07:00 - 17:00
(Detailed programme 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 (email@example.com).
07:00 - 08:45
Registration – Coffee/Tea – Breakfast
08:45 - 09:00
Welcome and Introduction
09:00 - 12:00
Theme: The human factor
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
10:45 - 11:45
Placebo and Nocebo Effects
12:00 - 13:30
INTERACTIVE, CASE-BASED Lunch-WORKSHOPS (Registration required!) or LUNCH
Topic: ‘Lying Still’
Behavioral techniques for immobility during Imaging
Topic: ‘No More Tears’
Trauma Free Vaccination in infants, children & adolescents
Topic: ‘Not just a Poke’
Managing pain during Vascular Access procedures.
Topic: ‘Stiches and Fractures’
Creating an ouchless ER
Topic: ‘Changing the Talk of Town’
Comfort-directed Language & communication
Topic: ‘The Traumatized Child’
Management of anticipatory anxiety & post-traumatic stress
Inge de Vlieger
13:45 - 15:45
Theme: From Fear to Trust
Egidio Barbi (Chair)
13:45 - 14:15
Making a human connection: what can we learn from the Parent?
14:15 - 15:00
Making a human connection: establishing trust with children
15:00 - 15:45
Integrating Families in the Management of Procedural Distress and Pain
15:45 - 16:15
Coffee/Tea Break with exhibitors
16:15 - 18:15
Theme: Strategies for Procedural Pain Relief
Mark Roback (chair)
16:15 - 16:50
Analgesia for Common Procedures in Children
16:50 - 17:25
Virtual Reality for procedural pain relief: when and how to use in daily practice
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
07:30 - 09:00
Registration – Coffee/Tea
07:30 - 08:45
BREAKFAST DRUG SESSIONS
Breakfast drug session 1
Breakfast drug session 2
Breakfast drug session 3
Breakfast drug session 4
Breakfast drug session 5
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
09:35 - 10:10
Procedural Sedation and Analgesia in Neonates and Young Children – Practical Pharmacology
10:10 - 10:45
Safety of Procedural Sedatives in young children: is neurotoxicity an issue?
10:45 - 11:20
Topic to be determined (Anna on vaccination or long-term effects)
11:30 - 13:00
INTERACTIVE, CASE-BASED Lunch-WORKSHOPS (Registration required!)
Topic: Language, Suggestion & Hypnosis for managing procedural distress
Topic: Comfort strategies for Common Distressing Procedures in Pediatrics
Clinical Cases Discussion
Sara de Bulpaep
Capnography Monitoring for Procedural Sedation
Topic: Sedation Strategies for Radiologic Imaging Procedures
Topic: Sedation Strategies for special needs children and children with autism spectrum disorder
Clinical Cases Discussion
Topic: Setting-up a sedation service in your hospital
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
13:45 - 14:15
Pre-sedation fasting: an update of the evidence and the new ICAPS guidelines
14:15 - 14:45
Risk factors and adverse events
14:45 - 15:20
Nitrous Oxide: friend or foe?
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
16:15 - 16:40
Training pediatric ED staff in procedural sedation: achievements and lessons learnt
16:40 - 17:05
Training Professionals in pediatric procedural sedation – Example 2
17:05 - 17:35
Pediatric Procedural Sedation in Europe: Quo Vadis? Conference summary and debate
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