Cardiothoracic Challenges in Non-Cardiac Anaesthesia – 9th June 2025

Description

• Date: 9^th June 2025
• 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!

Programme

09:00 – 09:15 | Welcome and Introduction

09:15 – 10:05 | Life After Transplant: Managing Post-Heart and Lung Transplant Patients for Non-Cardiac Surgery

• Managing immunosuppression and haemodynamics in transplant patients
• Post-heart transplant patient requiring non-cardiac surgery – how do you optimise management?

10:05 – 10:55 | Aortic Stenosis & Mitral Regurgitation: High-Risk Valvular Pathologies for Non-Cardiac Anaesthesia

• Severe aortic stenosis – intraoperative strategies for stability
• Severe mitral regurgitation for laparotomy – how to optimise anaesthesia?

☕ 10:55 – 11:10 | Coffee Break

11:10 – 12:00 | The Right Ventricle Matters: Pulmonary Hypertension and RV Failure in the OR

• Managing induction and ventilation in severe pulmonary hypertension
• Best strategies to support the right ventricle perioperatively
• Choose the optimal anaesthetic plan for an RV failure patient

12:00 – 12:50 | End-Stage Heart Failure: Perioperative Strategies for the Failing Heart

• LVAD perioperative management – troubleshooting alarms and haemodynamic support
• How to manage patients with low ejection fraction (EF)?
• LVAD patient requiring urgent surgery – what’s your approach?

🍽 12:50 – 13:20 | Lunch Break

13:20- 13:40 Discussion / Q&A with the faculty for the morning topics

13:40 – 14:30 | Perioperative Anticoagulation and Antiplatelets: Balancing Bleeding and Thrombosis Risk

• Coronary stents and DAPT – when to stop or continue?
• Regional anaesthesia and antiplatelets – is it safe?
• Managing perioperative anticoagulation in a patient with a mechanical valve

14:30 – 15:20 | Invasive vs. Non-Invasive Monitoring: When Less Is More

• When should we escalate to invasive monitoring?
• Choose the right monitoring strategy for different perioperative scenarios

☕ 15:20 – 15:35 | Coffee Break

15:35 – 16:25 One-Lung Ventilation: Principles, Pitfalls, and Patient Safety

• Balancing oxygenation and ventilation in OLV
• Troubleshooting common challenges – hypoxia, tube malposition, ventilation strategies

16:25 – 16:50| Expert Panel Discussion: Ask the Specialists

• Key takeaways from the course
• Challenging cases and real-world problem-solving
• Open Q&A with faculty

16:50 – 17:00 | Closing Remarks and Feedback

• Summary of key learning points
• Course evaluation and certificates

Faculty

Antoni 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!

Course image credit: www.freepik.com