Advancing the Science of Ultrasound Guided Regional Anesthesia and Pain Medicine

Ultrasound Guided Regional Anesthesia Workshop

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Ultrasound Guided Regional Anesthesia Workshop [Link to top]

This 2.5-day ultrasound-guided regional anesthesia workshop focuses on hands-on scanning and needling practice. To maximize the hands-on experience, registrants are required to study the online course materials before attending the workshop. There is a substantial amount of materials to cover and approximately 6-8 hours of study time prior to the workshop are recommended. At the end of this course, participants would have acquired a thorough knowledge of imaging and needling techniques for regional anesthesia.

This course has a number of distinguishing features:

Pre-course online material
Brief didactic introductions
Maximizes hands-on scanning practice
Low participant: instructor ratio (6:1)
Course taught by University of Toronto faculty and guest faculty from University of Ottawa

Day 1 (Saturday 7:30 to 16:30)

  • More than 5 hours of supervised hands-on scanning on live models
  • Opportunity to use a variety of ultrasound machines (BK Medical, GE, Philips, and SonoSite)
  • A wide selection of topics to choose from
  • Practical tips and tricks for ultrasound guided blocks
  • Knowledge evaluation with immediate feedback

Day 2 (Sunday 7:30 am to 16:30 pm)

  • Ask the expert scanning stations and further hands on scanning practice
  • Opportunity to use a variety of ultrasound machines (BK Medical, GE, Philips, and SonoSite)
  • Panel and open forum discussion with the experts
  • Knowledge evaluation with immediate feedback

Day 3 (Optional) (Either 8:00 to 12:00 OR 13:00 to 17:00)

  • Half-day anatomy lab
  • Hands-on scanning and needling practice on cadaver models with instructor feedback
  • A fully interactive program

Early registration is encouraged.

The Saturday-Sunday (2-day) workshop will accommodate up to 48 registrants. The Monday (1/2 day) anatomy lab will be limited to 18 registrants in the morning and 18 registrants in the afternoon.

Registration fee includes an "Ultrasound Imaging for Regional Anesthesia - A Practical Guide" booklet, refreshment on Saturday, Sunday and Monday, and breakfast and lunch on Saturday and Sunday.
Lunch is NOT provided on Monday.

Available Dates [Link to top]

Not until 2019 date TBA

Program Guide [Link to top]

Learning Objectives:

At the conclusion of the regional anesthesia workshop, the participant should be better able to:

  • Describe the basic principles of ultrasound imaging for regional anesthesia
  • Use proper equipment settings, transducers and ergonomics for specific blocks
  • Correctly identify relevant sonoanatomy of the upper limb, lower limb, trunk and spine
  • Describe different approaches to nerve blocks in the above mentioned regions
  • Discuss nerve block indications and selection for specific surgical procedures
  • Distinguish typical ultrasound findings of normal lung vs. pneumothorax and diaphragmatic paresis
  • Acquire eye-hand coordination and needling skills (optional Monday program)
  • Place peripheral nerve catheters under ultrasound guidance (optional Monday program)

Day 1 and Day 2 Workshop Topics

  1. Introduction to ultrasound equipment and needling/phantom practice
  2. Brachial plexus above the clavicle (interscalene, supraclavicular)
  3. Brachial plexus below the clavicle (infraclavicular and axillary)
  4. Peripheral nerves of the upper extremity
  5. Ultrasound diagnosis of pneumothorax and diaphragmatic paresis
  6. Blocks for the knee joint (femoral nerve, adductor canal and iPack blocks)
  7. Blocks for the foot and ankle (popliteal sciatic nerve, saphenous nerve and ankle blocks)
  8. Blocks for the breast (paravertebrals, ESP, PEC, serratus plane blocks)
  9. Truncal abdominal blocks (QLP, transversalis fascia plane, TAP and ilio-inguinal and ilio-hypogastric nerve blocks)
  10. Ultrasound of the spine

Saturday Day 1

07:30 Registration and Breakfast
08:00 Introduction
08:10 Brachial plexus above the clavicle
08:30 Brachial plexus below the clavicle
08:50 Ultrasound diagnosis of pneumothorax and diaphragmatic paresis
09:10 Scanning session 1
10:10 Break
10:30 Panel Discussion / Questions and Answers
11:00 Scanning session 2
12:00 Lunch
12:30 Femoral/Saphenous/Adductor Canal / iPACK blocks
12:50 Sciatic nerve (anterior / posterior / popliteal approaches)
13:10 Ankle block
13:40 Scanning session 3
14:40 Break
15:00 Panel Discussion / Questions and Answers
15:30 Scanning session 4
16:30 Adjourn

Sunday Day 2

07:30 Breakfast
08:00 Continuous blocks
08:20 Ultrasound of the spine
08:40 Panel Discussion / Questions & Answers
09:00 Scanning session 5
10:00 Break
10:20 Truncal blocks for breast and chest wall (thoracic paravertebral / PECS / serratus plane, erector spinae blocks)
10:40 Truncal blocks for abdominal wall (QLB, TFP, TAP, Ilio-inguinal / Ilio-hypogastric blocks)
11:00 Scanning session 6
12:00 Panel Discussion / Questions & Answers
12:30 Lunch
13:00 Scanning session 7
14:00 Panel Discussion / Questions & Answers
14:30 Exams and additional scanning
16:30 Adjourn

Monday Day 3, (Optional Half-day Anatomy Lab)

Morning Session
Afternoon Session
08:00 13:00 Introduction
08:20 13:20 Focus on Ultrasound Scanning Technique, Needling Technique for Regional Anesthesia
09:00 14:00
  • Station # 1 Needling Skill (supine cadaver) - upper limb, chest wall
  • Station # 2 Needling Skill (supine cadaver) - lower limb, abdominal wall
  • Station # 3 Needling Skill (prone cadaver) - spine, paravertebral, intercostal
09:45 14:45 Break
10:00 15:00 Rotation 1, Cadaver Scanning and Needling Practice
10:45 15:45 Break
11:00 16:00 Rotation 2, Cadaver Scanning and Needling Practice
11:45 16:45 Wrap Up
12:00 17:00 Adjourn

Faculty [Link to top]

University of Toronto Faculty:
Vincent Chan, MD, FRCPC
(Monday lab only)
Stephen Choi, MD, FRCPC
Josh Gleisher, MD, FRCPC
Richelle Kruisselbrink, MD, FRCPC
Nicholas Lo
Ahtsham Niazi, MBBS, FCARCSI
Anahi Perlas, MD, FRCPC
University of Ottawa Faculty:
Faraj Abdallah, MD

Scarborough Rouge Hospital - Centenary Site:
Robert Bechamp, MD

Giron Arango
Yasmine Hoydonckx
Karen Lam
Pascal Ramsodit
Sara Tierney

CME Credits [Link to top]

This education event has been approved as an Accredited Group Learning Activity under Section 1 of the Framework of CPD options for the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada for Section 1 credits (credit number TBA) and the Physician's Recognition Award of the American Medical Association - Category 1 credits (credit number TBA).

Accommodation [Link to top]

The Eaton Chelsea Hotel - 33 Gerrard St W, Toronto.
The Toronto Marriott Downtown Eaton Centre Hotel - 525 Bay St, Toronto.
The Park Hyatt Toronto - 4 Avenue Rd Toronto.
The Holiday Inn Toronto Downtown Centre - 30 Carlton Street, Toronto.
The Toronto Marriott Bloor Yorkville - 90 Bloor St E, Toronto.
The InterContinental Toronto Yorkville - 220 Bloor St W, Toronto.

Toronto Hotels
Things to do in Toronto

Registration [Link to top]

The registration fee will include complimentary meals (breakfast x 2 day, lunch x 2 day, breaks x 3 days), an ultrasound booklet, didactic lectures, hands on practical sessions and examination.

Full Program (Saturday, Sunday & Monday Workshops)
Fee: $1450 (Canadian) + Tax
Where: Toronto General Hospital

Saturday & Sunday Workshop
Fee: $1100 (Canadian) + Tax
Where: Toronto General Hospital

Registration Process:
Register early for guaranteed attendance!
Registrations are accepted on a first-come, first-serve basis. Registration forms are accepted by Mail or Fax.

Fees must be paid in full at the time of registration.

Please send registration form to:
Christine Drane
Departmental Administrator
Department of Anesthesia
Toronto Western Hospital
University Health Network
399 Bathurst St., McL 2-405
Toronto, ON, M5T 2S8, Canada
Tel. 416-603-5118
Fax. 416-603-6494

Cancellation/Refund Policy:
The full registration fee less $100 administration fee will be refunded, if written notice of cancellation (e-mail or fax) is received no later than 21 days prior to the workshop date. No refund for cancellation less than 21 days. Registration may be transferred among colleagues or be applied to a future course within one year. In the unlikely event that a course is rescheduled or cancelled, pre-paid registrants will be given the opportunity to transfer to a future course or may receive a full refund. The course organizer will not be responsible for any travel and/or lodging reimbursements.

Directions to Workshop [Link to top]

200 Elizabeth St, Toronto, ON M5G 2C4

Nearest Major Intersection
College Street and University Avenue (south of Queen's Park). TGH is located along the east side of University Avenue, just south of College Street. Public Transportation

Queen's Park subway station, on the University branch of the Yonge-University-Spadina line (Line 1)

506 Carlton - University stop, and walk south; or ??Elizabeth Street stop and walk south along Elizabeth
505 Dundas - University stop, and walk north up University Avenue

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