- Refresher Courses
- Expert Panel Discussions
- Ask the Expert
- Pro-Con Debates
- Luncheon Discussions
- Lecture Workshops
- Hands-On Workshops: Landmark, Cadaver, and Ultrasound Workshops*
*These workshops count toward application for an ESRA Diploma
||Regional Anaesthesia Sessions|
||Acute & Chronic Pain Sessions|
- Peripheral Blocks and Anticoagulation
- What Does it Take to get Started US-Guided Nerve Blocks
- Role of Ultrasonography in Neuraxial and Truncal Techniques
- Role of Ultrasonography in Lower Limb Blocks
- Preeclampsia Revisited
- Which is the Best Analgesic Solution for Labour Analgesia?
- Future Directions for Regional Anaesthesia in Fast-Track Surgery
- Bariatric Surgical Techniques and its Implications Under RA
- Adjunct Drugs for Central and Peripheral Nerve Blocks in Paediatric Patient
- Safety of Epidural Anaesthesia
- Optimal Thoracic Epidural Analgesia
- Nerve Damage after RA: Incidence, Diagnosis and Management
- Non Anaesthetic Effects of Local Anaesthetics
- Regional Anaesthesia and Organ Protection
Acute & Chronic Pain
- Role of Ultrasonography in Pain Therapy
- Musculoskeletal Pain: Basic Central Mechanisms
- Current knowledge of Complex Regional Pain Syndrome
- Persistent Postoperative Pain: Pathogenic Mechanisms and Treatment Strategies
- Low Back Pain: Assessment and Management
- Integrating Mechanism of Neuromodulation with Mechanism of Pain
- Management of Acute Pain in Acute Tolerant Patient
- Can We Predict Which Patients will Suffer from Pain after Operation?
S1. ASRA/ESRA Joint Session:
Ambulatory Anaesthesia Practice
- Patients selection guidelines and decissions
- Anaesthesia techniques application
- Selection of Local Anaesthetic and Adjuvants
- Postoperative pain management
- Panel Discussion
S2.Peripheral nerve blocks revisited
- Upper limb Double Block in two shots
- Phrenic nerve sparing brachial plexus blocks
- Peripheral nerve block proposals for outpatient knee arthroscopy
- How many sciatic approaches? , US has the answer.
S3.Cancer surgery and implications of anaesthesia
- Perioperative risk factor for cancer recurrence
- Anticancer Chemotherapy and it's Anaesthetic Implications
- Effect of anaesthetic technique on cancer recurrence
- Inflammation and cancer: a common pathway
S4. How much ultrasonography has changed the practice of Regional anaesthesia?
- Ultrasound for follow up after nerve damage
- Intercostal block– Paravertebral block
- Infraclavicular brachial Plexus Approach?
- Peripheral nerve catheter
S5. Quality management in regional anaesthesia
- Education in regional anaesthesia
- Paths of medical innovation, discovery and translation
- Complication management in regional anaesthesia
- A German network for safety in regional anaesthesia
S6.Complications in regional anaesthesia
- Critical incident reports involving regional anaesthesia
- Wrong sided blocks
- Incidence of falls/injuries after lower limb blocks
- Poor aftercare/lack of staff
S7. C-Section revisited
- Unplanned C-section in labour: how to proceed ?
- Low dose spinal anaesthesia for C-section: techniques, advantages and risks
- Modern forms of postoperative analgesia after C-section
- Chronic pain after C-section: myth or fact ?
S8. Complications in OB anaesthesia:
- Major Obstetric hemorrhage
- Cardiac arrest in pregnancy
- Failed intubation: prophylaxis and management
- PDPH, anything new in OB patients
- CSE or epidural analgesia for labour
- Alternatives to regional analgesia for labour pain relief
- Patient controlled epidural analgesia for labour, the modern way
- Postpartum neuropathy: how to handle
S1. Discogenic low back pain (DLBP)
- Standard Criteria for diagnosing discogenic pain
- Is Provocation Discography a Measure of Intradiscal Mechanical Hyperalgesia?
- Outcome predictors of thermal annuloplasty for DLBP
S2. Geriatric pain management
- Pharmacokinetic and pharmacodynamic changes
- Drugs used in the management of acute pain in older people
- Intrathecal opioid analgesia delivery
- Epiduroscopy and treatment of adhesions in the epidural space
S3. Current developments in neuromodulation techniques for chronic pain management
- Role of paresthesia perception in outcome
- Role of spinal anatomical structures for neuromodulation
- Ultrasound-guided permanent implantation of peripheral nerve
- Stimulation (PNS) system
S4. Radiofrequency for chronic pain management
- Is there a reason for Diagnostic medial branch blocks before lumbar radiofrequency zygapophysial
(facet) joint denervation?
- US for facet detection and lysis with RF better than fluoroscopy?
- What are the limits for targets in radiofrequency neurotomy
- Outcome and measures in RF treatments
EXPERT PANEL DISCUSSIONS
PD1. Improving clinical practice. Lesson taken from the anatomy
- Looking for the development of paresthesias in the subarachnoid and epidural anaesthesia: A clinical and anatomical analysis
- Understanding topographical anatomy
- Lesson from human cadaver worshops
PD2. Ultrasonography: Basic Facts.
- 3 D ultrasonography correlation with anatomy
- 3 D ultrasonography for peripheral nerve blocks is this the future?
- Needle visibility in US is not the only important factor for US-guided
PD3. Epidural Anaesthesia
- Alternatives for thoracic epidural anaesthesia and analgesia
- Are there still indications for lumbar neuraxial techniques in orthopaedics?
- Does the combination of neuraxial regional techniques and general anaesthesia improve the outcome?
PD4. Pediatric Regional anaesthesia – what is new?
- Ultrasound and blocks in children: an advanced update
- Regional blocks and ambulatory children
- Regional anaesthesia and intensive care
- Complications of regional anaesthesia in paediatrics
PD5. Controversies in regional anaesthesia
- Regional anaesthesia for awake thoracic surgery
- Epidural anaesthesia for minimal invasive spinal surgery
PD6. Centennial of intravenous regional anaesthesia (1908-2008). Still a place in Regional anaesthesia Practice for Bier's Block ?
- Current indications and clinical place for Intravenous regional anaesthesia /analgesia
- Additives to IVRA: Should we use them?
- Tourniquet pain and its management: still many unanswered questions
PD7. Dramatization of a regional anaesthesia complication scenario – a mock trial
- Master of ceremonies
PD8. Regional anaesthesia application outside the operating room
- In the Intensive Care Unit
- In the Emergency Department
- In the field during natural catastrophies
PD9. Procedure specific regional anaesthesia techniques:
- Hip surgery: epidural, spinal or general combined with peripheral nerve block?
- Knee surgery: epidural, spinal or general combined with femoral nerve block or combination of blocks?
- How do nerve blocks affect peripheral blood flow and the outcome of microvascular surgery?
PD. 10 Regional anaesthesia techniques and coagulation disorders
- Thrombosis prevention and regional anaesthesia, new data
- Monitoring of the new antithrombotics
- UK guidelines for regional anaesthesia and anticoagulant therapy
PD1. Update in Pharmacology for pain management
- Ketamine in opioid dependent or tolerant patients
- Current practice of Patient-controlled epidural analgesia
- Risks of acute postoperative neuropathic pain
PD2. Cancer Patient and pain management on acute and chronic settings
- Potential influence of the postoperative analgesia regimens on cancer-related outcome.
- Intrathecal drug delivery specific approach
- Radiofrequency techniques in the management of cancer pain
PD3. Disease specific pain assessment and management
- Neuropathic Pain
- Headaches and trigeminocervial complex
- Peripheral vascular disease
PD4. Peripheral nerve stimulation
- Field or nerve stimulation, what is the approach?
- Transforaminal or retrograde sacral stimulation is there a difference?
- Combinations of SCS and PNS: when and how to measure effectiveness?
PD5. Intrathecal drug delivery: Criteria for drug selection
- The taxonomy of pain
- The age as main variable
- Risks and benefits of combinations in IDD
ASK THE EXPERT
- Labour analgesia: CSE or epidural?
- What is an intraneural injection?
- Acute phantom limb pain: What is the best neural blockade?
- Questions for an anatomist you would always wanted to ask but never dared to do it
- How to monitor during a block procedure, storing ultrasound images?
- Documenting nerve stimulator settings and thresholds, measuring injection pressures?
- Documenting paresthesias?
- Other findings by ultrasound during us-guided block, what to do as anaesthesiologist?
- Which opioid is ideal for using in the epidural space?
- Catheters in regional anaesthesia, how can we determine the optimal position in epidural and peripheral regional anaesthesia?
- Paresthesias, what does it mean during neuraxial blocks and peripheral nerve blocks and what should I do?
- Materials for peripheral nerve blocks or in ultrasound guided regional anaesthesia
- Controversies in lipid emulsion therapy
- How to manage the postoperative care after regional anaesthesia
- Is the ultrasonography a safe alternative in the performance of Sacral Plexus block?
- Paravertebral Blockade is an alternative for thoracic epidural anaesthesia and analgesia
- Combination of ultrasonography and nervestimulation improves safety of regional anaesthesia
- Regional anaesthesia in the febrile patient
- Compartment syndrome and regional anaesthesia
- All obese patients in labour should receive an epidural catheter:
- General anaesthesia for C-section should include an opioid prior to delivery of the fetus:
- Which nerve block for subumbilical surgery in paediatric patient?"
- Adult Patient: US-guided neuroaxial blocks
- Paediatric Patient: Ultrasound and central blocks
- Intradiscal therapies discography has a role
- Epidural steroids by transforaminal route
- Failed regional block for C-section
- US and children
- Serious neurological injury after leg surgery under GA and epidural anaesthesia: possible mechanisms and diagnostic follow-up.
- Regional anaesthesia in the trauma patient
- Resuscitation science: does anything works?
- Low dose spinal anaesthesia for C-section: practical implications
- Rapid sequence induction for C-section under GA: new ideas!
- PCEA or peripheral nerve blocks for lower limb surgery
- Local anaesthetic dose, how low must we go?
- Short surgical procedures on the arm, do we use IVRA or peripheral nerve blocks?
- Management of neurologic complications after regional anaesthesia
- Ultrasound for spine imaging
- Anaesthesia/sedation and regional anaesthesia in children: a solved problem?
- Continuous infusions in children
- Local infiltration techniques are they as effective as peripheral nerve blocks?
- Hygiene in peripheral regional anaesthesia (solutions, preparation, disinfection, clothing)
- Bilateral dual TAP block
- Why does a US-guided TAP-block not work?
- Phantoms for teaching US-guided blocks
- Needle placement by nerve stimulation or ultrasound and the associated risk of intraneural injection
- How to start regional anaesthesia with US
- Paravertebral block - Gold standard for post-mastectomy analgesia
- New developments in ultrasound-guided regional anaesthesia: retrobulbar blockade, new catheters
- Surgical regional anaesthesia of the hip joint with ultrasound-guided lumbar plexus and sacral plexus block
HANDS – ON WORKSHOPS*
1- Animal (Pigs) Workshops
A special workshop with anaesthetized pigs for a limited number of participants using US and performence of the blocks.
2- Human Special Cadaver Diploma Workshops
Proposed as ESRA deal for promoting education and support candidates of DEA
3- Human Cadaver Workshops
Cadavers showing interscalene region/anatomy and after that station the participants will perform ultrasound at a model in the interscalene region
4- Human Models: Anatomical Landmarks
- Upper extremity blocks around clavicle (interscalene, infraclavicular, axillary
- Upper extremity blocks at elbow and wrist level (ulnar, radial and median)
- Lower extremity blocks at the hip level (sciatic- various approaches, femoral)
- Lower extremity blocks at knee and ankle level (popliteal block-dorsal and lateral approach, saphenous, ankle block)
5- Human Models: Ultrasound Adults
- Pain: Basics
- Pain:paravertebral, upper limb , lower limb
- Upper limb / lower limb
- Neuraxial /paravertebral
- Abdominal wall
Basic physics / Machine Knobology / Image optimization and acquisition using models - needling with phantoms - hands on
5.2. Upper Limb
Interscalene / supraclavicular / infraclavicular / axillary and peripheral nerves
5.3. Lower Limb
Sciatic, femoral, popliteal, saphenous, obturator and ankle
5.4. Neuraxial & Abdominal Wall
Epidural, paravertebral, lumbar plexus, rectus sheath, TAP blocks
5.5. Chronic pain
Stellate ganglion, cervical medial branch/roots, suprascapular, Lumbar facets, pudendal nerve and lateral cutaneous nerve of thigh.
6. Human Models: Ultrasound Paediatrics
- Limbs Peripheral blocks
- Trunk and paravertebral blocks
- Central blocks - anatomy and landmarks