedure, also a report of the first Isolated Limb Infusion carried out at North Shore Hospital, Waitemata District Health Board.
Bio: Simon qualified at Guys Hospital in 1984, he came to New Zealand in 1998, initially working at Green Lane Hospital. In 2000 he became the Charge Technician at Auckland Hospital. From 2004 he has worked for Waitemata DHB. |
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| Nga Kairua - Anaesthesia for the uncooperative Child |
Overview: Anaesthesia Teams are frequently required to deal with a child who is uncooperative at induction of anaesthesia. In studies undertaken in the 1990's, one third of children were found to be distressed at induction while one-quarter required physical restraint. Dealing with an uncooperative child can be distressing for the patient, parents and health-care workers. Further more, the stress of a stormy induction can produce post-operative behavioural changes in the child. This presentation gives an overview of the methods available for preventing and dealing with this problem.
Bio: Charge Anaesthetic Technician at Auckland Surgical Centre and Supervisor of Training for the SX Northern Regional Hospitals. SX Ultrasound (Sonosite) and Airway Management Co-Trainer. Anaesthetic Technician for 33 years. |
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| Joan Redpath - Team Work |
Overview: A look at teamwork in the current workplace and how this fits into our changing environment. Key points: What is teamwork? How to adapt it to our current practice. Explore the work environment as a team.
Bio: Charge tech at Southern District Health, trained at Southland Hospital and enjoys the challenges the job brings. Joan is very involved in teaching the trainees and always striving to improve her workplace. |
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| Dr Andrew Sharples - Just a whiff gas, or is it just all a lot of hot air? |
Overview: Anaesthetic waste gas pollution's effect on you and the environment.
Bio: Andrew trained in Anaesthesia and intensive care for both adults and children in London, Manchester and Melbourne, Australia before becoming a Paediatric Anaesthetist and Intensivist at the Royal Manchester Children's Hospital, Manchester, UK. In 1998 he moved to Christchurch and has worked as a Specialist Paediatric Anaesthetist there since then! Working as a Paediatric Anaesthetist, he has always been aware of anaesthetic waste gas pollution - especially during induction - but assumed it was just part of the job!" |
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| Dr David Bowie - Retrieval Medicine |
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