Ophthalmic Block Hands-on Workshop
Orlando, Florida
November 15-16, 2008
Northwest Anesthesia Seminars, Inc.
Continuing Education for the Anesthesia Professional

LOCATION

TARGET AUDIENCE

ACCOMMODATIONS

PROGRAM PURPOSE

HOTEL RESERVATION

OBJECTIVES

 

PROGRAM SCHEDULE

FACULTY

ACCREDITATION

FAP

COURSE REGISTRATION


LOCATION:

ORLANDO, FLORIDA

With over 40 million visitors every year, Orlando has long been one of the most popular vacation spots in the country. Most people automatically think of the mouse, but Orlando has a lot more to offer no matter what you like to do on vacation. There's golf, shopping, nearby beaches, large theme parks and exciting nightlife. Orlando is not just for kids anymore! Exciting new vacation options have opened and more will be opening soon. From the thrill of new attractions at the world-famous theme parks and new restaurants serving scrumptious foods to enlightening cultural excursions, Orlando offers a completely new vacation experience for first-time and repeat visitors.

Here's just a few of the attractions:
Universal Studios Escape & Island of Adventure + "Citywalk"; Titantic The Experience; SeaWorld; Disney's Animal Kingdom®; Cirque du Soleil®, La Nouba™; Test Track ride at Epcot®; Magic Kingdom® Park; and the Brevard Zoo. Then there is the dining with entertainment. Orlando has the world's largest Hard Rock Café, a Planet Hollywood, Harley Davidson, NASCAR Café and almost every other themed restaurant that exists. In addition there is a wonderful collection of ethnic eateries. Unfortunately, there are too many to mention. For a complete list see http://www.orlandoinfo.com/

 
ACCOMMODATIONS:
The Hilton in Disney Village

Located in the WALT DISNEY WORLD®, This resort is an official hotel of Walt Disney World in Lake Buena Vista, Florida. Hotel guests will enjoy exceptional facilities at this Four Star, Four Diamond resort. Take a refreshing dip in either of the two swimming pools, enjoy a workout at the health club, play golf in one of five Walt Disney World championship courses, and savor a variety of cuisines at seven restaurants and lounges. This hotel is steps away from Downtown Disney, home of the Disney Marketplace, Pleasure Island and Disney's West Side. What's more, complimentary transportation to Walt Disney World Theme Parks is provided for all hotel guests. Make the most of your visit by taking advantage of the exclusive Extra Magic Hours benefit. Each day one of the theme parks is open an hour early or stays open up to three extra hours in the evening, providing Hilton guests the opportunity to enjoy exclusive access to some of the most popular attractions at an easy, relaxed pace. Hilton in the WALT DISNEY WORLD® Resort offers spacious accommodations and relaxed comfort in newly renovated guest rooms. All feature convenient amenities such as coffeemaker, minibar, dual-line telephones, in-room movies, double bathroom vanities and a hair dryer.

Take a Tour of the Hotel

Registration for this workshop is limited
Almost every workshop in the past twelve years has sold out.
We recommend you register early to ensure a slot in this unique course.

REGISTRATION and Hotel Arrangements
One call is all you need to register for any seminar and reserve your hotel room!
1 (800) 222-6927 or (509) 547-7065
Fax (509) 547-1265

TARGET AUDIENCE:
This course is designed for Physicians, CRNAs, and Physician Assistants who need to obtain or refresh their ophthalmic anesthesia knowledge and skills.

PROGRAM PURPOSE:
Ophthalmic block techniques have long been relegated to the ophthalmologist and the techniques for performing these regional blocks have been omitted from curricula in both nurse and physician anesthesia residency programs. Due to the increasing volume of ophthalmic procedures being performed, the ophthalmologists are now requesting anesthesia professionals provide this service. This course is designed to provide the didactics of pharmacology, toxicity, anatomy, physiology, techniques, management and complications of ophthalmic regional blocks. Furthermore, by way of individual "hands-on" practice under the guidance of a qualified instructor, using an anatomical model, the participant will become familiar with the actual techniques of performing the ophthalmic block techniques. The program does not certify a participant to administer an ophthalmic block. Clinical privileges to administer an ophthalmic block must be approved by the governing body of your facility.

OBJECTIVES: At the conclusion of this activity, the participant will be able to:
Review the orbital anatomy, cranial nerve pathways, vasculature and axial lengths during the identification of each technique for ophthalmic regional block anesthesia and the anatomical landmarks for each injection site.

Apply the pharmacokinetics and pharmacodynamics of local anesthetic agents in a discussion of the selection, dosing and intervention for both local and systemic complications of ocular block.

Update techniques for the management of the awake patient undergoing ocular surgery.

Outline appropriate risk management, CQI and departmental management programs for the provision of full ocular anesthesia service.

PROGRAM SCHEDULE
OPHTHALMIC BLOCK HANDS-ON WORKSHOP
ORLANDO, FLORIDA
November 15-16, 2008
SATURDAY
0730 Registration / Mandatory Sign In / Continental Breakfast
0745 Introduction
0800 Orbital Anatomy
Identify the six ocular muscles and describe their functions
Track the pathways of the cranial motor and sensory nerves
List the major vessels of the orbit locating their anatomical positions
Discuss the orbital-globe relationship
Plot a geometrical pathway for the needle tip around the globe
0940 Break
1000 Pharmacology for Ophthalmic Anesthesia
List the appropriate pharmacologic agents defining their application in ophthalmic anesthesia
Review the distribution of local anesthetics throughout the orbit
1050 Ophthalmic Blocks (Orbital Epidural Blocks)
Describe an Intraconal Peri/Retrobulbar Block Technique
Describe an Extraconal Peri/Retrobulbar Block Technique
Describe an Extraconal Peribulbar Block Technique
1140 Ophthalmic Blocks (cont.)
Describe an Orbicularis Lid Block
Review topical and Intraocular Blocks
Review a Sub-tenon's Block
Review how to evaluate the competency of an ophthalmic block
Describe an orbital decompression device
1230 Lunch (On your own)
1345 Question and Answer Session
Clarify concepts and specific data covered in the morning sessions
1450 Hands-On Practice Session: Intraconal Peri/Retrobulbar Block
Observe the demonstration of an Intraconal Peri/Retrobulbar Block (Infratemporal approach)
Demonstrate the correct technique for administration of this Block on an anatomical model
1540 Hands-On Practice Session: Extraconal Peri/Retrobulbar Block
Observe the demonstration of an Extraconal Peri/Retrobulbar Block (Supratemporal and Infratemporal approach)
Demonstrate the correct technique for administration of these blocks on an anatomical model
1630 Hands-On Practice Session: Extraconal Peribulbar Block
Observe the demonstration of an Extraconal Peribulbar Block (Medial caruncle approach)
Demonstrate the correct technique for administration of this block on an anatomical model
1645 Review and Critique Ophthalmic Block Techniques
Answer questions arising from the hands-on block session
1735 Adjourn
SUNDAY
0730 Registration/ Mandatory Sign In / Continental Breakfast
0745 Self-Testing: A Group Participation Review of the Orbital Anatomy
0800 Complications and Sequelae
Recognize signs, symptoms and treatment for a retrobulbar hemorrhage
Recognize and treat CNS sequelae resulting in respiratory arrest and seizure
Review globe perforations and techniques to minimize their occurrence
0940 Break
1000 Managing the Awake Patient
Discuss the preoperative patient evaluation
Explain techniques to control the increased anxiety levels experienced by the patient
Describe appropriate monitoring of the patient undergoing ophthalmic surgery
1050 Risk Management and Quality Assurance
Review the overall risks involved in providing anesthesia services in an ophthalmic surgery center
Formulate a quality assurance plan utilizing a practitioner data based format
1140 Reimbursement for Ophthalmic Anesthesia
Describe current anesthesia reimbursement policies for ophthalmic procedures
Review the necessary data for completing insurance forms for reimbursement
1230 Hands-On Practice Session
Review practice session of the previous day
Identify areas of special pertinence and focus supervised practice upon them
1310 Adjourn

13 CME / 13 CEC

FACULTY
Randy Harvey, BS, RRT, CRNA
Chief of Anesthesia and Department Manager
Florida Eye Clinic Ambulatory Surgery Center
Altamonte Springs, Florida

Founding member Ophthalmic Anesthesia Society (OAS) The purpose of the Ophthalmic Anesthesia Society is to ensure that the highest quality anesthesia care is provided to patients undergoing cataract and other ophthalmic surgical procedures.

He presently serves as a Scientific Board Member and Secretary of the OAS.

1980 Mr. Harvey graduated from Duke University's Nurse Anesthesia Program.

1985 Mr. Harvey trained in ophthalmic anesthesia.

1987 He recognized a growing demand by Ophthalmologists for anesthesia practitioners to perform ophthalmic blocks and began lecturing on the subject. He has since lectured extensively on ophthalmic anesthesia in seminars, including presentations to state and national anesthesia organizations. He has also presented training programs to private practice anesthesiology groups in Florida and Virginia.

1991 He began the "Ophthalmic Block Workshop" in conjunction with NWAS. He also developed an orbital eye-model simulator which allows a hands-on experience for the participants. This program has run continuously since its inception and has educated hundreds of Anesthesiologists, CRNAs, including ophthalmologists, in the art and science of ophthalmic anesthesia.

1997 & 2001-Mr. Harvey authored a chapter on "Anesthesia for Ophthalmic Procedures", in the textbook: Nurse Anesthesia, WB Saunders.

Mr. Harvey has performed well over 50,000 ophthalmic blocks in his career. He utilizes his more than 20 years of experience to educate the participants in the latest trends in ophthalmic anesthesia with didactic lectures, video, simulator hands-on training and classroom discussion.

To benefit more from this course, it is recommended that the participant review the orbital regional anatomy prior to attending.

ACCREDITATION:
The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas designates this educational activity for a maximum of 13 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

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 A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas and Northwest Anesthesia Seminars, Inc. The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas is accredited by the ACCME to provide continuing medical education for physicians.

Physician Assistants AAPA accepts Category I credit from AOACCME, Prescribed credit from AAFP, and AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.

CME Certificates will be mailed following completion of the course.

AANA approved for 20 CEC Code #30648 EXP DATE 11/16/2008

RN NWAS is an approved provider by the California and Florida State Boards of Nursing, Provider number #04833 and 50-7480, respectively. This program offers 13 Contact Hours.

SKILLS LEVEL CLASSIFICATION:
The A. Webb Roberts Center for Continuing Education of Baylor Health Care System, Dallas designates this course as a Level 1 in accordance with AMA/PRA Credit and Classification Guidelines

COURSE DIRECTOR: Mark Murphy, MD, Chief of Anesthesia, Mercy Medical Center, Durango, Colorado.

COURSE CANCELLATION BY PROVIDER: We reserve the right to cancel a course for any reason. In such case, a minimum of 30 days notice will be given to those registered and 100% of tuition paid will be refunded. Neither NWAS nor NW-WWT will be responsible for any non-refundable airfare, lodging or other liabilities you may have incurred.

FAP: (Frequent Attendee Points) - FAP lets you accumulate points based on dollars spent with NWAS including net cruise and net hotel as well as tuition booked through NW-WWT (but not air). These points can then be redeemed for tuition. A great program to reward you for supporting NWAS! FAP is an especially valuable bonus when you book your room through NWAS. Not only do you receive the lowest rate, but you get a 1.5% credit toward future tuition!!

NWAS, Inc. is going Green! With over 8 tons of paper used, hundreds of toner cartridges and the shipping impact, we want to do our part for the environment. Therefore as of January 1, 2008, NWAS will replace the printed lecture notes with a CD containing the lectures in PDF format. If you prefer printed lecture notes, we will be happy to provide one to you for a nominal fee after the meeting.

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Last Update: 4/11/08
NWAS
P.O. Box 2797, Pasco, WA, 99302
1 (800) 222-6927