Introduction to Specialty Training in Cardiothoracic Surgery Course (ST3A)

Transcription

1 Introduction to Specialty Training in Cardiothoracic Surgery Course (ST3A) Abbott Medical Elder House, Blythe Valley Business Park Solihull B90 8AJ 19 th -21 st November 2018 Programme Course Directors Tom Barker, University Hospitals Coventry and Warwickshire NHS Trust John Pilling Consultant Thoracic Surgeon, Guy s Hospital, London Adrian Levine, Royal Stoke University Hospital Managing Director, CALS course

2 Faculty List Cardiac Surgery Faculty (Days 1& 2) Mubarak Chaudhry Kasra Shaikhrezai Jacqui Simmons Castle Hill Hospital, Hull Thoracic Surgery Faculty (Days 1&2) Golden Jubilee National Hospital, Glasgow Senior Perfusionist University Hospitals Coventry and Warwickshire NHS Trust Alan Kirk Aiman Alzetani Invited Faculty Richard Page (Day 1) Rajesh Shah (Day 2) Susana Cipriano (Day 2) Sri Rathinam (Day 2) Dr Mubarak Ahamed (Day 1) CALS Faculty (Day 3) Colin Moore Binu Arthur Vince Consultant Thoracic Surgeon Golden Jubilee National Hospital, Glasgow Consultant Thoracic Surgeon University Hospital Southampton President SCTS & Consultant Thoracic Surgeon Liverpool Heart and Chest Hospital SAC Chair & Consultant Thoracic Surgeon Wythenshaw Hospital, Manchester Head of Joint Committee on Surgical Training (JCST) SCTS Education Secretary & Consultant Thoracic Surgeon University Hospitals of Leicester Consultant Cardiologist University Hospital Birmingham Consultant Cardiac Anaesthetist and Intensivist Edinburgh Royal Infirmary Consultant Cardiac Anaethetist and Intensivist Leeds General Infirmary Edinburgh Royal Infirmary

3 Day 1 Monday 19 th November :15 08:45 Registration 08:45 09:00 Welcome and Introduction Tom Barker, John Pilling 09:00-12:15 10:30 10:45) Rotation A (4 groups: 45min per session) 1. Cardiopulmonary bypass & myocardial Mubarak Chaudhry/Kasra protection Shaikhrezai 2. Trans-thoracic echocardiography Dr Mubarak Ahamed/Tom Barker 3. Thoracic imaging CXR, CT, PET Alan Kirk 4. Fitness and case selection John Pilling 12:15 12:45 5. SCTS & Professionalism Richard Page 12:45 13:30 Lunch 13:30-17:45 15:30 15:45) Rotation B (4 groups: 60min per session) 6. Chest drain insertion & drain John Pilling management 7. Bronchoscopy & single lung ventilation Alan Kirk 8. Aortic cannulation wet lab Mubarak Chaudhry/Tom Barker 9. Coronary anastomosis wet lab Kasra Shaikhrezai/Tom Barker 17:45 18:00 Questions & answers All faculty 19:30 Course dinner

4 Tuesday 20 th November :30-12:45 10:30 10:45) 12:45 13:15 Lunch Day 2 Rotation C (4 groups: 60min per session) 10. Thoracic surgery scenarios John Pilling 11. Cardiothoracic trauma scenarios Alan Kirk 12. Cardiopulmonary bypass scenarios Mubarak Chaudhry 13. Cardiac surgery scenarios Tom Barker 13:15 14: SAC/JCST processes Rajesh Shah/Susana Cipriano 14:00 14: Human factors and non-technical skills Sri Rathinam for surgeons (NOTSS) 14:30-17:45 16:00 16:15) Rotation D (4 groups: 45min per session) 16. Coronary angiography Kasra Shaikhrezai 17. ITU: cardiovascular management Tom Barker inotropes, bleeding & pacing 18. ITU: respiratory management & John Pilling, Colin Moore ventilation parameters 19. Tracheostomy & mini-tracheostomy Alan Kirk insertion wet lab 17:45 18:00 Questions & answers All faculty

5 Day 3 Wednesday 21 st November :00-09:00 Introduction to CALS-S: The EACTS / STS guideline for resuscitation after cardiac surgery 09:00-10:00 Demo & baseline practical: Cardiac arrest management with chest opening 10:00-10:15 Coffee break 10:15-11:00 Management of Cardiothoracic Emergencies The 5-point plan Hypotension & arrhythmias (CVS problems) Poor gases (Respiratory problems) 11:00-12:30 Practicals (1) (2 x 45 mins) Emergency airway management in arrest Chest re-opening 12:30-13:15 Lunch 13:15-14:45 Practicals (2) (2 x 45 mins) Emergency epicardial pacing IABP or Other (centre specific) 14:45 15:00 Coffee break 15:00 15:15 Putting it All Together 15:15 16:30 Practicals (3) Scenarios (7 scenarios) 16:30 17:30 Post-test: Cardiac arrest moulage. Cardiac arrest management with chest opening 17:30 18:00 Summary and Evaluations