WEILL CORNELL SEMINAR in SALZBURG

Transcription

1 WEILL CORNELL SEMINAR in SALZBURG "Anesthesiology" June 17 23, 2018

2 Table of Contents 1. Faculty & Group Photo 2. Schedule 3. Faculty Biographies 4. Fellows Contact Information 5. Diaries a Program of the

3 SALZBURG WEILL CORNELL SEMINAR ANESTHESIOLOGY June 17 23, fellows from 27 different countries and regions 8 faculty members from the United States, Austria & United Kingdom 21 lectures and 3 workshops given by faculty 27 interesting case presentations by fellows 5 excellent case presentation selected by faculty Faculty Photo (L-R) Kane O. Pryor, MD; Shanna Hill, MD; Hugh C. Hemmings Jr., MD, PhD; Peter Marhofer, MD; Klaus Ulrich Klein, MD; Jennifer M. Hunter, MBE, MB, CHB, PhD

4 Group Photo of Faculty and Fellows

5 2018 Salzburg Weill Cornell Anesthesiology Seminar Sunday 17 June Saturday 23 June 2018 Sunday June 17 Monday June 18 Tuesday June 19 Wednesday June 20 Thursday June 21 Friday June 22 Saturday June 23 07:00 08:00 BREAKFAST BREAKFAST BREAKFAST BREAKFAST BREAKFAST DEPARTURES 08:00 09:00 09:00 10:00 Introductions Pre-Seminar Test How General Anesthetics Work Hugh C. Hemmings Jr., MD, PhD Are Anesthetics Toxic to the Brain? Hugh C. Hemmings Jr., MD, PhD Anesthesia for Patients with Kidney Disease Jennifer M. Hunter, MBE, MB, CHB, PhD Postoperative Delirium Kane O. Pryor, MD Anaphylaxis During Anesthesia Jennifer M. Hunter, MBE, MB, CHB, PhD To Reverse or Not to Reverse Jennifer M. Hunter, MBE, MB, CHB, PhD Transfusion and Factor Concentrates Shanna Hill, MD Emergency Transfusion and Reversal of Anticoagulants Shanna Hill, MD Patient Blood Management David Baron, MD 10:00 10:30 COFFEE BREAK COFFEE BREAK COFFEE BREAK COFFEE BREAK COFFEE BREAK 10:30 11:30 11:30 12:30 Applied Neurophysiology and Neuroprotection Kane O. Pryor, MD Traumatic Brain Injury Klaus Ulrich Klein, MD Fast Diagnostic Ultrasound Peter Marhofer, MD Ultrasound Guided Regional Anesthesia Peter Marhofer, MD Anesthesia for Orthopedic and Trauma Surgery Klaus Ulrich Klein, MD New Approaches to Reversal Jennifer M. Hunter, MBE, MB, CHB, PhD Postpartum Hemorrhage Klaus Ulrich Klein, MD Echocardiography for Emergencies Shanna Hill, MD 12:30 14:00 LUNCH LUNCH LUNCH LUNCH 14:00 15:00 Basic Cardiac Echocardiography Shanna Hill, MD 15:00 16:00 Workshop How to Present a Case Kane O. Pryor, MD 16:00 17:00 17:00 18:00 Fellows Case Presentations Kane O. Pryor, MD Hugh C. Hemmings Jr., MD, PhD Ultrasound Workshops A. UGRA Peter Marhofer, MD B. Cardiac US Shanna Hill, MD Fellows Case Presentations Kane O. Pryor, MD Hugh C. Hemmings Jr., MD, PhD 17:00 17:15 OMI/AAF Presentation Free Afternoon Analgesia for Labor and Delivery Klaus Ulrich Klein, MD Major Trials in Anesthesiology Kane O. Pryor, MD 12:30-13:30 LUNCH 13:30-14:30 Publishing Workshop How to Please the Editor Jennifer M. Hunter, MBE, MB, CHB, PhD Hugh C. Hemmings Jr., MD, PhD 14:30-15:30 Post-Seminar Test Evaluation & Discussion 18:00 19:00 Farewell RECEPTION 19:00 20:00 20:00 21:00 19:00 20:30 Welcome RECEPTION & DINNER Faculty Only Meeting to Review the Week DINNER DINNER Faculty Dinner in Private Home DINNER 20:30 21:30 Chamber Music CONCERT DINNER Graduation DINNER Certificates Awarded

6 WEILL CORNELL SEMINAR in SALZBURG "Anesthesiology" June 17 23, 2018 FACULTY

7 Wolfgang Aulitzky, MD is the Medical Director of the American Austrian Foundation. He is Associate Dean for International Medicine and Distance Learning, Adjunct Prof. of Clinical Urology and Adjunct Prof. of Clinical Reproductive Medicine at the Weill Medical College of Cornell University/New York Presbyterian Hospital. In 2016, he was appointed Adjunct Professor of Pediatrics in the Associated Faculty of the Perelman School of Medicine at the Children s Hospital of Philadelphia. He is also Associate Prof. of Urology at the Medical University of Innsbruck and Visiting Professor at the Medical University of Vienna. Amongst others he is a member of the American, German and Austrian Societies of Urology and was awarded the Zuckerkandlpreis of the Austrian Society of Urology in In 1995 he received the Silver Medal, in 2007 the Golden Medal for Merits to the Republic of Austria and in 2014 the cross of honor of the Land Salzburg. As Director of the Medical Program of the American Austrian Foundation he has initiated the Open Medical Institute, a scientific and educational collaboration of Weill Cornell and the NewYork Presbyterian Hospital, the Children Hospital of Philadelphia, Duke University, Columbia University, the Cleveland Clinic and leading hospitals in Austria. Dr. Aulitzky earned his medical degree at the University of Innsbruck in 1977, was a research associate at the University of Uppsala, Sweden and the Rockefeller University, New York. He received his training as an urologist at the University of Innsbruck and the General Hospital of Salzburg. He is the author of more than 140 publications on Urology, Andrology and Health Care issues and is co-author of books on basic and clinical urology/andrology. Wolfgang Aulitzky, MD Director, Open Medical Institute American Austrian Foundation Associate Dean and Gerhard Andlinger Professor for International Medicine & Distance Learning Adjunct Professor of Clinical Urology Adjunct Professor of Clinical Reproductive Medicine Weill Medical College of Cornell University Adjunct Professor of Pediatrics Perelman School of Medicine at the Children s Hospital of Philadelphia Associate Professor of Urology Medical University of Innsbruck, Austria Kärntner Straße 51/II/Top Vienna Austria Fax: w.aulitzky@openmedicalinstitute.org

8 Hugh C. Hemmings Jr., MD, PhD, FRCA (Course Director) is Joseph F. Artusio Professor and Chair of Anesthesiology and Professor of Pharmacology at Weill Cornell Medical College, and Anesthesiologist-in-Chief at NewYork Presbyterian Hospital/Weill Cornell Medical Center. Dr. Hemmings earned a BS in Biochemistry from Yale College, a PhD in pharmacology from Yale Graduate School, and an MD from Yale Medical School. His graduate work in the laboratory of Paul Greengard, PhD was cited in his 2000 Nobel Prize in Physiology and Medicine. He completed postdoctoral work at The Rockefeller University, a residency in anaesthesia at the Massachusetts General Hospital, and a fellowship in cardiac anesthesia at NewYork Presbyterian Hospital/Weill Cornell Medical Center, where he has been a faculty member for 23 years. An internationally recognized neuropharmacologist, Dr. Hemmings is an expert in the synaptic effects of general anesthetics and mechanisms of neuronal signal transduction. His research in these areas is supported by grants from the National Institutes of Health. He is active in several national and international societies for anesthesiology and neuroscience, and serves as the Editor-in-Chief for the British Journal of Anaesthesia. He has been elected Fellow of the Royal College of Anaesthetists and as a member of the Association of University Anesthesiologists. Dr. Hemmings has authored more than 100 articles in anesthesiology and neuroscience, and has edited four books, including Foundations of Anesthesia 2e published in 2006 and Pharmacology & Physiology for Anesthesia: Foundations and Clinical Application published in Hugh C. Hemmings, Jr., MD, PhD, FRCA Joseph F. Artusio Professor and Chair of Anesthesiology Professor of Pharmacology Weill Cornell Medical College Anesthesiologist-in-Chief NewYork-Presbyterian Hospital-Weill Cornell 1300 York Avenue, Box 124 New York, NY USA Fax: hchemmi@med.cornell.edu

9 Klaus Markstaller, MD (Co-Course Director) is an anesthesiologist and intensivist who engages in patient safety and perioperative medicine. His research focus is on functional lung imaging and pathophysiology of acute lung injury. Prof. Markstaller was born in Nürnberg/ Germany. In 1998 he graduated magna cum laude at Ulm University and qualified as a professor of anesthesia and intensive care at Johannes Gutenberg University in Mainz in He is a reviewer for institutional funding organisations (e.g. German Research Foundation, Alexander von Humboldt Foundation) and recognized scientific journals. Prof. Markstaller published a large number of articles in international peer reviewed journals and received numerous international research awards and grants. As a member of a group of investors, he realized two patent applications in Germany and the USA. He is a member of the European Academy of Sciences and Arts and Fleischner Society and president elect of the Austrian Society of Anesthesiology, Resuscitation and Intensive Care Medicine. Prof. Markstaller is currently head of the Department of Anesthesia, General Intensive Care and Pain Medicine as well as founder and co-head of the Center of Perioperative Medicine at Vienna General Hospital (AKH)/ Vienna Medical University. He lives in Vienna with his wife Monica. Prof. Klaus Markstaller, MD Head of Department of Anesthesia General Intensive Care and Pain Medicine Vienna General Hospital/Vienna Medical University Währinger Gürtel Vienna Austria /41010 Fax: / vorstand_anaesthesie@meduniwien.ac.at

10 David Baron, MD is an anaesthesiologist and intensive care physician. Dr. Baron graduated from the Medical University of Vienna and completed his anaesthesiology residency at the General Hospital of Vienna. During his residency he completed a postdoctoral research fellowship at the Massachusetts General Hospital of the Harvard Medical School in Boston with Drs. Warren Zapol and Kenneth Bloch. Dr. Baron s research interests include patient blood management and transfusion medicine, where he is especially interested in the storage lesion of packed red blood cells, and epidemiological studies in intensive care medicine. Recent publications include an analysis of the influence of preoperative anaemia on perioperative morbidity and mortality and an evaluation of clinical practice in patient blood management. Dr. Baron s research efforts have earned him grants from the European Society of Anaesthesiology and several research awards. He has reviewed for several anaesthesiologic journals.dr. Baron is currently on the faculty of the Medical University of Vienna as Assistant Professor for Anaesthesiology and Intensive Care Medicine. He lives in Vienna with his wife Joanna. David Baron, MD Assistant Professor of Anaesthesiology and Intensive Care Medicine Medical University of Vienna General Hospital of Vienna Währinger Gürtel Vienna Austria Fax: david.baron@meduniwien.ac.at

11 Shanna Hill, MD is an anesthesiologist who specializes in cardiac surgeries and procedures. She grew up in the southwestern United States in the state of Arizona and completed her undergraduate degree in Molecular Biology at Princeton University in Princeton, New Jersey. She graduated from Weill Cornell Medical College and completed her anesthesiology residency at the New York-Presbyterian Hospital, Weill Cornell Medical College. She subsequently completed additional subspecialty training with a fellowship in Cardiac Anesthesiology, also at Cornell. She joined the Cardiothoracic Anesthesiology team at Weill Cornell Medical College in Dr. Hill s clinical interest focuses on anesthesia for cardiac and thoracic aorta surgeries as well as transfusion medicine and intraoperative echocardiography. She serves as Co-Chair of the Patient Blood Management Committee at New York Presbyterian and is a member of the Blood Conservation Working Group for the Society of Cardiovascular Anesthesiologists. Her interests also include resident and fellow clinical education programs; she serves as both the Program Director of the Cardiothoracic Anesthesiology Fellowship Program as well as the Director of Fellowship Education for the Cornell Anesthesiology Department. Dr. Hill is a faculty member at Weill Cornell Medical College and is an Assistant Professor of Clinical Anesthesiology. She lives in Brooklyn with her husband, John, and two sons, Alex and Andrew. Shanna Hill, MD Assistant Professor of Clinical Anesthesiology Weill Cornell Medical College New York-Presbyterian Hospital 525 East 68 th Street, Box 124 New York, NY USA Fax: scsykes@med.cornell.edu

12 Jennifer M. Hunter, MBE, MB, CHB, PhD, FRCA, FCARCSI (Hon) is an Emeritus Professor and Senior Research Fellow in the University of Liverpool, UK. She graduated with commendation from the University of St. Andrews in 1971 and started her anaesthesia training in Scotland. She then moved to Liverpool where she completed her residency programme before starting on an academic career. Her research interests have been based on the pharmacodynamics and pharmacokinetics of neuromuscular blocking drugs in health and disease. Her clinical responsibilities have included the management of the critically ill, trauma patients and patients with chronic kidney disease. Professor Hunter has been Honorary Secretary of the Anaesthetic Research Society (1991-6) and in 1989 was the first woman to be elected to the Editorial Board of the British Journal of Anaesthesia (BJA). In 1997 she became Editor-in-Chief of the BJA and in 2006 the Chairman of the BJA Editorial Board. Professor Hunter was the Chairman of the Scientific Programme Committee of the European Society of Anaesthesiology from 2006 to 2009, and in 2016 was made an Honorary Life Member of the Society. Professor Hunter has over 240 peer-reviewed publications, and has edited three anaesthetic textbooks. She has been an examiner for the FRCA (UK), and for the MMed Anaesth in Kuala Lumpur, Cairo, Riyadh and Hong Kong. She has been an external examiner of 30 PhD/MD theses. For her contributions to anaesthesia and health care, she was awarded the Gold Medal of the Royal College of Anaesthetists in 2011; and was made a Member of the Order of the British Empire by her Majesty the Queen in Jennifer M. Hunter, MBE, MB, CHB, PhD, FRCA, FCARCSI (Hon) Emeritus Professor of Anaesthesia Honorary Senior Fellow University of Liverpool Institute of Ageing and Chronic Disease Liverpool, L69 3GA United Kingdom bja@liverpool.ac.uk

13 Klaus Ulrich Klein, MD is an anesthesiologist and intensive care physician who specializes in how to avoid perioperative lung and brain dysfunction. Dr. Klein grew up in Frankfurt/Main in Germany, and completed his undergraduate studies at Medical Schools in Erlangen-Nuremberg and Heidelberg- Mannheim. He graduated from Ruprecht-Karls-University in Heidelberg and completed his junior house officer rotation at The Royal London Hospital, Plymouth Hospitals and Torbay Hospital in the United Kingdom. He completed his residency at Johannes-Gutenberg University Medical Center in Mainz, Germany. After having moved to Medical University of Vienna, Austria, he became Associate Professor for Anesthesia and Critical Care Medicine. Dr. Klein s research interests include injury of vital organs such as the lungs, heart and brain in the perioperative setting. In particular, he is interested in unravelling the injurious effects of altered oxygen conditions (oxygen oscillations, hyperoxia) in acute lung injury and obstructive sleep apnea. Further, his research focuses on the protective effects of argon preconditioning on lungs and myocardium. Dr. Klein has an expertise in translational research environments, including cell culture experiments, small and large animal experiments and clinical research. Recent publications include manuscripts in the British Journal of Anaesthesia, European Journal of Anaesthesiology, Anesthesia and Analgesia and Shock. He is a peer reviewer for multiple major anesthesia and critical care journals and is an associate editor to the Journal of Neurosurgical Anesthesiology. Dr. Klein's research efforts have earned him ongoing grants from the Austrian Science Fund FWF and the Major of the City of Vienna Scientific Fund. Dr. Klein is currently on the faculty of Medical University of Vienna as Associate Professor of Anesthesiology and Critical Care Medicine. He lives in Austria with his wife Verena and his son Gianluca. Klaus Ulrich Klein, MD Associate Professor of Anesthesiology and Critical Care Medicine Medical University of Vienna Vienna General Medical Hospital Währinger Gürtel Vienna Austria Fax: klaus.klein@meduniwien.ac.at

14 Peter Marhofer, MD is an anesthesiologist and intensive care physician who specialized in trauma, pediatric - and regional anesthesia. Dr. Marhofer grew up in Vienna, Austria and studied medicine at the School of Medicine, University of Vienna (now Medical University of Vienna). He started his fellowship in Anesthesia and Intensive Care in 1994, and habilitated in Dr. Marhofer's research interest include regional anesthesia and pediatric anesthesia. He was part of the research group developing ultrasound in regional anesthesia. He leads the scientific working group "Regional and Pediatric Anesthesia" at the Department of Anesthesia and Intensive Care Medicine, Medical University of Vienna. The group designs currently several volunteer studies in cooperation with the University Department of Clinical Pharmacology, Medical University of Vienna. This cooperation is only one part of a large international network, which was created during the last 20 years. Dr. Marhofer has a current H- factor of 33 with 109 Pubmed citations, more than 250 publications. He wrote 2 books and gave more than 500 national and international lectures. He is editorial board member of the highest ranked anesthesia journal, the British Journal of Anesthesia. Dr. Marhofer is currently on the faculty of the Department of Anesthesia and Intensive Care Medicine, Medical University of Vienna as Professor and the head of pediatric anesthesia and pediatric intensive care medicine. He lives close to Vienna with his wife PD Dr. Daniela Marhofer (also anesthesiologist and intensive care physician). He has one daughter (Melanie, 18 years old and medical student). Peter Marhofer, MD Professor of Anesthesia and Intensive Care Medicine Medical University of Vienna Department of Anesthesia and Intensive Care Medicine Spitalgasse Vienna Austria Fax: peter.marhofer@meduniwien.ac.at

15 Kane O. Pryor, MD is Vice Chair for Academic Affairs in the Department of Anesthesiology at Weill Cornell Medicine, in New York City. He holds appointments as Associate Professor of Clinical Anesthesiology and Associate Professor of Psychiatry in Clinical Anesthesiology at Weill Cornell, and also holds an appointment in the Department of Anesthesiology at Memorial Sloan-Kettering Cancer Center. Dr. Pryor grew up in Sydney, Australia, where he graduated with Honors from the University of Sydney. He completed a research fellowship in functional magnetic resonance imaging (fmri) at Harvard Medical School in Boston, before moving permanently to the United States in He completed his anesthesia residency at Weill Cornell, and then a dual fellowship in neuroanesthesia and neuroscience research at Weill Cornell and Memorial Sloan-Kettering Cancer Center. Dr. Pryor s clinical focus is anesthesia for neurosurgical procedures. A significant portion of Dr. Pryor s career is dedicated to research. As Director of Clinical Research and head of the Anesthesia Trials Group, he oversees the conduct of ~50 clinical research studies, including several international, multi-institutional randomized controlled trials. Dr. Pryor conducts research in a number of different areas and is recognized as an authority on the effects of anesthetic drugs on memory. His credits include publications in JAMA, The Lancet, and the New England Journal of Medicine. He has received several research awards and grants, including from the National Institutes of Health, has been an invited speaker at multiple national and international meetings, and is an Associate Editor for the British Journal of Anaesthesia. Another substantial portion of Dr. Pryor s career is dedicated to education and mentorship. He has developed and implemented multiple curricula and courses for the 78 interns and residents that train in the department, and has designed or is involved in a number of mentorship programs for medical students, residents, and faculty. He is the recipient of a number of teaching and educator awards, including as developer of only the second medical, and only anesthesia program to be recognized as an Apple Distinguished Program. Dr. Pryor also has a special interest in global health, which has involved several research and education projects, as well as mission trips to Mwanza, Tanzania. Dr. Pryor lives in New York City with his two sons, Anders and Luca, and a collection of cats and dogs. Outside of work and family, his interests include travel, photography, classical music, and NBA basketball. This is his fifth visit to Salzburg as a seminar faculty member. Kane O. Pryor, MD Vice Chair for Academic Affairs Director of Clinical Research, Director of Education Associate Professor of Clinical Anesthesiology, Associate Professor of Clinical Anesthesiology in Psychiatry Department of Anesthesiology Weill Cornell Medical College 525 East 68th St, Box 124 New York, NY USA kap9009@med.cornell.edu

16 WEILL CORNELL SEMINAR in SALZBURG "Anesthesiology" June 17 23, 2018 FELLOWS

17 Mehdi Aliyev, MD Central Customs Hospital Kazim Kazimzadeh 118 AZ1065 Baku, Azerbaijan Ardak Arynov, MD Kazakh Institute of Oncology & Radiology Abay street,91 A05A2B4 Almaty, Kazakhstan Mungun Banzar, MD, MSc National Center of Maternal & Child Health of Mongolia Amarsanaa street, Bayangol district Ulaanbaatar, Mongolia Temur Baykuziyev, MD Hamad Medical Corporation Ahmed Bin Ali 3050 Doha, Qatar Marjana Burmuzoska, MD Clinic of Anesthesiology, Reanimation & Intensive Care Bul. Mother Teresa Skopje, Republic of Macedonia a Program of the

18 Jan Bydzovsky, MD, PhD University Hospital Motol V Uvalu Prague, Czech Republic honza.bydzovsky@seznam.cz Lukas Cuchrac, MD UNLP Kosice Tr. SNP Kosice, Slovakia lukascuchrac@gmail.com Vesna Dinic, MD Clinical Center Nis Bul. Dr Zorana Djindjica Nis, Serbia vesnadinic1981@gmail.com Rudin Domi, MD, PhD University Hospital Center Mother Theresa Str Rruga e Dibres, Tirana, Albania rdomi73@yahoo.it Karina Drizlionoka Gorovenko, MD Riga East Clinical University Hospital Hipokrata 2 LV-1079 Riga, Latvia karina_drizlionoka@inbox.lv a Program of the

19 Tirunesh Busha Gemechu, MD Jimma University Jimma, Ethiopia Dumitru Grajdianu Institute of Cardiavascular Diseases Carol I Bd. nr Iasi, Romania dgrajdianu@gmail.com Tatiana Jechiu Institute of Emergency Medicine Toma Ciorba Chisinau, Republic of Moldova tatianajeq@gmail.com Fatos Katanolli, MD Clinical University Centre of Kosovo Lagja e Spitalit, Prishtine Pristina, Kosovo fkatanolli@gmail.com Laszlo Klicsu, MD Josa Andras County University Teaching Hospital Szent Istvan Street Nyiregyhaza, Hungary laszloklicsu@gmail.com a Program of the

20 Jasmina Kovcic, MD, MSc University Clinical Center Tuzla Prof.dr.Ibre Pasica bb Tuzla, Bosnia and Herzegovina Rein Kruusat, MD North-Estonian Medical Centre J Sutiste tee Tallinn, Estonia rein18@gmail.com Vladimir Valerevich LI RSSPMCS named after Academician V. Vakhidov Kichik xalqa yoli, Tashkent, Uzbekistan wizeman1989@gmail.com Marijana Matas, MD University Hospital Zagreb Kispaticeva Street Zagreb, Croatia marijana.matas@yahoo.com Mariia Matvieienko, MD V.N. Karazin Kharkiv National University 4, Svobody Sq Kharkiv, Ukraine mariia.matvieienko@karazin.ua a Program of the

21 Smbat Ashot Mkhitaryan, MD Erebouni Medical Center 14 Titogradyan Str Yerevan, Armenia Blagovesta Radoslavova, MD UMHATEM Pirogov 21 Totleben bul 1000 Sofia, Bulgaria Fatma A. Said, MD Catholic University of Health & Allied Science Bugando +255 Mwanza, United Republic of Tanzania Abdulvakhob Salomov, PhD Ctiy Medical Center Intiqlol 50 Street Negmata Karabaeva Dushanbe, Tajikistan Lina A. Sarmiento, MD National Institute of Pediatrics Insurgentes Sur 3700, Letra C Mexico City, Mexico linasarmientoa@gmail.com a Program of the

22 Natalia Tereshkina, MD Military Medical Academy 6 Academic Lebedev Street Saint-Petersburg, Russian Federation ternatasha@narod.ru Arsen Uvelin, PhD Clinical Centre of Vojvodina, Emergency Centre Hajduk Veljkova Novi Sad, Serbia arsenuvelin@gmail.com Rostyslav Voloshchuk Western Ukrainian Specialized Pediatric Medical Center Dnisterska, Lviv, Ukraine rostykv@gmail.com Larissa Vozjaeva, MD Republican Clinical Medical Center ag. Gzdanovichi Minsk, Belarus laravz2000@yahoo.com a Program of the

23 SEMINAR DIARY FROM FELLOW Diary of Marjana Burmuzoska, MD Clinic of Anesthesiology Skopje, Republic of Macedonia June 2018, Sunday I started this journey at 2 am; I was traveling to the airport in fear of boarding my flight (I hate flying), but very enthusiastic about the final destination. I arrived in Salzburg and I was thrilled by the city while traveling with the bus to the Schloss. I found the place very easily and at the reception desk a young lady warmly welcomed me and my colleagues. I had time until 7 pm so I opened Google maps and it guided me to a lovely park called Volksgarten, with a beautiful fountain and even a rainbow. And it was time to meet my colleagues and the faculty. I was so nervous, because a few days before I was looking at the schedule and a couple of names were familiar to me, apparently from the list of literature books for an EDAIC test. My reaction was like WOW I am meeting the professors who actually wrote those books. The reception dinner was great, 30 people from 28 different countries, selected from more than 200 applicants, and conversations about anesthesiology on every corner. However, the rain surprised us and it was time to rest, so I went to bed full of positive vibes and impressions, completely ignoring the storm outside my window. 18. June 2018, Monday It was already Monday morning. After breakfast, it was time for the lectures. We all gathered in a big wonderful authentic Austrian hall and there was professor Hugh Hemmings, more excited than us I think. Just imagine, it is his 15 th time here. All the lectures were so good, many discussions, many opinions, many questions, many experiences I really liked the mixture of approaches, both American and Austrian, that professor Kane Pryor and professor Klaus Klein presented to us through their topics about neuroanesthesiology. The thing I was excited the most about was the basic cardiac echocardiography lecture by

24 professor Shanna Hill, and it was great. After lunch, we had the opportunity to listen to some of the fellows case presentations and they were excellent. Finally, in the evening, we had some free time, and we (the Balkan group) went sightseeing in the city. Lots of history on every corner and imagine us taking photos every minute. We sat at a bar to have some beer and it was great hanging out with my colleagues. Time for bed and some rest, to charge with energy for the next day. 19. June 2018, Tuesday It was day 3 and a similar busy schedule as the previous day; lots of lectures and many different topics. It started with a hot one from professor Hemmings about anesthetics and their possible toxicity to the brain. And then with the excellent professor Jennifer Hunter, who I admired a lot for her incredible and convincing way of passing on her great knowledge about patients with kidney disease. This lady, who is actually a fan of The Beatles, was my surprise of the day. After receiving some theoretical knowledge from professor Peter Marhofer, it was time for the ultrasound workshops, which I think we all impatiently awaited. More than 3 hours of practicing, guided by our professors. We were so excited that we even practiced on ourselves. I don t know where I was finding my energy, but afterwards we went to the city for a walk. I loved the river and the Love Locks Bridge. When we got back, we all gathered in the wonderful garden in front of the Schloss, talked and smiled for a while in the night. 20. June 2018, Wednesday Wednesday was the toughest day for me. It was time for my case presentation. Luckily, we had some very interesting lectures in the morning to keep my mind off of the presentations. Professor Pryor was excellent with his views about postoperative delirium. The best part was the video presentation, which taught us how to evaluate our patients. I think we mastered anaphylaxis and neuromuscular blockage in professor Hunter s lectures. And of course we received some interesting facts about anesthesia in orthopedics and trauma by professor Klein. At the end of the lecture it was time for our presentations. I was nervous, I thought my heart was beating like 130/min, but everything went well, I even got some compliments by professor Hunter that meant a lot to me. At 8:30 pm, it was concert time. Three eminent musicians Wonji Kim-Ozim, Matthias Michael Beckmann and Elena Braslavsky, enriched our night with their passionate performance. We continued with a little wine and talks about Vienna and the Balkan with professor Klein and of course about the Royal family with professor Hunter.

25 21. June 2018, Thursday To Reverse or Not to Reverse started off the day, by the one and only professor Hunter. A little history, lots of study facts and so much of her own touch for the theme, and as always the take home message, to use neuromuscular monitoring every time we apply nondepolarizing NMBA! Next was professor Hill with lot to say about transfusion and as always too little time for a topic like this. I always enjoyed professor Klein s lectures, because he became so close and attached to the group and I think he was trying to help and teach us as much as the time allowed. Finally, an afternoon all for ourselves. We went to Hohensalzburg Festung and the view from up there was breathtaking. When we got back, everyone had a different story to share, but the best one was the visit and swimming in Fuschlsee Lake by Vladimir, Smbat, Rein and Temur. We were very excited to go to the Pub Steinlechner, it was professor Hemmings s favorite place. We had a wonderful time, many stories, lots of beer, laughing and many selfies, as it was International Selfie Day. Certainly, it was a night to remember. 22 June 2018, Friday We all knew that it was our last day of lectures and it was a bit hard. We had a good one by David Baron about patient blood management, with some good take-home messages. Then some obstetrics with Dr. Klaus Klein. I think my favorite lecture during the seminar was professor Pryor s summary of major trials in anesthesiology. I enjoyed his enthusiasm during the presentation. He motivated me to keep myself updated about new research in anesthesiology. After the lunch break we had the Publishing Workshop by the previous and current BJA editors and I think it would be hard to please any of them as an editor but I will keep dreaming that someday I will accomplish it. In the evening it was time for the Farewell Reception and Graduation Dinner. We all enjoyed it so much, I was happy for all my colleagues. We stayed very late in the night talking and talking about everything, even the teachers didn t want this night to end. 23 June 2018, Saturday It was time to end this journey. I was so sad that we were separating and going home. I wanted to stop the time and stay a little bit longer in Scholoss Arenberg. I was on my plane to Vienna looking down on this amazing place and rethinking about every single detail from this week. I was very happy that I got this opportunity to meet all these wonderful people and they for sure motivated me to study more, to explore more, to research more, to keep improving myself and to keep working hard. Until next time, Salzburg, because I m planning to come back Marjana Burmuzoska, MD (Republic of Macedonia)

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27 SEMINAR DIARY FROM FELLOW Jasmina Kovcic, MD, MSc University Clinical Center Tuzla Tuzla, Bosnia and Herzegovina June, Sunday: Sunday morning...i started my journey from Tuzla-Sarajevo by car, and then an easy and nice plane ride to Salzburg through Vienna. The taxi drive from Salzburg airport to Arenberg Schloss showed me a bit of the amazing city Salzburg with amazing parks and green trees, beautiful river and the stunning view of Hochen Salzburg Fortress looking like a guard over the city. I got to the Arenberg Schloss that put me in fairy tale times with a beautiful enterance and park around it. After the reception procedure and room settlement, I took a short and nice walk around the castle and nearby streets with beautiful houses, flowers in the gardens. Salzburg has already amazed me. I had some rest after my walk and was so inpatient to meet new friends and faculty. After the welcome and introduction procedure - the athmosphere was so calm and friendly - few of us decided to have a walk down the streets to have some fresh air and enjoy the Salzburg spirit. After that it was time to sleep to get strength and rest for coming week. 18 June, Monday: Monday morning, raining, a well-done, typical pesimistic Monday morning. I hardly woke up at 6 o'clock. But here we go, so many reasons to be here. After breakfast and chats with collegues, we finally reached the lecture hall, walked up the stairs with a view of the ceiling crystall chandelier, and entered the gorgeous lecture hall with wooden ceilings and photos of musicians, real Austrian spirit all around. The pre-seminar test was very controversial: too many questions that we were usually speaking about that gave multiple answers, but now we need to put only one!!! Well, that is why we are here to learn. There was a great introduction of the faculty members by Dr. Hugh Hemmings Jr. Then he started the first lecture about synaptic pharmacology of general anesthesia with so many details and lab findings through so many studies and was so interesting from that point of view, like NASAlevel expertise in anesthesiology. Another lecture was by Dr. Kane Pryor about neurophysiology and applied neuroprotection, followed by practical advice and advanced

28 science points. Then we had a presentation by Dr. Klaus Klein about Traumatic Brain injury with useful facts and new up-to-date data that was a pleasure to listen to and easy to understand. Then we had lunch and the following lecture by Dr. Hill, which for me as a cardiac anetshesiologist was very interesting and usefull, was about basics in cardiac echo. It was a really simple and interesting way to explain the basics and important things related to the topic. Then we had 12 great case presentations from different countries, voluntary ones. So many interesting cases and new things to think about in regards to the after effects of anesthesia. Later that day, we (balkan ex yu-group) decided to go for a walk to the historical part of Salzburg. We had such a remarkable walk along the river and trees and beautiful houses, wondering who about the life living inside them. Of course we took so many photos at every corner, every bridge, every monument. We passed by shops with Mozart sweets (famous Mozart kugeln), Mozart statue, and then finally the house where the great - and one of my favorite composers - Mozart was born. Well, when in Salzburg, it is all about Mozart. The old city of Salzburg is so beatuful with narrow, cobblestoned streets, restaurants, people walking, everything was so perfect, with ancient spirit. We met some friends and had a great night out watching the Football World Cup and drinking some drinks in a cheerful atmosphere. We were all a little bit tired and came back to the hotel to get a dose of good sleep to be ready for the day. 19 June, Tuesday: morning, what nice and sunny weather. I even woke up before my alarm, ready to have a great day full of obtaining new knowledge and fun. Breakfast was great, the first lecture was again by Dr. Hugh Hemmings, an interesting one about neurotoxicity of anesthetics, which was very nice and useful and brought me facts that are controversial but worthy of thinking about, yet very important for daily routine and futher aspects of science. Next lecture was by Dr. Marhofer about FAST ultrasound diagnostics, which was really interesting and showed very important facts in daily and emergeny cases that could be very useful to me after I return to my hospital. We continued with ultrasound guided regional anesthesia aspects and prospectives. Lunch outside the castle in a beautiful garden and sounds of many birds... Back to lecture with such an interesting and amazingly interactive lecture by Dr. Jennifer Hunter, spiced with such powerful energy. The theme was very interesting, Anesthesia for Patients with Kidney Disease, which I found very useful since I often face so many kidney disease patients undergoing cardiac surgery in my hospital, so this information will be useful in dealing with difficult cases. And then the most interesting and the most useful part of the day, ultrasound workshops. For me (as a cardiac anesthesiologist) the most interesting part was cardiac echo performed by Dr. Hill, who performed such techniques to obtain and assess the heart with ease. Other workshops were interesting and useful with practical issues.

29 And after such a meaningful day, the female part of the Balkan group decided to go for a walk, coffee, and ice cream time in some cafe downtown. The weather was amazing, real summertime, we tried to find some shops for presents. After that we returned to the Arenberg Schloss to take a walk to the forest for an amazing view and photo, and hung out in the front of the Schloss with the rest of the group, exchanging experiences in daily routines in OR, conference visits, and getting to know each other better by talking about the countries we are coming from. Then I went to sleep to prepare for tomorrows case presentation. 20 June, Wednesday: morning, the middle of the day, such a beautiful and sunny morning, so easy to wake up, fresh and ready for the new lectures and case presentations from the fellows and myself. As usual, I enjoyed breakfast and coffee outside. The day started with such an interesting and amazing lecture by Dr Kane Pryor about post opeative delirum, which I really liked since I often face it in my ICU. New facts are on the way to being applied. Another one with such great spirit from Dr. Jennifer Hunter about anaphylaxis during anesthesia, something that all anesthesiologists can face everyday and any moment. And we started with the case presentations, all of them were so interesting and international, such amazing cases and such competent management of the collegues during the event, and great discussion. In the afternoon we went to see the marvelious Mirabell Palace and garden with such beautiful flowers and parks, I had a great walk and coffee afterwards. And maybe one of the best entertaiment parts was the chamber concert with a great trio playing Mozart and Haydn music, that took me back in time to the composers' time. The night was beautiful outside hanging out with the faculty and fellows until the late night. 21. June, Thursday: started out sunny and warm with lectures, but all of the fellows were looking forward to the free afternoon, we had so many plans and checked the weather forecast. Lectures started with Dr. Jennifer Hunter about reversing or not reversing the muscule relaxants, a really interesting lecture. Dr. Hill continued with transfusion issues, another really great lecture, I particulary liked it as I often deal with coagulopathy disorders in my daily work routine. Then we had emergency echocardiography followed by more case presentations. We used our free afternoon to do some shopping for presents for our loved ones, visited Hohensalzburg Schloss, such an amazing and beautiful experience. After we returned to Arenberg, had dinner and exchanged experiences with the other fellows about how they spent their free afternoon. Some of them went to a nearby lake, I felt a little bit sorry for not going with them. But maybe next time. Thanks to dear Tatiana from Moldova, we have a Whatsapp group to keep in touch after we leave Salzburg and share the experiences. I was in the spirit for the World cup, since Croatia was playing against Argentina and won 3-0. It nightfall outside of Arenberg Schloss and we counitued with joining the faculty in a local pub. We were having such a great time in a great and relaxed atmosphere, laughing and taking selfies (Today is International selfie day as we were informed by Rein from Estonia ) We returned to Arenberg Schloss after midnight and we all got wet from the rain.

30 22 June, Friday: Rainy morning, last day, kind of sad emotions. Great lectures from Dr. Hill and Dr. Baron about topics I am very interested in - blood management and emergency transfusion - including experiences and protocols that I will definiteley use when I return to Bosnia. Dr. Klein coinutinued with anesthesia for labor and delivery, what a really great lecture like yesterday's lecture about pospartum haemorrhages. An interesting lecture and workshop was given by Dr. Hunter and Dr. Hemmings about publishing and editor-pleasing. We all waited to see how we will do on the test and evauluated the attained knowledge during the seminar. The test was great and results too. Finally, time to have the farewell reception and graduation dinner. It was great despite the solemnity and awards and awareness that we have come to the end of the seminar. It was a little bit sad and emotional. For this short period we became attached to each other. Wolfgang Aulitzky held his final speech, congratulated us on our successful and fruitful training, which was confirmed by the post-seminar test results. He handed out the certificates, then we took photos with the faculty and had a great time with the whole group, spending our last night in Salzburg in an amazing and fun atmosphere. 23. June, Saturday: The day of departures. We said goodbye to each other and hoped to see each other again somewhere, sometime. I looked back at the last week and felt mixed feelings, I was very happy because I found new friends, I have learnt a lot, and yet at the same time I was very sad because the seminar was over. But I hope, in the future, I ll have the opportunity to attend many new interesting and useful seminars like this one. In conclusion, I want to express a great gratitude to everyone involved in the organization of this perfect seminar, it was a pleasure to be a part of it. Thank you so much! Jasmina Kovčić (Bosnia and Hezegovina)