When ventilation gets challenging in children

Sunday 10 October, 0845-1730 AEDT

This course will address challenging aspects of ventilatory support in paediatric patients. It will discuss practical considerations, approach to management when ventilation is difficult and discuss the considerations when using ventilatory support in children with life-limiting conditions, discussing the additional ethical challenges that can arise in this situation.
Sessions will be presented by individuals with significant expertise in this field, with speakers from both local and overseas centres. Challenging cases will be presented to facilitate discussion and to highlight situations where ventilation may be considered to improve stability and quality of life.
This course is intended for paediatricians, sleep medicine clinicians, sleep scientists and technicians, clinical nurses, fellows, junior doctors and students involved in the management of paediatric sleep patients that require ventilatory support.

Learning Objectives

1. Understand the population of children in whom ventilatory support is challenging and the underlying pathophysiology that leads to consideration of ventilatory support.
2. Understanding the role of paediatric sleep medicine in supporting children undergoing surgery, including spinal, craniofacial and ENT procedures.
3. Develop an awareness of some of the difficulties in the interpretation of sleep studies in children on ventilatory support and specific modes of ventilation that can be helpful.
4. Develop an understanding of the advantages and disadvantages of ventilatory support in the context of life-limiting conditions. 


When ventilation gets challenging in children  


Welcome and introduction by Chairs Dr Moya Vandeleur & Dr Jasneek Chawla


Scoring Events in Patients on Respiratory Support: The Need for Guidance, Anne-Marie Adams, Sleep Scientist - RCH Melbourne


The Sleep Physician’s Perspective, Dr Lena Xiao, Resp & Sleep Physician - Toronto Sick Kids


The ENT Surgeon’s perspective, Dr Hannah Burns, ENT Surgeon - QCH

1030-1100 MORNING TEA  

Unusual and challenging indications for respiratory support


OSA following Vagal Nerve Stimulator Insertion, Dr Indra Narang - Sick Kids Toronto


Vocal Cord Palsy, Dr David Kilner - QCH 


Cardiac Failure, Dr Moya Vandeleur - RCH Melbourne


Respiratory Support in Rett Syndrome


Family Perspective 


The Developmental Physician’s Perspective, Dr Honey Heussler - QCH


The Sleep Physician’s Perspective, Dr Andrew Wilson - Perth Children’s


The Ethical Dilemma, Anne Preisz - Children’s Hospital Westmead

1310-1400 LUNCH  

Roles of the Chest Wall and Diaphragm in Respiratory Mechanics, Dr Matthew Wong, Resp & Sleep Physician - QCH


Skeletal DysplasiaDr David McNamara - Starship Hospital 


Congenital Diaphragmatic HerniaDr Jasneek Chawla - QCH   


Pompe’s Disease, Dr Mimi Lu - Children’s Hospital Westmead 


How do I Start a Patient on AVAPS? Dr Vishal Saadi - Sydney Children’s Hospital 

1510-1530 AFTERNOON TEA  

Adapting Delivery of Respiratory Support Perioperatively: Working Around Surgical Hardware


Craniofacial Surgery- why we don’t want CPAP/NIV post-opDr Yun Phua, Craniofacial Surgeon - QCH


Pre-operative evaluation of Spinal Surgery Patients


Why am I seeing a sleep and breathing doctor, when it’s my spine that’s being fixed? Dr Don Urquhart, Resp & Sleep Physician - Royal Hospital for Sick Children Edinburgh


Management of Severe Scoliosis: The Spinal Surgeon’s Perspective, Mr Athanasios Tsirikos, Consultant Orthopaedic & Spinal Surgeon, Clinical Lead for Scottish National Spine Deformity Centre - Royal Hospital for Sick Children, Edinburgh 


Practical Aspects – how to adapt NIV masks & headgearMs Megan Angliss, Sleep Clinical Nurse - QCH


Remote Monitoring of Ventilated Patients, Dr Ross Langley - Royal Hospital for Children, Glasgow 

1725-1730 Course Close  


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