Perioperative Management of Congenital Heart Disease

Amrita University
Start Date



  • Perioperative Management of Congenital Heart Disease

The Pediatric Cardiology Department is organizing conference entitled “Perioperative Management of Congenital Heart Disease” at the Amrita Institute of Medical Sciences, Cochin, Kerala on June 7 -9, 2019.

Venue: Amrita Institute of Medical Sciences, Cochin, Kerala

  • Focus on challenges in paediatric heart care in Low and Middle Income Countries
  • Thoroughly interactive
  • Out standing International and regional faculty

It is increasingly apparent that pediatric heart conditions contribute substantially to Infant and childhood mortality In man~ tow and middle Income countries (LMICs). Perioperative Intensive care is critical to ensuring good outcomes in children with heart disease. This conference is especially designed for physician and nursing staff In LMICs recognizing the challenges they face in caring for babies with heart disease. The world's leading experts from institutions that have established highest standards of care will interact with local and regional experts in a unique format that is carefully designed to maximize education and directly impact outcomes.

Program Partners

  Children's Heart Link National Health Mission, Kerala (Hridyam)

International Faculty

  • Ravi Thlagarajan MD,Chief.CICU,Children's Hospital, Boston
  • Venkat Shankar, MD, MBA. Medical Director. CICU, Associate Division Chief, Division of Cardiac Critical Care,Children's Hospital of Phlladelphla
  • Micheai·AIice Mega, MD, MSc, Department of Critical Care Medicine- Division of Cardiac Critical Care, The Hospital for Sick Children, Toronto
  • Sandy Staveski, RN PhD, University of California, San Francisco
  • David S. Cooper, MD, MPH, Medical Director, Cardiac Intensive Care Unit, Cincinnati Children's Hospital Medical Center
  • Justine Fortkiewicz, RN, Children's National, Washington

Regional Faculty

  • Senior physician and nursing stall members from pediatric heart programs in India and the Asia Pacific Region

Host Faculty

Preconference Workshop (Friday June 7, 8.l0 AM - 5.3O PM)

  1. ECMO/ECLS in pediatric cardiac perioperatlve care: Basic workshop focusing on basics with a view to promote efficient and appropriate use adapted to low resource settings to maximize potential benefits. Single day workshop limited to about SO participants from established pediatric heart programs in the region
  2. Preoperative stabilization and transport of neonates and infants with congenital heart disease: Target audience will include neonatologists and pediatricians from Kerala and neighboring states.
  3. A skill session workshop for nurses
  4. Building systems towards a sustainable workforce for PCICUs in low and Middle income Countries: Around table discussion

Main Conference (Saturday, June 8 and Sunday, June 9; 9.00 AM - 5.30 PM)

  1. Symposia
  2. Sepsis, Infection cont rol and antibiotic stewardship
  3. Postoperative arrhythmias· approach to diagnosis and management
  4. Nutrition · enteral and parenteral
  5. Perioperative cardiac pharmacology-a review of the evidence
  6. Cost reduction strategies :
  7. Blood product management after pediatric cardiac surgery
  8. Critical thinking: Illustrative case scenarios on situations identified by nurses
  9. Challenging Case Scenarios
  10. Airway challenges

NEFT Details

  1. Account Type  : Current Account- Resident

Please Confirm attendance by sending e-mall With subject: Peri Operative Conference 2019 to with above details or mail this form to the address below Peri Operetive Conference 2019, Department of Pediatric Cardiology, Amrita Institute of Medical Science and Research Centre, Ponnekkara P.O, Kochi, Kerala, Pin-682041 Phone :

Venue: Amrita Institute of Medical Sciences, Cochin


Single ventricle physiology
2.50 PMBrief  introduction 
Where do we draw a line and why?Key considerations
Illustrative case
Tabletop facilitated exerciseTables combine and assemble ECMO in a bag followed by labelling key circuit components with sticky notes15
2-The Real Thing
3-Here we goInteractive Demo and table topStep-by step guide to cannulating and establishing flow. Participants are given individual steps and are expected to put them in order.
12:15 - 13:00 PM
Small group exerciseParticipants label tabletop circuits with flows and pressure measurements.  Once successfully completed, match ECMO terms to human physiologic measurements20
Small groupUtilizing tabletop models, learners are given sets of physiologic changes and need to identify the underlying problem30
Interactive lecture30
Expert panelFacilitated expert panel and audience discussion regarding the logistics and challenges of establishing and maintaining an ECMO program in low 451

June 7, 2019 Meeting Followed by Faculty Dinner: Building Systems Towards a Sustainable Workforce for PCICUs in Low and Middle Income Countie

4:30 PMDefining the problem: Workforce and Training Data from LMICsDefining the problem: Workforce and Training Data from LMICs: Physician  and nursing Staff30 minICU representatives from Vietnam, Sri Lanka, Malaysia, Bangladesh and ; Indian data to be presented by Jigar SurtiSession Moderated by Bistra ZhelevaSandy Staveski, Suresh G Rao, Snehal Kulkarni, Sunita Maheshwari, Jigar Surti, Aveek Jayant, Vishal Singh, Parvathy IyerPresent and learn from examples of PCICU training that meets patient and/or population needs; present 1-2 innovative approaches for meeting the demand.
5:00 PM10 min
10 min
Brainstorming on ideas for the future70  min Objective: explore options for building the next generation of PCICU professionals and educators. Explore creative solutions, without compromising on quality of education and patient outcomes.

7.20 PM

  1. What core skills are needed?
  2. Are there shortcuts we can take to increase the access to care forward?
  3. Using technology
  4. Selecting training institutions

Day 2 - June 8, 2019


Two talks and 2-3 casesCore Principles of Post operative ventilatory management20Lecture; discussion will be integrated with cases
9.35 AM15
9.50 AMParticipating Institutions2-3 cases from regional institutes illustrating  specific challenges in post operative ventilation of CHD patients; one case should include non-invasive ventilation.  What was the challenge?  How did we manage?  What could be done diffrerently?
10.30-11.00 AM
Sytematic approach to post-operative rhythm disturbances15
11.15 AM
12.00 NoonTalks , Panels, Data from centersReal life challenges: Three perspectives- Bedside nurse, Charge Nurse and infection control nurse25Dr. Sanjeev SinghBrief presentations from each of the identified nurses
12.15 PM15
30IJN, RTIICS, KDA, Other institutions, AIMSSerial data from the last 3-4 years, specific challenges how they were overcome.  AIMS to serve as back up in the event one centre drops out.  7 min presentations and remaining time (9 min) for discussion.
1.00 PM20
Cases from various institutionsIllustrative case where an unexpected challenge in the OR changes the course of operation
Airway challengesIllustrative case of a significant airway related problem in association with congenital heart surgery
MiscellaneousAny other unexpected challenge not ususally encountered
3.15-4.15 PMCase vignettes from various institutionsIllustrative Case Scenarios in Situations Identified by Nurses60 
50 minAveek JayanthPanel discussion on contentious issues in relation to use of ECMO in low resource settings
5.30 PM


Brief summary of evidence on commonly used medications in the ICUIntroductionMeena Trehan, Vilson, Kishore, Snigdha, Unni KP, Sandeep ChauhanSuccinct summary of available evidence about useful and harmfiul effects with recommendations
9.10 AM
Cardiac cathterization early after cardiac surgery15 min
15+5 min
Talks15+ 5 min 
10 min
Talks and institutional experienceLecture
30 minPresentation of institutional data


Ponnekkara P.O, Cochin, Kerala For any queries, contact:

More Information

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Cochin , India