EQUIPMENT


Speaker: Jana Puhlovska PE, Ph.D.

Topic: Echelon FlexTM Powered Vascular Stapler and Harmonic 1000i Shears

Institution: Johnson & Johnson, s.r.o., Praha

E-mail: jpuhlovska@its.jnj.com

Abstract

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Speaker: Kamil Hudacek, M.D.

Topic: High-flow nasal cannula or High-flow oxygen therapy

Institution: Department of Anesthesiology, Resuscitation and Intensive Medicine Faculty Hospital Brno, Faculty of Medicine, Masaryk University Brno

E-mail: Hudacek.Kamil@fnbrno.cz

Together, we will discover that HFNC is a simple and easy technique to use and patients are more comfortable and better compliance whit it than using face mask or non-invasive positive pressure ventilation devices. It allows the clinician to provide accurate oxygen delivery in a wide array of patient populations and treatment areas, i.e. to provide apneic oxygenation during tracheal intubation in operating theater, ICU or ED. Based on the clinical evidence, the utilization of HFO therapy in appropriate patients can improve oxygenation and can decrease the patient’s work of breathing without the need for noninvasive or invasive ventilation. In the end we will discuss our practical experience so far.

 


Speaker: Jen-Hao Chuang, M.D.

Topic: NITS Equipment

Institution: National Taiwan University Hospital Taipei TW

E-mail: renhao912@hotmail.com

Abstract

Sharp tools make good work. If we want to perform a perfect surgery, then we must familiar with our instrument. This section will introduce the equipments for both aspects of anesthesia and surgery.

About anesthesia, we will focus on AIRVO™ 2” system” and “Bispectral Index™ (BIS)” system. The “AIRVO 2 system” features a humidifier with integrated flow source that comfortably delivers high flows of air/oxygen mixtures to spontaneously breathing patients, through the unique Optiflow nasal interface. Bispectral index (BIS) is one of technologies used to monitor depth of anesthesia. Titrating anesthetic agents to a specific bispectral index during general anesthesia in adults.

Regarding surgery, there are some unique surgical instruments we use in NITS which including endoscopic surgical instruments for performing vagal/intercostal nerve blockade. Also, the Endoscopic stapler is necessary in lung resection surgery. Endo-GIA combines the advantages of ergonomic design, articulation, and one-handed grasping to increase the operational performance. The Stapler places two, triple staggered rows of titanium staples and simultaneously cuts and divides the tissue between the two rows.

Hope that through the above introduction, it will help you understand the next section about surgery.

 


Speaker: Tomas Joukl

Topic: Understand Optiflow Nasal High Flow

Institution: POLYMED medical CZ, a.s. Czech Republic

E-mail: tjoukl@polymed.cz

Abstract

Optiflow Nasal High Flow delivers respiratory support to your spontaneously breathing patients, by providing heated, humidified air and oxygen at ow rates up to 60 L/min through the unique Optiflow nasal cannula. Discover more about mechanism, physiological effects and clinical outcomes and how using Optiflow can reduce escalation of care.


Speaker: Vaclav Kalis, M.D.

Topic: Bispectral index

Institution: Department of Anesthesiology, Resuscitation and Intensive Medicine Faculty Hospital Brno, Faculty of Medicine, Masaryk University Brno

E-mail: v.kalis@seznam.cz

Abstract

The Bispectral Index (BIS) is one of several technologies used to monitor the depth of anesthesia. It was introduced in 1994 as a novel measure of the level of consciousness and  in 1996, the US FDA approved it for assessing the hypnotic effects of general anesthetics and sedatives. The essence of BIS is to take a complex EEG signal, analyse it and process the result into a single number that ranges from 0 to 100 (a value between 40 and 60 indicates an appropriate level for a general anesthesia). Although the index is statistically based, the exact calculation algorithm is proprietary. 
BIS should not be used as the sole monitor of anesthesia, as it can be affected by other factors, such as the anaesthetic drugs used, muscle movements or possible artefacts from a surgical equipment. Together with some other kind of monitoring (e.g. EKG, BP), BIS helps the anesthetist to adjust the amount of anesthetic agent to the needs of the particular patient, to reduce the occurence of an intraoperative awarness with unwanted and dangerous movements of the patient and to induce an expeditious emergence from the anesthesia. Therefore, BIS monitoring is a necessary part of the anaesthetic procedure during the non-intubated thoracic surgery.


Speaker: Katerina Skrivanova, MSc, Ph.D.

Topic: Perspectives of Indocyanine green (ICG) dye  in biomedicine 

Institution: Departmenf of Surgery, Faculty Hospital Brno Faculty of Medicine, Masaryk University
E-mail:katerina.skrivanova@gmail.com

Abstract
The objective of this presentation is sharing a knowledge about dye Indocyanine green (ICG) as an agent widely used in traditional and recently introduced diagnostic clinical applications and as well a promising agent for therapeutic modalities. Indocyanine green is a tricarbocyanine dye having a molecular weight of 751.4 Da. In aqueous solutions, ICG molecules tend to aggregate, which influences their optical properties. ICG has been used in medicine since the late 50s to measure cardiac output, to study the anatomy of the retinal vessels, and to measure liver functional reserve before hepatic resection in cirrhotic livers. ICG can be injected into the human blood stream with practically no adverse effects. ICG becomes fluorescent once excited with specific wavelength light in the near infra-red (NIR) spectrum (approximately 820 nm) or a laser beam. The fluorescence can be detected using specific scopes and cameras and then transmitted to a standard monitor allowing identification of anatomical structures where the dye is present (i.e., biliary ducts, vessels, lymph nodes, etc.). NIR fluorescence imaging has better tissue penetration, allowing for the effective rejection of excitation light and detection deep inside organs. ICG has nonlinear fluorescence quantum yield versus concentration. ICG can be used without much worry of phototoxicity due to singlet oxygen production; when ICG is used as a photodynamic or photothermal agent, its decomposition products may be the main cause of phototoxicity. Results of recent research suggest ICG as a potentially convenient agent for use in photodynamic therapy.  Future directions, including the conjugation of NIR fluorophores to target specific cancer markers might be realistic technology with diagnostic and therapeutic benefits.


Speaker: Petr Štorek, PE

Topic: From light carrier to fluorecence endoscopy

Institution: Karl STORZ

E-mail: p.storek@seznam.cz

Abstract

Starting a little bit with history this lecture reminds at the start ancient specula – first predecessors of present days endoscopy. Then it mentions first ligh sources, documentation and first experience with optics used in the laparoscopy. The camera systems stimulate wide development of the endoscopy. Markable changes were recorded since the middle of last century when the camera was used for the first time. From black-and-white imaging with low resolution up to 4K resolution cameras with rich software supplementation including fluorescence which is dealing in the last part of the talk.

 


Speakers: Zuzana Svarcova, MSc, Zdenek Svozil, MSc.

Topic: Medtronic Endostapling

Institution: Medtronic Czechia sro

E-mail:
zuzana.svarcova@medtronic.com
zdenek.svozil@medtronic.com

Abstract

EndoGia Tristaple and iDrive – a new way in endostapling.
Just the right amount of pressure. See the presentation.