11th annual regional anesthesia and acute pain symposium

WELCOME

Dear Colleague,

We cordially invite you to join us at NYSORA’s 11th Annual Symposium on Regional Anesthesia and Acute Pain Management,

September 22 – 23, 2012. Please note that starting this year, NYSORA annual programs will be held in September as opposed to the traditional

month of December. The reason for this change is simple; that the program has grown substantially over the years, and to accommodate this growth,

we decided to move the conference to a time of the year with less conflicts and much better weather. New York City is at its best in the fall and

there will be more opportunities for delegates to enjoy the sights and take in the city. Additionally, avoiding the holidays will allow individuals to

plan their travel arrangements and lodging with more ease and cost-efficiency.

The need for a comprehensive annual review of developments in regional anesthesia is obvious. The subspecialty of regional anesthesia and acute

pain medicine has been dramatically transformed over the past several years necessitating constant updates in pharmacology, technique, practice

protocols, as well as indications and clinical considerations. The introduction of ultrasound in clinical practice has made the subspecialty more

precise and intricate. Nerve blocks facilitate pain management, fast tracking, promotion of early mobilization, decreased hospital stay, and may

reduce overall healthcare costs. Attending NYSORA conferences help delegates stay up-to-date in the field by reviewing the new or updated

knowledge in regional anesthesia.

The NYSORA September symposium will be the largest and most ambitious to date. In addition to the intense parallel programs with some of the

most sought-after national and international speakers, NYSORA will offer a multitude of highly versatile and focused workshops. To meet the

demands raised by the delegates, the Saturday morning workshop will focus on basic ultrasound-based regional anesthesia techniques designed for

colleagues who are novice in the field. Delegates will be able to scan, become familiar with the ultrasound anatomy and practice on a meat-model to

develop knowledge of anatomy, basic ultrasonography and needle maneuvering. The Saturday afternoon workshops will be geared for intermediate

and advanced level delegates. In addition to the basic techniques, the intermediate workshop will also focus on expanding range of ultrasound-

guided peripheral nerve blocks as well as more interactive discussion with the faculty. The workshop on ultrasound-guided pain procedures will

include special sessions designed for the pain clinicians who would like to start utilizing ultrasound-guided pain prevention techniques. Finally,

colleagues who are in need of more advanced direction will have the opportunity to attend our advanced nerve block workshop. This session is

intended for those who already practice ultrasound-guided peripheral nerve blocks and are in need of advanced instruction. Sunday’s workshops

will be more in depth compared to previous years. All Sunday workshop sessions will be preceded by a short review of anatomy upon which the

delegates will see practical demonstrations and scanning techniques.

This year’s symposium will also feature a superior humanities program with a wider variety of topics and discussions. Some of last year’s topics

included choosing wines, cooking discussions triathlon preparation, and how to expand your anesthesiology practice. And how could one forget the

infamous Saturday evening social event featuring a plethora of great music, live performances, dancing, and excitement? As always there will be a

limited free buffet and open bar. This is truly a spectacular event where everyone gets together for more knowledge sharing, networking, and

unforgettable fun.

The NYSORA symposium has become a staple for state-of-the-art education in regional anesthesia and acute pain management. The 2012

September program will be truly special. It will feature expanded sessions, as well as PBLDs (Problem Based Learning Discussions) for the first

time. Multiple opportunities will be available for enhanced learning and discussion amongst experts and the audience. The program will also

incorporate a number of different workshops and didactic sessions. This allows delegates to choose which workshops and sessions best suit their

individual needs and interests. Abstract presentations will also be included for enhanced and interactive sharing of new knowledge. For this one of a

kind educational opportunity, we have chosen some of the very top opinion leaders in the field.

We look forward to seeing you in September for what promises to be an unforgettable educational event.

Program Chair Program Co-Chairs

Dr. Admir Hadzic Dr. Uma Shastri Dr. Kwesi Kwofie

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CALL FOR ABSTRACTS The 2012 New York School of Regional Anesthesia Program Committee invites submission of abstracts of scientific papers for the 11

TH

Annual Regional Anesthesia and Pain Management Symposium, scheduled to take place on September 22 – 23, 2012 in New York

City, at the Marriot Marquis Hotel. All abstracts, papers, and oral presentations will be in English. Abstracts previously presented at

other large anesthesia gatherings within the last 12 months qualify for submission to this meeting.

Instructions for Authors

Abstract Length: The body of the abstract should be approximately 3000 characters (about 500 words). Additionally, tables and figures with legends

can be submitted.

The abstract should be organized into the following sections:

- Introduction with Hypothesis

- Methods

- Results

- Discussion

- Conclusion

- References

The abstracts will be presented on Saturday, September 22nd.

Email your submission to Stacy Atkinson at

[email protected]

Submission Deadline: August 20, 2012

mailto:[email protected]

LEARNING OBJECTIVES Assess the pearls and pitfalls of ultrasound-guided regional anesthesia management techniques and suggest their optimal

application in perioperative setting

Design a plan on how to manage challenging patients and techniques

Analyze and understand the latest changes in ultrasound-guided regional anesthesia techniques

Compare techniques and clinical applications of ultrasound-guided regional anesthesia procedures to improve success rate and

reduce the risk of complications

Determine the proper choice of single-injection versus continuous nerve block techniques

Evaluate the indications for and management of continuous infusion of local anesthetics

Analyze the rational choice, indication and management of continuous peripheral nerve blocks after orthopedic surgery

Analyze the factors of medico-legal implications and how to properly document nerve block and regional anesthesia

procedures

Identify the available methods, protocols and strategies to manage postoperative epidural analgesia

Understand the relevant anatomy for transverse abdominis (TAP) block, its indications and techniques for best results

Review the local anesthetic toxicity and means for prevention and treatment

Review the indications and techniques of ultrasound-guided nerve block procedures for the pain practitioner

Review the techniques and indications for peripheral nerve blocks of the distal extremity

Understand the latest developments in long acting local anesthetics and their potential effects on the field of regional anesthesia

Implement a rational approach to postoperative pain management utilizing the latest concepts in multimodal analgesia

Become familiar with how regional anesthesia may affect the cancer recurrence

TARGET AUDIENCE Practicing anesthesiologists and pain medicine physicians, anesthesia fellows, residents and nurses, as well as other health industry

professionals practicing regional anesthesia and pain management.

ACCREDITATION STATEMENT This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for

Continuing Medical Education through the joint sponsorship of Beth Israel Medical Center & St. Luke’s and Roosevelt Hospitals and

The New York School of Regional Anesthesia. Beth Israel Medical Center & St. Luke’s and Roosevelt Hospitals is accredited by the

ACCME to provide continuing medical education for physicians.

CREDIT DESIGNATION St. Luke’s and Roosevelt Hospitals designates this live activity for a maximum of 13.25AMA PRA Category 1 Credits

TM. Physicians

should only claim credit commensurate with the extent of their participation in the activity.

POLICY ON FACULTY AND PROVIDER DISCLOSURE It is the policy of Beth Israel Medical Center & St. Luke’s and Roosevelt Hospitals that faculty and providers disclose real or apparent

conflicts of interest relating to the topics of this educational activity, and also disclose discussions of unlabeled/unapproved uses of

drugs or devices during their presentations. Beth Israel Medical Center & St. Luke's and Roosevelt Hospitals have established policies

in place that will identify and resolve all conflicts of interest prior to this educational activity.

CONFERENCE LOCATION Marriott Marquis Hotel 1535 Broadway at 45th Street

New York, NY 10036

1-877-513-6305

A block of rooms is available at the conference rate of $314.00, plus applicable taxes, and is available until August 28th, on a space

available basis. After that, rates are subject to availability. When calling, please state that you are with the “NYSORA Conference”.

Your attendance at this symposium is guaranteed to be enriched by the cultural and recreational opportunities that only New York City

can offer. The hotel is in the heart of Manhattan’s midtown, right on Broadway in the theater district and close to the Center of

Performing Arts, Carnegie Hall and numerous museums. If you would like to learn more about New York’s many attractions, contact

the New York Convention and Visitors Bureau, 2 Columbus Circle, New York, NY 10019, (212) 397-8222, www.nycvisit.com

DIRECTOR

ADMIR HADZIC, MD, PhD

Professor of Anesthesiology

Columbia University College of

Physicians and Surgeons

Director, Regional Anesthesia

St. Luke’s and Roosevelt Hospitals

New York, New York

CO-DIRECTORS

KWESI KWOFIE, MD, FRCPC UMA SHASTRI, MD, FRCPC

Staff Anesthesiologist

Dalhousie University

Halifax, Nova Scotia, Canada

Attending Anesthesiologist

St. Joseph's Hospital

Toronto, Ontario, Canada

FACULTY

ARTHUR ATCHABAHIAN, MD HONORIO BENZON, MD

Associate Professor of Anesthesiology

New York University School of Medicine

Hospital for Joint Diseases

New York, New York


Associate Chair for Academic Affairs &

Promotions

Department of Anesthesiology

Northwestern University Feinberg School

of Medicine

Chicago, Illinois

PETER H. CHENG, DO ALWIN CHUAN, MBBS, FANZCA

Director of Regional Anesthesia


Kaiser Permanente Riverside Medical

Center

Riverside, California

Senior Clinical Lecturer,

University of Melbourne

Director, Ultrasound Fellowship Program

Liverpool Hospital

Sydney, Australia

BONNIE DESCHNER, MD JEFF GADSDEN, MD, FRCPC, FANZCA

Assistant Professor of Anesthesiology

Regional Anesthesia Team

Virginia Commonwealth University

Richmond, Virginia

Assistant Professor of Clinical Anesthesiology

Columbia University College of Physicians &

Surgeons

Director of Regional Anesthesia

Residency Program Director

St. Luke's and Roosevelt Hospitals

New York, New York

THOMAS M. HALASZYNSKI, DMD, MD, MBA WING HONG KWOK, MB, ChB, FANZCA


Yale University School of Medicine

Director, Regional and Orthopedic

Anesthesia

Yale-New Haven Hospital

New Haven, Connecticut

Consultant Anaesthesiologist

The Chinese University of Hong Kong

Prince of Wales Hospital

Hong Kong

FACULTY

PEGGY LI, MD ANA M. LOPEZ, MD, PhD

Associate Consultant

Department of Anaesthesia and Intensive

Care

The Chinese University of Hong Kong


Hong Kong

Senior Specialist


Hospital Clinic Barcelona

Spain

MITCHELL H. MARSHALL, MD DAVE OTIENO, MD

Clinical Associate Professor of

Anesthesiology

NYU-Langone Medical Center

Director, In-Patient Anesthesia Services

Hospital for Joint Diseases

New York, New York

Anaesthesiologist

The Nairobi Hospital and

The Kenyatta National Teaching and

Regional Referral Hospital

President of the Kenya Society of

Anaesthesiologists

Instructor in Regional Anaesthesia

Kenya

TATJANA STOPAR PINTARIC, MD, PhD, DEAA STAVROS PRINEAS, BSc(Med), MBBS, FRCA, FANZCA


Department of Anesthesiology and

Intensive Therapy

University Clinical Centre Ljubljana

Ljubljana, Slovenia

Consultant Specialist Anaesthetist


Sydney, Australia

DAVID PROVENZANO, MD MIGUEL A. REINA, MD, PhD

Executive Director

Institute for Pain Diagnostics and Care

Ohio Valley General Hospital

Pittsburgh, Pennsylvania

Professor of Department of Clinical Medical

Sciences

Research Laboratory of Applied Molecular

Medicine Institute

CEU San Pablo University School of Medicine


Madrid-Montepríncipe University Hospital

Madrid, Spain

CHRISTOPHER ROBARDS, MD XAVIER SALA-BLANCH, MD


Vice Chair of Research


Mayo Clinic Florida

Jacksonville, Florida


Hospital Clínic

University of Barcelona

Barcelona, Spain

ALAN C. SANTOS, MD, MPH SEBASTIAN SCHULZ-STÜBNER, MD, PhD

Chairman of Anesthesiology


New York, New York

Privatdozent

Deutsches Beratungszentrum für Hygiene

Consultant in Hospital Epidemiology

Anesthesiology, Pain Medicine and Critical

Care

Schnewlinstr

Germany

HARIHARAN SHANKAR, MD JEFFREY D. SWENSON, MD

Associate Professor, Dept. of

Anesthesiology

Director, Pain Clinic, VAMC, Milwaukee

Director, Pain Medicine Fellowship

Program

Medical College of Wisconsin

Milwaukee Wisconsin


Director of Anesthesiology

University of Utah Orthopaedic Center

Salt Lake City, Utah

FACULTY

MARC VAN DE VELDE, MD, PhD ALEXANDRU VISAN, MD

Professor of Anaesthesiology

KULeuven

Chair Department of Anaesthesiology

UZLeuven

Leuven, Belgium

Assistant Professor of Clinical

Anesthesiology

University of Miami Hospital

Miller School of Medicine

University of Miami

Miami, Florida

EUGENE R. VISCUSI, MD

Director

Acute Pain Management


Thomas Jefferson University

Philadelphia, Pennsylvania

ASSOCIATE FACULTY

JAN BOUBLIK, MD, PhD JUNPING CHEN MD, PhD

Instructor


New York University

NYU Langone Medical Center

New York, New York

Assistant Clinical professor of Anesthesiology

Columbia University College of Physicians and

Surgeons

Associate Director, Regional Anesthesia


New York, New York

SANDEEP M. DIWAN, MD, DA TOMÁS DOMINGO, MD

Consulting Anesthesiologist

Swasthiyog Pratishthan Orthopaedic Hospital

Accident Orthopaedic Hospital Prani

Hospital

Shushrut Jadhav Kinderchirurgie

Paediatric Centre

Sri Siddhivinayak Cancer Hospital Miraj

Miraj, Maharashtra

India

Pain Clinic, Department of Anaesthesiology

Hospital Universitari de Bellvitge

Associate Professor of Human Anatomy

Universitat de Barcelona, Campus de Bellvitge

Barcelona, Spain

KIMBERLY GRATENSTEIN, MD DARYL S. HENSHAW, MD


Lawrence Hospital Center

Bronxville, New York

Assistant Professor


Section of Regional Anesthesia and Acute Pain

Management

Wake Forest University Baptist Medical Center

Winston-Salem, North Carolina

JOHN J. LAUR, MD DANIELLE LUDWIN, MD

Assistant Professor of Anesthesia

The University of Iowa Roy J. and

Lucille A. Carver College of Medicine

Medical Director Ambulatory

Surgery Center

University of Iowa Healthcare

Iowa City, Iowa


Associate Fellowship Director, Regional

Anesthesia

Columbia University College of Physicians and

Surgeons

Columbia University Medical Center

New York, New York

ASSOCIATE FACULTY

COLLEEN E. McCALLY, DO STEVEN MELTON, MD

Anesthesiologist

North American Partners in Anesthesia

Melville, New York

Assistant Professor


Duke University Medical Center

Durham, North Carolina

ANDRES MISSAIR, MD, DESRA RAVINDRAN NAIR, MD, BSC, MBBS, DA, FRCA


University of Miami, Miller School of

Medicine

Associate Fellowship Director of Regional

Anesthesia and Acute Pain

University of Miami Hospital and Jackson

Memorial Hospital

Miami, Florida

Consultant Anaesthetist

Lead Regional Anaesthesia

Director Regional Anaesthesia Fellowship

Programme

Broomfield Hospital

Chelmsford, Essex

United Kingdom

WOJCIECH REISS, MD CARLOS H. SALAZAR, MD


Assistant Professor of Clinical

Anesthesiology and Pain Medicine

Columbia University College of

Physicians and Surgeons


New York, New York


Resident Coordinator on Regional

Anesthesia

Hospital de Figueres

Gerona, Spain

EMINE AYSU SALVIZ, MD MICHAEL R. SHAUGHNESSY, MD

Research Fellow in Regional

Anesthesiology


New York, New York


Duke University Medical Center

Durham, North Carolina

GAGAN SHRIVASTAVA, MD, FCCP SANJAY SINHA, MBBS

Chief Consultant - Cardiac Anesthesia

Synergy Hospital, Indore

India

Assistant Clinical Professor

University of Connecticut School of

Medicine

Director, Regional Anesthesia

St. Francis Hospital and Medical Center

Hartford, Connecticut

TONY TSAI, MD CATHERINE VANDEPITTE, MD


Beth Israel Medical Center

New York, New York

Consultant Anesthesiologist

UZ Leuven

Leuven, Belgium

PAUL H. WILLOUGHBY, MD DAQUAN XU, MD

Associate Professor of Clinical

Anesthesiology

Ambulatory Surgery Division

Dept of Anesthesiology

Stony Brook University Medical Center

Stony Brook, New York

Research Fellow in Regional

Anesthesiology


New York, New York

Saturday, September 22, 2012 PARALLEL SESSIONS

PARALLEL SESSION I Moderator: Kwesi Kwofie, MD

7:00-8:00 Early Experience with Innovative Regional Anesthesia Techniques for Extremity Surgery

Breakfast Provided by a Grant from Teleflex, Inc. 8:00-8:30 Registration

8:30-8:45 Opening Remarks

All lectures on techniques will focus on evidence-based techniques recommendations:

Indications Technique In-Plane – Out-Of-Plane

Needle Tip Position Location of Injectate Monitoring to decrease risk of complication

8:45-9:00 Ultrasound Guided Cervical Plexus Block Peggy Li, MD

9:00-9:15 Ultrasound Guided Interscalene & Supraclavicular Blocks

Alwin Chuan, MBBS, FANZCA

9:15-9:30 Ultrasound Guided Infraclavicular & Axillary Blocks

Jeffrey D. Swenson, MD

9:30-9:45 Ultrasound Guided Femoral & Fascia Iliaca Blocks Arthur Atchabahian, MD

9:45-10:00 Ultrasound Guided Sciatic & Popliteal Blocks Xavier Sala-Blanch, MD

10:00-10:30 Panel Discussion Atchabahian; Chuan; Li; Swenson; Sala-Blanch

10:30-11:00 Coffee Break

11:00-11:15 Ultrasound Guided Saphenous and Ankle Blocks Ana M. Lopez, MD, PhD

11:15-11:30 Ultrasound Guided Lumbar Plexus Blocks Admir Hadzic, MD, PhD

11:30-11:45 Ultrasound Guided Obturator Blocks; How, Why and When?

Sanjay Sinha, MBBS

11:45-12:00 Ultrasound Guided Paravertebral & Intercostal Blocks

Wing Hong Kwok, MB, ChB, FANZCA

12:00-12:30 Panel Discussion Hadzic; Kwok; Lopez; Sinha

12:30-1:30 An Educational Grant from Cumberland Pharmaceuticals and Pacira Pharmaceuticals was used, in part to support the Lunch Program

Emerging Evidence Based Approaches in Multimodal Analgesia

Eugene Viscusi, MD

1:30-2:00 Certification in Regional Anesthesia: Who, How and Why?: The European Experience

Marc Van de Velde, MD, PHD

2:00-2:30 Intraneural Injections: Good Practice or Malpractice?

Admir Hadzic, MD, PhD

2:30-3:00 The Role of Ultrasound in Spinal and Epidural Anesthesia

Wing Hong Kwok, MB, ChB, FANZCA

3:00-3:30 Monitoring Standards During PNB: Ultrasound, Nerve Stimulator, Injection Pressure or All Three?

Jeff Gadsden, MD, FRCPC, FANZCA


4:00-4:30 Introducing Standards in Practice of Peripheral Nerve Blocks

Admir Hadzic, MD, PhD

4:30-5:00 Regional Anesthesia Images That Will Change Your Practice Forever

Reina ;Vandepitte

5:00-5:30 Panel Discussion: Bring Your Challenging Cases for Discussion

Atchabahian; Cheng; Diwan; Gadsden; Hadzic; Kwok;

Reina; Sinha; Van de Velde; Vandepitte

5:30 Adjourn

PARALLEL SESSION II Moderator: Uma Shastri, MD

7:00-8:00 Early Experience with Innovative Regional Anesthesia Techniques for Extremity Surgery

Breakfast Provided by a Grant from Teleflex, Inc. 8:00-8:30 Registration

8:30-8:45 Opening Remarks

8:45-9:15 Obstetric Emergencies Marc Van de Velde, MD, PHD

9:15-9:45 Anesthesia for the Pregnant Woman Having Surgery Alan C. Santos, MD, MPH

9:45-10:15 Optimal Management of Labor Analgesia Marc Van de Velde, MD, PHD

10:15-10:30 Panel Discussion Santos; Van de Velde


11:00-11:15 Regional Anesthesia in Critical Care Sebastian Schulz-Stübner, MD, PHD

11:15-11:30 Regional Anesthesia in Patients with Acute Trauma; Indications and Contra-Indications

Sandeep M. Diwan, MD

11:30-12:00 Management of a Difficult Airway: Techniques and Anesthesia of the Airway

Tatjana Stopar Pintaric, MD, PHD, DEAA

12:00-12:30 How Technology Ruined Regional Anesthesia Clinical Skills

Stavros Prineas, BSc(Med), MBBS, FRCA

12:30-1:30 An Educational Grant from Cumberland Pharmaceuticals and Pacira Pharmaceuticals was used, in part to support the Lunch Program

Emerging Evidence Based Approaches in Multimodal Analgesia

Eugene Viscusi, MD

1:30-2:00 Optimal Management of a Patient Having Hip and Knee Arthroplasty: Evidence Based Protocol

Sanjay Sinha, MBBS

2:00-2:15 Most Unusual Regional Anesthesia Cases I Have Encountered

Peter H. Cheng, DO

2:15-2:30 Regional Anesthesia in Nairobi, Kenya: An Illustrative Guide Through a Day in My Practice

Dave Otieno, MD

2:30-2:45 Regional Anesthesia in Miraj, India: An Illustrative Guide Through a Day in My Practice

Sandeep M. Diwan, MD

2:45-3:00 Believe It or Not : Awake Regional Anesthesia for Patients Undergoing Cardiothoracic Surgery

Gagan Shrivastava, MD, FCCP

3:00-3:30 Panel Discussion Cheng; Diwan; Otieno; Shrivastava; Sinha


4:00-4:30 Communication Breakdown and Disasters in the Operating Room

Stavros Prineas, BSc(Med), MBBS, FRCA

4:30-5:00 Chronic Post-Surgical Pain and Current Strategies for Prevention

Eugene R. Viscusi, MD

5:00-5:30 Regional Anesthesia and Anticoagulation: Update Honorio Benzon, MD

5:30 Adjourn

Saturday, September 22, 2012 WORKSHOPS

Hands-On Ultrasound Workshops Registration is limited, so we recommend that you register as soon as possible. Separate Registration Fee Required

WORKSHOP I: Four Basic US-Guided Nerve Blocks You Must Know

8:45 AM REGISTRATION 9:00 AM – 12:00 PM WORKSHOP SESSIONS

MODERATORS: Ana M. Lopez, MD, PhD

Catherine Vandepitte, MD

Interscalene Brachial Plexus block

Axillary Brachial Plexus Block

Femoral Blocks

Popliteal Blocks

Knobology/Target Practice Station

The basic ultrasound guided nerve block workshop is crafted for participants without significant experience in performing peripheral nerve blocks or ultrasound guided blocks. The main emphasis during this workshop will be on the practical aspects of hands-on scanning, learning tips and tricks, how to recognize the relevant anatomy, and discussing the essence of establishing successful and safe blocks while deemphasizing a multitude of technique variations. The participants will also have an opportunity for ample practice on live models as well as on mannequins/meat models.

Every block demonstration will be preceded by a brief description using power point presentation. After presentation the part icipants practice their skills by scanning on live models under the guidance of the instructors using the described techniques.

A knobology and target practice station will be available throughout to allow hand-eye coordination practice. This station will allow participants, under guidance of an instructor, to test drive some of the common equipment used for peripheral nerve blocks on a specially designed meat model that simulates the feel and resistance of human tissue.

INSTRUCTORS: Bonnie Deschner, MD; Junping Chen MD, PhD; Kimberly Gratenstein, MD; Thomas M. Halaszynski, MD; Daryl S. Henshaw, MD;

John J. Laur, MD; Danielle Ludwin, MD; Mitchell H. Marshall, MD; Colleen E. McCally, DO; Andres Missair, MD; Ravindran Nair, MD; Wojciech

Reiss, MD; Carlos H. Salazar, MD; Emine Aysu Salviz, MD; Alexandru Visan, MD; Paul H. Willoughby, MD; Daquan Xu, MD

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WORKSHOP II: Ultrasound-Guided Pain Procedures Workshop

1:00 PM REGISTRATION 1:15 PM – 3:15 PM WORKSHOP SESSIONS

MODERATOR: David Provenzano, MD

This workshop will focus on the most common ultrasound guided interventional procedures in pain management practice, including blocks of the head, neck and trunk. INSTRUCTORS: Peter H. Cheng, DO, Tomás Domingo, MD, Hariharan Shankar, MD

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WORKSHOP III: Intermediate Nerve Blocks Workshop

3:15 PM REGISTRATION 3:30 PM - 6:00 PM WORKSHOP SESSIONS



Interscalene and Supraclavicular Brachial Plexus Blocks

Axillary and Distal Upper Extremity Blocks

Femoral and Obturator Nerve Blocks

Sciatic and Popliteal Blocks

Scanning on demand station

Intermediate nerve blocks workshop is best suited for participants who are somewhat familiar with the techniques being taught and looking to expand their scanning confidence. They are interested in learning about technique variations and have would like an opportunity to discuss practical challenges and issues with the faculty. This workshop is geared toward participants wanting to expand on the number of peripheral nerve blocks they perform in their practice. Enough flexibility is built in to this workshop to accommodate participants of basics through intermediate skill level.

Every block demonstration will be preceded by a brief description using power point presentation. After presentation the participants practice their skills by scanning on live models under the guidance of the instructors using the described techniques.

A knobology and target practice station will be available throughout to allow hand-eye coordination practice. This station will allow participants, under guidance of an instructor, to test drive some of the common equipment used for peripheral nerve blocks on a specially designed meat model that simulates the feel and resistance of human tissue.

INSTRUCTORS: Arthur Atchabahian, MD; Alwin Chuan, MBBS; Sandeep M. Diwan, MD; Thomas M. Halaszynski, MD; Wing Hong Kwok, MB; John J. Laur, MD; Peggy Li, MD; Mitchell H. Marshall, MD; Andres Missair, MD; Ravindran Nair, MD; Wojciech Reiss, MD; Christopher Robards, MD; Carlos H. Salazar, MD; Emine Aysu Salviz, MD; Sanjay Sinha, MBBS; Alexandru Visan, MD; Daquan Xu, MD

Saturday, September 22, 2012 DISCUSSIONS & SESSIONS

PROBLEM BASED LEARNING DISCUSSIONS Registration is limited, so we recommend that you register as soon as possible. Separate Registration Fee Required

9:00 – 10:00 AM

A. How to Avoid Neurologic Complications During the Performance of Peripheral Nerve Blocks Andres Missair, MD, DESRA

B. Is Ultrasound the Appropriate Replacement for an Awake Patient During the Performance of Peripheral Nerve Blocks? Steve Melton, MD

C. What are the Documentation Requirements for a Regional Anesthesia Technique and an Acute Pain Consult

Jan Boublik, MD , PhD

12:00 – 1:00 PM

D. New Anticoagulants, New Challenges for Regional Anesthesia? Daryl S. Henshaw, MD

E. Importance of Developing an Algorithm for LAST (Local Anesthetic Systemic Toxicity) “Better to be Prepared than Hope it Will Never

Happen” Michael R. Shaughnessy, MD

F. How to Align the Strategic Goals of an Acute Pain Service with Major Key Players: Patients, Providers, Hospital Administrators, Insurers Alexandru Visan, MD

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*NURSING PROGRAM 8:30 - 10:00 AM The Nursing Implications for the Patient Undergoing Regional Anesthesia Speaker: Emily DeBusk, Owner-BLOCKNURSING LLC, Block Nurse -UNC Healthcare TARGET AUDIENCE: Clinical nurses, nurse managers wishing to implement a program within their institution, physicians looking for more information on how to utilize role in their regional anesthesia practice.

OBJECTIVES: Describe the benefits of implementing the Block Nurse role

Discuss the anatomy of the spinal column and the innervations of the upper and lower extremities

Examine the components of the regional anesthesia room for efficiency and safety

Explain the nursing care of a patient receiving regional anesthesia

Summarize the pharmacology of local anesthetic agents and additives

Practice the nursing care of a patient experiencing complications from regional anesthesia

Describe strategies to enhance the safety of patients receiving regional anesthesia

Discuss the role of the Block Nurse within the Regional Anesthesia Team

Strategize on how to build team support when developing a Block Nurse Team as well as the tools necessary to support an effective Block Nurse Team

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*HUMANITIES SESSIONS

9:00 – 10:00 AM Choosing Great Wines at Great Prices Steven J. Kaplan 11:00 – 12:00 PM Cooking Demo/Talk by Chef Todd Mitgang from Crave Ceviche & South Edison Restaurants Todd & Colleen Mitgang 2:00 – 3:00 PM How To Take Better Pictures With Your Camera? Tips from a Pro from Australia!

Alvin Chuan, MD

*PLEASE NOTE: NO CME CREDIT PROVIDED FOR THIS SESSION

Sunday, September 23, 2012 WORKSHOPS

COMPREHENSIVE ULTRASOUND-GUIDED REGIONAL ANESTHESIA WORKSHOP

Registration is limited, so we recommend that you register as soon as possible. Separate Registration Fee Required

7:30 AM REGISTRATION & CONTINENTAL BREAKFAST 8:00 AM – 12:00 PM WORKSHOP SESSIONS



Interscalene Blocks, Supraclavicular Blocks

Infraclavicular Blocks

Axillary Blocks

TAP Blocks: In-Plane and Out-of-Plane Approaches

Femoral and Fascia Iliaca Blocks

Sciatic Blocks (Subgluteal)

Popliteal Blocks

Optimizing Image on US and Phantom Target Practice

The Comprehensive Basic and Intermediate Hands-On Ultrasound Workshop is designed to offer an overview of anatomical facts, indications, tips for success, pharmacological choices and techniques to accomplish the sonographic views necessary for the successful performance of blocks.

Each technique will be presented by faculty during a 5-10 minute slide presentation. The attendees will then be divided into groups of 5 to 6 for practical demonstrations on models. During the practical aspect of the workshop, the emphasis will be placed on acquiring the knowledge of Sonoanatomy, Sonographic Landmarks, Scanning Techniques to Optimize Target Imaging, as well as Strategies to Identify Common Artifacts and Avoid Complications. There will be opportunities for hands-on scanning practice using live and/or phantom models.

This workshop is designed to offer a wide range of ultrasound guided regional anesthesia techniques to participants. Ample time will be available for participants to acquire the necessary skills to maintain a sonographic view of the essential anatomy and needle advancement in the same plane.

The format of the workshop is optimally suited for retention of information and acquiring the necessary skills to employ ultrasound guided nerve blocks clinically. At the completion of the hands-on workshop, participants will have an opportunity to ask questions and to discuss the various aspects of ultrasound guided nerve blocks with the faculty. INSTRUCTORS: Arthur Atchabahian, MD; Honorio Benzon, MD; Peter H. Cheng, DO; Alwin Chuan, MBBS; Bonnie Deschner, MD; Sandeep M. Diwan, MD; Kimberly Gratenstein, MD; Thomas M. Halaszynski, MD; Daryl S. Henshaw, MD; Danielle Ludwin, MD; Mitchell H. Marshall, MD; Colleen E. McCally, DO; Andres Missair, MD; Miguel A. Reina, MD; Ravindran Nair, MD; Wojciech Reiss, MD; Christopher Robards, MD; Emine Aysu Salviz, MD; Uma Shastri, MD; Sanjay Sinha, MBBS; Tony Tsai, MD; Alexandru Visan, MD; Paul H. Willoughby, MD; Daquan Xu, MD

12:00 PM – 12:30PM QUESTIONS AND ANSWERS

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ADVANCED ULTRASOUND-GUIDED REGIONAL ANESTHESIA WORKSHOP

9:15 AM REGISTRATION & CONTINENTAL BREAKFAST 9:30 AM – 12:00 PM WORKSHOP SESSIONS

MODERATOR: Admir Hadzic, MD, PhD

Lumbar Plexus Blocks Jeff Gadsden, MD; Kwesi Kwofie, MD

Paravertebral and Intercostal Blocks Xavier Sala-Blanch, MD; Hariharan Shankar, MD

Distal Peripheral Nerves, Ankle and Wrist Blocks Carlos H. Salazar, MD; Jeffrey D. Swenson, MD

Spinal and Epidural Blocks Wing Hong Kwok, MB; Peggy Li, MD; Tomás Domingo, MD

Advanced ultrasound guided regional anesthesia workshop is best suited for participants with some previous ultrasound guided regional anesthesia skills. The sessions will begin with a 5-10 minute didactic overview in the before each technique demonstration. Participants will then be divided up into small groups for the hands-on session with the faculty. At the completion of the workshop, participants will have an opportunity to ask questions and to further discuss the various techniques with the faculty.

12:00 PM – 12:30PM QUESTIONS AND ANSWERS

11th

Annual Regional Anesthesia and Acute Pain Management Saturday and Sunday, September 22 - 23, 2012

REGISTRATION FORM

(Please print clearly)

Name: Title:

Address:

City:

State/Province: Zip: Zip Code:

Telephone: Fax:

Specialty: Affiliation:

Email:

(Be sure to include your e-mail address as confirmation/receipt will be sent electronically)

SATURDAY, SEPTEMBER 22 – PARALLEL SESSIONS

Please place a () in the appropriate boxes

By July 13 After July 13 Onsite

Anesthesiologists $495.00 $545.00 $570.00

Other Healthcare Professionals $295.00 $315.00 $345.00

Residents and Fellows $195.00 $215.00 $245.00

Students $150.00 $195.00 $210.00

SATURDAY, SEPTEMBER 22 – PBLD (PROBLEM BASED LEARNING DISCUSSIONS

Please place a () in the appropriate boxes

A B C D E F $30.00

Saturday and Sunday Workshop Registration is limited, so we recommend that you register as soon as possible.

SATURDAY, SEPTEMBER 22 – WORKSHOP FEES

Please note: These sessions are offered simultaneously with the Parallel Sessions on Saturday. Attendance is strictly limited to small groups. Those

registered for the parallel sessions on Saturday will receive $100 credit off each Saturday workshop session. Without Lectures With Lectures

WORKSHOP I: Basic US-Guided Nerve Block Workshop $350.00 $250.00

WORKSHOP II: Ultrasound Guided Pain Procedures Workshop $350.00 $250.00

WORKSHOP III: Intermediate Nerve Block Workshop $350.00 $250.00

SUNDAY, SEPTEMBER 23 – WORKSHOP FEES

Comprehensive US-Guided Nerve Block Workshops $550.00

Advanced US-Guided Regional Anesthesia Workshop $350.00

PAYMENT METHOD

Online Registration is available and is the preferred method. The conference registration link may be accessed at www.nysora.com

Check made payable to NYSORA is enclosed. NYSORA, 2753 Broadway, Suite 183, New York, NY 10025

Credit Card #_____________________________________________________________________ Exp date________________

VISA Credit Card Type: VISA MasterCard American Express

Signature________________________________________________________________ Total Payment $_______________

Fax this form to 212-523-2074

CANCELLATION POLICY

A refund, less a $100 administrative fee, will be issued upon written request. No refunds will be made after August 24 th. St. Luke’s and Roosevelt

Hospitals reserve the right to cancel the program.

St. Luke’s and Roosevelt Hospitals will not be responsible for reimbursement of tuition or expenses incurred as a result of cancellation of this meeting

for reasons that include, but will not limited to, natural disasters, economic downturns or strikes and other labor unrest that may impede meeting

organization and delivery. By registering for this conference, participants acknowledge and agree to the terms in this disclosure.

FURTHER INFORMATION:

St. Luke’s and Roosevelt Hospitals, Office of CME

1111 Amsterdam Avenue, New York, NY 10025

Phone: (212) 523-2138 *Fax: (212) 523-2074

Websites: www.nysora.com - www.chpnet.org/cme

Email: [email protected]

11th annual regional anesthesia and acute pain symposium

Documents

regional anesthesia

thannual regional anesthesia

pain management symposium

basic ultrasound

ultrasound anatomy

nysora symposium

years symposium

workshop sessions