FINAL ANNOUNCEMENT

Organized in Collaboration By
Pediatric Emergency & Intensive Care Working Group (ERIA)/Indonesian Pediatric Society (IDAI)
Neonatology Working Group/Indonesian Pediatric Society (IDAI)
Supported by:
Indonesian Pediatric Society – Bali Branch

In Conjunction with:
2019 FETOMATERNAL UPDATE: CONTINUUM OF FETAL,
NEWBORN AND CHILD HEALTH CARE
“From the Womb to the Brighter World: Implementing
Evidence Based Practice to Improve Survival Rate and
Long Term Outcomes in Newborn Infants and Children”

Bali International Convention Centre (BICC)

Nusa Dua Bali – Indonesia | 26-27, 28-29 June 2019

PRE-SYMPOSIUM WORKSHOPS

Wednesday, 26 June 2019 Thursday, 27 June 2019

Management of Gastrointestinal Hemodynamic Optimization Friday – Saturday, 28 – 29 June 2019
Dysfunction in Pediatric Sepsis
11th INDONESIAN PICU NICU UPDATE
In Conjunction with:
Wednesday – Thursday, 26-27 June 2019 2019 FETOMATERNAL UPDATE:
Integrated Approach to Reach an Optimal Neonatal CONTINUUM OF FETAL, NEWBORN
Quality of Life AND CHILD HEALTH CARE

From Head To Toe Ultrasound: What Intensivists

Should Know the Use of Ultrasound
(In Collaboration with Imaging Working Group/Indonesian Pediatric Society)

www.picunicu.org
Bali International Convention Centre (BICC)
Nusa Dua Bali – Indonesia 26-27, 28-29 June 2019
“From the Womb to the Brighter World: Implementing
Evidence Based Practice to Improve Survival Rate and Long
Term Outcomes in Newborn Infants and Children”
In Conjunction with
2019 FETOMATERNAL UPDATE: CONTINUUM
OF FETAL, NEWBORN AND CHILD HEALTH CARE

WELCOME MESSAGE
Dear Colleagues,

In Bali paradise - the famed Island of Gods that we should meet up again. It’s more than a place; it’s mood,
an aspiration. The strategic team of Indonesian PICU NICU Update has prepared an exciting simultaneous
four days schedule for you on 26-27, 28-29 June 2019 with the theme “From the Womb to the Brighter World:
Implementing Evidence Based Practice to Improve Survival Rate and Long Term Outcomes in Newborn Infants
and Children” to fully load up on the latest information on neonatal and pediatric critical care with the expertise of
leading national and international figures.

Premature birth is the leading cause of neonatal death and second leading in children under 5. It’s significant to
determine the relative contribution of preterm birth to the burden of disease in children; to inform the planning of
healthcare interventions; and to address this burden from the teamwork of obstetric gynecologists, neonatologists
and pediatricians in general. Survival continues to improve for infants who are born at extremely early ages, but
long-term developmental concerns continue to be prevalent.

The 11th Indonesian PICU NICU Update 2019 is the forum to discuss the implementation of high evidence practices
for the care of very preterm infants and to assess their use & impact in routine clinical practice. Early outcomes
and strategies will likely yield the best chances to improve long-term outlook. In the 11th Indonesian PICU NICU
Update 2019, we review more comprehensive use of evidence based practices to result in considerable gains
for newborn infants and children, in terms of increased the long-term outcome for infants who were born preterm.

After joining this chapter we do hope the Registrants will get innovative ideas to address a renewed understanding
of the vital assessment with clear and aligned definitions of health outcomes in newborn and intervention
packages aimed to save lives and improve health in children.

Organized by collaboration of Pediatric Emergency and Intensive Care (ERIA) Working Group and Neonatology
Working Group/Indonesian Pediatric Society, and with the endorsement of Indonesian Pediatric Society – Bali
Branch, the annual Indonesian PICU NICU Update has been continuously kept Its work force to share Its leading
clinical and management practice innovations in the field of pediatric and neonates critical care to its growing
followers.

The 11th Indonesian PICU NICU Update is your opportunity to influence your specialty and promote the art and
science of paediatric and neonatal intensive care, raising awareness amongst doctors and other allied healthcare
professionals in the field. We aim to provide plenty of opportunities to interact and network with each other.

See you in Islands of Gods!

Chairman

Abdul Latief

1
Bali International Convention Centre (BICC)
Nusa Dua Bali – Indonesia 26-27, 28-29 June 2019
“From the Womb to the Brighter World: Implementing
Evidence Based Practice to Improve Survival Rate and Long
Term Outcomes in Newborn Infants and Children”
In Conjunction with
2019 FETOMATERNAL UPDATE: CONTINUUM
OF FETAL, NEWBORN AND CHILD HEALTH CARE

ABOUT ANNUAL INDONESIAN PICUNICU UPDATE

The Annual conferences of Indonesian PICU NICU Updates have been serving its purpose for years as a unique
platform to exchange updates and discussing interplay between critical therapies, both national and international levels
for optimal outcomes in critically ill neonatal and children. The two days of the conference will host scientific and technical
sessions on cutting edge research and latest research innovations in the field of Pediatrics & Neonatal.

This is your best opportunity to reach the largest assemblage of participants from the Pediatricians Community. Conduct
presentations, distribute information, meet with current and potential expertise, make a splash with new medicine
developments, and receive name recognition at this 2-day event.

The national and international collaboration Workshops are also available in pre/post-setting to intense your awareness
with comprehensive management and fruitful clinical experience sharing, assess strategies for early prevention and
treatment to meet the goal of optimal quality of life for preterm infants and children.

Organized by collaboration of Pediatric Emergency and Intensive Care (ERIA) Working Group and Neonatology Working
Group/Indonesian Pediatric Society, and with the endorsement of regional Indonesian Pediatric Society, the annual
Indonesian PICU NICU Update has been continuously kept Its work force to share Its leading clinical and management
practice innovations in the field of pediatric and neonates critical care to its growing followers.

The Annual Indonesian PICU NICU Update is your opportunity to influence your specialty and promote the art and
science of paediatric and neonatal intensive care, raising awareness amongst doctors and other allied healthcare
professionals in the field. The Annual Indonesian PICU NICU Update gives plenty of opportunities to share views,
exchange knowledge and establish collaborations & networking.

After joining this forum we do hope the Registrants will get innovative ideas to address a renewed understanding of the
vital assessment with clear and aligned definitions of health outcomes in newborn and intervention packages aimed to
save lives and improve health in children.

2
Bali International Convention Centre (BICC)
Nusa Dua Bali – Indonesia 26-27, 28-29 June 2019
“From the Womb to the Brighter World: Implementing
Evidence Based Practice to Improve Survival Rate and Long
Term Outcomes in Newborn Infants and Children”
In Conjunction with
2019 FETOMATERNAL UPDATE: CONTINUUM
OF FETAL, NEWBORN AND CHILD HEALTH CARE

STRATEGIC TEAM
The strategic team prepares an energizing and instructive simultaneous various meeting program to fully load up on
the latest information on neonatal and pediatric critical care with the expertise of leading national and international
figures.

ABDUL LATIEF - General Development

Abdul Latief is senior Pediatricians and specialist in Pediatric Emergency and
Intensive Care. Despite the excellent works and services being done with his
colleagues, his passion in teaching gives him positive role not only with respect
to the importance of sustainability continuing education and but also awareness
among medical professionals.

ANTONIUS H. PUDJIADI - General Development

Antonius Pudjiadi is the Pediatricians & specialist in Pediatric ICU and
researcher in Faculty of Medicine, University of Indonesia. He leads Annual
Indonesian PICU NICU Updates in integrated and innovative efforts and
delivery in PICU

RINAWATI ROHSISWATMO - Program Development

Rinawati Rohsiswatmo is specialist at Neonatal Unit, Cipto Mangunkusumo
Hospital and neonatologist leads the Annual Indonesian PICU NICU Update
efforts in integrated and innovative delivery in NICU field and oversees the
Program development team in NICU and aligns services and processes to
support the program strategies and efforts that will surely enrich the Annual
program

LILY RUNDJAN - Program Development

Lily Rundjan is a specialist and neonatologist at Neonatal Unit, Cipto
Mangunkusumo Hospital and plays out her important role in Annual Indonesian
PICU NICU Updates, finding creative new ways to ensure solutions and
programs get into the hands of professional healthcare in clinical practice in
NICU field.

3
Bali International Convention Centre (BICC)
Nusa Dua Bali – Indonesia 26-27, 28-29 June 2019
“From the Womb to the Brighter World: Implementing
Evidence Based Practice to Improve Survival Rate and Long
Term Outcomes in Newborn Infants and Children”
In Conjunction with
2019 FETOMATERNAL UPDATE: CONTINUUM
OF FETAL, NEWBORN AND CHILD HEALTH CARE

INVITED SPEAKERS
Heather E Jeffery (Australia)
Professor of International Maternal and Child Health at the Sydney School of Public Health – Australia

Monica Lahra (Australia),

Professor and Medical Director, Division of Bacteriology, and Director of the World Health Organisation
Collaborating Centre for STD, Sydney, Department of Microbiology, New South Wales Health Pathology at
The Prince of Wales Hospital in Sydney.

Ruud Van Elburg (Netherlands),

Professor of Early Life Nutrition at University of Amsterdam – The Netherlands

A.F (Arend) Bos (Netherlands),

Professor in Pediatrics, Neonatology at University of Groningen – The Netherlands

Mohit Sahni (India),

Consultant Neonatologist and Director Academic & NICU, at Institute of Child Health, Nirmal Hospital Private
Limited, India

Joseph Carcillo (USA),

Associate Professor, Department of Critical Care Medicine and Pediatrics, University of Pittsburgh School of
Medicine

Oliver Goulet (France),

Professor of Pediatrics at the University of Paris-Cité-Sorbonne and Paris Descartes Medical School.
Chairman of the Department of Pediatric Gastroenterology-Hepatology-Nutrition at the University Hospital
Necker-Enfants Malades in Paris. Leader of the National Reference Center for Rare Digestive Diseases.

Lucy Lum (Malaysia),

Professor at Department of Pediatrics, Faculty of Medicine University of Malaya – Malaysia

Brendan Smith (Australia),

Professor, School of Biomedical Sciences, Charles Sturt University, Bathurst, Australia. Specialist in
Anaesthetics and Director of Intensive Care, Bathurst Base Hospital, Bathurst, Australia

4
Bali International Convention Centre (BICC)
Nusa Dua Bali – Indonesia 26-27, 28-29 June 2019
“From the Womb to the Brighter World: Implementing
Evidence Based Practice to Improve Survival Rate and Long
Term Outcomes in Newborn Infants and Children”
In Conjunction with
2019 FETOMATERNAL UPDATE: CONTINUUM
OF FETAL, NEWBORN AND CHILD HEALTH CARE

GENERAL INFORMATION
EVENT
11th Indonesian PICU NICU Updated, in conjunction with
2019 Fetomaternal Update: Continuum of Fetal, Newborn and Child Health Care
DATES
26-27, 28-29 June 2019
THEME
“From the Womb to the Brighter World: Implementing Evidence Based Practice to Improve Survival Rate and Long Term
Outcomes in Newborn Infants and Children”
VENUE
Bali International Convention Centre (BICC) Nusa Dua Bali – Indonesia
ORGANIZED BY
Pediatric Emergency & Intensive Care Working Group (ERIA)/Indonesian Pediatric Society (IDAI) Neonatology
Working Group/Indonesian Pediatric Society (IDAI)
SUPPORTED BY
Indonesian Pediatric Society – Bali Branch
AUDIENCE
• Specialists in Neonates Intensivist • Pediatric Intensivist; Pediatric Respiralogy; Pediatric Hematology; Pediatric
Infectious Diseases; Pediatric Neurology; Pediatric Nutrition & Metabolism; Pediatric Gastroenterology; Pediatric
Immunology; Pediatric Cardiology • Pediatric Surgery • Pediatric Anesthesiologists
• Trainee
• ICU and Emergency Doctors
• General Practitioners
• Critical Care Nurses
Who are interested in Neonatology & Pediatric Emergency and Critical Care Medicine
OFFICIAL LANGUAGE
The official languages of the 11th Indonesian PICU NICU Update is in English only. English will be used for all printed
materials, presentation along with overseas speakers and discussions. Simultaneous translation will not be provided.
DISCLAIMER
Every 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, time tables, 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.

5
Bali International Convention Centre (BICC)
Nusa Dua Bali – Indonesia 26-27, 28-29 June 2019
“From the Womb to the Brighter World: Implementing
Evidence Based Practice to Improve Survival Rate and Long
Term Outcomes in Newborn Infants and Children”
In Conjunction with
2019 FETOMATERNAL UPDATE: CONTINUUM
OF FETAL, NEWBORN AND CHILD HEALTH CARE

AGENDA
PRE-SYMPOSIUM WORKSHOPS

Wednesday, 26 June 2019 Thursday, 27 June 2019 Friday – Saturday, 28 – 29 June 2019

Management of Gastrointestinal Hemodynamic Optimization in 11th INDONESIAN PICU NICU UPDATE

Dysfunction Pediatric Sepsis In Conjunction with:
2019 FETOMATERNAL UPDATE:
Wednesday – Thursday, 26-27 June 2019
CONTINUUM OF FETAL, NEWBORN
Integrated Approach to Reach an Optimal Neonatal Quality of Life AND CHILD HEALTH CARE

From Head To Toe Ultrasound: What Intensivists Should Know the Use
of Ultrasound (In Collaboration with Imaging Working Group/Indonesian
Pediatric Society)

PRE-SYMPOSIUM WORKSHOPS
Pre 11th Indonesian PICU NICU Update Workshops, conducted by experts of Pediatric and Neonates will update
participants on the current state-of-art on developing participants’ skill and technique in management of Pediatric &
Neonates critically ill patients.

Certificate with IDI & CPD IDAI Accreditations (for General Practitioners and Pediatricians) will be issued for all registrants.

Each workshop participants is limited to 60 upon payment made.

In the case that payment made after full seats, the registration made will be returned to its payer bank account.

Compulsory Requirement
Registrant of Workshops is compulsory being a registrant in 11th Indonesian PICU NICU Update Symposium, *except
Workshop What Intensivist Should Know the Use of Ultrasound.

6
Bali International Convention Centre (BICC)
Nusa Dua Bali – Indonesia 26-27, 28-29 June 2019
“From the Womb to the Brighter World: Implementing
Evidence Based Practice to Improve Survival Rate and Long
Term Outcomes in Newborn Infants and Children”
In Conjunction with
2019 FETOMATERNAL UPDATE: CONTINUUM
OF FETAL, NEWBORN AND CHILD HEALTH CARE

PRE-SYMPOSIUM WORKSHOPS NICU

INTEGRATED APPROACH TO REACH AN OPTIMAL NEONATAL QUALITY OF LIFE
WEDNESDAY - THURSDAY, 26 – 27 JUNE 2019
JAKARTA A, 2ND FLOOR – BICC NUSA DUA BALI
Course Director: Lily Rundjan (Jakarta/Indonesia)

DAY 1 WEDNESDAY, 26 JUNE 2019

08.00-08.10 Opening Remark Rinawati Rohsiswatmo (Jakarta/Indonesia)
08.10- 08.40 Ventilation Management: What We Can Do Better From Risma K. Kaban (Jakarta/Indonesia)
Delivery Room To NICU?
08.40- 09.00 Management of Chronic Lung Disease Rosalina Roeslani (Jakarta/Indonesia)
09.00- 09.30 Strategy for Infection Control in Neonatal Unit Heather Jeffery (Sydney/Australia) Lily Rundjan
09.30- 09.50 Discussion
09.50-10.10 Coffee/Tea Break
10.10-10.40 Antibiotic Stewardship in NICU Monica Lahra (Sydney/Australia) Lily Rundjan
10.40-11.10 Early Screening and Targeted Treatment for PDA Mohit Sahni (India) Adhi Teguh
11.10-11.40 Viral Infections in NICU Monica Lahra (Sydney/Australia) Lily Rundjan
11.40-12.10 Discussion
12.10-13.10 Lunch
13.10-13.30 Improving Central Line Infection Rates in NICU: Is Zero CLABSI Lily Rundjan (Jakarta/Indonesia)
Possible [Indonesian Experience - SEA-URCHIN Project]
13.30-14.00 Advances in the Diagnosis and Management of PPHN Mohit Sahni (India) Adhi Teguh
14.00-16.45 DRY WORKSHOP @ 45 mins
14.00-14.45 Hemodynamic Mohit Sahni (India) Adhi Teguh
14.45-15.30 Infection Heather Jeffery / Monica Lahra (Sydney/ Lily Rundjan
Australia)
15.30-16.00 Coffee Break
16.00-16.45 Ventilation Risma K. Kaban/ Rosalina Roeslani
(Jakarta/Indonesia)
16.45-17.00 Wrap Up & Evaluation

DAY 2 THURSDAY, 27 JUNE 2019

08.10-08.40 How Do We Improve Our Preterm Infants Nutritional Status: Rinawati Rohsiswatmo (Jakarta/Indonesia)
From Birth To 1000 Days of Life
08.40- 09.10 The Key To Success Feeding of Preterm Infants Ruud Van Elburg (Netherlands) Rinawati
Rohsiswatmo
09.10- 09.40 The Challenge of Enteral Feeding of Small for Gestational Rinawati Rohsiswatmo (Jakarta/
Age Infants Indonesia)
09.40-10.00 Discussion
10.00-10.30 Coffee Break
10.30-11.00 Improving Neonatal Outcomes By Developing Nurse Champions Diane Coad (Perth/Australia) Putri Maharani
11.00-11.20 Application of Multi-site Near-Infrared Spectroscopy in Arend Bos (Netherlands) Lily Rundjan
Neonatal Care
11.20-11.50 Neonatal Transport (Experience in West Australia) Diane Coad (Perth/Australia) Putri Maharani
11.50-12.10 Discussion
12.10-13.10 Lunch
13.10-13.30 Does a Hemodinamically Significant PDA Affect Intestinal, Arend Bos (Netherlands) Lily Rundjan
Renal and Cerebral Oxygenation ?
13.30-16.30 DRY WORKSHOP
13.30-14.30 Nutrition Rinawati Rohsiswatmo (Jakarta/Indonesia)
/Ruud Van Elburg (Netherlands)
14.30-15.30 Multisite NIRS Arend Bos (Netherlands) Lily Rundjan
15.30-16.00 Coffee Break
16.00-16.30 Improvement in Nursing Practice Diane Coad (Perth/Australia) Putri Maharani
16.30-17.00 Wrap Up & Evaluation 7
Bali International Convention Centre (BICC)
Nusa Dua Bali – Indonesia 26-27, 28-29 June 2019
“From the Womb to the Brighter World: Implementing
Evidence Based Practice to Improve Survival Rate and Long
Term Outcomes in Newborn Infants and Children”
In Conjunction with
2019 FETOMATERNAL UPDATE: CONTINUUM
OF FETAL, NEWBORN AND CHILD HEALTH CARE

PRE-SYMPOSIUM WORKSHOPS

FROM HEAD TO TOE ULTRASOUND:

WHAT INTENSIVISTS SHOULD KNOW THE USE OF ULTRASOUND
(In Collaboration with Imaging Working Group/Indonesian Pediatric Society)
WEDNESDAY - THURSDAY, 26 – 27 JUNE 2019
JAKARTA A, 2ND FLOOR – BICC NUSA DUA BALI

INTRODUCTION
The use of ultrasound for immediate management of life-threatening conditions is vital these last decades. The advantages of
ultrasound comes into play for bedside diagnosis, avoidance of radiation and cost-effectiveness. Critical ultrasound is in fact a
new tool for first-line physicians and its current use in critically ill patients and emergency room are a priority target. Assessing
ulrasound in critically ill is therefore a major concern. Ultrasound is now a reality and can be very helpful in every daily NICU/
PICU care.

OBJECTIVE
The two days course consist of lecture, extensive use of videos, interactive and practical session with the objective to use of
ultrasound in critically ill pediatric & neonates

PARTICIPANTS
Neonatologists; Pediatric Intensivists; Pediatric Sub-Specialists; General Pediatricians; Emergency Physicians; Pediatric
Radiologist; Other Physicians

COURSE DIRECTOR: Evita Karianni (Jakarta/Indonesia)

CO-COURSE DIRECTOR: Rizalya Dewi (Pekanbaru/Indonesia)

DAY 1 WEDNESDAY, 26 JUNE 2019

08.00 - 08.10 Opening Remark Rinawati Rohsiswatmo (RR)
08.10 - 08.30 Introduction: Why Intensivist Should Do Ultrasound Evita Karianni (Jakarta/Indonesia)
08.30 - 09.15 Why We Have to Evaluate Cerebral Blood Flow Hartojo (Surabaya/Indonesia)
09.15 - 09.45 Coffee/Tea Break
09.45 - 10.30 How to Evaluate Upper Airway? Is the ETT in the Right Position? Dina Djojohusodo (Surabaya/Indonesia)
10.30 - 11.15 Rapid Ultrasound in Shock (RUSH) in the Evaluation of the Critically ill Neonate Rizalya Dewi (Pekanbaru/Indonesia)
11.15 - 12.00 The ABC of Lung, Pleura, and Diaphragma Ultrasound and Pathologic Findings Evita Karianni (Jakarta/Indonesia)
12.00 - 13.00 Lunch
13.00 - 17.30 HANDS-ON WORKSHOP (Rotation on 1 hours)
Normal Head Ultrasound and Monitoring Cerebral Blood Flow
How to Evaluate Upper Airway and Gastro-esophageal Reflux
Coffee Break
How to Do Lung, Pleura, and Diaphragm Ultrasound and Pathologic Findings
RUSH

DAY 2 THURSDAY, 27 JUNE 2019

08.00 - 08.45 Advanced Abdominal Ultrasound: The Use of Doppler Ultrasound Ratno Juniarto (Jakarta/Indonesia)
08.45 - 09.30 Foreign Body, Soft Tissue Mass, Joint and Bone Kemas Firman (Jakarta/Indonesia)
09.30 - 10.00 Coffee Break
10.00 - 10.45 Testis and Inguinal Mass, Female Pelvis Ultrasound: Emergency Or Not Emergency HF Wulandari (Jakarta/Indonesia)
10.45 - 11.30 Procedures: How Ultrasound Can Help You Rizalya Dewi (Pekanbaru/Indonesia)
11.30 - 12.00 Ultrasound in the Future Evita Karianni (Jakarta/Indonesia)
12.00 - 13.00 Lunch
13.00 - 17.30 HANDS-ON WORKSHOP (Rotation on 1 hours)
Advance Abdominal Ultrasound
How to Do Musculoskeletal Ultrasound: Joint, Bone and Soft Tissue Mass
Coffee Break
How to Do Testis, Inguinal and Pelvic Female Ultrasound
Procedures Ultrasound: Perifer/Central Acsess, Forign Body and Fracture
8
Bali International Convention Centre (BICC)
Nusa Dua Bali – Indonesia 26-27, 28-29 June 2019
“From the Womb to the Brighter World: Implementing
Evidence Based Practice to Improve Survival Rate and Long
Term Outcomes in Newborn Infants and Children”
In Conjunction with
2019 FETOMATERNAL UPDATE: CONTINUUM
OF FETAL, NEWBORN AND CHILD HEALTH CARE

PRE-SYMPOSIUM WORKSHOP PICU

MANAGEMENT OF GASTROINTESTINAL DYSFUNCTION in PEDIATRIC ICU
WEDNESDAY, 26 JUNE 2019
HIBISCUS ROOM, GF – BICC NUSA DUA BALI

Course Director: Antonius H. Pudjiadi (Jakarta/Indonesia)

08.00 - 08.15 Opening

08.15 - 08.30 Pre Test
LECTURES
08.30 - 09.00 Impacts and Pattern of Disturbed Gastrointestinal Function in Yogi Prawira (Jakarta/Indonesia)
Pediatric ICU
09.00 - 09.30 Patophysiology of Gastric Dysmotility in Critically ill Children Olivier Goulet (France)
09.30 - 10.00 Protein, Lipid and Shortchain Fructooligosaccharides Lanang Sidhiarta (Bali/Indonesia)
10.00 - 10.10 Discussion
10.10 - 10.40 Coffee/Tea Break
LECTURES
10.40 - 11.10 Management of GI Bleeding Olivier Goulet (France)
11.10 - 11.40 Management of High Output Stoma Olivier Goulet (France)
11.40 - 12.10 Motility Disorders Olivier Goulet (France)
12.20 - 12.20 Discussion
12.20 - 13.00 Lunch
13:00 - 14:30 CLINICAL CHALLENGES
(Interactive session with Vox vote)
ENTERAL NUTRITION PRACTICES IN CRITICALLY ILL CHILDREN
Moderator: Antonius H. Pudjiadi (Jakarta/Indonesia)
Olivier Goulet
Yogi Prawira (Jakarta/Indonesia)
14.30 - 15.00 Coffee Break & Group Photo
15.00 - 15.30 Enteral Feeding Algorithm in Pediatric ICU Yogi Prawira (Jakarta/Indonesia)
15.30 -15.40 Discussion
15.40 - 16.00 Post Test
16.00 - 16.15 Wrap Up & Evaluation

9
Bali International Convention Centre (BICC)
Nusa Dua Bali – Indonesia 26-27, 28-29 June 2019
“From the Womb to the Brighter World: Implementing
Evidence Based Practice to Improve Survival Rate and Long
Term Outcomes in Newborn Infants and Children”
In Conjunction with
2019 FETOMATERNAL UPDATE: CONTINUUM
OF FETAL, NEWBORN AND CHILD HEALTH CARE

PRE-SYMPOSIUM WORKSHOP PICU

HEMODYNAMIC OPTIMIZATION IN PEDIATRIC SEPSIS
THURSDAY, 27 JUNE 2019
FRANGIPANI ROOM, GF – BICC NUSA DUA BALI

Course Director: Antonius H. Pudjiadi (Jakarta/Indonesia)

08.00 - 08.15 Opening

LECTURES
08.15 - 09.00 Cardiac Output, Oxygen Supply and CO2 Balance Brendan Smith (Australia)
09.00 - 09.45 Myocardial Performance: Preload, Afterload & Contractility Brendan Smith (Australia)
09.45 - 09.55 Discussion
09.55 - 10.30 Coffee Break
LECTURES
10.30 - 11.15 Hemodynamics and Extravascular Lung Water in Children Joseph Carcillo USA)
11.15 - 12.00 Practice Parameters for Hemodynamic Support of Pediatric and Joseph Carcillo USA)
Neonatal Septic Shock
12.00 - 12.10 Discussion
12.10 - 13.00 Lunch
LECTURES
13.00 - 13.30 Introduction to USCOM (with demo) Brendan Smith (Australia)
13.30 - 14.15 USCOM: Putting the Puzzle Together Brendan Smith (Australia)
14.15 - 15.00 Hemodynamic Management in Pediatric Sepsis Joseph Carcillo USA)
15.00 - 15.10 Discussion
15.10 - 16.00 Coffee Break
16.00 - 17.00 CASE STUDY (Interactive with Vox Vote)
Joseph Carcillo USA)
Brendan Smith (Australia)
Irene Yuniar (Indonesia)
Antonius Pudjiadi (Indonesia)
17.00 - 17.15 Wrap Up & Evaluation

10
Bali International Convention Centre (BICC) “From the Womb to the Brighter World: Implementing
Nusa Dua Bali – Indonesia 26-27, 28-29 June 2019 Evidence Based Practice to Improve Survival Rate and Long
Term Outcomes in Newborn Infants and Children”
In Conjunction with
2019 FETOMATERNAL UPDATE: CONTINUUM
OF FETAL, NEWBORN AND CHILD HEALTH CARE
SCIENTIFIC PROGRAM
11th INDONESIAN PICU NICU UPDATE
In Conjunction with:
2019 FETOMATERNAL UPDATE: CONTINUUM OF FETAL, NEWBORN AND
CHILD HEALTH CARE
FRIDAY – SATURDAY, 28-29 JUNE 2019
NUSANTARA BALLROOM, 2nd FLOOR BICC NUSA DUA BALI

DAY 1 FRIDAY, 28 JUNE 2019

08.00 - 08.15 Opening Ceremony
PLENARY
Moderator: Rinawati Rohsiswatmo (Jakarta/Indonesia) & Prof. Asril Aminullah (Jakarta/Indonesia)
08.15 - 08.35 Antenatal Interventions to Potentially Improve Neurologic Outcomes for The At-Risk Fetus
Scott White (Australia)
08.35 - 08.55 Pregnancy as a Window to Future Health
Noroyono Wibowo (Jakarta/Indonesia)
08.55 - 09.15 Management of Infection Outbreaks in Neonatal Intensive Care Unit
Monica Lahra (Sydney/Australia)
09.15 - 09.35 A Systemic Inflammation Mortality Risk Assessment: Contingency Table for Severe Sepsis
Joseph Carcillo (USA)
09.35 - 09.45 Discussion
09.45 - 10.15 Coffee/Tea Break
NUSANTARA 1 NUSANTARA 2
PEDIATRIC ICU NEONATAL ICU
CURRENT CONCEPT RECENT NEONATAL UPDATES

Moderator: Nurnaningsih (Yogyakarta/ Moderator: Lily Rundjan (Jakarta/

Indonesia) Indonesia) & Risa Etika (Surabaya/
Indonesia)
10.15 - 10.35 Hemophagocytosis in Dengue 10.15 - 10.35 Infection and Undernutrition
Lucy Lum (Malaysia) Heather Jeffery (Sydney/Australia)
10.35 - 10.55 Extravascular Lung Water in Critical 10.35 - 10.55 Non Invasive Hemodynamic Monitoring
Care: Recent Advances and Clinical in Neonates
Application
Joseph Carcillo (USA) Adhi Teguh (Jakarta/Indonesia)
10.55 - 11.15 Adjunctive Therapies in Pediatric 10.55 - 11.15 Advances in Diagnosis and
Sepsis Management of Hemodynamic
Instability in Neonatal Shock
Irene Yuniar (Jakarta/Indonesia) Mohit Sahni (India)
11.15 - 11.25 Discussion 11.15 - 11.25 Discussion
LUNCH SYMPOSIUM LUNCH SYMPOSIUM

Moderator: Silvia Triratna (Palembang/ Moderator: Setya Wandita (Yogykarta/

Indonesia) Indonesia) & Johannes Edy Siswanto
(Jakarta/Indonesia)
11.25 - 11.55 Immunization 11.25 - 11.55 Probiotic for Prevention of Necrotizing
Toto Wisnu Hendrarto (Jakarta/Indonesia) Enterocolitis in Preterm Infants
Risma Kerina Kaban (Jakarta / Indonesia)
11.55 - 12.05 Discussion 11.55 - 12.05 Discussion
12.05 - 13.30 Lunch & Friday Pray
11
Bali International Convention Centre (BICC)
Nusa Dua Bali – Indonesia 26-27, 28-29 June 2019
STATE-OF-THE-ART-LECTURE
Moderator: Munar Lubis (Medan/
Indonesia)
13:30 - 14:10 Maximizing Nutrition Support Practice
in Critically ill Children
Olivier Goulet (France)
14:10 - 14:50 Pathophysiology of Pediatric Multiple
Organ Dysfunction Syndrome
Joseph Carcillo (USA)
14:50 - 15:00 Discussion
15.00 - 16.00 PRO-CON SESSION: LIBERAL VS
METICULOUS FLUID RESUSCITATION
Moderator: Lucy Lum (Malaysia)
Liberal: Joseph Carcillo (USA)
Meticulous: Brendan Smith (Australia)
Pro & Con
16:00-16:20 Coffee/Tea Break
YOUNG INVESTIGATORS
Moderator: Idham Jaya Gandha
(Makassar/Indonesia)
16.20 - 16.30 Prognostic Values of Neutrophil
Extracellular Traps in Pediatric Sepsis
Ronald Chandra (Kepulauan Riau/
Indonesia)
16.30 - 16.40 PELOD 2 Validity in Pediatric Sepsis
Ni Made Rini Suari (Bali/Indonesia)
16.40 - 16.50 Immunoparalysis Associated Multiple
Organ Failure in Pediatric Sepsis
Badai Buana Nasution (Medan/Indonesia)
16.50 - 17.00 Discussion
12
“From the Womb to the Brighter World: Implementing
Evidence Based Practice to Improve Survival Rate and Long
Term Outcomes in Newborn Infants and Children”
In Conjunction with
2019 FETOMATERNAL UPDATE: CONTINUUM
OF FETAL, NEWBORN AND CHILD HEALTH CARE
NEONATAL UPDATES
Moderator: Risma Kerina Kaban
(Jakarta/Indonesia) & Gatot Irawan
(Semarang/Indonesia)
13.30 - 13.50 Approach to Neonatal Transfusion
Practice
Pustika Amalia (Jakarta/Indonesia)
13.50 - 14.20 Management of ELBW Infants
Lily Rundjan (Jakarta / Indonesia)
14.20 - 14.40 Parenteral Nutrition Practices for
Optimal Nutritional Support in Preterm
Infants
Rinawati Rohsiswatmo (Jakarta/Indonesia)
14.40 - 15.00 Feeding Guidelines for Preterm Infants
Ruud Van Elburg (Netherlands)
15.00 - 15.20 Oral Motor Assessement and
Intervention to Improve Readiness of
Oral Feeding in Preterm Infants
Ni Luh Karunia Wahyuni (Jakarta/
Indonesia)
15.20 - 15.30 Discussion
YOUNG INVESTIGATORS
Moderator: Rulina Suradi (Jakarta/
Indonesia) & Ema Alasiry (Makassar/
Indonesia)
16.10 - 16.20 1. Correlation Between Vitamin D Level
With the Incidence of Early Onset
Sepsis in Preterm Infants
Arsita Eka Rini (Semarang/Indonesia)
16.20 - 16.30 2. Comparison of Eficacy and Safety
of CPAP Versus HHHFNC for Acute
Respiratory Distress in Preterm Infants
Adhi Teguh (Jakarta/Indonesia)
16.30 - 16.40 3. Evaluation of Compliance to
Antibiotics Guidelines in Neonatal
Sespsis Management
Leni Ervina (Lampung/Indonesia)
16.40 - 16.50 4. Profile of Nutritional And Iron
Composition Changes in Very Preterm
Infants and/or Very Low Birth Weight
Infants’ Breastmilk
Putri Maharani Tristanita (Jakarta/
Indonesia)
16.50 - 17.00 Discussion
Bali International Convention Centre (BICC) “From the Womb to the Brighter World: Implementing
Nusa Dua Bali – Indonesia 26-27, 28-29 June 2019 Evidence Based Practice to Improve Survival Rate and Long
Term Outcomes in Newborn Infants and Children”
In Conjunction with
2019 FETOMATERNAL UPDATE: CONTINUUM
OF FETAL, NEWBORN AND CHILD HEALTH CARE
SCIENTIFIC PROGRAM
11th INDONESIAN PICU NICU UPDATE
In Conjunction with:
2019 FETOMATERNAL UPDATE: CONTINUUM OF FETAL, NEWBORN AND
CHILD HEALTH CARE
FRIDAY – SATURDAY, 28-29 JUNE 2019
NUSANTARA BALLROOM, 2nd FLOOR BICC NUSA DUA BALI

DAY 2 SATURDAY, 29 JUNE 2019

PLENARY
Moderator: Rismala Dewi (Jakarta/Indonesia) & Rosalina Roeslani (Jakarta/Indonesia)
08.00 - 08.20 Approach to Fetal Growth Retardation To Improve Neonatal Outcomes
Scott White (Perth/Australia)
08.20 - 08.40 Catch Up Growth of Small for Gestational Age Infants
Rinawati Rohsiswatmo (Jakarta/Indonesia)
08.40 - 09.00 The Use of Cerebral and Somatic NIRS in NICU
Arend Bos (Netherlands)
09.00 - 09.20 Post PICU Discharge Outcome Measures
Lucy Lum (Malaysia)
09.20 - 09.30 Discussion
09.30 - 10.10 Coffee/Tea Break
NUSANTARA 1 NUSANTARA 2
PEDIATRIC ICU NEONATAL ICU
PICU UPDATES NICU UPDATES
Moderator: M. Supriyatna T.H (Semarang/ Moderator: Lily Rundjan (Jakarta/
Indonesia) Indonesia) & Toto Wisnu Hendrarto
(Jakarta/Indonesia)
10.10 - 10.30 Balanced vs Unbalanced Fluids in 10.10 - 10.25 The Role of Antithrombine III in Neonatal
Pediatric Severe Sepsis Sepsis
Ririe F. Malisie (Jakarta/Indonesia) Pustika Amalia (Jakarta/Indonesia)
10.30 - 10.50 A New Concept to Achieve Optimal 10.25 - 10.35 Antithrombine III Replacement Therapy
Weight Gain in Malnourished Infants on in Neonatal Sepsis
Total Parenteral
Olivier Goulet (France) Rinawati Rohsiswatmo (Jakarta/Indonesia)
10.50 - 11.10 How I Sedate My Patients in PICU 10.35 - 10.55 Near-Infrared Spectroscopy to Predict
The Course of NEC
Dzulfikar Djalil (Bandung/Indoensia) Arend Boss (Netherlands)
11.10 - 11.20 Discussion 10.55 - 11.15 Role of Ultrasound Doppler in Monitoring
of Feeding Intolerance
Evita K. Bermansyah (Jakarta / Indonesia)
11.15 - 11.20 Discussion
LUNCH SYMPOSIUM LUNCH SYMPOSIUM
Education Session By Nutricia Medical Education Session by Kimia Farma
Nutrition Moderator: Adhi Teguh (Jakarta/
Moderator: Ida Bagus Gede Suparyatha Indonesia) & I Made Kardana (Bali/
(Bali/Indonesia) Indonesia)
11.20 - 11.50 Management of Acute Gastrointestinal 11.20 - 11.50 The Use of IgM-Enriched Intravenous
Injury in Children Immunoglobulin Therapy for Neonatal
Olivier Goulet (France) Sepsis
Rinawati Rohsiswatmo (Jakarta/Indonesia)
11.50 - 12.00 Discussion 11.50 - 12.00 Discussion
12.00 - 13.00 Lunch

13
Bali International Convention Centre (BICC)
Nusa Dua Bali – Indonesia 26-27, 28-29 June 2019
“From the Womb to the Brighter World: Implementing
Evidence Based Practice to Improve Survival Rate and Long
Term Outcomes in Newborn Infants and Children”
In Conjunction with
2019 FETOMATERNAL UPDATE: CONTINUUM
OF FETAL, NEWBORN AND CHILD HEALTH CARE

13.00 - 13.30 SPECIAL LECTURE PRACTICE CHANGE IN NICU

Moderator: Dadang Hudaya (Bandung/ Moderator: Putri Maharani (Jakarta/
Indonesia) Indonesia) & Tetty Yuniati (Bandung/
Indonesia)
End of Life Care in Pediatric Intensive 13.00 - 13.20 The Use of Postnatal Steroid in
Care Unit Neonatal Unit
Lucy Lum (Malaysia) Rosalina Roeslani (Jakarta/Indonesia)
13.20 - 13.40 Delivery Room Management : What We
Can Do Better?
Setyadewi Lusyati (Jakarta/Indonesia)
13.40 - 14.00 Developing Ventilation Protocol for
Preterm Infants
Risma Kerina Kaban (Jakarta / Indonesia)
13.30-14:30 PRO-CON SESSION: CORTICOSTEROID 14.00 - 14.20 Neonatal Noninvasive Ventilation
IN PEDIATRIC SEPTIC SHOCK Techniques: Do We Really Need to
Moderator: Eva Marwali (Jakarta/ Intubate?
Indonesia) Putri Maharani (Jakarta/Indonesia)
(AMPM; High Flow: CPAP; NAVA)
Pro: Arida Muriani Lubis (Medan/ 14.20 - 14.40 Optimal Practice of Therapeutic
Indonesia) Hypothermia for Neonatal
Con: Kurniawan Taufik Khadafi (Malang/ Encephalopathy
Indonesia) Lily Rundjan (Jakarta/Indonesia)
Pro & Con 14.40 - 14.30 Discussion
14.30-15.15 Coffee/Tea Break
15.15 -16.15 CLINICAL CHALLENGES: CASE BASED 15.15 - 16.15 CASE BASED DISCUSSION:
CHALLENGES IN PEDIATRIC SEPSIS MANAGEMENT OF EXTREMELY
(With Vox Vote) PRETERM INFANTS
Moderator: Abdul Latief (Jakarta/ Concensus Between Fetal Maternal and
Indonesia) Neonatal Medicine
Moderator: Aris Primadi (Bandung/
Indonesia) & Ali Sungkar (Jakarta/
Indonesia)
Joseph Carcillo (USA) Panelists:
Yogi Prawira (Indonesia) Rinawati Rohsiswatmo (Jakarta/Indonesia)
Lucy Lum (Malaysia) Arend Bos (Netherlands)
Brendan Smith (Australia) Noroyono Wibowo (Jakarta/Indonesia)
Scott White (Australia)
16.15 - 16.30 Closing Ceremony

14
Bali International Convention Centre (BICC)
Nusa Dua Bali – Indonesia 26-27, 28-29 June 2019
“From the Womb to the Brighter World: Implementing
Evidence Based Practice to Improve Survival Rate and Long
Term Outcomes in Newborn Infants and Children”
In Conjunction with
2019 FETOMATERNAL UPDATE: CONTINUUM
OF FETAL, NEWBORN AND CHILD HEALTH CARE

REGISTRATION & ACCOMMODATION

PACKAGE WORKSHOP & SYMPOSIUM SPECIALISTS GENERAL

PRACTITIONER
WS-GAST-2606 Management of Gastrointestinal Dysfunction 5,050,000 4,550,000
WS-HEMO-2706 Hemodynamic Optimization in Pediatric Sepsis 5,050,000 4,550,000
WS-NICU-2627 Integrated Approach to Reach an Optimal Neonatal Quality 5,950,000 5,450,000
of Life

WORKSHOP
WS-USGI-2627 What Intensivists Should Know the Use of Ultrasound 4,000,000
WS-GAST-2606 / Additional Workshop Management of Gastrointestinal 2,000,000
WS-HEMO-2706 Dysfunction / Hemodynamic Optimization in Pediatric
Sepsis

Note: Workshop “What Intensivist Should Know the Use of Ultrasound” is not compulsory to Registration. Additional
Workshop Gastrointestinal Dysfunction & Hemodynamic Optimization will only eligible as additional to the Package

SYMPOSIUM < 15 APRIL 2019 > 15 APRIL 2019

SY-PHYS-2829 Specialists 3,250,000 3,750,000
SY-GPRC-2829 General Practitioner 2,750,000 3,250,000
SY-STUD-2829 Student 2,000,000 2,500,000

HOTEL ROOM CATEGORY RATE/NIGHT

The Westin Deluxe 2,400,000
Nusa Dua Beach Deluxe 2,300,000
Premium 2,500,000
Melia Bali Melia Guests 2,300,000
Sofitel Bali Nusa Dua Luxury 2,600,000
The Laguna Deluxe Garden 2,600,000

15
Bali International Convention Centre (BICC)
Nusa Dua Bali – Indonesia 26-27, 28-29 June 2019
“From the Womb to the Brighter World: Implementing
Evidence Based Practice to Improve Survival Rate and Long
Term Outcomes in Newborn Infants and Children”
In Conjunction with
2019 FETOMATERNAL UPDATE: CONTINUUM
OF FETAL, NEWBORN AND CHILD HEALTH CARE

HOW TO REGISTER

REGISTRATION ONLINE – www.picunicu.org

HOW TO GET THE FORM
● Send your request to secretariat@geoconvex.com or Whatsapp +62811 88 2080 / +62819 88 2080 for the
hardcopy of Announcement Book to be delivered to your home address, or softcopy to your email address.
● Download the PDF file of updated Announcement at http://geoconvex.com/upcoming-events/ and/or at
Association’s Website.

OFF-LINE REGISTRATION
Find the Registration & Accommodation Form on the last page of the Announcement. Complete the form before you
sent it by fax to +62 21 2931 5471 or photo (scan) it and send to
secretariat@geoconvex.com, or Whatsapp +62811 88 2080 / +62819 88 2080
● It would be more efficient if you send the payment proof along with your form submission
● Reconfirm your registration status to +6221-2931 5470 / +62 811 88 2080 / +62 819 88 2080

The Online Registration will be closed 20 June 2019

Please contact Secretariat after the mentioned date for back office assistant

ON-LINE REGISTRATION
It’s Easy as 1-2-3 Steps

STEP 1 – LOGIN OR CREATE YOUR ACCOUNT

Visit https://geoconvex.id and Login or Sign-Up for a new account or click Register Now at https://picunicu.org/
investment-rate/

STEP 2 – REGISTER EVENT

● View EVENT list and choose available Event (e.g. 11th PICU NICU Update)
● Click register on Event Item preferred and choose Participant Category. You may have more than one
Participant to register. Click Book Ticket.
● Return to Event Item to book other Item(s) (e.g. Workshop; Accommodation; Package) and repeat the
procedure

In the case that the Applicant is not the Participant himself, the Applicant can submit more than one Participant
to be registered.

STEP 3 – PAYMENT & RECEIVE TICKET(S)

● Review the cart and proceed to check out. Input all required information as an applicant and participant(s).
Select Payment Method.
● Complete all the fields and proceed payment.
Bank Transfer –Send necessary confirmation post-transfer to Secretariat email
Credit Card by Midtrans –Review payment and confirm
Other Method –Contact us
● The Registration Notification will be sent to Applicant’s nominated email. Receipt(s) and Ticket(s) will be sent
as well after the payment confirmed.

Verification process of your bank transfer may take up to 7 (seven) working days
before you get the COMPLETED status confirmation

TIME LIMIT REGISTRATION PAYMENT

Your registration on-hold (unpaid) will be automatically deleted of the system after the deadline of registration
confirmation sent by email, unless you response otherwise.

CHANGE IN PACKAGE / NAME OF PARTICIPANT

Please contact Secretariat for back office assistant.

16
Bali International Convention Centre (BICC)
Nusa Dua Bali – Indonesia 26-27, 28-29 June 2019
“From the Womb to the Brighter World: Implementing
Evidence Based Practice to Improve Survival Rate and Long
Term Outcomes in Newborn Infants and Children”
In Conjunction with
2019 FETOMATERNAL UPDATE: CONTINUUM
OF FETAL, NEWBORN AND CHILD HEALTH CARE

RE-REGISTRATION PROCEDURE
Display your HTML or printed PDF Ticket(s) when your foreseen at Registration Counter to obtain your ID &
conference kit, as well as for certificate verification. You may also access your Account and download the Ticket(s)
through your dash board.
The ID must be worn throughout the conference, entering scientific meetings & lunch programmed

GROUP REGISTRATION
Please communicate to secretariat@geoconvex.com for company/institution Group Registration handling and assistant

ON SITE REGISTRATION
Participants that were not registered in our registration list will be treated as New Participant and will have to register
on-site. Payment by Cash or Credit Card are accepted.
Please note that Organizing Committee reserve the right not to guarantee any on-site registrant to obtain its complete
conference kit. Therefore we strongly urge for early Registration.

On Site payment is only valid for conference registrations and not

eligible for Workshops and Accommodations due to limited seats

PAYMENT METHODS
Adhering to Regulation of Bank Indonesia (RBI) NO.17/3/PBI/2015 regarding Mandatory use of Rupiah within the
Republic of Indonesia (RI), all payments in this event registration should be made in IDR (Indonesian Rupiah).
1. DIRECT BANK TRANSFER. Make your payment transfer to the appropriate event Bank Account for the
mentioned Event. The Bank Account detail may be found in the Checkout page. Bank transfer charges should
be paid by registrant, otherwise the registration receipt and Ticket will not be issued due to less payment
received
2. ONLINE PAYMENT MIDTRANS®. Find the easier way to make online registration payment using your valid
Credit or Debit Card (Visa/MasterCard/JCB/Amex).
3. CASH. Cash can be paid during Event at the Registration Counters
4. ON-SITE CREDIT-CARD. Credit card payment can be paid during Event at the Registration Counters by
signing your authorization. Credit Card transaction charges will be applied based on venue hotel’s regulation
and the exchange rates is upon Credit Card provider discretion when the statement converted into local
currency.

CANCELLATION AND REFUND POLICY

Registration cancellation must be made in written 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 cannot be refunded

ACCOMMODATION
The following terms and conditions will be applied to accommodation:
● 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 the event by bank transfer. Official letter should be submitted to Secretariat
address mentioning its payer’s Bank Account.

PAYMENT CONFIRMATION
[This Step is only applied for Bank Transfer payment method]
Upload your payment proof (photo or image file) on your account dash-board. For registration complete process faster,
please confirm your bank transfer made to Secretariat contacts.
Submitting your file may take a while depending on your connection speed and traffic. DO NOT close or navigate away
before uploading has completed.

17
Bali International Convention Centre (BICC)
Nusa Dua Bali – Indonesia 26-27, 28-29 June 2019
REGISTRATION FORM
“From the Womb to the Brighter World: Implementing
Evidence Based Practice to Improve Survival Rate and Long
Term Outcomes in Newborn Infants and Children”
In Conjunction with
2019 FETOMATERNAL UPDATE: CONTINUUM
OF FETAL, NEWBORN AND CHILD HEALTH CARE

PARTICIPANT DETAIL
First Name : _________________________________________________________________________________________
Last Name : _________________________________________________________________________________________
Email : _________________________________________________________________________________________
Mobile Phone : _________________________________________________________________________________________
Institution : _________________________________________________________________________________________
City : _________________________________________________________________________________________
IPS Member ID : _________________________________________________________________________________________

SPONSOR DETAIL
First Name : _________________________________________________________________________________________
Last Name : _________________________________________________________________________________________
Institution : _________________________________________________________________________________________
Country : _________________________________________________________________________________________
Address : _________________________________________________________________________________________
City : _________________________________________________________________________________________
Province : _________________________________________________________________________________________
Post Code : _________________________________________________________________________________________
Mobile Phone : _________________________________________________________________________________________
Email : _________________________________________________________________________________________

REGISTRATION
PACKAGE WORKSHOP & SYMPOSIUM CODE CATEGORY RATE
Specialists 5.050.000
Management of Gastrointestinal Dysfunction WS-GAST-2606
GP/Fellow 4.550.000
Specialists 5.050.000
Hemodynamic Optimization in Pediatric Sepsis WS-HEMO-2706
GP/Fellow 4.550.000
Specialists 5.950.000
Integrated Approach to Reach an Optimal Neonatal Quality of Life WS-NICU02627
GP/Fellow 5.450.000

WORKSHOP & ADDITIONAL WORKSHOP CODE RATE

What Intensivist Should Know the Use of Ultrasound WS-USGI-2627 4.000.000
Management of Gastrointestinal Dysfunction WS-GAST-2606 2.000.000
Hemodynamic Optimization in Pediatric Sepsis WS-HEMO-2706 2.000.000

Note: Workshop “What Intensivist Should Know the Use of Ultrasound” is not compulsory to Registration. Additional Workshop
Gastrointestinal Dysfunction & Hemodynamic Optimization will only eligible as additional to the Package

11TH INDONESIAN PICU NICU UPDATE CODE BEFORE 15-APR-19 AFTER 15-APR-19
Specialists SY-PHYS-2829 3.250.000 3.750.000
General Practitioner SY-GPRC-2829 2.750.000 3.250.000
Student SY-STUD-2829 2.000.000 2.500.000

PAYMENT
BANK TRANSFER IN FULL AMOUNT TO CASH TO SECRETARIAT ADDRESS
ON SITE
OFFICIAL EVENT BANK ACCOUNT
Beneficiary: GEO Convex CONFIRMATION TO GEO CONVEX
Account Number: 8000-7329-1200 Hot Line : +62 21 293 15 470 (Hunting)
Bank Name: CIMB Niaga Mobile : +62 811 88 2080. +62 819 882080
Branch: Kemang Jakarta Email : secretariat@geoconvex.com
Bank Address: Jalan Kemang Raya No. 4, Jakarta Selatan

18 SWIFT CODE: BNIAIDJA

Bali International Convention Centre (BICC)
Nusa Dua Bali – Indonesia 26-27, 28-29 June 2019
ACCOMMODATION FORM
“From the Womb to the Brighter World: Implementing
Evidence Based Practice to Improve Survival Rate and Long
Term Outcomes in Newborn Infants and Children”
In Conjunction with
2019 FETOMATERNAL UPDATE: CONTINUUM
OF FETAL, NEWBORN AND CHILD HEALTH CARE

PARTICIPANT DETAIL
First Name : ______________________________________________________________________________________________
Last Name : ______________________________________________________________________________________________
Email : ______________________________________________________________________________________________
Mobile Phone : ______________________________________________________________________________________________
Institution : ______________________________________________________________________________________________
City : ______________________________________________________________________________________________
IPS Member ID : ______________________________________________________________________________________________

SPONSOR DETAIL
First Name : ______________________________________________________________________________________________
Last Name : ______________________________________________________________________________________________
Institution : ______________________________________________________________________________________________
Country : ______________________________________________________________________________________________
Address : ______________________________________________________________________________________________
City : ______________________________________________________________________________________________
Province : ______________________________________________________________________________________________
Post Code : ______________________________________________________________________________________________
Mobile Phone : ______________________________________________________________________________________________
Email : ______________________________________________________________________________________________

ACOMMODATION
CHECK-IN CHECK-OUT TOTAL TOTAL
HOTEL ROOM CATEGORY RATE/NIGHT
DATE DATE NIGHTS AMOUNT
The Westin Deluxe 2,400,000
Deluxe 2,300,000
Nusa Dua Beach
Premium 2,500,000
Melia Bali Melia Guests 2,300,000
Sofitel Bali Nusa Dua Luxury 2,600,000
The Laguna Deluxe Garden 2,600,000

*Include Maximum 2 Breakfast

PAYMENT
BANK TRANSFER IN FULL AMOUNT TO CASH TO SECRETARIAT ADDRESS
ON SITE
OFFICIAL EVENT BANK ACCOUNT
Beneficiary: GEO Convex CONFIRMATION TO GEO CONVEX
Account Number: 8000-7329-1200 Hot Line : +62 21 293 15 470 (Hunting)
Bank Name: CIMB Niaga Mobile : +62 811 88 2080. +62 819 882080
Branch: Kemang Jakarta Email : secretariat@geoconvex.com
Bank Address: Jalan Kemang Raya No. 4, Jakarta Selatan

SWIFT CODE: BNIAIDJA

19
Bali International Convention Centre (BICC)
Nusa Dua Bali – Indonesia 26-27, 28-29 June 2019
“From the Womb to the Brighter World: Implementing
Evidence Based Practice to Improve Survival Rate and Long
Term Outcomes in Newborn Infants and Children”
In Conjunction with
2019 FETOMATERNAL UPDATE: CONTINUUM
OF FETAL, NEWBORN AND CHILD HEALTH CARE

NOTES:
______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

20
EX-OFFICIO SECRETARIAT
Global Echo Organizer convex
NAYA Kemang Selatan Kav. 15
Jl. Madrasah Raya No 11 G-H, Kemang Ampera, Jakarta Selatan,
12560 · INDONESIA
Tlp : +62 21 293 15 470 (Hunting)
Fax : +62 21 293 15 471
Hot Lines : +62 811 88 2080 . +62 819 88 2080
Website: http://www.geoconvex.com