Program

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Program Directors:

Bernhard Riedel | MD. FANZCA. MBA. PhD.

Program Chair

Director, Department of Anaesthetics and Pain Medicine

Peter MacCallum Cancer Centrr,

Melbourne, Australia

Vijaya Gottumukkala | MB.BS. MD (Anes). FRCA.

Program Chair

Vice Chair, Department of Anesthesiology

University of Texas M.D. Anderson Cancer Centre,

Houston, Texas, USA

Dr. Johannes (Hans) Huitink | MD. PhD.

Program Chair - The Challenging Airway Workshop

Consultant Anaesthesiologist

VU University Medical Centre

Amsterdam, Netherlands

The exciting 3 day conference comprises:

Conference Overview		Symposium - Venue (A)	Symposium - Venue (B)	Symposium - Venue (C)
20 March, 2014	Thursday		Colorectal Cancer - Day 1
21 March, 2014	Friday	Anaesthesia and Perioperative Medicine in the Cancer Patient - Day 1	Colorectal Cancer - Day 2	Tackling the Tough Talk
22 March, 2014	Saturday	Anaesthesia and Perioperative Medicine in the Cancer Patient - Day 2	Pain Medicine in the Cancer Patient	Cardiopulmonary Exercise Testing and Prehabilitation
23 March, 2014	Sunday	Anaesthesia and Perioperative Medicine in the Cancer Patient - Day 3		The Challenging Airway

FRIDAY, March 21st, 2014

A.	Perioperative Medicine & the Cancer Patient - DAY 1 of 3
Friday - March 21, 2014

07:45 - 08:15	Registration and Coffee

08:15 - 08:30	Welcome
08:30 - 10:15	Global Perspectives
	The Changing Face of Cancer: Worldwide Implications for Perioperative Medicine (Surgery, Anaesthesia, Critical Care and Pain Management) Bernhard Riedel, Peter MacCallum Cancer Centre, AUS

	Surgical Care of the Cancer Patient: Current State and Future Prospects Alexander Heriot, Peter MacCallum Cancer Centre, AUS

	Perioperative Care of the Cancer Patient: Prospect to Improve Patient Outcomes Vijay Gottumukkala, MD Anderson Cancer Centre, USA

	Why the Perioperative Period is Critical to Long Term Cancer Outcomes Shamgar Ben-Eliyahu, University of Tel-Aviv, ISR
10:15 - 10:45	Morning Tea / Coffee

10:45 - 12:45	Pro-Con Debate
	PRO: Regional Anaesthesia Improves Cancer Outcomes - Reality? Leif Saager, Cleveland Clinic, USA Donal Buggy (video-link), Mater Misericordiae University Hospital, IRE

	CON: Regional Anaesthesia Improves Cancer Outcomes - Myth? Paul Myles, The Alfred Hospital, Monash University, AUS

	Lymphatic Flow and Sympathetic Innervation - Perioperative Implications Hilmy Ismail, Peter MacCallum Centre, AUS

12:45 - 13:30	Lunch

13:30 - 14:10	Plenary Lecture
	Xtreme Everest Hypoxia Research - Lessons for Perioperative Care Learnt at Altitude Mike Grocott, South Hampton University, UK
14:10 - 15:10	Basic & Translational Research
	Immune Function and Cancer Recurrence - Perioperative Implications David Gyorki, Surgical Oncologist, Peter MacCallum Cancer Centre, AUS
	Understanding the Role of Blood and Lymphatic Vessels in Cancer Progression Steven Stacker, Peter MacCallum Cancer Centre, AUS
	Stress, Adrenergic Receptors and Cancer Recurrence - Perioperative Implications Erica Sloan, Monash University, AUS

15:15 - 15:45	Afternoon Tea / Coffee

15:45 - 17:15	Need for Future Research
	Perioperative Interventions and Perioperative Cancer Outcomes: What is the best research methodology and barriers - Outcomes Registries or RCTs? Leif Saager, Cleveland Clinic, USA

	Multicentre International Studies - The way forward in Perioperative Cancer Outcomes Research? Kate Leslie, Royal Melbourne Hospital, AUS

	Establishing Australasian Mutlicentre Collaboration - the ANZCA Trials Group Experience David Story, University of Melbourne, AUS
	The Value of Complementary Data Sources in Observational Research Sachin Kheterpal (video-link), University of Michigan, USA
	Panel Discussion & Meet the Experts
	Panel Discussion & Meet the Experts

17:00 - 19:00	POSTER DISCUSSION & DRINKS

B.	Colorectal Cancer - A multidisciplinary Symposium - DAY 2 of 2
Friday - March 21, 2014

07:45 - 08:15	Registration and Coffee

08:15 - 08:30	Welcome
08:30 - 10:15	Stage IV Rectal Cancer - a Debate
	Med Onc/Rad Onc/Liver Surgeon/colorectal Surgeon x2/Thoracic Surgeon

	Will Debate a Selection of Cases Plus Short Presentations
10:15 - 10:45	Morning Tea / Coffee

10:45 - 12:45	Gastrointestinal Neuroendocrine Tumours
	The Pathology of Gastrointestinal Neuroendocrine Tumours
	The Pathology of Gastrointestinal Neuroendocrine Tumours
	Molecular Imaging for Neuroendocrine Tumours
	Molecular Imaging for Neuroendocrine Tumours
	Surgical Perspectives
	Surgical Perspectives
	Translational Aspects of NETs
	Chemotherapy or Radioisotopes - What and When?
12:45 - 13:30	Lunch

13:30 - 14:10	Plenary Lecture
	Xtreme Everest Hypoxia Research - Lessons for Perioperative Care Learnt at Altitude

14:10 - 15:10	Enhanced Recovery
	Enhanced Recovery - Still Topical or Old Hat?
	Enhanced Recovery - Still Topical or Old Hat?
	Barriers to Set Up and Solutions?
	Barriers to Set Up and Solutions?
	Experience in a Cancer Centre
15:45 - 17:00	Optimizing the Cancer Patient Environment for Surgery
	Goal Directed therapy - s There a Benefit?
	CO2 Humidification - Is There Value in Minimising Desiccation?
	Extended Thromboprohylaxis - Myth or Reality?

17:00 - 19:00	POSTER DISCUSSION & DRINKS

C.	Workshop - Tackling the Tough Talk
Friday - March 21, 2014

14:10 - 17:00	Workshop: Tackling the Tough Talk - Having Difficult Discussions
	Didactic: Tackling the Tough Talk (End of Life Discussions)
15:15 - 17:00	Afternoon Tea / Coffee
	Interactive Stations (4 stations) with Live Simulated Patients
	Feedback of Videoed Interactive Sessions
	Concluding remarks

17:00 - 19:00	POSTER DISCUSSION & DRINKS

SATURDAY, March 22nd, 2014

A.	Perioperative Medicine & the Cancer Patient - Day 2 of 3
Saturday - March 22, 2014

07:45 - 08:15	Registration and Coffee

08:15 - 08:30	Welcome
08:30 - 10:15	Pharmacology and Cancer Outcomes
	Perioperative Morphine and Tumour Growth and Metastasis Marie-Odile Parat, University of Queensland, AUS

	NSAIDs, Local Anaesthetics and Volatiles and Cancer Outcomes Jonathan Hiller, Peter MacCallum Cancer Centre, AUS
	Prophylactic Perioperative Strategies in Animal Models and Their Translation into Clinical Practice Shamgar Ben-Eliyahu, University of Tel-Aviv, ISR
	Functional Neurosurgery - Should all Patients be Awake? Hans Huitink, VUMC, Amsterdam, NED
10:15 - 10:45	Morning Tea / Coffee

10:45 - 12:45	Personalized Medicine
	Personalized Medicine in the Perioperative Setting - Is There a Role? Stephen Fox, Pathologist, Peter MacCallum Cancer Centre, AUS
	Big Data and Personalized Cancer Care: What is the Future? John Frenzel, Peter MacCallum Cancer Centre, AUS
	Plenary Lecture
	Parallels - An Indulgence David Skewes, Peter MacCallum Cancer Centre, AUS

12:45 - 13:30	Lunch

13:30 - 14:45	Subspecialty Care in Integrated Practice Units
	Pro: Subspecialty Practice in Disease Focused Integrated Practice Units (Anaesthesia, Surgery and Intensive Care in Dedicated Cancer Centres) - The Future? Tim Wigmore, Royal Marsden Cancer Centre, London, UK
	Con: Subspecialty Practice in Cancer Centres is an Outdated Concept Daryl Williams, Royal Melbourne Hospital, AUS
	Planning and Designing a Comprehensive Cancer Centre: The Opportunities and Challenges Daniel Pilbrow, Peter MacCallum Cancer Centre, AUS
14:45 - 15:15	Afternoon Tea / Coffee

15:15 - 17:00	Improving Patient Safety
	A Decade After "To Err is Human": Where Do We Stand? Tom Rahlfs, MD Anderson Cancer Centre, USA
	Fear, Cancer and the Pre-Operative Assessment: Should I Lift the Lid? Peter Howe, Royal Children's Hospital, AUS
	"But, We Only See Them Briefly" Ethical Challenges in Anaesthesia Clare Delany, University of Melbourne, AUS
	Perioperative Care of the Obese Patient: An Evidence Based Approach Girish Joshi, University of Texas Southwestern, Dallas, USA

B.	Pain Medicine and the Cancer Patient - Day 1 of 1
Saturday - March 22, 2014
	Program Stream Director: Richard Sullivan \| MB.BS. FANZCA. FFPMANZCA. Director, Acute Pain Service Peter MacCallum Cancer Centrr, Australia
07:45 - 08:15	Registration and Coffee

08:15 - 08:30	Welcome
08:30 - 10:15	Plenary Lectures - Perioperative and Surgical Management
	Persistent Post-Surgical Pain: A Relevant Risk for the Cancer Patient Stephan Schug, University of Western Australia, AUS

	Novel Techniques for Cancer Pain (Deep Brain Stimulations, Radiosurgery) Richard Bittar, Precision Brain, Spine and Pain Centre, AUS

	Milestones in a New University Department - Integrating the 5th Vital Sign into the Educational Curriculum David Story, University of Melbourne, AUS


10:15 - 10:45	Morning Tea / Coffee

10:45 - 12:45	Refractory Cancer Pain - Perspectives
	A Palliative Care Physician's Take on Refractory Cancer Pain Kate Jackson, Monash University, AUS
	Interventions in Palliative Cancer Care Peter Courtney, Melbourne Pain Group
	Neuromodulation for Cancer Pain Peter Teddy, University of Melbourne, AUS
	Expert Panel Discussion on Refractory Cancer Pain Kate Jackson, Peter Courtney, Peter Teddy

12:45 - 13:30	Lunch

13:30 - 14:45	Acute Pain
	Analgesia for Major Surgery - What is the Evidence Base? *Jason Chou, Peter MacCallum Cancer Centre, AUS*
	Acute Pain Management in ERAS for Cancer Care Georgina Christelis, Peter MacCallum Cancer Centre, AUS
	Acute Pain Management for the Cancer Patient Stephan Schug, University of Western Australia, AUS

14:45 - 15:15	Afternoon Tea / Coffee

15:15 - 17:00	Chronic Cancer Pain
	Can Palliative Care Influence Cancer Outcomes? A Poorly Understood Science and Art for the Perioperative Clinician Natasha Michael, Cabrini Hospital, AUS
	Management of Pain in the Cancer Patient Timothy Hucker, Peter MacCallum Cancer Centre, AUS
	Biopsychosocial Impact of Chronic Pain in the Cancer Patient Malcolm Hogg, Royal Melbourne Hospital, AUS

C.	Workshop: Cardiopulmonary Exercise Testing & Prehabilitation
Saturday - March 22, 2014
Cardiopulmonary Exercise Testing & Prehabilitation Directors: Dr. Hilmy Ismail, MD, FRCA, FANZCA Consultant Anaesthetist Peter MacCallum Cancer Centre Dr. Paul Older, MD. MB.BS. LRCP. MRCS. FRCA. FFICANZCA. FCICM. Executive Director, CPET International Adjunct Professor, Swinburne University Melbourne, Australia
07:45 - 08:15	Registration and Coffee

08:15 - 08:30	Welcome
08:30 - 12:00	Perioperative Cardiopulmonary Exercise Testing
	From Acorns to Oaks - the Growing Role of CPET in Pre-operative Assessment Paul Older, Swinburne University, AUS

	The Basics of CPET for Surgeons and Anaesthetist - Nuts and Bolts Malcolm West, University of Liverpool, UK

	Live Demonstration with a Healthy Volunteer Paul Older, Swinburne University, AUS


10:15 - 10:45	Morning Tea / Coffee

10:45 - 13:00	Prehabilitation:
	Perioperative CPET: What is the Current Evidence and UK Experience? Mike Grocott, Southhampton University, UK
	The 9-panel plot (9-PP) Hilmy Ismail, Peter MacCallum Cancer Centre, AUS
	Emerging Trends in CPX-based Prehabilitation Research Malcolm West, University of Liverpool, UK
	Pre-Surgical Exercise Training: Essential or Impossible? Rob Newton, Edith Cowan University AUS
	The Exercise Prescription Andrew Murnane, Peter MacCallum Cancer Centre, AUS
13:00 - 14:00	Lunch
14:00 - 14:30	Setting up a CPX Service in your Hospital - the Business Case Amanda Piper, Peter MacCallum Cancer Centre, AUS
14:30 - 16:00	CPX - Master Class
	Master Class - Meet the Experts, Ask the Questions: 20 Minute PBLD Style Rotation Station 1: Older/Smith Station 2: Grocott/West Station 3: Newton/Murnane
16:00 - 16:15	Workshop Adjourned Older/Ismail

SUNDAY, March 23rd, 2014

A.	Perioperative Medicine and the Cancer Patient - Day 3 of 3
Sunday - March 23, 2014

07:45 - 08:15	Registration and Coffee

08:15 - 08:30	Welcome
08:30 - 10:15	Clinical Aspects to Major Cancer Surgery - Preoperative
	Preoperative Assessment for Major Cancer Surgery - How Does it Differ? Sunil Sahai, MD Anderson Cancer Centre, USA
	Improved Perioperative Outcome in Cancer Surgery - Prehabilitation Strategies Bernhard Riedel, Peter MacCallum Cancer Centre, AUS
	Haematinic Optimisation and Haematologic Challenges in Cancer Surgery Kate Burbury, Peter MacCallum Cancer Centre, AUS

10:15 - 10:45	Morning Tea / Coffee

10:45 - 12:45	Clinical Aspects to Major Cancer Surgery - Intraoperative
	Inflammatory Response Modulation and Immuno-Competence in the Perioperative Period: Triumphs and Challenges Juan Cata, MD Anderson Cancer Centre, USA
	Clinical Application of Current Evidence - Anaesthetic Strategies for Major Cancer Surgery Vijay Gottumukkala, MD Anderson Cancer Centre, USA
	Robotic Surgery - The Past, Present and the Future Declan Murphy, Peter MacCallum Cancer Centre, AUS
	Anesthetic Managment For Major Thorasic Surgery In Cancer Patients Dilip Thakar, MD Anderson Cancer Centre, USA

12:45 - 13:30	Lunch

13:30 - 14:45	Clinical Aspects to Major Cancer Surgery - Postoperative
	Evidence for Advanced Haemodynamic Monitoring in Major Surgery Laurence Weinberg, Austin Hospital, AUS
	Postoperative Care of the High Risk Surgical Patient - How, When and Where? Timothy Wigmore, Royal Marsden Cancer Centre, UK
	Adverse Events in Surgical Patients: Reactive and Pro-active Solutions Daryl Jones, Austin Hospital, Melbourne, AUS

14:45 - 15:15	Afternoon Tea / Coffee

15:15 - 17:00	Global Perspectives of Perioperative Cancer Care
	Perioperative Care of the Cancer Patient: Chinese Experience Changhong Miao, Fudan University Cancer Hospital, China
	Perioperative Care in a Tertiary Cancer Centre in India Jigi Divatia, TataMemorial Hospital, India
	Perioperative Care of the Cancer Patient: Latin Experience Ana Cristina Pereira, National Cancer Institute, Brasil
	Key Reasons Why Doctors Must Embrace Social Media Declan Murphy, Peter MacCallum Cancer Centre, AUS

B.	Workshop & PBLDs
Sunday - March 23, 2014

07:45 - 08:15	Registration and Coffee

08:15 - 08:30	Welcome
08:30 - 10:15	PBLDs - Session A
	PBL Discussion: Sedation and Quality of Recovery Megan Allen, Peter MacCallum Cancer Centre, AUS
	Quality Improvement Strategies for Implementation of Evidence-Based Guidelines to Prevent Perioperative Venothrombo-Embolism Rani Chahal, Peter MacCallum Cancer Centre, AUS
	Practical Aspects to Anaesthesia for Robotic Surgery Jason Chou, Peter MacCallum Cancer Centre, AUS
	Simulation: Advanced Haemodynamic Monitoring in Major Surgery Laurence Weinberg, Austin Hospital, AUS
10:15 - 10:45	Morning Tea / Coffee

10:45 - 12:45	The Challenging Airway Lecture Series
	The Challenging Airway Lecture Series Directors: Dr. Johannes (Hans) Huitink, MD PhD, Program Chair - The Challenging Airway Workshop Consultant Anaesthesiologist Department of Anaesthesiology VU University Medical Centre Amsterdam Netherlands A/Prof Reny Segal, FANZCA Program Chair - The Challenging Airway Workshop Clinical Associate Professor, University of Melbourne Specialist, Dept. of Anaesthesia Royal Melbourne Hospital Melbourne Australia
	Recognition of the Difficult Airway in the Head and Neck Cancer Patient Keith Greenland, Brisbane, AUS
	Role of CT and MRI in Prediction of the Difficult Airway Esther Sanchez-Aliaga, VUMC, Amsterdam, NED
	Airway Management Strategies for Elective Head and Neck Surgery Reny Segal, Royal Melbourne Hospital, AUS
	Emergency Airway Management: Strategies and Pitfalls (The Do's and Don'ts) Hans Huitink, VUMC, Amsterdam, NED

12:45 - 13:30	Lunch

13:30 - 16:00	The Challenging Airway Lecture Series Continuted
	Tracheostomy or Not? Tim Webb, Private Consultant/Royal Melbourne Hospital AUS
	Interactive Case Discussion Reny Segal, Royal Melbourne Hospital, AUS
	Airway Management Pierre Bradley, Monash University AUS
	Concluding Remarks Reny Segal, Royal Melbourne Hospital, AUS