Regional Anesthesia

Regional Anesthesia

2 Blocks

Leads

Dr. Reva Ramlogan (Civic) & Dr. Patrick Wong (General)

Welcome Message

The goal of Core I will be to demonstrate knowledge of sono‐anatomy and to develop basic level skills for regional anesthesia. By the end of Core II you should be able to demonstrate competence in performing regional blocks safely and effectively.

EPAs & Milestones

  • Providing perioperative anesthetic management for adults with a peripheral nerve block regional anesthesia technique appropriate for the planned surgical procedure
  • Manage patients with common, serious or life‐threatening complications of regional anesthesia
    • Demonstrates understanding of the pharmacology of adjuvants, including epinephrine, bicarbonate, opioids, alpha‐agonists, and NMDA antagonists.
    • Demonstrates understanding of local anesthetic classes and local anesthetic toxicity
    • Demonstrate understanding of ultrasound physics, probe selection, and equipment to optimize nerve image acquisition.
    • Demonstrates understanding of brachial plexus and lumbar plexus anatomy.
    • Demonstrates understanding of risks and benefits of regional blocks in all anatomic regions.
    • Demonstrates management of common peripheral single shot nerve blocks using nerve stimulation.
    • Demonstrates management of common single shot peripheral nerve blocks using out of plane and in‐plane ultrasound techniques (brachial plexus, femoral nerve, popliteal, ankle).
    • Demonstrates contraindications to peripheral nerve blocks.

Academic Curriculum

Learning Cases

Core 1

  • Interscalene Block
  • Ultrasound Guided Axillary Nerve Block and ASRA Pre-Block Checklist
  • Thoracic Paravertebral Block
  • Ultrasound Physics, Sonoanatomy, and Pitfalls
  • To Block or Not to Block
  • A Choice of Block

Core 2

  • Bier Block, Rescue Blocks, & Adjuvants
  • Subgluteal Sciatic & Femoral Nerve Blocks
  • Interscalene & Superficial Cervical Plexus Blocks
  • Epidural Hematoma

Assessment Tools

  • Submitted the required number of OSCORAs (12 per Core)
  • Completed a minimum of 8 Regional Anesthesia clinical days (per Core)
  • Compliant with Resident Logbook of Regional Cases (16)
  • Follow-up all of the patients who received peripheral nerve blocks over the course of the rotation and document assessments in ACUPAM
  • Completed Core Regional Anesthesia learning cases
  • Demonstrated evidence of self-learning
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