London Society Of Regional Anaesthesia! Ultrasound in Pain Medicine. !! Comprehensive two day course. with live scanning and interactive lectures

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1 LSORA London Society Of Regional Anaesthesia Ultrasound in Pain Medicine Comprehensive two day course with live scanning and interactive lectures 27-28th November 2015 Course organisers Dr Beenu Madhavan Mr Ciaran Wazir The uch education centre, 1st floor west,250 euston road, london, NW1 2PG 1

2 Welcome to the LSORA 2 day Ultrasound in Pain Medicine workshop We are proud to present our second two-day Ultrasound in Pain Medicine workshop with live scanning and lectures. We are introducing the new concept of combining ultrasound guided blocks in acute pain, chronic pain and cancer pain management in a single workshop. Based on the recommendation of The American Society of Regional Anaesthesia and Pain Medicine, the European Society of Regional Anaesthesia and Pain Therapy, and the Asian Australasian Federation of Pain Societies Joint Committee Recommendations for Education and Training in Ultrasound - Guided Interventional Pain Procedures, the course has been adapted to accommodate delegates of all capabilities and will cater the training at an individual level. Anatomy, Sonoanatomy and live demonstration We will teach the anatomy and sonoanatomy related to specific b l o c k s f o l l o w e d b y t h e l i v e demonstration of the same topic by experts which will help you to consolidate the knowledge gained from the lectures and introduce the scanning technique as well. We w i l l a l s o t e a c h y o u t h e knobology of US machines to learn how to set up the machine and get the best out of it. 2 Ultrasound Guided blocks We have national and international faculty who are well known for their expertise in the field of ultrasound guided blocks for chronic pain, acute pain and cancer pain. We will teach each block by demonstrating how to locate the structures and the best way to perform the blocks. We have a 2:1 delegate to faculty ratio. There will be a dedicated station to practice needling technique and an Any block station to practice specific blocks the delegates feel the need to improve or opportunity to see and learn new blocks will be available. We hope you will thoroughly enjoy your learning experience with us. Thank you for attending, Dr. Athmaja Thottungal Pain lead- London Society of Regional Anaesthesia Dr Beenu Madhavan Chairman- London Society of Regional Anaesthesia

3 Contents Faculty Programme Workshop Rotations / Group Rotation Workshop topics Delegate groupings Competency form Feedback form

4 Dr. BALASUBRAMANIAN, Shyam Consultant- Pain Management and Anaesthesia, University Hospital, Coventry, UK Dr BHATIA, Anuj Assistant Professor, University of Toronto,Director, Anaesthesia Chronic Pain Clinical Services Staff, Department of Anesthesia & Pain Management University Health Network, Mount Sinai Hospital and Women's College Hospital, Toronto, Canada Dr BHAYANI, Sadiq Consultant Pain Medicine and Anaesthesia, University Hospital of Leicester NHS Trust, Leicester, UK Prof Cattrysse, Erick Professor in Musculoskeletal Anatomy Head of the Experimental Anatomy department Vrije Universiteit Brussel Brussels, Belgium Dr DECLERCK, Christ Consultant Pain specialist, Multidisciplinary pain centre, AZ Sint Jan, Bruges, Belgium Dr EGELER, Christian Consultant Anaesthetist and Pain Specialist, Morriston Hospital, Swansea, Wales, UK Dr GHAZI, Arif Consultant in Pain Medicine & Anaesthesia Clinical Lead, Pain Services Whipps Cross University Hospital London, UK Dr GULATI, Sumit Consultant in Pain Medicine & Anaesthesia Walton Centre NHS Foundation Trust Liverpool, UK Faculty Dr MADHAVAN, Beenu Consultant Anaesthetist,University Hospital Lewisham,London, UK Dr MALIK, Qaiser Consultant Radiologist Basildon and Thurrock University Hospital Essex, UK Dr PARRAS, Teresa Consultant Anaesthetist St George s Hospital London Dr PONNUSAMY, Karthikeyan, Consultant in Pain Medicine and Anaesthesia, Kent and Canterbury Hospital Canterbury, UK Dr SHETTY, Ashish Consultant in Pain Medicine and AnaesthesiaUniversity College London Hospitals NHS Trust, London Dr RUDIGER, Jan Consultant in Anaesthesia and Pain Medicine East Surrey Hospital Redhill, UK. Dr SOMMER,Michael Consultant in Pain Medicine & Anaesthesia Maastricht University Medical Centre Maastricht, The Netherlands. Dr THOTTUNGAL, Athmaja Consultant in Pain Medicine and Anaesthesia Kent and Canterbury Hospital, Canterbury, UK Dr WEST, Simeon Consultant Anaesthetist University College London Hospital London, UK

5 Day 1 (Lectures & Live demo) - 27th November 2015 Time Topic Faculty 08:15-08:5 Registration 08:5-09:00 Welcome and introduction Dr Beenu Madhavan 09:00-09:20 It is cool to treat pain using ultrasound - the possibilities of cryotherapy. 09:20-09:0 USPM- Acute vs Chronic-Is a happy marriage possible? Dr Christ Declerck 09:0-10:10 Anatomy- Pelvis and lumbar region Prof.Erik Cattrysse 10:10-10:5 Coffee break 10:5-11:15 Sonoanatomy and clinical applications- Pelvis and lumbar region 11:15-11:5 Live interactive demo of blocks- Pelvis and lumbar region :15 Anatomy, Sonoanatomy and clinical applications- MSK Dr Michael Sommer Dr Michael Sommer Dr Qaiser Malik 12:15-12:5 Live interactive demonstration MSK blocks Dr Qaiser Malik 12:5-13:5 Lunch 13:5-1:15 Anatomy, Sonoanatomy and clinical application- Thorax, abdomen, lower limb 1:15-15:00 Live interactive demonstration of Thorax, abdomen, lower limb blocks 15:00-15:30 Coffee break 15:30-16:00 Anatomy- Head, neck and upper limb blocks. 16:00-16:5 Sonoanatomy and clinical applications- Head, neck and upper limb blocks 16:5-17:15 Live interactive demonstration of selected head, neck and upper limb blocks Prof.Erik Cattrysse Dr Anju Bhatia Dr Anuj Bhatia 17:15-17:30 Feedback and closure 5

6 Day 2 (Scanning day) - 28th November :30-09:00 AM - Registration. 09:00-09:20 AM - How small can we see? -Genicular branch / small peripheral nerves- blocks, PRF / RFDN under ultrasound- Dr Christian Egeler 09:20-09:30 AM - Set up for live scanning 09:30-10:20 AM - Scanning 1 10:20-11:10 AM - Scanning 2 11:10-11:30 AM - Coffee break / Exhibition 11:30-12:20 PM - Scanning 3 12:20-13:10 PM - Scanning 13:10-1:10 PM - Lunch / Exhibition 1:10-15:00 PM - Scanning 5 15:00-15:50 PM - Scanning 6 15:50-16:0 PM - Scanning 7 16:0-17:00 PM- Feedback and closure Time Head & Neck Thorax & upper limb Neuraxial Pelvis Lower limb Abdomen MSK 09:30-10: :20-11: :30-12: :20-13: :10-15: :00-15: :50-16: :5-16:0 Needling station and water spine- free station available throughout the day to learn 09:5-16:0 Any block station- to practice more or learn any new blocks which are not covered on other stations throughout the day 6

7 Scanning day- faculty allocation Station Head and neck Work shop topic Faculty Dr Christ Declerck & Dr Karthikeyan Ponnusamy ( floating) Thorax and upper limb Dr Anuj Bhatia & ( floating) Neuraxial (lumbar & sacrum) Dr Sumit Gulati & Dr Arif Gazi ( floating) Lower limb- anterior and posterior Dr. Christian Egeler & Dr Teresa Parras ( floating ) Pelvis Dr Michael Sommer & Dr Ashish Shetty ( floating ) Abdomen Dr Shyam Balasubramanian & Dr Jan Rudinger ( floating) MSK Needling Station Any block Supporting faculty Dr Qaiser Malik & Dr Sadiq Bhayani ( floating) Dr Ashish Shetty / Dr Beenu Madhavan ( both floating) Dr Teresa Parras / ( both floating ) Anatomy covering all stations Prof. Erik Cattrysse. ( floating ) Blocks covered Head and neck Stellate ganglion, nerve root, GON, MBB and facet Thorax and upper limb Paravertebral, intercostal, supra scapular, PEC / serratus plane and BP Neuraxial Lumbar facet, MBB, Psoas block / lumbar plexus and caudal Lower limb- anterior and posterior LFCN, femoral, obturator, adductor canal, popliteal sciatic Pelvis SIJ, caudal, pirifomis, pudendal nerve and gluteal sciatic Abdomen IIN, IHN, GFN, QLB and rectus sheath / Anterior cutaneous nerve MSK Shoulder, hip, knee and ankle / wrist Needling station Probe selection, IPA, OPA and water spine, basic setting of US machine 7

8 Delegate group allocation Name Group Name Group

9 Recommended Competency check list Level 1 Level 2 Level 3 Supra scapular nerve block Stellate ganglion block Third occipital nerve (TON) Ilioinguinal / iliohypogastric Great occipital nerve at C2 Cervical medial branch block TAP/QLB Lateral femoral cutaneous nerve Celiac plexus block Trigger point injections Genito femoral nerve DRG SIJ Caudal Joint injections Peripheral nerves Pudendal nerve Paravertebral/intercostal Nerve root blocks Lumbar facet Lumbar plexus Lumbar medial branch block Epidural (adapted from recommendations given by the American Society of Regional Anaesthesia and Pain Medicine, the European Society of Regional Anaesthesia and Pain Therapy, and the Asian Australasian Federation of Pain Societies Joint Committee Recommendations for Education and Training in Ultrasound - Guided Interventional Pain Procedures & the Royal College of Anaesthetists) Learning points:- 9

10 Feedback form DAY 1- LECTURES & LIVE SCANNING Topic It is cool to treat pain using ultrasound - the possibilities of cryotherapy. Dr Christ Declerck USPM- Acute vs Chronic-Is a happy marriage possible? Anatomy- Pelvis and lumbar region Prof. Erik Cattrysse Sonoanatomy and clinical applications- Pelvis and lumbar region Dr Michael Sommer Live interactive demo of blocks- Pelvis and lumbar region Dr Michael Sommer Anatomy, sonoanatomy and clinical application- MSK blocks Dr Qaiser Malik Live interactive demo of MSK blocks Dr Qaiser Malik Anatomy, sonoanatomy and clinical application- Thorax, abdomen and lower limb Live interactive demo of thorax, abdomen, lower limb Anatomy- Head, neck and upper limb blocks Prof Erik Cattrysse Sonoanatomy and clinical applications- Head, neck and upper limb blocks Dr Anuj Bhatia Live interactive demo of selected head, neck and upper limb blocks Dr Anju Bhatia How small can we see- Genicular nerves and peripheral nerves- blocks, RF / PRF under ultrasound Dr Christian Egeler Score (0-) Comments Further comments:.. 10

11 DAY 2- SCANNING DAY Station topic Head and neck Score (0-) Comments Thorax and upper limb Neuraxial Pelvis Lower limb Abdomen MSK Needling station Any block Venue & facilities Catering Did this course meet your educational needs and expectations? Would you recommend this course to your colleague? How did you hear about our course? YES / NO YES / NO Further comments: 11