Northwest Anesthesia
Seminars, Inc.
Continuing Education for the Medical Professional
Presents
2008 Ultrasound Guided Regional Anesthesia and Vascular Access Workshop
May 9, 2008 San Francisco, CA
June 15, 2008 Las Vegas, NV
September 5, 2008 Las Vegas, NV
November 19, 2008 Key West, FL
| Limited enrollment - early registration is a must! |
| ULTRASOUND GUIDED REGIONAL ANESTHESIA |
| The use of ultrasound imaging for regional anesthesia is an emerging and important field in anesthesiology. It can improve both the quality, success rate, and safety of regional blocks. |
| The use of ultrasound allows real time visualization of the nerves and the surrounding structures with real time guidance prior to advancing the needle and visual confirmation of the local anesthetic spread around the nerve. Initial studies and results suggest that ultrasound guidance may decrease latency and improve success rates, eliminating or reducing serious complications. |
| ULTRASOUND GUIDED VASCULAR ACCESS |
| Unsuccessful insertion of CVCs may occur in up to 20% of cases. The hazards associated with multiple attempts and blind insertion techniques include arterial puncture, hematoma, pneumothorax, hemothorax, chylothorax, brachial plexus injury, arrhythmias, air embolus, catheter malposition, and catheter knotting. |
| Ultrasound assisted vascular access provides a safe and efficient means of obtaining both peripheral and central venous access, thus reducing morbidity and increasing the success rate and efficiency. |
| Recently ultrasound guidance has been mandated by the AHRQ for central line placement and its use for peripheral access has been adopted by many physicians and nurses. |
| This workshop will provide participants with didactic lectures and hands on experience with ultrasound machines/probes on live models to identify important anatomical landmarks and assist with visualization of target nerves and vessels. Gel block devices will be used to practice in-plane and out-of-plane needle advancement. |
| 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. |
| CONCURRENT COURSES: | |
| These courses precede or follow this workshop | |
| Separate brochure and tuition applies |
|
| San Francisco | Fresh Ideas in Anesthesia - May 5-8 |
| San Francisco | NRP - May 6 |
| San Francisco | ACLS - May 7-8 |
| San Francisco | PALS - May 5-6 |
| Las Vegas | Anesthesia Jackpot - June 16-19 |
| Las Vegas | Bioterrorism + Medical Ethics - Aug 31 |
| Las Vegas | Difficult Airway Workshop - Aug 31 |
| Las Vegas | TBA - Sept. 1-4 |
| Las Vegas | NRP - Sept. 1 |
| Las Vegas | ACLS - Sept. 1-2 |
| Las Vegas | PALS- Sept. 3-4 |
| Key West | Clinical Anesthesia Pharmacology - Nov 20-23 |
| Key West | PALS - Nov 20-21 |
| Key West | NRP - Nov 21 |
| Key West | ACLS - Nov 22-23 |
TARGET AUDIENCE:
This course is designed for Physicians, Certified Registered
Nurse Anesthetists, Registered Nurses, Physician Assistants and other medical
care providers who already process knowledge and skills in regional anesthesia
or vascular cannulation.
PROGRAM PURPOSE:
The success of real-time, ultrasound-guided insertion of needles
for regional anesthetic administration and peripheral and central vascular line
insertion over all other methods of identifying/verifying the anatomical target
prior to cannulation and/or injection has been documented repeatedly through
recent years. Ultrasound offers a non-invasive, low risk safety factor whose
benefits to quality of care, reduction in complications (both realized and expected),
and the relative improvement in patient confidence and satisfaction with the
techniques has heralded the techniques as standard-of-care for the future, especially
in challenging patients in the hands of inexperienced or infrequent users. In
fact, it has been suggested that morbidity resulting from insertion may be legally
indefensible in the absence of the use of these devices. This workshop is intended
for the practitioner already possessing skill and experience with regional anesthetic
administration and/or peripheral and central vascular cannulation who wish instruction
and the opportunity to handle the equipment for these procedures and instructor
- assisted practice identifying anatomy and procuring the ergonomic skill of
managing the equipment while performing the techniques.
OBJECTIVES:
At the conclusion of this program, the participant will be able to:
List the benefits of using real time, ultrasound guidance for
regional anesthesia administration and vascular access
Apply pertinent aspects of ultrasound scanning in identifying specific target anatomy for needle placement including principles of physics important in positioning the patient, the scanner, visualizing the needle point and verifying the anatomy as the needle is advanced
Differentiate the ultrasound images of vessels, peripheral nerves, tendons, layers of fascia, nerve plexus and the dura and discuss methods of improving and altering the ultrasound image to reap the best benefit from the technique
Under instruction, establish a technique to handle the ultrasound equipment while performing needle placement in a sterile field, try different untrasound equipment available at the work stations at the course, identify and differentiate anatomic structures imaged with ultrasound on both living and anatomical models
| PROGRAM SCHEDULE | ||
|
ULTRASOUND GUIDED REGIONAL ANESTHESIA AND VASCULAR ACCESS WORKSHOP |
||
| May 9, 2008 San Francisco, CA | June 15, 2008 Las Vegas, NV | |
| Sept 5, 2008 Las Vegas, NV | Nov 19, 2008 Key West, FL | |
| 0730 | Registration - Mandatory Sign-In - Continental Breakfast | |
| 0750 | Welcome |
NWAS Staff |
| 0800 | Principles of Clinical Ultrasound Use for Regional and Vascular Access | |
| Appreciate the benefits of using ultrasound for the administration of regional anesthetics and vascular access | ||
| Review the current data regarding ultrasound guided procedures | ||
| Consider the patient safety concerns when performing ultrasound guided regional anesthesia | ||
| Understand the physics of ultrasound and ultrasound knobology as they relate to different image planes and image optimization | ||
| Realize the different appearances of anatomical structures under ultrasound, including nerve plexi, terminal peripheral nerves, vasculature, fascia, and muscle | ||
| Identify different needle approaches to ultrasound guided regional anesthesia and appreciate its effect on needle tip visualization | ||
| 0930 | Break | |
| 1000 | Ultrasound Anatomy of Neck and Upper Extremity | |
| With ideal ultrasound machine settings and location, identify the pertinent brachial plexus neuroanatomy and vasculature of the neck and upper extremity | ||
| Learn different needle approaches for successful blockade of the brachial plexus in the interscalene, supraclavicular, infraclavicular and axillary regions, as well as blockade of terminal nerves | ||
| 1100 | Ultrasound Anatomy of the Lower Extremity | |
| With ideal ultrasound machine settings and location, identify the pertinent femoral and sciatic neuroanatomy and vasculature of the inguinal region | ||
| Learn different needle approaches for successful blockade of the femoral nerve in the inguinal area, the sciatic nerve in the gluteal area and popliteal fossa and the saphenous nerve in the lower leg | ||
| 1200 | Lunch (on your own) | |
| 1330 | Hands-On Demonstration and Practice Sessions with Various Ultrasound Machines as Provided by Vendors* | |
| With group instruction, practice ultrasound guided regional anesthesia, demonstrating safe, aseptic technique and knowledge of image anatomy | ||
| Practice the proper technique with the assistance of an instructor until facile with the equipment and appropriate sequencing for successful technique | ||
| Locate and identify major neuronal and vascular structures on a live model | ||
| Perform simulated nerve block on a phantom model using ultrasound machine | ||
| Practice and demonstrate the proper technique for vascular access under ultrasound guidance | ||
| 1800 | Adjourn | 8 CME I / 8 CEC |
| *The Hands-On Sessions are based upon vendors supplying equipment for use. In some cases not all equipment discussed will be available for hands-on use. All vendors are provided equal opportunity to participate. | ||
ACCREDITATION:
The A. Webb Roberts Center for Continuing Medical Education
of Baylor Health Care System, Dallas designates this educational activity for
a maximum of 8 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 8 CEC Code #30798 EXP DATE 11/19/2008
NWAS is an approved provider by the California and Florida State Boards of Nursing, provider number 04833 and 50-7480, respectively. This program offers 8 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, hotel or other expenses you may have incurred.
FAP: (Frequent Attendee Points) FAP lets you accumulate points based on dollars spent with NWAS, including net cruise and hotel (but not air). These points can then be redeemed for tuition. A great program to reward you for supporting NWAS! You must have earned enough points for a complete 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 them in PDF format. If you prefer printed lecture notes, we will be happy to provide one to you for a nominal fee.
Click Here For Course and Hotel Registration
