08:00-08:30Registration
08:30-09:00Introduction
Maria Cristina Melia, Latisana
Alberto Peratoner, Trieste
09:00-11:00I SESSION | From damage control to damage prevention
Moderatori:Flavio Bassi, Udine
Paolo Chiarandini, Palmanova
Tommaso Pellis, Pordenone
Massimiliano Saltarini, Gorizia
09:00-09:40Why and how to start with Opioid Free Anaesthesia for most surgical procedures
Jan P. Mulier, Belgium
09:40-10:00How to implement OFA: a practical experience
Rino Colussi, Latisana
10:00-10:20Opioid Sparing in Robotic Urological Surgery: our experiences
Claudia Ambrosio, Pordenone
10:20-11:00ROUNDTABLE
Is the sympathetic nervous control the key?
11:00-11:20Coffee break
11:20-13:00II SESSION | A new key of locoregional anaesthesia: how, why and on whom?
Moderatori:Gabriella Nadalin, San Vito al Tagliamento
Raffaella Sagredini, Trieste
Loris D’Orlando, Tolmezzo
Massimo Nordio, San Daniele del Friuli
11:40-12:20Nociception and use of NOL technology in anaesthesia
Esteban Sala Rezola, Spain
12:20-12:40Impact of opioid free anaesthesia during primary breast cancer surgery on systematic inflammatory response
Fabrizio Brescia, Aviano
12:40-13:00Right tools and strategies in the pediatric patient
Gaia Milvia Bregant, Trieste
13:00-13:30Discussion
13:30-14:30Light lunch
14:30-16:30III SESSION | Tools: instructions for use!
Moderatori:Francesca Lucchese, Udine
Rino Colussi, Latisana
Pier Eugenio Gobbato, Monfalcone
Massimiliano Saltarini, Gorizia
14:30-15:00Points of view: neurophysiologist
Marco Belluzzo, Udine
15:00-15:30Real time anaesthesia: interpretation raw EEG
Carla Carozzi, Milano
15:30-16:00Target Control Infusion for tailored anaesthesia: role of DSA
Annapaola Dotto, Treviso
16:00-16:30ROUNDTABLE
Are we ready to change? The words to the experts
16:30-16:45Closing remarks
Maria Cristina Melia, Latisana
Alberto Peratoner, Trieste
In recent years, the field of anesthesiology has made significant strides toward a more personalized and patient-centered approach. Tailored anesthesia, or telo-anesthesia, represents one of the most innovative frontiers in this context. This approach is based on adapting anesthetic techniques to the specific physiological and pathological needs of each patient, ensuring greater safety and faster recovery.
Telo-anesthesia is founded on the principle that each patient is unique and therefore requires a customized anesthetic protocol. This includes the choice of drugs, dosages, administration techniques, and intraoperative monitoring. Personalization is achieved through a detailed preoperative assessment that considers factors such as age, weight, preexisting medical conditions, and the nature of the surgical procedure.
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Electroencephalographic monitoring is a fundamental tool in telo-anesthesia. EEG allows real-time assessment of anesthetic depth, preventing both overdose and under sedation. The EEG monitoring enables anesthesiologists to maintain optimal sedation levels, reducing the risk of adverse events and improving postoperative recovery. Analgesia monitoring is another crucial component of telo-anesthesia. Techniques such as the analgesia nociception index provide valuable information on the level of pain perceived by the patient during surgery. This allows for more precise modulation of analgesic use, preventing both excessive administration and insufficient analgesia. Opioid-free anesthesia (OFA) is an emerging approach that aims to eliminate or significantly reduce the use of opioids during and after surgery. This approach relies on the use of alternatives such as non-opioid drugs and regional techniques. OFA offers numerous advantages, including a reduction in opioid-related side effects such as nausea, vomiting, and respiratory depression, as well as a decreased risk of dependency and abuse. Telo-anesthesia represents a revolution in the field of anesthesiology, shifting the focus towards a more personalized and safer approach. The integration of electroencephalographic and analgesia monitoring, along with the adoption of opioid-free anesthesia techniques, significantly improves clinical outcomes and patient well-being. This scientific congress will provide a unique opportunity to discuss the latest scientific evidence, share clinical experiences, and explore future directions of this innovative approach.