SSAI Course I Uppsala, Sweden

SSAI 5th programme Course I Uppsala, Sweden (2)3-5 Oct 2017 Introduction and basic skills Advanced Obstetric Anaesthesia Training Programme

Aim: The aim is to give the participants an introduction to the advanced training programme and obstetric anaesthesia and to give the participant core knowledge about obstetric anaesthesia.

Learning objective: After this course the participant will have:  Knowledge and will be able to get the best out the advanced training programme  Knowledge of the expectations to the research projects  Knowledge of physiology of normal and complicated pregnancy both Pre-delivery, delivery and post-delivery  Knowledge about obstetric emergencies and are able to describe and explain a structured approach to obstetric emergencies  Introduction how to perform obstetric anaesthesia research

Assignments to fulfil in advance Assessment

Self studies concerning physiology, anatomy and pharmacology in pregnancy and delivery

Print, read and bring the portfolio. Make a To be discussed with your national preliminary plan how to fulfil the objectives. representative in the steering committee Describe yourself personally and Prepare a 5 minute speech to be held the first professionally, your expectations and aims of day of the course. Be prepared to speak with this programme or without powerpoint etc. Bring the PP file Describe the obstetric anaesthesia in your on a USB stick hospital – epidural methods, C/S methods, organisation and so on Search in the existing scientific literature for Prepare a 10 min speech promoting your arguments concerning a designated topic. (alleged) standpoint to be held on the second (see file SSAI Pro and Con debate) day of the course Start thinking of what sort of scientific To be discussed in small groups project that you would like to do Programme

Monday 2nd October

Drinks 19.00 Dinner 19.30

Tuesday 3rd October 2017

8.00 – 8.20 Welcome, presentation of the steering committee, practical information Susanne Ledin Eriksson and Ove Karlsson

8.20 – 9.20 Trainees present themselves (6)- (chair Ove and Susanne)

9.20 – 9.50 COFFEE

9.50 – 11.50 Trainees present themselves (12) - (chair Ove and Susanne)

11.50 – 12.40 LUNCH

12.40-13.00 Trainees present themselves (2) - (chair Ove and Susanne)

13.10 – 13.30 Introduction to the programme and the courses. How to use portfolio, supervisors and mentors (Johanna Sarvela) 13.35 – 13.55 Information on SOAP internet lectures, research project and diploma criteria (Kim Ekelund) 14.00 – 14.10 Information on Obstr.An. Programme Website (Ove Karlsson)

14.10 -14.20 Information on Course evaluation ( Olöf Viktorsdottir)

14.25 – 15. 00 Guideline task information – Lone Fuhrman

15.00 – 15.30 COFFEE

15.30 – 17.30 Theme: Obstetric emergencies (Chair: Susanne)

Interactive case presentations. Cases presented with 2 – 3 inserted questions Voting device will be available. 15.30 – 15.50 Case 1 – Olöf 15.55- 16.15 Case 2 – Susanne 16.20 – 16.40 Case 3 – Kim 16.45 – 17.05 Case 4– Johanna 17.10 – 17.30 Case 5 – Susanne

17.30 Closing remarks

Dinner 19.00 Wednesday 4th October 2017 “ Pro and con” debate ( Chair Susanne) Performed by the trainees. A voting device, mentometer, will be available.

8.30 – 8.50 1. Ephedrine vs phenylephrine in hypotension at C/S Ephedrine : Greta Skou Phenylephrine: Matti Kuukasjärvi

9.00 – 9.20 2. Sufentanil vs fentanyl in obstetric anaesthesia central blocks Sufentanil: Niina Niemi Fentanyl: Michael Elfström

9.30 – 9.50 3. Air vs sodium chloride when testing loss of resistance Air: Malin Ugarp Edfeldt Sodium Chloride: Tone Bolstad

9.50 – 10.20 COFFEE

10.20 - 10.40 4. All patients with a postdural puncture headache should receive an epidural blood patch Pro: Janne Lund-Olesen Con: Elina Kärkelä

10.50 – 11.10 5. Opioids should be used at GA induction in C/S Pro: Anne Tranberg - Lindqvist Con: Peter Möller Eggertsen

11.20 – 11.40 6. Cricoid pressure (Selliks manoeuvre) or not in GA for C/S Pro: Carl-Henrik Bollden Con: Ionnis Soumpasis

11.50 – 12.10 7. Eating vs fasting in labour Eating: Sanne-Vibeke Nielsen Fasting: Hannah Lafrenz

12.10 – 13.00 LUNCH

13.00 – 13.20 8. Epidural vs CSE for pain relief in labour Epidural: Anne-Lise Wedersö CSE: Anna- Karin Strand

13.30– 13.50 9. Sitting vs lateral position when administering regional blocks in obstetrics Sitting: Niklas Carlberg Lateral: Kati Kähkönen

14.00 – 14.20 10. Modern epidurals prolong labour duration Pro: Anti Laine Con: Christina Fröslev-Friis

Wednesday 4th October 2017 Cont.

14.20 - 14.50 COFFEE

Theme: Introduction to obstetric anaesthesia research

14.50 – 17.00 Evidence Based Medicine / Challenges in Obstetric Anaesthesia Research (Arash Afshari)

Dinner 19.00

Thursday 5th of October 2017

Cont.theme : Introduction to obstetric anaesthesia research Chair . Susanne

8.30 – 9.10 This is how I did it: “Central blocks in Labour pain relief” (Susanne Ledin Eriksson)

9.20 – 10.00 This is how I do it: “Coagulation in Obstetrics” (Ove Karlsson)

10.00 – 10.30 COFFEE

10.30 - 12.00 Group discussion – What is my interest? What could I do with it? Five groups with 4 trainees in each Group leaders are: Ove, Kim, Antti and Susanne

12.00 – 13.00 LUNCH

13.00 – 13.40 How to write a project plan – Ove Karlsson

13.50 – 14.30 How to search / find scientific literature – To be announced – may be omitted

14.40 – 15. 15 Course II – London, presentation and preparation for the next course. (Antti Väänänen) 15.15 COFFEE

END OF COURSE To be signed by your Clinical Director

I hereby allow Dr. ______To participate in Industrial Meeting Abbott Scandinavia Sevorane and following dinner Wednesday 110907

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