Post Graduate Course

Asian Pacific Society of Respirology Congress Manila 2025

POST GRADUATE COURSES

 

Postgraduate Course Director: Dr. Albert Albay Jr
PG Course 1 (POCUS) Head: Dr. Ralph Elvi Villalobos
PG Course 2 (Crit Care) Head: Dr. Maria Paz Mateo
PG Course 3 (PR and CPET) Head: Dr. Percival Punzal

 

PG COURSE 1:  Point of Care Chest Ultrasound

Lung Ultrasound Postgraduate Head: Dr. Ralph Elvi Villalobos

Co-Head: Dr. Rioloida Diola

Members:

Dr. Joven Roque Gonong

Dr. John Noel Chan

Dr. Julie Visperas

Target:  Max 100 participants

Programme:

Time Activity Objectives Speaker
8:00 - 8:30 AM Registration Registration Postgraduate Committee Members
8:30 - 9:00 AM Introduction to the Course 1. Introduction to the course including objectives, course outline, breakout sessions, groupings, and course evaluation Dr. Ralph Elvi Villalobos and Dr. Rio Diola
9:00 - 9:30 AM General Principles of Chest Point of Care Ultrasound 1. Brief history of chest ultrasound and early applications
2. Mechanisms and physics of ultrasound
3. Technical aspects – knobs, controls, probes, modes, settings
4. Indications and current evidence for chest POCUS
5. Patient identification, preparation, and performance		 Dr. Nai-Chien Huan (Queen Elizabeth Hospital, Malaysia)
9:30 - 10:15 AM The Chest Ultrasound Syndromes: How to recognize and approach a patient with respiratory complaints  1. Introduction to lung ultrasound syndromes/protocols
2. Practical examples and differentiation
3. Current evidence and clinical guidelines		 Dr. Yao Wen Kuo (National Taiwan University)
10:15 - 10:30 AM SNACKS  
10:30 - 11:00 AM Basic Critical Care Ultrasound Part 1: Cardiac and Vascular POCUS 1. Introduction to cardiac ultrasound for critically ill
2. Vascular ultrasound in critical care
3. Evidence and clinical guidelines
4. Step-by-step demonstration and interpretation		 Dr. Jose Donato Magno (ASEAN Society of Echocardiography)
11:00 - 11:30 AM Basic Critical Care Ultrasound Part 2: Hemodynamic Assessment 1. Applications in hemodynamic assessment
2. Update on evidence and guidelines
3. Techniques, interpretation, and clinical implications		 Dr. Marie Charisma Laborte (Lung Center of the Philippines/University of Toronto)
11:30 - 12:00 PM Introduction to Ultrasound-guided Pulmonary Procedures 1. Discussion of pleural pathologies
2. Pleural and pulmonary interventions with ultrasound
3. Steps in chest drain insertion and pleural biopsy		 Dr. Nai-Chien Huan (Queen Elizabeth Hospital, Malaysia)
12:00 - 1:00 PM LUNCH  
1:00 - 4:00 PM Stations
A. Basic Chest Ultrasound Operation
B. Basic Cardiac and Vascular POCUS
C. Hemodynamic Assessment in Critically Ill
D. Chest Drain Insertion (2 stations)		 Each station includes:
- Theory review
- Facilitator demonstration
- Return demonstration by participant
- Feedback

*** Stations A, B, C use healthy volunteers; Station D uses lung model.		 Facilitators:
Dr. John Noel Chan
Dr. Joven Roque Gonong
Dr. Blake Warren Ang
Dr. Julie Christie Visperas
Dr. Richard Arthur Villaluna
Dr. Nai-Chien Huan
Dr. Yao Wen Kuo
Dr. Jose Donato Magno
Dr. Marie Charisma Laborte
Prof. Pyng Lee
4:00 PM Course Evaluation and Feedback  

PG COURSE 2: CRITICAL CARE – Noninvasive Respiratory Support

Critical Care Post Graduate Course Head: Dr. Maria Paz Mateo

Co-Head: Dr. William del Poso

Members:

Dr. William Del Poso

Dr. Aileen Banzon

Target: 50-75 participants

Programme

Time Activity Objectives Speaker
8:00 - 8:30AM Registration Registration Postgraduate Committee Members
8:30 - 9:00AM Introduction to the Course Introduction to the course including objectives, course outline, breakout sessions, groupings, and course evaluation Dr. Ma. Paz Mateo
9:00 - 9:30 AM Management of Acute Respiratory Failure with High Flow Nasal Cannula
  • Discuss the mechanisms of high flow nasal cannula therapy and review the latest clinical evidence supporting its use in acute respiratory failure.
  • Discuss the indications and contraindications for the use of HFNC in various patient populations, including those with post-operative respiratory failure, pneumonia, and COPD exacerbations.
  • Discuss best practices for the implementation of HFNC in clinical settings, focusing on patient selection and monitoring for efficacy and safety.
  • Discuss ongoing research and future directions for HFNC therapy, including potential innovations in technology.
 Dr Ma. Encarnita Limpin (Philippines)
9:30 - 10:00 AM Management of Acute Respiratory Distress Syndrome with Non-Invasive Ventilation
  • Discuss the underlying mechanisms of acute respiratory distress syndrome and how non-invasive ventilation can impact gas exchange and respiratory mechanics.
  • Discuss the latest clinical evidence and guidelines regarding the effectiveness on NIV in patients with ARDS, including outcomes related to mortality, length of hospital stays, and intubation rates.
  • Discuss appropriate patient selection for NIV, including potential contraindications, and the criteria for initiation and continuation of therapy.
  • Discuss and evaluate common challenges, complications, and patient tolerance associated with NIV in ARDS patients, as well as strategies to mitigate these issues.
  • Identify gaps in the current literature and potential advancements in NIV technologies and applications.
 Dr. Chen Wei-Cheng (Taiwan)
10:00 - 11:00 AM HFNC Hands On Workshop

Each Station will be allotted 15 mins

Station 1: Basic Principles of HFNC and Patient Selection

Facilitator: Dr. Aileen Banzon

At the end of the session, attendees will be able to:

  • Discuss the mechanism of action and physiological benefits of dead space wash-out and PEEP effect.
  • Demonstrate knowledge of an HFNC system: flow generator, air-oxygen blender, humidifier, heated tubing, and nasal cannula.
  • Demonstrate knowledge of conditions where HFNC is beneficial: COPD, pneumonia, bronchiolitis, post-extubation care, heart failure, and pulmonary edema.
  • Demonstrate knowledge of the contraindications for HFNC: severe facial trauma, aspiration risk, altered mental state, and severe airway obstruction.

Station 2: Device Set-up and Operations

Facilitator: Dr. Portia Maria Tanyag

At the end of the session, attendees will be able to:

  • Select the appropriate nasal cannula size
  • Demonstrate knowledge in setting the flow rate and FiO2 based on patient needs.
  • Monitor patient response during HFNC therapy.

Facilitators for Stations 3 and 4: Dr. Maria Paz Mateo, Dr. Jan Christian Feliciano, Dr. Dehuel Cuyacot, Mr. James Pastorin

Station 3: Potential Complications and Troubleshooting

At the end of the session, attendees will be able to:

  • Recognize and address complications such as nasal discomfort or irritation and excessive build-up of secretions.
  • Recognize and address signs of worsening respiratory status requiring escalation of care.

Station 4: Hands-on Practice with HFNC Devices

At the end of the session, attendees will be able to:

  • Familiar with different HFNC machines.
  • Demonstrate proper set-up and patient application of the nasal cannula.
  

 

 
11:00 - 12:00 NN NIV Hands On Workshop

Each Station will be allotted 15 mins

Station 1: Initiating NIV: ICEMAN Methodology

Facilitator: Dr. William del Poso

At the end of the session, the attendee will be able to:

  • Properly select patients for initiation of NIV.
  • Familiar with the machine, modes, and settings.
  • Discuss potential complications and its management.
  • Formulate decision regarding weaning from NIV.

Station 2: Indications and Contraindications through Clinical Case Studies

Facilitator: Dr. Milraam Quinto

At the end of the session, the attendee will be able to:

  • Identify patients who could benefit from NIV, including those with COPD, neuromuscular disorders, and acute respiratory failure.
  • Analyze real-life scenarios where NIV is used.

Facilitators for Stations 3 and 4: Dr. Christopher Cortes, Dr. Vincent John Omo, Ms. May Abenojar, Mr. Ephraim John Torres

Station 3: Equipment Demonstration

At the end of the session, the attendee will be able to:

  • Familiar with different types of NIV machines and their features.
  • Properly select mask and interface based on patient anatomy and needs.
  • Set up ventilator parameters such as pressure support, PEEP, and respiratory rate.

Station 4: Hands-on Practice with NIV Devices

  • At the end of the session, the attendee will be able to:
  • Fit masks on simulated patients or volunteers.
  • Initiate and adjust NIV settings on a ventilator simulator.
  • Troubleshoot common issues like leaks, discomfort, and patient intolerance.
  

POST GRADUATE COURSE 3: Pulmonary Rehabilitation and Cardiopulmonary Testing (CPET) - The Current Asian Perspectives

Pulmonary Rehabilitation Post Graduate Course Head: Dr. Percival Punzal

Target: 50 - 75 participants

Time Activity Objectives Speaker
12:30 - 1:00 PM Registration Registration Postgraduate Committee Members
1:00 - 1:30 PM Bridging the Gap: Regional Adaptation of Pulmonary Rehabilitation to Reduce Health Inequities in the Asia-Pacific
  • Discuss the essential components of a comprehensive pulmonary rehabilitation program
  • Present the barriers and challenges in implementing a pulmonary rehabilitation program in the Asia-Pacific region
  • Share experiences in developing strategies to overcome the challenges encountered

Soo Chin Chan.MD

Dept of Rehabilitation Medicine, University of Malaya Medical Centre, Kuala Lumpur, Malaysia
1:30 - 2:00 PM

Pulmonary Rehabilitation beyond COVID Pandemic: Emerging Models 
  • Describe the emerging models of pulmonary rehabilitation for patients with chronic respiratory diseases
  • Share experiences on the implementation of optimal access to pulmonary rehabilitation

Siu Pui Lam. MD

Dept of Rehabilitation & Extended Care, TWGHs Wong Tai Sin Hospital, Hong Kong
2:00 - 2:30 PM In-patient Pulmonary Rehabilitation: Evidence of Safety and Efficacy
  • Discuss the evidence supporting the role of pulmonary rehabilitation for patients in confinement
  • Discuss assessment and rehabilitation strategies for in-patients with chronic respiratory diseases

Percival Punzal, MD

Sec. of Pulmonary Rehabilitation, Philippine Heart Center, Quezon City, Philippines
2:30 - 3:00 PM Cardiopulmonary Exercise Testing (CPET): What Healthcare Professionals Need to Know
  • Discuss physiologic response to exercise
  • Discuss the role of CPET in pulmonary rehabilitation
  • Provide practical knowledge on the interpretation of CPET

Bernice Ong – Dela Cruz, MD,

Sec. of Pulmonary Medicine, Chinese General Hospital and Medical Center, Manila, Philippines
3:00 - 4:00 PM Clinical Case Discussion
  • Conduct interactive case discussions regarding assessment and management of patients enrolled in pulmonary rehabilitation
  • Case 1 – COPD case referred for out-patient pulmonary rehabilitation
  • Case 2 – Interstitial Lung Disease (ILD) case referred for outpatient pulmonary rehabilitation
  • Case 3 – COPD case referred for inpatient pulmonary rehabilitation
 Panel:
  • -Soo Chin Chan.MD
  • -Siu Pui Lam. MD
  • -Percival Punzal, MD

Case Presentor:

Bernice Ong – Dela Cruz, MD

Moderator:

  • -Celeste Mae Campomanes, MD
4:00 - 4:30 PM Demonstration of CPET   Facilitators:
  • Nikko John Dalisay MD
  • Gemma Betos RTRP
  • Karen Claridad Yano MD
  • Rizza Paz Frankenberger, RTRP