2018 ANZICS NEW ZEALAND REGIONAL ASM 4 6 APRIL 2018 THE HILTON HOTEL, AUCKLAND, NZ HANDBOOK

Transcription

1 ! 2018 ANZICS NEW ZEALAND REGIONAL ASM 4 6 APRIL 2018 THE HILTON HOTEL, AUCKLAND, NZ HANDBOOK

2 TABLE OF CONTENTS 3 Convenor's Welcome 4 Thanks To Our Sponsor 5 Auckland Map 6 Our World Class Venue 7 General Informaion 10 Keynoe Speakers 11 Invied Speakers 19 Absrac Awards 19 AGM Informaion 20 Social Programme 21 Programme Overview 27 Speaker Absracs 43 Poser Absrac 44 Exhibior Lising & Floorplan 45 Sponsor & Exhibior Profiles ORGANISING COMMITTEE Dr Anusha Ganeshalingham Convenor ANZICS 2018 ASM Paediaric Inensivis, arship Child Healh Anusha is a paediaric inensivis a arship Child Healh. Anusha underook paediaric raining boh in New Zealand and London where she gained her MRCPCH from he Royal College of Paediarics and Child Healh (UK). Upon reurning o New Zealand, Anusha compleed advanced raining wih he Royal Ausralasian College of Physicians in Anusha firs rained in paediaric inensive care medicine a arship Child Healh and reurned o London o underake an 18-monh fellowship a he Evelina Children s Hospial. She became a fellow of he College of Inensive Care Medicine in In July, Anusha reurned from The Hospial for Sick Children in Torono, where she underook a one year Neurocriical Care Fellowship. Key research ineress include brain injury wih a specific focus on neuromonioring during exracorporeal membranous oxygenaion. Non-clinical ineress include hiking and yoga. Dr David Buckley Paediaric Inensivis, arship Child Healh Dr Alex Kazemi ICU Specialis, Middlemore Hospial Nicola Gini Nurse Uni Manager, arship Child Healh Claire Sherring Research Co-Ordinaor, arship Child Healh 2

3 CONVENOR'S WELCOME I is wih grea pleasure ha I welcome you o he Ciy of Sails for he New Zealand Regional ANZICS Annual Scienific Meeing held on 4-6 April 2018 a he Hilon Hoel in Auckland s Viaduc Harbour. The Paediaric Inensive Care Uni a arship Child Healh is proud o hos his even for he firs ime. The heme of he meeing is Size Does Maer! reflecing he innovaive and challenging differences beween criically ill neonaes, children and aduls. The programme will deliver hough provoking and challenging plenary sessions wih ineracive case based discussions from an inspiraional naional and inernaional panel ha includes parens, docors, nurses and allied healh professionals. The conference venue is locaed in he hear of Auckland s vibran Viaduc Harbour. The radiionally lively social programme will showcase New Zealand s rich mariime hisory. Following he Welcome Recepion, sroll pas he super yachs o Dr Rudy s Roofop Bar where eams can compee in a en pin bowling challenge. Join us on Thursday for canapés a he Blue Waer-Black Magic Gallery, a ribue o one of New Zealand s sporing heroes, Sir Peer Blake where he winning eam can ask our special guess, Richie and Gemma McCaw he firs quesion a he Champagne Q&A. Comedian Jesse Griffin AKA counry singer Wilson Dixon from Cripple Creek, Colorado will make you roar wih laugher hroughou The Gala Dinner a The Mariime Room. Dance he nigh away or wach he world sail pas on he balcony wih specacular views of he Waiemaa Harbour. Don fall vicim o your overindulgence - renew your body and mind wih he highly spiried and enhusiasic eam from Lululemon who will guide you hrough complimenary yoga a he sar of he day. We hope you enjoy your ime in Auckland! Dr Anusha Ganeshalingham Convenor 2018 New Zealand Regional ANZICS ASM For furher informaion abou he ASM, please conac he Conference Managers: Donna Clapham PO Box Vicoria ree Wes Auckland 1142, New Zealand : e : conferences@w4u.co.nz w : CONFERENCE MANAGEMENT 3

4 THANKS TO OUR SPONSORS THE ORGANISING COMMITTEE WOULD LIKE TO THANK THE FOLLOWING ORGANISATIONS FOR THEIR SUPPORT OF THE 2018 NEW ZEALAND REGIONAL ANZICS ASM (Confirmed a he ime of prining.) PLATINUM SPONSORS GOLD SPONSOR BRONZE SPONSOR 4

5 E Nor ch Bea D N F Rd Princ W es ge Au ck lan or rid rb ou Po in lan dh arb ck am er ig ha m Br d Gle nr rf rf Wha Wha ens e Lan e k sde n Coo Mar ain Cap T er S on Briomar yler Downown Cus om s E as For Sho r land Pors of Auckland Qu a d hr ac Be ve c A res Vicoria Park um Que n S aw Fansh Ne u An Co lle Ferry Building Alb ws d R a S 2 Mills e rr a c M ys ar rs Hals rs ou ym Se Te umo ce od bou ma Bea e rra wo i e ey S gt d De Wa 5 4 ces R in Beach R d rd Wynyard Quarer Prin y ell Clarence S os fo e Nor shave Z Pier hern n D Mo r o rw ay Ha r Nel son S Sh Curran W es d lan y Ba 1 Viaduc Hobson e Evens Wharf Cenre Voyager NZ Auckland Te Wero Mariime Island Museum MadFish Marke den Coas o Coas Walkway The ar/finish Viaduc s Wes om Tepid Bahs G au n S e rde llico Vi n Pr H Silo Park Je 1 ck Au y le an -S r Weshaven Marina Emme d n R Po i y nle a Hilon Hoel Auckland conference venue and accommodaion M Social Auckland conference accommodaion Ramada Suies Auckland conference accommodaion Dr Rudi's Roofop Bar Pizza & Bowling The Mariime Room Conference Dinner eral Bridge d Bungy en D -N hc M A P O F AU oc K L A N D C B D : e Au Weshav 8 d Auckland - Bayswaer enh ead Birk E S C us land - G y K Lor ne S ki Ti o B ay R d Cre s Davis Teed Eden d way Ken Broa d e errac M o rg an S r S uie on S Rd Park omb es R L eek Park Av e d iew R eld V Seafi mon Clare Parkfi eld T Auburn Rd nby No rm a Newmarke K ing d Rd n o af Gr Araw a Burle igh S Ba Ci n Gr ra P l af on Sy m Me on w ds an hu rchi ll ley Dr d Cr es M id on Rd 5 e dl R er Que en S en ue e n per Q Up s Cr e Georges Ellio F ed Pl Wa r im u Rd Ay rs e ss Ba ny ard e ve na o a ia wi is ur La wak S bso ns Ho eral Mor Vin c Ian M ckinn o n Dr Pa rne ll R d Fed Be a bur n Hep iro S 1 C res p e e Glen Th Akep s Rd Secc ra w es C o ok rge r P as A lma e Av d na Rd on Bos r Rd u de re R La urie A Co Sa run Khyb e Carl on G o Co Auckland Museum (Pukekawa) Auckland Domain Bu 10 Grafon Mou C od o w La Auckland Winergardens Auckland Hospial Park e rer d Bir e main Do arship Children's Hospial Ao Dr Jam n Geo S wi O vale r Pa id g e rac Ter gh rou d rbo lr Sca nel e r S Ed Eden Br ford s Ea a l Rd Kelly n lco n d Bra ve ng S Fa o Enf ield an Ave Eas ylv A ia gin Wa ah o n Vir Ki ain aul on Fen B xs F o r s on S Ma n Rd us a in Dr af a N ik Parnell om e Fl e H Gr r New o Lo re S h ao n Rd e Da c e sk He ne ur bo h ch Ri sle h r Ha ig Br de an e x nan Al a ch Bu Cenr H d Bu k Rd Rd n wo Ne Ta as au E ys n rk gs per Rd Coo cial mer d ield k ef Wa dal e S Aire e Rd hap nga a r Cross Ka Rd Ciy K' Road Eas ne lle Ki Kin Co m p ep ls el m Grafon Rd o vie el K on h S ley les ion id s o P e M ou el W Un Ma ns ck Ma ex u r S rco ds l an H om be Q Howe lle Po ss ld S or ven gin El sfie on os rh a H No S ur ve Fourh A e d Av r i h T n ea Ab o lo on U ni lan an ac Gr S gin Be El rco Ha 16 D ns eou Ng 3 es Sc Su am a kin ra Tu W illi e ds k He Leighon S H op e Av er a W lan o Rd onby d Woo r Arhu Pons uar Rd n so Ed Sc Clarence Ponsonby d Murdoch R Ave CBD za Vecor Sheehan Chancery ge ll Vicoria Wes Arena n Hi ner e Renall C S h W allier Terrace e elle D ra k ic ve Rus sell Cosley sley na SkyCiy Cowan S W owe gs Ron le a B n o Pl The ran S i ayn es r S rrace es d S p nd Ponsonby Te o n Youhown Alber Auckland rela Nap Universiy Al Park Ryle I Civic C d ier S ook R n Theare Auckland Pa n so O'neill rne kli Gu n Ar Gallery Alfre n d ll a Library r W Summer The Edge S R is Farnham ellin Police F nd C u e u gon Clevela M Aoea Cenre S Pra ea Wa Town h i aara u AUT er Hall Pl A 19 Be H ay res ral P a den in S o for y u l S Ru sk ASB a ds M W ra Ta e Tennis v es hu A na Cenre w ys er Norfolk s re Myers Tu S Douglas G n rn e r D o c Pi Park

6 OUR WORLD CLASS VENUE HILTON HOTEL, AUCKLAND Princes Wharf, 147 Quay ree, Auckland An iconic hoel near cenral Auckland aracions. Sleek rooms, gorgeous views, he perfec locaion - have i all a Hilon Auckland. A quick walk from he cenral business disric. 24-hour concierge eam is happy o assis during your say. FLOORPLANS OF HILTON HOTEL: 1. Level 1 Plenary & Concurren Sessions 2. Ground Floor Exhibiion Plenary Sessions Friday 6 April AM1&2 Plenary Sessions Wednesday 4 & Thursday 5 April AM2&3 Downsairs o he Exhibiion Hall on he Ground Floor W4U Reg Desk TOPAZ 3 CICM NZ Naional Meeing Wed 4 April hrs 6

7 GENERAL INFORMATION Auckland Inernaional Airpor Auckland Airpor is abou 45 minues away by bus, car or axi. The Airbus depars every 15 minues o he ciy, and coss abou NZ$16 each way, shules are NZ$25 per person and depar fairly regularly. If you are raveling by axi, hey are locaed ouside he domesic and inernaional erminals and cos approximaely NZ$85 ino he ciy. Agriculural Resricions and Quaranine New Zealand s agriculural indusries are free of many insec pess and plan and animal diseases common elsewhere in he world. We pu a lo of effor a pors and airpors ino minimising he risk of hese being inroduced. Heavy fines may be imposed on people caugh carrying prohibied maerials. On arrival visiors should place any quesionable iems, paricularly frui, in he bins provided. Audio Visual Technician AV Technicians will be on sie hroughou he conference. Speakers please ensure you download your presenaions a he echnician s desk in he room in which you are speaking well prior o your presenaion ime. Banks and ATMs Banks in New Zealand are open from 9.30am o 4.30pm Monday o Friday. Mos banks are closed weekends and public holidays. Auomaic Teller Machines (ATM) are open 24 hours and widely available a banks and along main shopping srees. Inernaional credi cards and ATM cards will work as long as hey have a four-digi PIN encoded. Check wih your bank before leaving home. Foreign currency can easily be exchanged a banks, some hoels and Bureau de Change kiosks, which are found a inernaional airpors and mos ciy cenres. Bahrooms Bahrooms are locaed opposie he main conference rooms. Car Parking There is limied parking on he Wharf in fron of he Hilon Hoel. I is meered parking run by Wilson Parking. See hp:// Wharf-Behind-barrier-arm_Quay-ree-Auckland for parking opions and prices. Alernaively he Hilon offers vale parking a $45 per day. Car Renal Cars can be rened in New Zealand from local or inernaional companies. Average cos per day for a medium sized care is NZ$ All cars are righ-hand drive. The common legal age o ren a car in New Zealand is 25 years Cell Phones & Pagers Please se o silen mode when he conference is in session. You are welcome o coninue o use your mobile o access he mobile app! Child Care Please noe ha no official arrangemens have been made for child care during he ASM. Please check wih your hoel as hey may be able o assis furher wih babysiing services during your say. Conference Rooms Regisraion Desk: Level 1 Foyer Exhibiion: Ground Floor Main Conference Sessions on Wednesday and Thursday: Level 1 Aquamarine Rooms 2&3 Main Conference Sessions on Friday: Level 1 Aquamarine Rooms 1&2 Please ask for direcions a he conference regisraion desk on Level 1 if you are unsure. Credi Cards & Paymen Acceped cards are Visa, Masercard and AMEX. Paymen may also be made by cheque, payable o Conference Trus Accoun. All fees quoed are in New Zealand Dollars and are inclusive of GST. Paymen for regisraion mus be received prior o he end of he conference. Dress Conference Sessions : Smar Casual Welcome Recepion : Smar Casual Bowling & Pizza : Smar Casual Conference Dinner : Cockail Dress Exhibiion Opening Hours Wednesday 4 April pm pm Thursday 5 April am pm Friday 6 April am pm 7

8 ANZICS April 2018 The Hilon Hoel, AK Scan o download Available for ANZICS 2018

9 Fire/Emergency Evacuaion In he even of fire: On he discovery of fire, immediaely acivae an alarm and noify a Hilon saff member. Upon hearing alarms, evacuae immediaely. Furher insrucions may be given from Hilon saff member please follow all direcions. Proceed immediaely o your neares exi. Use he sairs, no he lif. Awai furher insrucions or clearance for an orderly re-enry ino he Hilon Hoel. Fire hoses and fire alarm swiches mus remain visible and accessible o he public a all imes. Inerne/WiFi Wireless Inerne is offered complimenary o all conference delegaes. Simply urn on your WiFi, search for ANZICS18" (here is no password required) and you will auomaically be logged on. Liabiliy Disclaimer Should for any reason ouside he conrol of he Conference Organisers, he venue or speakers change, or he even be cancelled, he Conference Organisers shall endeavour o reschedule, bu he clien hereby indemnifies he Conference Organisers including bu no limied o he Hos, Organising Commiee and Workz4U Ld harmless from and agains any and all coss, damages and expenses. This agreemen is subjec o he laws of New Zealand. A regisraion submission indicaes accepance of his indemniy. Medical Emergency (Police, Ambulance, Fire): 111 Auckland Hospial: (09) Messages The regisraion desk saff will receive all messages which can be colleced from he regisraion desk. The following conac number can be provided for messages: Name Badges All delegaes will be given a name badge upon regisraion. This name badge is your official pass o sessions, caering areas and social funcions. I is compulsary for delegaes o wear heir name badge a all ime when on-sie. No Smoking Policy Smoking is prohibied wihin he Hilon Hoel. Delegaes should be aware ha smoking is banned in public buildings and many hoels and resaurans in New Zealand. Refreshmens All morning eas, lunches and afernoon eas, as scheduled in he programme, will be served in he exhibiion area. Delegaes who have regisered special dieary requiremens are caered for on separae buffe ables during he caering breaks. These are locaed on he Ground Floor in he Exhibiion Hall. Delegaes who have special dieary requiremens and have no regisered heir requiremens should advise he saff a he regisraion desk as soon as possible. Regisraion and Informaion Desk Your regisraion pack, wih he programme, will be available for collecion from he Workz4U regisraion desk locaed on Level 1 of he Hilon Hoel. Our eam will be happy o assis wih any queries. The regisraion desk will be open a he following imes: Wednesday 4 April am -7.00pm Thursday 5 April am pm Friday 6 April am pm You will be given a handbook and a bag if you pre-ordered one when you regisered. Securiy Every precauion will be aken o proec delegae belongings. However he Conference Organisers will no accep responsibiliy for he loss or damage of delegae belongings in he venue. In all cases he delegaes mus assume responsibiliy for heir own propery. Please be securiy conscious, do no leave purses, lapops or any easily porable iems unaended a any ime. Taxis and Public Transpor Corporae Cabs (09) Co-Op Taxis (09) Green Taxi Public Transpor informaion: hps://a.gov.nz/bus-rain-ferry/imeables/

10 KEYNOTE SPEAKERS Liz Crowe Advanced Clinician Social Worker, Paediaric Inensive Care Uni, Lady Cileno Children's Hospial, Souh Brisbane, Ausralia Liz Crowe is an advanced clinician paediaric social worker wih experise in criical care in paediaric eriary hospials. She is currenly a PhD suden examining saff wellbeing of risk and proecive facors in he PICU wih a view o inform inervenions o build resilience and capaciy for all healh care saff. Liz is a passionae and humorous educaor who regularly speaks inernaionally. She is he successful auhor of The Lile Book of Loss and Grief You Can Read While You Cry and is a proud member of he Emlyn s educaors on #FOAMed and can be found on Haley Nielsen BA, DipSoc, PGDipHealSc (MenH), PGDipBus (HRM) Haley Nielsen is moher o hree children, one (now deceased) wih very high needs. She currenly serves as a consumer/family represenaive on he CDHB Child Healh Advisory Council, The Paediaric Sociey of New Zealand Clinical Nework-Palliaive Care, CDHB Disabiliy Acion eering Group. Haley previously worked as a Psychiaric Social Worker. Dr Lance O'Sullivan The Moko Foundaion, Kaiaia, New Zealand Lance O'Sullivan is a New Zealand Māori docor pracising in Kaiaia, Norhland. He was declared New Zealander of he Year 2014 for bringing healh programmes o disadvanaged in rural areas. Lance and his wife, Tracy, se up he low-cos healh clinic "Te Kohanga Whakaora" (The Nes of Wellness) o make basic healhcare accessible for people in he Far Norh. He has saed: "I see people on a daily basis who can' afford o see me, who can' afford o pay for heir medicaions. We have emergency prescripion funds donaed o our clinic from New Zealanders around he counry who heard abou us". Lance also se up he "Manawa Ora Korokoro Ora (Moko) programme", Norhland's firs full-ime, school-based healh clinic, providing medical care o 2000 children across he region, as well as he "Kainga Ora (Well Home) iniiaive", which promoes he idea of fixing rundown homes, as he believes ha wellness begins in safe warm homes. Lance is also he developer of he vmoko medical app, ha helps o deal wih medical issues as hey are found from any locaion in New Zealand. Andrew Thompson Regisered Social Worker, arship Child Healh, Auckland, New Zealand Andrew is a Regisered Social Worker wih he Consul Liaison Psychiary Team a arship. He eaches a The Universiy of Auckland, and provides communicaion skills raining for healh and social care professionals. He also consuls wih children, heir families and saff across he hospial on issues relaing o rauma adjusmen, coping and adaping o reamen. Andrew was a founding member of he Paediaric Palliaive Care eam and esablished he firs Bereavemen Service a arship and coninues o provide educaion and raining in hese fields of pracice His docoral research Exraordinary Children, is exploring paren and docor working-relaionships wihin he conex of undiagnosed and complex medical condiions. 10

11 INVITED SPEAKERS Professor Brian Anderson MB ChB, PhD, FANZCA, FCICM Professor of Anaeshesiology, The Universiy of Auckland; Paediaric Anaesheis/Inensivis, arship Child Healh, Auckland, New Zealand Brian Anderson is a specialis paediaric anaesheis and inensivis a Auckland Children's Hospial, New Zealand. A PhD in paediaric clinical pharmacology was compleed in He is now Professor of Anaeshesiology a Auckland Universiy. He has published over 200 peer-reviewed papers as well as numerous book chapers. He has a special ineres in he pharmacokineic-pharmacodynamic relaionships of simple analgesics and mauraion aspecs of paediaric pharmacology. He is Associae Edior-in-Chief for he journal Pediaric Aneshesia, Secion Edior for Anaeshesia & Inensive Care Medicine and is Edior (along wih Coe and Lerman) for he exbook A Pracice of Anaeshesia for Infans and Children. Dr John Beca Paediaric Inensivis, Direcor of Child Healh - Surgery, Cardiac and Criical Care, arship Child Healh, Auckland, New Zealand Dr John Beca is a paediaric inensivis. He is he Direcor of Child Healh Surgery, Cardiac and Criical Care a arship Child Healh, Auckland, New Zealand and is also Clinical Direcor of he PICU. His research ineres is in acue brain injury, especially injury relaed o cardiac surgery, rauma and hypoxic ischaemic injury. He was PI for he Hypohermia in TBI in Children (HiTBIC) sudy, co-pi for he inernaional CoolKids sudy and PI for he Hears and Minds udy (invesigaing brain injury and developmen in infans having hear surgery). Gillian Bishop Clinical Direcor, Deparmen of Criical Care, Auckland Ciy Hospial; CICM Primary Examiner, Auckland, New Zealand Kahy Bubliz Regisered Social Worker, arship Child Healh, Auckland, New Zealand Kahy is a fully qualified counsellor and a regisered social worker wih A.N.Z.S.W. She has worked in hese areas for over 30 years. Kahy has worked for several Non-Governmenal Organisaions, was a senior herapis in a residenial rehabiliaion cenre and has also been a paediaric social worker a arship Child Healh for 12 years. For he las 6 years she has been in he Paediaric Inensive Care Uni and a member of he arship Trauma Team. Kahy is also a moher, a grandmoher and has a wonderful parner, all who keep her grounded in her work and home life. Dr David Buckley FANZCA FCICM Paediaric Inensive Care & Cardiac Anaeshesia, arship Child Healh, Auckland, New Zealand David currenly works in Paediaric Inensive Care and Cardiac Anaeshesia a arship Child Healh. Work ineress are congenial hear disease managemen, mechanical venilaion, and ranspor medicine. Ineress ouside of work include fishing, huning, golf, and snowboarding. 11

12 Dr Debbie Chalmers Inensivis, Hawke's Bay Hospial; Chair, College Special Ineres Group for Welfare, Napier, New Zealand Originally from Souh Africa, Debbie moved o Napier, New Zealand in 2007 wih her parner, Eric, 17 boxes and 2 bicycles. 11 years and 2 Fellowships laer she can now order fush and chups like a local and wear jandals o he beach. Debbie is sill no sure abou pineapple lumps, and migh sill call raffic lighs robos, bu New Zealand is home. Debbie is a join Fellow of he College of Inensive Care Medicine and he Royal Ausralasian College of Physicians. She has a diverse range of clinical experience including paediarics, nephrology and palliaive care medicine. She has a long sanding ineres in medical ehics and a developing ineres in susainabiliy in healh care, and in life. To keep ou of mischief, Debbie is he Chair of he Welfare Special Ineres Group and also he New Fellows Represenaive on he New Zealand Naional Commiee. When she is no a work she is embracing her inner hippy and eneraining her 4 fur children - Fluffy, Spoy, Oscar and Hugo. Debbie is a uneless signer of 1980's songs and random songs abou frogs and can followed on Pam Culverwell Paediaric Clinical Nurse Specialis, Counies Manukau Healh, Auckland, New Zealand Pam is a Paediaric Clinical Nurse Specialis in he Criical Care Complex (CCC), a mixed adul and paediaric uni a Middlemore Hospial. She compleed her Bachelor of Nursing in 2000 and hen wen on o complee her Pos Graduae Diploma (wih disincion) in Advanced Nursing Pracice (Criical Care). Wihin her role she developed an orienaion and professional developmen pahway for criical care nurses progressing o paediaric paien care. This provides a srucured and supporive framework ha enhances he care of children admied o CCC. Pam is also acive in oher areas of he complex including simulaion, bereavemen care and qualiy projecs. Dr uar Dalziel Direcor, Emergency Medicine Research, arship Child Healh, Auckland, New Zealand Dr uar Dalziel is an academic paediarician wih sub-specialy raining in paediaric emergency medicine. He is he Direcor of Emergency Medicine Research a arship Child Healh. uar is he curren chair of he Paediaric Research in Emergency Deparmens Inernaional Collaboraive (PREDICT, Ausralasia s paediaric emergency medicine research nework) and holder of numerous research grans from he Healh Research Council (HRC) in New Zealand and he Naional Healh & Medical Research Council (NHMRC) in Ausralia. His research ineress are focused around acue paediaric presenaions, specifically respiraory and neurological presenaions, as well as long-erm effecs of perinaal/early life reamens. Ann Doran NZRN, BN aff Nurse and Bereavemen Service Coordinaor, PICU, arship Child Healh, Auckland, New Zealand Ann is a senior saff nurse in he Paediaric Inensive Care Uni a arship Child Healh in Auckland. She is also he coordinaor of he PICU Bereavemen Follow-up Service. Ann s background is cardiohoracic inensive care, and i was while working a Green Lane Hospial ha she firs became aware of he need for bereavemen follow up for grieving parens. Ann was insrumenal in seing up he Bereavemen Service a arship when he curren uni opened in She works closely wih boh medical and nursing saff, as well as he arship Grief Counsellor, o ensure bereaved parens are suppored boh during heir hospial say and in he firs few monhs following he deah of heir child. Dr Simon Erickson Paediaric Inensivis, Perh Children s Hospial, Wesern Ausralia, Ausralia Simon Erickson is a saff specialis in inensive care a Perh Children s Hospial in Wesern Ausralia. He rained in paediaric inensive care a Princess Margare Hospial, Wesmead Children s Hospial, NSW and he Sick Children s Hospial in Torono and adul inensive care a Sir Charles Gairdner Hospial, WA. He is immediae pas-chair of he Paediaric udy Group of ANZICS and is also on he board of examiners for he College of Inensive Care Medicine. His work-relaed ineress are in clinical research (ARDS and Sedaion), use of echocardiography in PICU and acue care eaching (PALS, EMAC). He has published several original papers and acs as reviewer for several journals including Pediarics, Criical Care Medicine and Paediaric Criical Care Medicine. He has been involved in eaching and program developmen in several Asian counries including India and Indonesia. He is also involved in voluneer work and has made 16 consecuive rips o Papua New Guinea and Tanzania wih Operaion Open Hear. 12

13 Dr Kirsen Finucane Paediaric Cardiohoracic Surgeon, arship Child Healh, Auckland, New Zealand Kirsen Finucane is he Chief Surgeon of he Paediaric and Congenial Cardiac Service a arship Hospial in Auckland. She rained a Green Lane Hospial under he direcion of Mr Alan Kerr, hen in Birmingham Children s Hospial in he UK wih Mr Bill Brawn. Kirsen reurned o New Zealand in 1996 and her iniial projec was o develop he paediaric service ino a specialised uni, moving from Green Lane o arship in This uni now performs around 400 bypasses per year including he full range of neonaal surgery, ransplans and complex adul congenial cases. Areas of ineres include valve repairs for children and eenagers wih rheumaic hear disease, cerebral proecion in he conex of neonaal cardiac surgery, a modified maze echnique for adul paiens undergoing Fonan Conversion and improving he cardiac surgical service o children in he Pacific Islands. Di Fuller Nurse Specialis - Transpors, arship Child Healh, Auckland, New Zealand Di s firs rerieval was in he days of Naional Woman s Hospial neonaal inensive care uni, 11A. This was around From here i was o doing rerievals based ou of wha was hen arship Child Healh his was in he ime of Childfligh. Afer a period of ime overseas on reurn o New Zealand in 2001 and following he amalgamaion of he Greenlane ICU paediaric cardiac services wih he general paediaric ICU a arship, Di commenced work on he rerieval eam based ou of he PICU a arship Child Healh. During his ime she compleed her pos-graduae diploma in aeromedical rerievals hrough Oago Universiy. Di has been a commiee member of he New Zealand Fligh Nurses Associaion now College of Air & Surface Transpor Nurses (COASTN). During his ime she ook on he role of organising and faciliaing he NZFNA Naional Aeromedical Rerieval Course for Fligh Nurses. Di has coninue in his role for COASTN. She was re-eleced back ono he COASTN commiee in 2017 & is now also faciliaing he sub-commiee for raising he professional profile of fligh nurses in New Zealand. Di has been a commiee member of he Aeromedical Sociey of Ausralasia for approx. he las 6 years aking on he role of secreary his year also saw her and some of her colleagues assising wih raining for aeromedical evacuaion wih he New Zealand Airforce. In Ocober 2017 Di commenced he role of Nurse Specialis ranspors overseeing he paediaric inensive care rerieval service a arship Child Healh. She reains clinical hours doing rerievals as well as clinical nursing on he PICU. Dr Michael Gillham Cardiac Anaesheis & Inensivis, CVICU, Auckland Ciy Hospial, Auckland, New Zealand Michael has worked as a consulan in CVICU since He also coninues o do a small amoun of clinical anaeshesia. Over he las five years he has developed an ineres in human facors, in-siu simulaion based raining and paien safey culure. He is now he SMO Lead for paien safey and qualiy in he cardiovascular direcorae a Auckland Ciy Hospial and in his role he is involved in severe adverse even invesigaions. Michael is he Depuy Service Clinical Direcor for he CVICU. His ineress ouside of work include mounain biking and all ypes of fishing. Nicola Gini Nurse Uni Manager, PICU, arship Child Healh, Auckland, New Zealand Nic compleed her nursing diploma a Auckland Insiue of Technology in 1992, hen wen on o complee her Graduae Diploma in Advanced Nursing Pracice (Criical Care) and BHSc (Nursing) in From she worked in he ICU a Green Lane Hospial as a saff nurse and hen a Clinical Charge Nurse. In 2003 following he move of Green Lane Hospial o he Grafon sie she ook up a Clinical Charge Nurse pos in he Paediaric Inensive Care Uni a arship Child Healh. She compleed her MN in 2005 wih a focus on ECMO. Nic currenly works as he Nurse Uni Manager of he PICU a arship Child Healh, Auckland. In her spare ime she is a voluneer Paramedic wih John Ambulance. 13

14 Dr Chanal Hofsee Clinical Psychologis and Execuive Coach, Renew Your Mind, Auckland, New Zealand Dr Chanal Hofsee is a Clinical Psychologis, Execuive coach and auhor who specialises in research based mindfulness. Originally from he Neherlands, Chanal moved o New Zealand 6 years ago and is he founder and direcor of Renew Your Mind. Renew Your Mind currenly has 4 locaions hroughou Auckland and offers research based mindfulness courses, workshops, business rainings and mindfulness based counselling and coaching. Chanal is passionae abou giving people insigh ino how heir brain works and equipping hem wih pracical ools ha effecively rewire he brain and improve brain funcion hrough reducing sress. For more informaion abou Chanal or he Renew Your Mind services please visi Dr Kylie Julian MBChB, FANZCA, FCICM Inensivis, Criical Care Complex, Middlemore Hospial, Auckland, New Zealand Kylie is an inensivis in he Criical Care Complex, Middlemore Hospial. Since 2011 she has been a member of he bereavemen follow up group. This is a muli-disciplinary group ha provides focussed follow up o families who have suffered bereavemen in he Criical Care Complex. Kylie also ineresed in menoring and he welfare of rainees. Dr David Knigh Specialis Inensivis, Chrischurch Hospial, Chrischurch, New Zealand Dr David Knigh has been a Specialis Inensivis a Chrischurch Hospial since David graduaed from Leeds Universiy 1994 and wen on o rain in general medicine, anaeshesia and criical care across norhern and cenral England before he emigraed wih his family o New Zealand in His ineress include educaion, nuriion, renal replacemen herapy and weaning from mechanical venilaion. He has recenly been appoined as an examiner for he ICU fellowship examinaion and is looking forward o helping he nex generaion of Inensiviss achieve success. Bridge Lile Paediaric Dieiian, arship Child Healh, Auckland, New Zealand Bridge is he lead dieiian working in he arship Paediaric Inensive Care Uni. Her areas of specialy include paediaric criical care, inravenous nuriion and he managemen of feeding difficulies in children. Bridge began working as a dieiian in She has had a diverse clinical career, which includes work in he Norhland communiy and a Dieiian Team Leader role a Waiemaa DHB, bu her passion lies in he field of paediaric dieeics, where she has been working since Bridge s clinical pracice a arship is boh challenging and rewarding. She enjoys he diversiy of paien care in he ICU seing. Dr Alasair McGeorge Cardiac Anaesheis & Inensivis, CVICU, Auckland Ciy Hospial, Auckland, New Zealand Alasair is one of he cardiac inensiviss based in CVICU a Auckland Hospial. He also pracises cardiac anaeshesia and has ineress in Adul Congenial cardiac surgery, horacic organ ransplanaion and mechanical suppor. In a previous life he also pracised paediaric cardiac anaeshesia. Ouside of medicine he enjoys sailing and all oher waer based aciviies. Fiona McIver Clinical Nurse Specialis, PICU Long Term Care Co-ordinaor, arship Child Healh, Auckland, New Zealand Fiona is a Clinical Nurse Specialis in he newly developed role of Long Term Care Co-ordinaor for paiens in PICU a arship Child Healh. Afer an exensive background in ICU and working wih ECMO, CVVH, fligh nursing and shif co-ordinaing she found a passion for looking afer children who had been in PICU for long periods of ime. Fiona enjoys he challenges and rewards ha his populaion of paiens and heir families provide. Fiona is currenly compleing her Pos Graduae Diploma in Advanced Nursing and is looking forward o coninuing her sudies o complee a Masers. 14

15 Dr Emma Merry Medical Specialis, Organ Donaion New Zealand Emma Merry is a Specialis Medical Officer wih Organ Donaion New Zealand. She is dual qualified in Inensive Care Medicine and Palliaive Medicine and works as SMO Palliaive Medicine a Hawke's Bay Fallen Soldiers' Memorial Hospial in Hasings. Emma has a srong ineres in medical educaion and has a Maser's in Clinical Educaion from he Universiy of Auckland on he opic of moivaion in clinical eachers. In her spare ime she enjoys sampling he local Hawke's Bay wines and cycle rails, hough no simulaneously. Dr Fiona Miles Paediaric Inensivis, arship Child Healh, Auckland, New Zealand Fiona is a paediaric inensivis a arship Child Healh, Auckland. She is he uni supervisor of raining, member of he ICM and Paediaric Vocaional Training Commiees, Depuy Chair of he CICM second par paediaric examinaion commiee and faculy for he Wellingon ICM course. Her ineress are ehics and communicaion and she is a member of he ADHB Hospial ehics commiee. She has compleed a Diploma in Professional Ehics, Posgraduae Diploma in Ars (ehics) and is now underaking a PhD. She enjoys balancing clinical work wih a busy family life. Dr Gabrielle Nuhall Paediaric Inensivis, arship Child Healh, Auckland, New Zealand Gabrielle Nuhall is a Paediaric Inensivis in he paediaric inensive care uni a arship Child Healh in Auckland, New Zealand. Prior o her presen posiion she compleed fellowships in paediaric inensive care in Vancouver and Torono, having compleed her raining as a paediarician in Ausralia and New Zealand. Gabrielle s areas of ineres are resusciaion, simulaion, eaching and early warning scores. She is a founding member of he arship Simulaion Program, an APLS insrucor, a member of he New Zealand Resusciaion Council, on he Paediaric Task Force Commiee of ILCOR and chair of he arship Resusciaion Commiee. Dee O Daly ICU Nurse, Deparmen of Criical Care Medicine (DCCM), Auckland Ciy Hospial, Auckland, New Zealand Dee O Daly is an ICU Nurse wih over hree decades experience in he Criical Care environmen. Over his ime Dee has susained an ineres and passion for ICU oucomes, qualiy and research and has for many years co-ordinaed a Nurse Led Paien Follow-up Service (PFU) for he Deparmen of Criical Care Medicine (DCCM) a Auckland Ciy Hospial. PFU aims o acknowledge he paien s perspecive on heir ICU experience and hrough associaed daa collecion allow he paien experience o influence/ improve pracice. Dr Clare O'Donnell MBChB FRACP Paediaric and Adul Congenial Cardiologis, arship Child Healh and Auckland Ciy Hospial, Auckland, New Zealand Dr Clare O Donnell is a paediaric and adul congenial cardiologis in he Paediaric and Congenial Cardiac Service a arship Childrens/Auckland Ciy Hospials in New Zealand. Her iniial medical and paediaric raining was in Dunedin, Wellingon and Auckland. She began her paediaric cardiology raining a Green Lane Hospial before spending four years in Boson a he Boson Children s and Brigham and Women s Hospials. While in Boson she compleed a Masers in Science in Epidemiology a he Harvard School of Public Healh. Her clinical and research ineress are in adul congenial hear disease, inervenion for congenial hear disease and pulmonary hyperension. Dr Michael Park MBChB, MRCP, FCICM Inensivis, Hawke's Bay Hospial, Hasings, New Zealand Michael compleed his undergraduae raining in Aberdeen (UK) a end of he las millennium, hen moved on o Bar s and The London o rain in General Medicine. He compleed MRCP and moved o he Hawke s Bay, New Zealand for 6 monhs in Indecisiveness beween Cardiology, Renal or Endocrine specialiy raining led o a period in Inensive Care. He was led asray by Benne, Ward & Freebairn. Then urned o he dark side by joining CICM. His advanced raining was compleed in Auckland. Michael moved back o he Hawke s Bay in 2010 and became Head of Deparmen in His ineress include mechanical venilaion, criical care ulrasonography, quaniaive acid-base analysis and Goals of Care. His work commimens have cured an oenophilic obsession resuling in a raher large wine collecion. 15

16 Dr Alison Pirre BA, MA, PG Cer, PhD. Nurse Praciioner, Criical Care Complex, Middlemore Hospial, Auckland; Senior Lecurer, School of Nursing, Massey Universiy, New Zealand Dr Alison Pirre is a Nurse Praciioner, Criical Care Complex, Middlemore Hospial, working clinically in an ICU oureach role. Alison is Senior Lecurer in he School of Nursing, Massey Universiy, Assisan Edior for he Journal of Inensive and Criical Care, and Chairperson of he New Zealand Healh Qualiy and Safey Exper Advisory Group for he Deerioraing Paien Programme. Alison s research ineress include nasal high flow oxygen in ward paiens, advanced nursing pracice, diagnosic reasoning and sysems o improve paien oucomes. Alison is auhor of he book Acue Care Nursing: a Physiological approach o clinical assessmen and paien care. Dr Nic Randall CICM, FANZCA, BSc (Chem), Dip Pal Care Inensivis, Middlemore Hospial, Auckland, New Zealand Nic works as a consulan a Middlemore Hospial spliing his ime beween Inensive Care and Anaeshesia. He has an academic ineres in he sraegies and approach o adul medical educaion, especially developing how o develop skills for use when rare or unexpeced siuaions develop. Nic has also spoken abou he psychosocial challenges facing medicine especially relaed o he changing demands and needs placed on specialiss as hey move hrough heir careers. Being an ANZCA (P 1) examiner has faciliaed significan basic science up skilling, and he sis as he Treasurer of ANZICS (New Zealand). Born in he Deep Souh Nic is frequenly found in shors and sandals whils playing guiar in he humid norh, where he is suppored by his wonderfully oleran wife, Kim. His son Addy is far beer on he guiar, and his is a large source of frusraion. Carol Robinson aff Nurse, PICU, arship Child Healh, Auckland, New Zealand Carol is a senior saff nurse in he Paediaric Inensive Care Uni a arship Child Healh in Auckland. She worked a Green Lane in ICU from 1983 ill 2003 as boh a saff nurse and charge nurse. Following he move o he Paediaric Inensive Care Uni a arship Child Healh she has been insrumenal in Cardiac Educaion in he uni. In 2014 she compleed her Pos Graduae Diploma in Healh Sciences in Advanced Nursing. Carol Is a Trusee of Hears4Kids, a Chariable Trus performing cardiac surgeries on babies and children in Fiji. She is Team Leader of he Inensive Care Nursing eam. Dr Simon Rowley MBChB FRACP Consulan Neonaal Paediarician, Newborn Service, Auckland Ciy Hospial, Auckland, New Zealand Dr Simon Rowley is a senior Consulan Neonaologis a Auckland Ciy Hospial (originally Naional Womens Hospial). His basic raining was in Dunedin and Chrischurch and his posgraduae sudies - FRACP paediarics - were compleed in Oxford, U.K. He is currenly a senior Neonaal Paediarician in he Newborn Inensive Care Uni a Naional Womens Healh, Auckland Ciy Hospial, and he also praciced General Paediarics in privae for 30 years, looking afer children of all ages. He is chair of he Paediaric Vocaional Training Commiee for he Auckland and Norhern Region and a Direcor of Physician Educaion. One of his main ineress is he effec of experience on neonaal brain developmen - he neurobiology of infan brain developmen - and his ineres exends o him being a rusee and presener for he Brainwave Trus. Oher ineress include early childhood behavioural and developmenal oucomes, and medical ehics. In paricular he is ineresed in how we make decisions abou end-of-life care in he vulnerable sick or new born infan. He is an honorary lecurer a he Auckland School of Medicine and a recipien of he Denis Pickup Teaching Award 2014 and a Disinguished Clinical Teacher Award He is married wih 4 adul children. 16 Dr Manuela Sapochnik Consulan Clinical Psychologis, arship Child Healh, Auckland, New Zealand Dr Manuela Sapochnik is a consulan clinical psychologis a arship Child Healh and an honorary lecurer a Auckland Universiy. Manuela has a paricular ineres in working wih children and heir families and wih saff, on he managemen of procedural anxiey, pain and rauma. Manuela has worked for 17 years in boh he UK and in New Zealand in research, eaching and clinical poss. In he UK she worked a Grea Ormond ree children s hospial where she wroe and ran heir firs adolescen pain managemen group. A arship she has creaed a programme for eaching procedural anxiey managemen skills o saff ha has been rolled ou across he hospial and horough eaching a Auckland Universiy, for docors, nurses and allied healh.

17 Dr Liz Segedin Paediaric Inensive Care Specialis, arship Child Healh, Auckland, New Zealand Liz is a Paediaric Inensive Care Specialis a he arship Child Healh in Auckland and he firs Direcor of he uni, appoined a he beginning of 1991 o plan and iniiae his service. The uni opened in December 1991 wih 7 beds, expanding o 9 beds 5 years laer. She oversaw he early developmen of he arship CED and emergency services, inravenous nuriion service, he PICU ranspor/rerieval service and he design of he new 16 bed uni which opened in November 2003 o caer for boh general and cardiac paediaric populaions. Liz remained direcor unil 2003, handing over o Dr John Beca a he ime of he opening of he new PICU. Her ineress include nuriion and injury prevenion, paricularly focused on car resrains and a vocal proponen for he use of booser seas for school aged children. Professor Jon Skinner MB ChB, DCH, MRCP(UK), FRACP, FCSANZ, FHRS, MD Children s Hear Rhyhm Specialis, arship Child Healh; Honorary Professor, Deparmen of Child Healh, The Universiy of Auckland, Auckland, New Zealand Jon runs he naional arrhyhmia service for children and aduls wih congenial hear disease. He chairs he Cardiac Inheried Diseases Group, which runs he New Zealand naional cardiac inheried disease regisry and mulidisciplinary invesigaive service of young sudden unexplained deah. Jon chairs he geneic council of he Cardiac Sociey of Ausralia and New Zealand, and he Trans- Tasman Response agains sudden Deah in he Young (TRAGADY). He is an ediorial board member of Hear Rhyhm and has auhored over 120 peer reviewed scienific aricles, wih a focus on sudden deah syndromes. Dr Rebecca Smih Paediaric Inensivis, arship Child Healh, Auckland, New Zealand Rebecca Smih is a Paediaric Inensivis a arship Child Healh. She rained iniially in general paediarics in New Zealand hen moved o Ausralia where she discovered a passion for paediaric inensive care. She compleed her PICU raining wih a wo year paediaric criical care fellowship in Torono. During his ime she pursued an ineres in medical educaion, compleing he epping ones eacher developmen program a he Universiy of Torono. Her areas of ineres include pediaric cardiac inensive care, simulaion and eaching. Dr Tony Williams Clinical Direcor, Acue Care, Middlemore Hospial, Auckland, New Zealand Tony is he Clinical Direcor of Acue Care a Middlemore Hospial. He has been in inensive care pracice a Middlemore since Middlemore has been he sie of he Naional Burns Service since is incepion in Middlemore provides inensive care services o aduls and children wih burns as well as general inensive care services largely for acue admissions. Tony is a member of he New Zealand Perioperaive Moraliy Commiee and is involved wih many ANZICS CTG rials. Dr Paul Young Specialis in Inensive Care Medicine, Wellingon Hospial; Direcor, The Inensive Care Research Programme, Medical Research Insiue of New Zealand, Wellingon, New Zealand Paul Young is an ICU Specialis a Wellingon Hospial, New Zealand. He is he Inensive Care Research Programme Direcor a he Medical Research Insiue of New Zealand. He is an acive member of he ANZICS Clinical Trials Group. Despie only seven years of research experience Dr Young has esablished himself as a highly recognised figure in he field of clinical ICU research inernaionally wih more han 80 peer-reviewed publicaions. He has more han $25M of curren research funding and is involved in research collaboraions wih scieniss from Ausralia, he UK, Canada, he USA, Ialy, Scandinavia, and Brazil. Paul is married and has hree children (a 7 year old, a 9 year old, and an 11 year old). He prefers kie surfing o working and you can rack he progress of his clinical rials by following him on 17

18 InTouch Criical Care Bed Basic needs. Simplified care. Excepional oucomes. 18

19 SOCIAL PROGRAMME WELCOME RECEPTION Dae : Wednesday 4 April 2018 Time : 5.30pm 6.30pm Venue : The Hilon Hoel, Auckland Dress Code : Smar Casual Join us for some ime ou wih he indusry represenaives. Enjoy drinks and nibbles and a chance o cach up wih friends, nework wih sponsors and exhibiors and mee new colleagues. BOWLING & PIZZA Dae : Wednesday 4 April 2018 Time : from 7.00pm Venue : Dr Rudi's Roofop Bar, Cnr Quay & Hobson, Viaduc, Auckland Dress Code : Casual Following he Welcome Recepion, sroll pas he super yachs o Dr Rudi s Roofop Bar where eams can compee in a en pin bowling challenge! 19

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21 CONFERENCE DINNER Dae : Thursday 5 April 2018 Time : 6.00pm 11.00pm Venue : The Mariime Room, Viaduc, Auckland Dress Code : Cockail Join us for canapés a he Blue Waer-Black Magic Gallery, a ribue o one of New Zealand s sporing heroes, Sir Peer Blake where you can ask our special guess, Richie McCaw and Gemma McCaw quesions a he Champagne Q&A. Comedian Jesse Griffin AKA counry singer Wilson Dixon from Cripple Creek, Colorado will make you roar wih laugher hroughou he hree-course Gala Dinner. Dance he nigh away or wach he world sail pas on he balcony wih specacular views of Waiemaa Harbour. Walking Map 21

22 Redefining expecaions... PREMIUM SYSTEM PERFORMANCE Easy o se up and use Minimal condensaion Advanced proecion For more informaion, conac your Fisher and Paykel Represenaive

23 PROGRAMME OVERVIEW WEDNESDAY 4 APRIL CICM New Zealand Naional Meeing Topaz REGISTRATION AND INDUSTRY EXHIBITION OPEN, ARRIVAL TEA & COFFEE Pre Funcion & Exhibiion Hall OPENING AND WELCOME Dr Liz Segedin, Paediaric Inensive Care Specialis, arship Child Healh, Auckland, New Zealand A Look Inside arship s Paediaric Inensive Care Uni Nicola Gini, PICU Nurse Uni Manager, arship Child Healh, Auckland, New Zealand Aquamarine 2& Dr Lance O Sullivan, The Moko Foundaion, Kaiaia, New Zealand Size Does Maer! A Neonaologis, Paediaric Inensivis and Adul Inensivis walk ino a bar ogeher Dr Simon Rowley, Consulan Neonaal Paediarician, Newborn Service, Auckland Ciy Hospial, Auckland, New Zealand Dr Nic Randall, Inensivis, Middlemore Hospial, Auckland, New Zealand Dr David Buckley, Paediaric Inensivis, arship Child Healh, Auckland, New Zealand AFTERNOON TEA AND INDUSTRY EXHIBITION Exhibiion Hall Small Fish in a Big Pond: Looking afer Children in he Adul Inensive Care Uni Dr Tony Williams, Inensivis, Middlemore Hospial, Auckland, New Zealand Pam Culverwell, Paediaric Clinical Nurse Specialis, Counies Manukau Healh, Auckland, New Zealand Dealing wih Dr Google in Criical Care: The Imporance of Lisening Liz Crowe, Advanced Clinician Social Worker, Paediaric Inensive Care Uni, Lady Cileno Children's Hospial, Souh Brisbane, Ausralia Ineracive Case Based Discussion: Paediaric Respiraory Session Acue Respiraory Failure Dr uar Dalziel, Emergency Medicine Consulan, arship Child Healh, Auckland, New Zealand Dr Simon Erickson, Paediaric Inensivis, Perh Children s Hospial, Wesern Ausralia, Ausralia Dr Michael Park, Inensivis, Hawke s Bay Hospial, Hawke's Bay, New Zealand Emir Gille, Clinical Charge Nurse, arship Child Healh, Auckland, New Zealand WELCOME RECEPTION WITH SPONSORS AND EXHIBITORS Exhibiion Hall FROM 1900 PIZZA & BOWLING Dr Rudi s Roofop Bar 23

24 THURSDAY 5 APRIL PRE-CONFERENCE WORKSHOP: YOGA WITH LULULEMON Topaz REGISTRATION AND INDUSTRY EXHIBITION OPEN, ARRIVAL TEA & COFFEE Pre Funcion & Exhibiion Hall You Are he one ha Makes he Ripples Dr Debbie Chalmers, Inensivis, Hawke's Bay Hospial; Chair, College Special Ineres Group for Welfare, Napier, New Zealand Aquamarine 2& Training he Brain wih Mindfulness Dr Chanal Hofsee, Clinical Psychologis and Execuive Coach, Renew Your Mind, Auckland, New Zealand Building a Resilien Inensive Care Uni Liz Crowe, Advanced Clinician Social Worker, Paediaric Inensive Care Uni, Lady Cileno Children's Hospial, Souh Brisbane, Ausralia MORNING TEA AND INDUSTRY EXHIBITION Exhibiion Hall How he Inensivis can Preven Sudden Cardiac Deah in he Young Professor Jon Skinner, Children s Hear Rhyhm Specialis, arship Child Healh; Honorary Professor, Deparmen of Child Healh, The Universiy of Auckland, Auckland, New Zealand Adul Congenial Hear Disease Dr Clare O Donnell, Paediaric and Adul Congenial Cardiologis, arship Child Healh and Auckland Ciy Hospial, Auckland, New Zealand Ineracive Case Based Panel Discussion: The Failing Fonan a an Adul ICU Near You Dr Clare O Donnell, Paediaric and Adul Congenial Cardiologis, arship Child Healh and Auckland Ciy Hospial, Auckland, New Zealand Dr David Knigh, Specialis Inensivis, Chrischurch Hospial, Chrischurch, New Zealand Dr Kirsen Finucane, Paediaric & Congenial Cardiac Surgeon, arship Child Healh, Auckland, New Zealand LUNCH AND INDUSTRY EXHIBITION Exhibiion Hall FREE PAPER A Mulicase udy of a Prolonged Criical Illness in he Inensive Care Uni: Nurses Experiences hroughou he Trajecory Dr Claire Minon, Massey Universiy, Palmerson Norh, New Zealand FREE PAPER Smoohing he Transiion from he Criical Care Complex o he Ward for Families Pam Culverwell, Paediaric Clinical Nurse Specialis, Middlemore Hospial, Auckland, New Zealand Jackie Beaumon, Burn Clinical Nurse Specialis, Middlemore Hospial, Auckland, New Zealand FREE PAPER Evaluaion of a Needs-Based Training Program For ICU and HDU Nurses in Malawi Rodwell Gundo, Auckland Universiy of Technology, Auckland, New Zealand FREE PAPER Long Term Care in he Paediaric Inensive Care Uni a The Royal Children s Hospial The Role of he Nurse Coordinaor Yvee Moore, Nurse Coordinaor, PICU, Royal Children s Hospial, Melbourne, Ausralia FREE PAPER FASTVEIN - A Biomeric Auhenicaion Sysem for Paien Idenificaion Adele Whieman, Mancheser Universiy NHS Foundaion Trus, Mancheser, UK PICU Abroad Ou of your Comfor Zone Carol Robinson, aff Nurse, PICU, arship Child Healh, Auckland, New Zealand Nicola Gini, PICU Nurse Uni Manager, arship Child Healh, Auckland, New Zealand AFTERNOON TEA AND INDUSTRY EXHIBITION Exhibiion Hall Wha Clinicians Need o Know - A Paren s Perspecive Mrs Haley Nielsen PICU Bereavemen Size Does Maer Ann Doran, aff Nurse and Bereavemen Service Coordinaor, PICU, arship Child Healh, Auckland, New Zealand Bereavemen Follow Up Do Good Inenions Resul in Good Oucomes? Dr Kylie Julian, Inensivis, Criical Care Complex, Middlemore Hospial, Auckland, New Zealand Moral Disress in he PICU Dr Fiona Miles, Paediaric Inensivis, arship Child Healh, Auckland, New Zealand ANZICS New Zealand AGM Aquamarine 2& NZCCCN New Zealand AGM Topaz GALA DINNER The Mariime Room, Viaduc Harbour 24

25 FRIDAY 6 APRIL PRE-CONFERENCE WORKSHOP: YOGA WITH LULULEMON Topaz REGISTRATION AND INDUSTRY EXHIBITION OPEN, ARRIVAL TEA & COFFEE Pre Funcion & Exhibiion Hall Difficul Conversaions, Difficul Parens or Difficul Colleagues? A Rapid Research Projec for Breakfas Andrew Thompson, Regisered Social Worker, arship Child Healh, Auckland, New Zealand Kahy Bubliz, Social Worker, arship Child Healh, Auckland DHB, Auckland, New Zealand Aquamarine 1& Home Swee Home.On a Venilaor Fiona McIver, Clinical Nurse Specialis, PICU Long Term Care Co-ordinaor, arship Child Healh, Auckland, New Zealand Preparing Children and heir Families for Painful Procedures a arship Dr Manuela Sapochnik, Consulan Clinical Psychologis, arship Child Healh, Auckland, New Zealand MORNING TEA AND INDUSTRY EXHIBITION Exhibiion Hall The Paediaric and Adul 9 x 9 Session 1. Cooling Kids Dr John Beca 2. The Swann-Ganz Caheer, Does I ill Have a Place? Dr Alasair McGeorge 3. Temporary Cardiac Pacing: All You Need o Know Dr Michael Gillham 4. Wha s New in Paediaric Resusciaion Dr Gabrielle Nuhall 5. How o Feed Kids in ICU Bridge Lile 6. PTSD in ICU Dr Gillian Bishop 7. Wha he Paiens Say Dee O Daly 8. Procedural Sedaion in Awake Children Dr Simon Erickson 9. Paediaric Sepic Shock Dr Rebecca Smih LUNCH AND INDUSTRY EXHIBITION Exhibiion Hall Transporing he PICU Paien How We Can Help You Diane Fuller, Nurse Specialis - Transpors, arship Child Healh, Auckland, New Zealand Neuronal Apoosis and T-Rex Professor Brian Anderson, Professor of Anaeshesiology, The Universiy of Auckland; Paediaric Anaesheis/Inensivis, arship Child Healh, Auckland, New Zealand Therapeuic Hypohermia For Ou Of Hospial Cardiac Arres: Why Being Cool Is So Ho Righ Now Dr Paul Young, Specialis in Inensive Care Medicine, Wellingon Hospial; Direcor, The Inensive Care Research Programme, Medical Research Insiue of New Zealand, Wellingon, New Zealand Deceased Organ Donaion in New Zealand: Rewards Come From Hard Work Dr Emma Merry, Medical Specialis, Organ Donaion New Zealand AFTERNOON TEA AND INDUSTRY EXHIBITION Exhibiion Hall The Trials and Tribulaions of Transiioning o he New Zealand Early Warning Score (NZEWS) using Paienrack: A Local Experience Dr Alison Pirre, Nurse Praciioner, Criical Care Complex, Middlemore Hospial; Senior Lecurer, School of Nursing, Massey Universiy, Auckland, New Zealand P-ANZICS JAMAGEDDON Professor Brian Anderson, Professor of Anaeshesiology, The Universiy of Auckland; Paediaric Anaesheis/Inensivis, arship Child Healh, Auckland, New Zealand Dr Paul Young, Specialis in Inensive Care Medicine, Wellingon Hospial; Direcor, The Inensive Care Research Programme, Medical Research Insiue of New Zealand, Wellingon, New Zealand Diane Mackle, Senior Projec Manager ICU Trials, Medical Research Insiue of New Zealand, Wellingon, New Zealand 1700 Presenaion of Free Paper Prizes Conference Close Dr Anusha Ganeshalingham, Convenor ANZICS

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27 SPEAKER ABSTRACTS WEDNESDAY 4 APRIL Opening and Welcome Dr Liz Segedin, Paediaric Inensive Care Specialis, arship Child Healh, Auckland, New Zealand A Look Inside arship s Paediaric Inensive Care Uni Nicola Gini, PICU Nurse Uni Manager, arship Child Healh, Auckland, New Zealand Dr Lance O'Sullivan, The Moko Foundaion, Kaiaia, New Zealand Early inervenion and prevenion of disease and illness is of criical imporance o he healh and wellbeing of our sociey. This is especially vial when we are reaing children who are a risk of becoming criically unwell and in need of he life-saving services of inensive care unis around he counry. Dr Lance O Sullivan has had a wide range of experiences dealing wih unwell children from his ime as an emergency docor in Kaiaia Hospial hrough o his ime as a general praciioner in a high needs communiy. Lance is very passionae abou using new models of healh o increase he reach of healh o children and young people of New Zealand. He is excied abou he poenial of digial echnology - such as cloud, arificial inelligence, block chain and a hos of oher inerne-based iniiaives - coupled wih medicine o improve exponenially he healh and wellbeing of children and young people in New Zealand. Lance has many personal and professional sories o ell abou he imporance of high level and inensive healh services for children. He is very keen o come along o he conference o share some of his insighs and learnings in he digial healh space and he significan impac on improved healh oucomes for children and young people. 27

28 Size Does Maer! A Neonaologis, Paediaric Inensivis and Adul Inensivis Walk Ino a Bar Togeher Dr Simon Rowley, Consulan Neonaal Paediarician, Newborn Service, Auckland Ciy Hospial, Auckland, New Zealand Dr Nic Randall, Inensivis, Middlemore Hospial, Auckland, New Zealand Dr David Buckley, Paediaric Inensivis, arship Child Healh, Auckland, New Zealand Small Fish in a Big Pond: Looking afer Children in he Adul Inensive Care Uni Dr Tony Williams, Inensivis, Middlemore Hospial, Auckland, New Zealand Pam Culverwell, Paediaric Clinical Nurse Specialis, Counies Manukau Healh, Auckland, New Zealand The Criical Care Complex a Middlemore Hospial is a mixed adul and paediaric uni ha provides specialised medical and nursing care o paiens wihin Counies Manukau. Due o he seasonal naure of our paediaric admissions our busies period of he year is during he winer monhs. This is also refleced by he large number of respiraory illnesses ha we rea. This presenaion will share he challenges we face due o he seasonal naure of our paediaric admissions along wih oher facors and he sraegies ha we have implemened o manage small fish in a big pond Dealing wih Docor Google in Criical Care Liz Crowe, PhD Candidae, School of Medicine, The Universiy of Queensland, Brisbane, Ausralia Professor Jane Turner, School of Medicine, The Universiy of Queensland, Brisbane, Ausralia Professor Jeanine Young, School of Midwifery and Nursing, Universiy of Sunshine Coas, Ausralia In he age of Family Cenred Care and empowered consumers he level of challenge for healh professionals o negoiae he varied needs and demands of families can be exhausing in addiion o clinical work. The need for families o read and make heir own enquiries is real and poenially a proecive mechanism for heir own menal healh. How do we balance his need wih he risk of Docor Google and he reams of misinformaion available online? This alk will explore communicaion, loss and grief and psychological responses o rauma and minimise he risk of conflic. Using case examples and humour i will be an exploraion of how o provide excepional family care in he digial error of informaion overload and misinformaion. 28

29 Ineracive Case Based Discussion: Paediaric Respiraory Session Acue Respiraory Failure Dr uar Dalziel, Emergency Medicine Consulan, arship Child Healh, Auckland, New Zealand Dr Simon Erickson, Paediaric Inensivis, Perh Children s Hospial, Wesern Ausralia, Ausralia Dr Michael Park, Inensivis, Hawke s Bay Hospial, Hawke's Bay, New Zealand SERVO-U The power of you Proecive venilaion SERVO-U delivers many effecive opions for proecive venilaion. All of hem more accessible, undersandable and easy o implemen. Which means more paiens in all phases of venilaion conrolled, suppored, non-invasive and during sponaneous breahing rials can benefi from advanced lung proecive sraegies. Inspired by you SERVO developmen has always been based on collaboraion wih inensive care users from around he world. SERVO-U akes his radiion even furher. Never before have so many users been involved o such a high degree a all sages of developmen, a design ha makes i possible for more clinical saff o access and use advanced lung proecive sraegies. 29

30 THURSDAY 5 APRIL You Are he one ha Makes he Ripples Dr Debbie Chalmers, Inensivis, Hawke's Bay Hospial; Chair, College Special Ineres Group for Welfare, Napier, New Zealand World Medical Associaion Declaraion of Geneva, Ocober 2017: Excerps from The Physician s Pledge AS A MEMBER OF THE MEDICAL PROFESSION: I SOLEMNLY PLEDGE o dedicae my life o he service of humaniy; I WILL ATTEND TO my own healh, well-being, and abiliies in order o provide care of he highes sandard" Training he Brain wih Mindfulness Dr Chanal Hofsee, Clinical Psychologis and Execuive Coach, Renew Your Mind, Auckland, New Zealand Chanal Hofsee is a Clinical Psychologis, Healhcare Psychologis (regisered in The Neherlands) and Execuive Coach. She is also he auhor of wo books on Mindfulness and wellbeing called 'Mindfulness On The Run' and 'Reach Your Goals'. Chanal is he direcor of Auckland based organisaion Renew Your Mind, which specialises in mindfulness-based herapy and mindfulness courses and works as a leadership rainer and execuive coach for Renew Leadership. Chanal is driven by her own life-changing experience of raining her brain wih mindfulness and is passionae o spread he knowledge and echniques in order o help people ake greaer conrol over he sress in heir lives. ress is ofen seen as a badge of honour. Ye, i comes wih a high cos in sick leave, abseneeism and urnover, as well as reduced produciviy and performance. The problem of sress needs o be addressed in several ways bu one of he ways available o us is hrough improving our resilience hrough research-based mindfulness raining. The grea news is ha here are simple, low-cos echniques ha help manage sress levels in daily life - making you more producive, creaive and resilien whils also improving brain funcion and healh. Many companies, including Google, Apple and Deusche Bank are urning o mindfulness-based sress managemen raining for heir saff. Mindfulness The Simple Soluion There is now compelling scienific evidence ha people become more resilien when hey learn and regularly pracice sress managemen echniques. This resilience improves performance under sress and proecs people from burnou. This session combines research-based mindfulness wih powerful psychological echniques o each you how o opimally manage sress and rain your brain for greaer resilience. Key Learning Oucomes Insigh ino how your brain works 3 5 shor mindfulness echniques Pracical suggesions on how o incorporae some mindfulness in heir every day (work) lives Building a Resilien Inensive Care Uni Liz Crowe, PhD Candidae, School of Medicine, The Universiy of Queensland, Brisbane, Ausralia Professor Jane Turner, School of Medicine, The Universiy of Queensland, Brisbane, Ausralia Professor Jeanine Young, School of Midwifery and Nursing, Universiy of Sunshine Coas, Ausralia The erm resilience has become a soluion for all workforce concerns in he ICU and ye wha does resilience mean? A comprehensive lieraure review of resilience in he Inensive Care conex will be presened wih an exploraion of he need o provide a mulifacorial approach o build capaciy and psychological flexibiliy wihin ICU eams. Resilience is no a sagnan desinaion. Building a resilien workforce requires resources, energy and a dynamic approach. Pivoal o he success of a resilien ICU is he Leadership and Culure of he ICU eam ha is consisen wih he philosophy and culure of he sysem from which i exiss. This alk will provide pracical ideas and resources for how o build a healhy and robus ICU workforce How he Inensivis can Preven Sudden Cardiac Deah in he Young Professor Jon Skinner, MB ChB, DCH, MRCP(UK), FRACP, FCSANZ, FHRS, MD Children s Hear Rhyhm Specialis, arship Child Healh; Honorary Professor, Deparmen of Child Healh, The Universiy of Auckland, Auckland, New Zealand The Inensivis s role is primarily in response o a crisis. Of course prevenion is always beer han cure, and following a cardiac arres he idenificaion of a familial condiion can ulimaely lead o oher family members being deeced and proeced. Following an unexplained ( auopsy negaive ) sudden deah in a young person, geneic esing in he deceased 30

31 and family cardiac screening has been shown o reveal a diagnosis such as long QT syndrome, Brugada syndrome and CPVT (caecholaminergic polymorphic venricular achycardia) in over 30% of cases in children and youh. If he person presening wih cardiac arres is sill alive, even if supporive care is o be wihdrawn, cardiac ess, including drug provocaion ess such as adrenaline, adenosine and ajmaline challenges can reveal a hihero concealed diagnosis in more han 60% of cases, including in aduls. Such findings guide ess in family members and poenially avoid large sums of money being spen on esing family members wih geneic esing, echocardiography, sress exercise esing and cardiac MRI for example. This alk presens a proocol for he invesigaion of cardiac arres on inensive care and gives examples of how his can make a real difference in prevening sudden deah in he communiy Adul Congenial Hear Disease Dr Clare O Donnell, Paediaric and Adul Congenial Cardiologis, arship Child Healh and Auckland Ciy Hospial, Auckland, New Zealand Ineracive Case Based Panel Discussion: The Failing Fonan a an Adul ICU Near You Dr Clare O Donnell, Paediaric and Adul Congenial Cardiologis, arship Child Healh and Auckland Ciy Hospial, Auckland, New Zealand Dr David Knigh, Specialis Inensivis, Chrischurch Hospial, Chrischurch, New Zealand Dr Kirsen Finucane, Paediaric & Congenial Cardiac Surgeon, arship Child Healh, Auckland, New Zealand 31

32 Free Paper - A Mulicase udy of a Prolonged Criical Illness in he Inensive Care Uni: Nurses Experiences hroughou he Trajecory Dr Claire Minon, Professor Annee Huningon, Dr Lesley Baen Massey Universiy, Palmerson Norh, New Zealand The goal of inensive care provided in an ICU is o rea paiens who have a life-hreaening illness, and for mos paiens his criical phase of heir illness is of shor duraion. However, inernaionally research demonsraes ha 5 10% of ICU paiens have a prolonged ICU say, using 25 30% of ICU bed days. There is limied lieraure ha deals direcly wih nurses experience of caring for paiens who have a prolonged ICU say. However from pracice i is obvious ha caring for hese paiens is challenging and complex. In order for nurses o be able o mee he needs of his cohor i is imporan o undersand heir experiences of providing care over a proraced ime in he ICU. In his presenaion seleced findings from a longiudinal qualiaive mulicase sudy in New Zealand of prolonged criical illness in he ICU will be presened. Daa collecion involved six linked cases in four ICUs in New Zealand uilising observaion, conversaions, inerviews and documen analysis. The findings include sub-phases of he paiens rajecory represened differen challenges for nurses. There was disress due o uncerainy abou posiive oucomes and he suffering hey winessed. As paiens became more awake nurses sruggled o mee all he paiens needs due o he many asks ha needed o complee over a shif. The acue care/biomedical model of care dominaed how nurses delivered care and caused conflic a imes. However, some nurses were able o navigae his and provide paien-cenred care. These findings have imporan implicaions for nursing educaion and leadership o arge sraegies and educaion a each sub-phase o suppor nurses manage he complexiies of care Free Paper - Smoohing he Transiion from he Criical Care Complex o he Ward for Families Pam Culverwell 1, Jackie Beaumon 2, Hamish McInosh 3 1. Paediaric Clinical Nurse Specialis 2. Burn Clinical Nurse Specialis 3. Healh Psychologis Middlemore Hospial, Auckland, New Zealand Inroducion: Paren/caregiver feedback indicaes ha he ransiion from he Criical Care Complex (CCC) o he ward can be difficul and sressful for families. Clinicians from he Criical Care Complex, Naional Burn Cenre, and Kidz Firs Surgical and Medical wards iniiaed a qualiy projec o examine he experiences of caregivers whose children were admied o he CCC and subsequenly discharged o he ward, a Middlemore Hospial. udy Objecives: The aim of his projec was o invesigae he experience of he paiens caregivers in order o gain a beer undersanding of wha is done well and issues ha may be encounered. The informaion gahered will be used o guide change and improve he ransiion process from CCC o he wards. Mehods: Semi-srucured inerviews were conduced wih caregivers of children discharged from CCC beween Sepember 2015 and Augus Each ape recorded inerview was ranscribed and analysed using hemaic analysis o deermine common hemes. The sudy was regisered wih and approved by he hospial research office who deermined i was a low risk sudy and did no require ehical review. Resuls: 13 inerviews were analysed using hemaic analysis. This included 11 mohers and 2 fahers. The children had been admied o CCC wih medical or burn diagnoses. Ages ranged beween 25 days old o 26 monhs wih a lengh of say ranging beween 4 and 17 days. Three main hemes were idenified: basic needs, percepions of care and communicaion. Conclusion: The hree main hemes idenified by caregivers will guide change o smooh he ransiion for children and heir families being discharged from CCC o he wards Free Paper - Evaluaion of a Needs-Based Training Program For ICU and HDU Nurses in Malawi Rodwell Gundo 1, Dr Gael Mearns 1, Dr Annee Dickinson 1, Professor Ellen Chirwa 2 1 Auckland Universiy of Technology, Auckland, New Zealand 2 Universiy of Malawi, Kamuzu College of Nursing, Lilongwe, Malawi There are no formal criical care nursing courses in Malawi despie he high burden of diseases which culminae ino criical illnesses. This paper presens preliminary findings of he quaniaive componen of a larger sudy which explored he learning needs of ICU and HDU nurses o inform he developmen and evaluaion of a ailor-made raining program for he nurses. A program planning and evaluaion approach wih mixed mehods design was used in he larger sudy. A raining program was developed and delivered in hree days o 41 nurses who work in inensive care and adul high dependency unis a wo eriary hospials. The Inensive and Criical Care Nursing Compeence Scale (ICCN-CS-1) and a quesionnaire on addiional compeencies were adminisered before and afer he raining o evaluae he impac of he raining. Furhermore, a raining evaluaion quesionnaire was adminisered a he end of he raining. 32

33 Findings showed a saisically significan increase in nurses compeence scores on ICCN-CS-1 afer he raining. In addiion, here was a significan increase in he proporion of nurses who improved heir performance on he following addiional compeencies: recogniion and managemen of elecrolye imbalance; care of a paien wih endoracheal ube; basic inerpreaion of elecrocardiogram (ECG); preparaion and managemen of emergency drugs; and inerpreaion of arerial blood gases. The program was raed as very relevan by he nurses. In conclusion, he program can be used for upskilling of nurses in Malawi. The findings conribue o specialis body of knowledge relaed o nursing educaion and pracice developmen wihin developing counries including Malawi. Acknowledgemen: New Zealand Minisry of Foreign Affairs and Trade for providing he New Zealand Commonwealh Scholarship for PhD Naional Commission for Science and Technology in Malawi for providing a gran o cover research expenses Free Paper - Long Term Care in he Paediaric Inensive Care Uni a The Royal Children s Hospial - The Role of he Nurse Coordinaor Yvee Moore, Nurse Coordinaor, PICU, Royal Children s Hospial, Melbourne, Ausralia Inroducion: Paiens wih a prolonged say in PICU is increasing, and hese paiens now occupy one quarer of oal PICU bed days. This large group of paiens have complex care needs and consequenly consume a high proporion of resources. An innovaive model of care is necessary o address he specific needs of long erm paiens wihin a busy PICU. udy objecives: To rial and develop a Nurse Coordinaor based model of care for paediaric chronic criical illness. Mehods: In 2008, a Nurse Coordinaor posiion was creaed. A Full Time Equivalen (FTE) of 0.6 was allocaed o his role. However, wih increased recogniion of he value of he posion and increased responsibiliy for muliple aspecs of care of he paien and family. The posiion has an allocaion of 1.6 FTE. Paiens are idenified based on heir lengh of say (LOS), complexiy of care or previous admissions. The Nurse Coordinaors provide a single poin of conac, liaising beween families, allied healh, medical and nursing saff. Responsibiliies have included weekly professionals/ family meeings, daily and weekly care plans and working wih muliple allied healh eams o ensure adequae care is delivered o his specific group. The aim is o deliver grea care o hese families and children, and hopefully reduce heir LOS. Discharge planning for his complex group is a major responsibiliy of he Nurse Coordinaor. Resuls: The Nurse Coordinaor has made an imporan conribuion o he care of paiens wih chronic criical illness. Families idenify ha care is more consisen. Allied healh saff sae a single poin of conac makes mulidisciplinary involvemen more effecive. Nursing and medical saff find ha plans are clearer and more consisen, and communicaion is enhanced. Conclusions: The Nurse Coordinaor has simplified and sreamlined he coordinaion of care for his complex group of paiens. Family saisfacion wihin PICU has subsequenly increased Free Paper - FASTVEIN - A Biomeric Auhenicaion Sysem for Paien Idenificaion Whieman A, Barra A, Macleod J, Jeffires M, Roy B Mancheser Universiy NHS Foundaion Trus, Mancheser, UK Background: Accurae idenificaion and auhenicaion of individuals, wih unique idenifiers, is essenial in healhcare; o avoid consequences of misidenificaion and o preven healhcare fraud. Prevening he Never Even of misidenificaion of paiens is universal o safe healhcare. The Naional Paien Safey Agency in he UK, received 236 safey incidens relaing o wrisband errors and 1300 relaing o paien idenifying numbers in less han wo years. Tradiional mehods of paien idenificaion have reduced, bu failed o eliminae his problem; a universal biomeric idenificaion sysem would overcome hese. Objecive: To analyse if he use of appropriae biomeric echnology (FASTVEIN) can accuraely and effecively idenify paiens. Mehod: FASTVEIN uses infra-red waves o map an individual s finger vein paern. This echnology has desirable aribues for unique idenifiers. This was a prospecive sudy. Paricipan biomeric daa was capured; using he paricipans index finger, along wih a Sysem usabiliy Score (SUS). The device was hen esed, o ensure i rejeced he non-index finger and did no mach his o anoher record. The rue accepance (TA), rue rejecion (TR), false accepance (FA) and false rejecion (FR) raes were recorded. Findings: One hundred and eighy six paricipans enrolled ono he sudy (n=186). A very high (100%) TA and TR rae, and very low (0%) FA and FR rae, was found. The median age was 55 year; (range 18-81). Median SUS score was 100 (IQR ); an equivalen adjecive raing of 'bes imaginable'. (n=161). Mean ime for FASTVEIN o capure finger vein paern was less han 5 seconds. Opional paricipan commens were posiive. Conclusion: FASTVEIN is accurae and effecive in biomeric paien idenificaion. The echnology is ready for healhcare applicaions. 33

34 PICU Abroad Ou of your Comfor Zone Carol Robinson, aff Nurse, PICU, arship Child Healh, Auckland, New Zealand 350 children are born each year in he Pacific wih a hear defec. Acquired hear disease in he form of Rheumaic Hear Disease is also a major problem. Unlike children born in New Zealand who have ready access o surgical services hese children rely on voluneer surgical eams like Hears4kids for heir surgeries. Hears4Kids is a eam of voluneer nurses, docors and allied medical saff who voluneer heir ime, skills and experise o provide lifesaving surgeries for hese children. PICU nursing in Fiji presens a unique se of challenges. Nohing quie prepares you for your firs experience of he working environmen or he work. Bu i is he reward of seeing he graiude on he paren s faces and he lovely children who will now have he opporuniy of leading acive and fulfilling lives ha keeps me coming back PICU Abroad Ou of your Comfor Zone Nicola Gini, PICU Nurse Uni Manager, arship Child Healh, Auckland, New Zealand ICU, someimes referred o as expensive care is by is very ile a echnology heavy environmen. So how do you rise o he challenge of providing ICU care in he developing or low income world when afer all paiens are paiens regardless of heir naionaliy or circumsances? The incidence of congenial hear disease is abou 8/1000 living birhs worldwide wih aemps made o idenify he rue incidence wih repors ha in developing areas he incidence is higher due o facors such as geneics, consanguine marriage, poor nuriion and saniaion. The mos significan issue for hese populaions is access o care. As a resul i is quoed ha every year abou 90% of he 1, 000,000 of children born wih CHD around he world do no have access o care or receive subopimal care. A large number of NGO s now exis o ry o reduce his imbalance. The organisaions rely on voluneer eams o donae heir ime and experise o provide ongoing diagnosis and care. A small New Zealand eam in conjuncion wih an American based NGO has been assising o develop a more susainable approach o esablish self-susaining long erm programmes in he Palesinian Terriories of since Challenges include adequae funding, infrasrucure, high qualiy measurable oucomes, susainabiliy, access, sie selecion, frequency of missions, and provision of ongoing raining and educaion. These challenges can be furher complicaed by inernal and exernal poliics, corrupion, culure and of course he ongoing Israel-Palesine conflic. As frusraing a imes as he challenges and hurdles can be he real measure of success is seeing local saff successfully running heir own service and no longer requiring our inpu whils implemening ongoing qualiy aciviies o improve he care of heir populaion Wha Clinicians Need o Know - A Paren s Perspecive Haley Nielsen BA, DipSoc, PGDipHealSc (MenH), PGDipBus (HRM) Communicaion is a foundaion of effecive paien provider parnerships. I is a heme consan in any ineracion a paien or paren/whanau may have wih he healhcare sysem. This presenaion explores he paren s journey, my journey, when my child was palliaive. There are wide range of reacions parens/whanau may presen wih as hey adjus o wha is happening. Acknowledging hese differences is imporan as we all cope wih wha is happening o us as a family and for he child, in differen ways. As healh professionals, how you communicae wih parens/whanau is really imporan. Thinking abou how ha communicaion is delivered, he language you use and how hones you are, whils a he same ime lisening o he family, will enable you o manage he clinical siuaion a he same ime as supporing hem hrough his raumaic ime PICU Bereavemen Size Does Maer Ann Doran NZRN, BN aff Nurse and Bereavemen Service Coordinaor, PICU, arship Child Healh, Auckland, New Zealand When i comes o grief, size does maer. In PICU, we are consanly needing o suppor children and heir families hrough various losses. How we manage hese challenging siuaions can make a real difference in hese families lives. Children grieve according o heir ages and sages of developmen. If we have some undersanding of heir needs a his ime, we will be beer able o guide hem hrough his process. Grief heory can help o direc us in our pracice when caring for parens grieving he deah of heir child. The concep of Family Cenred Care also needs o be embedded in our care of families a his ime. 34

35 Transiioning from acive o palliaive reamen can be challenging for boh parens and PICU saff. There are a number of ways we can ensure his process runs smoohly. Inernaional research also gives us some ideas of wha may be helpful for parens. This presenaion aims o give ideas of how o manage one of he mos dauning aspecs of nursing, caring for a dying child and heir family. Research has shown ha healh professionals who are educaed and informed on end of life care have less anxiey abou heir roles in hese siuaions Bereavemen Follow Up Do Good Inenions Resul in Good Oucomes? Dr Kylie Julian MBChB, FANZCA, FCICM Inensivis, Criical Care Complex, Middlemore Hospial, Auckland, New Zealand The deah of a family member in inensive care is a paricularly sressful even. A a ime of grea personal umul and grief here is ofen a large amoun of medical informaion o process. In many cases here is no on-going conac wih he family by clinicians afer a deah. A family's need for informaion may be unme. Lack of clariy abou he circumsances of a deah, a sudden deah, or a deah in raumaic circumsances all may conribue o complex and prolonged grief. The inensive care eam may have a role in helping remove barriers prevening grief following is normal rajecory owards adjusmen. This is an area where inensive care eams have recognised a need, and are responding wih good inenions. A survey of Ausralian inensive care unis found less han a hird provided srucured bereavemen follow up bu over half of hose who didn were considering implemening follow up. Bereavemen follow up is advocaed by a number of professional bodies, such as he ACCCM. Despie his, i is no clear from he lieraure how bes o offer follow up. Evaluaion of follow up is rarely described. When i has been evaluaed, i is clear ha some approaches may increase a family s disress. This session will aemp o exrapolae from he available lieraure and useful guiding principles for bereavemen follow up Moral Disress in he PICU Dr Fiona Miles, Paediaric Inensivis, arship Child Healh, Auckland, New Zealand Moral disress refers o he sense of frusraion and failure arising from an individual s sruggles o fulfill heir moral obligaions o paiens, families, and he public, paricularly around he issues of inappropriae use of resources, end of life care and communicaion. Wih increasing reamen opions and family expecaions, here is poenial for paien care which is a odds wih wha he individual hinks is righ. I is marked by a sense of helplessness and can be cumulaive. I has been associaed wih burnou and poor saff reenion. Common hemes and causes for moral disress in he PICU will be discussed wih reference o recen sudies. 35

36 FRIDAY 6 APRIL Difficul Conversaions, Difficul Parens or Difficul Colleagues? A Rapid Research Projec for Breakfas Andrew Thompson, Regisered Social Worker, arship Child Healh, Auckland, New Zealand Kahy Bubliz, Regisered Social Worker, arship Child Healh, Auckland, New Zealand Aquamarine 1&2 Moderaor: Dr Bren McSharry During his presenaion we will be alking abou difficul conversaions in he inensive care environmen. We will briefly review a difficul conversaion ha provoked aenion from he Pope and Presiden Trump. We will presen wo case sudies o encourage discussion abou sraegies o manage difficul conversaions wih colleagues and caregivers. We will also be using Todaysmee a simple o use backchannel, so please bring a lapop, smar phone or able. This is an ineracive session and a rapid research projec ha we hope will generae debae, energy and considerable humour. If we do a good job ogeher you will leave he session wih some ips and sraegies for your nex difficul conversaion Home Swee Home.On a Venilaor Fiona McIver, Clinical Nurse Specialis, PICU Long Term Care Co-ordinaor, arship Child Healh, Auckland, New Zealand New Zealand is experiencing an increase in paediaric paiens who require long erm venilaion. Currenly known as, medically fragile children, hese young paiens are increasingly able o lead a life ha is full and ineresing. Faciliaion of his requires an all-encompassing care package, a srong mulidisciplinary eam (boh in hospial & he communiy) & needs o be suppored by parens who are moivaed and flexible. The goal is o send children home o a safe, well suppored environmen where hey can achieve heir full poenial surrounded by family who are able o ake care of hem in heir own homes. In June 2017 a Clinical Nurse Specialis posiion was creaed in Paediaric Inensive Care Uni a arship Child Healh. The aim of his role is o co-ordinae he ransiion of care from hospial back ino he home for hese paiens. I was forunae enough o be hired ino his role. This presenaion will show-case a paiens sory, discuss some of he challenges in geing medically fragile children home and highligh why overcoming hese obsacles is essenial o ensure hese paiens mee heir full poenial Preparing Children and heir Families for Painful Procedures a arship Dr Manuela Sapochnik, Consulan Clinical Psychologis, arship Child Healh, Auckland, New Zealand 36

37 The Paediaric and Adul 9 x 9 Session Moderaor: Dr Nic Randall Cooling Kids Dr John Beca, Paediaric Inensivis, Direcor of Child Healh - Surgery, Cardiac and Criical Care, arship Child Healh, Auckland, New Zealand The Swann-Ganz Caheer, Does I ill Have a Place? Dr Alasair McGeorge, Cardiac Anaesheis & Inensivis, CVICU, Auckland Ciy Hospial, Auckland, New Zealand 37

38 Temporary Cardiac Pacing: All You Need o Know Dr Michael Gillham, Cardiac Anaesheis & Inensivis, CVICU, Auckland Ciy Hospial, Auckland, New Zealand Wha s New in Paediaric Resusciaion Dr Gabrielle Nuhall, Paediaric Inensivis, arship Child Healh, Auckland, New Zealand While he evidence base for making changes o paediaric resusciaion guidelines is sparse, he Paediaric Task Force of ILCOR (Inernaional Liaison Commiee on Resusciaion) coninues o rigorously evaluae he evidence available in order o provide up o dae reamen recommendaions for hose who are involved in paediaric resusciaion. Despie many quesions remaining unanswered, un-researched and he majoriy of publicaions being based upon large regisry sudies, wih heir inheren confounders, oucomes pos paediaric cardiac arress have slowly improved over he las decade or so around he world. This updae in paediaric resusciaion will give a brief overview of he recen published highlighs of paediaric resusciaion. This will include, amongs ohers, he opics of ches compression only CPR vs convenional CPR, advanced airway placemen before ROSC (Reurn of Sponaneous Circulaion) and adrenaline frequency during CPR. I may also ouch upon he Size Does Maer heme of he meeing How o Feed Kids in ICU Bridge Lile, Paediaric Dieiian, arship Child Healh, Auckland, New Zealand Children, especially infans, in he paediaric inensive care uni are a high risk for developing nuriional deficiencies, ye adequae nuriion is criical o paien oucomes. 1 The sress response o criical illness resuls in he caabolism of proein and muscle issue. Compared o aduls, criically ill children have an increased risk of malnuriion due o generally lower body fa and muscle mass sores and a higher calorie per kilogram resing energy expendiure. Boh malnuriion and overfeeding can have deleerious consequences including increases in venilaory requiremens, risk of hospial-acquired infecion, lengh of say and moraliy. 2 However, accuraely deermining he energy and nuriional requiremens of sick children is difficul. 3 The 2017 SCCM-ASPEN guidelines suppor earlier research recommending Schofield or FAO/WHO/UN equaions wihou he addiion of sress facors. 2 Proein is emphasised as essenial o recovery and a minimum inake of 1.5g/kg/day is advocaed. 2 Achievemen of nuriional goals may be compromised by delayed feeding, fluid resricions, inerrupions o feeds and feed inolerance. Therefore, precise feed modificaion and forificaion is ofen required. Nuriion algorihms can guide appropriae iniiaion of eneral feeding. A dedicaed inensive care dieiian can faciliae early and opimal nuriional managemen of criically ill children. 2,4 1. Meha NM, Duggan CP. Nuriional deficiencies during criical illness. Pediar Clin Norh Am. 2009; 56(5): Meha NM, Skillman HE, Irving SY e al. Guidelines for he provision and assessmen of nuriion suppor herapy in he pediaric criically ill paien: Sociey of Criical Care Medicine and American Sociey for Pareneral and Eneral Nuriion. JPEN. 2017; 41:

39 3. Lambe C, Huber P, Jouve P e al. A nuriional suppor eam in he paediaric inensive care uni: Changes and facors impeding appropriae nuriion. Clin Nur. 2007; 26(3): Meha NM, Bechard LJ, Zurakowski D e al. Adequae eneral proein inake is inversely associaed wih 60-d moraliy in criically ill children: A mulicenre, prospecive cohor sudy. Am J Clin Nur. 2015; 102(1): PTSD in ICU Dr Gillian Bishop, Clinical Direcor, Deparmen of Criical Care, Auckland Ciy Hospial; CICM Primary Examiner, Auckland, New Zealand Wha he Paiens Say Dee O Daly, ICU Nurse, Deparmen of Criical Care Medicine (DCCM), Auckland Ciy Hospial, Auckland, New Zealand 39

40 Procedural Sedaion in Awake Children Dr Simon Erickson, Paediaric Inensivis, Perh Children s Hospial, Wesern Ausralia, Ausralia Children require sedaion for numerous procedures ouside he operaing heare. When pracising procedural sedaion i is essenial o ake ino accoun paien, operaor and locaion based facors in order o opimise procedural condiions and paien safey. Paien facors of crucial imporance are fasing saus, underlying disease process, complexiy and co-morbidiies (eg, ashma, upper respiraory rac infecion), age and developmen level, degree of anxiey and imporanly any prior problems wih specific medicaions. Operaor skillse is also imporan o consider and includes experience and curren volume. While mos procedural sedaion ouside he operaing heare akes place in PICU, when using oher locaions (ED, ward), operaors need o ensure ha appropriae suppor saff, equipmen are available. The risks of procedural sedaion include: airway compromise, cardiovascular compromise, inadequae sedaion, procedure failure and specific drug reacions. Sedaive medicaions and roues of adminisraion vary grealy bu include keamine, midazolam, propofol, opioids, alpha-2 agoniss and inhalaional agens. All of hese drugs may be used alone or in combinaion. Paien safey is opimised by adequae monioring and safey plans. Despie he many risks, repored adverse evens during procedural sedaion are uncommon Paediaric Sepic Shock Dr Rebecca Smih, Paediaric Inensivis, arship Child Healh, Auckland, New Zealand Paediaric sepic shock remains a big problem worldwide wih high raes of morbidiy and moraliy. The early recogniion of sepsis and implemenaion of sandardised resusciaion/sabilisaion bundles of care has been shown o decrease moraliy. Rapid reversal of shock wih fluid resusciaion/ vasoacive suppor and he adminisraion of appropriae animicrobial herapy remains he mainsay of reamen. Recenly published guidelines from he American College of Criical Care Medicine offer guidance for he iniial managemen of paediaric and neonaal sepic shock. In managing paediaric sepsis i is no jus size, bu wha we do, ha maers Transporing he PICU Paien How We Can Help You Diane Fuller, Nurse Specialis - Transpors, arship Child Healh, Auckland, New Zealand The arship Child Healh Transpor Service is undergoing a revamp. Par of his refreshmen process includes updaing he PICU guidelines an online informaion resource ool ha any healh service or healh professional can access o help guide heir care of he sick infan and child. This ool provides access o he PICU proocols which can assis a referring cenre o sar preparing a child for ranspor o arship. Once he PICU ranspor eam arrives, he ransiion of he child ino our care is hen more sreamlined and imely. The criically ill neonae and paediaric paien populaion ha we rerieve have differen physiological and emoional needs ha many cenres may be unfamiliar wih if hey mainly deal wih adul paiens. We hope ha his online resource ool will help guide he care of hese children and alleviae some of he sress facors of caring for he sick child unil hey can be rerieved o he specialised services ha hey require Neuronal Apoposis and T-Rex Professor Brian Anderson MB ChB, PhD, FANZCA, FCICM Professor of Anaeshesiology, The Universiy of Auckland; Paediaric Anaesheis/Inensivis, arship Child Healh, Auckland, New Zealand Sedaives and anaesheic agens may rigger srucural and funcional abnormaliies hrough a process known as neuronal apoposis in he immaure brains of human neonaes. Daa from animal sudies, including primaes, suppor hese findings. Alhough his phenomenon has been inensely invesigaed in anaeshesia, impac of hese drugs (GABA agoniss and NMDA anagoniss such as volaile anaesheics e.g., sevoflurane, propofol, midazolam, keamine, and nirous oxide) in he neonaal or paediaric ICU child remains unknown. Translaing animal findings o humans in clinical anaeshesia seings has been difficul; ranslaing findings o he inensive care seing unexplored. Some drugs (opioids, dexmedeomidine) appear less neurooxic han ohers. Some, bu no all, human cohor sudies show an associaion beween exposure o anaeshesia in infancy or early childhood and laer changes in cogniive ess, school performance or risk of developing neurodevelopmenal disorders, bu he evidence is weak due o muliple confounders. The GAS and PANDA sudies suppor animal daa ha shor exposure is unlikely o cause any neurodevelopmenal impac. 40

41 The TREX sudy aims o deermine if low-dose sevoflurane/dexmedeomidine/remifenanil anaeshesia is associaed wih superior neurodevelopmenal oucome compared o sandard dose sevoflurane anaeshesia in children less han 2 years of age having surgery expeced o las 2.5 hours or longer. References Sun LS e al. JAMA. 2016; 315(21): Davidson AJ e al. Lance. 2016; 387(10015): Therapeuic Hypohermia for Ou of Hospial Cardiac Arres: Why Being Cool is So Ho Righ Now Dr Paul Young, Specialis in Inensive Care Medicine, Wellingon Hospial; Direcor, The Inensive Care Research Programme, Medical Research Insiue of New Zealand, Wellingon, New Zealand The consequences of ranslaion of new knowledge ino pracice are poorly undersood and ye can have a major impac on paien reamen and oucomes. To evaluae knowledge ranslaion ino pracice afer publicaion of he Targe Temperaure Managemen (TTM) 33 C vs. 36 C Afer Ou-of-hospial Cardiac Arres (OHCA) rial and associaed paien oucomes. Our primary hypohesis was ha TTM a 36 C was rapidly adoped in Ausralian and New Zealand (ANZ) ICUs. Secondary hypoheses were ha emporal reducions in moraliy would be seen and would have acceleraed afer publicaion of he TTM rial. We conduced a rerospecive cohor sudy (January 2005 o December 2016) using he ANZICS-CORE adul paien daabase conaining >2 million admission episodes from 186 ANZ ICUs aduls from 140 hospials admied o ICU afer OHCA were included in his sudy comparing emperaure managemen and oucomes before vs. afer publicaion of he TTM rial. The primary oucome variable o evaluae changes in emperaure managemen was lowes emperaure in he 1s 24 hours in ICU. The primary clinical oucome variable of ineres was in-hospial moraliy. Secondary oucomes included proporion of paiens wih fever in he firs 24 hours in ICU. The mean±sd lowes emperaure in he firs 24 hours in ICU in pre- and pos-ttm paiens was 33.80±1.71 C and 34.70±1.39 C respecively (absolue difference 0.98 C [99%CI 0.89 o 1.06 C]; P<0.001). In-hospial moraliy rae decreased by 1.3 [99%CI -1.8 o -0.9] percenage poins per year from January 2005 unil December 2013 and increased by 0.6 [99%CI -1.4 o 2.6] percenage poins per year from January 2014 unil December 2016 (change in slope 1.9 percenage poins per year [99%CI -0.6 o 4.4]; P=0.05). Fever occurred in 568 of 4450 pre-ttm paiens (12.8% [99%CI 11.5 o 14.1%]) and 853 of 5184 pos-ttm paiens (16.5% [99%CI, 15.2 o 17.8%]) (OR 1.35 [99%CI 1.16 o 1.57]; P<0.001). Afer publicaion of he TTM rial clinicians have adoped higher emperaure arges in OHCA paiens. This ranslaion of new knowledge ino pracice was associaed wih an increased incidence of fever no seen in he TTM rial. Furher research is required o esablish opimal emperaure managemen for comaose OHCA paiens Deceased Organ Donaion in New Zealand: Rewards Come From Hard Work Emma Merry, James Judson, ephen rea Medical Specialiss, Organ Donaion New Zealand Inroducion: Deceased organ donaion in New Zealand has doubled over he 5 years beween 2013 (36 donors; 8.7dpmp) and 2017 (73 donors; 15.3dpmp). Mehod: ODNZ suppors Inensive Care Uni (ICU) eams in New Zealand s 24 ICUs o maximise he poenial for deceased organ and issue donaion. This guidance incorporaes an ongoing audi of deahs wih wice yearly audi workshops and discussions a individual sie visis; providing on-sie educaion for ICU and operaing heare hospial saff involved wih he process; providing 24/7 clinical suppor from donor coordinaors and ODNZ medical specialiss; developing and susaining collaboraive relaionships wih colleagues in ICUs around he counry; and developing bes-pracice soluions o he challenges ha arise. Maximising he poenial for donaion iniially focused on idenifying all opporuniies for Donaion afer Brain Deah (DBD). This is now supplemened by i) accrediing ICUs for donaion afer circulaory deah (DCD); ii) idenifying poenial donors in Emergency Deparmens; iii) supporing excellen end of life communicaion in ICUs. Paediaric donor numbers are small: his represens an area of ineres for ODNZ for he fuure. Resuls: Deceased donaion has doubled over 5 years. Conclusion: ODNZ hopes o coninue he rend of increased deceased donaion in New Zealand by coninuing collaboraive working backed up by clinical experise, aenion o deail and robus daa collecion and analysis, which appear o be successful ools. 41

42 The Trials and Tribulaions of Transiioning o he New Zealand Early Warning Score (NZEWS) using Paienrack: A Local Experience Dr Alison Pirre BA, MA, PG Cer, PhD. Nurse Praciioner, Criical Care Complex, Middlemore Hospial, Auckland; Senior Lecurer, School of Nursing, Massey Universiy, New Zealand Many hospials are now implemening NZEWS. This paper presens he challenges associaed wih implemening he NZEWS using Paienrack. Using a sequenial design, concurren daa were colleced beween January and Sepember Local EWS scores of PAR eam referrals (n=100) were convered o NZEWSs and showed significan differences beween he escalaion responses of he wo sysems (Γ=0.67, P=<0.001) wih a significan reducion in MET calls in surgical wards. Local EWS scores (n=128) colleced from six wards and convered o NZEWS also demonsraed differences in escalaion responses (Γ=5.31, p=<0.001); mos paiens had low scores and very few had NZEWS 6-7. PAR eam daa idenified mos NZEWS 8-9 (n=8) did no warran a MET call. Once implemened in pilo wards, Paienrack daa (n=594) idenified mos paiens had low NZEWSs wih very few NZEWSs 6-7 and PAR eam referrals; PAR eam daa showed oher paiens were referred o hem and mos paiens clinically improved in he ward. The inbuil Paienrack repors provided limied daa and idenified he need o wrie our own repors o rerieve daa from he daa warehouse. NZEWS significanly differed from our local EWS and implemening i wih Paienrack wih is limied repors proved challenging in deermining he suiabiliy of he NZEWS o mee he needs of our paien populaion and saffing resources P-ANZICS JAMAGEDDON Professor Brian Anderson, Professor of Anaeshesiology, The Universiy of Auckland; Paediaric Anaesheis/ Inensivis, arship Child Healh, Auckland, New Zealand Dr Paul Young, Specialis in Inensive Care Medicine, Wellingon Hospial; Direcor, The Inensive Care Research Programme, Medical Research Insiue of New Zealand, Wellingon, New Zealand Diane Mackle, Senior Projec Manager ICU Trials, Medical Research Insiue of New Zealand, Wellingon, New Zealand Moderaor: Dr Alex Kazemi SAVE THE DATE FIND OUT World Congress of Inensive Care

43 POSTER ABSTRACT A Mulicase udy of a Prolonged Criical Illness In he Inensive Care Uni: Paien, Family and Nurses Trajecories Dr Claire Minon; Dr Lesley Baen; Professor Annee Huningon Massey Universiy, Palmerson Norh, New Zealand The emergence of a new cohor of paiens, he chronically criically ill, is relaed o he success of advances in inensive care herapies. These paiens are a disinc group wih differing physiological and psychological needs, which can be challenging for nurses. While here is a growing body of lieraure ha seeks o undersand he experiences of criical illness from he paiens perspecive, no lieraure has aemp o consider he illness journey from muliple perspecives hroughou a criical illness in he ICU. The rajecory concep recognises illness as a course, which can be alered by an inerplay of medical, social, poliical, economic, biographical and psychological forces. Hence his poser presens he rajecory of a prolonged criical illness in he ICU from he perspecives of he paien, heir family and he nurses who provided heir care. This sudy used a longiudinal, qualiaive, muli-case sudy approach, informed by he Chronic Illness Trajecory Framework. Daa collecion involved six linked cases (paien, family and clinicians) in four New Zealand ICUs. Longiudinal daa analysis revealed four sub-phases in he rajecory of a prolonged criical illness. These sub-phases were deermined by he paiens physiological condiion, wih each sub-phase also represening differen psychosocial needs. Families rajecory, dominaed by uncerainy, were informed by he paiens rajecory. Family worked hard o relieve he uncerainy by looking for signs of improvemen. Nurses work was informed by he paiens rajecory, wih differen subphases represening differen challenges The longiudinal naure of his sudy wih hree paricipans groups gives a comprehensive view of he rajecory of a prolonged criical illness. This research has highlighed how rajecories were inerlinked for all groups. As an illness rajecory is shaped by healhcare professionals, family and paiens i is imporan o undersand how he rajecory is informed and he inerplay beween groups. FINDING THE FOREST THROUGH THE TREES 43rd Ausralian and New Zealand Annual Scienific Meeing on Inensive Care and he 24h Annual Paediaric and Neonaal Inensive Care Conference NG FO SAVE THE DATE FIND OUT MORE 43

44 EXHIBITOR LISTING & FLOORPLAN FIRE EXIT FIRE EXIT FIRE EXIT FIRE EXIT FIRE EXIT & 24 1 & CATERING LIFT PHONES 13 & 14 CATERING COFFEE CART STORAGE 3 3a ENTRY/EXIT ENTRY/EXIT FIRE EXIT FIRE EXIT FIRE EXIT FIRE EXIT BY STAND NUMBER NUMBERS ORGANISATION 1 & 2 ryker 3 Inermed Medical 3a Core Schedule 4 Geinge New Zealand 5 Medronic New Zealand 6 NZ College of Criical Care Nurses 7 Fujifilm SonoSie 8 Philips Ausralia & New Zealand 9 LifeHealhcare 10 Teleflex Medical New Zealand 11 USL Medical 12 Edwards Lifesciences 13 & 14 Fisher & Paykel Healhcare 15 Baxer Healhcare 16 Halyard 17 Conneced Healhcare Sysems 18 Bamford 19 BARD 20 BD 21 Medipak Surgical New Zealand 22 Draeger New Zealand 23 & 24 Acive Healhcare 25 Mölnlycke Healh Care 26 Pfizer Essenial Healh 27 GE Healhcare BY ORGANISATION ORGANISATION NUMBERS Acive Healhcare 23 & 24 Bamford 18 BARD 19 Baxer Healhcare 15 BD 20 Conneced Healhcare Sysems 17 Core Schedule 3a Draeger New Zealand 22 Edwards Lifesciences 12 Fisher & Paykel Healhcare 13 & 14 Fujifilm SonoSie 7 Geinge New Zealand 4 GE Healhcare 27 Halyard 16 Inermed Medical 3 LifeHealhcare 9 Medipak Surgical New Zealand 21 Medronic New Zealand 5 Mölnlycke Healh Care 25 NZ College of Criical Care Nurses 6 Pfizer Essenial Healh 26 Philips Ausralia & New Zealand 8 Teleflex Medical New Zealand 10 ryker 1 & 2 USL Medical

45 SPONSOR & EXHIBITOR PROFILES SPONSORS STANDS: 13 & 14 Fisher & Paykel Healhcare PLATINUM SPONSOR CONTACT: Maryn Gibson Maurice Paykel Place, Eas Tamaki, Auckland 2013, New Zealand Fisher & Paykel Healhcare is a leading designer, manufacurer and markeer of producs and sysems for use in respiraory care, acue care, surgery and he reamen of obsrucive sleep apnea. Our medical devices and echnologies are designed o help paiens ransiion o less acue care seings, help hem recover quicker and assis hem o avoid more acue condiions. We are a global business, based in 36 counries and selling ino 120. Since he 1970s, we have focused on coninuous improvemen and innovaion in he developmen of world-leading medical devices and echnologies, and oday, our producs are considered leaders in heir respecive fields. STANDS: 1 & 2 ryker PLATINUM SPONSOR CONTACT: Melissa Marschall melissa.marschall@sryker.com 8 Herber ree, Leonards, Sydney, NSW 2065, Ausralia ryker is one of he world's leading medical echnology companies and ogeher wih our cusomers, we are driven o make healhcare beer. The Company offers a diverse array of innovaive producs and services which help improve paien and hospial oucomes. ryker is acive in over 100 counries around he world. Our Medical porfolio offers a broad range of hospial beds, suppor surfaces, srechers, and hospial room furniure ha feaure BackSmar echnology ergonomic-based design ha helps o reduce he risk of caregiver injury and improve paien oucomes. ryker s mobiliy soluions, suppor surface herapies, bed monioring and Conneced Hospial echnologies se new sandards for successful paien care. STAND: 4 Geinge New Zealand Py Ld GOLD SPONSOR Geinge is a global provider of innovaive soluions for operaing rooms, inensive care unis, serilizaion and endoscopic reprocessing deparmens, endovascular procedures and for life science companies and insiuions. Based on our firs-hand experience and close parnerships wih clinical expers, healhcare professionals and medical-echnology specialiss, we are improving he everyday life for people oday and omorrow. CONTACT: Alan Cavell Alan.Cavell@geinge.com Level 2, Building B, Millennium Cenre, 600 Grea Souh Road, Ellerslie, Auckland, New Zealand STAND: 20 BD BRONZE SPONSOR CONTACT: Anne Familon anne.familon@bd.com b George Bourke Drive, M Wellingon, Auckland 1060, New Zealand BD is a global medical echnology company ha is advancing he world of healh by improving medical discovery, diagnosics and he delivery of care. The company provides innovaive soluions ha help advance medical research and genomics, enhance he diagnosis of infecious disease and cancer, improve medicaion managemen, promoe infecion prevenion, equip surgical and inervenional procedures, and suppor he managemen of diabees. BD has nearly 50,000 associaes across 50 counries who work wih cusomers and parners o help enhance oucomes, lower healh care delivery coss, increase efficiencies, improve healh care safey and expand access o healh. 45

46 EXHIBITORS STANDS: 23 & 24 Acive Healhcare CONTACT: Edward Bishop PO Box , Auckland Airpor, Auckland 2150, New Zealand Acive Healhcare delivers premium healhcare soluions ha suppor mobiliy and safe paien handling. We specialise in saeof-he-ar LINET hospial beds and paien ransfer and reposiioning soluions, including HoverMa air assised safe laeral ransfer and Guldmann ceiling hoiss. Acive Healhcare cusomises equipmen o ensure is fi for purpose and exceeds expecaions. We deliver, se up and suppor cliens in he use of heir new equipmen and provide raining for care saff o ensure confidence in use, for he lifeime of he produc. Wih more han 30 years experience, Acive Healhcare is a rused soluions provider o he New Zealand healhcare secor. STAND: 18 Bamford A his year s sand we inroduce Tracoe from Germany. For over half a cenury, he family-owned company TRACOE medical GmbH has specialised in racheosomy and laryngecomy producs wih "Made in Germany" qualiy. Our aim is o provide producs ha perfecly mee he needs of paiens. Bamfords have he people who ake he ime o undersand he challenges our cusomers face and our specialis knowledge ensures ha we carefully selec he righ producs, bes suied o New Zealand requiremens. When performance couns, you can rus Bamfords o deliver. CONTACT: Cam Weiz cam@bamford.co.nz Privae Bag 31346, Lower Hu, New Zealand STAND: 19 BARD CONTACT: Vanessa Playle Vanessa.playle@crbard.com Tina Van Weelderen Tina.vanweelderen@crbard.com Lambs Road, Ararmon, NSW 2064, Ausralia Bard Ausralia has been Advancing he Delivery of Healhcare by creaing innovaive producs and services ha mee he needs of healhcare providers and paiens. Today, Bard is a leader in producs ha focus on Disease ae Managemen in hree key areas: Vascular, Urology, and Oncology. To complemen hese areas, Bard has a complee line of advanced Surgical Specialy Producs and Services. Focused on our core values of Qualiy, Inegriy, Service and Innovaion, Bard Medical will improve he qualiy of paien healhcare wih essenial, cos efficien medical devices ha provide effecive clinical oucomes. This makes us a provider of choice for clinicians in he venous access, urology and women s healh disease saes. 46 STAND: 15 Baxer Healhcare Ld CONTACT: Suzanne Carer suzanne_carer@baxer.com PO Box 14062, Panmure, Auckland 1741, New Zealand Baxer provides a broad porfolio of essenial renal and hospial producs, including home, acue and in-cenre dialysis; serile IV soluions; infusion sysems and devices; pareneral nuriion; biosurgery producs and anaesheics; and pharmacy auomaion, sofware and services. The company's global fooprin and he criical naure of is producs and services play a key role in expanding access o healhcare in emerging and developed counries. Baxer's employees worldwide are building upon he company's rich heriage of medical breakhroughs o advance he nex generaion of healhcare innovaions ha enable paien care.

47 EXHIBITORS STAND: 17 Conneced Healhcare Sysems Ld CONTACT: Karen Dry PO Box , Manukau 2241, Auckland, New Zealand Conneced Healhcare Sysems is a New Zealand owned and operaed company bringing New Zealand cusomers he very laes in high qualiy, medical devices and echnology. Proud o be parnering wih Mindray Medical for all your paien monioring and anaeshesia equipmen. Also proud o represen,vocera Communicaion Sysems, Our inegraed, inelligen sysem enables users o communicae insanly wih each oher simply by saying he name, funcion, or group of he desired recipien, and securely delivers ex messages and alers direcly o and from heir device of choice. STAND: 3a Core Schedule CONTACT: Vaughan Meneses vaughan@coreschedule.com +64 (0) Owen, Newown, Wellingon 6021 New Zealand CORE SCHEDULE IT S ABOUT TIME Meeing he needs of people in a challenging and dynamic work environmen can be complex. Core Schedule is a fresh and adapive rosering program we ailor o fi he unique needs of your organisaion and he people wihin i. We make i simple, keep i fair and do he work o load everyhing in. Repors provide visibiliy ino any merics you wan, he way you wan hem. The sysem is audiable, accounable, affordable and drasically reduces admin ime. I s easy o use and mobile friendly from anywhere. STAND: 22 Draeger New Zealand Ld CONTACT: Jan Lewandowski jan.lewandowski@draeger.com Uni 4, 24 Bishop Dunn Place, Eas Tamaki, Auckland 2013, New Zealand Dräger. Technology for Life Dräger is a leading inernaional company in he fields of medical and safey echnology. Our innovaive producs, services and sysems proec, suppor and save lives. People from hospials, manufacuring, mining, fire proecion and emergency services have rused in Dräger since The medical division's produc range covers venilaion equipmen for inensive care, emergency and mobile venilaion unis, anaeshesia worksaions, warming herapy equipmen for infans, paien monioring equipmen and IT soluions. Besides sriving for he highes qualiy and common inerfaces beween our producs, Dräger also focuses on he proecion of our environmen and our naural resources. STAND: 12 Edwards Lifesciences Edwards Lifesciences, based in Irvine, Calif., is he global leader in paien-focused medical innovaions for srucural hear disease, as well as criical care and surgical monioring. Driven by a passion o help paiens, he company collaboraes wih he world s leading clinicians and researchers o address unme healhcare needs, working o improve paien oucomes and enhance lives. For more informaion, visi Edwards.com and follow us on EdwardsLifesci. CONTACT: Sandy Sco Sandy_sco@edwards.com Uni 2 / 40 Talavera Road, Norh Ryde, NSW 2113, Ausralia 47

48 EXHIBITORS STAND: 27 GE Healhcare CONTACT: New Zealand: Anna Shaw Tangihua, Auckland, New Zealand GE Healhcare provides ransformaional medical echnologies and services o mee he demand for increased access, enhanced qualiy and more affordable healhcare around he world. GE (NYSE: GE) works on hings ha maer - grea people and echnologies aking on ough challenges. From medical imaging, sofware & IT, paien monioring and diagnosics o drug discovery, biopharmaceuical manufacuring echnologies and performance improvemen soluions, GE Healhcare helps medical professionals deliver grea healhcare o heir paiens. STAND: 7 Fujifilm SonoSie CONTACT: Deb anley deborah.sanley@fujifilm.com PO Box , Remuera, Auckland 1541, New Zealand Fujifilm SonoSie, Inc., he world leader in bedside and poin-ofcare ulrasound, delivers soluions ha mee imaging needs of he medical communiy. Wih is VisualSonics ulra high-frequency micro imaging echnology, SonoSie coninues o influence he fuure of medical imaging in boh he clinical and preclinical markes. Headquarered near Seale, Washingon, USA, he company is represened by subsidiary offices and a global disribuion nework serving over 100 counries. SonoSie s porable, compac sysems are expanding he use of ulrasound across he clinical specrum by enabling healhcare providers o improve qualiy of care, physician efficiency, paien safey, paien saisfacion, and reduce coss. For more informaion, please visi: STAND: 16 Halyard CONTACT: Cusomer Service CusomerService_Anz@hyh.com Level 7, 52 Alfred ree, Milsons Poin, NSW 2061, Ausralia Halyard Healh is a medical echnology company ha delivers clinically superior producs in respiraory healh, digesive healh, and pain managemen. In 2016, Halyard acquired CORPAK Medsysems, and now have an even broader and more innovaive porfolio of digesive healh producs, including CORGRIP*, FARRELL VALVE SYSTEMS*, CORFLO* Nasoeneric Tubes and he CORTRAK* 2 EAS sysem, o deliver he bes in clinical and economic value o you and your paiens. Halyard also provide a range of HALYARD* VAE Soluions, including he MICROCUFF* Subgloic Sucioning Endoracheal Tube and 24-hour Oral Care Kis, designed o assis clinicians in he prevenion of Venilaor-Associaed Evens. 48 STAND: 3 Inermed Medical Ld CONTACT: Kinga Palmer kinga@inermed.co.nz PO Box 33268, Takapuna, Auckland, New Zealand InerMed Medical, one of New Zealand s larges privaely owned Healhcare companies is pleased o presen is key produc porfolio a his year s ANZICS conference. InerMed is proud o represen leading brands focused on he Criical Care environmen such as Hamilon Medical and Inersurgical. Please ake his opporuniy o mee he HAMILTON-C6 he nex generaion of inelligen ICU Venilaors. Now in our 37h year of rading in he Criical Care environmen, hospials can be assured of high qualiy producs, wih proven echnology from compeen and well rained saff. Please ake he ime o visi our sand o discuss your Deparmen s clinical and equipmen needs.