DAY 1: MARCH 23, 2017 THURSDAY. S.NO. TIME TOPIC SPEAKER DURATION IN MINUTES 8.00 to 8.50 am Registration and Tea

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1 18 th National Conference of SAN (SANCON) 2017 Hotel Yak & Yeti, Kathmandu, Nepal Scientific Programme for March 23 and 24, 2017 "Our Endeavor for Better Patient Outcome" DAY 1: MARCH 23, 2017 THURSDAY Hall Facilitators: Day 1: Dr. Purna Radha Shrestha, Dr. Puja Sharma S.NO. TIME TOPIC SPEAKER DURATION IN MINUTES 8.00 to 8.50 am Registration and Tea 8.55 am Opening of scientific session Prof. Ravi R. Shrestha 5 Welcome speech by the scientific committee Common hall Thematic speech: "Our Endeavor for Better Patient Outcome" Prof. M. N. Marhatta Role of WFSA and international standards on the safe practice of Prof. Fauzia Khan Anaesthesia KEYNOTE SPEECH Chairpersons: Prof. Fauzia Khan, Prof. Sunanda Gupta Recent advances in fluid therapy Prof. B.D.Jha Working towards Excellence in Anaesthesia Prof. Y.K. Chan Protocols and Guidelines: Time to Develop and Implement to Dr. Sumati Joshi 20 Improve Patient Care Q & A: 5 minutes ( am) ~~~~~~Tea Break and Hall arrangement ~~~~

2 Hall divides into Hall A and Hall B HALL : A HALL B ICU SESSION FLAGSHIP LECTURE Critical care session Coordinator/organizer : Prof Ravi R Shrestha Hall co-ordinator: Dr. Purna Radha Shrestha Hall co-ordinator: Dr. Ashish Shrestha Chairpersons: Prof. M.N. Marhatta, Prof. Roshna Amatya, Prof Resham B Rana Chairpersons: Prof. B.D. Jha, Prof. Katsuo Terui, Dr. Sumati Joshi S.NO. TIME TOPIC SPEAKER DURATION IN MINUTES S.NO. TIME TOPIC SPEAKER DURATION IN MINUTES Dr. Lakmini Perera Prof. C.R. Das Follow up of patients discharged from a multidisciplinary critical care unit in Sri Lanka Point-of-care ultrasonography Dr. Gentle and liberation from mechanical Sunder Shrestha ventilation Participative Management in the present day practice of Anaesthesia Hemodynamic management of child with CHD posted for noncardiac surgery Prof. Mukesh Tripathi Glycemic control in critically ill patients Hospital acquired infections Red blood cell transfusion in critically ill adult Prof. Ravi Ram Shrestha Dr. Subhash Acharya Dr. Sindhu Khatiwada Anticipating Massive Obstetric Haemorrhage: The hour before the "Golden hour" Prof. Stephan Gatt Prediction of fluid responsiveness in mechanically ventilated patient - an update The Last ICU Bed. Who should get it? Dr. Lalit Rajbanshi Dr. Pramesh Sunder Shrestha Q & A: 5 minutes ( pm)

3 HALL B RESIDENTS' SESSION Hall co-ordinator: Dr. Puja Thapa Karki Chairpersons: Prof. Sunanda Gupta, Dr. P.R.Joshi Lactate clearance as a predictive marker of mortality in adult intensive care unit Dr. Shirish Raj Joshi Dexmedetomidine as an adjunct in ultrasound guided supraclavicular brachial plexus block in upper limb surgery Dr. Sameer Shakya Comparison of 0.5% isobaric ropivacaine with 0.5% isobaric bupivacaine in urological surgery Efficacy of intravenous Dexamethasone to reduce incidence of postoperative sore throat after general anaesthesia Dr. Trishant Limbu Dr. Rosi Pradhan Q & A TILL 1.30 PM LUNCH PM Obstetric Session Obstetric session coordinator/organizer: Prof Amir B Shrestha HIGH YIELD TRIO SESSION Hall co-ordinator: Dr. Ashish Bajracharya Hall co-ordinator: Dr. Sulav Acharya Chairpersons: Prof. Jejunath Pokhrel, Prof. Nagendra KC, Prof. Y. K. Chan Chairpersons: Prof. Shyam Maharjan, Prof. Ravi Ram Shrestha, Dr.

4 Gopendra Deo Pulmonary artery hypertension in obstetric patients undergoing caesarean section and non-obstetric surgery Prof. Katsuo Terui Cardinal research in Cardiac Anaesthesia in the recent years: do we really need to change our practice? Dr. Apurb Sharma Obstetric Hemorrhage - Hemodynamic and Hemostatic Management Prof. Sunanda Gupta Tranexamic Acid Update in Trauma Dr. Prabhat R Baral Amniotic Fluid Embolism: Challenges for Management. Prof.A.B. Shrestha Q & A: 5 minutes ( PM) Evidence based drug/method strategy applicable to patient undergoing surgeries under General Anaesthesia Dr. Rajesh Yadav Q & A: 5 minutes ( PM) 12 HALL A HALL B Session coordinator : Dr Gentle S Shrestha GENERAL SESSION Hall co-ordinator: Dr. Jyoti Shrestha Hall co-ordinator: Dr. Milan Kumar Thapa Chairpersons: Prof.Hari Har Dash, Prof. Bishwas Pradhan, Dr. Apurb Sharma Chairpersons: Dr. Renu Gurung, Dr. Pradip Raj Vaidya, Dr. Subhash Acharya Broken heart syndrome - How much relevant to Anaesthesiologists? Dr. Bidur Baral Changing paradigms in anaesthesia management of total hip and knee replacements Dr. Krishna Pokhrel

5 Is adequacy of Bag Mask Ventilation necessary to check before administrating muscle relaxant? Recent Advances in Brain Protection Dr Bashudev Parajuli Prof. Hari Har Dash Anaesthetic concerns for geriatric patients The anaesthesiologist's role in defining perioperative outcomes: evidence-based review Prof. Nagendra K.C. Dr. Diptesh Aryal Amitraz poisoning: A case series Dr. Pawan Pushpa Baral Anaesthesia challenges in poly trauma patients Dr. Prabhat R Baral Q & A 5 MINUTES ( pm) HALL : A 6 PM Inauguration of 18th SANCON 2017 FOLLOWED BY DINNER Combination of caudal epidural steroids with oral gabapentin for radicular low back pain Dr. Grisuna Singh POSTER SESSION PARTICIPANTS ARE REQUESTED TO FIX THEIR POSTERS PRIOR TO LUNCH DAY 1: MARCH 23, 2017 THURSDAY Corridor A pm FACILITATOR: Dr. Sadichhya Shah, Dr. Ajay Panjiyar Chairpersons: Dr Sushila Tabdar, Dr. Gopendra Deo

6 S.NO. TIME TOPIC PRESENTER DURATION IN MINUTES Massive transfusion in Trauma patients Dr. Anisha Bhochhibhoya Delayed neurological recovery after ultrasound guided brachial plexus block- a case report. Dr. Bipin Karki Tracheal intubation in children with or without Rocuronium- A comparative study Anaesthetic management of total knee replacement in patient with triple vessel diseases status post coronary artery bypass grafting Comparison of hemodynamic response to laryngoscopy and tracheal intubation with Macintosh and McCoy laryngoscopes pm Efficacy of Esmolol and Fentanyl in attenuation of hemodynamic response to laryngoscopy and intubation Dr. Manisha Shrestha 10 Dr. Saroj Aryal 10 Dr. Eliza Koirala 10 Dr. Sammit Bhadel 10 DAY 1: MARCH 23, 2017 THURSDAY PARTICIPANTS ARE REQUESTED TO FIX THEIR POSTERS PRIOR TO THE START OF POSTER SESSION Corridor A pm ( POST LUNCH) FACILITATOR: Dr. Battu K Shrestha, Dr. Pradip Koirala Chairpersons: Dr. Jeevan Singh, Dr. Tamanna Bajracharya

7 Effect of head elevation to different heights in laryngeal exposure with direct laryngoscopy Anaesthetic management of temporomandibular joint ankylosis Dr. Pragya Acharya 10 Dr. Bibek Shrestha Anaesthetic management of Monteggia fracture fixation with congenital cyanotic heart disease Dr. Ilyas Abdulla Dexmedetomidine: A useful adjunct to general anaesthesia Dr. Santosh Acharya Anaesthesia for a patient with uncontrolled Schizophrenia: a case report Management of a case of recurrent chronic pancreatitis with refractory pain Dr. Buna Piya 10 Dr. Prajjwol Bhatta Deo Anaesthetic management of supra-tentorial tumor craniotomy using awake throughout approach Dr. Jai Parkash 10

8 DAY 2: MARCH 24, 2017 FRIDAY Hall Facilitator: Day 2: Dr. Ujma Shrestha, Dr. Ninadini Shrestha, Dr. Upendra Krishna Regmi KEYNOTE SPEECH Chairpersons: Prof. Roshna Amatya, Prof. Sunanda Gupta, Prof. Gautam R. Bajracharya S.NO. TIME TOPIC SPEAKER DURATION IN MINUTES Some recommendations on improving postoperative pain management Dr. P.R. Joshi Fluid management in paediatrics Prof. Fauzia Khan My love story with oxygen Prof. Y.K. Chan Current scenario of paediatric anaesthesia in Nepal Prof. Shanta Sapkota Q & A: 5 minutes ( am) Tea Break and Hall arrangement: 10 minutes Hall divides into Hall A and Hall B HALL A HALL B PAIN SESSION CARDIAC SESSION Pain session Organizer/Coordinator: Dr Renu Gurung Cardiac session Organizer and coordinator: Prof Bishwas Pradhan Hall co-ordinator: Dr. Sadichhya Shah Hall co-ordinator: Dr. Prabesh Gyawali Chairpersons: Dr. P.R. Joshi, Dr. Muralidhar Joshi, Dr. Anil Shrestha, Prof. Kawser Sardar Chairpersons: Prof. B.D. Jha, Prof. Jeju Nath Pokhrel Overview of pain management Dr. Muralidhar Joshi Extracorporeal Membrane Oxygenation in cardiac surgical patients and beyond Prof. Bishwas Pradhan

9 Cannabinoids for chronic pain management Dr. Anil Shrestha Perioperative goal directed hemodynamic therapy in cardiac surgical patients Dr. Smriti Mahajau Bajracharya Neuropathic pain: An Overview Dr. Bigen man Shakya Deep Hypothermic Circulatory Arrest for Cerebral protection: Conduction and Anaesthetic Concerns Dr. Apurb Sharma Common myths about opioids Dr. Renu Gurung Spinal cord protection during thoraco-abdominal aortic surgeries Dr. Nirmal Panthee Radio- frequency Thermoablation as a treatment modality in chronic pain: A review Dr. Ninadini Shrestha ~~ ~~ ~~ ~~ ~~ ~~~ ~~ ~~ ~~ ~~ ~~ Q & A: 5 minutes ( pm) RESIDENTS' SESSION HEPATOBILIARY & GI SESSION Hall co-ordinator: Dr. Upendra Krishna Regmi Hall co-ordinator: Dr. Sushila Lama Moktan Chairpersons: Prof. C.R. Das, Dr. Krishna Pokhrel Chairpersons: Dr. Prabhu P. Joshi, Prof. Bishwas Pradhan, Dr. Prabin Bikram Thapa

10 Fixed dose versus adjusted dose of intrathecal 0.5% hyperbaric bupivacaine in elective cesarean section Dr. Kiran K.C Safe liver surgery Dr. Ramesh Singh Bhandari Analgesic efficacy of ultrasound guided transverses abdominis Plane block after cesarean delivery Dr. Archana Yadav Perioperative Issues in Liver Transplant Anaesthesia Dr. Sujata Niroula Effects of Ketamine and Ketamine with Midazolam on emergence agitation in children following Sevoflurane anaesthesia Dr. Achyut Sharma Pancreatic surgery: Issues for preventing complications Dr. Mukund R. Joshi

11 Comparison of pressure support ventilation and T- piece bas spontaneous trial to wean from Mechanical ventilation Dr. Sunil Pathak First Liver transplant in Nepal Dr. Arati Rai Q & A TILL 1.30 pm LUNCH PM HALL A HALL B GENERAL SESSION RESIDENTS SESSION Hall Co-ordinator: Dr. Alex Tandukar Hall Co-ordinator: Dr. Kiran Adhikari Chairpersons: Prof. Shanta Sapkota, Prof. Amir Babu Shrestha, Dr. Bidur Baral Chairpersons: Prof. Nilraj Sharma, Dr Sindhu Khatiwada Improving care and outcome in ambulatory anaesthesia Dr. Pradip R. Vaidya Efficacy of dexmedetomidine in attenuating hemodynamic and airway responses during extubation Dr. Kripa Pradhan Study of needle stick injuries in health care workers at a tertiary care teaching hospital Dr. Lakmini Perera Comparison of midazolam with bupivacaine vs. bupivacaine for caudal analgesia in children Dr. Rohit Singh Pediatric caudal anaesthesia: Tips and pit falls Dr. Bhakta B Burathoki Study of endotracheal tube cuff pressure with change in position of patient under general anaesthesia. Dr. Shikshya Khatiwoda

12 Anaesthetic challenges for ophthalmic surgeries' Prof. Resham Bdr. Rana Comparison between supraclavicular and infraclavicular approach of subclavian vein catheterization Dr. Robin Khapung Repeat spinal anaesthesia for cesarean section: an experience with some cases Ultrasound guided supraclavicular brachial plexus block: How I do it. Dr. Ritu Pradhan Q & A: 5 minutes ( PM) Dr. Ashish Shrestha Q & A: 5 minutes ( pm) GENERAL SESSION Hall co-ordinator: Dr. Abhisesh Shrestha Chairpersons: Dr. Renu Gurung, Dr. Rajesh Yadav, Dr. Gentle Sunder Shrestha The awareness and concerns of patients towards pre-anaesthetic assessment and anaesthesia scheduled for elective surgery Dr. Sushila Lama Moktan

13 ~~~ ~~~~~~ TEA Break~~~~~ Awareness of adult basic life support among nurses and doctors Challenges in establishing Anaesthesia services in remote highlands Q & A till 4.50pm Dr. Upendra K Regmi Dr. Ramesh Bhattarai ~~~~~ 5.00 PM-5.10 PM Award to residents for best paper (ppt/poster) PM Final words - SAN President PM Vote of thanks- General Secretary END OF DAY 2 POSTER SESSION PARTICIPANTS ARE REQUESTED TO FIX THEIR POSTERS PRIOR TO THE START OF POSTER SESSION DAY 2: MARCH 24, 2017 FRIDAY Corridor A

14 PM S.NO. TIME TOPIC PRESENTER DURATION IN MINUTES FACILITATOR: Dr. Bashudev Parajuli, Dr. Kiran Adhikari, Dr. Kalpana Kharbuja Chairpersons: Prof. M.B.Chand, Dr. Bidur Baral Anaesthetic management of right staghorn calculus with hydronephrosis with severe mitral regurgitation undergoing right nephrectomy Dr. Rishabh Ravi Anaesthesia for a case of carcinoma glottis with atrial Dr. Pujan Balla 10 fibrillation planned for direct laryngoscopic biopsy Subarachnoid block in prone position: Case report Dr. Aashish Shah Anaesthetic management of an urgent decompressive craniectomy for intraparenchymal cerebral bleed in a case of double outlet right ventricle with pulmonary hypoplasia and persistent PDA. Dr. Shirish Shakti Maskay A case of hemoperitoneum: whether to operate or not? Dr. Lokendra Mandal An experience with bariatric surgery Dr. Anu Mahat Anaesthetic management of pineal region tumour planned for suboccipital craniotomy Pneumothorax following rupture of lung cavity due to aspergillosis in a critically ill patient. Dr. Pritesh Jaiswal 10 Dr. Sachit Rupakheti 10

15 PARTICIPANTS ARE REQUESTED TO FIX THEIR POSTERS PRIOR TO THE START OF POSTER SESSION DAY 2: MARCH 24, 2017 FRIDAY Corridor A Post - Lunch FACILITATOR: Dr. Battu Krishna Shrestha, Dr. Jay Prakash Thakur, Dr. Barun Pradhan Chairpersons: Dr. Tammana Bajracharya, Dr Gopendra Deo Combined spinal - epidural anaesthesia for caesarean section in patient with Eisenmenger's syndrome Dr. Raj Kumar Yadav Intracerebral hematoma following thrombolysis with streptokinase for massive pulmonary embolism Dr. Kriti Devkota Foreign Body Bronchus: A challenge to anesthesiologist Dr. Trishant Limbu Laser Airway Surgery And It's Anaesthetic Implication Dr. Deepika Subedi Regional anaesthesia for clavicle fracture surgery: A case series Comparative study of sensory and motor block between 0.75 and 1.0 ml of 0.5% hyperbaric bupivacaine in saddle block Dr. Puja Sharma 10 Dr. Rosy Joshi oo Use of Arndt bronchial blocker for lung isolation in a patient planned for left lung upper lobe lobectomy Dr. Basant Ghimire Airway management in a case of venous malformation involving the oral cavity. Dr. Anshu Kumari 10