台灣血管外科學會函 電話 : 承辦人 : 許心慈

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1 台灣血管外科學會函 內政部台內社字第 號函核准立案地址 :11490 台北市內湖區成功路二段 325 號電子信箱 電話 : 承辦人 : 許心慈 受文者 : 正本受文者 速別 : 普通件密等及解密條件 : 發文日期 :102 年 07 月 02 日發文字號 :102 台血外 ( 松 ) 字第 號 主旨 : 本會擬舉辦 1st Asia Multidisciplinary Advanced Course on Venous Access (1st Asia MACOVA), 敬請惠予繼續教育學分認定 說明 : 一 本會擬於 102 年 8 月 2 日 ( 星期五 ) 至 4 日 ( 星期日 ) 於台北君悅大飯店舉辦 1st Asia Multidisciplinary Advanced Course on Venous Access (1st Asia MACOVA) 二 1st Asia MACOVA 為亞洲區跨國家 醫院 科別的醫學活動, 旨在推動業界對早期血管 評估的重視 第一屆亞洲 MACOVA 在台灣主辦, 特凸顯台灣在心臟血管外科上的先進 發展 三 課程表 摘要 講師基本資料如附件 四 敬請貴會給予積分證明 正本 : 中華民國醫師公會全國聯合會 台灣外科醫學會 台灣血管外科學會 中華民國心臟學會 台灣胸腔及心臟血管外科醫學會 台灣介入性心臟血管醫學會 中華民國放射線醫學會 中華民國護理師護士公會全國聯合會 台灣專科護理師學會 中華民國癌症醫學會副本 : 本會秘書處 ( 存查 )

2 台灣血管外科學會 主辦單位 : 台灣血管外科學會協辦單位 : BARD 巴德股份有限公司舉辦時間 : 102 年 8 月 2 日 ( 星期五 ) 至 4 日 ( 星期日 ) 舉辦地點 : 台北君悅大飯店 ( 台北市信義區松壽路 2 號 ) 教育積分 : 中華民國醫師公會全國聯合會 台灣外科醫學會 台灣血管外科學會 中華民國心臟學會 台灣胸腔及心臟血管外科醫學會 台灣介入性心臟血管醫學會 中華民國放射線醫學會 中華民國護理師護士公會全國聯合會 台灣專科護理師學會中華民國癌症醫學會注意事項 : 1. 本課程由於名額有限, 請於 7/15/2013 前至 登入報名 2. 本課程需刷到,( 請攜帶身分證 ), 嚴禁代刷 交通資訊 : Program Overview Note: Topic or Speaker of the program may be adjusted. OBJECTIVES: To develop and improve the knowledge and clinical expertise in venous access To facilitate the sharing of best practices in venous access in Asia To increase awareness in selecting the most appropriate vascular access device at the start of treatment TARGET AUDIENCE - Multi-disciplinary with interest in venous access: Surgeons Interventional Radiologists Intensivists Medical Oncologists PICC Nurses Anesthesiologists Infection Disease Medical Doctors Gastroenterologists / Nutrition Support Unit Nephrologists

3 Advanced Course for PICC Placement Workshop This workshop is designed for health care professionals who have had hands on experiences in placing PICC at bedside. For those placing PICC in the non Angio rooms, Modified Seldinger Technique has been introduced to facilitate the insertion. Placers are expected to have fundamental knowledge about anatomy, indication of the PICCs, the prevention of CRBSI and how to identify and choose the best tip location for PICC. Besides, placers are urged to place PICC and other CVADs with the facilitation of Ultrasound to improve the success insertion rate and minimize the infection. Those hot topics will be addressed in the workshop. Friday 2 nd August Time Topic Speaker 08:30 10:30 Definition and indications Stacy Buckley Review of vascular anatomy Ultrasound guidance with PICC placement Procedural techniques and tips Tip location on chest X-Ray 10:30 10:40 Break 10:40 12:00 Procedural complications and troubleshooting Stacy Buckley Potential complications during dwell (prevention / assessment / problem solving): o Dislodgement and tip malposition o Catheter occlusion and Deep Veins Thrombosis o CR-BSI (Catheter-Related Bloodstream Infection) Case Study Q&A

4 Plenary Sessions SESSION 1: ASSESSMENT AND DEVICE SELECTION FOR VASCULAR ACCESS In this session, the topics, including A Multi-disciplinary Team Approach for Venous Access, Device Selection and Guidelines in USA, Device Selection, Guidelines and Practices in Europe, Prevention and management of complications relating to central venous catheter insertion techniques and Best Practice Guidelines in Asia: Assessment and Device Selection for Venous Access in Cancer Patient Taiwan will be presented. Speakers will not only lead the audience to review how those International Guidelines advise the selection of Central Vascular Access Devices (CVADs) but also share how CVADs have been selected in different markets. Speakers from US, Europe, and Taiwan will share the common practices in their own region/ country. The cases on inappropriate usage of vascular access devices will be presented to reinforce the importance of early vascular assessment and the benefits of CVADs to prevent those complications. The purpose for this session is to provide a comprehensive knowledge about who needs CVADs, and how CVADs shall be used to preserve patients veins. Saturday 3 rd August Time Topic Speaker 08:30-08:45 Opening and Welcome Introduction Tsai Chien-Sung SESSION 1: ASSESSMENT AND DEVICE SELECTION FOR VASCULAR ACCESS Chair: Ko Po-Jen, Tan Bien-Soo and D. Bhurani 08:45-09:05 A Multi-disciplinary Team approach for venous Stacy Buckley access 09:05-09:30 Device Selection and Guidelines in USA Stacy Buckley 09:30-10:15 Device Selection, Guidelines and Practices in Europe Stacy Buckley 10:15-10:35 Best Practice Guidelines in Asia: Assessment and Chang Li-Lu Device Selection for Venous Access in Cancer Patient - Taiwan 10:35-10:45 Morning Break 10:45-12:00 Case Discussion: 1) Chemo with multiple PIVs or CVCs 2) LTA with multiple PIVs Collecting from all faculties 3) TPN with multiple CVCs 4) ICU with multiple PIVs or CVCs 12:00-13:00 Lunch

5 SESSION 2: VENIPUNCTURE / INSERTION In this session, the topics, including Review major international guidelines for PICC indications and techniques, Ultrasound Guided Vein Puncture: Advantages and Practical Guide, How to manage the patency and efficiency of implanted port devices from the perspectives of surgical cut-down approach, Optimal CVAD Tip Position Difficult Vascular Access Situations and Mechanical complications of long term venous access will be presented. The speaker, RN Stacy Buckley, collects the major international guidelines and summaries the advices and suggestions on the catheter insertion skills and procedures. According to CDC s guidelines, to improve the success insertion rates and minimize the potential infection, physicians are strongly suggested to use Ultrasound to facilitate the insertion of vascular access devices. The speaker Prof Po-Jen, Ko will share his personal experiences on how Ultrasound has benefited him and his patients. Besides venepuncture, the cut-down surgery is the other way for placers to place vascular access devices. The speaker, Dr. Ching-Yang Wu, will share his experiences on cut-down surgeries. Prof Kim Jang-Yong will talk about where is the best tip position and how to check the tip position before using CVADs. Audiences will be presented with evidence-based researches and be explained why the tip position is so important to patients. Prof B. Gebauer will talk about the topic Difficult Vascular Access Situations and lead the discussion on the solutions for a variety of difficult cases. Prof Tan Bien-Soo will share his personal experiences and talk about the topic Prevention and management of complications relating to central venous catheter insertion techniques. Dr. Anushya Vijayananthan will share how to manage mechanical complicates of long term venous access from Interventional Radiologist perspectives. Saturday 3 rd August Time Topic Speaker SESSION 2: VENIPUNCTURE / INSERTION Chair: Kim Hyang-Kyung, Lin Chih-Yuan and B. Gebauer 13:00-13:30 Review major international guidelines for PICC Stacy Buckley indications and techniques 13:30-14:00 Ultrasound Guided Vein Puncture: Advantages and Ko Po-Jen Practical Guide 14:00-14:30 How to manage the patency and efficiency of implanted Ko Po-Jen port devices from the perspectives of surgical cut-down approach 14:30-15:00 Optimal CVAD Tip Position Kim Jang-Yong 15:00-15:15 Afternoon Break 15:15-15:45 Difficult Vascular Access Situations Stacy Buckley 15:45-16:15 Prevention and management of complications relating to Tan Bien-Soo central venous catheter insertion techniques 16:15-16:45 Mechanical complications of long term venous access Anushya Vijayananthan 16:45-17:00 Closure for the day Bard Staff

6 SESSION 3: HOT TOPICS In practices, some topics have been always discussed. Those topics raised the questions including how to manage and prevent the CLABSI, whether the PICC team may provide the exclusive benefits to the patients, who and when needs power injection, where is the best place to insert PICC, and so on. Before we close the 1 st MACOVA, our speakers will share their personal experiences and perspectives on these debatable topics and audiences are encouraged to participate in the discussion in the last session. The point is to find an answer for those topics but to lead the audience to think through what they have learnt from the event. Sunday 4 th August Time Topic Speaker 08:30-09:00 Zero-tolerance to CLABSI Is it important? Stacy Buckley 09:00-09:30 Why and who need Power injectable CVADs? Chu Sung-Yu 09:30-10:00 Development of Integrated PICC Team Li Lu Chang 10:00-10:15 Morning Break 10:15-10:50 Presentation and Discussion: Where is the best place for PICC Insertion Bedside or in Angio Room? Li Lu Chang and Tan Bien-Soo 10:50-11:50 Case Discussion for Challenging cases: Hemodialysis patients Hematopoietic Stem Cell Transplant Recipients Immuno-compromised patients Collecting from all faculties 11:50-12:00 Conclusion and Closing Tsai Chien-Sung and Ko Po-Jen

7 STACY BUCKLEY RN, CRNI EDUCATION: B.A. Biology, University of California at Berkeley, 1979 A.S. in Nursing, Saint Mary s College, 1982 Diploma, Samuel Merritt Hospital School of Nursing, 1982 EXPERIENCE: 2007-Present: Clinical Specialist and Trainer, Bard Access Systems, Salt Lake City, Utah. Responsibilities include education and proctoring of customers in use of Bard vascular access products, training of new sales and clinical staff, both domestic and international Present: Staff Nurse, Parenteral Services Team, John Muir Medical Center, Walnut Creek, California. Responsibilities include placement of PICC lines, management of all central lines/ports, placement of difficult peripheral IV lines : Owner/Senior Partner, Premier Medical Legal Associates, legal nurse consultant/medical analyst, services include comprehensive chart review, medical chronology production, and analysis of all aspects of clinical care : Staff Nurse, 3 North - Medical-Surgical/Oncology-Hematology Services, John Muir Medical Center, Walnut Creek, California. 1994: Interim Clinical Instructor/Lecturer, School of Nursing, California State University at Hayward : Staff Nurse, Infusion Center and Apheresis Unit, Alta Bates Medical Center, Berkeley, California : Staff Nurse, 4 Northeast - Medical-Surgical/Oncology-Hematology/Bone Marrow Transplant Services, Alta Bates Medical Center, Berkeley, California. PROFESSIONAL Co-author of an original paper presented at the Oncology Nursing Society ACHEIVEMENTS: Toronto, Canada, Bone Marrow Transplantation Certification, Alta Bates Hospital, Berkeley, California, 1984, and John Muir Medical Center, Chemotherapy Core Curriculum (sponsored by the Oncology Nursing Society) PICC Line Certification, San Francisco, California, CRNI advanced practice certification, (Certified Registered Nurse Infusion), 2006, EXPERTISE: Excellent working knowledge of all major specialties of adult medicine and surgery (including oncology/hematology, gastroenterology, cardiology, pulmonology, endocrinology, neurology, infectious diseases, immunology) and all aspects of vascular access Strong scientific background with superior analytical skills Superior venipuncture and IV therapy skills including PICC line placement Member: Association of Vascular Access and Infusion Nurses Society

8 張黎露 Li Lu Chang Current Positions: 1. 和信醫院護理進階教育中心主任 2. 台灣腫瘤護理學會理事長 3. 弘光科技大學護理學系助理教授 4. 台灣護理教育評鑑委員會規劃委員 5. 國家衛生研究院癌症研究 Roapmap 委員會委員 6. 台灣醫院評鑑暨醫療品質策進會評鑑委員 7. 衛生署國民健康局癌症診療品質認證護理組委員 Past Positions and Experiences 1. 和信醫院健康照護政策研究副研究員, 和信醫院護理部主任, 和信醫院護理部副主任, 和信醫院護理部督導, 和信醫院護理部 Clinical Nurse Specialist, 國立台北護理學院兼任講師, 國立空中大學兼任講師, 台灣腫瘤護理學會監事, 台灣腫瘤護理學會常務理事, 台灣專科護理師學會理事, RN, Intermediate Care Unit, Heart Center, Duke University Hospital, Durham, NC, USA, RN, In-charge Nurse, ICU, Montgomery Regional Hospital, Blacksburg, VA, USA, RN, Cadiac-thoracic Surgery Ward, National Taiwan University Hospital, Taiwan, ROC, Education: Doctor of Nursing Practice, Duke University School of Nursing, 08/ /2011 Master of Science in Nursing, Duke University School of Nursing, 1992/6-1993/8 Bachelor of Science in Nursing, National Taiwan University School of Nursing, 09/ /1986

9 柯博仁 Po-Jen Ko Office Chang Gung Memorial Hospital Academic Appointments 2005, Assistant Professor of Vascular Surgery, Chang Gung Memorial Hospital (CGMH) 2006, Assistant Professor of Chang Gung University Hospital Appointments: 1994~1997,Resident, Dept. of Surgery 1997~1999,Fellow, Div. of Thoracic & Cardiovascular Surgery 1999~2003, Attending Staff, Section of Cardiovascular Surgery 2003 till now, Attending Staff, Section of Vascular Surgery Board Certification 1.The Surgical Association of the Republic of China 2.Taiwan Society of Cardiology, No: S834 3.Association of Thoracic & Cardiovascular Surgery, Republic of China Professional Affiliations 1.The Surgical Association of the Republic of China 2.Taiwan Society of Cardiology 3.Association of Thoracic & Cardiovascular Surgery, Republic of China 4.International Society for Endovascular Surgery (ISES) 5.International Society for Vascular Surgery (ISVS) 6.Taiwan Society for Vascular Surgery (TSVS) Speciality: Aorta Surgery, EVAR & TEVAR Peripheral Artery Surgery Dialysis Access Surgery Endovascular Treatment for Dialysis Access, Peripheral Artery Disease and Aortic Aneurysm Tracheobronchial Surgery and stenting

10 Jang Yong Kim EDUCATION March February 1996 Inha University, School of Medicine Haksa Bachelor of Medical Science MD was issued in Feb 1996 September August 2000 Inha University, School of Medicine Master of Medical Science Seok Hwan Shin MD, PhD March February 2010 Inha University, School of Medicine PhD of Medical Science Kee Chun Hong MD, PhD TRAINING OF SURGERY March Febraury 1997 Inha University Hospital Transitional(Internships) March Febraruy 2001 Inha University Hospital Residency of General Surgery Je Hong Woo MD WORK 21 April April 2004 Army, South Korea Army Doctor(Captain) # FELLOWSHIPS March Febraury 2006 Inha University Hospital General Surgery and Vascular Surgery Kee Chun Hong MD March Febraury 2007 Samsung Medical Center Vascular Surgery Young-Wook Kim MD RESEARCH and OBSERVERSHIPS June May 2008 University of Pittsburgh Medical Center Vascular Surgery Jae Sung Cho MD Jul 2007-Aug 2007 Cleveland Clinic Vascular Surgery Roy Greenberg MD, CLINICAL EXPERIENCES Daniel Clair MD September Febraury 2011 Inha University, College of Medicine Clinical Professor, Division of Vascular Surgery, Department of General Surgery March 2011 March 2012 Inha University, College of Medicine Assistant Professor, Division of Vascular Surgery, Department of General Surgery April Present Catholic University, School of Medicine Associate Professor, Division of Vascular Surgery, Department of General Surgery AWARDS AND ACHIEVEMANTS 1st ranked Honor student when entering Inha university, medical school in 1990 with Scholarship for 5 and 1/2 years from Jungsoek foundation from 1990 to Honor student in first 1992, second 1992, and first semester Scholarship from The Korean Society of Vascular Surgery(KSVS) in Young Investigator Award. Jang Yong Kim. Endovascular Treatment as a Reasonable option for Extensive Total Occlusion of Iliac Artery. 53rd Annual World Congress. International College of Angiology 18th September 2011 Scholarship from The Korean Society of Vascular Surgery(KSVS) in 2012 : Research for development of nitilol self expanding stent.

11 Tan Bien Soo Senior Consultant Department of Diagnostic Radiology MBBS, FRCR, FAMS Dr Tan Bien Soo is Senior Consultant Radiologist and immediate past Head of the Department of Diagnostic Radiology. Dr Tan completed his fellowship training in Interventional Radiology at Guy s and St Thomas Hospital in London, UK in Since his return, he has helped to develop the Vascular and Interventional Radiology service in SGH, into the largest and most comprehensive service in the region. Dr Tan assumed the post of Head of Department in He is concurrently Adjunct Associate Professor at the Duke-NUS Graduate Medical School & Clinical Associate Professor at the Yong Loo Lin School of Medicine, National University of Singapore. Dr Tan s current interests are in Cardiovascular & Interventional Radiology. EDUCATION Bachelor of Medicine, Bachelor of Surgery (MBBS), National University of Singapore (1985) Fellow of the Royal College of Radiologists, United Kingdom (FRCR) (1992) Fellow of the Academy of Medicine of Singapore (FAMS) (1996) PROFESSIONAL APPOINTMENTS & COMMITTEE MEMBERSHIPS Immediate past Head, Department of Diagnostic Radiology, Singapore General Hospital Visiting Consultant, National Heart Centre, KK Women s and Children s Hospital and Changi General Hospital Visiting Consultant, Singapore Armed Forces Chairman, Specialist Training Committee for Diagnostic Radiology 2008 Present President, College of Radiologists, Singapore Present AWARDS Ministry of Health HMDP Fellowship Award in Interventional Radiology 1994 National Day Commendation Medal (Military) 2005 Silver Award, Excellent Service Award (EXSA) 2008

12 朱崧毓 Sung-Yu Chu Dr. Sung-Yu, Chu is one of the early PICCs placers at CGMH and spent a lot of time studying PICC before. He published the paper studying the Use of PICC in Adult with Acute Leukemia. Specialty The General diagnostic radiology and the interventional diagnosis and treatment learn, ultrasound, the treatment of liver cancer, transplantation Diagnostic Imaging, and its complications processing, aortic stent placement and peripheral arterial angioplasty Teaching position Lecturer-level the attending physician Present job A physician at Linkou Chang Gung Memorial Hospital gastrointestinal image diagnosis and treatment Branch, Educational background The Department of Medicine of Zhongshan Medical College Experience Chang Gung Memorial Hospital general surgery resident, Li Chang Gung Memorial Hospital diagnostic radiology, MD, hospitalized in our department of Learn to live with certification The radiation Medical Association of the Republic of China specialist physicians put No of the attending doctor specialized in Zi No. Papers and periodicals published Endovascular repair of spontaneous isolated dissection of the superior mesenteric artery. Clinical Radiology 2012; 67: The diagnosis and treatment of the gastrointestinal image Division

13 蔡建松 Chien-Sung Tsa Professor, National Defense Medical Center Vice-Superintendent of Tri-Service General Hospital Education National Defense Medical Center, Taiwan, 1989, M.D. National Defense Medical Center, Taiwan, 2010, Professor Professional Experiences 1.General surgical resident, Tri-Service General Hospital ( ) 2.Cardiovascular surgical resident, Tri-Service General Hospital ( ) 3.Chief resident in cardiovascular surgery, Tri-Service General Hospital( ) 4.Visting in cardiovascular surgery, Tri-Service General Hospital ( ) 5.Chief in cardiovascular surgery, Tri-Service General Hospital ( ) 6.Department of Surgery Chief,Professor(2011- present) 7.President of Taiwan Society for Vascular Surgery( ) Research Interes 1. Cardiovascular Surgery 2. Devices and materials to improve the surgical outcome 3. Cardiac Pharmacology Myocardial protection Ischemia and Reperfusion injury 4. Heart transplantation and Transplant Immunology

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