= 2 aE ¥ Indoanesthesia 20 Geena ee roan r. ee ee February 23*= 25%, 2017 Cec io aI Inge ee Lee BCR hee tes Sem UE eels h 1 Py CU DCU ree aU (Eee aA 1 5 Indonesian Society of Regional Anesthesia credit uae 6 Lee tc od@ iiss @™ WFSA eeidoanesthesia "201 7 The Stones Hotel- Legian, Bali, Indonesia | 22-25 February 2017 = _ © oc @ @ Esa CONTENTS 1 Important Date & Greeting 2 Indoanesthesla 2017 Committee ~ 2 | Indoanesthesia 2017 Congress Information 3. | Abstract Submission E-poster Presentation 4 | Pre Congress Workshop 6 | Peripheral Nerve Entrapments Ultrasound Guided Injection 8 | Enhanced Recavery After Surgery (FRAS) 9 | Advanced Vascular Access (AVA) 10 | Low Flow Anesthesia Workshos 11 | High Risk Obstettic Firedrills Workshop 12 | Ultrasound Application In Obstetric Anesthesia 13 | The Teachers’ Workshop 14 | The 1" World Congress Of Anesthesia On Obstetric Scientific Program 17 | Indoanesthesia 2017 Scientific Program 39 | indoanesthesta 2017 Faculty 19 | Weao Faculty 20. | Registration And Accommodation Information aa | Exhibitor Uist Registration Farm Accommodation Formre BE @ 2 @ 6 a» "Andoanesthesia 2017 The Stones Hotel - Legian, Bali, Indonesia | 22-25 February 2017 SOAR” Oy get, 080 ge) e1Caro @ @ Sz ESA tthe miisisivésewe | |MIPORTANT DATES A ranting @| bedonesion Society of lari Anesthesia @ Pre congress Workshop: @ E-Poster h February 22 - 23%, 2017 February 23% - 25°, 2017 B14? crates aa © Symposium ® Exhibition February 23-25%, 2017 February 24-25%, 2017 464) 6 nero Amulet Indonesian Secety Coal Care Anstoesiologits Dear friends, Every year, Indoanesthesia makes the habit of getting together.a group of leading experts in WE LCOME the field of anesthesia as part of our commitment in keeping the enthusiasm of our growing: number of participants alive, As indoanesthesia continues to receive unfailing support from WE SSAVGB _ itslovl speakers and participants, and we are proud to say that we are expanding even further. The year2017 will be a particularly exciting year for us, as our annual 14 indoanesthesia meeting will be in conjunction with the 1* World Congress on Anesthesia for Obstetrics (WCAO). The event will take place in Bali, on February 22.254 2017. Distinguished speakers and experts from prominent anesthesia societies around the world will gather and share their updated knowledge on the field of Obstetric Anesthesia as well as Matemal and Neonatal Critical Care to. the international audience. Supported by the likes of Seciety for Obstetric Anesthesia, Obstetric Anesthetist Astociation, Obstetric Anesthesia Seciety Asia Oceania, African Obstetric Anesthesiologist, Latin America Obstetric Anesthesiologhts, Club Anesthesie-Reanimation en Obstetrique, Association of Obstetric Anaesthesiologists, Obstetrical Anesthesiologists Intensivists Association, European Society of Anaesthesiology and the World Federation of Societies of Anesthesiologists, participating in this event will allow your institution to engage at the frontline idea-sharing of Obstetric Anesthesia. Your support for Indoanesthesia would also signify a bond to a brand with a long history of fruitful meetings, Please come and join us build this event together. We look forward to see you participating and enjoying the meeting and congress with us. Warm regards, Ss Susilo Chandra, MD, FRCAIndoanesthesia 201 hg "The Stones Hotel Leptin, al ledonea| 22-25 Fany 3017 Indoan CHAIRMAN SECRETARY SCIENTIFIC COMMITTEE 7 |@ Seen esthesia 2017 committee Susilo Chandra Arif HM Marsaban | Ketut Sinardja * Eddy Harijanto * Darto Satoto * Made Wiryana Indoanesthesia 2017 congress Information Dare VENUE, HOSTED BY RELATED CONFERENCE GFFICIAL LANGUAGE SECRETARIAT February 22"- 25", 2017 The Stones Hotel ~ Legian Bali, Autograph Collection » Indonesian Society of Obstetric Anesthesia * Indonesian Society of Regional Anesthesia and Pain Medicine + Indonesian Saciety of Critical Care Anesthesiologist The 1" World Congress of Anesthesia on Obstetric English (No simultaneous translation will be provided) PT GPD Indonesia JI, Kebalen V No.24A, Kebayoran Baru, Jakarta Selatan 12180 Phone: (+62 21) 722 9339, 725 4424 Fax: (+62 21) 739 6261 Email: erlin@gpdindonesia.com - Contact Person : Erlin (+62 8111 332 664) New HorizonsSOUPY Gye 060. te. | erCaro @ @ 2 ESA ae exten Soper eae Abstract Submission and E-Poster Presentation The Organizing Committee is pleased to invite submission of abstracts to be presented at The 14 International Annual Meeting of Indonesian Society of Obstetric Anesthesia Indonesian Society of Regional Anesthesia and Pain Medicine - The 6* indonesian Society of Critical Care Anesthesiologist-The 1" World Cangress of Anesthe- sia on Obstetric. Please rote the following general guidelines for E-Poster: 1. The format of the E poster must be JPEG format, portrait, resolution 1920x768, Yaur file must be compatible with a PC. 2. Seek simplicity but informative, don't overload the poster. Keep text to a minimum and avoid redundancies 3. Use 500 to 1000 words (including title, figure legends and tables), graphics such as figures and tables can effectively convey more information than text, and should caver not more than 50% of the poster area 4. The titleoftthe poster should be in capital letters 5, The name of the author/researcher without any acedemic title 6. Use 2columns in the poster 7, Use a constant font throughout the poster 8, The systematic layout consists of = Introduction : the background of your study/case report and the objective/aims/hypothesis ~ Methodology (for research study) ~ Result = Brief discussion Conclusion: should directly address or answers the objective/aims/hypothesis = References There will be a short oral presentation of your poster to be presented at determined time (see the schedule ‘ime) during the official Epaster discussion. Each presentation should not exceed 5 minutes. E-Poster will be displayed on February 23“ - 25", 2017 start from 08,00 until 17.00, The winner will be announced after lunch symposium on February 25°, 2017. ‘Submitter may provide handouts of your abstract / poster {with your addresses) to your interested readers, it may facilitate future research communication You are requested to upload your E-poster and abstract before 31 January 2017, via email at indoanestesiaégmailcom / nies_yasmingyahoocom with a subject line : E-Poster Submission_YourName.L's ciIndoanesthesia 2017 | ® sttcns @ "The Stones Htal Legh, Sal lndonea| 72-25 Fay 3017 @ 1 Miwesa Pre Congress WEDIESDAY, FEBRUARY 22°", 20775 JUNIOR BALLROOM 2 THE STONES HOTEL REGISTRATION REREGISTRATION OPINING. “OPENING. Advance Vascular Access (AVA) Peripheral Nerve Entrapments Ultrasound Guided Injection ( February 22% - 234, 2017 ) Objective: 1. know using ultrasound guided injection 2. know diagnostic peripheral nerve entapments. 3. know sono anatomi nerve great occipital, third occipital, dorso scapular, long toraxic nerve, supra scapular, axiler, medianus, radial, ulnaris, intercestal hipegasirc, genetotemoral, lateealfemorale nous, ischiadicus, obturator, pudendal, genicular, common perineal profunda, common perineal suport saphenous and sural nerve entrapments Enhanced Recovery After Surgery (ERAS) ( February 22", 2017) Objectives 1. To promote a philosophy of quality of care for patients amongst Anaesthetists ns with practical experience and strang support to help enhance recavery for their patients. 3.To give confidence to these starting to implement change to simplify anesthetic practice Advance Vascular Access (AVA) ( February 22°4, 2017 ) Objective: Indoanesthesia safety placement of vascular access is one day workshop which Combined knowledge and skilled in appropriate behavior in putting vascular a5 end point program. We hope after this programme our participant will change their routine practice in putting vascular access and will be the pionser alse in changing procedure in their hospial environment, To meet these purposes we planned to invite anesthesiologist who in daily practices not only applying vascular access management, but also as teacher in educational centre or having authority to create standard operational procedure from managerial perspective, We hape with this approach from participant aspect, we will have enough srow ball impact and can be followed by another programme in tem TOT workshop. el 2.To provi New Horizonsee 08 eG) erCaro @) @ ESA Workshop JUNIOR BALLROOM 2 MEETING ROOMS, THESTONES HOTEL SEE fearon eo THe STONES HOTHL ALALCISTRATION E-REGISTRATION REALEISTRATION RE-REGISTRATION ‘OPINING. ‘OPENINE OPININ OPENING 030-1033 (340. 1800 Master-class.on Master-class on The High Risk Obstetric Thoracic Paravertebral Recent Refinements Teachers? Firedrills Workshop Block for Surgical in Brach Workshop: Anesthesia during, Plexus Block the Major Breast Cancer Costoclavicular Gaur Diseetor: Surgery Approach Caton iritor ids Ht ig dap Be atl Course Coordinator: Courie Ditwctor: Mare) KR Karrnsal ar Coenrye Cem at: Allan Mabel Nugbo apt 4 Wn B Cverse Cooncinasar Pryambocton Low Flow Anesthesia Workshop | February 23", 2017 ) Objsetice stop by step, patient safe, economical and enviranmemtally friendly High Risk Obstetric Firedrills Workshop ( February 23", 2017 ) Objectives 1. to enhance better understanding that management of emergencies in the labour and delivery floor requires concerted effort of a teamwork 2. 10 emphasize effective communication skills form the cornerstone of managing obstetric emergencies cifectively 3. to promate transier of knowledge through team training and discussions Ultrasound Application in Obstetric Anesthesia ( February 23", 2017 ) Objective: Utilize ultrasound as a suppott in Perioperative Obstetric Anesthesi The Teachers' Workshop ( february 23", 2017 } Objective: This workshop is address theaching methods ane! thei troduced the participants to the concept af good impaet in anesthesia education, in Obstetric Anesthesia and Critical CareSidoanesthesia2017 [Been @ O™ @ 4A @R|WESA The Stones atl Legh, Sal ln} 22-25 Fiany 2077 PERIPHERAL NERVE ENTRAPMENTS ULTRASOUND GUIDED INJECTION Tie 07.49 08.00 VaR ORTS 8.15 - 09.00 Hae OTT 09.15 ~ 09.40 onto aay 09.45 - 10,15 09.45 - 10.00 10.00. 10.15 joe es S015. 1030 iona toy 1045-115 1045 11.00 11.00 -15.18 GNF Dts ve Had Atte 185-1215 11.45 -12,00 12.006 12.15 ew 13.00- 16.45 RETTIG BIMC NUSA DUA HOSPITAL, Wednesday, February 22", 2017 PROGRAM REGISTRATION Weleeneinacth PRETEST Hist, pjaick and application Hf mesewtonkiclda uinasonanid in inleraned pain mnatment FPeriphoral nerve entiapmeats syrdreme ‘COMTE BRESK HEAD AND NECK (great oceipita, third aceipital, doese scapular, longthoraxic, supra orbita, inira orbita and mental nerve enirapenents) Pathologyiproblems (greataceipitil, thindoccipital, dono scapular, longthoracc, supracebita, infra odbita and menial nerve entrapment) Seanning technique, greatoccipital thirdoccipstal, dorsoy scapular, Songthorasic, supranihita, infra orbita andmental nerve entrapmnents and injection techniques temo) [UPPER TIE (iene cupyaseapulirisy wilaric mela ius radial ond ulnaris nerve oni penent) Fage'cotiman pathologylprodsienss serve sugirarsespulirs, Avie ieeelaines tadile and Ulbiatis nenerenteap Frcht oral Ulnar port Galfaprien! SGaaning Heh sipie sin anette Cail thawed sain WF the Elbo Aopen sapien) pels pmeefatis relalh aid winurls ac-ve entrant aod an eh dorm TRUNK (Invercostalls, fio inguinal, ilabipogasirie, genet femoral nerve entrapanentsy Basic pathology/problems, intercostals, i Phagnoic and braced examination af intercostal. sles ing eptrapmen's aad injection techniques idero} Mi dateral fewial Cuteniows, gat ldurator aed ncbhalcan Herve ev apr Basie common pathilogypecblims Tateralfericral cstarieus, putoradat ebsteravoy and gehuulins nerve enivap- moentein the hip Diagpinis ane ulsseoupd examination of lateral fomyal cwtinous, putends|, elyeurator ard fchiuekeus new bbinzaperens the hip and injewsion techniques ern) inguinal, ilish pogasiticand gene to femoral nerve entrapimenis 1, linhipagaerie, andl genete lemoeal nerve KNEE and Ankle (Geniculer, common perineal profunda, comman perineal superficial, and saphcoaus nerve eatrapesents) asic common pethology/prablems in the knee (genicular, common perineal profurda, commanperineal supert/- alls Posteri, sural and siphenous nerve entrapment) Diagnosis snd uleasourd examination af the gonicular,comron perineal prcfunda,commonperineal superticil, {iblals posterior, sural and saphenous aerve enicaprnents Klemo} (URCHAND PRANER HANDS ON (All Faculty? ia) als pasterior, sural New HorizonsMPS Qin 0. eG e1Carvo @ © =z ESA PERIPHERAL NERVE ENTRAPIMENTS ULTRASOUND GUIDED INJECTION BIMC NUSA DUA HOSPITAL, Thursday, February 23", 2017 08:30-09.00 Review all matery day Before 03.15 12.15 HANDS ON or live domo (All Faculty) 13.00-16.00 HANDS ON with Volunteer All case 16:15-1630 Q&A Dowist clearing and Casing coremony (All Faculty) in Obstetric Anesthesia and Critical Care.anesthe 2017 (Bhim @ @& ap 1A GRIWESA "The Stones atl Legh, Sal lndonwa| 72-35 Fay 3017 ENHANCED RECOVERY AFTER SURGERY (ERAS) Perioperative Clinical Care Principles (Periclip) SANGLAH HOSPITAL, Wednesday, February 22”, 2017 08.00-08.10 Opering ‘Made Wiryants 09.40 -09,55 COFFEE OREAK JO15-11.15 Enhanced Recovery seins sone Mukul Kapoor 11.45- 12.00 Conclusion and Debrief New HorizonsSe 0. gs. | e1Caro @ @ Sz ESA ADVANCED VASCULAR ACCESS (AVA) JUNIOR BALLROOM 2 THE STONES HOTEL, Wednesday, February 22™, 2017 07.30 = 07.45 RE-REGISTEATION 08.00 - 08.45 Selecting line and considoring device option (09,30- 10,15 Recent strateny in reducing risk infection 10.30 12.30 Participant divided inte 3 groups and consecutively followed 3 skill 1 Reducing Infection + Vessel evaluation by Utira Sound and device selection * Ultrasound Physiology and Knokology # Caco Diccustion 13.30--15.30 Participant divided into 3 groups and consecutively followed 3 skill + Irsestion eonbal venous access * Intertion PCC * Pocipheral access with vein viewsr,midline cetheterperipberal catheter with ulliscuand guided + EZ 1845-1615 END UP DISCUSSION, FEED BACK AND CLOSURE in Obstetric Anesthesia andOF snenesthesi 2017 (Bhim @ & ap 4A IWESA The Stones atl Legh, Sal ln} 22-25 Fiany 2077 LOW FLOW ANESTHESIA WORKSHOP SANGLAH HOSPITAL, Thursday, February 23", 2017 08.10 + 10.00 Lecture: Low flow anesthesia uot Zibornan 1015-1215 Lhe Doma TEAS TIS DISCUSSION ' New Horizons iDyan 06 se |) erCaro @ © _ =z ESA HIGH RISK OBSTETRIC FIREDRILLS WORKSHOP JUNIOR BALLROOM 2 THE STONES HOTEL, Thursday, February 23", 2017 830-835 Intioducton 450.905 PPM 9120.-9,35 Failed Intubation 1.001130 DebriefFF anenesthesi 2017 (Bhim @ & ap WAH (RWESA ‘he Stones atl Legh, Sal ln} 72-25 Feary 2017 ULTRASOUND APPLICATION IN OBSTETRIC ANESTHESIA MEETING ROOM 1 THE STONES HOTEL, Thursday, February 23", 2017 OHLON 08.15 INTRODUCTION John 1. Sullivan ORAS 08.15 Ulirsexnd ofthe Lung Brendan Carvalho 09.45. 10.00 COFFEE BREAK Dee ‘Skill Station Parallel 20 minutes) Group! Lung 1950-1110 Group Atnway 1110-1130 Group ll Regioaat 1120-1150 Group V- EchocandiograghyySOAP Oyen 08M ge) e1Caro@ @ ESA THE TEACHERS’ WORKSHOP MEETING ROOM 3 THE STONES HOTEL, Thursday, February 23", 2017 TIME PROGRAM SPEAKER. 108.00. U8 LC Nancy Margarita the Teachers workshop, = Objectives of the werkshep GeLiO as") (He ptemnaetapyearnaek hin sive tae hgethoe, Ray Mangal Declining objectives Teaghirgerictics 0835-0900 Adult Leaning Sunanda Gupta ~ the education theory pertinent to adult leamer = Managing Difficult Learner CHW 0935.) Yocrating Elan Hoye toda a pore! preertition Eft fee ting 09.25.0950 Small group teaching Agios Nig ous 108 REFRESHMENT 10.05 -11,05 Preparing a case based discussion Ages Ng Al Instructions TOS TSO) [Fea s provide Tecate teacher haparsor Haeakar 1130-1240 Providing feadhack Noorjahan PRCSE ED] REFRESHMENT, CUNEH 13.30-14.30 Texching provedual skills Andi Ade proparstion Al neructors prepating cheek let (eGBAO)) Beane Sechan, Eabeciae All parce Foe nace 15,30-16.00 WRAP UP AND FEEDBACK in Obstetric Anesthesia and Critical Carendoanesthesia 2017 (Bhim @ a& @ HAY GR)WESA "The Stones atl Legh, Sl Indo] 22-25 Feisny 2017 The 1* World Congress of Anesthesia on Obstetric Scientific Program The Stones Hotel, Thursday, February 23", 2017 15.00-1300. Ballrooms 3 LECTURE! 13,30. 14.00 Medicologel foxes in obstetric anesthesia an analysis of 367 claim by patients — David Boged against anesthetists 14.90- 15.00 New horizons in the maintenance of labot analgesia ‘Alex Sia 15.00. 15.20 Gorwral anesthesia for cesarean dolivery (what's new, awareness) Nuala Lucas 16.00- 116.80 Spinal hypotension Sean Chetty 17.00- 17.30. Urgency Essertia! in Torrential Peripartum Hoemorbage with Massive Transfusion Stephen F-Gattt a New HorizonsSOAPS 4 Seem ONO @ Caro @ 2 ESA The 1* World Congress of Anesthesia on Obstetric Scientific Program The Stones Hotel, Friday, February 24%, 2017 in Obstetric Anesthesia and Critical Care ie3 “iindoanesthesia 2017 | @ issue @ TheStonetiotl Leptin ho —— The 1* World Congress of Anesthesia on Obstetric Scientific Program The Stones Hotel, Saturday, February 25", 2017 TIME PROGRAM, SPEAKER 108.20- 10.00 Ballroom 3 LECTURE W0= WaiG| Macen ranagarvatiot masse obklaic awmpeh fae (NIGH) itashan Feinanie 09.00 09.30 Non obstetic surgety during pregnancy’ anesthetic concerns Vilma Ortiz, SagTE TOD (Apaiietductlal rons ‘eaten 10.00 19.30 ‘COFFEE BREAK ieee tuheen Whtordatignm Lunch Symposia *Mtenal Fetal a Neon afl Medicine 2017; What dace an “nestiesologist need! to Baba” figeenkety Cit Porson Sravsatol hd. ix yrosaky) Prevention and aaitagementot acetpariumn hesiotthage [Gis Carlo 4 Reazo) Ciyside est atwsthinta tr olmtotics 2017: elullanges and that fold ir rrslaf M, Kuclcowail spnesthesta I hig tbs obec patient, what the bettor choice? TA Sorshar] QKA 12.00- 13.00 LUNCH House Baoan’ LECTURENY 13.00- 13.30 Evolving weet nominvasive hereadynaral: rons in obstetrics Jobin T.Sullhvan TAGIOE TCT) | eRe RELOCCAVEAT CaS FA THSDALRRTE aE URCATERIRE 14.00 14.20 Phat-parturn uterine atony= pharmacological approach Calor Chon Base (=H) (ERRTUN Remmecine way ibn annie ee hs iN FOS Frieie Me 15.00-15:30 General asierbly (Eso) (ELea a CIE SVANONNRNGO WN ATERTGG HN ris New HorizonsEke 08 ee.) erCaro @ @ WS ESA INDOANESTHESIA 2017 Scientific Program The Stones Hotel, Friday, February 24", 2017 TMP PROGRAM 08.20 - 10.00 Ballroom 3 LECTURE TSO C800) Breshing Beawe Boriier ti Laps emperaie inl (201 -09.30 Recent Refinements in Upper Exanity Nerve Blocks: An Update SHOOETOUO" | Wiiaaamnetel he Spine 19.00 «10.301 ‘COFFTE BREAK 1359 200 Ballicom t Aanplesiapaier by Munciphaimma 1200-1400 FRIDAY PRAYER & LUNCH rere ara ftalrooms LECTURE! 14.00 -14.30 Videolarynysecopy =» Mastopicce for Complote Airway Management TEU ESON) (SARA an IR RRR NAO AGEN SARE Si 15.00-15.30 Safety of Anesthesia In Pediatric Patients PIGLET GTOOT [ARGH ee eva ReneS SARE 16.00 AFTERNGON TEA AT BALLROOM in Obstetric Anesthesia and Critical Care iygrildbutls xafty yworddwlebe tlepergh partes SPEAKER, Meslay Omer ‘Manoj Karmatar tie Semele [uAtor Hatred twoch Spry ison 2 byFalrenbest Andie Van Zandert Calva Rafat S. Hannallah Tanerne . FF scanetheie 2017 © hie @ TheStonetHett-Laphn lieords 2a — 1 iwesa INDOANESTHESIA 2017 Scientific Program The Stones Hotel, Saturday 25", 2017 JUNIOR BALLROOM ecient ANTE FETALAND NLUNAING CIN 27 silarppieaussevutscuocist saa to Kory Fit cathe: ecltgeemrptitenien ‘sercafeto mod amine 0 seeing cer et atte intone 00 wh ma ae Pe sCusoN] iS New HorizonsSOAP. Coen NO oes. ney ‘Rewectationt Sony shana bees Senet @ «ica @ © entaee ESA INDOANESTHESIA Faculty Adhrie Sugiarto - Indonesia Aida R. Tantri = Indonesia Andie van zundert= Australia Ashish C. Sinha = LISA Catherine Vandepitte - USA ‘Chandra M. Kumar - Singapore Chris Rebarde- USA flvan Ethan - Turkey Fric Bucheor - Switzerland ExeatS. Aziz - Egypt Frank van Haren » Australia Gabriella Bertelli - aly Hermane Mellinghoff - Germany Hillya Bilgin ~Turkey Kallol Chaudhuri - USA Laura Clatk - USA LucSermeus - #elgium Manoj K. Karmakar - Hong Keng WCAO Faculty ‘Alan C, Santos USA, ‘Alex Sia - Singapore Ali Sunghan Amir Babu Shrestha - Nepal ‘Anas Alaias = Indonesia Barbara M. Scavone - USA Indonesia Benjamin Drenger- tseael Berrin Giinaydin -Turkey Brondan Carvalho - USA ‘Carlas Cthon Bastos:- Latin America Connie t. Crux pine David Bogod -UK Eliane Soares = Brazil Elizabeth Nwasor ~Nigeria Evans Atito-Narh - Ghana Farida Ithnin - Singapore Fathima Paruk - South Africa Felicity Plaat - UK Frédéric Mercier - France Grace Herbosa - Philippine Giancarlo Di Renzo - Italy John. Sullivan = USA Jolin L. Walsh - USA, Katsuo Terai - Japan Krzysztof M. Kuczhowski - USA Lawrence Teen - USA Marcel Vercauteren - Belgium Mautielo Vateo - UK Monica Siaulys «Latin America Nuala Lucas - UK. Oraluxna Rodanant- Thailand Philip Hess » USA Rie Kater Japan Rebert Dyer - South Africa Roshan Fernanelo - UK Roulhac D Toledano - USA Ruth Landau-Cahana - USA Samina Ismail - Pakistan Martin Westphal - Germany Medge Owen» USA Paul Zilberman = Romania Peter Biro - Switzerland Pryambodbo - Indonesia Quirino Piacevoli - USA Rasfat §. Hannallah - USA ‘Swapna Chaudhuri - USA Sean Chesty - South Africa Sng Ban Leong - Singapore Stepben M. Kinsella = UK Stephen P. Gatt- Australia Sunanda Gupte» Inca Sunil. Pandya toeia “Thierry Girard - Sivitzedand Vilma Ortiz - USA Worwiels Ngan Kee - Hong Kong Yerni Olufolabi - USA Yoo Kuen Chan - MalaysiaBE @ & @ urs “iIndoanesthesia 2017 ‘The Stones Hotel - Legian, Ball, Indonesia 22-25 February 2017 REGISTRATION PAYMENT All registration fees must be paid by bank transfer. Registrant should bear all bank charges. Please send a copy of the transaction along with the registration to the Organizing Committee. ON SITE REGISTRATION Those who have not registered in advance may register at on site registration desk. ‘Only cash payment in Rupiah will be accepted during on site registration. No refund will be made for on site registration fees. HOTEL POLICY Due to high demand on the hotel room at the time of congress, the congress secretariat strongly recommended early reservations. ROOM RATE Hotel roams at special congress rate are being held for the congress participants at The Stones Hotel - Legian, Bali, All rate are indicated in Rupiah, per night and per room included breakfast for two persons. Reservations must be made through the congress secretariat to guarantee the indicated rates negotiates for the congress. 0. = @ ear @ @ Esa HOTEL RESERVATION Hotel assignment will be made on a “FIRST COME FIRST SERVE BASIS’ REGISTRATION AND ACCOMMODATION SECRETARIAT PT. GPD INDONESIA. JL. Kebalen'V/24A, Jakarta 12180 PHONE ; (+6221) 7229339, 7254424 FAX eae 7395261 EMAIL; erlint¢gpdindonesia.com _spdigpdindonesia.com o Elin Mobile | 462.8111 332 664, 4628111 662 664 PAYMENT BY: HDR Bank Mandiri ‘Acc No, 122 0006851936 ‘Acc Name + Indoanesthesia ‘Address JI. Diponegoro No. 71 Jakarta Pusat Swilt Code : BMRHDIA Cash to Secretariat‘The Stones Hotel -Legian, Bal. idonesia 22-25 February 2017 SW) Qyeme 000 Se | Car | @ __: Registration 0. a. " 19. AVAILABLE 37, Advance Medicare Corpora Covidien (20, AVAILABLE 34, Nowell ome 3 Asbo 35 Fabre ine Langgeng Prema |. Esa Medika ‘i a 22, Green Medica 5. Surgika Alkesindo sane AVAILABLE aie . AVAILABLE eat AANaRe 25, Sit ata Avaname 27 Muliguna Cpt Sentona Amal 46, Graha Iemaya Trasafrma Snmcaate - Johnson & Johneon Indonesia Gy aeay BRAUN 50. Madesa: ebaceeies 51. Beta 16. Djembatan Dua Ex AVAUAMLE 17. AVAILABLE ou 18. AVAILABLEEE © @ Celestia 2017 T ee ae Tee p resi ecb Ceara) iva - @ Symposium ae ep 4 ay, Fobra Cas Potter . February 23-25", 2017 @ Exhibition else 18 gs ane Od fs BUC e ye ecu tes Seem uC eels lui 1) i 4 eae ai Indonesian Society of Obstetric Anesthesia i Se ee Der Ue ear uu UC un Claao fa?) 15 Ce e of Anaesthet th 6 PCa en Indonesin Society Critical Care AnesthesiologistsWFSA dvanesthesta 2017 ‘The Stones Hotel - Legian, Ball Inelonesia }22-25 February 2017 SQP> Qi. noe. #1Caro @ @ _ = Esa REGISTRATION FORM PARTICIPANT ( Kindly Completed ) Title Prof? OR / ODr/ C Specialist Full name + Name te Appear on Certificate Organization/Hospitalinstitution Mailing Address y ‘Country Zip Code Phone (Mobile) Fax E-mail ‘Sponsor : @: PH: REGISTRATION FEE Please mark (~} on the Workshop you chooce WORKSHOP |_ REGISTRATION FEE Perpheral Nene Entrapments Ulasaund Guided Injection (February, 22% 23%, 2017) || IDR 4.500.000,00 G Enhanced Recovery alter Surgery (ERAS) (February 22, 2017) IDR 3.500.000,00° 1 Adhvance Vascular Access (AWA) (February 221, 2017) IDR 3.500,000,00 1 Low Flow Workshop (February 23%, 2017) IDR 3.500.000,00° Cl High Rick Gbstevic Firecills Workshop (February 28%, 2017) CLIOR 1.800.000,00 1 Ulirasound Application in Obsietric Anesthesia (February 23° 2017) IDR 1.300.000,00 1 Masterclass.on Thoracic Paaverteral Block for Surgical Anesthesia during Major Breast Cancer Surgery February 23% 2017) IDR 1.000.000,00 7 Master-classon Recent Refinements in Brachial Plexus Block the Costoclavicular Approach (February 23%, 2017 T1108 1.000.000,00 Teachers Workshop (Febuary 23%, 2017) By invitation only Before December 31" 2016 | After December 31" 2016 1D Speciaiat TDR %.500.000,00 IDR 3.750.000,00 1D General Practitioner Resident / Others IDR 1.500.000,00 IDR 2.000.000,00 DD Scientific Eposter (Resident) CIDR 2.000.000,00 I TOTAL Registration Workshop & Symposium oR This oven, together with the requsite payee and/or documentation show be eriled/Taxed CANCELLATION AND REFUND POLICY Written cancellation notice is required. Cancellation must be received befare February 12017, 250% refund will be returned after congress ended. No refund will be allowed theceatter.BUY Cee 0 | | caro | © _ ACCOMMODATION FORM RTICIPANT (Kindly Completed ) tle [DPef/ COR 7 Oe? O Speciale Full name Name to Appear on Certificate (Organization/HospitaVinstitution Mailing Address Couniry Zip Code Phare (Mobile) E-mail Sponsor o PH fax = ACCOMODATION RATE Please mark ( “) on the Hotel you chaoce HOTEL Rate in Net/Room/Night-include BBF fea The Stones Hotel - Legian, Bali IDR 1.800.000,00 TOTAL ACCOMMODATION PAYMENT IDR “Tem Canton. Hed ema ae tt nc et end 1 Pete we tha fc chec.t tne 15.0 lca tne ard chelate i 12.48 cl me. Asprral ely ceca lat eck out at ‘Sacre eth ha 1 No mmr ale mace tet bl depot a right king man ea * Any chinges aed canedlaonsrepdirg ta ran mazraten ingve-regataon perl mite one im wrng oe Secret abet} ve rhe toarinal ler Hodes paecelpoyent or [gh nl i changed 1 No Show wil be appa onthe fit ight bor lad er pate eying hat cases a fT ght ren pe rao hfe esrt of materia ati the tell charge th hil ant coc of tye chee ha cate ont feed dep re [PAYMENT BY: WR Bank Maedist Accdin 5 12 OOOO Adbeae Diogo No.2 Inka ton Sot Code ODDS (Ca to Secrets This form, together wilh the requaite payment andor documentation should be emaledYaxed t= “The Congres Secretariat st GPDANOONTSIA -r6221.722919 | 7254824 | +62 8111 332 GO, o620T11 G42 Go | fax mamber 462217996201 Email: erin gplindanesiaceae | el rrlindenrsa exe