NERVE BLOCK WORKSHOP - UC Davis Health System

ULTRASOUND GUIDED PERIPHERAL
NERVE BLOCK WORKSHOP
SPONSORED BY:
UC DAVIS HEALTH SYSTEM
OFFICE OF CONTINUING MEDICAL EDUCATION
AND
DEPARTMENT OF ANESTHESIOLOGY
AND PAIN MEDICINE
June 4, 2011
SATURDAY
EMBASSY SUITES HOTEL
SACRAMENTO, CALIFORNIA

ULTRASOUND GUIDED PERIPHERAL
NERVE BLOCK WORKSHOP
Saturday, June 4, 2011
7:00 AM Registration, Continental Breakfast, Visit Exhibits
7:45 AM Welcome / Course Overview
Course Chair: Stephen Macres, PharmD, MD
The Physics of Ultrasound (Reflection, Refraction, Attenuation)
Tissue echogenicity and nerve imaging
8:15 AM Kenneth Furukawa, MD
Ultrasound equipment, scanning technique and image optimization
8:45 AM Stations 1-5 Knobology: Understanding Equipment Operation
9:00 -11:30 AM Station 1: Above the clavicle brachial plexus block
Station 2: Below the clavicle brachial plexus block
Station 3: Femoral/Saphenous nerve block
Station 4: Paravertebral nerve block
Station 5: Infragluteal Sciatic nerve block
11:30 AM Visit Exhibits
12:00 PM Lunch (included in tuition)
1:00 -3:30 PM Station 1: Epidural Anatomy
Station 2: TAP Block/Ilioinguinal
Station 3: Popliteal Sciatic nerve block
Station 4: Acoustic Artifact and Sonopathology
Station 5: Billing for Ultrasound Guided Regional Anesthesia
3:30 PM Formal review & putting it all together
4:30 PM Announcements, Adjourn

FACULTY
Stephen M. Macres, PharmD, MD
Professor
Department of Anesthesiology and Pain Medicine
UC Davis Health System
UC DAVIS DEPARTMENT OF
ANESTHESIOLOGY & PAIN MEDICINE
Robin J. Aldwinckle, BMBS, FRCA
Senior Physician Diplomate
Kenneth T. Furukawa, MD
Professor
Michael Greenberg, MD
Visiting Professor
Brian L. Pitts, MD
Assistant Professor
CONFERENCE COORDINATOR
Beng Salud
CME Meeting Planner
Department of Anesthesiology and Pain Medicine
UC Davis Health Systems

NEEDS ASSESSMENT
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.
In response to participant evaluations from previous
activities and the annual physician needs assessment
survey this activity is designed to improve physician
competence in ultrasound guided regional anesthesia
techniques and selection of treatments for acute pain
management.
This one-day workshop will specifically address these
identified educational needs and provide physicians
with state-of-the art tools to provide improved treatment
options for their patients. Faculty presenting and interacting
with participants at this activity have been selected
on the basis of their comprehensive clinical experience
and academic excellence.
ENROLLMENT
AUDIENCE
Registration for this workshop is limited to 40 registrants
and is filled on a first come, first served basis. This
workshop will fill up quickly so register early! Tuition is
$399. Confirmation of registration will be sent
within two weeks after receipt of enrollment
form.
Tuition includes an electronic syllabus, continental
breakfast, refreshment break, lunch, and a certificate of
attendance. Tuition may be paid by check, American
Express, Discover, MasterCard or VISA. Cash is not
accepted. Refunds must be requested by May 2 and will
be subject to a $50 service charge. Program materials
cannot be guaranteed unless enrollment is received by
May 2, 2011. The Department of Anesthesiology and
Pain Medicine reserves the right to cancel this program.
In such a case, a full refund will be given.
Registration forms received without payments
will not be processed until payment is
received, and payment must follow within 10
days.
This intermediate level course is designed for regional
anesthesia practitioners currently using ultrasound sound
technology in the administration
of peripheral nerve blocks.
EDUCATIONAL OBJECTIVES
At the end of the program, participants should be able
to:
• Discuss the significance of ultrasound reflection,
refraction, and attenuation and their importance in
tissue echogenicity and nerve imaging
• Demonstrate expertise adjusting the focus, frequency,
depth and gain on the ultrasound machine
• Discuss the indications and contraindications for
peripheral nerve blocks
• Identify important anatomic structures of the back,
upper extremity and lower extremity using the
ultrasound transducer. Important structures include
bone, muscles, blood vessels, nerve plexuses and
peripheral nerves
• Identify 5 common acoustic artifacts
• Describe 2 examples of sonopathology
FURTHER INFORMATION
UC Davis Department of Anesthesthesiology
and Pain Medicine
4150 V Street, Suite 1200 PSSB
Sacramento, CA 95817
Tel (916) 734-1574
Fax (916) 734-2975
Web
http://www.ucdmc.ucdavis.edu/anesthesiology/
calendar/Ultra_Wkshop_2011.html
ELECTRONIC SYLLABUS: In our efforts to “go
green”, the syllabus will be transmitted electronically
two weeks prior to the course. No printed material
will be available at this event.
CAUDAD
CEPHALAD
ANTERIOR
THIGH

ACCREDITATION
CREDIT DESIGNATION
The University of California, Davis
Health System is accredited by the
Accreditation Council for Continuing
Medical Education (ACCME) to provide
continuing medical education for physicians.
Physician Credit: The University of California, Davis
Health System designates this live activity for a maximum
of 7 AMA PRA Category 1 Credits). Physicians should
only claim credit commensurate with the extent of their
participation in the activity.
UC DAVIS HEALTH SYSTEM CME MISSION
In concert with the University of California, Davis Health
System mission of discovering and sharing knowledge
to advance health, the continuing medical education
mission focuses on the lifelong learning commitments of
physicians who practice in the health system and in the
greater Northern California region. UC Davis CME is
at the nexus between scientific discovery and its translation
to practice with a commitment to provide a variety
of educational formats for evidence-based education
that fulfills identified needs and produces changes in
physician practice resulting in improved competence,
performance and/or patient care. With an emphasis on
multidisciplinary programs, content is based on competencies
and bona fide needs assessments as well as clinical
requirements. The CME Advisory Committee reviews
the content and quality of CME offerings in accordance
with the Accreditation Council for Continuing Medical
Education’s Essential Areas and Their Elements and the
American Medical Association’s Physician Recognition
Award accredited provider information.
CALIFORNIA AB 487
CALIFORNIA AB 1195
California Assembly Bill No. 487, approved by the
Governor of California in October 2001, requires physicians
and surgeons to complete 12 hours of mandatory
continuing education in the subjects of pain management
and the treatment of terminally ill and dying patients.
This requirement for physicians licensed prior to January
2002, was to be completed by December 31, 2006.
Physicians and surgeons licensed on or after January
1, 2002, shall complete this requirement within 4 years
of their initial license or by their second renewal date,
whichever occurs first. This activity includes content that
will satisfy a maximum of 7 hours toward this requirement.
California Assembly Bill No. 1195 With the passage
of California Assembly Bill 1195, signed November
2005, continuing medical education courses with patient
care components are required to include curricula in
the subject of cultural and linguistic competency. It is the
intent of the bill, which went into effect on July 1, 2006,
to encourage physicians and surgeons, CME providers
in the state of California, and the Accreditation Council
for Continuing Medical Education to meet the cultural
and linguistic concerns of a diverse patient population
through appropriate professional development. The planners,
speakers, and authors of this CME activity have
been encouraged to address issues relevant in their topic
area. In addition, a variety of resources are available
to address cultural and linguistic competency, some of
which will be included in the syllabus or handout materials.
Additional resources and information about CA AB
1195 can be found on the website:
http://cme.ucdavis.edu.
DISCLOSURE OF RELEVANT FINANCIAL RELATIONSHIPS
As a provider accredited by the Accreditation Council
for Continuing Medical Education, the University of California,
Davis Health System Office of Continuing Medical
Education must ensure balance, independence, and
objectivity in all CME activities to promote improvements
in health care and not proprietary interests of a commercial
interest. The provider controls all decisions related
to identification of CME needs, determination of educational
objectives, selection and presentation of content,
selection of all persons and organizations that will be in
a position to control the content, selection of educational
methods, and evaluation of the activity. Course directors,
planning committee members, presenters, authors,
moderators, panel members, and others in a position to
control the content of this activity are required to disclose
relevant financial relationships with commercial interests
related to the subject matter of this educational activity.
Learners are able to assess the potential for commercial
bias in information when complete disclosure, resolution
of conflicts of interest, and acknowledgment of commercial
support are provided prior to the activity. Informed
learners are the final safeguards in assuring that a CME
activity is independent from commercial support. We
believe this mechanism contributes to the transparency
and accountability of CME.

LOCATION
Embassy Suites Sacramento
100 Capitol Mall
Sacramento, CA 95814
Tel: 916-326-5000
Fax: 916-326-5001
http://www.sacramento.embassysuites.com
Embassy Suites Sacramento is located on the Sacramento River across the Historic Old Sacramento. All housing
arrangements for the workshop are made directly with the Embassy Suites Hotel. Reserve rooms directly with
Embassy Suites Hotel personnel for yourself and any accompanying family and friends.
Make payments directly to the Embassy Suites Hotel in accordance with their directions.
Cancellation of housing accomodations must be made directly with the Embassy Suites Hotel in accordance
with hotel policies. The Ultrasound Guided Peripheral Nerve Block Workshop is not responsible for forfeited
deposits or funds collected by Embassy Suites Hotel.
Old Sacramento has many attractions including the Railroad Museum, State Capitol, and Raley Field, home of
the Sacramento Rivercats Triple A baseball team. The Crocker Art Museum is located only a few blocks from
Embassy Suites and has a collection of over 15,000 objects.
Please consider layered clothing as temperature conditions may vary in the meeting room. If you have any
special needs due to a disability as specified in the Americans with Disabilities Act, please call the Department
of Anesthesiology and Pain Medicine at (916) 734-1574 so we may make the necessary accommodations for
you.
PARKING
Valet parking is available at $6 per hour not to exceed $25. Self-Parking is available across the hotel at $15
per day. A map with directions to Embassy Suites Sacramento is in included in this brochure.

ENROLLMENT APPLICATION
(Please Print)
UC Davis Ultrasound Guided Peripheral Nerve Block Workshop
June 4, 2011
______________________________________________________________________________________________________
First Name MI Last Name
MD/DO Resident Fellow
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Institution/Employer (as you would like it to appear on your badge)
Profession / Occupation
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Address (where you would like your receipt mailed)
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City State Zip Code
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Day Phone
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E-mail (required for link to electronic syllabus)
Physician information required for CME credit and name badge.Please indicate primary medical specialty:
AN PAIN APM
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Please note special dietary/ food allergy requirements: ---------------------------------------------------------------------------------------------------------------------------------
Have you attended this conference in the past? Yes No
Registration forms received without check will not be processed until payment is received:
Check enclosed payable to:
UC Regents
Mail application and check to:
Department of Anesthesiology and Pain Medicine Telephone: (916) 734-1574
4150 V Street, Suite PSSB, Suite 1200 Fax: (916) 734-2975
Sacramento, CA 95817
REGISTER ONLINE
http://www.ucdmc.ucdavis.edu/anesthesiology/calendar/Ultra_Wkshop_2011.html