Ninth Annual Ultrasound-Guided Cadaver Course for Regional Anesthesia and Point-of-Care Ultrasound

Saturday and Sunday, May 4 and 5, 2019

Biomedical Research Building

Penn State College of Medicine
700 HMC Crescent Road
Hershey, PA 17033


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Conference ID

E6402

Highlights

New this year:

  • In the Advanced Neuraxial track, interfascial blocks include PEC 1 and 2, Quadratus, Lumborum, ESP and Retrolaminar.
  • Harvard Medical School’s Dr. Karen Boretsky will be teaching the Ultrasound Anatomy for Pediatric Regional Anesthesia.

Keynote Speaker

Edward R. Mariano, MD, MAS

Chief, Anesthesiology & Perioperative Care Service, and Associate Chief of Staff, Inpatient Surgical Services, VA Palo Alto Health System

Professor, Department of Anesthesiology, Perioperative & Pain Medicine, Stanford University School of Medicine

Dr. Mariano is a Professor of Anesthesiology, Perioperative and Pain Medicine at Stanford University School of Medicine with a Master of Advanced Studies Degree in Clinical Research.

His research interests include the development of techniques and patient care pathways to improve postoperative pain control and other surgical outcomes, and he has published more than 130 peer-reviewed articles.

He serves as Chief of the Anesthesiology and Perioperative Care Service and Associate Chief of Staff for Inpatient Surgical Services at the Veterans Affairs Palo Alto Health Care System and as Program Director of the Stanford Regional Anesthesiology and Acute Pain Medicine Fellowship Program.

He is on the Board of Directors for the American Society of Regional Anesthesia and Pain Medicine and California Society of Anesthesiologists and is a recipient of the Veteran Health Administration’s John D. Chase Award for Physician Executives Excellence.

More recently he has worked on key national healthcare initiatives: The Joint Commission standards review panel on pain assessment and management in the acute care setting, Centers for Medicare and Medicaid Services’ MACRA Episode-Based Cost Measures development, the FDA public workshop on regional anesthesia, and national technical expert panels on the development and ongoing review of quality measures related to pain management.

Objectives

Upon completion participants should be able to:

  • Differentiate ultrasound images of vessels, peripheral nerves, tendons and nerve plexi; and be able to discuss methods for improvement of ultrasound images to achieve the most benefit from the technique
  • Describe the benefits of using real-time ultrasound guidance for regional anesthesia administration, including risk-reduction strategies for nerve blocks
  • Demonstrate proficient and appropriate use of ultrasound scanning techniques in identifying specific targets, such as the needle, blood vessels, nerve structures or surrounding organs pertinent to peripheral nerve blocks
  • Develop hands-on nerve scanning skills on live volunteers, as well as hand-eye coordination and needling skills on phantoms, cadavers, and anatomic models
  • Define the processes needed to prevent wrong site nerve blocks and infection associated with single shot and continuous nerve blocks and vascular catheters; and understand the etiology, prevention, and treatment of nerve injury in patients with pre-existing neurologic disease

How to Choose Your Learning Track

  • Are you comfortable doing basic blocks using ultrasound-guidance such as interscalene, axillary, femoral and popliteal?
  • Have you attended any previous hands-on workshops on ultrasound-guided regional anesthesia?
  • Have you regularly been performing ultrasound-guided peripheral nerve blocks for more than one year?
  • Have you done more than 30 peripheral nerve blocks using ultrasound-guidance?
  • Have you done continuous peripheral nerve blocks (catheter technique) using ultrasound guidance?

The basic regional and vascular access options have been designed for physicians who answer “no” to three or more of these questions.

If you have answered “yes” to three or more of these questions, you may want to select the advanced regional anesthesia track instead.

Within each of those tracks, there are two separate pathways for the Sunday morning session; you will be required to choose one upon registration.

Basic Track Agenda

May 4, 2019

  • 7:30 a.m. | Check-In and Breakfast
  • 8 a.m. | Basic Blocks of Lower Extremity
  • 9 a.m. | Break
  • 9:15 a.m. | Lower Extremity: Femoral, Adductor Canal, Popliteal, Sub-Gluteal Sciatic
    Volunteer Scanning and Needling Practice
  • Noon | Working Lunch – Safe Principles and Practice of Regional Anesthesia (required for MOCA safety credit)
  • 1 p.m. | Sonoanatomy of Upper Extremity
  • 1:45 p.m. | Break
  • 2 p.m. | Upper Extremity: Interscalene and Supraaclavicular, Infraclavicular and Axillary Approaches to the Brachial Plexus, Distal Upper Extremity Blocks
    Volunteer Scanning and Needling Practice
  • 5 p.m. | Shuttle Back to Hotel
  • 6:30 p.m. | Optional – Keynote Speaker Dinner at the Hotel Hershey

May 5, 2019

  • 7:30 a.m. | Check-In and Breakfast
  • 8 a.m. | Choose to attend one track: Point-of-Care Ultrasound or Hands-On Extended Lab Session
    • Point-of-Care Ultrasound
      This four-hour track will consist of the following stations: vascular access, lung scanning, bladder/gastric scanning, preload assessment (vena cava scanning) and joint injection.
    • Hands-On Extended Lab Session: Cadaver Dissections
      Volunteer Scanning and Needling Practice
  • Noon | Lunch, Program Evaluation and Adjournment

Advanced Track Agenda

May 4, 2019

  • 7:30 a.m. | Check-In and Breakfast
  • 8 a.m. | Advanced Lower Extremity Sonoanatomy; Introduction to Continuous Catheters
  • 9 a.m. | Break
  • 9:15 a.m. | Lower Extremity: Femoral/Fascia Iliaca, Lateral Femoral Cutaneous, Obturator, Popliteal Catheter Techniques, Adductor Canal, Lumbar Plexus and Ankle Block
    Volunteer Scanning and Needling Practice
  • Noon | Working Lunch – Safe Principles and Practice of Regional Anesthesia (required for MOCA safety credit)
  • 1 p.m. | Advanced Upper Extremity Sonoanatomy; Introduction to Continuous Catheters
  • 1:45 p.m. | Break
  • 2 p.m. | Upper Extremity: Interscalene and Infraclavicular Catheter Techniques; Superficial Cervical Plexus, Suprascapular and Axillary Nerve Blocks
    Volunteer Scanning and Needling Practice
  • 5 p.m. | Shuttle back to hotel
  • 6:30 p.m. | Optional – Keynote Speaker Dinner at the Hotel Hershey

May 5, 2019

  • 7:30 a.m. | Check-In and Breakfast
  • 8 a.m. | Choose to attend one track: Neuraxial and Truncal, Point-of-Care Ultrasound or Hands-On Extended Lab Session
    • Point-of-Care Ultrasound
      This four-hour track will consist of the following stations: Vascular Access, Lung Scanning, Bladder/Gastric Scanning, Preload Assessment (Vena Cava Scanning) and Joint Injection
    • Hands-On Extended Lab Session: Cadaver dissections
      Volunteer scanning and needling practice
    • Neuraxial and Truncal
      • Sonoanatomy Related to Thoracic and Lumbar Spine (8 to 8:45 a.m.)
      • Sonoanatomy Related to Abdominal and Thoracic Wall (8:45 to 9:30 a.m.)
      • TAP, Fascia Transversalis, Rectus Sheath and Ilioinguinal/Iliohypogastric Blocks; new this year – Interfascial Blocks, Includes PEC 1 and 2, Quadratus, Lumborum, ESP and Retrolaminar (9:45 a.m. to noon)
        Volunteer Scanning and Needling Practice
  • Noon | Lunch, Program Evaluation and Adjournment

Optional Add-On Sessions (Additional Cost)

Keynote Dinner, 6:30 p.m. May 4, 2019, Hotel Hershey

Keeping Regional Anesthesia Relevant in the Future of Healthcare
Edward R. Mariano, MD, MAS

Chief, Anesthesiology & Perioperative Care Service, and Associate Chief of Staff, Inpatient Surgical Services, VA Palo Alto Health System

Professor, Department of Anesthesiology, Perioperative & Pain Medicine, Stanford University School of Medicine

Extended Sunday Afternoon Sessions, May 5, 2019

  • 1 p.m. | Choose to attend one track
    • Extended, Hands-On Cadaver Pratice Session
      • Upper Extremity and Lower Extremity
        Volunteer Scanning and Needling Practice
    • Ultrasound Anatomy for Pediatric Regional Anesthesia
      • Upper/Lower Extremity and Torso/Abdomen Guided Instruction, Anatomy and Practice of Ultrasonography Skills on Pediatric Volunteers
  • 3 p.m. | Program Evaluation and Adjournment

Photography Waiver

A photographer may be present at this event to take pictures/videos that will include event spectators and participants. These photos/videos may be used by the event organizers for purposes of promotion.

Guest Faculty

Karen Boretsky, MD
Assistant Professor, Department of Anesthesiology, Critical Care and Pain Medicine
Harvard Medical School

Lu Cai, MD
Assistant Professor of Regional Anesthesia and Acute Pain Medicine
University of Pennsylvania

Stephen Choi, MD
Associate Professor of Anesthesiology
Sunnybrook Health Sciences Center, University of Toronto

Emerson S. Conrad III, MD
Anesthesiologist, Acute Pain Physician
Vail Valley Medical Center/Steadman Clinic/Anesthesia Partners of Colorado

Shalini Dhir, MBBS, MD, FRCPC
Associate Professor of Anesthesia and Perioperative Medicine
Schulich School of Medicine
Western University

Nabil Elkassabany, MD, MSCE
Associate Director of Anesthesiology and Critical Care,
Director, Sections of Orthopedic and Regional Anesthesia
University of Pennsylvania

Meera N. Gonzalez, MD
Associate Professor of Anesthesiology
Einstein Medical Center

J. Eric Greensmith, MD, PhD, FCCP
Chief, Department of Anesthesia
Lancaster Regional Medical Center

Stephen C. Haskins, MD
Assistant Attending Anesthesiologist
Hospital for Special Surgery

James Kim MD
Assistant Professor of Anesthesiology
University of Virginia Health System

M. Kwesi Kwofie, MD, FRCPC
Assistant Professor
Director, Regional Anesthesia and Acute Pain
Dalhousie University

Lei Li, MD
Clinical Assistant Professor of Anesthesiology
Geisinger Commonwealth School of Medicine

Jiabin “JB” Liu, MD, PhD
Assistant Attending Anesthesiologist
Hospital for Special Surgery

Hector Lopez-Cardona, MD
Associate Professor, Department of Pathology & Cell Biology, Department of Radiology
Morsani College of Medicine, University of South Florida

Colin McCartney, MBChB, PhD, FRCA, FCARCSI, FRCPC
Professor and Chair of Anesthesiology and Pain Medicine
University of Ottawa

Paul G. McHardy, MD, FRCPC
Fellowship Coordinator, Department of Anesthesia
Sunnybrook Health Sciences Centre

Alexandria Nickless, DO
Staff Anesthesiologist
Allegheny Health Network

Jean-Pierre Ouanes, DO
Assistant Professor, Director of Regional Anesthesia
Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine

Sanjay Sinha, MD
Assistant Clinical Professor
University of Connecticut
Director of Regional Anesthesia
St. Francis Hospital and Medical Center

Luminita M. Tureanu, MD, FRCPC
Assistant Professor of Anesthesiology
Northwestern University Feinberg School of Medicine

Penn State Health Faculty

Penn State Health Milton S. Hershey Medical Center
Penn State College of Medicine
Department of Anesthesiology and Perioperative Medicine

Anthony Bonavia, MD
Assistant Professor of Anesthesiology

Verghese Cherian, MBBS, MD
Associate Professor of Anesthesiology
Director, General Anesthesia

Evan Goldman, PhD
Director of Education in Human Structures

Wayne Pearce, MBChB
Assistant Professor of Anesthesiology
Director, ENT Anesthesia

Elizabeth Sinz, MD, MEd, FCCM
Professor of Anesthesiology and Neurosurgery
Associate Dean, Clinical Simulation
Associate Department Vice Chair for Simulation

Thomas Verbeek, MD
Assistant Professor of Anesthesiology

Academic Coordinators

Sanjib Adhikary, MD
Professor of Anesthesiology
Director, Acute Pain and Regional Anesthesia/Orthopedics
Penn State College of Medicine
Department of Anesthesiology and Perioperative Medicine

Patrick M. McQuillan, MD, FAAP
Professor of Anesthesiology and Pediatrics
Department Vice Chair for Clinical Affairs
Penn State College of Medicine
Department of Anesthesiology and Perioperative Medicine

Hillen Cruz-Eng, MD
Assistant Professor of Anesthesiology
Penn State College of Medicine
Department of Anesthesiology and Perioperative Medicine

Credit

AMA

Penn State College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Penn State College of Medicine designates this live activity for a maximum of 15 AMA PRA Category 1 Credit(s).

Credit per package (see fee section):

  • A – 12 credits
  • B – 13 credits
  • C – 14 credits
  • D – 15 credits

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

ASA/ASRA Ultrasound-Guided Regional Anesthesia (UGRA) Portfolio

These sessions have been approved as eligible for submission as part of the ASA/ASRA UGRA Portfolio.

Fee

Fee includes cost of instruction, listed meals and break refreshments.

Participants must select one package.

Packages

  • Package A: $1,200 – Course only (12 AMA credit)
  • Package B: $1,260 (guest $60) – Course with keynote dinner presentation Saturday evening (13 AMA credits)
  • Package C: $1,350 – Course with one optional Sunday afternoon session (14 AMA credits)
  • Package D: $1,410 – Course with both Saturday evening keynote dinner presentation and one optional Sunday afternoon session (15 AMA credits)

Residents and fellows are eligible for a $475 registration discount.

To receive the reduced rate, indicate that you are a resident/fellow in the Occupation field when you set up your COMPASS account to register. Penn State residents/fellows must call Chris Mulvey at 717-531-7988 to register at the reduced fee.

Cancellation

Cancellations received after April 26, 2019, will incur a $100 fee. No refunds will be given after April 30, 2019.

The University reserves the right to cancel or postpone any course or activity because of insufficient enrollment or other unforeseen circumstances.

If a program is canceled or postponed, the University will refund registration fees but cannot be held responsible for any related costs, charges or expenses, including cancellation/change charges assessed by airlines or travel agencies. Preregistered participants will be notified if a program is filled or canceled.

Accommodations

Accommodations are the responsibility of the participant. Rooms are available on a first-come, first-served basis, so please make reservations as early as possible.

Room block: Fairfield Inn and Suites
651 W. Areba Ave.
Hershey, PA 17033

Deadline: April 12, 2019

Rate: $104 plus tax per room per night

Reservations: Call 717-520-5240, reference 2019 Regional Ultrasound Block, or register online.

See other local lodging options here.

Local Attractions

Join us in Hershey

Hershey is conveniently located in central Pennsylvania, just 90 minutes from Baltimore and Philadelphia, two hours from Washington, DC, and three hours from New York City.

Questions

With questions about this course, call Chris Mulvey at 717-531-7988 or email cmulvey@PennStateHealth.psu.edu.

With questions about registration, call 717-531-6483 or email ContinuingEd@PennStateHealth.psu.edu.

Access (ADA)

Penn State encourages persons with disabilities to participate in its programs and activities. If you anticipate needing any type of special accommodation or have questions about the physical access provided, please contact Continuing Education at least one week in advance of your participation or visit.

Changes

Content and speakers for all programs are subject to change. Registrants will be notified of any significant updates.

Disclosure and Conflict of Interest (COI and educational balance)

It is our policy to ensure balance, independence, objectivity, and scientific rigor in all of our educational programs. Faculty and course directors have disclosed relevant financial relationships with commercial companies, and Penn State has a process in place to resolve any conflict of interest. Complete faculty disclosure will be provided to program participants at the beginning of the activity.

University Nondiscrimination Policy

This publication is available in alternative media on request. The Pennsylvania State University is committed to the policy that all persons shall have equal access to programs, facilities, admission, and employment without regard to personal characteristics not related to ability, performance, or qualifications as determined by University policy or by state or federal authorities. It is the policy of the University to maintain an academic and work environment free of discrimination, including harassment. The Pennsylvania State University prohibits discrimination and harassment against any person because of age, ancestry, color, disability or handicap, genetic information, national origin, race, religious creed, sex, sexual orientation, gender identity, or veteran status and retaliation due to the reporting of discrimination or harassment. Discrimination, harassment, or retaliation against faculty, staff, or students will not be tolerated at The Pennsylvania State University. Direct all inquiries regarding the Nondiscrimination Policy to the Affirmative Action Director, The Pennsylvania State University, 328 Boucke Building, University Park, PA 16802-5901; tel 814-863-0471/TTY. US M.Ed. E6402

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