A stepwise approach on mobilising the neurological and neurosurgical patients

Learning objectives

1. Understand the indications, precautions and contraindications while mobilising patients with lines and attachments such as EVD.
2. Develop a step wise approach in the clinical reasoning and decision-making process while mobilising the neurological patients. 

Symposium Speaker and Convenor: Ms Annuradhaa Ravi, Senior Physiotherapist, Khoo Teck Puat Hospital

Topic title: Physiotherapy management in early mobilisation with lines and drains in General Ward settings

Biography: Ms  Annuradhaa Ravi is currently the neuro lead at KTPH and has an experience of nearly 20 years in working neurological and neurosurgical population. She has pioneered in developing protocols for the management of neurosurgical patients along with doctors and nurses. She has won the second place in Singapore Rehabilitation Conference 2016 poster presentation on developing an algorithm for Mobilisation of Neurosurgical Patients with External Ventricular Drain” Has conducted webinars and talks on the Early Mobilisation with drains and lines both in neurological and neurosurgical patients. She has the won the best oral presentation award in the international conference in Spain 2018. She is very much interested in the field of education and has won “Best Teacher Award” and “NHG Senior Allied Healthcare Teaching Award”

Speaker:  Dr Brian Chan, Registrar Neurosurgery, Khoo Teck Puat Hospital

Topic title: Surgical management and indications of lines and drains 

Biography: Dr Brian Chan is a neurosurgery registrar at Khoo Teck Puat Hospital. He graduated with a BSc (Hons) in Life Sciences from NUS and an MD from the Duke-NUS Medical School. His interests lie in neuro-oncology, neurotrauma and global health. An a budding clinician scientist, he is a firm believer in synergising medicine and science for the betterment of health care. He aspires to do his best for patients, while still making it home at a decent hour.

Speaker: Ms Wong Shuying, Neurosurgical Speciality Nurse, Khoo Teck Puat Hospital

Topic title:  Nursing management for the lines and drains

Biography: Ms Wong Shu Ying is Senior Staff Nurse of 14 years of nursing experience in Khoo Teck Puat Hospital. Ms Wong holds an Advanced Diploma in Nursing (Neuroscience), Nanyang Polytechnic and a Bachelor in Nursing, Curtin University (Singapore). Ms Wong has a particular passion for Neuroscience nursing, which she began cultivating early in my career on the neurology and neurosurgery ward at Tan Tock Seng Hospital. Over the past five years, Ms Wong has specialized further in neurosurgery while working as a specialty nurse at Khoo Teck Puat Hospital. In her role as a specialty nurse, she is deeply involved in delivering specialized care and supporting her neurosurgical patients throughout their journeys. Engaging actively in multidisciplinary discussions on neurosurgery, she collaborates closely with fellow healthcare professionals to ensure smooth transitions in patient care. Committed to both clinical excellence and collaborative improvement efforts, Ms Wong strives to contribute to the health and well-being of my patients at every opportunity.

Speaker: Mr Saboor Rahman Iqbal, Principal Physiotherapist, Parkway East Hospital

Topic title: Physiotherapy clinical reasoning process for the early mobilisation for neurosurgical patients – overview

Biography: Mr Saboor Rahman is a Principal Physiotherapist working in Parkway East Hospital, Singapore. He has 18 years of experience in various specialties with special interest in critical care Physiotherapy. He is an alumnus of University College London (UCL), UK, where he completed his post-graduation in 2018. Mr Saboor thrive on optimizing recovery for individuals with complex neurological and neuromuscular conditions in acute care. He pioneered Early mobilization and Rehabilitation in neurological intensive care. He is also instrumental in developing advanced respiratory care for patients with neuromuscular disease. He also played a major role in devising Tracheostomy care and weaning standardization in Tan Tock Seng Hospital. Mr Saboor was the first physiotherapist to treat COVID-19 patient in Singapore shared his expertise in various national and international webinars. He was conferred Singapore prestigious COVID-19 Commendation medal for the year 2023 for his contribution during pandemic. He has won many awards and accolades in local and international conferences throughout his years of practice.

Speaker: Ms Chow Mei Shi Amelia, Senior Physiotherapist, National University Hospital

Topic title: Physiotherapy management in early mobilisation with lines and drains in ICU settings

Biography: Ms Amelia Chow was awarded the Health Sciences and Nursing Scholarship from MOH Holdings in 2010 and graduated in 2014 from the University of Queensland with a Bachelor of Physiotherapy with First Class Honours. As a senior Physiotherapist in NUH, her primary work area is in intensive care where she specialises in early mobilisation and  cardiopulmonary physiotherapy for critically ill patients. Additionally, she leads the pulmonary rehabilitation programme, and established its tele-rehab services during the pandemic. She was awarded the People's Choice Award during NUH's Department of Medicine Academic Day 2023 for her research presentation entitled, "The Effectiveness of a Tele-Pulmonary Rehabilitation Programme for Chronic Respiratory Diseases in Singapore". She is passionate in clinical education, and has been a clinical educator for SIT students since 2018. She completed SIT's Certificate in Clinical Supervision course in 2023 and is currently the Clinical Educator Coordinator for SIT physiotherapy students in NUH.