Dr Shanti Rudra DevaDr Louisa Chan Yuk Li

Assoc Prof Dr Tang Swee FongDr Shanthi Ratnam

Datuk Dr V KathiresanDr Azmin Huda

Dr Gan Chin Seng

AUSTRALIA

Simon EricksonPeter Morley

Brendan Smith

DENMARK

Anders Perner

FRANCE

Didier Payen

INDIA

Babu AbrahamFarhad Kapadia

NORWAY

Hans Flaatten

SINGAPORE

Lee Jan HauSee Kay Choong

Kien Kong

SOUTH KOREA

Younsuck Koh

UNITED KINGDOM

Timothy Walsh

USA

John Marini

MALAYSIA

Adawiyah A Bakar Ahmad Shaltut OthmanAida Nani Don Rahim

Anis SihamAzmin Huda Abdul Rahim

Chor Yek KeeFoong Kit WengHasimah Zainol

Ismail Tan Mohd Ali Tan

Kamal Bashar Abu BakarKhoo Tien MengKoh Chun Wearn

Lau Chee LanRichard Lim Boon Leong

Lim Chew Har Maznisah MahmoodMohd Basri Mat Nor

Mohd Ridhwan Md Noor

Noor Airini IbrahimNor’azim Mohd YunosNoryani Mohd Samat

Pon Kah MinSiti Rohayah Sulaiman

Tai Li LingWan Nasrudin Wan Ismail

Zainah Mohamed

ORGANISING COMMITTEE

INVITED SPEAKERS

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The Annual Scientific Meeting on Intensive Care is the largest critical care conference in Malaysia. It once again, promises to be an interesting meeting that will allow clinicians, nurses and allied health practitioners to update themselves with the current practices in critical care.

As always, the scientific programme has been drawn up to showcase, the best current research and practice to be delivered by international and local speakers. To ensure ASMIC remains fascinating and contemporary, we have added some new formats to the programme and pre congress workshops. We hope that the meeting will encourage participants to have active debates and exchange views with the leaders and decision-makers in the field of critical care.

We sincerely hope you can join us at this exciting meeting and we look forward to welcoming you at ASMIC.

Dr Shanti Rudra Deva

WELCOME MESSAGE FROM THE ORGANISING CHAIRPERSON, ASMIC 2016

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1. CRITICAL CARE NUTRITION: LETS GIVE IT DUE ATTENTIONVENUE: KELANTAN ROOM

This workshop is designed from the most recent available evidence and concensus guidelines. It is intended for all healthcare providers involved in nutrition therapy of the critically ill – primarily physicians (specialists and trainees), nurses, dietitians and pharmacists.

At the end of this workshop, participants are expected to be familiar with enteral and parenteral feeding practises that are evidence-based, and to promote optimum energy and protein delivery. Bringing these skills back to the intensive care bedsides, it is hoped that nutrition delivery for the various groups of critically ill patients will be improved and leading to better outcomes.

FACIL ITATORS

Noor Airini IbrahimShanti Rudra Deva

Mohd Basri Mat NorAhmad Shaltut Othman

0800 – 0830 Registrat ion

0830 – 0835 Introduction

0835 – 0855 Nutritional status assessment

0855 – 0915 Initiating and dosing EN

0915 – 0935 Monitoring tolerance and adequacy of EN

0935 – 0955 Choosing the appropriate enteral formulation

0955 – 1010 Adjunctive therapy

1010 – 1025 Tea

1025 – 1045 When to use PN

1045 – 1105 Maximising the efficacy of PN

1105 – 1125 Special situations 1: Pulmonary failure, hepatic failure

1125 – 1150 Special situations 2: Chronically critically ill, obesity in critical illness, nutrition therapy at the end-of-life

1150 – 1220 Skill station 1: Acute pancreatitis

1220 – 1250 Skill station 2: Sepsis

1250 – 1350 Lunch

1250 – 1400 Participants go to assigned skill stations

1400 – 1430 Skill station 3: Postoperative major surgery

1430 – 1500 Skill station 4: Burns / Trauma / Traumatic brain injury

1500 Closing

PRE-CONGRESS WORKSHOP22ND SEPTEMBER 2016, THURSDAY

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2. HAEMODYNAMIC MONITORING VENUE: PAHANG ROOM

Haemodynamic instability is common in critically ill patients. The need to monitor is important and necessary not only to assess global and regional tissue perfusion but also to guide us in the appropriate use of fluids, vasopressors or inotropes. This one-day workshop is designed to help doctors in assessing the haemodynamic status of the critically ill, and to introduce the use of various minimally invasive and non-invasive haemodynamic monitoring tools.

THE AIMS OF THE WORKSHOP ARE TO:

• TeachsomefundamentalsinCVSphysiology• Gainunderstandinginthebasicprinciplesofminimallyinvasivemonitors• Comprehendtheuseofminimallyinvasiveandnon-invasivehaemodynamicmonitors• Discussappropriateuseoffluidsorvasopressors/inotropesinvariousclinicalscenarios

FACIL ITATORS

Babu AbrahamPremela Naidu Sitaram

Tai Li LingBrendan Smith

0800 – 0830 Registrat ion

0830 – 0840 Introduction

0840 – 0905 CVS physiology: Understanding functional haemodynamics

0905 – 0930 Physiological basis for fluid resuscitation

0930 – 1000 Predicting fluid responsiveness

1000 – 1030 Tea

1030 – 1055 Minimally invasive cardiac output measurement: An overview

1055 – 1115 Assessing volume status using ECHO

1115 – 1130 Pitfalls of ECHO

1130 – 1200 Inotropes? Vasopressors? Fluid? – What to do when you don’t know

1200 – 1220 Participants go to assigned skill stations

1220 – 1300 Skill station 1: Case scenario: Optimising patient in shock using calibrated thermodilution technique

1250 – 1340 Lunch

1340 – 1420 Skill station 2: Case scenario: Managing a haemodynamically unstable patient using doppler cardiac output technique

1420 – 1500 Skill station 3: Case scenario: Optimising patient in cardiogenic shock using a pulse power analysis technique

1500 – 1540 Skill station 4: Case scenario: ECHO in a haemodynamically unstable patient

1600 Wrap up

PRE-CONGRESS WORKSHOP22ND SEPTEMBER 2016, THURSDAY

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3. MECHANICAL VENTILATION FOR NURSESVENUE: JOHOR ROOM

OVERVIEW

This one-day programme is designed to help ICU nurses improve their knowledge on how to safely and effectively manage critically ill patients on the mechanical ventilator. With the aid of both lectures and workshops, they will be allowed to practice what they learned in a safe and supervised environment. The programme emphasises the basic concept of mechanical ventilation involving topics that are clinically relevant to the bedside nurse. The skill station has clinical scenarios that will help them form a stepwise approach to the problems encountered.

LEARNING OBJECTIVE

• Identifythevariousconventionalmodesofventilationanddifferentiatetheirmechanismsofaction in order to monitor and troubleshoot alarms effectively

FACIL ITATORS

Asmah ZainuddinKien Kong

Shanthi RatnamSiddarth Hundoo

0830 – 0900 Registrat ion

0900 – 0910 Opening

0910 – 0940 Pre-workshop evaluation

0940 – 1030 Basic modes of mechanical ventilation

1030 – 1050 Tea

1050 – 1130 Monitoring and troubleshooting alarms

1130 – 1210 Evidence-based NIV

1210 – 1220 Participants go to assigned starting group

1220 – 1250 Skill station 1: Basic mode: Volume-based ventilation

1250 – 1340 Lunch

1340 – 1410 Skill station 2: Basic mode: Pressure-based ventilation

1410 – 1440 Skill station 3: NIV set-up and monitoring

1440 – 1510 Skill station 4: Monitoring and trouble-shooting ventilator alarms

1510 – 1540 Skill station 5: Asthma and ARDS

1540 – 1600 Tea

1600 – 1630 Post-workshop evaluation

PRE-CONGRESS WORKSHOP22ND SEPTEMBER 2016, THURSDAY

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0800 – 0845 REGISTRATION

0845 – 0930 PLENARY 1 SABAH

Chairperson: Tan Cheng Cheng

Advanced life support – What is hot and what is not in research and practicePETER MORLEY

0930 – 1015 OPENING CEREMONY SABAH

1015 – 1100 TEA / TRADE EXHIBITION

SABAH SARAWAK KEDAH/SELANGOR

1100 – 1240 SYMPOSIUM 1

RespiratoryChairperson: Teoh Sim Chuah

SYMPOSIUM 2

SepsisChairpersons: Wan Nasrudin, Noryani Samat

SYMPOSIUM 3

Paediatrics IChairperson: Anis Suraya Ghani

1100 – 1125 Driving pressure – Value and limitationsJOHN MARINI

Is genetic contributive to human sepsisDIDIER PAYEN

Vasoactive agents in sepsisPON KAH MIN

1125 – 1150 CO2 Removal – Is that an important goal of mechanical ventilation?FARHAD KAPADIA

Understanding sepsis 3 – Strengths and limitationsKAMAL BASHAR

ABU BAKAR

VAP – Do bundles make a difference?ANIS SIHAM

1150 – 1215 High flow nasal oxygen therapy – Any role in your practice?SEE KAY CHOONG

Fluid therapy in sepsisANDERS PERNER

Is bigger better – Does PICU volume impact outcome?KOH CHUN WEARN

1215 – 1240 The proper place of prone positioningJOHN MARINI

Key points in feeding the septic patientNOOR AIRINI IBRAHIM

Rapid response team saves livesSIMON ERICKSON

1240 – 1430 LUNCH

DAILY PROGRAMME23RD SEPTEMBER 2016, FRIDAY

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DAILY PROGRAMME [CONTINUED]

23RD SEPTEMBER 2016, FRIDAY

SABAH SARAWAK KEDAH/SELANGOR

1430 – 1610 SYMPOSIUM 4

Pharmacology Blitz(20 minute sessions)Chairperson: Foong Kit Weng

SYMPOSIUM 5

Intensive Care For Nurses IChairperson: Mariani Bachok

SYMPOSIUM 6

OrganisationChairperson: Lim Chew Har

1430 – 1455 Steroids in community-acquired pneumoniaMOHD RIDHWAN

MD NOOR

Family-centered careZAINAH MOHAMED

Thinking about thinking – How to stop making diagnostic errorsPETER MORLEY

1455 – 1520 Levosimendan in heart failureBABU ABRAHAM

Reducing medication errors – Your role is criticalLAU CHEE LAN

Grooming the ICU to be a family-centered ICUHANS FLAATTEN

1520 – 1545 Dexmedetomidine usage in ICUKHOO TIEN MENG

Patient-ventilator dyssynchronyKIEN KONG

Often the less is moreYOUNSUCK KOH

1545 – 1610 Feeding with fish oilAHMAD SHALTUT

OTHMAN

Caring for the delirious patientNORYANI MOHD SAMAT

What is the best time to rehabilitate the ICU patient – In the ICU, in the hospital, or after going home?TIMOTHY WALSH

Thiamine in sepsisMOHD BASRI MAT NOR

1610 – 1630 TEA

1630 – 1730 FREE PAPER KEDAH/SELANGOR

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KEDAH/SELANGOR PENANG PAHANG

0800 – 0900 LET’S ASK THE EXPERT 1

Moderator: Mahazir Kassim

How I manage the difficult-to-ventilate patientsJOHN MARINI

LET’S ASK THE EXPERT 2

Moderator: Gan Chin Seng

Fluids in the critically ill child – When, why and howSIMON ERICKSON,

LEE JAN HAU

LET’S ASK THE EXPERT 3

Moderator: Nor’azim Mohd Yunos

How I manage fluids in critically ill adultsANDERS PERNER

0900 – 0945 PLENARY 2 SABAH

Chairperson: Tang Swee Fong

Redefining ALI/ARDS in childrenSIMON ERICKSON

0945 – 1030 PLENARY 3 SABAH

Chairperson: Tang Swee Fong

Outcomes after intensive care – How well are we doing?HANS FLAATTEN

1030 – 1100 TEA / TRADE EXHIBITION

SABAH SARAWAK KEDAH/SELANGOR

1100 – 1240 SYMPOSIUM 7

Haemodynamics/SepsisChairpersons: Kamal Bashar, Muhammad Zihni

SYMPOSIUM 8

Cardiopulmonary ResuscitationChairperson: Premela Naidu Sitaram

SYMPOSIUM 9

Paediatrics IIChairperson: Gan Chin Seng

1100 – 1125 PROCESS, ARISE, PROMISE – Now what do we do?BRENDAN SMITH

Controversies in post resuscitation carePETER MORLEY

CRRT prescription in paediatric AKICHOR YEK KEE

1125 – 1150 Revisiting lactate in sepsis and haemodynamicsNOR’AZIM MOHD YUNOS

Updates on drugs in resuscitationWAN NASRUDIN

WAN ISMAIL

Recipe for optimal nutrition in the critically ill childLEE JAN HAU

1150– 1215 Formulating a haemodynamic management planSEE KAY CHOONG

Family presence during CPRISMAIL TAN MOHD

ALI TAN

Weaning and extubation – How best to do itMAZNISAH MAHMOOD

1215 – 1240 Advanced haemodynamic tools – Using them too little or too oftenANDERS PERNER

Prognostication before, during and after resuscitationPETER MORLEY

What is optimal sedation in paediatrics?SIMON ERICKSON

DAILY PROGRAMME24TH SEPTEMBER 2016, SATURDAY

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DAILY PROGRAMME [CONTINUED]

24TH SEPTEMBER 2016, SATURDAY

1300 – 1430 Lunch Satel l i te Symposium (Hospira) SABAH

Off ic ia l Poster Round

SABAH SARAWAK KEDAH/SELANGOR

1430 – 1610 SYMPOSIUM 10

NeurologyChairpersons: Ismail Tan, Muhammad Zihni

SYMPOSIUM 11

Intensive Care For Nurses IIChairperson: Zainah Mohamed

SYMPOSIUM 12

Ethics/End-Of-LifeChairperson: Shanti Rudra Deva

1430 – 1455 The brain controls peripheral immunity – Impact for cliniciansDIDIER PAYEN

Nurses’ role in preventing unplanned extubationHASIMAH ZAINOL

Opportunities and threats in collaboration with industryANDERS PERNER

1455 – 1520 Managing delirium – The best way forward to clarityTIMOTHY WALSH

Updates on post-resuscitation careAIDA NANI DON RAHIM

Legal status and ethical considerations for end-of-life in IndiaFARHAD KAPADIA

1520 – 1545 What’s new in critical illness neuromyopathyFOONG KIT WENG

Keeping the patient normothermicADAWIYAH A BAKAR

Intensive care in the very oldHANS FLAATTEN

1545 – 1610 Acute brain vessel thrombectomy – When, why and howDIDIER PAYEN

Key points in blood and blood product transfusion practicesSITI ROHAYAH SULAIMAN

When patients or family requests for inappropriate medical treatmentRICHARD LIM BOON LEONG

1610 – 1630 TEA / TRADE EXHIBITION

1630 AGM of the Malaysian Society of Intensive Care KEDAH/SELANGOR

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PENANG PAHANG

0800 – 0900 LET’S ASK THE EXPERT 4

Moderator: Mahazir Kassim

How I manage ventilator dyssynchronyYOUNSUCK KOH

LET’S ASK THE EXPERT 5

Moderator: Lim Yee Woon

Dealing with end-of-life care decisionsTAI LI LING

0900 – 0945 PLENARY 4 SABAH

Chairperson: V Kathiresan

Sepsis: Three phases crucial for clinicians to considerDIDIER PAYEN

0945 – 1030 PLENARY 5 SABAH

Chairperson: V Kathiresan

Heart-lung interactions during mechanical ventilationJOHN MARINI

1030 – 1100 TEA / TRADE EXHIBITION

SABAH KEDAH/SELANGOR

1100 – 1240 SYMPOSIUM 13

ICU NuggetsChairperson: Shanthi Ratnam

SYMPOSIUM 14

InfectionsChairperson: Noor Airini Ibrahim

1100 – 1125 Anaemia in the ICU – Is there an alternative to using blood transfusion?TIMOTHY WALSH

Diagnosing infections in a burns patientHANS FLAATTEN

1125 – 1150 Post extubation dysphagiaSEE KAY CHOONG

Viral threat in respiratory failureYOUNSUCK KOH

1150 – 1215 Ten pitfalls of intensive careFARHAD KAPADIA

Management of candidiasis in the ICU AZMIN HUDA ABDUL RAHIM

1215 – 1240 Transfusion triggers – A moving target. When, who and how much?TIMOTHY WALSH

ICU antibiotic usage – Be the good stewardLIM CHEW HAR

1240 – 1400 LUNCH

DAILY PROGRAMME25TH SEPTEMBER 2016, SUNDAY

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CONGRESS SECRETARIAT

ASMIC 2016G-1 Medical Academies of Malaysia, 210 Jalan Tun Razak, 50400 Kuala LumpurTel : (603) 4023 4700, 4025 4700, 4025 3700 Fax : (603) 4023 8100Email : secretariat@msic.org.my Website : www.msic.org.my

PRE-CONGRESS WORKSHOPS

The Pre-Congress Workshops on Critical Care Nutrition: Lets Give It Due Attention, Haemodynamic Monitoring, and Mechanical Ventilation For Nurses, will be held on 22nd September 2016, Thursday. These workshops will cater for a limited number of participants.

REGISTRATION FEES

CategoryOn or Before30th June 2016

From 1st July 2016 to 15th September 2016

On-Site

Member of MSIC RM 700 RM 800 RM 950*Non-Member of MSIC – Doctor RM 795 RM 901 RM 1,007*Allied Health Professional RM 742 RM 848 RM 954

*The above rates are inclusive of the 6% GST.

*Pre-Congress Workshops (22nd September 2016, Thursday)1. Critical Care Nutrition: Lets Give It Due Attention RM 2652. Haemodynamic Monitoring RM 2653. Mechanical Ventilation For Nurses RM 159

*Let’s Ask The Experts (Concurrent sessions, please choose one only for each day)(Limit to 30 participants. Only registrants are eligible to register for these sessions.) 24th September 2016, Saturday1. How I Manage The Difficult-To-Ventilate Patients

RM 532. Fluids In The Critically Ill Child – When, Why And How3. How I Manage Fluids In Critically Ill Adults25th September 2016, Sunday4. How I Manage Ventilator Dyssynchrony

RM 535. Dealing With End-Of-Life Care Decisions

*The above rates are inclusive of the 6% GST.

For online registration and payment, please log-on to www.msic.org.my

CONGRESS INFORMATION

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CONGRESS INFORMATION [CONTINUED]

PAYMENT

1. Payment by cheque is to be issued in favour of the “Malaysian Society of Intensive Care”.

2. Payment can be made via telegraphic transfer to:

Account name : Malaysian Society of Intensive Care Account number : 873-1-5662806-4 Name of bank : Standard Chartered Bank Berhad Branch : Jalan Ipoh Branch, Kuala Lumpur Swift code : SCBLMYKXXXX

(Please return the remittance advise note along with the Registration Form either by fax or mail. Document image by email is also acceptable.)

HOSPITAL-SPONSORED DELEGATES

Please submit LPO with Registration Form. Otherwise, a letter of undertaking from the hospital is required.

CANCELLATION AND REFUND POLICY

The conference secretariat must be notified in writing of all cancellations.Refund will be made after the conference as follows:

Cancellation before 15th August 2016 : 50% refundCancellation from 15th August 2016 : No refund

CONGRESS VENUE AND HOTEL ACCOMMODATION

SHANGRI-LA HOTEL, KUALA LUMPUR11, Jalan Sultan Ismail, 50250 Kuala Lumpur, MalaysiaTel : (603) 2026 8488 Fax : (603) 2032 1245 Email : reservations.slkl@shangri-la.comAttention : Reservation Department, Shangri-La Hotel, Kuala Lumpur, Malaysia

Room CategoryDaily Room Rates

Single Occupancy Double OccupancyExecutive Room RM 490.00 ++ RM 540.00 ++Horizon Executive Room RM 680.00 ++ RM 730.00 ++

The room rates quoted above are:• InRinggitMalaysiaandaresubjecttotenpercent(10%)servicechargeandsixpercent(6%)GST

(Goods & Services Tax) thereon.• InclusiveofdailybreakfastandHotelWifi(100mbps)internetaccess.• Applicableforstaysofthree(3)dayspriortoeventandthree(3)daysaftertheeventdates.

Please book your hotel accommodation directly with the hotel ON OR BEFORE 1ST SEPTEMBER 2016.

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CONGRESS INFORMATION [CONTINUED]

CERTIF ICATE OF PARTICIPATION

Certificate of Participation will be issued to all delegates.

LIABIL ITY

The Organising Committee will not be liable for the personal accidents, loss or damage to private properties of delegates during the Conference. Participants should make their own arrangements with respect to personal insurance.

SUBMISSION OF ABSTRACTS

ASMIC 2016 welcomes the submission of abstracts for consideration as Oral or Poster Presentations.The closing date for submission is 1ST AUGUST 2016.

DISCLAIMERWhilsteveryattemptwouldbemadetoensurethatallaspectsoftheConferenceasmentionedinthispublicationwilltakeplaceasscheduled,�theOrganisingCommitteereservestherighttomakechangesshouldtheneedarise.

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The Organising Committee welcomes the submission of abstracts for both Oral and Poster Presentations.

The following awards will be given:1. ASMIC Award comprising a certificate and cash prize of RM 1,000 for the Best Oral Presentation.2. Best Poster Award comprising a certificate and cash prize of RM 300. Authors whose abstracts

are not short-listed for the ASMIC Award can opt for the poster presentation.

DEADLINE FOR SUBMISSION OF ABSTRACTS : 1ST AUGUST 2016

GUIDELINES FOR SUBMISSION OF ABSTRACTS

• Papers to be submitted must be on intensive care related topics.• No limit is imposed on the number of abstracts submitted by individuals.• Abstracts are to be submitted in English only.• Abstracts will only be accepted after payment of registration fees. If the abstract is subsequently

not accepted for presentation, the registration fee will be refunded if cancellation is requested.• Scheduling details and guidelines for the final preparation of accepted presentations will be

included with the notification of acceptance.• The final selection will be decided by the Organising Committee.

WHERE APPROPRIATE, THE ABSTRACTS SHOULD CONTAIN THE FOLLOWING

• Statement on the objectives of the study.• Description of the methods used.• Summary of the results obtained • Statement on the conclusions reached.

ABSTRACT PREPARATION AND SUBMISSION

• Abstract can only be submitted via the online submission system.• Abstract should be formatted using the template in the website.• Abstract must not be more than 300 words [inclusive of title and author(s) name].• Title must be in bold capital letters at the top of the abstract.• A maximum of 5 authors can be listed under author(s) name and institution.• Presenting author’s name must be underlined.• Full instructions for submission of abstract is available on the website at www.msic.org.my• Graphs, tables and illustrations cannot be included in the abstract.

IMPORTANT: Please submit abstracts to www.msic.org.my

FREE COMMUNICATIONS