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TABLE OF WELCOME

CONTENTS MESSAGE
Dear Colleagues,

On behalf of the Organizing Committee, it is my great


pleasure to welcome you to attend the 2017 Indonesian
Symposium of Pediatric Anesthesia and Critical Care
(ISPACC) to be held at Crowne Plaza Hotel in Semarang,
Central Java, from March 22nd through 25th, 2017.

This prestigious occasion, the 9th Biennial Meeting of


ISPACC is sponsored and organized by the PERDATIN
en r l ill er re en i e
and interesting topic of plenary lectures, symposia and

1 WELCOME workshops. These sessions will provide the opportunity


n nl rene n in ire r ien i n le e
MESSAGE l i el i n r le in e el
pediatric anesthesiology and critical care.
ISPACC 2017 2
COMMITTEE Delivering anesthesia for pediatric patient especially,
not only to provide good sedation, relaxation and

3 SECRETARIAT analgesia, but also we should think beyond it, the impact
of anesthesia on their future life. So in this meeting

GENERAL 4 we picked up theme: SAFE AND GENTLE TOUCH FOR


e ll i i ill e ene i l
INFORMATION to provide better anesthesia and critical care service for
pediatric patient.
5 PROGRAM
REGISTRATION AND 6 Best Regards,

ACCOMMODATION
INFORMATION Heru Dwi Jatmiko, MD
CHA IR M A N OF 9 T H ISPA CC 2 0 1 7 SEM A R A NG

7 REGISTRATION
FORM
ACCOMMODATION 8
FORM

INDONESIAN SYMPOSIUM OF PEDIATRIC ANESTHESIA AND CRITICAL CARE (ISPACC)


INDONE INDONESIAN SYMPOSIUM OF PEDIATRIC ANESTHESIA AND CRITICAL CARE (ISPACC)
PACC)
01
ISPACC 2017 SECRETARIAT
COMMITTEE
HONORARY BOARD Organizer by
The Director of Dr. Kariadi Hospital, Semarang
The Dean of Faculty of Medicine, Diponegoro University
The Chairman of Indonesian Medical Association, Central Java

STEERING COMMITTEE
President of Indonesian Society of Anesthesiology and Intensive Care (PERDATIN)
Indonesian Symposium of Pediatric Anesthesia and Critical Care
President of Indonesian Pediatric Anesthesia Association
Jl. Dr. Soetomo No. 16, Semarang 50143
Chairman of Perdatin, Central Java
Phone / Fax : +6224 8444346
Organizing Committee Email : ispacc.semarang@gmail.com
Chairman : dr. Heru Dwi Jatmiko, SpAn, KAKV, KAP
Secretary : dr. Bondan Irtani Cahyadi, SpAn
Treasurer : dr. Widya Istanto Nurcahyo, SpAn, KAKV, KAR

Scientific Committee:
Dr. dr. M. Sofyan Harahap, SpAn, KNA
Co-Organizer by
Dr. dr. Arie Untariani, SpAn, KAP
GPD Indonesia
Dr. dr. Jayanti Mandasari, SpAn, KAP
Jl. Kebalen V No. 24A Kebayoran Baru, Jakarta 12180
dr. Andi Ade Wijaya, SpAn, KAP
Phone: +62 21 7254424 / 7229339
dr. Himawan Sasongko, SpAn, KNA
Fax: +62 21 7396261
dr. Eri Leksana, SpAn, KIC, KAO
Mobile : +62 8111 332664, +62 8111 662664
r r n
Contact : Erlin
Email : erlin@gpdindonesia.com / gpd@gpdindonesia.com
Workshop Committee:
dr. Doso Sutiyono, SpAn, MARS
r n ri n n
dr. Jati Listiyanto Pudjo, SpAn, KIC

Funds Committee:
dr. Danu Soesilowati, SpAn, KIC
dr. Hari Hendriarto Satoto, MSi. Med, SpAn, KAKV

Beverages
Food & Beverages:
dr. Yulia Wahyu Villyastuti, SpAn

Accommodation & Transportation:


dr. Aria Dian Primatika, SpAn, KIC

Documentation
Publication & Documentation:
dr. Tatag Istanto, SpAn

Security
Security:
dr. Satrio Adi Wicaksono, SpAn

02 INDONESIAN SYMPOSIUM OF PEDIATRIC ANESTHESIA AND CRITICAL CARE (ISPACC)


INDONE INDONESIAN SYMPOSIUM OF PEDIATRIC ANESTHESIA AND CRITICAL CARE (ISPACC)
PACC)
03
GENERAL PROGRAM
INFORMATION
The 9th Bienneal Meeting of Indonesian Symposium WORKSHOP
of Pediatric Anesthesia and Critical Care (ISPACC) 2017 TOT Safe Pediatric Anesthesia
Neonatal Resuscitation Training (Perinasia)
Theme: SAFE AND GENTLE TOUCH FOR PEDIATRIC Pediatric Fundamental Critical Care Support (PFCCS) - PERDICI
Pediatric Mechanical Ventilation Management
Venue: Crowne Plaza Hotel, Semarang Pediatric Regional Anesthesia
Pediatric Operative of Anesthesia and Critical Care (CPD)
Important Date: Pediatric Emergency and Critical Care Ultrasound (WINFOCUS)
Workshop : March 22nd 23rd, 2017 Pediatric Sedation and Pain
Symposium : March 24th 25th, 2017 Airway Management (CPD)
Exhibition : March 24th 25th, 2017
Eposter : March 24th 25th, 2017 SYMPOSIUM
Plenary Lecture
Satellite Symposium
Workshop related to TOT Safe Pediatric Anesthesia Lunch Symposium
Workshop related to Neonatal Resuscitation Training (Perinasia) Pro Con Debate
Workshop related to Pediatric Fundamental Critical Care Support (PFCCS) PERDICI
Workshop related to Pediatric Mechanical Ventilation Management TOPIC
Workshop related to Pediatric Regional Anesthesia Pediatric Cardiac
Workshop related to Pediatric Perioperative of Anesthesia and Critical Care (CPD) Trauma in Pediatric
Workshop related to Pediatric Emergency and Critical Care Ultrasound (WINFOCUS) Fluid Therapy in Pediatric
Workshop related to Pediatric Sedation and pain Hemodynamic Monitoring in Pediatric
Workshop related to Airway Management (CPD) Intensive Care in Pediatric
Symposium related to Pediatric Cardiac Anesthesia Care in Pediatric
Symposium related to Trauma in Pediatric Anesthesia in Congenital Anomalies
Symposium related to Fluid Therapy in Pediatric Management of Pain in Pediatric
Symposium related to Hemodynamic Monitoring in Pediatric Pediatric Emergency
Symposium related to Intensive Care in Pediatric Nutrition in Pediatric
Symposium related to Anesthesia in Congenital Anomalies
Symposium related to Management of Pain in Pediatric
Symposium related to Pediatric Emergency
Nursing in Pediatric Anesthesia

04 INDONESIAN SYMPOSIUM OF PEDIATRIC ANESTHESIA AND CRITICAL CARE (ISPACC) INDONESIAN SYMPOSIUM OF PEDIATRIC ANESTHESIA AND CRITICAL CARE (ISPACC)
05
REGISTRATION FORM
Indonesian Symposium
REGISTRATION AND of Pediatric Anesthesia
And Critical Care

ACCOMMODATION
(ISPACC)

PARTICIPANT DATA (Please Complete)


INFORMATION Title
Full Name
:
:
PROF  DR 'Ubb Specialist Others ________
___________________________________________________________
Institution : ___________________________________________________________
REGISTRATION BY EMAIL ROOM RATE Address : ___________________________________________________________
To get a registration form can contact the secretariat H el r e i l n re r e re ein el ___________________________________________________________
r er llin e r e n re ri i n Crowne Pl H el ZIP Code : ___________________________________________________________
Se r n Room rate is in R i er ni n er
re i r i n r ne il erlin in ne i m Phone Number : ___________________________________________________________
r in l e re r er n
n i e r n il m E-mail Address : ___________________________________________________________
Re er i n e e r e n re
Sponsor : ___________________________________________________________
REGISTRATION BY FAX e re ri r n ee e in i e r e ne i e
Person In Charge : Mr. Ms. _____________________________________________
C le e e re i r i n r e Secretariat Fax r e n re
Phone Number : ___________________________________________________________
n er n en re n r
secretariat at +62 21 7254424 or +62 21 7229339 HOTEL RESERVATION
H el i n en ill e e n FIRST COME FIRST REGISTRATION FEE
Please mark 5 on the chosen Workshop / Symposium
ON SITE REGISTRATION SERVE BASIS
REGISTRATION FEE
T e en re i ere in n e re i er NO WORKSHOP DATE
n i e re i r i n e Onl en in R i REGISTRATION AND ACCOMMODATION < 1 February 2017 > 1 February 2017

SECRETARIAT 1 Pediatric Emergency and Critical Care Ultrasound (WINFOCUS) March 22nd - 23rd Rp. 4,000,000 Rp. 4,500,000
ill e e e rin n i e re i r i n N re n ill 2 TOT Safe Pediatric Anesthesia March 22nd - 23rd Rp. 2,500,000 Rp. 3,000,000
e e r n i e re i r i n ee 3 Noenatal Resuscitation Training (Perinasia) March 22nd - 23rd Rp. 2,500,000 Rp. 3,000,000
In onesian Socie of Anesthesiologist an Intensive Care 4 Pediatric Fundamental Critical Care Support (PFCCS) March 22nd - 23rd Rp. 2,500,000 Rp. 3,000,000
5 Pediatric Mechanical Ventilation Manajemen March 22nd - 23rd Rp. 2,500,000 Rp. 3,000,000
REGISTRATION PAYMENT Dr Soetomo 16, Semarang 50143 6 Pediatric Regional Anesthesia March 22nd - 23rd Rp. 2,500,000 Rp. 3,000,000
Phone : +62 24 8444346 7 Pediatric Perioperative of Anesthesia and Critical Care March 22nd - 23rd Rp. 2,500,000 Rp. 3,000,000
All re i r i n ee e i n r n er
8 Pediatric Sedation And Pain March 22nd - 23rd Rp. 2,500,000 Rp. 3,000,000
Re i r n l e r ll n r e Ple e en Fax : +62 24 8444346 9 Airway Management (CPD) March 22nd - 23rd Rp. 2,500,000 Rp. 3,000,000
e r n i n l n i e re i r i n e E il :i e r n il m REGISTRATION FEE
NO PARTICIPANT
Organizing C i ee < 1 February 2017 > 1 February 2017
PT GPD In ne i 1 Specialist Rp. 2,750,000 Rp. 3,000,000
HOTEL POLICY e len N A r 2 General Practitioner / Resident Rp. 1,750,000 Rp. 2,000,000
3 Nurse Rp. 1,250,000 Rp. 1,500,000
D e i e n n e el r e Phone : (+62 21) 7229339, 7254424
i e n re e n re e re ri r n l Fax : (+62 21) 7396261
re en e e rl re er i n ile : +62 8111 332664, +62 8111 662664 CANCELLATION AND REFUND
Contact : Erlin Cancellation should be submitted by letter before March 1st, 2017. 50% refund will be transfer
after the implementation of the program is done. No refund will be allowed thereafter.
E il : erlin g in onesia com / g g in onesia com
BANK TRANSFER SIGNATURE
PAYMENT BY Bank Name : Bank Mandiri Branch RS Kariadi Semarang
n n iri r n RS ri i Semarang Acc. No : 135 001 473 1259
Acc No : 135 001 473 1259 Acc. Name : PANITIA ISPACC 2017
Acc Name : PANITIA ISPACC 2017 Swift Code : BMRIIDJA
Swift C e : BMRIIDJA

T+6)25072*(7+(5:7+7+(5(4867(3$<0(17$1'b25'2&80(17$7216+28/'%(b(0$/(')$;('72
The Congress Secretariat at GPD Indonesia Jl. Kebalen V No. 24A Kebayoran Baru, Jakarta Selatan 12180
Phone: +6221 725 4424, +6221 722 9339 | Mobile: +628111332664, +628111662664 | Fax: +6221 7396261
Email: erlin@gpdindonesia.com, ispacc.semarang@gmail.com

06 INDONESIAN SYMPOSIUM OF PEDIATRIC ANESTHESIA AND CRITICAL CARE (ISPACC)


ACCOMMODATION FORM

Indonesian Symposium
of Pediatric Anesthesia
And Critical Care
(ISPACC)
PARTICIPANT DATA (Please Complete)
Title : PROF  DR 'Ubb Specialist Others ________
Full Name : ___________________________________________________________
Institution : ___________________________________________________________
Address : ___________________________________________________________
___________________________________________________________
ZIP Code : ___________________________________________________________
Phone Number : ___________________________________________________________
E-mail Address : ___________________________________________________________
Sponsor : ___________________________________________________________
Person In Charge : Mr. Ms. _____________________________________________
Phone Number : ___________________________________________________________

REGISTRATION FEE
Please mark 5 on the Hotel you choose.
HOTEL ROOM TYPE RATE

 CROWNE PLAZA HOTEL, SEMARANG SUPERIOR Rp. 950,000

CHECK IN DATE: CHECK OUT DATE: TOTAL NIGHT:


TOTAL ACCOMODATION PAYMENT: IDR
** HOTEL RATE IS NETT. PER NIGHT INCL. BBF
*TERM & CONDITION
Hotel room rate is nett including 2 (two) breakfast
3OHDVHQRWHWKDWRFLDOFKHFNLQWLPHLVORFDOWLPHDQGFKHFNRXWWLPHLVORFDOWLPH
Approval of early check-in and late check out is at discretion of the hotel
No reservation will be made without full deposit of nights booking due to room availability
$Q\FKDQJHVbDQGFDQFHOODWLRQUHJDUGLQJWRURRPUHVHUYDWLRQLQSUHUHJLVWUDWLRQSHULRGPXVWEHGRQHLQZULWLQJWRWKHVHFUHWDULDWDWOHDVW
KRXUVSULRUWRDUULYDO$IWHUWKHGDWHJXDUDQWHHGSD\PHQWIRUQLJKWZLOOEHFKDQJHG
1R6KRZZLOOEHDSSOLHGRQWKHUVWQLJKWIRUGHOD\HGRUSRVWSRQHVWD\LQJWKDWFDXVHWKHORVVRIQLJKWURRPGHSRVLWHPDGH
In the event of materilzation, the hotel will change full amount duration of stay upon check-out that cause loss of mentioned deposit made
5HIXQGPD\RQO\EHPDGHDIWHUWKHHYHQWE\EDQNWUDQVIHU2FLDOOHWWHUVKRXOGEHVXEPLWWHGWRVHFUHWDULDWDGGUHVVPHQWLRQLQJLWVSD\HUV
Bank Account

CANCELLATION AND REFUND


Cancellation should be submitted by letter before March 1st, 2017. 50% refund will be transfer
after the implementation of the program is done. No refund will be allowed thereafter.

BANK TRANSFER
Bank Name : Bank Mandiri Branch RS Kariadi Semarang SIGNATURE
Acc. No : 135 001 473 1259
Acc. Name : PANITIA ISPACC 2017
Swift Code : BMRIIDJA

T+6)25072*(7+(5:7+7+(5(4867(3$<0(17$1'b25'2&80(17$7216+28/'%(b(0$/(')$;('72
The Congress Secretariat at GPD Indonesia Jl. Kebalen V No. 24A Kebayoran Baru, Jakarta Selatan 12180
Phone: +6221 725 4424, +6221 722 9339 | Mobile: +628111332664, +628111662664 | Fax: +6221 7396261
Email: erlin@gpdindonesia.com
Organizer by
Indonesian Society of Anesthesiologist and Intensive Care
Jl. Dr. Soetomo No. 16, Semarang 50143
Phone / Fax: +6224 8444346
Email: ispacc.semarang@gmail.com

Co-Organizer by
GPD Indonesia
Jl. Kebalen V No. 24A Kebayoran Baru, Jakarta 12180
Phone: +62 21 7254424 / 7229339
Fax: +62 21 7396261
Contact: Mrs. rlin (+62811 / +6281 )
Email: erlin@gpdindonesia.com

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