TM Critical Care - ISCCM€¦ · with the ISCCM logo and the date of the ... as important festival...

Editorial officE

dr. atul P. KulkarniProfessor & Head, Division of Critical Care, Dept. of Anaesthesiology, Critical Care & Pain Tata Memorial Hospital, Parel, Mumbai 400012 Phone : 022-24177049 • emails : [email protected]

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1 ISCCM News Headlines

2 Editorial

2 Editorial Board 2014-2015

3 President's Desk

3 General Secretary's Desk

4 Past President’s Oration 2015

4 ISCCM Oration 2015

4 Message from the Organizing Secretary, Criticare 2015

5 Message from the Organizing Chairman, Criticare 2015

5 Know Your Hosts: The Organizing Committee - Criticare 2015

5 Hansraj Nayyar Award

6 Where are We Meeting?: The Criticare 2015 Venue!

6 Highlights of Criticare 2015

7 Down the Memory Lane - First National Conference of Indian Society of Critical Care Medicine

7 Official Functions during the 21st ISCCM National Annual Conference Bengaluru

8 Science Behind the Scientific Program

8 Special, Special ISCCM Bengaluru gets the Postal Department to bring out a special Postal Cover for Criticare 2015!

9 FICCCM Awardees 2015

9 Honorary FICCM Awardee - Dr. D K Mitra

9 ISCCM Chennai Branch Sponsors Young Talent Hunt

9 Best Performers in ISCCM Examinations in 2014

10 Scientific Program - Criticare 2015

16 Bengaluru Highlights

18 Eateries

19 Steps to Make Pharma Friends Comfortable and Happy

19 Comprehensive Critical Care Course Modules Review Committee Meeting 14-15 February 2015 Delhi

20 CRITICARE 2015We request our esteemed readers to send their valued feedback,

suggestions & views at [email protected]

This is the first Special Conference issue of Critical Care Communications : Know all about our annual conference Criticare 2015

Criticare 2015 is the mega scientific feast just around the corner

Bengaluru ready to welcome delegates and faculty

The revamped Comprehensive Critical Care Course (4C) to be showcased for the first time during Criticare 2015

All 16 workshops are full of enthusiastic delegates

Indigenously developed simulator to be used for the first time in Hemodynamic Monitoring Workshop

The ISCCM oration to be delivered by Dr George John on 6th March 2015

Dr Divatia to deliver the Past President’s Oration on 6th March 2015

Postal department to bring out Special Postal Cover on the occasion of Criticare 2015 (picture in this issue)

Faculty and delegates will be able to buy this cover during the conference

See glimpses of the First ever ISCCM conference through the eyes of Dr Sanjay Upadhye

A B I - M O N T H LY N E W S L E T T E R O F I N D I A N S O C I E T Y O F C R I T I C A L C A R E M E D I C I N E

TM

www.isccm.org

Critical Care

C O M M U N I C A T I O N S

SPECIAL CONFERENCE ISSUEVOLUmE 10.1

JANUARY-FEBRUARY, 2015

Contents ISCCM News HeadlIneS

T h e C r i T i C a l C a r e C o m m u n i C aT i o n s a B i - m o n T h ly n e w s l e T T e r o f i n d i a n s o C i e T y o f C r i T i C a l C a r e m e d i C i n e

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Editorial Board 2014-2015

ediTor in ChiefDr. Atul P. Kulkarni, Mumbai

[email protected]

depuTy ediTors

Dr. Vijaya Patil, MuMbai Dr. Jayashree M., Chandigarh

[email protected] [email protected]

memBers

seCreTary norTh Zone wesT Zone easT Zone souTh Zone CenTral Zone

Dr. Vandana Agarwal, MuMbai Dr Avdhesh Bansal, delhi Dr. Manoj Singh, ahMedabad Dr. Susruta Bandyopadhyay, KolKata Dr. Pradeep Rangappa, bangalore Dr. Ranvir Singh Tyagi, agra

[email protected] [email protected] [email protected] [email protected] [email protected] [email protected]

Editorial

Dear Friends,

Warm Greetings of the New Year (certainly required in many areas

of India still)!

As you will see when you read on, this issue is special issue dedicated to the National Annual Conference of ISCCM – Criticare 2015. I requested Dr Sanjay Upadhye, who was the Organizing Secretary of the First National Conference of ISCCM in 1994, to take us down the memory lane and tell us about that conference. The quality of photographs of that conference may not be great; since there were no digital cameras back then; but they do give us a glimpse into that era!

With the help from the Bengaluru colleagues, I have tried to make this an interesting read. So you will read about venue, what to see once in Bengaluru, highlights of the sessions, etc.

Dr Chacko gives us information about the members who will be giving orations in this conference while Dr Iyer & Dr Sampath write about the making of the scientific program. In addition you will find features about this year’s FICCM awardees and also who topped and will receive awards for doing well in the examinations conducted by ISCCM. Of course the scientific program is included along with a write up by Dr Rangappa about the steps taken to make the pharmaceutical industry comfortable during the event. In another first, the Bengaluru branch has been enterprising enough to get the postal department to bring out a Special Poster cover, you will read about that as well in the issue.

Please let me know your opinions about this idea of the special issue at my email address given below.

dr. atul P. Kulkarnieditor,

The Critical Care Communicationspresident-elect, [email protected]

www.isccm.org

Welcome to Criticare 2015 Bengaluru


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President's Desk

Dear ISCCM Members and Colleagues,

Welcome to the 20th ISCCM Conference in Bengaluru!!

The conference promises a veritable academic feast and by the time you receive this newsletter the workshops would already have been completed. We have had this time advanced simulation workshops, an advanced cardiac resuscitation course CaRe beyond BASIC, our own Ultrasound & ECHO workshop, a communication workshop and many other state-of-the-art workshops. The conference has as a highlight a moot court with discussion of end of life issues and also has for the first time a joint ESICM-ISCCM session for discussing research issues. A stamp is also going to be released with a Criticare 2015 special cover that has a cancellation with the ISCCM logo and the date of the conference. I congratulate Dr. Pradeep Rangappa for his special efforts in this regard. The conference organizing committee under the leadership of senior members Dr. Jose Chacko and Dr. Sriram Sampath have put up a fantastic show. I congratulate all the organizing committee members for all the hard work they have put in.

EOL Care in India continues to be a

vexatious issue with lack of clarity in everybody’s minds from laypersons to lawyers to doctors. I request all of you to complete the ISCCM End-of-life Practices Survey if you have not already done so.

Your contribution is of utmost importance to inform the debate on this important issue.

ISCCM has embarked on an ambitious research project in collaboration with St. John Research Institute that aims at preparing our very own ISCCM research

database that will allow ICU’s to collect data in real time on a cloud based system that can be used for generating quality indicators and other reports for individual ICU’s The database will also help us to define, test and validate an Indian severity of illness scoring system. I invite all our members to get their ICU’s to participate, especially those ICU’s that are accredited for the ISCCM courses.

I take this opportunity to invite all members to visit the ISCCM booth in the trade exhibition area. We are highlighting our courses, offering early bird registrations for the 21st ISCCM conference in Agra that is to be held jointly with the International Sepsis Forum and also have a special members area where we will address all your queries. We also look forward to hearing your suggestions for improving ISCCM. All our publications & guidelines will also be available at the booth.

The Delhi Polls and Arvind Kejriwal have shown the country how, if there is grass root level participation great results can be achieved.

ISCCM members – Please participate in all ISCCM activities and send us your suggestions.

“Together, there is no limit to what we can achieve”

dr. Shivakumar Iyerpresident, isCCm

[email protected]

dr. dhruva chaudhryGeneral secretary, isCCm

Dear Friends

Namaskar

Welcome to Criticare 2015, 20th annual conference of ISCCM at Bengaluru. Right at the onset I must apologise to you all as important festival of Holi is falling on 6th March , first day of the conference. It gives however an opportunity to us to celebrate this festival of colours together in Bengaluru as ISCCM is a big family where we not only share professional relationships but also build bonds of friendship.

The scientific committee under the chairperson ship of Dr Shivakumar Iyer & Dr Sampath has planned an academic feast covering various aspects of critical care relevant to our countries . The scientific programme is a judicious mix of recent advances, contemporary topics, medico legal issues related to unique environment in which we all work as well as effort to impart skills through workshops , which participants can put into use on their return.

The unique feature of this congress is the young talent hunt, whereby 4 young intensivists have been selected through a transparent process as speakers. This is a small effort of the ISCCM to recognise

General Secretary's Desk

talent among young intensivists & to encourage youngsters by providing a platform to express their views. Chennai branch of ISCCM volunteered & sponsored the young talent scheme of the society. I express my gratitude & thanks to the office bearers of the Chennai branch for their magnanimity.

Dr Pradeep Rangappa, young & energetic organising secretary of Criticare 2015 & his team has been working very hard & Dil se to make this event a grand success. The best example is the scheduled commemorative release of postal cover for the conference , again the first for any professional body. They have also seen that mobile applications for both android & iOS are out & operable to have easy access to the schedule & programmes.

We are also likely to see the inauguration of first Indian simulators for teaching & training, a giant step . All this is possible due to brilliant work put by Bengaluru team.

I again welcome you all on behalf of ISCCM to Criticare 2015. Please participate in large numbers & make the congress grand success not only by your presence but also by active participation.

Warm regards & wishes


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Message from the

Organizing Secretary, Criticare 2015

dr. Pradeep rangappa

SPONSOR APPEAL

21st Annual Conference of Indian Society of Critical Care Medicine

www.criticare2015.com

Setting New FrontiersTheme : QUALITY | OUTREACH | AUSTERITYDear Everyone

Greetings from Bengaluru. On behalf of the organizing committee

of the 21st Annual Conference of Indian Society of Critical Care Medicine we take pleasure in inviting you to this edifying event. The Conference will be held at Bangalore, India from 4th – 8th March, 2015 at the Manpho Convention Centre.

Sincere efforts has been put in, since 18 months to unfold this event with attention paid to every dimension of the conference, be it Workshop, Scientific content, publications, abstracts, trade area, hospitality, networking or logistics. When we were assigned the responsibility of hosting the conference, our mission as cohesive unit from Bangalore was to put up the best Critical Care Conference our country has ever witnessed. The vision of

our Conference is to homogenize the critical care delivery all over by implementing quality indicators and in doing so minimize the cost of care significantly in the context of ever burgeoning healthcare expenditure. Our vision is to campaign for an Intensivist led ICU in every hospital which offers Critical Care services for effective care delivery and improve outcomes of acutely unwell patients from all the other specialities.We believe scientific content is the USP of any conference and earnest efforts has been put in from our scientific committee with vantage inputs from accomplished academicians in preparing the content. International Faculty who have done some pioneering work in key areas of critical care have been invited. In Scientific content, special attention has been paid to have new, thought inspiring and topical subjects like

medico legal session, moot court, defence medicine, pedagogy, master class and very practical “how do I manage” topics. Most topics are new and not repetitive of commonly spoken subjects. Four innovative Workshops for the first time have been incorporated which include Quality, Communication, Simulation, Donor Awareness – Medical, Legal and Ethical (DAMLE), and Simulation in one of the best simulation labs in South Asia

Other highlights of Conference are release of postal cover, launch of India owned Manikins developed by Indian Institute of Science, Intensivist of the year Quiz. South Indian 'signature dishes' from all the four states has been carefully chosen to tickle the palates of our guests.

We invite you all for a scientific retreat in vibrant and dynamic city of Bengaluru.

ISCCM Oration 2015

Prof. George John

TMDr George John is an alumnus of Christian Medical College, Vellore and he has also completed his post graduation in General Medicine from the same institution. He had

a distinguished academic career marked by prizes in Clinical Medicine and community Health. After a hectic academic career in General Medicine he went to Australia for advanced training in Critical Care and was awarded the FRACP, FJFICM and FCICM. He went on to head the first Department of Intensive Care and head of the Acute Care Division in his parent institution. He has been an examiner in Intensive Care exams for many years.In addition to many research articles he has been Member of the International advisory board for Davidson’s practice of Medicine and had written the section on Critical Care medicine in the API textbook of Medicine. His magnum opus however is the textbook: Essentials of Critical Care which has gone though many editions. This book has two important characteristics which are not found in any other book in Critical Care; the quotes at the beginning of every chapter are worth reading even if the reader has no interest in Critical Care. The other distinguishing point is that the book is “copy left”, it is for copying, distributing freely. This reflects his lifelong commitment to the free dissemination of knowledge.His students will acknowledge that they are now better human beings due to contact with him. His teachings are marked with

humor, robust common sense, and rigorous academic discipline and grounded in conceptual understanding. He is widely read and can, in conversation, link topics from many fields. He has been instrumental in encouraging students to undergo training in Critical Care in Vellore and Australia, and his students have emulated him by mentoring others. There are a number of academic Department heads in India who are his students. In India alone the number of Intensivists who can trace a lineage to him are many, and they will be happy to acknowledge that they have been moulded by him. His wife Renu is a Professor of Dermatology and they have two children.

The Indian Society of Critical Care Medicine is proud to have Professor George John attend the national conference in Bengaluru and deliver his oration.

Past President’s Oration 2015

Dr. J. V. Divatia is a household name in the Indian critical care community. He is the Professor and Head, Department of Anaesthesiology, Critical Care and Pain

at theTata Memorial Hospital, Mumbai. After finishing post-graduation in anaesthesia, he trained in Intensive Care Medicine at the St. George Hospital, in Sydney, Australia. He is the past president of the Indian Society of Critical Care Medicine and was Chancellor, Indian College of Critical Care Medicine. He was also former Chairman of the Research Committee of the Indian Society of Critical Care Medicine and was responsible for conceiving, designing and executing the Indian Intensive Care Mix and Practice Patterns Study (INDICAPS). Dr. Divatia has also played an important role in standardising treatment guidelines in critical care medicine as leader of the Expert Group appointed by the Government of India.

An avid academic, Dr.Divatia has authored several original research papers, published in peer-reviewed journals. He is Associate Editor of the Indian Journal of Critical Care Medicine and Section Editor of the Indian Journal of Anaesthesia. He has also received Presidential Citation by the Society of Critical Care Medicine (SCCM) in 2011 and 2012 and was international guest editor of Intensive Care Medicine in 2014.

dr. JV divatiapast president, isCCm [email protected]


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Message from the

Organizing Chairman, Criticare 2015

dr. Jose chacko

SPONSOR APPEAL



Setting New FrontiersTheme : QUALITY | OUTREACH | AUSTERITYIt is my pleasure to wholeheartedly

welcome you to CRITICARE 2015 in our own, Bengaluru. More than two

decades have passed since the formation our society and the first national meeting. In the meantime, critical care medicine has taken firm roots in the country. Our unwavering focus on which the conference theme is based, shall be on offering high quality care to the critically ill, in a timely and cost-effective manner, besides reaching out beyond the four walls

of the Intensive Care Unit. I sincerely hope that the academic content of the meeting will offer insightful guidance towards fulfilling this goal. We have tried to include topics contemporaneous to the Indian scenario, including the handling of medico-legal and end of life situations, which have aroused considerable attention in the recent past. The faculty includes Indian and international speakers of repute, who have made their mark in the field

of critical care medicine. At the end of the deliberations, we hope to have a clearer position on several burning topics of intensive care, such as goal-directed therapy, early tracheostomy and evidence based, best practice,among others.

Apart from academic advancement, as always, we shall catch up with old friends, have a good time and make it an unforgettable summer of 2015 at CRITICARE in Bengaluru.

Know Your Hosts: The Organizing Committee - Criticare 2015

dr. rajgopal natrajanWorkshop Chairperson

dr. Muralidhar KWorkshop Co-chairperson

dr. Pradeep rangappaOrganizing Secretary

dr. Sunil KaranthJt. Organizing Secretary & Treasurer

dr. Shivakumar IyerNational President &

National Scientific Chairperson, Cri ticare 2015

dr. Jose chackoOrganizing Chairperson

dr. ajith Kumar a KOrganizing Co-chairperson

dr. Sriram SampathScientific Chairperson

Oral 31

“Critical care without walls”- impact of a“paediatric emergency team” on PICU admissions from the wards and overall mortality

Presenting Author : Dr. Tahir RehmatullahCo-Author : Dr. GnanamInstitution : Manipal Hospital, BengaluruDesignation : Fellow in

Paediatric Critical Care, Consultant PICU and Paediatric ERIntroduction : Cardiopulmonary arrest in children isa gradual process, preceded by critical period of physiologic instability, during which lifesaving interventions can decrease the mortality and improve outcome in sick patients admitted to hospitals. The recognition that patients have warning signs and symptoms prior to cardiopulmonary arrest, has led to the introduction of rapid response teams - Medical Emergency Teams/Rapid Response Teams. In a first such study from India, we are reporting the successful implementation of a Paediatric Emergency team (PET) concept and its effectiveness in an Indian setting in reducing overall mortality.

We hypothesised that, early recognition of the warning signs and symptoms of patients admitted to the wards and appropriate intervention reduces their rate of transfer to the PICU and their overall mortality-extending the “Golden hour “ concept to ward patients as well!.Methods : This study is a retrospective audit, before and after implementation of the Paediatric emergency team (PET) concept in paediatric wards. The pre-intervention period was between October 2011 and March 2013(phase-1) and post-implementation period was between April 2013 and October 2014(phase-2). The following variables were compared before and after implementation of the PET concept- the number of patients having cardiopulmonary arrest in the ward, the number of patients transferred to the PICU from the wards, the number needing intubation on D1 of transfer , and the overall mortality of patients transferred in. Toexamine the impact of PET, p values, Odd ratios (OR) and95% confidence interval were calculated for the variables before and after the implementation period.Results : We found a significant reduction in the number of patients needing intubation and mechanical ventilation within 24

hours after their transfer to PICU, after starting PET (from 17.9% before starting PET to 5.8% after starting PET) (p value 0.012864,OR 0.2831,95% CI 0.1120 to 0.7156.) Mortality in patients needing intubation and mechanical ventilation within 24 hours after their admission to the PICU in our study decreased from 6.2 % to 0% (p value 0.046258,OR 0.1481, CI:0.0185 to 1.1881), after the implementation of PET. All the patients needing intubation within 24 hours of shifting to the PICU survived(mortality-0%) after the implementation of PET, whereas 9/26(34.6%) needing intubation died, before starting PET from 6.2 % to 0% (p value 0.046258,OR 0.1481, CI:0.0185 to 1.1881).7 out of 9 patients died within 24 hours of transfer in and the other 2 died within 48 hours.Discussion : Although more such studies may be needed, it may be said that implementation of a Paediatric Emergency Team concept(Paediatric RRT) will reduce the incidence of respiratory and cardiopulmonary arrests or sudden crashes outside of the critical care areas, thereby reducing overall mortality. We hence recommend implementation of the Paediatric Emergency Team (PET) concept in all tertiary care hospitals, in an attempt to reduce in-hospital cardiopulmonary arrests and overall mortality in Paediatric patients.

Hansraj Nayyar Award


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Manpho Convention Centre (MCC) has been growing as one of the finest and attractive

venue for Corporate Events, B2B / B2C Exhibitions, Seminars and Conferences in Bangalore. Situated at Nagawara Ring Road, opposite BEL Corporate Office, near Hebbal Flyover and next to Manyata Tech Park, it is at an ideal location and people can reach here with minimum traffic problems or hassles.

The venue is just a 40 minutes drive from the airport, 13 kilometres from the Central Bus stand and Railway station. Manpho Convention Centre has an infrastructure spread over 15 acres of land with 4 completely air-conditioned halls; Manpho Royals, Manpho Legacy 1, Legacy 2 and Legacy 3. Each of these has a gross area of 2000-2500square meters and a nice parking facility. Manpho Royals is an ideal venue for all occasions, Exhibitions, Events, Stage

Shows, conference etc. Legacy 1, 2 and 3 will be better suited for technical trade B2B exhibitions, workshops, Party dining etc. The Manpho ambience will add value to every event happening here. In a span of six months, Manpho Convention Centre has hosted a variety of events and few major exhibitions as well.

(Source: www.manphoconvention.com)

Where are We Meeting?: The Criticare 2015 Venue!

Highlights of Criticare 2015

1. CRITICARE 2015 App created on Android platform with compatibility to upload all presentations in PDF version. App designed to voting links during the Conference

2. Newletter (NL) distributed to about 30000 doctors and 180 Pharma Companies every month to stay connected. Every NL carried profile of distinguished International speakers featuring their Research interests and contribution to Critical Care. Quiz related to history of Critical Care was highlight of every NL with enthusiastic response from Critical Care Community. Special Prizes were given away for the lucky winner who answered the questions correctly. Every NL carried feature on articles on “must eat” places in Bangalore and “must visit” places in and around Bangalore keeping them informed on what to look out when they are in Bangalore.

3. On Workshop front four innovative Workshops for the first time has been incorporated which include Quality Workshop, Communication Workshop, Simulation Workshop in one of the best simulation labs in South Asia, and Donor Awareness – Medical, Legal and Ethical (DAMLE).

4. Indian Institute of Science in collaboration with St.John’s Medical College Hospital has developed indigenous state of the art simulators which essentially simulates every aspect of Critical Care, be it hemodynamic, USG/ECHO, or ventilator variables. These simulators have undergone extensive dry and wet lab experiments proving their efficacy in simulating literally every clinical scenario faced in Critical Care. These

simulators will be for the first time used in Hemdynamic, Ventilator and USG/ECHO Workshop with one placed in trade area for delegates to have a look. These simulators which will presumably be rolled out at a cost significantly lower than the standard Internationally available 3G Sinman will be officially launched during the CRITICARE 2015.

5. In Scientific content, special attention has been paid to have new, thought inspiring and topical subjects like medico legal session, moot court, defence medicine, pedagogy, master class and very practical “how do I manage” topics. Most topics

are new and not repetitive of commonly spoken topics.

6. Grand Quiz titled “Intensivist of the Year” is being done for the first time with attractive academic prizes to be won. Preliminary tests will be conducted on 7 March to choose the finalists for the Grand Quiz.

7. For the first time worldwide special postal cover is being released on 6 March

2015 with ISCCM logo as cancellation by Department of Posts to commemorate a Critical Care Conference.

8. Trade area is overwhelmingly represented with tactical strategy put in to ensure visit of delegate to every stall during the conference period.

9. Three onsite trade get-togethers were done prior to the Conference to have a systematic collaborative sponsor agreement. Defined process was put in place detailing the deliverables and space allocation to avoid ambiguity.

SPONSOR APPEAL



Setting New FrontiersTheme : QUALITY | OUTREACH | AUSTERITY


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Official Functions during the

21st ISCCM National Annual Conference Bengaluru

Down the Memory Lane - First National Conference of Indian Society of Critical Care Medicine

dr. Sanjay UpadhyeChief anaesthetist, asian institute of oncology, mumbai

Dear Friends,It gives me great nostalgic pleasure to go down the memory lane to a point in the history when Indian society of Critical

Care Medicine was born and the first ever national conference on critical care was held 20 long years ago. Late 1980s and early 1990s saw great and rapid development in critical care medicine as a super specialty world over. Indian scenario was not untouched in the development of critical care medicine, albeit not systematically enough to be known to other specialists and the general public at large. This inspired like minded practitioners of this science from various reputed hospitals in Mumbai to come together one evening in 1994 at Oberoi Sheraton Sunset Suite to form the Indian Society of Critical Care Medicine (ISCCM). An ad hoc executive committee was formed under the president-ship of Dr. Pravin Jain, Chief Intensivist, Sir H.N.Hospital. Dr. Pravin Amin, Dr. J. Divatia, Dr. Shruti Nagarkar, Dr. Mayur Patel, Dr. Farhad Kapadia and yours truly became some of the office bearers.After a few monthly meetings, all of us realised how much we were learning from each other, what mistakes we were making and how were all of us improving in patient management at each outing! We decided to go truly national by adopting a resolution that a national conference be held every year to give a platform to all intensivists in the country and also to give independent status to the speciality. Mumbai was chosen as the first venue and Tata memorial hospital was chosen for its strong and excellent infrastructure in terms of well equipped auditorium, mini lecture hall, board room, spacious lounge and dining area. Yet another positive, perhaps the most important, was the recognition that the department of Anaesthesiology, critical care and Pain management of Tata memorial hospital to be capable and cohesive unit to undertake the task. The dates for the conference were fixed to be 6 January to 8 January 1995. Yours truly was appointed as the organising secretary and Farhad Kapadia accepted to become the scientific committee chairman with able support from Dr. Jigeeshu Divatia and Dr. Atul Kulkarni as his colleagues in the scientific committee. Various other important tasks were shared by the remaining executive (ISCCM) committee members and faculty of anaesthesia department of TMH. The resident staff of department also worked tirelessly and devotedly as foot soldiers. The most important task of inviting an excellent international and

national conference was the collective effort of everyone in the organising committee, most notably Dr. F. Kapadia, Dr. Pravin Amin, Dr. Pravin Jain and Dr. Jigeeshu Divatia. The illustrious international faculty consisted of Dr. David Bihari from London, Dr. Ian Grant from Edinborrough, Dr. Kevin Gunning from Cambridge, Dr. Ken Hillman from Australia, Dr. Harakh Dedhia, Dr Philip Lumb and Dr. Mrs Kalpalata Guntupally from USA.New society, first conference and just 25,000 Rs. in kitty, we were aiming too big! Will any sponsor care to support upstarts? The answer came affirmative from two gentlemen, Mr. Gadgil and Mr. Chetan Nayyar, who promised to collectively help the conference

and fulfilled the promise. Men of vision, who probably predicted the growth of our society. To our glee, all the stalls in the exhibition area were also lapped up by other companies.Initial response to registrations from delegates was not encouraging. We were

reconciled to a number of about 150. Delegate registrations poured in last 2 months before conference and crossed 400, forcing us to stop registering any more delegates for want of space.The scientific program was designed to cover all aspects of intensive care management in the form of lectures, symposia, panel discussions and meet the experts. It was a grand success as proved by the fact that both the halls were overflowing all the time and not one delegate found loitering in the lounge!The inaugural function was held at hotel President in the presence of legendary Dr. B.K. Goyal and Dr. P.B. Desai. An excellent oration on “Critical care of patients with tropical diseases” By legendary Dr. Farokh Udwadia was the icing on the cake on the eve of inauguration.The faculty and the delegates also had relaxing time at the banquet hosted in the sprawling ball room of the Taj Hotel at the gate way of India. I feel that for a first conference in the country in the speciality, we certainly set a bench mark.

Thursday, 5 March 2015Executive Committee meeting and subcommittee meetingsDate & Time : Pre-conference (day 2 of workshop) 5.00 pm to 7.30 pm followed by faculty dinner

Friday, 6 March 2015Presidential address : Dr. Shivakumar IyerChairpersons : Dr. Atul Kulkarni, Dr. Dhruva ChaudhryDate & Time : Between 0930-1000

ISCCM Oration - Speaker : Dr. George JohnChairpersons : Dr. Iyer, Dr. Sampath, Dr. ChackoDate & Time : Between 1000-1030

College Board meeting, Convocation and Chief Guest Address. Date & Time : Day 1 of conference 5.00 pm to 7.30 pm

Souvenir, Abstract CD, Conference book, Workshop books and Special Postal cover releaseIDCCM and IFCCM Alumni Meet from 4.00 to 5.00 pm in one of the parallel halls

Past President's Oration - Speaker : Dr. Jigeeshu DivatiaChairpersons : Dr. Shivakumar Iyer, Dr. Dhruva ChaudhryDate & Time : 7.30 pm Day 1, after convocation & college function followed by presidential dinner

Saturday, 7 March 2015Hansraj Nayyar PaperChairpersons : Dr. Shivakumar Iyer, Dr. Dhruva ChaudhryDate & Time : Day 2, 0930-1000

General Body MeetingDate & Time : Day 2 of conference 5.00 pm to 7.30 pm.


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Science Behind the Scientific Program

dr. Shivakumar IyerisCCm president &Scientific Chairperson Criticare 2015

dr. Sriram SampathScientific ChairpersonCRITICARE 2015

The jury is still out whether organising the scientific content of a conference is a science or an art but there are

elements of expediency and “Jugaad”. The first few emails were sent on June 2013 itself and the committee was surprised to find that certain international speakers already had prior commitments fixed on those tentative dates in March 2015, which was 18 months away. However most overseas speakers were able to confirm acceptance by July 2013 and even the topics could be fixed more than a year in advance. What was interesting that certain speakers were happy to discuss results of trials which had not yet been completed!

The national scientific committee was constituted by March 2014 and areas of interest were identified by members along with speakers who had special interest in certain topics. All faculty were asked about their areas of interest and most were happy to indicate where their interests lay.What was most gratifying was that nearly

all faculty were very quick to respond to emails and give suggestions. Certain topics which are likely to be of interest to exam going students :“ What the examiner expects from the students?” were included as thematic sessions. In response to some students who wanted an in-depth handling of certain sessions pedagogic thematic sessions were planned. To better drive home key conceptual messages, thematics of integrative physiology have been planned. As is usual debates continue to occupy prime place.

A thematic session called “ Myth busters” has been planned to debunk common practices which are traditional and not evidence based.

Pride of place has been given to End of Life care issues with special session devoted to it in the format of a “ Moot court”.

Young talent has been identified through a rigorous selection process and will be seen during the main scientific program. Their travel and stay has been supported by a

generous grant fro the ISCCM Chennai branch.

For the first time we have an ESICM ISCCM joint session which will deal with issues of joint interest.

In the workshops we have encouraged the development of indigenous workshops or workshops in which we have an active collaboration with international organizations. For the first time we have a one day advanced cardiac resuscitation workshop “CaRe beyond BASIC”. All workshops have specially prepared manuals for supplementing the workshop training.

Simulation improves the quality of education and for the first time we hope to have indigenously designed advanced simulators in the hemodynamic and mechanical ventilation workshops.

Making a scientific program is probably both a science and an art with generous elements of “Jugaad”

Special, Special ISCCM Bengaluru gets the Postal Department to bring out a special Postal Cover for Criticare 2015 !

Special Postal Cover Issue:

It’s with great delight we wish to inform Department of Posts will issue Special Postal Cover to commemorate 21st Annual Conference. First time in the history of Critical Care worldwide, a special postal cover is being released to commemorate Critical Care National Conference which is a proud moment for the ISCCM. Official release of the cover will happen on 6 March 2015 by ISCCM President. Department of Posts will issue 2000 postal covers with cancellation by ISCCM logo and CRITICARE 2015 Conference logo on the cover. Department of posts will keep 325 covers for their official reference and the rest will be given to us for distribution / sale.

For philatelists these covers are of special significance and will be etched in philatelic history. Philatelic dealers do sell them in philatelic markets for premium price which go up manifold over time.

Myself being an ardent medical philatelist having participated in International exhibitions, the idea of special cover was conceived

in June 2014. We took an appointment with the Chief Postmaster General, explained to him of the significance of National Conference as National cause in disseminating knowledge and skills to enable effective care delivery to acutely ill patients. Further emphasis was laid on the fact that Conference is being held in Bangalore after span of 14 years got us an approval from him. Suggestion was made to depict icons of Bangalore on the postal cover which were incorporated – Vidhana Soudha (Karnataka State Legislature) and Kempe Gowda (founder of Bangalore).

Postal cover design was conceptualized to encompass the ethos of Critical Care as speciality, and of Bangalore.

Designs details: cancellation with

the ISCCM logo with the date of the Conference which is of special interest to every philatelist.

Cancellation done on stamp depicting “poppy” flower which has immense medicinal value. Opium and its refined extracts such as morphine, thebaine, codeine, papaverine and noscapine are extracted from the poppy. Morphine was isolated from the poppy by Serturner in the beginning of nineteenth century.

Left bottom: Bangalore represented by its founder Kempe Gowda and Karnataka State Legislature building. Left upper corner: compassion, empathy and care provided to acutely ill. Left middle: Acutely unwell ventilated patient

ISCCM Logo concept: Figurative (traditional State native) represents Intensive Care Physician championing the cause of Critical Care with a healing wand gaining momentum with spiritual energy. This is represented by Nandi marching ahead towards wellness and prosperity represented by rich heritage of Hampi. The colour background and flowers depicts the state of Karnataka blossoming with dynamism.


9

FICCCM Awardees 2015

Best Performers in ISCCM Examinations in 2014

Anand Memorial Award (IFCCM Topper) Dr. Kishore Mangal

ISCCM Chennai Branch Sponsors Young Talent Hunt

Dear Members,

We are committed for giving opportunity to young and new talent. For Young Talent Hunt for Criticare 2015, we had given the link on our website and the eligible candidates

could upload their presentations online. The presentations received were assessed by the Credentials Committee headed by Dr JV Divatia and following candidates were selected. They will be invited to speak as faculty at Criticare 2015 in Bengaluru.

Dr Vijayalakshmi Kamat Memorial Award (Best performance in IDCCM) Dr. Bhandari Dhiraj Baijulal

Anand Memorial Award (Best performance in IDCCM)

Dr. Puneet Chopra

Prof. (Dr.) Bibhukalyani Das

Dr. Avdesh Bansal

Dr. Shakti Bedanta Mishra Dr. Keshav Goyal Dr. Dhiraj Bhandari Dr. C. Ananthegowda Dore

Dr. Pradeep Kumar Bhatia

Dr. Srinivas Samavedam

Dr. Shabbar H. K. Joad

Dr. Jayant R. Shelgaonkar

We are pleased to inform that ISCCM Chennai Branch has sponsored this year`s Young Talent Hunt. We appreciate ISCCM Chennai Branch for encouraging and providing their support for ISCCM Young Talent Hunt program.

Young Talent Hunt Winners Criticare 2015

With warm regards

Dr. Dhruva Chaudhry, General Secretary, ISCCM

Dr. DK Mitra, a retired professor and head of department of medicine from BJ Medical College Pune and subsequently from Bharati Vidyapeeth University Medical College, Pune is a highly respected clinician,

academician and administrator. He started his professional career in 1963 as Assistant Professor in Nagpur Medical College where he had completed his MBBS and MD (Medicine). He has served as Chairman of the Board of Studies in Medicine in the Pune University and has also been member of the board of studies at various other universities and the National Board of Examinations. He was a member of the Maharashtra Medical Council from 1985 to 1988. He has also been on the editorial board of the Journal of Association of Physicians of India. Apart from this he also set up the gastroenterology services in Sassoon Hospital

and was a founder member of the Indian Academy of Gastroenterology. His abiding interest however was intensive care. He was instrumental in setting up and running the ICU from 1985 at Sassoon Hospital, a 1200 bedded government hospital attached to BJMC. The ICU at Sassoon Hospital was set up in the days when there were hardly any private ICU's in the city of Pune. Many times one could find Dr. DK Mitra in the ICU after office hours either taking a round or repairing/tinkering with a ventilator or some other equipment, unheard of in government institutions. His special skill was in getting equipment and staff sanctioned from government agencies when the ICU department did not yet have official sanction.

He then joined BVUMC as head of department of Medicine. At BVUMC too he set up the ICU and ran it for 7 years till his retirement in 2000. He has mentored several students and quite a few have taken up intensive care as their specialty of choice. To name just a few, Dr Dilip Kadam

professor and head of Medicine, BJMC, Dr. DN Joshi retired professor of medicine, BJMC, Dr. Sanjeev Gupta, a consultant intensivist in the UK, Dr. Bande professor of anesthesia and a senior intensivist at KEM Hospital and Dr. Shivakumar Iyer head of department of Critical Care at Bharati Vidyapeeth University Medical College, Pune. Dr. DK Mitra was a strict taskmaster and expected his students to not only look after patients but also manage and administer the ICU. He had recognized well before his time that “Structure, Process, Outcome & Culture" - "Quality & Safety" in ICU's depended as much on managerial skills as on clinical & humanistic skills.

The motto in Dr. Mitra's ICU read "Intensive care is about doctors who care intensely and not only about sophisticated equipment or expensive treatment". We at ISCCM are honored to confer the FICCM on this extraordinary clinician, academician, and administrator.

Honorary FICCM Awardee - Dr. D K Mitra


10

Scientific Program - Criticare 2015

Day 1 - Friday, 6th March 2015Date / Time Dhanvantri

HallKempegowda

HallNandi Hall Hampi Hall Cauvery Hall Aihole Hall Belur Hall Badami Hall Kudremukha Hall Madikeri

08.00 - 08.30 Meet the exper t

Chairpersons Atul Kulkarni Dhruva Chaudhry

Day 108.30 - 09.00

The saga of tissue oxygenation

Speaker Bala Venkatesh

Day 109.00 - 09.30

Using advanced imaging to understand pathophysiology and outcome in TBI “

Speaker David K Menon

Day 109.30 - 10.00

Presidential Address

Speaker Shivakumar Iyer

Day 110.00 - 10.30Oration

Critical Care in India: Quo Vadis?

Speaker George John

Day 110.30 - 11.00

The Aruna Shanbaug case revisi ted

Speaker S V Joga Rao

11.00 - 11.10 Break11.10 – 12.10 Cardiology Administration Pedagogy ARDS Epistemology.

Chairpersons Prabhakar Shet ty

Yatin Mehta

J V Divatia

Rajesh Chawla

Ram Rajagopalan

Kolli Challam

N Ramakrishnan

Ashit Y Hegde

Atul Kulkarni

Bala Bhaskar S

V Ramasubrama-niam

Day 111.10 - 11.25

Timing of assess-ment & prognos-tication following cardiac arrest

Build your dream Smar t ICU

Water, sal t and pH in Stewar t methodology

Non oxygenation benefi ts of pron-ing

Pit falls of EBM: Lost in the forest but enjoying the academic frui ts

Panel Discussion : Influence of mul-tidrug resistance and appropriate empirical therapy on mor tali ty rate

Speaker :Sameer A Jog

Panelist:

H S Dhumra

Balaji

Suresh Ramsubban

Pankaj Anand

Speaker Sauren Panja Narendra Rungta Ramesh Venkata-raman

Kayanoosh Kadapat ti

Shekhar Venkatra-man

Day 111.25 - 11.40

Prehospital & ICU therapeutics in post arrest scenarios

Clinical hand-over: At pi t stop precision

Balanced salt solutions rationale & evidence

RV function as-sessment in ARDS is essential

What are the latest education & training tools?

Do RSS feeds keep you up to date?

Speaker Ar thas Flabouris Allan Goldman Bala Venkatesh Rahul Pandit Hans Flaat ten (Astra Zeneca) YTH

Day 111.40 - 11.55

Management of ischemic hear t disease post cardiac arrest

Nurse practi tio-ners in ICU

Stewar t meth-odology at the bedside

Use of respiratory monitoring to op-timize ventilatory set tings

How to incorpo-rate Cochrane & latest RCT in your practice?

East & West Guidelines

(guidelines to be adhered during antibiotic selec-tion)

Role of inline neb-ulization in cri tical care patients on ventilatorSpeaker Vineet Nayyar Craig Cooper

SmithRoop Kishen Peter Rimens-

bergerSubhash Todi Ramsubrama-

niam V (Microlabs)

Day 111.55 - 12.10

Continuum of care from AED to PICU and beyond.

KTE: Knowl-edge transfer & education H1N1 to Ebola

Stewar t Vs Stan-dard methodol-ogy: Head to Head comparison

Recruitment in ARDS: Just high profile papers

Abstracts are dangerous: Read the full tex t

Colistin in car-bapenem resistant infections : Ex-perience from an Indian Centre

Speaker Niranjan Kissoon Sameer A Jog Vijaya Patil Shirish Prayag Farad N Kapadia Senthur P Nambi (Cipla)

Jim Fink (Pneu-mocare)

12.10-13.10 Basic science Haematology Oncology Medico-legal Neuro-critical care

Chairpersons Murli Chakravar thy

Vineet Nayyar

Sharath Damodar

Sameer A Jog

Ashish Dixi t

Rahul Pandit

Gavin Joynt

Subhash Todi

Guruprasad

Uma Maheshwar Rao G S

Day 112.10 - 12.25

Endopheno-types par tial phenotypes and endotypes: using a new vocabulary to aid precision medicine in TBI

Management of Sepsis induced DIC

Chemotherapy in ventilated sick patients

Legal issues rel-evant to Paediatric Cri tical Care in India

Rational osmoth-erapy

Where is Cri tical Care Medi-cine heading? Perspectives from industry & Insti tu-tions

Endothelial dys-function in Cri tical Care

Speaker David K Menon Y P Singh J V Divatia Krishnan Chugh Rajesh Mishra YTH

Day 112.25 - 12.40

Every thing about glycolcalyx you were afraid to ask

HITTS or miss: restar ting heparin af ter low platelet counts have resolved

Invasive Candidia-sis in Children :the emerging threat

What is negli-gence?

Traumatic Brain Injury outcome prediction

How to plan for experimental ICU research in resource poor countries?

Speaker Ashit Hegde Dinesh Kumar Singh

Sunit C Singhi S V Joga Rao Babu K Abraham Marcus J Schultz

Day 112.40 - 12.55

Integrillins: rel-evance in cri tical care

Transfusion trig-gers in cri tically ill children: Less is more?

Febrile neutrope-nia in oncology

How am I ini tiat-ing and recording transition from care pathways in ICU?

Multimodal neuro cri tical care monitoring

Speaker YTH Praveen Khilnani Govind Babu. R K Mani Priya Prabhakaran

Day 112.55 - 13.10

Microcirculation as therapeutic targets in septic shock

Low Molecular weight Heparins in ICU

End of life in haemato- oncol-ogy patients

Consent for stan-dard procedures: at admission or as and when needed ?

Protocols for cerebral per fusion pressure manage-ment in traumatic brain injury

Speaker Bala Ramachan-dran

Subhash Todi(Pfizer)

Atul Kulkarni Shivakumar FKumbar

David K Menon Insti tution Heads/ Industry Heads


11

Day 1 - Friday, 6th March 2015 (Contd.)Date / Time Dhanvantri

HallKempegowda


Day 113.10 - 13.40

Lunch Lunch Lunch lunch Lunch

13.40 – 14.40 Microbiology Guidelines Debate / Panel Masterclasses Debate / Panel Paediatric sessions

Chairpersons Swati Rajgopal

Sangeeta Joshi

Narendra Rungta

Sanjay Kulkarni

Charles Gom-mersal

Prof Channaraya

G C Khilnani

Ravi Mehta Moderator:Allan GoldmanKrishnan Chaugh

Day 113.40 - 13.55

Epidemiology of gram positive infections in India

What 0069s easily implementable in sedation guide-lines?

Debate:” I have never followed EGDT even when the trials were positive”

Masterclasses;Envenomation in India: what everybody must know

Debate: Early Tracheostomy in India is lifesaving.

Acute kidney injury & role of IV Fluids

13.40-14.10Debate: Use local Studies to formu-late protocols

Speaker Santosh Padhy ( Mylan)

Sheila Nainan Myatra

Farad N Kapadia Mohan Mathew Rajesh Pande(Baxter)

Lokesh Tiwari

Day 113.55 - 14.10

Evidence for use of Vancomycin in CNS infections in India. IDSA Vs Local knowledge

Messages from guidelines-How to manage antico-agulants.

Debate:” I will fol-low EGDT despite current negative trials.”

Debate: Early Tracheostomy in India is not life saving

13:55 -14:25

Looking at Healthcare IT as an investment’

Debate: Inter-national peer reviewed data are more appropriate

Speaker George M Var-ghese (Mylan)

Yatin Mehta J V Divatia Dhruva Chaudhry Kapil Zirpe Corey Scurlock (Philips)

Jayashree M

Day 114.10 - 14.40

Panel Discussion: Role of BL/BLIC in the era of emerg-ing resistance

What is new in NSTEMI guide-lines?

Chairperson :Col Shivinder Singh 14:10 – 14:40Trauma manage-ment in resource poor areas

Masterclasses: Non-invasive Ventilation

Moderator Srini-vas Samavedam

Panel:Telemedicine in ICU

Chairperson : Peter Rimens-bergerSunit Singhi14.10 – 15.25Protecting gut integri ty: early feeding and pro-biotics

Speaker Shirish Prayag( Pfizer)

Susruta Bandyo-padhyay

Ghanshyam Gr Capt Parli Ravi Col Anand Shan-kar Saurab Kole

N Ramakrishnan Ashwin K Mani Krishnan Sriram Arvind Kasargod

Arun Bansal

Day 114.25 - 14.40

Should we slavishly follow guidelines?

Where to set our glucose targets?

Speaker Shivakumar Iyer Rajesh Chawla (Philips) Priya Prabhakaran

14.40- 15.25 Organ interactions

The Right side VAP Nephrology Tropical & topical Panel Paediatric sessions

Chairpersons Vijaya Patil

Mohan A Mathew

George D’Souza

Lali t Singh

Kapil Zirpe

Y P Singh

Hans Flaat ten

Sundar

Manish Munjal

George M Var-ghese

Moderator :

Rajesh Chawla

Day 114.40 - 14.55

Lung-gut & liver -lung interactions

Pulmonary circulation-essen-tial physiology

Routine use of depletive fluid strategy in VAP prevention is justified

What is the good dose for Renal Replacement therapies

Dengue in ICU: what you should know?

Panel Discussion

VTE have we fully decoded the enigma

When to treat pulmonary hyper tension and how?

Speaker Krishnaswamy Sundarajan

Vineet Nayyar Rajesh Pande Roop Kishen Jignesh N Shah Peter

Rimensberger

Day 114.55 - 15.10

Hear t-lung inter-actions everybody should know

Novel therapies in Pulmonary Hyper tension

Oral hygiene tech-niques to prevent Ventilator associ-ated pneumonia ?

Evidence based medicine for hybrid Renal Replacement therapies ?

Evidence based medicine for Alu-minium Phosphide : What is the Indian Data?

Post resuscitation oedema-Is diuret-ics the answer ?

Speaker Prakash Shastri Pradip Kumar Bhat tacharya

Anand Dongre Manoj Y Singh Diptimala Agarwal (Sanofi) Anil Sachdev

Day 115.10 - 15.25

Multiple compar t-ment syndrome in ICU: Increased ab-dominal thoracic and intracranial pressures

RV assessment @ Bedside

Is monitoring for Ventilator associ-ated pneumonia a futile activi ty?

Therapeutic dose adjustment in Renal Replace-ment therapy

Non Snake enven-omation’s

(Free Slot ) New global sepsis guidelines: What is relevant to us?

Speaker Khusrav Bajan Pradeep M D’Costa.

Vandana Agarwal Hemant Tewari Manoj K Singh Sunit C Singhi

Day 115.25 - 15.30

Break

Day 115.30 - 17.15

Moot Cour tJudge: Ram Rajagopal

Day 117.15 - 17.45

IDCCMIFCCM alumni meet

Day 117.30 - 19.30

College board meet & GBM & Past presidential address

Chairpersons Shivakumar Iyer, Dhruva Chaudhry

Day 2 – Saturday, 7th March 2015 (Contd.)Date / Time Dhanvantri

HallKempegowda


8.00-8.30Chairpersons

Soonu UdaniNiranjan Kissoon

Day 208.00 - 08.30

Pediatrics Plenary: Risky business-learning from others for healthcare

Speaker Allan Goldman

8.30 to 11.00Chairperson:

Shivakumar Iyer Dhruva Chaudhry

Day 208.30-09.00

New horizons in hemodynamic monitoring

Speaker Xavier Monnet

Day 209.00 - 09.30

ARDS New & novel therapeutics

Speaker Geof f Bellingan

Day 209.30 - 10.00

Hansraj Nayyar

Day 210.00 - 10.30

Protecting gut integri ty in the cri tically ill

Speaker Craig Cooper-Smith


12


HallKempegowda


Day 210.30 - 11.00

What is science?

Speaker D Balasubramanian

Day 211.00 - 11.10

Break

Cardiac Endocrine Hemodynamics Molecular biology MYTH BustersChairpersons Kar thik

Vasudevan

Kiran Varghese

Ganapathi Bantwal

Arpan Bhat tacharya

Pravin Amin

Balasaheb Bande

T Sridhar

Sumit Ray

Shivkumar

Atul Kulkarni

Day 211.10 - 11.25

IABP in secondary cardiac dysfunc-tion

The devil is in the details: Cor tisol assays in Cri tical care

Myocar-dial dysfunction in children with sepsis

Gut injury in sepsis-molecular insights

Myths in Nutri tion Oxygen for mod-ern hospitals

Role of immuno-modulator (omega 3 fat ty acid & glutamine in cri ti-cally ill patients & recent updates

Speaker Santhosh Sath-eesh

Bala Venkatesh Suchitra Ranji t Craig Cooper-Smith

Krishnan Sriram Anand Goel (Airox)

Day 211.25 - 11.40

What is new in cardiac inotropic therapy?

Sunlight exposure for ICU patients: fact/fiction?

What is the Pas-sive leg raising test all about?

Paediatric sepsis-molecular targets for future research

Evidence based debunking of common ICU practices

Panel Discus-sion : ICU Quali ty Indicators- Stan-dardization Improvement and Innovation

Chairperson: Subhash Todi

Speaker : N Ramakrishnan

Panelist :

Susruta Bandhyopadhyay

Khusrav Bajan

Srinivas Samavedam

Ravindra Mehta

Speaker Anand Nikhalje (Neon)

Sudakshina Mullick

Xavier Monnet Niranjan Kissoon Ram Rajagopalan (Fresinus Kabi)

Day 211.40 - 11.55

Cardiac contractil-i ty modulation and Resynchroni-zation therapies

Vit D levels in ill children: By-stander or culpri t?

Haemodynamic resuscitation in ICU: General prin-ciples & pit falls

Myths in infectious disease practice

11:40 to 12:10

Role of Ex tracor-poreal ther-apy (Cy tosorb) in SepsisDr. Reshma Basu, Head Cri tical Care, Ar temis Hospital, Gurgaon, Delhi

Speaker YTH Soonu Udani Ian Seppelt YTH George K Var-ghese

(Astra Zeneca) Dr. Reshma Basu(BIOCON)

Day 211.55 - 12.10

ECMO in India: Feasibili ty and cost constraint challenges

Should you do thyroid functions in cri tically ill?

Practicali ties of Cardiac output assessment at bedside

Molecular meth-ods in microbio-logical diagnosis

Top Indian Medico-legal my ths

Speaker Binila Chacko Subhal Dixi t Atul Kulkarni Suresh Ramsubban

P S Varghese Biomerieux

Day 212.10 - 12.20

Free paper Free paper Master Class Free paper Free paper 12:10 to 12:40 Clinical Experi-ence with Ulina-statinin sepsis

Yet to include BGS Global HospitalsThe concept of Liver ICUs,Dr Sonal Asthana

Judges Srinivas Samavedam

Babu K Abraham

Ram Rajgopalan

Ashwin Mani

Chairperson:

George K Varghese

Peter John Victor

Arun Kumar A S

Santhosh Satheesh

George John

Dr. Yatin Mehta

Dr. Rajesh Mishra

(Bharth Serum)

Masterclass: ” Every thing you wanted to know about rational antibiotic usage in ICU”

Speaker BiomerieuxDay 212.20-12.30

Free paper Free paper Free paper Free paper

Speaker Dilip Mathai BiomerieuxFree Paper Free Paper Panel

Discussion :Free Paper Free Paper Panel

Discussion : Day 212.30-12.40

Panel Discussion

Managing MRSA in ICU

(Sanofi)

12.30 – 13.00

Role of immu-nomodulation in sepsis manage-mentChairpersons : Yatin Mehta

Moderator : Yash Javeri

Panelist :Rajesh MishraJeetendra SharmaAbhinav GuptaShrikant Sahastra-budhe(Bharat Serums)

Free Paper Free Paper Free Paper Free PaperDay 212.40-12.50

Free Paper Free Paper Free Paper Free PaperDay 212.50-13.00

Day 213.00 - 13.40

Lunch

13.40-14.40 Organ Donation Post-operative/Peri-operative

ISCCM/ ESICM session

Sepsis Debate Paediatric sessions

Chairpersons M Ramesh

Satish Kumar M M

M G Bhat Dhruva Chaudhry Rajesh Mishra

Subhal Dixi t

Nandimath Om-prakash VGavin Joynt

Praveen KhilnaniShekhar Venka-traman

13:40 - 14:10Panel discussion The Management of ICU Fungal In-fections – Should We Stand and Stare in Intensive Care?

Day 213.40-13.55

ICU management of liver Transplant patient

Peri-operative and post-operative cri tical care chal-lenges

Challenges of Clinical Research in resource limited set tings

Macro & Micro endpoints in resuscitation

Debate: Even in India patient autonomy is paramount

13.40-14.40Ideal PICU: Peep into the future


13


HallKempegowda


Speaker Deepak Govil Balasaheb Bande Peter John Victor Sankalp Vanzara R K Mani Praveen Khilnani Dr.Rajesh Chawla, Dr.Arunaloke, Dr.VRS, Dr.Subhash Todi

(Xcyton)Day 213.55-14.10

Kidney & Pan-creatic transplant management

Minimally invasive monitoring in post-op cri tical care

Beta blockers in sepsis

Debate: Patient autonomy is not all impor tant

Practical chal-lenges of running a PICU in private set up.

Speaker Suhasini Tirumala Sumit Ray Shivakumar Iyer Sudhir Khunteta Ram Rajagopalan Rajiv Ut tam (Xcyton)

Day 214.10-14.25

Ethical legal considerations in organ donation

Management of post-op neurosur-gical patient

What is new in SSC?

Sepsis manage-ment in resource poor countries “ One disease two states

Chairperson:Gavin Joynt

Master-classesWhat are economic analysis? Implica-tions for nutri tion in ICU

Why working hours of intensiv-ists need to be regulated

14:10- 14:40Panel discussion Appraising contemporary strategies to combat multidrug resistant gram-negative bacterial infections.

Speaker Jayant Shelga-onkar

Prakash Gobind Jiandani

Andrew Rhodes Marcus J Schultz Shekhar Venkata-raman

Dr.Sangeeta Joshi, Dr.Yatin Mehata, Dr.Shirish Prayag, and Dr.Rajib Paul.

Day 214.25-14.40

Metabolic and Cardiovascular challenges in organ donors

Peri-operative & ICU care surgical patients

SDD: why has i t not caught on?

Interplay of pro and anti-inflam-matory cy tokines in sepsis

Challenges of counselling par-ents in paediatrics

Speaker Raj Rawal Andrew Rhodes Geof f Bellingan Sumit Ray Gordon Doig Santhosh Soans

14.40-15.50 Debate Panel Discussion: ARDS Physiology High stress Critical Care

Paediatric

Chairpersons J V Divatia Moderator: Uma Maheshwar Rao G S

Suresh Kumar V K

Deepak Govil

Manoj Y Singh

Binila Chacko

Kiran S

Rangraj Setlur

Day 214.40-14.55

Hemodynamic monitoring tools are practical & useful

Panel Discussion:

ICP monitoring status post Boliv-ian study

Refractory hypox-emia in ARDS

14.40-15.00Guytonian con-cept of Venous return

High Alti tude Cri tical Care

Panel Discussion:

Cri tical incidents prevention

Moderator Madhu Otiv

Panelists: Bala R, A.Sachdev, Lali ta,

Ravishankar Nagaraj

Organ donation | Transplantation

Speaker Xavier Monnet Rajesh Chawla A K Baronia Sachin Souche Dr. K C Prakash (Nephro )Micro labs

Day 214.55-15.10

Hemodynamic monitoring tools are not practical & widely applicable

Biomarkers Ge-netic determinants of ARDS risk

15.00-15.20Preload af terload and transmural pressures: Clinical implications

Deep Blue Cri tical Care

Speaker Ashit Hegde Mathew Joseph Kapil Zirpe Deepak Agrawal

Yash Javeri R K Singh Rahul Yadav

Day 215.10 - 15.25

Debate: Vit D levels should be measured in ICU

Pathophysiology of ARDS

15.20-15.40Stressed Un-stressed volumes and physiological concepts of shock management

Cri tical Care -Air transpor t

Chairperson : Suchitra RanjitPriya Prabha-karan15.10 – 15.40

Debate: Non Ac-etaminophen liver failure: N-Acetyl cysteine is what we have!

Speaker Krishnan Sriram (La Renon) Geof f Bellingan Ramesh Venkataraman

R M Sharma Banani Poddar

Day 215.25 - 15.40

Debate: Vit D levels should not be measured in ICU.

ARDS diagnosis in resource poor areas: use of ul-trasound & pulse oximetry

Cri tical Care:High stress areas

N-Acetyl cysteine : No evidence

Speaker Bala Venkatesh (La Renon) Arun Kumar A S Vikas Srivastava Girish H C

Day 215.40 - 15.50

Tea

15.50- 16.50 ID How do I man-age?

Panel Discussion Administration Hemodynamic Paediatric Guidelines

Chairpersons Madhuri

Satish Amarnath

Sheila Nainan Myatra

A K Baronia

Shyam Sundar Tipparaju

Shantala

Kishore Mur thy

Yash Javeri

Ganshyam Jagathkar

Day 215.50 - 16.05

Anti-fungal therapy: resis-tance profiles

Optimizing sedation practice during routine care: what are we aiming for and how should we get there ?

Panel Discussion: Nutri tion in Acute kidney injury

Panellist:

Krishnan Sriram.

Shivakumar Iyer

Roop Kishen

Marianne Chapman

How to select safe & appropriate equipment? Lease or buy?

Vasopressin Physiology & pharmacology in ICU

Chairperson: Santhosh SoansBala Ramachan-dran15.50-16.50Children with tropical fevers: PICU perspective

Speaker Arunaloke Chakrabarty(lupin)

Timothy Walsh Manish Munjal Simran Singh Kar thi N

Day 216.05 - 16.20

Isolation of multi-resistant patho-gens: Practice relevant to Indian set tings

Brain monitoring in ICU ?

Costs Vs charges in ICU. Reim-bursement pat-terns for staf f

ETCO2 in hemodynamic monitoring

Fevers with fluid leak: Dengue and Scrub typhus-intensive care needs

Speaker Suresh Kumar V K Asif Ahmed Srinivas Sa-mavedam

Xavier Monnet Par tha Bhat-tacharya

Day 216.20 - 16.35

Macrolides & qui-nolones in CAP in India: implications for TB control/cardiac disease

Alcohol with-drawal in ICU

Panel Discussion:

Cerebral protec-tion with Thera-peutic cooling post arrest

How to budget and cost in the long term for equipment?

Lactate SVo2 are overrated tools

Hemophagocy-tosis in PICU: Should we agree with the haema-tologist?

Speaker G C Khilnani Sayi Prasad Banambar Ray Reshma Basu Sasidaran

Day 216.35 - 16.50

(Free Slot ) Delirium in ICU? Application of Point of care sys-tems in cri tical care unit

Outcomes in goal directed therapies

CRRT in PICU: To whom and when?


14


HallKempegowda


Speaker Sandeep Kantor Jignesh N Shah D P SamaddarAnuj M Clerk Animesh Gupta

Suresh David (Alere)

Andrew Rhodes Ramesh Kumar

Day 3 – Sunday, 8th March 2015 Date / Time Dhanvantri

HallKempegowda


Chairpersons Dhruva ChaudhryAtul Kulkarni

Day 308.00 - 08.30

OP past present and future

08.00-09.00Pediatric session: Meet the exper t

Speaker Peter John Victor

Day 308.30 - 09.00

Epidemiology of Fungal infections: Indian experience

Antibiotic stewardship

Moderator: Suchitra Ranji t

Speaker Arunaloke Chakrabar ty.(lupin)

Panelist Soonu Udani Shekhar VenkataramanS.Mahadevan Jayashree M

Day 309.00 - 09.30

The future of col-laborativeintensive care research

Chairperson:S Mahadevan Urmila Jhamb

9.00-10.00Cardiac symposium

09.00-09.15Cardiopulmonary interactions Dhiren Gupta

Speaker Ian Seppelt 09.15-09.30 Myocarditis and DCM: Optimal management strategiesUrmila Jhamb

Day 309.30 - 10.00

Ultrasound in the ICU: New Horizons

09.30 -09.45Hyper tensive emergencies: New targets and newer drugsMeera Ramak-rishnan

Speaker Daniel A Lichten-stein

09.45-10.00Scorpion envenomation: The Hear t of the mat terS Mahadevan

Day 310.00-10.10

Tea

Speaker10.10-11.10 Metrics Nephro Neuro Safety Hot topics /

Of fbeatPaediatric sessions

Respiratory Trauma

Chairpersons Banambar Ray

Peter John Victor

Vishwanath,

Llyod Vincent

Murali S

Madhusudan

Indira Menon,

Mohan

Sunil T Pandya,

Naresh Bhat

Girish H C

Basavaraja G V

Hasroor S,

Sathish

Rangraj Setlur,

Saurabh Kole

Day 310.10 - 10.25

What long term outcomes mat ter af ter cri tical ill-ness?

EBM for Contrast Induced Nephrop-athy prophylaxis in Cri tical Care

Spinal Cri tical Care

Checklists in daily ICU care

Refeeding syn-dromes

10.10-10.40 Time for ex tuba-tion: Successful SBT is all you need

Management of massive haemop-tysis

Management in a national trauma centre

Speaker Timothy Walsh Vishwanath Biradar

Mathew Joseph Anuj M Cler Gordon Doig VSV Prasad Ashutosh N Aggarwal

Deepak Agrawal

Day 310.25 - 10.40

Relevance of scoring systems in India

Course of Septic Acute Kidney Injury

(Free Slot ) Safe aero-medical retrieval

Team science in Cri tical care for quali ty improve-ment

Time for ex tuba-tion: We need a per fect patient

Remembrance of airway night-mares

Trauma Manage-ment in a small Australian ICU

Speaker Asif Ahmed Gentle S Shreshta Ar thas Flabouris. P L Gautam Shekhar Venkataraman

Anjan Trikha Rajendra Goud.

Day 310.40 - 10.55

Trauma scoring systems in ICU

Pit falls of Acute Kidney Injury classification

Transfusion practices in brain injury: are they dif ferent?

Errors: How to recognize and minimise?

Thinking out of the Box: New ideas in Cri tical Care

Chairperson:Banani PoddarArun Barnawal

10.40-11.40View point: Pediatric cri tical care examinations Novice Examinee

Airway choice: Paediatric ICU.

Trauma Manage-ment in remote areas

Speaker Saswati Sinha Nirmal Jaiswal Samidh Patil Sanjay Saproo (Hamilton)

Arindam Kar Anjul Dayal Shekhar Venkatra-man

Nikahat Jahan

Day 310.55 - 11.10

Data Inputs for outcomes: experience from computerization in a national trauma centre

Blood purification in sepsis

Anti-coagulation in the Neuro ICU

A practical tem-plate for quali ty improvement in ICU: lessons from VAP prevention strategies

Ovarian hy-perstimulation syndrome

View point: Pedi-atric cri tical care examinations

Seasoned Exam-iner

New toys: Video Laryngoscopy.

Trauma Manage-ment in a first world ICU

Speaker Deepak Agrawal Abdul Samad Ansari (Baxter)

Sanjay Dhanuka Timothy Walsh Anjan Trikha. Banani Poddar Subramani Kan-daswamy

Ar thas Flabouris

11.10-12.10 Ventilation How do I manage?

Tropical disease/Toxicology

Pedagogy Debate How do I man-age?

How do I man-age?


15

Day 3 – Sunday, 8th March 2015 (Contd.)Date / Time Dhanvantri

HallKempegowda


Chairpersons Chandrashekar

Vivek Padegal

Shivakumar Iyer Moderator :

Rajesh Chawla

Indumathy,

Chandana Reddy

Sriram Sampath

Atul Kulkarni

Diptimala Agarwal

Sathish Annamalai

Jose Chacko

Anand Nikhalje

Day 3

11.10 -11.25

Ventilation strat-egy & therapy for COPD

Mechanical car-diac suppor t

AIM Session 1Panel Discussion: :Management of VAP with MDR Pseudomonas- Case based approach

Speaker:Ashit Hegde

Panelist :Sandeep Dewan Rajesh V Pradip Kumar Bhat tacharya Anup R Warrier

Zero Mor tali ty in OP & envenom-ation’s

How to be an examiner? EDIC experience

Monitoring VAP by cri teria: Current and practical

Refractory seizures

Evidence based Immuno-Nutri tion

Speaker Ritesh Agarwal Yatin Mehta Narendra Rungta Ravi Kumar Atul Jindal Ranvir Singh Tyagi (Neon)

Pravin Amin

Day 3

11.25-11.40

Plateau pressure and peep are as impor tant as TV what is evidence?

POCUS Scrub typhus in the ICU

What do I expect as an IDCCM / IFCCM examiner?

Debate : Moni-toring VAP by cri teria:

Current and practical

Management of bleeding diathesis in a trauma patient

Protein dosing in ICU

Speaker Sathyaji t Ian Seppelt (Astra Zeneca) Peter John Victor Balasaheb Bande Nameeth Jerath Shyamsunder Tipparaju

Gordon Doig

Day 3

11.40-11.55

Proning in my ICU Arrhy thmias in ICU

AIM Session 2Panel Discussion: Appropriate timing and dosing of antibiotics in sep-sis Shock- Case based approach

Moderator :Yatin Mehta

Speaker:Deepak Talwar

Panelist:Pinak SDinakerBabu K AbrahamSwati Rajgopal(Astra Zeneca)

Newer toxidromes one should be aware of

What I will expect from the DM Critical Care candidate?

Chairperson:Karunakara B P

11.40 – 12.25Mixed Bag : Ventilating a viral pneumonia

Obstetric coagu-lopathy

Micronutrients for dummies

Speaker Syedmoeid Ahmed

Sandhya Talekar Simran Singh Atul Kulkarni Karunakara B P Sunil T Pandya Avdhesh Bansal

Day 3

11.55-12.10

Peep ti tration and recruitment techniques

AIHA in ICU What is new in malaria

What does the FNB examiner expect?

Mixed Bag : Post ex tuba-tion stridor: Is i t Preventable?

Management of CVT

Energy and pro-tein requirements in the cri tically ill

Speaker Shiva Kumar Animesh Gupta Vandana Sinha Subhash Todi Arun Baranwal Milap Mashru Marianne Chapman

12.10 – 13.10 Masterclass Free Paper Ultrasound Niche Free Paper Paediatric Free Paper Free Paper Free PaperChairpersons Shalini Govil Judges :

Yatin MehtaHasroor S

Madhav HegdeRavi Gadahadh

Naresh BhatRamesh

Judges :Sunil T PandyaSubhash Todi

Babu K AbrahamSimran Singh

Balasaheb BandeSauren Panja

Shirish PrayagGanshyam Jag-athkar

Day 3

12.10-12.25

Masterclass:

Read Abdominal CT

Diapghramatic function assess-ment in ICU

Ventilation of the very obese

Mixed Bag : Anticoagulation in PICU:

When and how

Speaker Pradeep D’costa Dinesh Chirla

Day 312.25-12.40

Ultrasound assessment in respiratory distress

Nutri tion of the very obese

Chairperson:Dhiren GuptaJayashree M

12.25-12.55Debate : Echo and advanced monitoring tools guide intensivists in decision making

Speaker Uday Patil Kapil Gupta Marianne Chapman

Rakshay Shet ty

Day 312.40-12.55

Masterclass:Read Chest CT

How can lung ul trasound make cri tical ul trasound a holistic disci-pline: the example of the BLUE and FALLS-protocols

Pregnancy Asso-ciated Acute Liver Diseases Debate : East

or west Clinical medicine is the best

Speaker Harshad Devarbhavi

Jhuma Shankar

Day 312.55-13.10

Fulminant hepati tis

(Free Slot )

Speaker Swarnjeet Singh Bhullar

Daniel A Lichtenstein

Ravi Kumar

13.10-13.50 Lunch

Day 314.00-14.30

Quiz

Quiz Master : Arindam Kar

Chairperson:Dhiren GuptaJayashree M

14.00-14.30Debate : Stewar t vs standard approach in acid base disordersGnanam(Stewar t) V/sRajeev Chabbra(Standard)

Day 314.30-15.00

Panel discussion : Sedation prac-tices withdrawal and ICU delirium

ModeratorArun Baranwal

Panelists: Ebor Jacob, Basavraj, Supraja Chandrasekhar, Raghunath


16

Bengaluru Highlights

SkandagiriSkandagiri, also known as Kalavara Durga, is an ancient mountain fortress located approximately 70 km from Bangalore city, and 3 km from Chikballapur in the Indian state of Karnataka

Antara GangeAntara Gange is a mountain situated in the Shathashrunga mountain range in the southeastern portion of the Indian stateof Karnataka. Antara Gange literally means "Ganges from deep" in Kannada. It is about two miles from the town of Kolarand seventy kilometers from Bangalore. Antara Gange is famous for the temple situated on the mountain. In the temple is a pond which gets a continuous flow of underground water from the mouth of a Basava (stone bull). There is a steep, narrow path to the top of the mountain. There are seven villages on this mountain, including Therhalli. The mountain consists of granite rocks and lot of caves around.

KodachadriKodachadri is a mountain peak with dense forests in the Western Ghats in South India. It is declared as natural heritage site by Government Karnataka. and it is 10th highest peak of Karnataka. Kodachadri forms a background to the famous temple of Mookambika in Kollur. The important animal life include Malabar langur, Malabar pied hornbill, Malabar grey hornbill, paradise flycatcher, Indian tiger, Indian leopard, Indian elephant, hyena,gaur, Indian rock python and many more, of which several are threatened.

skandagiri

Avalabetta


17

SakleshpurSakleshpur is a hill station town and headquarters of Sakleshpur Taluk in Hassan district in the Indian state of Karnataka. It is referred to as 'poor man's Ooty. The Western Ghats are .among only

Soligiri

Imagine sitting on top of a hill and seeing a winding river stretch languidly into the distance. Soligiri is a remote hamlet in Ramanagar district that offers that opportunity. Take in a panoramic view of the Cauvery from Soligiri, which is actually the top of a cliff. From here, one can view the river from Bheemeshwari to Mutti. Of course, like all things beautiful, Soligiri can only be reached by an adventurous drive through not-so-great roads — but rest assured that the view is worth it.

You have a metalled road till Soligiri. From here, it's a walk to a small hillock, where you find a watch tower with a magnificent view of Cauvery. There is a pathway and the climb is not very difficult. As you approach the hill, you can see a small guesthouse at the peak. It is said that the guesthouse was constructed in 1917 though it is now under the purview of forest department.

24 bio diversity hotspots of the world and recently declared a world heritage site by UNESCO. The terrain with lofty green hills full of coffee, cardamom, pepper and areca plantations. One of the favourite destinations for Trekking.

The name is derived from "Sule" courtesan and "kere" tank. Sulekere renamed to Shathi Sagara, where "shanthi" is first name of princess Shantava, who constructed this tank. and "sagara" means Ocean, as this Tank is one of biggest tanks inAsia, so Tank is compared to Ocean. Its one of the best picnic spot in Davanagere district.

SogalliThis place is so obscure that it does not even show up on online maps. Sogalli backwaters is basically part of the river Kabini. And like the Kabini, Sogalli too is a haven for exotic wildlife, an ecological treasure of f lora and fauna as the lush green and verdant landscape bears testimony. It's a place near the South-Eastern tip of Nagarahole National Park and was once pretty much the hunting grounds of Mysore maharajas, British officials and other royalty.

Getting to Sogalli itself is a rich experience.Travelling towards Mananthavady,one

finds a huge reservoir of water on the left.The border of this water body is dotted with numerous villages. There are a number of famous resorts too offering all kind of facilities to visitors. While these areas are pretty much on the tourist map, a small mud road to the left near the reservoir leads off to pure wilderness. A rivulet joins the reservoir just a little distance down this road and two pathways appear on either side of the rivulet where one can walk. It's a pleasant experience as the sounds of birds filter through the crystal-clear air. Sunrise and sunsets are said to be extremely beautiful. From here,one can also head to numerous places in Waynad.

There are numerous pathways from the villages to reach the backwaters.But,it is advised to take the help of locals or someone you know in that area before heading to the place. The place is deserted so one needs to be cautious.If you do get into trouble no one would hear you even if you call so it's best to travel in a group.

These places are untouched by the hand of man, so don't disturb the tranquillity of the place or litter the area.Moreover, the place is close to a declared national park, so extra care must be taken.

Occasionally, you may be stopped by forest officials who will want to check your credentials. Once you past the house, you get the first glimpse of Cauvery. The air is cool and the view is magnificent. Though sunsets here are awesome, it is advisable

to not stay too late because returning to the main road is difficult in the dark.

How to go: B a n g a l o r e - K a n a k a p u r a - S a t h a n u r -Honigananahlli (left turn to Soligiri).Approximate distance-94 km


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EateriesChakli

How to win friends ? Open a packet of chaklis and watch these delicious any time snacks disappear . Here’s where you get the best in the city

ACE IYENGAR HOME PRODUCTSOpposite GNR Kalyana Mantapa, 40th cross, 18th Main, Jayanagar Block, Rs.26 Chaklis should be crisp, not hard tasty but not over spicy or oily. The chaklis from this shop met my standards. My family loves such snacks and I usually but these packets on festivals or when there are guests at home. I also feel that the chaklis are reasonably priced in this popular outlet.

SANTHANAM SWEETS294, Narayana Pillai Street, Commercial Street, Rs.30. This shop is well known in the neighbourhood. The chaklis are famous. They actually melt in the mouth and are delicious. A plate of chaklis and a cup of coffee can really make my afternoon! I am a frequent visitor to this part of the town and I never go away without buying chaklis from here.

SHENOY STORES244, 9th Main, 27th Cross, Jayanagar 3rd Block, Rs. 30 These Crisp savoury spirals are my favourite. Generally I buy a couple of packets from here and keep them in my office. Those colleagues who know about it come to my desk and I end up sharing chaklis with them. The quality is nice, the oil used is good and the taste and texture simply perfect.

MTR RESTAURANTNo 62, Whitefield Main Road, Whitefield Rs.90 A packet of Chaklis from this shop is finished in just 10 minutes if I Keep it in front of my sons. The taste is very nice and they are not spicy at all. The butter murukku is crunchy and of good quality. This MTR outlet is very popular in the neighbourhood and it is just the place to go if you wish to stock up on yum my savouries.

Chicken Wings

Spicy nibbles is all you ask for while nursing a mug of beer. Nothing can beat succulent port.

MONKEY BAR14/1 (Krishna Manere), Wood Street, Richmond Road, Ashoknagar, Rs. 231. They serve the most amazing Hot Wings Jumbo Chicken wings with sour cream and chive/blue cheese dip. It’s a perfect combination of tangy, juicy and

spicy. The wings are huge. The blue cheese dip loaded with real blue cheese is great is great too. And the wings don’t get your manicured nails messy.

PLAN B#20, Castle Street, Ashokangar Rs. 300. These are a set of wings that can in had in so many ways at Plan B. Whether you have them on Wings Tuesday or any other day you can opt ofr marinades that cantest your spice tolerance levels. From the Big Bang Firecracker to the ABS challenge, the juicy wings here can give you much more to remember as far as flavour goes.

VIVA ARRIBA 3rd & 4th floor, 618, 12th Main Road, HAL 2nd Stage, Indiranagar, Rs. 301. Particularly like the fact that the wings are offered in a range of sauces – this means that everyone at the table can opt for something without worrying about spice levels. Particular favourites are the garlic mozzarella and the peri peri sauce, both of which work really well in terms of taste.

Fish Fry

OK, Fried is not good for you. But when its yummy fish slathered with spice? Here are the best places to taste a slice of heaven.

OCEANext to St. Joseph’s college of commerce, Brigade Road. The tandoori seer fish fry is very well made with the right amount of spice. Served with mixed salad. The flavours are simple. The tandoori fish fry can be had with rice, favourite combination. Ghee rice goes well with this.

AQUARIUM RESTAURANT 78/1, MM Rad, Frazer Town. This restaurant is known for its seafood. choose seer fish tawa fry. It is crispy on the outside and tender inside. They do hamour , snapper, pomfret and many varieties. The seafood selection , including lobsters and prawns is also good.

HOTEL TAJ 383, Jumma Masjid Rd, shivajinagar. Hotel Taj located near the busy shivajinagar bus stand but its fish fry is worth the walk. select the surmai or seer fish masala fry. The masala is spicy and tasty. The fish is prepared very well. All in all , a simple yet tasty dish.

KUDLA RESTAURANT Shop no. 16, Hotel ramanashree, Rajaram Mohan Roy Road, Richmond Town. Rava fry is a delicacy in north karnataka The batter fried fish has to be crispy on the outside and soft inside. It comes with slices of onions, cucumber and lime.

FISHLAND HOTEL Sujatha Complex, 1st main gandhinagar. The seer fish masaa fry is consistent in tast. The masala is made with byadgi chilli powder and other ingredients , giving it a nice colour. An appestising dish that goest well with steamed rice.

Neer DosaThis paper thin,light dosa is a delicacy that has its roots in the Tulu Nadu region of Karnataka. The Byari Muslims call it poo-pole. The taste

is very simple, served with coconut chutney and sweet chutney made with jiggery. Good option for a light breakfast. They go well with chicken or fresh curry . It is a refersign change from rice or roti. The prawn roast masala goes particularly well with the neer dosa

ADITHYA RESTAURANT JP Nagar diagonally opp Ranga Shankara

MANGALORE PEARL 3 coles Road , Frazwe Town

KUDLA RESTAURANT 16, Raja Ram Mohan Roy Road

UDUPI KRISHNA BHAVAN 5th Block Koramangala

KUBAY, 110, 6th Cross, 6th Block Koramangala

Obbattu

This sweet flatbread unities the southern and western states of india. Here’s where you’ll find the best-apart from mum’s kitchen ofcourse

SHENOY STORES244, 9th main , 27th cross, layanagar 3rd block. This is a classic sweet preparation and quite the stapel during festivals. the obbattu they make here which has the ‘homemade’s taste. The right amount of filling and sweet makes the obbattu very tasty. And it is paper then too. We recommend this to anyone who wants to taste this traditional sweet.

POORNIMA SWEETSBasavanagudi. This place is very famous for obbattu. It is almost like a factory and a well known name with the locals. You have to taste both varieties, bele (lentil) and kai (Coconut) ovvattu, which fly off the shelves in no time.

IDLI MANE Sajjan Rao circle. VV Puram. Obbattu is any time favorite sweet. Especially the coconut based one. They stay for long and for a week atleast. The obbattus are thin, well made and have the right flavor of coconut and jaggery. The Coconut obbattu and the bele obbattu served it with saffron flavored sweetened milk and ghee are what children demand for any festive occasion. The taste is good, not so greasy and the coconut obbattu can stay for quite some days.


19MAIYAS RESTAURANT 459/30 , 30th Cross 4th block Jayanagar

ACE IYENGAR 18th Main , Jayanagar 4th Block

SAMRAT HOTEL, Ground floor, Manipal Centre, Dickenson Road

ADIGAS, Trinity circle station, M. G. Road

Vangibath

Steps to Make Pharma Friends Comfortable and Happy

Meeting with Pharma friends to understand their concern started in Kolkata Conference

in 2013 and followed up in Jaipur 2014. Suggestions and concerns were minuted, discussed in our core committee meetings and solutions drawn with our event organizers. Two trade meetings were done at the venue trade area to gain their confidence with formal presentations of trade layout. Emphasis was laid on good and effective representation of this important area with strategic plans to ensure delegate attendance to every stall during the Conference.

Communications with our Pharma friends regularly seeking their inputs and empowering them as part of the celebrative process enhanced our connect and trust.

I have to record that Pharma’s participation and forthcomingness has been overwhelming, we ran out of space necessitating us to increase the space to accommodate many others who followed. We sincerely thank Pharma Friends without whom we couldn’t sustain ourselves in holding such a mega event successfully.

Meaningful collaborative dialogue with Pharma understanding their needs from

the conference, sharing written proposals from both ends in a staged fashion and coming to acceptable agreement was done in a systematic and transparent way.

Pharma Friends were constantly reassured that the partnership during the conference is only a beginning of fruitful journey for years to come which definitely earned the mutual trust between each other.

Apprehensions of shortage of lunch coupons for Pharma guests faced in the previous events were alleviated by having ample coupons available at subsidized rates.

Comprehensive Critical Care Course Modules Review Committee Meeting 14-15 February 2015 Delhi

Puliyogare

Puliyogare – from ‘puli’ meaning sour and ‘ogara’ meaning rice in old Kannada – is a delicacy that’s tangy and sweet all at once. It is a wonderfully tangy spicy and sweet at the same time. The blend of flavours has to be prepared correctly and seasoned with fried groundnuts and curry leaves it is a trade mark dish of any Iyenagar household and in south India.

PULIYOGARE POINT 81, east Anjaneya Street, NR Colony

It literally means fried brinjal rice, with variations across south India. Once the preserve of Brahmin community, it is now enjoyed by all.

ACE IYENGAR HOME PRODUCTS Maruti Layout , Basaveshwarnagar. Vangi bath is a wholesoke meal made with special spices and bringal All we have to do is make the raita and I get to serve a lavish meal of delicious Vangi Bath which our guests will love.

MAVALLI TIFFIN ROOM, 14 , Lalbagh Road. Never miss to visit this iconic place.

VASUDEVA ADIGASThe taste here is quite authentic making it an favourite option for lunch. It is served here only on Saturdays with raita.

HALLIMANEA very popular restaurant. Food is served here with the right amount of oil and spice.

PAI REFRESHMENT, Anand Rao Circle One can enjoy the tangy and spicy vangibath with onions added to enhance the flavour


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Editorial officEdr. atul P. Kulkarni

Professor & Head, Division of Critical Care, Dept. of Anaesthesiology, Critical Care & Pain, Tata Memorial Hospital, Parel, Mumbai 400012 • Phone : 022-24177049

[email protected]

Published By : IndIan SocIety of crItIcal care MedIcIneFor Free Circulation Amongst Medical Professionals

Unit 6, First Floor, Hind Service Industries Premises Co-operative Society, Near Chaitya Bhoomi, Off Veer Savarkar Marg, Dadar, Mumbai – 400028

Tel.: 022-24444737 • Telefax: 022-24460348 • email: [email protected] • [email protected]

Printed at : urvi compugraphics • 022-2494 5863 • email : [email protected]

Dr. Gordon DoigAustralia

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