Description
- Date: 8th June 2026
- Time: 09:00 – 17:00
- Online interactive course (meeting details and link will be provided by email prior to course date)
Introduction
Are you prepared to manage complex cardiothoracic patients in non-cardiac settings? This highly interactive, case-based study day will enhance your confidence in perioperative management through real-world clinical scenarios, expert-led discussions, and interactive decision-making exercises.
Topic of the day
- Managing post-heart and lung transplant patients for non-cardiac surgery.
- Valvular Pathologies in Anaesthesia
- Right Ventricular Failure & Pulmonary Hypertension
- End-Stage Heart Failure & LVAD Management
- Anticoagulation & Antiplatelets
- Invasive vs. Non-Invasive Monitoring
- One-Lung Ventilation
Why Attend?
✅ Case-Based Learning: Engage in interactive clinical scenarios to apply knowledge in real time
✅ Expert-Led Teaching: Learn from leading specialists in cardiothoracic anaesthesia and perioperative medicine
✅ Interactive Format: Participate in decision-making exercises, live Q&A, and panel discussions
✅ Practical Skills: Gain confidence in managing high-risk cardiac patients outside specialist centres
👉 Join us for this unique educational experience and take your perioperative skills to the next level!
Course Programme
Session 1 – The Transplant Patient in Non-Cardiac Surgery
Optimising the Heart and Lung Transplant Recipient
09:30 – 10:00 | Anaesthetic Perspective
Dr Shane George
10:00 – 10:30 | Heart Failure Perspective
Dr Sai Bhagra
Key Themes
- Immunosuppression considerations
- Haemodynamic management
- Risk stratification and perioperative optimisation
10:30 – 10:45 | Coffee Break
Pregnancy and the Failing Heart
10:45 – 11:15 | Cardiac Disease and Peripartum Cardiomyopathy
Dr Katriona Bhagra
Key Themes
- Cardiovascular physiology of pregnancy
- Peripartum cardiomyopathy
- Anaesthetic considerations for high-risk obstetric patients
Valvular Disease Under Anaesthesia
11:15 – 11:45 | Aortic Stenosis and Mitral Regurgitation in Non-Cardiac Surgery
Dr Fabio Sangalli
Key Themes
- Haemodynamic goals
- Risk stratification
- Anaesthetic strategies in severe valve disease
11:45 – 12:15 | Round Table Discussion with the Experts
12:15 – 13:00 | Lunch
Session 2 – Cardiac Challenges in the Operating Theatre
Intraoperative Arrhythmias: Recognition, Priorities and Treatment
13:00 – 13:30
Key Themes
- Identifying life-threatening arrhythmias
- Immediate management strategies
- When to cardiovert or treat pharmacologically
When the Right Ventricle Fails
13:30 – 14:00 | Pulmonary Hypertension and the Anaesthetic Challenge
Dr Antonio Rubino
Key Themes
- Pathophysiology of RV failure under anaesthesia
- Induction in severe pulmonary hypertension
- Ventilation and haemodynamic targets
- Preventing and managing RV collapse
When the Left Ventricle Fails
14:00 – 14:30 | Advanced Heart Failure and LVADs in Non-Cardiac Surgery
Dr Maurizio Bottiroli
Key Themes
- Anaesthetic management of severe LV dysfunction
- Haemodynamic goals in advanced heart failure
- LVAD physiology and perioperative monitoring
- Troubleshooting LVAD alarms and emergencies
14:30 – 15:00 | Round Table Discussion with the Experts
15:00 – 15:15 | Coffee Break
Session 3 – Perioperative Management and Advanced Techniques
Perioperative Anticoagulation
15:15 – 15:45 | Balancing Bleeding and Thrombosis
Dr Martin Besser
Key Themes
- Coronary stents and dual antiplatelet therapy
- Regional anaesthesia and antiplatelets
- Mechanical valves and perioperative bridging
One-Lung Ventilation
15:45 – 16:15 | OLV: Physiology, Pitfalls and Rescue Strategies
Dr Chinmay Patvardhan
Key Themes
- Balancing oxygenation and ventilation during OLV
- Troubleshooting hypoxia
- Tube malposition and ventilation strategies
16:15 – 16:45 | Round Table Discussion with the Experts
Closing Session
16:45 – 17:00 | Closing Remarks and Feedback
- Summary of key learning points
- Course evaluation and certificates
Course Director

Antonio Rubino MD – Course Director
Cardiothoracic Anaesthetist and Intensivist, Royal Papworth Hospital NHS Foundation Trust
I am a Cardiothoracic Anaesthetist and Intensivist at Royal Papworth Hospital in Cambridge. I pursued my medical education graduating from University of Pisa in 2007 where I completed my Anaesthesia and Intensive Care training in 2012.
Since 2012, I’ve been an integral part of the Royal Papworth Hospital, initially starting with a fellowship in Cardiac Anaesthesia and Intensive Care and moving into a consultant role in February 2014.
Throughout my career, I’ve fostered a keen interest in echocardiography and education. I’ve established dedicated teaching sessions in point-of-care ultrasound for ICU and Anaesthesia trainees. Engaging with the cardiology department, I set up a quality assurance system for ultrasounds performed in intensive care, aiming for higher standards in patient care.
As the Course Director for Point of Care Ultrasound since 2017, I’ve organized over 20 courses to date. My commitment to advancing this field led me to become the Focused Transoesophageal Echocardiography (fTOE) Program National Lead and a FUSIC Committee Member since May 2019.
My contributions extend to publications in esteemed journals, exploring topics like comprehensive hemodynamic assessment with ultrasound and the role of lung ultrasound in patients on extracorporeal membrane oxygenation.
Furthermore, I’ve had the honor of presenting internationally on subjects ranging from transesophageal echocardiography in thoracic anesthesia to the impact of intraoperative TEE on outcomes.
My journey continues to be driven by a passion for innovation, education, and delivering high-quality care to my patients. Let’s connect and explore the realms of cardiovascular medicine and intensive care together!
Faculty

Dr Sai Bhagra
Consultant Cardiologist , Royal Papworth Hospital, Cambridge
Dr Sai Bhagra is a consultant cardiologist at Royal Papworth Hospital in Cambridge. As part of the multi-disciplinary team at UK’s largest heart transplant centre, he is involved in treating patients with advanced heart failure.
Sai completed his subspecialty training in advanced heart failure, MCS and cardiac transplantation at the Golden Jubilee National Hospital, Glasgow, Freeman Hospital, Newcastle-upon-Tyne and Toronto General Hospital, Toronto.
Sai has a research interest in long term outcomes after heart transplant and MCS and increasing donor utilisation. He was short listed for the ISHLT Philips Caves award in 2015 and awarded the ISHLT Transplant Registry Early Career Award in 2016.

Maurizio Bottiroli, MD
Cardiac anesthesiologist and intensivist at Beth Israel Deaconess Medical Center and an Assistant Professor of Anesthesiology at Harvard Medical School
Maurizio Bottiroli, MD, is a cardiac anesthesiologist and intensivist at Beth Israel Deaconess Medical Center and an Assistant Professor of Anesthesiology at Harvard Medical School. His research focuses on cardiogenic shock, mechanical circulatory support (MCS), and respiratory failure. Dr. Bottiroli has a strong commitment to education in mechanical circulatory support and participates in multidisciplinary training programs, structured curricula, and simulation-based initiatives focused on ECMO, LVAD, and advanced respiratory therapies.

Martin Besser
Consultant Haematologist at CUH, RPH and UCLH
Martin Besser is a consultant Haematologist at CUH, RPH and UCLH. He has worked as the sole haematologist at Royal Papworth since 2008 and has a strong interest in perioperative haemostasis iin cardiothoracic surgery and haemoglobinopathy.
He is the Speciality lead for Non Malignant Haematology at Cambridge University Hospital And an EPIC physician builder.
He is the UK chief investigator of all current phase 3 clinical trials in sickle cell (STAND, RISE UP, Hibiscus2) as well as in the ENERGIZE thalassaemia trial.

Fabio Sangalli, MD, FASE
Anaesthetist and Intensivist, Director of Anaesthesia and Intensive Care, Director Department of Emergency and Acute Care, ASST Valtellina e Alto Lario, Sondrio, Italy
I worked for 17 years as a Cardiothoracic Anaesthetist and Intensivist at San Gerardo University Hospital in Monza, after graduating from the University of Milan in 2000, and completing my training in Anaesthesia and Intensive Care from the University of Milano-Bicocca in 2004. After serving for two years as the medical director for prehospital medical care in the Milan Metropolitan Area, four years ago I became the Director of Anaesthesia and Intensive Care, and the Director of the Department of Emergency and Acute Care in Sondrio, in the northernmost region of Lombardy, where we are now organising the next Winter Olympics.
In Monza I focused my clinical and research interest in echocardiography, where I was the lead Consultant for the department of Anaesthesia and Intensive Care, and ECMO, where I contributed to start and develop the ECPR programme from 2005.
In my role as an academic tutor before, and as an Adjunct Professor from 2017 on, echocardiography, mechanical circulatory support, cardiac arrest, mechanical ventilation, and trauma care have always been my main fields of interest.
I contributed a number of publications in international peer-reviewed journals, particularly in the fields of cardiac anaesthesia and ECMO, and book chapters. Together with Prof. Nicolò Patroniti, and Prof. Antonio Pesenti, I also edited a book on ECMO which received a very good appreciation.
Apart from my academic activities, I had the honour to serve as the President of the Italian Association of Cardiothoracic Anaesthesia and Intensive Care (ITACTAIC), where I now serve as a member of the Board of Directors, and Treasurer. During my term as President, together with Dr. Antonio Rubino, we set up the Italian accreditation in Focused TOE, which is now in its tenth year.
I also have the honour of serving as member of the Board of Directors and Education Chair of the European Association of Cardiothoracic Anaesthesia and Intensive Care (EACTAIC), where I take responsibility for coordinating all the educational activities, and the fellowship and training exchange programmes of the Association.
I regularly have the privilege to present at international meetings and courses, mainly on various aspects of ultrasound in anaesthesia and intensive care, haemodynamic monitoring, acute heart failure, and mechanical circulatory support.
After more than 20 years, I’m even more committed and dedicated to learning and teaching, to ensure the best quality patient care. I’m excited for this new opportunity to share experiences and learn from each other!
Course image credit: www.freepik.com