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Advancing the Science of Ultrasound Guided Regional Anesthesia and Pain Medicine

Ultrasound Guided Regional Anesthesia Workshop


I. Registration Personal Data
Title
* First Name
* Last Name
Clinic/Department/Organization
* Full Address
* City
State/Province
* Country
Postal/Zip Code
* E-mail
Telephone
* Special Meal Requirement (If none please input N/A)
* Please rank the workshops you would like to attend from 1 to 7 (1 being the most important and 7 being the least important workshop)

Use each number only ONCE from 1-7 (If duplicate numbers are selected, this can invalidate your ranking choices)


We will try our best to assign your picks.
Brachial Plexus Block Above the Clavicle - Interscalene, Supraclavicular
Brachial Plexus Block Below the Clavicle - Infraclavicular, Axillary
Peripheral Nerve Blocks of the Upper Extremity - Median, Musculocutaneous, Radial, and Ulnar Nerves
Blocks for the Knee Joint - Femoral Nerve, Adductor Canal and iPACK Blocks
Blocks for the Foot and Ankle - Popliteal Sciatic Nerve, Saphenous Nerve and Ankle Blocks
Chest Wall Plane Blocks - PECS I, II, Serratus Plane, Intercostal Nerve Blocks
Abdominal Wall Plane Blocks - Quadratus Lumborum, Transversalis Fascia Plane, TAP and Ilio-inguinal and Ilio-hypogastric Nerve Blocks
Basic Knobology and Phantom Needling
Ultrasound of the Spine (Basic) - normal anatomy
Ultrasound Diagnosis of Pneumothorax and Diaphragmatic Paresis
Thoracic Paravertebral, Erector Spinae Plane, Retrolaminar Blocks
Ultrasound of the Spine (Advanced) - Challenging Anatomy (Obesity, Scoliosis, Instrumentation)
Blocks for Hip Fracture & Spine Surgery - Periarticular Hip Block, Fascia Iliaca Block, Thoracolumbar Interfascial Plane Block
Less Common Blocks in Neck & Upper Extremity - Superficial Cervical Plexus, Supraclavicular Nerve, Suprascapular Nerve, Axillary Nerve, Costoclavicular Brachial Plexus Approach
Less Common Blocks in Lower Extremity - Obturator Nerve, Lateral Femoral Cutaneous Nerve, Proximal Sciatic Nerve Block

Please check off the fields that apply to you :

Anesthesiologist
Neurologist
Neurosurgeon
Psychiatrist
Psychologist
PMR
RN
NP
PA
Others

How did you hear about our workshop:

Colleague
Website
E-Mail
Others

II. Registration Fee

Saturday, Sunday, and Monday (Ultrasound Workshop PLUS Cadaver Workshop AM)
Saturday, Sunday, and Monday (Ultrasound Workshop PLUS Cadaver Workshop PM)
Saturday and Sunday Workshop (Ultrasound Workshop ONLY)
Toronto Centre for Ultrasound Education

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