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NWAC DAILY NEWSLETTER, MARCH 9 2010


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NWAC Dubai 2010: Bridging gaps

Visionary progress with Life-Tech

A learning experience

Spare time on your hands?

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NWAC Dubai 2010: Bridging gaps

The NWAC Dubai 2010 world congress opened in the spirit of communication and the free exchange of information that has characterized all scientific progress.

Over 1,100 attendees and over 120 faculty members from all over the world have come to learn, teach and confer with one another.

The NWAC encompasses all anesthesiology disciplines and their interaction with anesthesia and pain management. NWAC bridges the gap between the existing world congresses held every four years and smaller regional events by offering state-of-the-art reviews of new developments in anesthesiology, emergency medicine, intensive care and perioperative medicine.

NWAC strives to become the cutting-edge standard revue for anesthesiologists and industry alike.

The official opening ceremony for the NWAC was held on the morning of Monday 08 March and included a special musical piece composed especially for the occasion by famed composer and pianist Jasmin Osmanagic. Mr. Osmanagic was joined in the performance by Julliard-trained violinist and NWAC faculty member Dr. Ali Shariat.

The piece for solo violin with electronic accompaniment is part of a larger symphony composed by Mr. Osmanagic. The music incorporates Arabian and Eastern European rhythms and scales placed in a traditional European symphonic structure. The challenging piece echoes the flavor of this beautiful part of the world and filled the hall with a rich soundscape invoking the cultural heritage of Dubai.

The collaborative relationship of Ali and Jasmin is remarkable considering they live thousands of miles apart. They clearly have a close musical relationship and Ali’s virtuosity makes an otherwise very challenging piece of music seem easy and fluid. The audience was most appreciative.

Mr. Osmanagic received a B.A.(1987) and an M.A.(2008) in music composition and multimedia arts studying with Josip Magdic at The Music Academy of Sarajevo, in his native Bosnia-Herzegovina. Working in Yugoslavia, he composed for orchestra, voice and piano including chamber music and electronic music composition.

In 1992, Mr. Osmanagic moved to Stuttgart, Germany where he has been composing for radio, theatre, film and other media. He has been awarded several music prizes for his works including The Symphony "Sarajevo" (2008) and the opera "Alma" (2009).

Mr. Osmanagic is currently a freelance composer and a participant in the AV-production Studio104A.

Faculty member Dr. Ali continued from page 1 Dr. Robert Djagbletey, pictured above with Dr. Carol Colllison from Accra, Ghana, uses the NYSORA website regularly as an education tool Shariat was born in New York and began violin studies at the age of three. He continued his studies at Juilliard Pre-College. In 1990, Dr. Shariat became simultaneously a full-time student at the Juilliard School and at New York University as a biology major. Dr. Shariat won the Artist’s International Special Presentation Award and so gave his debut at Carnegie Hall's Weill Recital Hall in April of 1998 to highest critical acclaim. Dr. Shariat is currently a fellow in regional anesthesia at NYSORA and is a faculty member of NWAC.

Welcoming speeches by Dr. Mansoor Yousef Nadhari of the Dubai Health Authority and the Program Chair, Dr. Admir Hadzic from NWAC plus an impressive display by whirling dervishes completed the opening program. The first full day of the world conference included eight refresher courses, 12 moderated parallel sessions, six Problem Based Learning Discussions (PLBD’s), 21 intensive workshops and two of the 10 poster sessions, plus a busy exhibitor’s area.

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Visionary progress with Life-Tech

John Mueller of Life-Tech tells Michael McTigue how the company is breaking new ground due to its commitment to improvement and education.

We were fortunate enough to have a long talk with John Mueller of Life-Tech. A lull in the exhibitor's hall gave him time to sit with us and discuss Life-Tech, its mission and new products.

Life-Tech is an unusual company in several ways. They concentrate on support and supplies for peripheral nerve blocks. People instantly recognize many of Life-Tech’s products such as Probloc, ContiStim needles and catheters as well as their Tracer III nerve locator and EZstim II nerve stimulator. There are several new products from Life-Tech coming to market born of their commitment to improvement and education. This is where the discussion got really interesting.

John told us that right from the beginning, company founder Doctor Al Coats has been a strong proponent of education and training. Life- Tech invests heavily in its support of workshops. Their commitment to more and better training drives them to make contributions as generous as those made by some of the largest companies in the field. It's this commitment that brings them to NWAC 2010.

This core principal has also lead to one of their newest product lines, namely the MiniSim nerve block simulators. MiniSims are the first full line of super accurate simulators that allow doctors to learn and practice new ultrasound guided nerve blocks. Far more realistic than other simulation techniques, they are very portable and extremely useful training aides. MiniSims are not only being used in traditional training environments and classes, but they can be purchased at workshops and conferences, allowing doctors to easily bring their learning experiences back to their practices and groups. MiniSims are not only useful for passing on and practicing new skills, but anesthesiologists can use the devices to help surgeons make decisions about patient care. We all know that the decision to implement a new technique can be a difficult decision to make. The MiniSim can be used by anesthesiologists to help surgeons understand a new approach more thoroughly, thus helping surgeons to make better informed decisions about the care of their patients.

Other new ground is being broken by their new Echo- Bright echogenic needles. These needles are available in both single shot and continuous catheterization versions. The design of these needles allows much better visualization of the needle during ultrasound guided blocks. They are also completing trails on an echogeninic catheter that will be unique in the market. They still believe in nerve stimulation used with ultrasound or on its own and have developed an exciting new product they call StimPro. The control for the nerve stimulator is built into the hub of the needle. This eliminates the need for and extra set of hands while simultaneously giving the anesthesiologist more precise control. This will be an important development for use in situations with limited nursing resources from private practice to disaster areas like those witnessed recently in Haiti.

Life-Tech has also taken on risk of neurologic complications associated with the use of regional anesthesia. For instance, Life-Tech has helped popularized injection pressure monitoring and documentation. The currently available in-line injection pressure monitor (BSmart, ConcertMedical) provides continuous real-time objective information on injection pressure. This allows clinicians to combine real time pressure readings with traditional tactile methods to make sure they are not internueral and avoid potential nerve damage from the block. This allows clinicians to accurately document the injection pressure for medico-legal purposes. It’s an elegant solution to a problem that has received a great deal of press lately in line with the demand towards better monitoring in regional anesthesia.

The impression we were left with after our conversation with John was of a company dedicated to finding simple innovative solutions to everyday problems and educational challenges. They are another one of the many resources available to attendees of NWAC Dubai 2010.

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A learning experience

In a series of interviews with congressional delegates, Andrea Ralya asked Dr. Robert Djagbletey, Accra, Ghana, why he chose to attend the NYSORA World Anesthesia Congress

Dr. Djagbletey is a staff anesthesiologist at the most advanced and largest hospital in the country of Ghana. As in some other African nations, he faces everyday challenges in his practice. These challenges are related to economic conditions, which include scarce resources, lack of access to educational materials, a high level of patient acuity because of lack of access to care and delays in seeking care by patients, and a 24/7 on-call schedule.

He attended a NYSORA New York conference in 2008. During that conference, he found answers to meet his needs for continuing education in regional anesthesia. That positive experience is what brought him to the World Congress.

Dr. Djagbletey finds regional anesthesia techniques particularly efficacious for the needs of his patients. He uses the NYSORA website regularly as an educational tool.

Because of the high patient acuity level in his hospital, RA is beneficial, when indicated, because it is less stressful intraoperatively and allows for a quicker recovery and discharge for the patient. The use of nerve blocks increases his efficiency because he can prepare more patients for minor surgery in the same amount of time as compared to preparation for general anesthesia. Of course, since regional anesthesia is less resource intensive, for example, in terms of staff hours, medication, and bed use, it is also more cost-effective.

Dr. Djagbletey believes that the increased use of regional anesthesia in his practice is the “way forward” for continuous quality improvement for both the patient and the practitioner.

 

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Do you have some spare time?


A host of extra-curricular activities await you in Dubai, and being the unique destination that it is, the Emirate prides itself on the ability to cater to almost every taste – from luxury to budget offerings or from relaxation to extreme adventures, Dubai just about has it all. However you want to fill your spare time, you will undoubtedly be seeking to include some adventures of the culinary kind. Whether you’re preference is traditional, adventurous, Western, Eastern, conservative or avant garde, here is a small sample of where you can go to savor the flavors of Dubai.

Zuma – DIFC (Dubai International Finance Centre)
Thiptara – Thai restaurant at Palace Hotel
Asado – Steak house at Palace Hotel
The Grill – Steak house at Emirates Towers
Secreto – Italian at Madeinat Jumeirah
Piershcick – Fish restaurant at Al Quasr Hotel
Pisces – Fish restaurant at Madeinat Jumeirah
Nobu – Atlantis Hotel
Meat Company – Madeinat Jumeirah and Souk Al Baha
Steak House – Marriott Hotel in Deira
Scarlets – Jumeirah Emirates Towers
The Spice Restaurant – Renaissance Hotel Dubai
Manhattan Grill – Grand Hyatt Dubai


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