Hyatt Regency Hotel Bandung05-06, 07-08, 09-10 November 2015
Joint SymposiumsNational Annual Meeting
of ISICM
INDONESIAN SOCIETY OF INTENSIVE CARE MEDICINE (ISICM) ANDINDONESIAN SOCIETY OF PARENTERAL AND ENTERAL NUTRITION (INASPEN)
National Annual Meeting
of INASPEN
FINAL ANNOUNCEMENT
Thursday Friday, 05 06 November 2015PRE SYMPOSIUM WORKSHOPS: - Technique of Parenteral & Enteral Nutrition Workshop- ESPEN LLL Programmes in Nutrition and Metabolism
CONTINUING EDUCATIONAL PROGRAM OF ISICM- Workshop on Mechanical Ventilation: From Basic Theory to Clinical Practice- Fluid Therapy, Electrolyte, and Acid Base Balance- Basic Assessment & Support in Intensive Care (BASIC Course)
Saturday - Sunday, 07 08 November 2015 JOINT SYMPOSIUM & EXHIBITION
Monday Tuesday, 09 10 November 2015POST SYMPOSIUM WORKSHOPS: - Fundamental Critical Care Support (FCCS)
Endorsed by:Indonesian Society of Anesthesiology & Intensive Therapy (PERDATIN)
Department Anesthesia & Intensive Care, Faculty of Medicine Padjadjaran University,Dr. Hasan Sadikin General Hospital Bandung
proudly present and organize,
FINAL ANNOUNCEMENT I 1
WELCOME MESSAGE
Dear Colleagues,
Joint Symposiums Indonesian Society of Intensive Care Medicine (ISICM) and Indonesian Society of Parenteral and
Enteral Nutrition (INASPEN) have been increasingly recognized as an interesting educational meeting. One important
step is that, since the passing year ISICM and INASPEN have been establish an educational partnership in joint meeting
organized every year. We engage in a broad range of a culture of best practice in critical care nutrition. Ultimately to
deliver the highest quality of clinical outcomes for critically ill patients and increase efficiencies to our healthcare systems.
This years program promises to provide practitioners the latest information on implementing nutrition care in the ICU
with the wide range of essential best practices of Intensive Care Medicine
Through ESPEN LLL Programme in Nutrition & Metabolism and Technique of Enteral & Parenteral Nutrition, INASPEN
dedicated to deliver a globalize practice in clinical nutrition and nurture the clinical nutrition peculiar in Indonesia. While
the Continuing Educational Program (CEP) of ISICM, which are setting as the Pre-Joint Symposium Workshops from 05-
06 November 2015 promises to optimize the delivery of critical care for critically ill and injured patients.
As the venue place, the Joint Symposium of the 6th National Annual Meeting of ISICM & the 4th National Annual Meeting of INASPEN, which will be held on 07-08 November 2015 will come back to Bandung as a melting pot of art-deco cultures and wide variety culinary, the combination of beauty of Paris van Java you should not missed.
See you all in Bandung in November 2015.
Chairman,
Joint Symposiums 6th National Annual Meeting of ISICM & 4th National Annual Meeting of INASPEN
Ruli H. Sitanggang
2 I FINAL ANNOUNCEMENT
ADVISORY BOARD Dean Faculty of Medicine, Padjadjaran University Head Department Anesthesia & Intensive Care, Faculty of Medicine Padjadjaran University, Dr. Hasan Sadikin General Hospital Bandung President of Indonesian Society of Anesthesiology & Intensive Therapy (PERDATIN), Andi Wahyuningsih Attas
President of Indonesian Society of Intensive Care Medicine (ISICM), Oloan E. Tampubolon
President of Indonesian Society of Parenteral and Enteral Nutrition (INASPEN), Christian Johannes
CHAIRMANRuli H. Sitanggang
ORGANIZING COMMITTEE
SECRETARYArdi Zulfariansyah
Erniody
TREASURERNelwati Sajoeti
Zuswahyuda Samsu
SCIENTIFIC COMMITTEECOORDINATOR
Ike Sri RedjekNancy Margarita Rehatta
MEMBERSAri Fachrial Syam
Bambang Wahjuprajitno
Dwi Panca Wibowo
HartonoNancy Margarita Rehatta
Paul Tahalele
Prananda Surya Airlangga
Pratista Hendarjana
Rachmi UntoroRazak ThahaRudy Manalu
RupiiTinni T. Maskoen
Toar J.M. Lalisang
Yefta Moenadjat
FINAL ANNOUNCEMENT I 3
JOINT SYMPOSIUM6th National Annual Meeting of ISCM & 4th National Annual Meeting of INASPEN
PlACEHYATT REGENCY HOTEL - BANDUNG
ORgANIzED BYINDONESIAN SOCIETY OF INTENSIVE CARE MEDICINE (ISICM)and INDONESIAN SOCIETY OF PARENTERAL AND ENTERAL NUTRITION (INASPEN)
AUDIENCE
AgENDAThursday - Friday, 05 06 November 2015
PRE SYMPOSIUM WORKSHOPS: Technique of Enteral & Parenteral Nutrition Workshop ESPEN LLL
CONTINUINg EDUCATIONAl PROgRAM OF ISICM Workshop on Mechanical Ventilation: From Basic Theory to Clinical Practice Fluid Therapy. Electrolyte and Acid Base Balance Basic Assessment and Support in Intensive Care (BASIC Course)
Saturday - Sunday, 07 08 November 2015
JOINT SYMPOSIUM & EXHIBITION
Monday - Tuesday, 09 10 November 2015
POST SYMPOSIUM WORKSHOPS: Fundamental Critical Care Support (FCCS)
Physicians: Intensivists, Anesthesiologist, Internists, Hematologist, Onclologists, General Surgeon, Neuro-Surgeon, Digestive Surgeon, Cardiologist, Pulmonologist,
Neurologist, Clinical Pathologist, Clinical Microbiologist,
Physical Therapists, Pharmacologists
General Practitioner, Fellow, Clinical Nutritionists, Dietician, Pharmacists, Scientists, Technologists, Trainee &
Student, Health Practitioners and Nurse whose interested in Intensive Care Medicine and Clinical Nutrition Therapy
GENERAL INFORMATION
4 I FINAL ANNOUNCEMENT
REgISTRATION SECRETARIAT & MAIlINg ADDRESSISICM & INASPEN have chosen a cooperate organizer, who will ensure a smooth and efficient management of the scientific exhibition, hotel accommodation, registration management and other programs linked to the Joint Symposium.
For any further information about these services, do not hesitate to contact the Secretariat & Mailing Address:
c/o. global Echo Organizer convexRegistration : [email protected] : www.geoconvex.com
Registration & Accommodation: Office Hours: 021.3149318 3149319 - 2305835 Registration Hotline: 0811.882080 Fax: 021.3153392
EXHIBITIONJoint Symposium will host a scientific exhibition on 07-08 November 2015 including the latest technology, equipment for clinical management & research and literature.
OFFICIAl lANgUAgEThe official languages of the Joint Symposium are English & Indonesian. English will be used for all printed materials, presentation with overseas speakers and discussions. Any simultaneous translation will not be provided.
DISClAIMEREvery attempt will be made to present the program as printed. However, Organizers and its agent reserve the right to alter or cancel, without prior notice, any of the arrangements, timetables, plans or other items relating directly or indirectly to
the Scientific Meeting, for any cause beyond its reasonable control. In the event of cancellation of the Scientific Meeting, all pre-paid fees will be refunded in full. The Organizers and its agent are not liable for any loss or inconvenience caused
as a result of such alteration and cancellation.
FINAL ANNOUNCEMENT I 5
TECHNIQUE OF ENTERAl & PARENTERAl NUTRITION WORKSHOPThursday - Friday, 05 06 November 2015
INTRODUCTIONWhile the enteral nutrition provides the safest, most cost-effective approach with some options for permanent access, the parenteral nutrition should be reserved for patients in whom enteral nutrition is contradicted. Standardization of clinical procedures has become a desirable objective in contemporary medical practice in nutrition therapy. In responded to this skillful management demand in population, the INASPEN as a multidisciplinary association has endeavored to create clinical practice course and dedicated to advancing the safe and effective management and technique of parenteral and enteral nutrition therapy through professional teaching module, development of guidelines, and accreditation.
Parenteral and Enteral Nutritional Access & Techniques Course analyzes enteral access devices options in the mal nutrient patient, reviews the levels of evidence and provides the team-members experience. Similarly, it details general and specific indications for enteral parenteral support, current techniques, care guidelines, methods of administration and complications of each enteral parenteral access.
OBJECTIVESAfter completing this course, the participants will be able 1. To select an appropriate nutritional access route based on several consideration ie: GI tract function and anatomical problems The length of time needed for artificial nutrition Level of consciousness The difficulty level of placement technique2. To describe the indication and the contraindication associated with each access route.3. To choose the appropriate formula and type of parenteral and enteral nutrient formula based on the patient`s illnesses
or special disease4. To describe the preparation of the formula with regard to hygienic aspects5. To describe SGA and advantages regarding its implementation6. To calculate the energy needs and the pitfall in setting up the related nutritional formula 7. To decide the appropriate pattern of time frame in providing the formula (bolus/intermittent, continuously)8. To insert the parenteral and enteral access (on simulator)
PRE-SYMPOSIUM PROGRAM
WHO SHOUlD ATTENDClinicians, whose interested in nutritional support therapy particularly in parenteral nutrition
COURSE lANgUAgEIndonesian
COURSE CAPACITYLimited to 30 participants upon first payment basis
ORgANIzED BYIndonesian Society of Parenteral and Enteral Nutrition (INASPEN)
PROgRAMCourse Directors: Nancy Margarita Rehatta & Prananda Surya Airlangga
6 I FINAL ANNOUNCEMENT
TECHNIQUE OF ENTERAL & PARENTERAL NUTRITION WORKSHOP
Thursday - Friday, 05 - 06 November 2015HYATT REGENCY HOTEL - BANDUNG
DAY 1 - THURSDAY, 05 NOVEMBER 2015TIME PROGRAM
OVERVIEW PARENTERAL AND ENTERAL NUTRITION08.00 - 08.30 Pretest & Introduction
08.30 - 09.00 Safety and Quality
09.00 - 09.30 Hygienic Aspect
09.30 - 10.00 Coffee Break
10.00 - 10.45 Type of Enteral and Parenteral Nutrition
10.45 - 11.30 Advantage and Disadvantage: Continuous, Intermittent, Bolus
HOW TO DELIVER ENTERAL NUTRITION11.30 - 12.15 A. The Different Type of Tube and Access
12.15 - 13.00 B. Technical Aspect of Percutaneus Gastronomy and Jejenostomy
13.00 - 13.30 Lunch
HOW TO DELIVER PARENTERAL NUTRITION13.30 - 14.15 Central Catheter
14.15 - 15.00 Peripheral Inserting Catheter (PICC)
15.00 - 15.45 Preparation and Complication
Coffee break
DAY 2 - FRIDAY, 06 NOVEMBER 2015TIME PROGRAM
ENERGY REQUIREMENT
08.00 - 08.45 Overview SGA
08.45 - 09.30 Calculated Calories and Pitfall.
09.30 - 10.00 Coffee Break
CASE DISCUSSION 10.00 - 10.45 A. Case Discussion 1
10.45 - 11.30 B. Case Discussion 2
SKILL STATION 11.30 - 12.15 A. CVC
12.15 - 13.00 B. PICC
13.00 - 13.30 LUNCH
SKILL STATION 13.30 - 14.45 A. Enteral Feeding Technique (Oral, Nasal, Drip, Continuous)
14.45 - 15.30 B. Endoscopic Assistance Enteral Tube Placement
15.30 - 16.15 C. Percutaneous Gastrotomy
16.15 - 17.00 Post test & Discussion
17.00 -17.15 Closing & Certification
Prof. DR. Nancy Margarita Rehatta, dr, SpAn KNA KIC KMNChristian Johannes, dr, SpAn KICProf. DR. Tatang Bisri, dr, SpAn KNAJ. Iswanto, dr, SpB KBDDR. H. Ari Fahrial Syam, dr, SpPD-KGEH, MMB, FACP
A. Firmansyah, dr., SpGK, MKesDR. Tinni T. Maskoen, dr, SpAn KIC KMNPrananda Surya Airlangga, dr, SpAn. KIC., MKes.Bambang Wahjuprajitno, dr, SpAn KIC
INSTRUCTOR TEAM
FINAL ANNOUNCEMENT I 7
ESPEN LLL PROGRAMMES IN NUTRITION AND METABOLISM
Thursday - Friday, 05 - 06 November 2015 HYATT REGENCY HOTEL - BANDUNG
INTRODUCTIONThe ESPEN Leonardo da Vinci Life Long Learning Project is an ESPEN - EU is an innovative and effective educational programme for medical doctors and health specialists offering training on-line and at live courses, by a variety of modern training methodologies and resources to improve daily practice in Clinical Nutrition and Metabolism and develop quality care in nutrition by means of an innovative educational initiative.
The life long learning (lll) programme in Clinical Nutrition and Metabolism lll programme in Clinical Nutrition and Metabolism is based on an Educational Curriculum offering more than 120 training modules created and peer reviewed by recognized experts.
It was developed as the project BG-03-B-F-PP-166039 of Leonardo da Vinci Programme by ESPEN and a number of European universities with the support of European Union as the a global effort to provide post-graduate qualification in Clinical Nutrition and thus to improve daily practice. LLL Programme in Nutrition and Metabolism was accredited by Union Europenne des Mdecins Spcialistes (UEMS), which is recognized for Continuing Medical Education (CME) in most countries.
OBJECTIVES AND CME POINTSTo improve knowledge, competence and skills of health professionals and students in Clinical Nutrition and Metabolism while providing 3 ESPEN LLL CME credits upon passing a self-assessment test after each module and European certification for medical doctors.
lll PROgRAMMESThe main educational unit of LLL-Programme is the module. Each module consists of an updated review on a certain problem, clinical case, self-assessment test and grading quiz upon the Topic of subject area.Modules on related subject areas are grouped into 1 day programme, making it easier for the user to select modules in a particular field of interest per day preferred, which packed into 3 - 4 module daily.
WHO SHOUlD ATTENDClinicians who are interested in nutritional support therapy particularly in parenteral nutrition
COURSE lANgUAgEEnglish
COURSE CAPACITYLimited to 50 participants upon first payment basis
ORgANIzED BYAesculap Academy
CANCEllATIONAny cancellation or replacement must be conveyed to the Secretariat in written on 7 (seven) days prior the dates. An administrative fee of 20% of the registration fee will be charged for cancellation and any replacement will be proceeded as a new chargeable registration. Cancellation after this deadline will not be entitled to any refund.
PROgRAMCourse Director: Ike Sri Redjeki
8 I FINAL ANNOUNCEMENT
ESPEN LLL PROGRAMMES IN NUTRITION AND METABOLISM
Thursday - Friday, 05 - 06 November 2015 HYATT REGENCY HOTEL - BANDUNG
DAY 1 - THURSDAY, 05 NOVEMBER 2015TIME PROGRAM
08.00 - 08.10 Welcome Address
08.10 - 08.30 Introduction to ESPEN & LLL Courses
"Nutritional Support in Liver Disease and Pancreatitis"08.30 - 09.00 Nutritional Support in Acute Liver Failure
09.00 - 09.30 Nutritional Support in Chronic Liver Disease
09.30 - 10.00 Coffee Break
10.00 - 10.30 Nutritional Support in Acute Pancreatitis
10.30 - 11.00 Nutritional Support in Chronic Pancreatitis
11.00 - 12.00 Test
12.00 - 13.00 Lunch
"Nutritional Support in the Perioperative Period"13.00 - 13.30 Metabolic Responses to Surgical Stress
13.30 - 14.00 Enhanced Recovery : Principles
14.30 - 15.00 Coffee Break
15.00 - 15.30 Fluid Balance and Metabolism in Surgery
15.30 - 16.00 Nutritional Goals in Perioperative Period
16.00 - 17.00 Test
DAY 2 - FRIDAY, 06 NOVEMBER 2015TIME PROGRAM
"Nutritional Support in Cancer Patients"08.30 - 09.00 Mechanism of Wasting in Cancer Cachexia
09.00 - 09.30 Cancer Anorexia
09.30 - 10.00 Coffee Break
10.00 - 10.30 Benefits and Limitations of Conventional Nutritional Support
10.30 - 11.00 Pharmacologic Therapy
11.00 - 12.00 Test
12.00 - 13.00 Lunch
"Nutritional Support in ICU"13.00 - 13.30 Promoting Homeostasis During Nutrition Support
13.30 - 14.00 Specific Substrates for Artificial Nutrition in the ICU
14.00 - 14.30 Barriers to Oral, Enteral Nutrition, Parenteral Nutrition
14.30 - 15.00 Clinical Priorities for Solving ICU Nutritional Problems
15.00 - 15.30 Coffee Break
15.30 - 16.30 Test
16.30 - 17.30 Pembagian Sertifikat
Jesus Fernando B. Inciong, MD, MSc, FPCS, FACS (Philippine)Dr. dr. Ike Sri Redjeki, SpAn KIC Dr. dr. Kiki Lukman, Msc, SpB, KBD
Dr. dr. Noorwati Soetandyo, SPPD KHOMDr. Irsan Hasan, SpPD KGEHDr. Sugiyono, SpPD KHOM
INSTRUCTOR TEAM
FINAL ANNOUNCEMENT I 9
WORKSHOP ON MECHANICAL VENTILATION : FROM BASIC THEORY TO CLINICAL PRACTICE
Thursday - Friday, 05 - 06 November 2015 HYATT REGENCY HOTEL - BANDUNG
DAY 1 - THURSDAY, 05 NOVEMBER 2015TIME TOPIC
08.00 - 08.15 Introduction
08.15 - 08.45 Physiology 1: Gas Exchange
08.45 - 09.15 Physiology 2 :Mechanic of Respiration
09.15 - 09.45 Acute Respiratory Failure
09.45 - 10.00 Coffee/ Tea Break
10.00 - 10.30 Heart and Lung Interaction
10.30 - 11.00 Mode of Ventilator I (Basic)
11.00 - 11.30 Mode of Ventilator II (Alternative)
11.30 - 12.00 Sedation and Paralysis in Patient with MV
12.00 - 13.00 Lunch
13.00 - 13.30 Trouble Shooting of MV
13.30 - 14.00 How Mechanical Ventilation Work
SKILL STATION
14.00 - 15.20A. Ventilator Mode I : CMV, ACMV, PC, PS
B. Ventilator Mode II : BIPAP, APRV
15.20 - 15.40 Coffee/Tea Break
DAY 2 - FRIDAY, 06 NOVEMBER 2015TIME TOPIC
08.00 - 08.30 Prevention of Nosocomial Infection in MV
08.30 - 09.00 Non-Invasive Ventilation (NIV)
09.00 - 09.30 Weaning
09.30 - 10.00 Monitoring Patient with Mechanical Ventilation
10.00 - 10.15 Coffee/ Tea Break
10.15 - 10.45 VAP
10.45 - 11.15 ALI / ARDS
11.15 - 11.45 MV in COPD Patient
11.45 - 12.15 Pediatric Consideration
12.15 - 13.30 Lunch
13.30 - 14.00 Oxygen Therapy
14.00 - 14.30 Ventilator Graphic
14.30 - 15.20 CASE DISCUSSION
15.20 - 15.35 Coffee/Tea Break
SKILL STATION
15.35 - 16.55A. Trouble Shooting
B. MV in COPD, ARDS
Bambang Wahjuprajitno, dr, SpAn KIC Prof. Achsanuddin Hanafie, dr, SpAn KICChristian Johannes, dr, SpAn KICDr. Tinni Maskoen, dr, SpAn KIC
Oloan Tampubolon, dr, SpAn KICPhilia Setiawan, dr, SpAn KICRupii, dr, SpAn KICTantani Sugiman, dr, SpAn KIC
INSTRUCTOR TEAM
lEARNINg OBJECTIVES Review from physiology of respiration, oxygen & gas transport, volume & pressure mechanism, initiating & setting as
well as the lung recruitment & management from the simple method to the most recent method Describe the complications, practice the recent and new mode & NIV and learn the current management strategies and
practical management of acute respiratory failure, including weaning and pediatric management.
WHO SHOUlD ATTENDThe comprehensive curriculum from basic to advances for Intensivists, Anesthesiologists, ICU General Practitioners, other Multi-disciplines -who are interested in Intensive Care Medicine field, for better horizon in ventilatory support. Urge registration for KIC Fellows.
COURSE lANgUAgEIndonesian
COURSE CAPACITYLimited to 40 participants upon first payment basis
ORgANIzED BYIndonesian Society of Intensive Care Medicine (ISICM)
PROgRAMCourse Directors: Bambang Wahjuprajitno & Philia Setiawan
10 I FINAL ANNOUNCEMENT
FLUID THERAPY, ELECTROLYTE, & ACID BASE BALANCE
Thursday - Friday, 05 - 06 November 2015 HYATT REGENCY HOTEL - BANDUNG
DAY 1 - THURSDAY, 05 NOVEMBER 2015TIME TOPIC
08.30 - 09.00 Introduction & Body Fluid Composition and Basic Physiology of Fluid Balance
09.00 - 09.30 New Paradigm of Fluid Therapy
09.30 - 09.45 Coffee / Tea Break
09.45 - 10.15 Type of Fluid Used in Clinical Practice
10.15 - 10.45 Fluid Therapy in Critically ill Patients
10.45 - 11.15 Fluid Therapy in Dengue Shock Syndrome
11.15 - 11.45 Basic Principle of Fluid Therapy in Pediatrics
11.45 - 13.00 Lunch
13.00 - 13.30 Pathophysiology and Basic Principle of Fluid Therapy in Trauma Patients
13.30 - 14.00 Physiology of Electrolyte Imbalance
14.00 - 15.30Case Discussion : Monitoring of Fluid Therapy and Fluid Responsiveness
Case Discussion : Monitoring of Fluid Therapy and Fluid Responsiveness
15.30 - 15.45 Coffee / Tea Break
lEARNINg OBJECTIVES To understand the Stewart Approach to complete Haselbach method To understanding the formula of Stewart Approach, the ion based calculation that defines Stewart Approachs formula. To interpret the measurement physiology of ion gap, VA & SIG at bedside To interpret the balance solution physiology, fluid resuscitation, lactic acidosis, hyperchloremia and pediatrics in sepsis
and shock cardiogenic To interpret the physiology of gut, diet liver and the interactions. To interpret the physiology in early hemorrhage that caused traumaAll lectures are completed with evidence based and journals.
WHO SHOUlD ATTENDThe comprehensive curriculum with more Clinical Applications for Intensivists, Anesthesiologists, ICU General Practitioners, other Multi-disciplines -who are interested in Intensive Care Medicine field, for better horizon in giving fluid therapy and acid-base management. Urge registration for KIC Fellows.
COURSE lANgUAgEIndonesian
COURSE CAPACITYLimited to 40 participants upon first payment basis
ORgANIzED BYIndonesian Society of Intensive Care Medicine (ISICM)
PROgRAMCourse Directors: Ike Sri Redjeki
FINAL ANNOUNCEMENT I 11
FLUID THERAPY, ELECTROLYTE, & ACID BASE BALANCE
Thursday - Friday, 05 - 06 November 2015 HYATT REGENCY HOTEL - BANDUNG
DAY 2 - FRIDAY, 06 NOVEMBER 2015TIME TOPIC
08.00 - 08.30 Introduction to Acid Base Balance Physiology
08.30 - 09.00 Hendersen Hasselbach Approach in Clinical Setting
09.00 - 09.30 Stewart Approach of Acid Base Balance Interpretation in Clinical Setting
09.30 - 10.00 Clinical Interpretation of Acid Base Balance in Many Clinical Situations
10.00 - 10.15 Coffee / Tea Break
10.15 - 10.45 Influence of Fluid Therapy on Acid Base Balance
10.45 - 11.15Influence of Acute and Chronic Kidney Injury to Acid Base Balance in Many Clinical Interpretation
11.15 - 11.45 Acid Base Balance in the Critically ill Patients
11.45 - 12.15 Influence of Nutrition to Acid Base Balance
12.15 - 13.00 Lunch
13.00 - 15.00
Skill Station 1: Interpretation and Management of Acid Base Balance Disturbance in the Most Common Cases
Skill Station 2: Interpretation and Management of Acid Base Balance Disturbance in the Most Common Cases
15.00 - 15.15 Coffee / Tea Break
INSTRUCTOR TEAM:DR. Ike Sri Redjeki, dr, SpAn KIC KMN Mkes Anang Achmadi, dr, SpAn KICArdi Zulfariansyah, dr, SpAn, KIC, M KesBambang Pujo Semedi, dr, SpAn KIC
Erwin Pradian, dr, SpAn KIC, M KesEzra Oktaliansyah, dr, SpAn KIC, MKesIndro Mulyono, dr, SpAn KICRuli H. Sitanggang, dr, SpAn KIC, KAP, M Kes
12 I FINAL ANNOUNCEMENT
BASIC ASSESSMENT & SUPPORT IN INTENSIVE CARE (BASIC) COURSE
Thursday - Friday, 05 - 06 November 2015 HYATT REGENCY HOTEL - BANDUNG
lEARNINg OBJECTIVES1. Mampu mengenal pasien-pasien dengan penyakit kritis2. Mengenali pasien gagal napas dan menanganinya3. Mampu memantau hemodinamik pasien4. Mampu melakukan Resusitasi Jantung dan Paru5. Mampu mengenal dan menangani pasien trauma berat6. Mampu mengenal dan menangani pasien syok7. Mampu mengenal dan menangani pasien dengan sepsis berat dan syok sepsis8. Mampu memberikan terapi cairan9. Mampu mengenal dan menangani pasien gagal ginjal akut10. Mampu mengenal dan menangani pasien anak dengan penyakit kiritis11. Mampu mengenal dan menangani pasien dengan kegawatan neurologik12. Mampu memberikan sedasi dan analgesia yang diperlukan pasien dengan penyakit kritis13. Mampu mengenal dan menangani pasien dengan gangguan metabolic dan elektrolit14. Mampu mengenal pasien dengan risiko penyakit tromboembolik dan pemberian profilaksis15. Mampu memberikan bantuan nutrisi pada pasien kritis16. Mengetahui cara yang benar melakukan transportasi pasien kritis17. Mampu mengenal dan memakai ventilasi mekanis pada pasien kritis; melakukan pemantauan dan mengatasi
permasalahan.
COURSE lANgUAgEIndonesian
WHO SHOUlD ATTENDThe BASIC comprehensive curriculum specially conducted by PERDICI to equip doctors starting out in ICU or doctors who interested in the critically ill with relevant skills and knowledge. Urge registration for General Practitioners in ICU and or Emergency Unit.
ORgANIzED BYIndonesian Society of Intensive Care Medicine (ISICM)
PROgRAMCourse Director: Rudy Manalu
FINAL ANNOUNCEMENT I 13
BASIC ASSESSMENT & SUPPORT IN INTENSIVE CARE (BASIC) COURSE
Thursday - Friday, 05 - 06 November 2015 HYATT REGENCY HOTEL - BANDUNG
DAY 1 - THURSDAY, 05 NOVEMBER 2015TIME TOPIC
08.00 - 08.10 Introduction
08.10 - 08.30 Assessment of The Seriously ill Patient
08.30 - 09.30 Acute Respiratory Failure
09.30 - 10.00 Airway Management & Airway Obstruction
10.00 - 10.30 Coffee/Tea break
10.30 - 11.00 Basic Haemodynamic Monitoring
11.00 - 11.40 Shock
11.40 - 12.20 Cardiopulmonary Resuscitation
12.20 - 13.00 Severe Sepsis & Septic Shock
13.00 - 13.30 Lunch
13.30 - 14.00 Oliguria and Acute Renal Failure
14.00 - 14.30 Fluids
14.30 - 15.00 Paediatrics
15.00 - 15.30 Coffee/Tea break
15.30 - 17.00 Skill Stations
1. Airway Management & Airway Obstruction (30 minute)
2. CPR (30 minute)
3. Severe Sepsis & Septic Shock (30 minute)
DAY 2 - FRIDAY, 06 NOVEMBER 2015TIME TOPIC
08.00 - 08.45 Neurological Emergencies
08.45 - 09.30 Sedation, Nutrition, Tromboembolic Disease-Risk & Prophylaxis
09.30 - 10.00 Coffee/Tea break
10.00 - 10.45 Mechanical Ventilation The Basics
10.45 - 11.30 Mechanical Ventilation Common Modes
11.30 - 12.15 Mechanical Ventilation - Settings
12.15 - 13.00 Mechanical Ventilation Monitoring & Troubleshooting
13.00 - 13.30 Lunch
13.30 - 14.00 Severe Trauma
14.00 - 14.30 Transport of The Critically ill Patient
14.30 - 17.30 Skill Stations
1. Mechanical Ventilation -1 (1 hour)
2. Mechanical Ventilation -2 (1 hour)
3. Mechanical Ventilation -3 (1 hour)
17.30 - 18.00 Post Test
18.00 Closing
INSTRUCTOR TEAM:Rudy Manalu, dr, SpAn KIC DR. Hori Hariyanto, dr, SpAn KIC KMNBambang Pujo, dr, SpAn KIC
Oloan E. Tampubolon, dr, SpAn KIC,KNA, MHKesPantja Wibowo, dr, SpAn KICRuli H Sitanggang, dr, SpAn KIC, KAP, M Kes
14 I FINAL ANNOUNCEMENT
TIME DAY 1, SATURDAY, 07 NOVEMBER 2015THE BALLROOM
08.00 - 08.30 Opening Ceremony
KEYNOTE LECTUREChairperson: Indro Mulyono (Jakarta)
08.30 - 09.001. Should We Centralize ICU Care? Oloan E. Tampubolon (Jakarta)
09.00 - 09.302. Target Control Infusion in Critical Care Martin Westphal (Germany)
09.30 - 10.003. High Flow CPAP, Is It Effecosiuos? Younsuck Koh (Korea)
10.00 - 10.304. How Far Is the Evidence of Immunonutrition Jesus Fernando B. Inciong, MD, MSc, FPCS, FACS (Philippine)
10.30 - 11.00 Coffee/Tea Break
LUNCH SYMPOSIUMChairperson: Christian Johannes (Jakarta)
11.00 - 11.201. Long Term Sedation with Dexmedetomidin in Critically ill Patients TBA
11.20 - 11.402. Pharmacological Prevention & Treatment of Delirium Oloan E. Tampubolon (Jakarta)
11.40 - 12.003. The Latest Innovation in Parenteral Nutrition: A New Generation of Lipid Emulsions Ike Sri Redjeki (Bandung)
12.00 - 12.30 Discussion
12.30 - 13.30 Lunch
MECHANICAL VENTILATION UPDATESChairperson: Achsannudin Hanafie (Medan)
NUTRITION UPDATESChairperson: Ardi Zulfariansyah (Bandung)
13.30 - 13.501. Patient-ventilator Asynchrony: How to Fix It Younsuck Koh (Korea)
1. Enteral Nutrition: How Aggressive Should We Be? Christian Johannes (Jakarta)
13.50 - 14.102. Weaning Protocols: Pick Your Criteria Tantani Sugiman (Jakarta)
2. Enteral versus Parenteral Route for Calories Abdullah Firmansah (Bandung)
14.10 - 14.303. Update in ARDS Bambang Wahjuprajitno (Surabaya)
3. Nutritional Metabolomics, Do We Need to Assess? Prananda Surya Erlangga (Surabaya)
14.30 - 14.40 Discussion Discussion
ICU UPDATESChairperson: Amir S. Madjid (Jakarta)
NUTRITION UPDATESChairperson: Hartono (Jakarta)
14.40 - 15.001. Are Blood Transfusion the Only Effective Therapy to
Improve Oxygenation? Syafri K. Arief (Makassar)
4. Nutritional Support versus Autocannibalism Frans J.V. Panglila (Jakarta)
15.00 - 15.202. Hemogobulin Thresholds in Acute Brain Injury Tatang Bisri (Bandung)
5. Is Hypocaloric Feeding Strategy Adequate for Critically ill Patients?
Tinni T. Maskoen (Bandung)
15.20 - 15.403. Coagulopathy in Trauma and Sepsis Ike Sri Redjeki (Bandung)
6. The Obese Patients: How to Feed Them Pratista Hendarjana (Jakarta)
15.40 - 15.50 Discussion Discussion
PRO CON DEBATEBlood Gas Analysis:Steward Approach vs
Step-wiseChairperson: Rudy Manalu (Jakarta)
PRO CON DEBATERenal Failure: It Has To Be CRRT?
Chairperson: Philia Setiawan (Surabaya)
15.50 - 16.00Steward ApproachAnang Achmadi (Bandung)
ProTinni T. Maskoen (Bandung)
16.00 - 16.10Step-wiseRupi'I (Semarang)
ConHardiono (Surabaya)
16.10 - 17.00 DEBATE DEBATE
6th National Annual Meeting of Indonesian Society of Intensive Care Medicine (ISICM) 4th National Annual Meeting of Indonesian Society of Parenteral and Enteral Nutrition (INASPEN)
SATURDAY - SUNDAY, 07 - 08 NOVEMBER 2015 BALLROOM I - II , HYATT REGENCY HOTEL BANDUNG SCIENTIFIC PROGRAM
FINAL ANNOUNCEMENT I 15
TIME DAY 2, SUNDAY 08 NOVEMBER 2015THE BALLROOM
KEYNOTE LECTUREChairperson: Achsannudin Hanafie (Medan)
08.30 - 09.005. Enteral Nutrition, How Aggressive Should We Be? Eddy Rahardjo (Surabaya)
09.00 - 09.306. Nutritional Biomarkers Nancy Margarita Rehatta (Surabaya)
09.30 - 10.007. Long Term Quality of Life for the Frail Patient Ike Sri Redjeki (Bandung)
10.00 - 10.308. End of Life Issue: Integrating Palliative and Critical Care Younsuck Koh (Korea)
10.30 - 11.00 Coffee/Tea Break
INFECTION UPDATEChairperson: Paul Tahalele (Surabaya)
11.00 - 11.201. Management of Complicated Intra-Abdominal Infections Nurhayat Usman (Bandung)
11.20 - 11.402. Is EGDT Still Relevant in Fluid Resuscitation in Severe Sepsis & Septic Shock Patients? Ruli H. Sitanggang (Bandung)
11.40 - 12.00 3. Hemodynamic Effect of Arginine Vasopressin Oloan E. Tampubolon (Jakarta)
12.00 - 12.15 Discussion
12.15 - 13.00 Lunch
NUTRITIONISTS/PHARMACISTS TRACK CALORIES & PROTEIN
Chairperson: Nur Pudji Astuti (Makassar)
NURSING TRACKChairperson: Titin Mulyati (Bandung)
13.00 - 13.201. How to Assess Body Composition Widjaya Lukito (Jakarta)
1. Clinical Condition of Patient when Start Administration of Parenteral and Enteral Nutrition in Critically Ill Patients in ICU
Indirasari (Bandung)
13.20 - 13.402. How to Assess Energy Expenditure Ruly Sjambali (Bandung)
2. Administering the Right Composition of Carbohydrates, Fats and Protein in Nutrition of Critically Ill Patients in ICU
Ike Sri Redjeki (Bandung)
13.40 - 14.003. We Need to Assess Nutritional Metabolomics Agus Salim Bukhari (Makassar)
3. Parenteral Nutrition Administration Technique in Critically Ill Patients in ICU
Yono Taryono (Bandung)
14.00 - 14.10 Discussion Discussion
Chairperson: Rachmi Untoro (Jakarta) Chairperson: Yono Taryono, (Bandung)
14.10 - 14.304. Calculating Energy Expenditure: A Shot in The Dark Dadang Arief Primana (Bandung)
4. Enteral Nutrition Administration Technique in Critically Ill Patients in ICU
Titin Mulyati (Bandung)
14.30 - 14.505. Caloric Needs Are Lower Than Energy Expenditure Luciana B. Sutanto (Jakarta)
5. Nursing Care Plan for Patient with Parenteral and Enteral Nutrition in Critically Ill Patients in ICU
Mamik Sri S (Bandung)
14.50 - 15.106. Proteins Are The Most Important Nutrients Ida Gunawan (Jakarta)
6. Monitoring of Patients During Administration of Parenteral and Enteral Nutrition in Critically Ill Patients in ICU
Ayatullah Hamami (Bandung)
15.10 - 15.307. Non-Protein Calorie: Is It Relevant? Abdullah Firmansah (Bandung)
15.30 - 15.40 Discussion Discussion
15.40 - 16.00 Closing Remark
6th National Annual Meeting of Indonesian Society of Intensive Care Medicine (ISICM) 4th National Annual Meeting of Indonesian Society of Parenteral and Enteral Nutrition (INASPEN)
SATURDAY - SUNDAY, 07-08 NOVEMBER 2015 BALLROOM I - II , HYATT REGENCY HOTEL BANDUNGSCIENTIFIC PROGRAM
16 I FINAL ANNOUNCEMENT
POST SYMPOSIUM PROGRAM
FUNDAMENTAl CRITICAl CARE SUPPORTMonday - Tuesday, 09 10 November 2015
PENgANTARSesuai dengan Keputusan Menteri Kesehatan Republik Indonesia No : 1778/Menkes/SK/XII/2010 tanggal 13 Desember 2010 bahwa Standar Ketenagaan Tenaga Kesehatan yang bekerja di ICU harus mempunyai sertifikat FCCS dan juga tuntutan pelayanan kesehatan (termasuk pelayanan di ICU) yang semakin hari dituntut untuk lebih berkualitas tinggi demi keselamatan pasien (patient safety). Untuk kepentingan tersebut diperlukan standar pelayanan dasar yang memadai dan universal namun up to date. Pedoman dasar pelayanan pasien di ICU yang universal dan bersifat mendunia adalah FCCS.PERDICI yang merupakan organisasi / wadah dari dokter dokter intensive care (intensivist) di Indonesia yang menggeluti dalam bidang ilmu kedokteran intensive care (Intensive Care Medicine) dan pemegang lisensi kursus FCCS, bertanggung jawab demi tercapainya tujuan tersebut diatas.Dengan diselenggarakan kursus FCCS diharapkan peserta mempunyai pengetahuan dan ketrampilan dasar untuk bisa mengelola pasien di ICU secara up to date dibawah supervisi dokter intensivist. Dalam kursus FCCS ini pengantar bahasa yang digunakan adalah Bahasa Indonesia, sedangkan bahasa dalam Textbook FCCS, soal pre dan post test menggunakan Bahasa Inggris.
MANFAAT KURSUS BAgI PESERTA Mengerti dan memahami dasar dari ilmu kedokteran intensive care. Mengerti dan memahami ketrampilan dasar dari ilmu kedokteran intensive care. Mampu mengelola pasien di ICU dibawah supervisi intensivist.
MATERI KURSUS Recognition and Assessment of the Seriously Ill Patient Airway Management Cardiopulmonary / Cerebral Resuscitation Monitoring Blood Flow, Oxygenation and Acid Base
Status Diagnosis and Management of Shock Diagnosis and Management of Acute Respiratory Failure Mechanical Ventilation Acute Coronary Syndromes
Management of Life-Threatening Electrolyte and Metabolic Disturbances
Life-Threatening Infections: Diagnosis and Antimicrobial Therapy Selection
Special Considerations Critical Care in Pregnancy Neurological Support Critical Care in Infants and Children The Basics Basic Trauma and Burn Management Ethics in Critical Care Medicine
SKIll STATIONS Integrated Airway Management and Hypovolemic Shock Scenario Recognition and Assessment of the Seriously ill Patient Mechanical Ventilation Non-Invasive Positive Pressure Ventilation (NPPV) Integrated Hemorrhagic Shock Scenario Integrated Traumatic Brain Injury Integrated Sepsis Scenario Integrated Severe Sepsis Scenario
PESERTA Tenaga kesehatan yang bekerja di Emergency Department. Tenaga kesehatan yang bekerja di ICU. Dokter Spesialis. Dokter Umum. Fellow Critical Care. Resident.
FINAL ANNOUNCEMENT I 17
SERTIFIKAT Society of Critical Care Medicine (SCCM) yang belaku secara Internasional selama 4 (empat) tahun. Sertifikat PERDICI berakreditasi IDI.
REgISTRASI PENDAFTARAN :1. Membaca Tata Cara Pendaftaran di website PERDICI www.perdici.org2. Dapat menghubungi Sekretariat PERDICI : +62 21 29614393 / 68599155 / 36898231 - Fax: +62 21 29614393 / e-mail: [email protected] / [email protected]
BATAS WAKTU PENDAFTARAN Tercapai 35 orang peserta.
BIAYA PENDAFTARAN :Rp 4.000.000,- (empat juta rupiah) / orang
CARA PEMBAYARAN FCCS:Transfer ke :Bank MANDIRI - Cabang RS.Pusat Jantung Harapan Kita - JakartaAccount No : 116.00.0593235.6A/n : PERHIMPUNAN DOKTER INTENSIVE CAREBukti transfer dapat di fax / email to Sekretariat PERDICI:+62 21 29614393 / Email : [email protected] / [email protected] Attn. Mrs. Lily
TATA CARA PENDAFTARAN PESERTA KURSUS1. Peserta membayar biaya pendaftaran kursus ke bank sebagaimana tersebut diatas, baik melalui atm / menggunakan form
setor tunai.2. Bukti transfer di fax atau di email dengan menyertakan : a. Nama Lengkap beserta title b. Nomor Handphone c. Rumah Sakit / Instansi tempat peserta bekerja. d. Email. e. Khusus luar kota, mohon cantumkan juga alamat pengiriman buku.3. Peserta dianggap terdaftar sebagai peserta FCCS apabila telah melakukan pembayaran sebagaimana tersebut diatas.4. Bagi peserta FCCS yang telah membayar, akan mendapat Textbook FCCS (yang dipakai untuk belajar) dari Society Critical
Care Medicine, Amerika.5. Pembatalan/pengunduran diri dilakukan sebelum tanggal batas akhir pendaftaran, maka biaya registrasi akan dikembalikan
dengan potongan sebesar Rp 1.000.000,- (satu juta rupiah). Biaya pendaftaran tidak akan dikembalikan jika pembatalan / pengunduran diri dilakukan setelah tanggal batas akhir registrasi.
TATA TERTIB PElAKSANAAN KURSUS1. Peserta harus tiba dilokasi tepat pukul 7.30 untuk melakukan registrasi ulang dengan membawa Pas Foto berwarna 4X6
sebanyak 1 lembar.2. Pre-Test akan dilaksanakan pada pukul 08.00. Jika peserta datang terlambat, tidak diberikan perpanjangan waktu.3. Kuliah akan dimulai pada pukul 08.15 WIB, jika peserta terlambat maka yang bersangkutan tidak diperkenankan mengikuti
kuliah sampai dengan pelaksanaan kursus selesai, sehingga dengan demikian peserta tidak memenuhi jam kehadiran, berarti dinyatakan TIDAK LULUS.
4. Peserta wajib mengikuti Pre dan Post Test.5. Peserta wajib mengikuti seluruh kuliah dan skill station. Jika peserta tidak mengikuti 1 (satu) mata kuliah dan/atau 1 (satu) skill
station saja dianggap TIDAK LULUS dan yang bersangkutan dapat mengikuti kursus pada waktu dan tempat yang akan datang dengan membayar uang pendaftaran kembali.
6. Peserta kursus tidak diperkenankan mendokumentasikan slide dan soal-soal dalam bentuk apapun.
18 I FINAL ANNOUNCEMENT
REGISTRATION & ACCOMMODATION
HOW TO gET THE REgISTRATION FORM1. From our website: Download the PDF file of the updated Announcement by logged into http://www.geoconvex.com/upcoming
event/and click further to mentioned related event. Find the last pages of Announcement to print the Registration Form for fax purpose. You may also save the soft copy
in your personal PC for your perusal and further use.2. From our secretariat address: You may get the soft/hard copy of Announcement to be delivered to your email/ home address by sending the request
to [email protected] or SMS to +62811882080
HOW TO REgISTERRegistration By Fax1. Complete the Registration Form to the secretariat Fax address at 021.3153392 along with proof of payment (e.g. copy
of bank transfer slip). Photocopied forms are acceptable. 2. Payment Proof is strongly recommended to be done along with your Registration Form faxed submission.3. The Registration Form will not be acknowledged until the appropriate Payment Proof has been received to the Secretariat
by Fax to 021-3153392 as soon as possible, following the Registration Form submission.4. You may bring along your payment proof to proceed at the Re-Registration counter. Essentially, the name tag
issued is an initial confirmation of registrants. Fax of an official receipt is upon request to Secretariat address at 021.3149318 - 3149319.
Registration By EmailYou may submit your Personal and/or Group Registration by email to [email protected] along with the enclosed scanned payment proof as well as detail of personal data and participations.
Notification: For group registration from pharmaceutical companies as payers may contact the Secretariat email address for appropriate procedure.
REgISTRATION PAYMENTA. Bank Transfer
Bank transfer is strongly recommended rather than any other payment method. See event bank account in the mentioned Announcement.
Bank remittance must be paid by registrant, otherwise the registration receipt or badge will not be issued due to the less payment.
REgISTRATION BANK ACCOUNT FOR JOINT SYMPOSIUM
Bank Name : CIMB NiagaBranch : Kemang BranchAddress : Jalan Kemang Raya No. 4, Jakarta SelatanNo. Account : 253.01.00005.008Account Holder : PERDICI/ Global Echo Organizer Convex
B. Cash to Secretariat AddressCash may be paid directly to the Secretariat Address(s). Rooms and Workshops payments must be full paid in advanced due to secure the seat and bookings.
C. On Site Payment
On site payment shall be brought upon arrival either by Cash or Bank Draft. The Bank Draft is to be made payable to GEO convex. Please indicate your On Site Payment remark on the Registration Form. On site payment is only valid for conference registration, not eligible for workshops and rooms.
Please acknowledge that Organizing Committee reserve the right not to guarantee any on-site registrant obtain its complete Symposium documents nor materials that therefore we strongly encourage to make an urge Registration.
FINAL ANNOUNCEMENT I 19
Payment by Credit Card with EDC Machine will only be provided at the venue hotel during event by signing yourself authorization. The Credit Card transaction charges (if any) will be applied based on venue hotels regulation. The Organizing Committee holds no responsibility for any exchange rates applied by the Credit Card vendor when the statement converted into local currency.
REgISTRATION CONFIRMATION1. Registered participants will receive Registration Official Receipt (upon request) after the fees have been cashed and
effectively in the Event bank account.2. Registered Participants are strongly suggested to make Re-Confirmation due to incoming facsimiles and/or payment
made to our Registration Division.
Domestic Participant: Fax To: 021.3153392; Reconfirm To: 021.3149318 19 and 021.2305835 Mobile: 0811.88.2080
Registration re-confirmation especially for Course/Workshop and/or Room Reservation is a must due the availability of space. Organizing Committee reserve the right not to guarantee any unconfirmed Course/Workshop registration at the Event and the payment made will be returned by bank transfer only to the Payer Bank Account after the event.
CANCEllATION & REFUND POlICYREgISTRATIONNotification of the registration cancellation for workshop and scientific symposium must be made in writing or emailed to the Secretariat. Registration Fee is refundable with the following cancellation policy: One month before event 50% refund of fee paid On and after the date No refund No-show registration can not be refunded. ACCOMMODATION Hotel room rate is net for room only. Please note that official check-in time is 14.00 local time and check-out time is 12.00 local time. Approval of early
check-in and late check-out is at discretion of the hotel. No reservation will be made without full deposit of nights booking due to room availability. Any changes and cancellations regarding to room reservation in pre-registration period must be done in writing to the
Secretariat at least 168 hours prior to arrival. After the date, guaranteed payment for 1 night will be charged. No Show will be applied on the first night for delayed or postpone staying that causes the loss of 1 night room deposit
made. In the event of materialization, the hotel will charge the full amount duration of stay upon check-out that causes the
loss of mentioned deposit made.
Refund may only be made after event by bank transfer. Official letter should be submitted to Secretariat address mentioning its payers Bank Account.
REgISTRATION FEE INClUDE Name Badge & Symposium Kit. Name Badge MUST BE worn entering to all scientific sessions and lunch/break programmed by the Organizing
Committee. Symposium documents and materials (Proceeding Book and Note Pad) Admission to the function room, lunch programmed and scientific exposure from Pharmaceutical and Health-Care
Companies. Certificate of Attendance with IDI Accreditation will be issued for eligible participants at the last day of the Symposium.
RE-REgISTRATION SERVICEThe Re-Registration will be handed out to the participants from registration counters during the opening hours at 07.00 12.00 during the event dates.
ON SITE REgISTRATIONApplicants that not registered in event Registration List will be treated as New Registrants and will have to register on-site, for which only payment by Cash or Credit Card are accepted.
20 I FINAL ANNOUNCEMENT
Note
FINAL ANNOUNCEMENT I 21
Note
22 I FINAL ANNOUNCEMENT
Note
FINAL ANNOUNCEMENT I 23
PRE-SYMPOSIUM FEE ( kindly appropriate circle/box)Workshop Registration, 05-06 November 2015
ESPEN LLL Programmes in Nutrition and Metabolism IDR 4.000.000
Technique of Enteral & Parenteral Nutrition IDR 3.000.000
Mechanical Ventilation: From Basic Theory to Clinical Practice IDR 3.000.000
Fluid Therapy, Electrolyte, and Acid Base Balance IDR 3.000.000
Basic Assessment & Support in Intensive Care (BASIC Course) IDR 3.000.000
Note: FCCS are regular courses coordinated by ISICM Secretariat, therefore the direct registration is recommended to (021)29614393; 36898231, 68599155 CP. Ms. ADE for further detail updated due to the limited seats.
PARTICIPANT (Kindly completed)Full Name & Title : ___________________________________________________________Institution : ___________________________________________________________Home Address : ___________________________________________________________City / Post Code : ___________________________________________________________Phone (Mobile) : _______________________ Fax : ______________________________Email : ___________________________________________________________
SPONSOR (Kindly completed if any)Full Name & Position : ___________________________________________________________Company / City : ___________________________________________________________Phone (Mobile) : ________________________ Fax : _____________________________Email : ___________________________________________________________
WORKSHOP REGISTRATION
6th National Annual Meeting of Indonesian Society of Intensive Care Medicine (ISICM) 4th National Annual Meeting of Indonesian Society of Parenteral and Enteral Nutrition (INASPEN)
05-06, 07-08 November 2015HYATT REGENCY HOTEL BANDUNGREGISTRATION & ACCOMMODATION FORM - A
CASH TO SECRETARIAT ADDRESS
ON SITE
CONFIRMATION TO:Global Echo Organizer ConvexJl. Kebon Sirih Timur Dalam No. 4 Jakarta PusatPhone : +6221- 2305835/3149318/3149319Fax : +6221- 3153392Mobile : +62811882080Email : [email protected]
PAYMENT BY BANK TRANSFER IN FULL AMOUNT TO EVENT BANK ACCOUNT
REGISTRATION BANK ACCOUNT Account Holder (Beneficiary) : PERDICI/Global Echo Organizer ConvexNo. Account : 253.01.00005.008Bank Name : CIMB NiagaBranch : Kemang Branch
24 I FINAL ANNOUNCEMENT
CASH TO SECRETARIAT ADDRESS
ON SITE
CONFIRMATION TO:Global Echo Organizer ConvexJl. Kebon Sirih Timur Dalam No. 4 Jakarta PusatPhone : +6221- 2305835/3149318/3149319Fax : +6221- 3153392Mobile : +62811882080Email : [email protected]
PAYMENT BY BANK TRANSFER IN FULL AMOUNT TO EVENT BANK ACCOUNT
REGISTRATION BANK ACCOUNT Account Holder (Beneficiary) : PERDICI/Global Echo Organizer ConvexNo. Account : 253.01.00005.008Bank Name : CIMB NiagaBranch : Kemang Branch
PARTICIPANT (Kindly completed)Full Name & Title : ___________________________________________________________Institution : ___________________________________________________________Home Address : ___________________________________________________________City / Post Code : ___________________________________________________________Phone (Mobile) : _______________________ Fax : ______________________________Email : ___________________________________________________________
SPONSOR (Kindly completed if any)Full Name & Position : ___________________________________________________________Company / City : ___________________________________________________________Phone (Mobile) : ________________________ Fax : _____________________________Email : ___________________________________________________________
REGISTRATION & ACCOMMODATION FORM
HOTEL RESERVATION
HOTEL NAME ROOM TYPEROOM RATE
Rate in Net/Room/Night Single Basis, Include Max 2 Breakfast
HYATT REGENCY BANDUNG Deluxe Room IDR 1.100.000
SYMPOSIUM REGISTRATION FEE ( kindly appropriate circle/box)
Joint Symposium Registration, 07-08 November 2015 EARLY BIRDBefore 30 Sep 2015NORMAL
After 30 Sep 2015
Nutritionists/Pharmacists/Nurses/Health Practitioners/Trainee/Student IDR 500.000 IDR 750.000
General Practitioners IDR 2.000.000 IDR 2.500.000Special ists IDR 2.750.000 IDR 3.500.000
Check-In Date
Total Night(s) :
Total Accommodation Payment: IDR
Check-out Date
6th National Annual Meeting of Indonesian Society of Intensive Care Medicine (ISICM) 4th National Annual Meeting of Indonesian Society of Parenteral and Enteral Nutrition (INASPEN)
05-06, 07-08 November 2015HYATT REGENCY HOTEL BANDUNG REGISTRATION & ACCOMMODATION FORM - B
INDONESIAN SOCIETY OF INTENSIVE CAREMEDICINE (ISICM)Apartemen Menteng Square - Tower A 3rd Floor Unit A0-11Jl. Matraman Raya No.30 Jakarta PusatPhone : (021) 29614393, 36898231, 68599155Fax : (021) 29674393Email : [email protected] : www.perdici.orgPIC : Ade Syariah +6221 6859 9155
SECRETARIAT
INDONESIAN SOCIETY OF PARENTERAL &ENTERAL NUTRITION (INASPEN)Main Building, 5th Floor Gatot Subroto Army HospitalJl. Abdul Rahman Saleh 24, Central Jakarta
DEPARTMENT OF ANESTHESIA ANDINTENSIVE CAREFaculty of Medicine Padjadjaran University,Hasan Sadikin General Hospital BandungJl. Pasteur 38, BandungPhone: (022) 2038285 Fax: (022) 2038306PIC: Mrs. Tini Rohijah
Co- OrganizerGlobal Echo Organizer ConvexJl. Kebon Sirih Timur Dalam No. 4Jakarta Pusat 10340Registration Hot Line: +6221 2305835/3149318/3149319/0811882080Fax : +6221 3153392Email : [email protected] : www.geoconvex.com
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