Report of the 3Rd Annual Medanta Neuro Critical Care Conference

ISNACC/Conference/Meeting Report

rd Gurgaon). Aother workshop in parallel was the Report of the 3 Annual ‘Multimodal Monitoring in Neurointensive Care’ which was conducted by Dr. Hemanshu Prabhakar’s Medanta Neuro Critical (AIIMS, Delhi) team. Care conference held at The conference was formally inaugurated on the morning of 1st April 2017 by Dr. Yatin Mehta (Chairman, Medanta ‑ The Medicity, Anaesthesia and Critical Care, Medanta) which st included the traditional lamp lighting by the invited Gurgaon from 31 March dignitaries and a welcome inaugural address by nd Dr. Yatin Mehta. The opening session themed ‘When 2017 to 2 April 2017 the Brain Screams in Silence’ saw two case‑based panel discussions on ‘Non‑convulsive status and its current management’ and ‘Awareness in ICU – Do Harsh Sapra, Gaurav Kakkar we even measure it.’ This session was moderated by Dr. Uma Maheswara Rao (NIMHANS, Bengaluru) with a panel consisting of Dr. Dhruva Chaudhry (PGIMR, The 3rd Annual Medanta Neuro Critical Care Conference Rohtak), Dr. S. Manikandan (SCTIMS, Trivandrum), was held at Medanta ‑ The Medicity, Gurgaon, from Dr. Atma Ram Bansal (Medanta, Gurgaon) and 31st March to 2nd April, 2017 in collaboration with the Dr. Prashant Kumar (PGIMR, Rohtak). Indian Society of Critical Care Medicine (ISCCM), Delhi. The conference was organised by the Department The speakers for the above two cases were of Neurocritical Care and Neuroanaesthesia at the Dr. Suparna Bhardwaj (NIMHANS, Bengaluru) and Medanta ‑ The Medicity Hospital, Gurgaon, with Dr. Harsh Dr. Anshul Bhatia (Medanta, Gurgaon). In the next session Sapra as the Organising Chairman and Dr. Gaurav Kakkar

of two keynote lectures, the first lecture on ‘Temperature and Dr. Jaya Wanchoo as the Organising Secretaries. Management in the Injured Brain’ was delivered by The conference witnessed the participation of more than Dr. John Andrzejowski (NACCS President, UK), whereas 250 delegates and over 100 national and international the second lecture on ‘Non‑vasospasmic complications of faculty members, over the course of the 3 days. The SAH’ was given by Dr. Sandeep Lakhani (Clinical Director, meeting was awarded 12 CPD credit points by the The Walton Centre, Liverpool). This session was chaired Haryana Medical Council, Chandigarh. by Dr. Yatin Mehta, Dr. K. J. Choudhary (Indraprastha Apollo, New Delhi), Dr. Mihir Pandia (AIIMS, New Delhi) The meeting also had the provision of online voting and Dr. Arvind Chaturvedi (AIIMS, New Delhi). This which was made available through a partnership with was followed by a unique video interactive session the Swedish company, ‘Mentimeter Ltd’ along with Live ‘When Every Tick Counts: A Stroke Journey.’ The Webcast of all the lectures on the ISCCM, Delhi website. moderator for this session was Dr. Kapil Zirpe (Ruby The programme began on the 31st March 2017 with three Hall, Pune) whilst the panelists were Dr. Gaurav Goel workshops planned for the start of the meeting. The (Medanta, Gurgaon), Dr. Arun Garg (Medanta, Gurgaon) first workshop of the day was the ‘Ultrasonography and Dr. V. Ponniah (Apollo, Chennai). The case video for the Intensivists’ which was conducted by was prepared and presented by Dr. Anshul Yadav Dr. Deepak Govil’s team (Medanta, Gurgaon). and Dr. Vikyath Jain (Medanta, Gurgaon). This was This was followed by two parallel workshops in followed by the release of Dr. Hemanshu Prabhakar’s the afternoon: ‘Simulation for Neuro‑emergencies’ text – ‘Manual of Neuroanaesthesia – The Essentials.’ The conducted by the team of Dr. P. N. Kakar (Park book was released in the presence of eminent national and Hospitals) and Dr. Gaurav Kakkar (Medanta, international faculty and stalwarts of neuroanaesthesia. The meeting also saw the launch of ‘The Medanta‑Walton Department of Neuroanaesthesia and Neurocritical Care, Fellowship’ in neuroanaesthesia and critical care Medanta ‑ The Medicity, Gurgaon, Haryana, India which was announced by Dr. Harsh Sapra (Medanta, Medicity) and Dr. Sandeep Lakhani (The Walton Address for correspondence: Centre, Liverpool). Furthermore, launched was the new Dr. Gaurav Kakkar, Department of Neuroanaesthesia and Neurocritical Care, Medanta ‑ The Medicity, Sector‑38, Gurgaon ‑ 122 001, simulation society dedicated to neurosciences called Haryana, India. ‘Brain STEM’ ‑ brain simulation training to enhance E‑mail: [email protected] patient management (www.brainstem.co.in).

The pre‑lunch session on paediatric neuroanaesthesia were Dr. Neha Gupta, Dr. Navin Kumar (Medanta, titled ‘Bigger Challenges in Smaller Packets’ had Gurgaon) and Dr. G. C. Khilnani (AIIMS, New Delhi). three case presentations on traumatic brain injury, This was followed by a novel session termed ‘Trial of craniopharyngioma management and acute disseminated Trials’ which was moderated by Dr. Gaurav Kakkar encephalomyelitis. These cases were presented by (Medanta, Gurgaon) which saw a discussion on Dr. Maninder Dhaliwal (Medanta, Gurgaon) and were four recent trials: Rescue ICP, PROPRR, THRACE moderated by Dr. Pratibha Singhi (Medanta, Gurgaon). The and EPO-TBI. The distinguished faculty chairing panelists for this session were Dr. Sunit Singhi (Medanta, this session were Dr. H. H. Dash (FMRI, Gurgaon), Gurgaon), Dr. Ashish Bindra (AIIMS, New Delhi), Maj. Gen. N. S Lamba (R & R, New Delhi), Dr. Mary Abraham and Dr. Devendra Gupta (SGPGI, Dr. Uma Maheswara Rao (NIMHANS, Bengaluru) Lucknow). Following lunch, the obstetric session and Dr. S. Manikandan (Sri Chitra, Trivandrum). titled ‘The Hand that Rocks the Cradle’ had 2 cases The next keynote lecture was delivered by of cavernous venous sinus thrombosis and posterior Dr. Camilla Rodrigues (Hinduja Hospital, Mumbai) reversible encephalopathic syndrome. They were and was titled ‘Newer trends in standard and moderated by Dr. Rajiv Chawla (GBPH, New Delhi) emerging Meningitis.’ This session was chaired by and presented by Dr. Vasudha Singhal and Dr. A. N. Jha (Chairman, Neurosciences – Medanta, Dr. Shaina Kalra (Medanta, Gurgaon). The panelists Gurgaon) and Dr. Shobha Purohit (SMS, Jaipur). for this session were Dr. Monica Tandon (GBPH, Following this was the panel discussion titled ‘When New Delhi), Dr. Kavita Sandhu (Max Hospitals, Friends Become Foes.’ which had two cases on the ‘Role of New Delhi), Sg. Cpt. Rahul Yadav (R and R, New Delhi) NOACs’ and ‘DVT Prophylaxis.’ They were moderated and Dr. Satyavir Singhal (Royal Victoria, Belfast). The by Dr. Vinayak Aggarwal (Medanta, Gurgaon) and next two lectures chaired by Dr. Rajesh Misra (Artemis, were presented by Dr. Varun Jain (Medanta, Gurgaon). Gurgaon), Dr. Jayashree Sood (SGRH, New Delhi) and The panelists for this session were Dr. Pragati Ganjoo Dr. Tariq Ali (Medanta, Gurgaon) were ‘ARDS and the (GBPH, New Delhi), Dr. GP Singh (AIIMS, New Delhi), Injured Brain’ by Dr. Rajesh Chawla (Indraprastha Apollo, Dr. S Srivastava (SGPGI, Lucknow), Dr. VK Parashar New Delhi) and ‘Non‑invasive ventilatory techniques (Jaipur) and Dr. Saurabh Anand (Artemis, Gurgaon). in neuro‑ICU’ by Dr. Dhruva Chaudhry (PGIMR, The next panel discussion on traumatic brain injury

Rohtak). This was followed by the keynote lecture was moderated by Dr. Prasanna Bidkar (JIPMER, on ‘ECMO and Brain: Who needs Whom.’ by Puducherry) and was presented by Dr. Dhruba Lahkar Dr. Vivek Kakar (Cleveland, Abu Dhabi) and was (Medanta, Gurgaon). Panelists for this session chaired by Dr. Deepak Govil (Medanta, Gurgaon) included Dr. V. J. Ramesh, Dr. K. Gopalakrishna and Dr. Yash Javeri (Apex, New Delhi). After this, the (NIMHANS, Bengaluru), Dr. Nidhi Panda (PGI, well‑received lecture was the last session of the day; Chandigarh) and Dr. Virendra Jain (FMRI, Gurgaon). ‘Spa Time’; Renal Replacement in neuro‑Intensive The next two keynote lectures were on ‘Cervical Spine Care Unit. This session had two cases on Renal Management Beyond its Ventilatory Issues’ presented Replacement Therapy and Cytosorb Filters which by Dr. M Radhakrishnan (NIMHANS, Bengaluru) and were moderated by Dr. Ranajit Chatterjee (SDN, ‘Chequers of the Black and White Coats – Medicolegal New Delhi) and presented by Dr. Deepak Solanki and Ethical Issues in Organ Donation’ presented and Dr. Shehla Shakhoo (Medanta, Gurgaon). This by Advocate M. K. Bajpai (IML, Mumbai). These session was chaired by Dr. Yash Javeri, Lt. Col. sessions were chaired by Dr. Ashok Saxena (GBPH, Bhavna Hooda (R and R, New Delhi), Dr. Reshma Tewari New Delhi), Dr. Surendra Sharma (FMRI, Gurgaon), (Artemis, New Delhi) and Dr. S. Moed. Running Dr. Anirban Bannerjee (Medanta, Gurgaon), parallel to the lectures was the third workshop of the Dr. Surindar Saini (Paras, Gurgaon), Dr. L. D. Mishra conference on ‘Bronchoscopy’ which was conducted by (BHU, Varanasi) and Dr. Anil Parakh (Seven Hills, Dr. Vivek Nangia (Fortis, Vasant Kunj) and team. The Mumbai). The concluding panel discussion on nutrition evening had the cultural programme at The Kingdom titled ‘Counting the Calories, Flowing the Fluid ‑ Do of Dreams where the faculty and invited guests were we know what we are doing?’ was moderated by witness to the theatrical play ‘Zangoora’ followed by Dr. Swagatha Tripathy (AIIMS, Bhubaneshwar) the faculty gala dinner. and was panelled by Dr. Alka Chandra (Hindu Rao, New Delhi), Dr. Sushmita Sarangi (DDU, The day 2 of the meeting started with the session on New Delhi), Dr. Jitender Sharma (Artemis, Gurgaon) infectious diseases with cases on rickettsial infections and Mrs. Divya Kakkar (MCHFT, UK). The post‑lunch and skull base mucormycosis. They were moderated session had two parallel workshops: ‘Neuroradiology by Dr. Vivek Nangia (Fortis, Vasant Kunj) and were for the neurointensivist’ conducted by Dr. Gaurav Goel presented by Dr. Ila Bisht and Dr. Vikyath Jain and his team and the ‘Airway Workshop’ which was (Medanta, Gurgaon). The panelists for this session conducted by Dr. Rakesh Sharma and the AMF team.

Journal of Neuroanaesthesiology and Critical Care 192 | Volume 4 • Issue 3 • September-December 2017 | Sapra and Kakkar: A brief report of MNCC 2017

The meeting was concluded with the completion of the Access this article online above two workshops. Quick Response Code: Website: Overall, the entire meeting was extremely well attended www.jnaccjournal.org and well received with positive feedback from both the delegates and the faculty. DOI: Financial support and sponsorship 10.4103/jnacc.jnacc_36_17 Nil.

Conflicts of interest There are no conflicts of interest.

How to cite this article: Sapra H, Kakkar G. Report of the 3rd Annual This is an open access article distributed under the terms of the Creative Medanta Neuro Critical Care conference held at Medanta - The Medicity, Commons Attribution‑NonCommercial‑ShareAlike 3.0 License, which allows Gurgaon from 31st March 2017 to 2nd April 2017. J Neuroanaesthesiol others to remix, tweak, and build upon the work non‑commercially, as long as the Crit Care 2017;4:191-3. author is credited and the new creations are licensed under the identical terms.

Journal of Neuroanaesthesiology and Critical Care | Volume 4 • Issue 3 • September-December 2017 | 193