Description
- Date: 9th 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
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 Stephen Pettit
Consultant Cardiologist , Royal Papworth Hospital, Cambridge
Stephen Pettit studied medicine at the University of Newcastle upon Tyne. He has worked as a Consultant Cardiologist at Royal Papworth Hospital since 2014. He specialises in Advanced Heart Failure, MCS and Heart Transplantation. He is Clinical Lead for the Transplant Unit. He works closely with cardiac surgeons, intensive care doctors and specialist nurses, looking after some of the sickest heart failure patients in the UK. He is also a certified cardiac device specialist. He served on the board of the British Society of Heart Failure from 2017 until 2021. He enjoys climbing, cycling, growing chillies and learning to code in R. He has abandoned the bin fire of Twitter/X and now tries to raise the profile of advanced heart failure on Bluesky @drstephenpettit.bsky.social.

Rizwan Nazarali, MD
Assistant Professor, Anesthesiology
University of Colorado Hospital
My name is Rizwan Nazarali and I am a Board Certified anesthesiologist at the University of Colorado and I specialize in adult cardiothoracic anesthesiology and management. My education and schooling happened in Texas, where I spent most of my life before moving to Colorado. I graduated with my doctorate in medicine at Texas A&M University. My educational interests involve testosterone supplementation, particularly in the peri-operative elective cardiac surgery arena, improving quality processes, and teaching junior physicians. I am a proud father of two 10-year-old twin girls, and a very happy husband to a school nurse. I enjoy watching movies, cooking, and spending time outdoors. Ask me about how I once intubated a horse.

Dr Guillermo Martinez
Consultant in Cardiothoracic Anaesthesia & Intensive Care
Dr Guillermo Martinez completed his Anaesthesia and Intensive Care training in Madrid, Spain. He then undertook a Cardiothoracic Anaesthesia Fellowship at Royal Papworth NHS Foundation Trust, Cambridge, UK. Dr Martinez is a Consultant anaesthetist specialised in cardiothoracic anaesthesia, including heart and lung transplantation, pulmonary endarterectomy, aortic arch replacement, and ECMO.
Dr Martinez has also developed a special interest in high-risk patients with pulmonary hypertension undergoing non-cardiac surgery, balloon pulmonary angioplasty and thromboendarterectomy for chronic thromboembolic pulmonary hypertension. He is the anaesthetic lead for the aorta working group.

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