Dr Adi Osman, MD
Senior Consultant Emergency Medicine & ED Critical Care
Resuscitation & Emergency Critical Care Unit,Trauma & Emergency Department, Hospital Raja Permaisuri Bainun, Ipoh Perak
Dr Adi Osman is currently a Senior Consultant Emergency Physician and ED Critical Care in Hospital Raja Permaisuri Bainun, Ipoh, Malaysia. He obtained his M. Med (EM) in 2003 and fellowship in Critical Care and fellowship in Critical Care Ultrasound in Milan Italy in 2011.Dr Adi has been a past WINFOCUS board of directors (2012 – 2023) and current associate editor for The Ultrasound Journal Springer Nature since 2014. He is currently serves as a national coordinator for emergency critical care fellowship program, ministry of health Malaysia and director for emergency & trauma services, state of Perak, Malaysia. He is one of the appointed supervisors for European Diploma in Advanced Critical Care Echocardiography (EDEC) organized by European Society of Intensive Care Medicine (ESICM). His current research interests and publications include non-invasive ventilation, airway ultrasound, resuscitative TEE in critical care and ultrasound-guided procedures.
Ultrasound in Airway Management
Upper airway ultrasound is a valuable, non-invasive, simple, and portable point of care ultrasound (POCUS) for evaluation of airway management even in anatomy distorted by pathology or trauma. Ultrasound enables us to identify important sonoanatomy of the upper airway such as thyroid cartilage, epiglottis, cricoid cartilage, cricothyroid membrane, tracheal cartilages, and esophagus. Understanding this applied sonoanatomy facilitates clinician to use ultrasound in assessment of airway anatomy for difficult intubation, ETT and LMA placement and depth, assessment of airway size, ultrasound-guided invasive procedures such as percutaneous needle cricothyroidotomy and tracheostomy, prediction of postextubation stridor and left double-lumen bronchial tube size, and detecting upper airway pathologies. Widespread POCUS awareness, better technological advancements, portability, and availability of ultrasound in most critical areas facilitate upper airway ultrasound to become the potential first-line non-invasive airway assessment tool in the future.
Prof Chan Yoo Kuen
Consultant Obstetric Anesthesiologist
University of Malaya Medical Centre
Dr YK Chan is currently an honorary professor in the Department of Anesthesiology, Faculty of Medicine, University of Malaya. Having spent a lifetime training medical students and postgraduate students in the science and art of medicine, she has spent a fair amount of her time looking after the obstetric patient especially those who are considered high risk for morbidity and mortality.
She believes that good care for this set of patients involves looking at a holistic approach covering aspects of compatible medical policies and systems, practicing within recommended international guidelines and training practitioners to the highest standards.
In this regard she is not only a Council member of the Academy of Medicine, Malaysia, but also a committee member of the Obstetric Anesthesia discipline in the World Federation of Societies of Anesthesiologists (WFSA). She has trained many obstetric anesthesiologists from less developed countries in collaboration with the WFSA and continues to be an international player in that field.
Key Issues in Managing the Parturient’s Airway
The difficult to handle airway is 10 times more often encountered in the obstetric population than the normal female population. The push away from GA has seen this less of an issue, and the greater emphasis on a working epidural plus the use of regional anesthesia even for emergency situations have eased the burden further. Obesity can heighten the risk, but the use of appropriate positioning and video laryngoscopy have helped. As the collective experience with handling the obstetric airway recedes, it is important to have policies with respect to ensuring a well-trained team is always at hand.
Dr Chong Shin Yuet Senior Consultant, Department of Anaesthesia
Singapore General Hospital / Sengkang General Hospital
Dr Chong Shin Yuet is a senior consultant working in the Singapore General Hospital’s and Sengkang General Hospital’s Departments of Anaesthesia and is currently the Director of Paediatric Anaesthesia Service. A passionate educator, she is the Lead for Simulation Education in the SingHealth Anaesthesiology and Perioperative Sciences ACP and is also the Campus Director for SGH in SIMS (Singhealth- Duke NUS Institute for Medical Simulation). She is one of the core faculty in the SingHealth Anaesthesiology Residency Programme and is also a member of the international faculty who teach the Master Debriefer Course at the Debriefing Academy. She leads a team of enthusiastic simulationists who run in situ simulation workshops in the operating theatre and critical care areas for interprofessional team training in crisis management. They have also used process-oriented in situ simulation as a tool to test out new facilities and improve work processes and patient care within the hospital. She was also recently involved in a quality improvement project to introduce clinical debriefing in the operating theatre.
Playing it Safe: Gamification Strategies for Teaching Airway Management
This presentation explores the diverse innovative gamification strategies tailored for the teaching of airway management skills. These can range from low-cost approaches such as adapting familiar games and creating escape rooms, to designing realistic high-tech virtual simulation scenarios. The interactive nature of serious games facilitates risk-free skill refinement and knowledge assessment, and trains time-sensitive decision making (particularly valued in airway management). Incorporating multiplayer features encourages collaborative problem-solving and effective communication within the healthcare team. Serious games offer a dynamic engaging platform for anaesthesiologists to enhance their proficiency in airway management, ultimately contributing to improved patient safety and healthcare outcomes.
Dr Edwin Seet, MBBS (Singapore), M.Med (Anaesthesia), FAMS (Singapore)
Senior Consultant Anaesthesiologist
Dr Edwin Seet is a Senior Consultant Anaesthesiologist in Singapore and is the current President of the College of Anaesthesiologists, Singapore. His past academic appointments held include Adjunct Associate Professor with the Yong Loo Lin School of Medicine (National University of Singapore), Associate Professor with Lee Kong Chian School of Medicine (Nanyang Technological University), member of the Anaesthesiology Residency Advisory Committee and Master of Medicine (Anaesthesia) Examination Committee.
Administratively, Edwin was Clinical Head of the Anaesthesia department at Khoo Teck Puat Hospital (2014-2019), Operating Theatre Committee Chairman of Yishun Health (2017-2019), Clinical Director of the Office of Clinical Governance (2019-2021), Clinical Director of Patient Relations Services (2021-2022), and Chairman of the JCI Steering Committee (2020-2022).
Dr Seet completed a clinical fellowship in Ambulatory Anaesthesia and Perioperative Medicine with the University Health Network (University of Toronto, Canada) under an inaugural Ministry of Health scholarship in 2008. He has research interests and publications in obstructive sleep apnoea, airway management, pain adjuvants, preoperative evaluation and geriatric anaesthesia; with more than 80 peer reviewed publications.
Abstract OSA and Perioperative Management of the Difficult Airway
Obstructive sleep apnoea (OSA) is prevalent in patients presenting for surgery, particularly in patients with obesity and those scheduled for bariatric procedures. Over half of patients with OSA may be unrecognized prior to anaesthesia, putting these vulnerable patients at risk of perioperative adverse events.
The American Society of Anesthesiologists, the American Academy of Sleep Medicine, Society of Anesthesia and Sleep Medicine, Canadian Anesthesia Society and others have published clinical guidelines pertaining to the perioperative management of OSA. Uptodate.com has also summarised the evidence and provided pointers for the practicing Anaesthesiologists. These serve to reduce complications in surgical patients with OSA.
The lecture will explore the current published literature and evidence; review the preoperative, intraoperative and postoperative management of patients with OSA, including evaluation, diagnosis, risk mitigation and monitoring. In particular, OSA and the difficult airway will be discussed.
Dr Fauzia Mir Consultant Anaesthetist
St Georges Hospital, London
I am a consultant Anaesthetist at St Georges Hospital, London. My interest in difficult airway management and anaesthesia for airway surgery began at an early stage in my career and has continued to grow. I led the organization of the DAS 2017 meeting in London and was in the organising committee for WAMM in 2019 and co organised the DAS ASM 2020 and the Annual DAS 2021 webinar. I am a regular faculty in advanced airway courses regionally, nationally, and internationally. I am a co-author of the DAS Awake Tracheal intubation guidelines launched in November 2018 and in the working groip for the DAS Intubation guidelines 2025. I have an interest in HFNO, Jet Ventilation and Airway management in trauma.
Assoc Prof Dr Mohd Fahmi bin Lukman
Consultant Anaesthesiologist, Department of Anaesthesia
Tuanku Mizan Armed Forces Hospital, Kuala Lumpur
Graduating with a Doctor of Medicine and Master of Medicine (Anaesthesiology) qualifications from the Universiti Sains Malaysia, Dr. Mohd Fahmi bin Lukman is a consultant anaesthesiologist at the Tuanku Mizan Armed Forces Hospital and an associate professor at National Defence University of Malaysia. His research focuses on airway management and neuroanaesthesia. He is also the co-author of various books related to anaesthesia, resuscitation, and pain management. He is the inventor of IComPBag, a multiple award-winning inflatable positioning device that is widely available in the market now.
Airway Innovation – Airway Trauma
Airway management in patients with direct trauma to the airway is among the most challenging problems for anaesthesiologists. Management of the patient varies according to the time, the availability of resources and the difficulties anticipated. It is best to secure the airway early whenever signs of active and impending obstruction are identified or there is doubt about the extent of the injuries. In no-time-available conditions, patients may present in extremis, hence the basic approach is the same as for patients without airway trauma. If time available and difficult airway is anticipated, there is time to consider different approaches and to prepare accordingly. If time available and difficult airway is not anticipated, standard RSII could be used.
Problem based Learning Discussions – Challenging Airway Management for Trainees
In this session, the trainees will be exposed with airway problems to solve and a structured approach to solving it. The main objectives of this session are to develop group learning practices, assist trainees in understanding and learning wide variety of specific difficult airway situations, enhance their understanding in context sensitive airway management concept as every difficult airway situation is indeed different, and support trainees in gaining skills for problem-solving and reasoning that they will be able to apply in their professional lives as an anaesthesiologist and airway manager.
Dr Tan Leng Zoo
Dr Tan Leng Zoo is an anaesthesiologist in private practice in Singapore with his own company distributing airway devices.
He has a special interest in airway management and completed a one-year airway fellowship in 2013 at Toronto General Hospital with Professor Richard Cooper. Upon his return, he established and became the director of the Khoo Teck Puat Hospital Airway Fellowship Programme, which took in its inaugural fellow in 2015.
Dr Tan was an adjunct assistant professor at Yong Loo Lin School of Medicine, a clinical teacher and core tutor at Lee Kong Chian School of Medicine and the airway module supervisor for the National Healthcare Group residency programme, for which he received a residency teaching excellence award in 2016.
He was one of the 2 founding course directors of “The Difficult Adult Airway Course” in its 4 renditions since 2014 and continued as faculty in its new expanded iteration “The National Airway Programme of Singapore” from 2018.
Dr Tan was the immediate past Singapore Society of Anaesthesiologists Airway Special Interest Group lead and a current active member.
He has published several articles on supraglottic airways, given airway-related talks annually and received a number of hospital grants to pursue airway research.
Advances in Supraglottic Airways
In this Symposium on “Advances in Supraglottic Airways”, Dr Tan Leng Zoo will be introducing the latest developments in supraglottic airways (SGA) featuring quality improvement and patient safety. He will be highlighting the world’s first 2nd-generation reinforced SGA and its novel features then discuss about the next step in evolution of the SGA- video SGAs, of which at least 3 are already available commercially but yet to become widely adopted just like video laryngoscopes when they first came out but subsequently has become almost the standard of care during intubation akin to ultrasound use for insertion of central venous catheters.
Prof Vladimir Nekhendzy, M.D., FASA
Clinical Professor, Department of Anesthesiology, Perioperative and Pain Medicine
Stanford University School of Medicine
Vladimir Nekhendzy, M.D., FASA is Clinical Professor of Anesthesiology and, by courtesy, Otolaryngology at the Department of Anesthesiology, Perioperative and Pain Medicine at Stanford University School of Medicine.
Dr. Nekhendzy has been Director of Stanford Head and Neck Anesthesia and Advanced Airway Management Program since its inception in 1998 and directs a fellowship program in this subspecialty. He lectures extensively nationally and internationally, has authored over 25 peer reviewed publications and over 15 book chapters, and has directed over 60 U.S. and international workshops on difficult airway management. He has directed annual Stanford Advanced Airway Course since its inception in 2012.
Dr. Nekhendzy’s clinical research focuses on different aspects of advanced airway management and head and neck anesthesia, including application of THRIVE for complex laryngologic surgery, anesthetic management for sleep apnea patients, and on the use of non-invasive brain stimulation techniques (transcranial electrostimulation) for postoperative pain relief.
Most recent interests include the development of next generation image-guided, robotic-assisted airway management devices for difficult tracheal intubation.
Dr. Nekhendzy is a founding member, Past President, and current Board Member at Large of the international Society for Head and Neck Anesthesia (SHANA, www.shanahq.com).
Abstracts Artificial Intelligence and Airway Management
This lecture will cover the development of the field of artificial intelligence (AI) in airway management over the last decade and most recent advances towards developing AI-enabled, image-guided robotic tracheal intubation. The rationale for the development of new, next generation, precision airway management devices and techniques will be discussed.
Airway Management in Head and Neck Cancers
This state-of-the-art update will focus on the topics of safe performance of nasotracheal intubation, the value of preoperative endoscopic airway examination and the intraoperative use of THRIVE (Transnasal Humidified Rapid-Insufflation Ventilatory Exchange) for selected head and neck surgical procedures.
Dr Zhang Jinbin
Senior Consultant, Department of Anaesthesiology, Intensive Care and Pain Medicine
Tan Tock Seng Hospital
Dr. Zhang graduated from the National University of Singapore in 2005 before obtaining her Masters in Medicine, MMED (Anaesthesiology) in 2012. She went on to complete a one-year fellowship in difficult airway management in Dalhousie University, Halifax Canada in 2013.
Since returning from her fellowship, Dr. Zhang has been actively engaging in difficult airway management education and research. Apart from being the airway lead in her department, Dr. Zhang is also the current Lead of the Singapore Society of Anaesthesiologists’ Airway Special Interest Group. She is part of the local faculty for numerous airway workshops, including the annual National Airway Program Singapore, for which she was the program director in 2021. She has also been invited as a speaker and faculty at international conferences and airway workshops.
Dr. Zhang has co-authored chapters for textbooks on difficult airway management. She keeps her clinical worklife interesting by dabbling in simple airway research and is still constantly learning from her colleagues and trying new airway techniques to keep up with the times.
Dr. Zhang is the current Lead of the Singapore Society of Anaesthesiologists’ Airway Special Interest Group
Supraglottic Airways: From Resuscitation to Rescue
Since the invention of the laryngeal mask airway (LMA) by Dr Archie Brain, the LMA has been ubiquitous in our anaesthetic practice. The term ‘supraglottic airway’ now encompasses airway devices that are designed to form a seal above the laryngeal inlet. Improvements in design and function of supraglottic airways have allowed airway practitioners to push the envelope in airway management, using the devices in a multitude of situations. This talk aims to summarise the current roles of supraglottic airways in prehospital resuscitation, surgeries and emergency airway rescue during a ‘cannot intubate, cannot oxygenate’ crisis.