General program

Please note that the below program is subject to change.

Wednesday

07:00 - 17:00

Workshop
(Detailed program will be available soon)

*This course will be open for max 30 medical or nursing professionals with some expertise already in Pediatric Procedural Sedation.

For more information or registration for this workshop please contact Piet Leroy directly (p.leroy@mumc.nl).

 

Thursday

07:00 - 08:45

Registration – Coffee/Tea – Breakfast
(exhibition hall)

08:45 - 09:00

Welcome and Introduction
Lecture Room

Piet Leroy

09:00 - 12:00

Theme: The human factor
Lecture Room

Piet Leroy (chair)

09:00 - 10:00

The Biological Fundamentals of Empathy

Frans de Waal

10:00 - 10:45

Non-Verbal Communication in the patient-professional relationship

Judith Hall

10:45 - 11:45

Placebo and Nocebo Effects

Fabrizio Benedetti

12:00 - 13:30

INTERACTIVE, CASE-BASED Lunch-WORKSHOPS (Registration required!) or LUNCH

Workshop 1

Topic: ‘Lying Still’
Behavioral techniques for immobility during Imaging

Marjolein Verly

Workshop 2

Topic: ‘No More Tears’
Trauma Free Vaccination in infants, children & adolescents

Anna Taddio

Workshop 3

Topic: ‘Not just a Poke’
Managing pain during Vascular Access procedures.

Amy Baxter
Robert Kennedy
Giorgio Cozzi

Workshop 4

Topic: ‘Stiches and Fractures’
Creating an ouchless ER

Julia Hoeffe
Silvia Bressan
Mark Roback

Workshop 5

Topic: ‘Changing the Talk of Town’
Comfort-directed Language & communication

Stephanie Gollut
Cyril Sahyoun

Workshop 6

Topic: ‘The Traumatized Child’
Management of anticipatory anxiety & post-traumatic stress

Inge de Vlieger

13:45 - 15:45

Theme: From Fear to Trust
Lecture Room

Egidio Barbi (Chair)

13:45 - 14:15

Making a human connection: what can we learn from the Parent?

Vera Tomassen

14:15 - 15:00

Making a human connection: establishing trust with children

Baruch Krauss

15:00 - 15:45

Integrating Families in the Management of Procedural Distress and Pain

Linda Franck

15:45 - 16:15

Coffee/Tea Break with exhibitors
Exhibition hall

16:15 - 18:15

Theme: Strategies for Procedural Pain Relief

Mark Roback (chair)

16:15 - 16:50

Analgesia for Common Procedures in Children

Amy Baxter

16:50 - 17:25

Virtual Reality for procedural pain relief: when and how to use in daily practice

Søren Walther-Larsen

17:25 - 18:00

Lessons from the dental chair

Rick van der Pas

18:00 - 19:30

Social meeting - Reception – Entertainment

20:00 - 23:00

FACULTY DINER

Friday

07:30 - 09:00

Registration – Coffee/Tea
(Exhibition Hall)

07:30 - 08:45

BREAKFAST DRUG SESSIONS

 

Breakfast drug session 1

Dexmedetomidine

Mohamed Mahmoud
Paolo Valerio

Breakfast drug session 2

Ketamine

Mark Roback
Giorgio Cozzi

Breakfast drug session 3

Propofol

Egidio Barbi
Maala Bhatt
Baruch Krauss

Breakfast drug session 4

Nitrous oxide

Julia Hoeffe
Robert Kennedy
Felix Kreier

Breakfast drug session 5

Midazolam

Michael Brackhahn

09:00 - 12:00

Theme: Procedural distress and sedation in infants and young children

Anna Taddio (chair)

09:00 - 09:35

Procedural Distress and Comfort in Neonates

Gabriele Cont

09:35 - 10:10

Procedural Sedation and Analgesia in Neonates and Young Children – Practical Pharmacology

Karel Allegaert

10:10 - 10:45

Safety of Procedural Sedatives in young children: is neurotoxicity an issue?

Laszlo Vutskits

10:45 - 11:20

Topic to be determined (Anna on vaccination or long-term effects)

Anna Taddio?

11:30 - 13:00

INTERACTIVE, CASE-BASED Lunch-WORKSHOPS (Registration required!)

Workshop 7

Topic: Language, Suggestion & Hypnosis for managing procedural distress

Arine Vlieger

Workshop 8

Topic: Comfort strategies for Common Distressing Procedures in Pediatrics
Clinical Cases Discussion

Piet Leroy
Sara de Bulpaep

Workshop 9

Capnography Monitoring for Procedural Sedation
Practical Exercises

Baruch Krauss

Workshop 10

Topic: Sedation Strategies for Radiologic Imaging Procedures

Evelyn Maes
Grant Stuart
Linda Schuiten

Workshop 11

Topic: Sedation Strategies for special needs children and children with autism spectrum disorder
Clinical Cases Discussion

Egidio Barbi
Michèle Vranken
Vera Tomassen

Workshop 12

Topic: Setting-up a sedation service in your hospital

Mark Roback
Cyril Sahyoun
Maala Bhatt

13:10 - 15:30

Theme: Maximizing Safety during Procedural Sedation

Eva Schaffrath (chair)

13:10 - 13:45

Procedural Sedation and the Pediatric Airway: interactions and precautions

Mohamed Mahmoud

13:45 - 14:15

Pre-sedation fasting: an update of the evidence and the new ICAPS guidelines

Mark Roback

14:15 - 14:45

Risk factors and adverse events

Maala Bhatt

14:45 - 15:20

Nitrous Oxide: friend or foe?

Wolfgang Buhre

15:20 - 15:50

Coffee/Tea Break with exhibitors

15:50 - 17:35

Theme: Training, Credentialing and Implementation

Annick De Jaeger (chair)

15:50 - 16:15

PSA Practice patterns in European Emergency Care Units: Challenges & Opportunities

Cyril Sahyoun

16:15 - 16:40

Training pediatric ED staff in procedural sedation: achievements and lessons learnt

Silvia Bressan

16:40 - 17:05

Training Professionals in pediatric procedural sedation – Example 2

[PMC/WKZ]

17:05 - 17:35

Pediatric Procedural Sedation in Europe: Quo Vadis? Conference summary and debate

Francis Veyckemans

Workshop Content Summary

IMPORTANT: All Workshops should be case-based, i.e. authentic clinical cases and scenario’s are used for interactive discussion. Use of slides should be limited to  present cases and short summaries of essential learning points. Please do not give (mini)lectures during the workshop.

 

DAY 1 Workshops

Workshop 1: ‘Lying still’

  • Non-pharmacological strategies to help children lying still during imaging procedures (e.g. MRI scanning)
  • Marjolein Verly MSc, PhD (Leuven University; Departments of Radiology and Neurosciences) developed an interactive tool to help children lying still during MRI scanning. Her Cosmoprotocol turned out to be very successful and resulted in a substantial decrease of need for sedation.

Workshop 2: ‘No more Tears’

  • Many claim offering a patient-centered service when dealing with distressing procedures in children. But how much choice do we really grant to children and their parents? And how can we make patients/parents competent for making appropriate choices that contribute to optimal procedural perceptions and experiences?
  • Anna Taddio developed with her team a method for active knowledge translation so that children/parents themselves can learn which methods work best for them. From the University of Toronto Website: “In the past, we’ve burdened the health-care provider with everything,” says Taddio. “But I think it’s better to show the kids and then they can choose how to best cope. In the end, Taddio says it’s all about medical community acknowledging the existence of pain and working with patients to reduce its impact during injections and other procedures. Treating pain has many benefits,” she says. “It not only prevents unnecessary suffering, it ensures we are delivering the best care possible, improves everyone’s satisfaction with the experience, and improves health because people are more likely to participate in positive health behaviours like getting vaccinated and going to a doctor to get a blood test to look for high cholesterol and these sorts of things.”

Workshop 3: ‘Not just a Poke’

  • Correct use of topical anesthetics (location, timing, tips – tricks, logistical challenges)
  • Misconceptions (e.g. emla generates more failure of IV access)
  • Other techniques (cooling, J-tip, subcutaneous infiltration of buffered lidocaine with a 30G needle, Buzzy,...): evidence, experiences, practices...

Workshop 4: ‘Stitches and Fractures’.

  • How to create an ouchless ER
  • Suggested procedures to discuss/to use for discussion: Wound care and suturing; Non-complex forearm fracture; Abscess drainage
  • Points for discussion: patient approach; optimal local/topical techniques; when to use sedation? Which sedation (important point to discuss: indications versus limitations of nitrous oxide)
  • IMPORTANT: Is Fentanyl (IN or IV) on its own sufficiently effective for fracture reduction or similar painful procedures?
  • Key questions a professional should ask him/herself before starting procedures: (1) Is the child in pain before (i.e. in need for acute pain management). (2) Environmental setting. (3) Adaptive distraction possible? (4) How painful is the procedure anticipated by you, the family/child? (4) Use of topical analgesics. (5) Most optimal additional sedative (anxiolysis or deep sedation?)
  • Mark Roback (MD; Pediatric Emergency Specialist; Colorado; USA) has published extensively on Pediatric Procedural sedation in the ER setting; Silvia Bressan (MD; Pediatric Emergency Specialist; Padova; Italy) is intensively involved in Procedural Sedation&Analgesia Services and Training; Julia Hoeffe (MD; Pediatric Emergency Specialist; Bern; Switserland) published on Procedural Sedation&Analgesia including Nitrous Oxide sedation.

Workshop 5: ‘Changing the Talk of Town’.

  • Changing the way we talk as professionals with patients and with eachother
  • Which words/sentences may harm and which kind of talk might enhance trust and feelings of comfort?
  • Stéphanie Gollut (MD; Pediatrician; Geneva; Switzerland) is a specialist in Pediatric hypnotherapy and was involved in a hospital-wide project intended to change the way of communication; Cyril Sahyoun (MD; Pediatric Emergency Specialist; Geneva; Switzerland)

Workshop 6: The Traumatized Child

  • Managing anticipatory Anxiety; Cognitive Behavioral Strategies; Desensitization
  • What does ‘trauma’ mean
  • Iatrogenic Post-Traumatic Stress Disorder; EMDR therapy
  • Inge de Vlieger (MSc; Psychologist; Amsterdam; NL) is an expert in EMDR therapy

 

DAY 2 Workshops

Workshop 7: Language – Suggestion – Hypnosis

  • Examples and exercises of positive suggestions by using proper wording
  • Fundamentals of Hypnosis
  • Practical Examples of Simple Scripts

Workshop 8: Case-Based exercises on best sedation strategies for common Pediatric Procedures

  • IV acces
  • Nasogastric tubes
  • Urinary Catheters

Workshop 9: Capnography – practical exercises

  • Practical applications of capnography during deep sedation
  • Typical curves for normal ventilation, types of hypoventilation, partial and total airway obstruction,...
  • Meaning of capnometry

Workshop 10: Sedation for radiologic imaging

  • Which children will need sedation? Which may benefit from non-pharmacology [Refer to Workshop 1 – Day 1]?
  • Best practice for < 3-6 months; 6m-5 yrs; > 5 yrs
  • Propofol? Dexmedetomidine (IV? IN? Doses?)
  • Patient-centered sedation care on a radiology department. What is needed?

Workshop 11: Sedation in special needs children and children with autism spectrum disorder

  • For example: autism spectrum disorder, severe anxiety, hyperactivity, mental retardation,...
  • How to involve parents/caretakers?
  • Which drugs might be more optimal?

Workshop 12: Setting up a sedation Service in your Hospital

  • Which conditions are needed (evidence-based protocols; transparency; inter-disciplinary collaboration; consistent; Patient-Centered)
  • Introducing TROOPS