iHeartscan live hands on workshop was organized by the department of Anesthesiology and critical care RRMCH, on 11th and 12th of Dec 2021 in collaboration with University of Melbourne, Australia. Dr.H.Sahajananda welcomed the Dean and the gathering. He also introduced the guest faculty: Dr Shashikanth Manikappa, Director, Anesthesia & Perioperative Medicine, Southeast sector, Monash Health, Melbourne, Australia is the Course Director for iHeartscan in India. Workshop Details Echocardiography has seen a meteoric rise in use in ultrasound since the mid-1990s in Australia and around the world. The use of ultrasound to guide procedures has been used extensively by Radiologists for years, but in recent times Anaesthetists, Intensivists and Emergency Department Physicians have embraced the technology. Limited echocardiography is not a totally new concept. There are publications looking at the use of limited echocardiography to assess volume or systolic function or as a screening tool to rule out severe aortic stenosis. Haemodynamic state assessment is a concept that has been championed through the Postgraduate Certificate/Diploma in Clinical Ultrasound (see www.heartweb.com.au) in Australia. The goal is to strike a balance between “too little and too much” by analysing the important information needed for the critical care environment, in order to influence how to manage patients. Haemodynamic state assessment is really the “bread and butter” of echo information. The information will be used in 90% of clinical situations to change the management. However, haemodynamic state is not enough to fully categorise the problem. Findings of haemodynamically important valve lesions such as severe aorticstenosis, will also lead us to change management. iHeartscan is promoting the concept of limited transthoracic echocardiography to perform Haemodynamic Echocardiography Assessment in Real Time, or iHeartScan™ for short. The study should take about 5 minutes once you gain more experience through practice. Prof. Dr Sahajananda is the Course Coordinator. IHeartScan Workshop Components 1 Pre-workshop preparation – includes eLearning tutorials and online TTE case studies. 2 Workshop workshop contains ten hours of hands-on-activity. Two hours is dedicated to each core learning area. Techniques will be demonstrated and participants will practise using the ultrasound systems. Participants will be divide into small groups (maximum of five per group) and groups will rotate through each core learning area station. 3 Post-workshop exam – an online assessment with multiple choice questions The core learning areas 1. Basic Trasthoracic Imaging 2. Haemodynamic State Assessment including Measurement of Cardiac Output 3. Basic Assessment of Valves using 2D and Colour Flow Doppler imaging 4. iHeartScan™ Examination 5. iHeartScan™ Reporting and Examples It was attended by 05 delegates (1:5ratio of faculty to delegate) .At the end of the second day various pathological case scenarios were beamed on the screen using LCD projector. Delegates were asked to diagnose the condition and then they were debriefed. Participants were asked to fill in the feedback forms and hand over them to our volunteers. Certificates were distributed to the attendees. Vote of thanks was delivered by Dr.Sahajananda.

CME was organized by the department of Anaesthesiology and critical care on 10th Dec 2021 in Kadamba Auditorium at 2-15 PM. Dr.Shashikanth Manikappa from Monash Health, Melbourne ,Australia was the speaker. Dr Sahajananda, welcomed Dr.Shashikanth Manikappa who is a very experienced clinician with multiple academic and clinical qualifications. He has worked in various institutions in India and Abroad. He has been a workshop trainer in various fields like iHeartscan ,TOE etc. Sahajananda also welcomed the CEO, Dean Medical superintendant, Heads of various departments, faculty members and Postgraduate students. 125 members attended the CME. Dr. Shashikanth Manikappa delivered a lecture on “Australian Approach to the management of Covid 19”. He also mentioned briefly about new variant Omicron strain and its effects. There was a healthy discussion at the end of lecture by the audience. Dr. Shashikanth Manikappa was felicitated by Medical Superintendent with a gift. Meeting concluded with vote of thanks by Dr.Sahajananda.