Post Graduate Course

Asian Pacific Society of Respirology Congress Manila 2025 POST GRADUATE COURSES

 

Postgraduate Course Director: Dr. Albert Albay
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 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		 Prof. Pyng Lee (National University Singapore)
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 from IP Council of PCCP:
Dr. John Noel Chan
Dr. Joven Roque Gonong
Dr. Blake Warren Ang
Dr. Julie 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. Rioloida Diola

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

  • 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

  • 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.

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.
 Local Faculty:
  • Dr. Ma Paz Mateo
  • Dr Cristina Uy
  • Dr Aileen Banzon
  • Dr. Duhel Cuyacot
11:00 - 12:00 NN NIV Hands On Workshop

Each Station will be allotted 15 mins

Station 1: Initiating NIV: ICEMAN Methodology

  • 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

  • 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.

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.
 Local Faculty:
  • Dr. William Del Poso
  • Dr. Cesar Ligo
  • Dr. Christopher Cortez
  • Dr. Ronald De Roxas

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 Pulmonary Rehabilitation: Challenges of Setting Up a Comprehensive Program in the Asia Pacific Region
  • 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, scchan@ummc.edu.my
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, lamsp@ha.org.hk, hkarm.secretary@gmail.com
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
  • -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