A Report on 20th Annual Conference of Indian Society of Neuroanaesthesiology and Critical Care (ISNACC 2019)

Shruti Redhu, MD, PDCC
Virendra Jain, MD, DM
Hari Hara Dash, MD
Department of Anaesthesiology and Pain Management
Fortis Memorial Research Institute (FMRI)
Gurugram, Haryana, India

The 20th Annual Conference of the Indian Society of Neuroanaesthesiology and Critical Care (ISNACC), ISNACC-2019, was organised at the Hotel Leela Ambience, Gurugram from 15-17 February, 2019. It was organised by the leading hospitals of Gurugram, a well-coordinated effort by Fortis Memorial Research Institute, Medanta-The Medicity, Artemis Agrim Institute of Neurosciences and Paras Hospital, Gurugram with Professor Hari Hara Dash as the Organising Chairman, and Dr. Virendra Jain as the Organising Secretary.

International speakers at ISNACC 2019 meeting: A) Dr. Ravi Mahajan (UK); B) Dr. Federico Bilotta (Italy) is being felicitated by Dr. H Venkatesh (President ISNACC) for delivering Malathi memorial oration; C) Dr. Martin Smith (UK); and D) Dr. Ines Koerner (USA).

The theme for the conference was “Evolving Frontiers in Neuroanaesthesia and Neurocritical Care” to keep abreast with the latest development and technology made in the field of Neurosciences. National and International stalwarts in the field of Neuroanaesthesia graced this conference with their esteemed presence. Around 300 delegates were in attendance for the event. The three-day academic feast was preceded by one and a half days of Acute Neurocritical Care workshops under the aegis of ISNACC and was attended by 24 candidates. The pre-conference also included workshops on mechanical ventilation and advanced ultrasound.

The first day of the conference began with a session on basic sciences with distinguished speakers. Dr. Martin Smith spoke on Biomarkers of cellular injury and death in acute brain injury. The next session included talks on electrophysiology, which covered topics on epilepsy surgery and heart/brain interactions, followed by a session on recent advances in neuroanaesthesia. The Dr. Malathi memorial oration was delivered by Dr. Federico Bilotta on “Insulin and Brain: Neurocognitive Outcome.”

Post lunch sessions included "Neuroanaesthesia Techniques and Beyond," in which elaborate discussions on ERAS protocol in neu"‘Neuroanaesthesiology in Asia: How We Stand as a Growing Super Speciality?" with Dr. V. Ponniah as the moderator and eminent panellists from across Asia. Next was the video session on a variety of relevant topics. The subsequent session dealt with “Stress Management in Neurosurgical OR” and featured a pro-con debate on “TBI: Evidence-based Practice vs. Precision Medicine” and use of GA vs LA for endovascular treatment of stroke. The day ended with the inaugural function of the distribution of certificates to the post-doctoral fellowship students of neuroanaesthesia and neurocritical care; trained under various accredited hospitals nationwide. It turned out to be a highly peaceful and spiritual evening with Sister BK Shivani as the chief guest of honour; delivering a motivational talk for healthcare givers on “Heal the Healers.”

Simultaneously, quiz preliminary rounds and E posters were presented in another hall followed by the workshop on neuromonitoring. The scientific session on the second day commenced with a session on paediatric neuroanaesthesia. Next were SNACC Panel/Neurocritical Care presentations which included “Post ICU Syndrome After Neurological Illness,” “Nutrition and Microbiome in Neurocritical Care” and “Recent Advances in Neuromonitoring in Neurocritical Care” by SNACC speakers Dr. Bhiken Naik, Dr. Ines Koerner and Dr. Ugan Reddy respectively. This was followed by a session on “Beyond Neuroanaesthesia” which featured reputable speakers.  Dr. Ravi Mahajan delivered a talk on “Perioperative Outcomes: Are We Any Wiser?” Professor Hariwir Singh Oration was then delivered by Dr. Kwek Tong Kiat on “Asia: Brain Death and Organ Donation: Time to Catch Up.” Next was a panel discussion by Dr. Rajiv Chawla on research and scientific paper writing – “How to Encourage Good Clinical Research?” which was aptly discussed by distinguished panellists. An interactive session on “Controversies in Management of ICH” was presented by Dr. Saurabh Anand as the moderator and further made interesting by input from the panellists. This was followed by a “How I Do It” session on day-to-day situations in Neuroanaesthesia. A panel discussion on very a important and relevant topic, “Neurorehabilitation: Touch of Compassion” was well-appreciated. Simultaneously, quiz finals and E poster presentations were conducted in another hall followed by the advanced airway workshop. The day ended with the general body meeting.

The last day began with the presentation of the award-winning papers by delegates. The first session had interesting lectures on “Paroxysmal Sympathetic Hyperactivity and Positioning in Neurosurgery: How Finicky We Can Be?” An interactive session on “Patient Interaction, Counselling, Documentation in Neuro ICU: How to Improve” was conducted by Dr. Harsh Sapra. This was followed by a brainstorming discussion on case-based scenarios in the neurointervention suite. The Professor Gode Oration was delivered in the most impressive manner by Dr. Shashi Shrivastava on “Pioneering Role of Women in Developing Neuroanaesthesia as a Specialty in India”.

There was an overwhelming response in E posters with 76 contributions; 36 were original articles. The conference concluded with the valedictory function and prize distribution to the winners of the E poster and quiz. The Organising Secretary thanked the organising team for their unconditional support towards making the conference a grand success and thanked all the delegates and faculty for their active participation. The event was highly appreciated by all delegates, national and international faculty.

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