Workshops




Registration for all workshops is limited, so we recommend that you register as soon as possible. Registration fee required.

Click on the title of the workshop for more detailed information.

Thursday April 21, 2016


These workshops can be purchased as an all day workshop for $250.00 or individual 90 minute workshops for $ 75.00 each

Upper and Lower Extremity Blocks | 8:30 - 12:00

Not to miss Hands-on workshops with live models, delivered by some of NYSORA’s best International Regional Anesthesia Experts!

Sessions limited to 30 delegates, to allow ample hands-on practice time, interact with all of the highly experienced instructors and work with different US machines. So sign up if you want to assure a spot!

Target Audience​: Practitioners willing to acquire and/orimprove their skills in performing the most useful ultrasound-guided peripheral nerve blocks.

Contents:​ These workshops cover the most frequently performed blocks in your everyday practice based on the standardized techniques described in the latest edition of NYSORA educational posters. There will be two sessions that can be booked individually according to your personal needs.

Ultrasound-Guided Upper Extremity Blocks | 8:30-10:00
  • Interescalene block
  • Supraclavicular block
  • Infraclavicular block
  • Axillary block
Ultrasound-Guided Lower Extremity Blocks | 10:30-12:00
  • Femoral nerve block
  • Saphenous nerve block
  • Subgluteal sciatic nerve blocks
  • Popliteal sciatic nerve block
Goals:​ Every session will adhere to the same format to cover all the essential information, tips and tricks and allow time to interact with the instructors.
  • Provide an overview of the relevant anatomy and its correlation with the sono-anatomy
  • Learn how to obtain the optimal US images and the most useful approaches
  • Live scanning demonstrations on a large screen by the experts
  • Hands-on scanning on models. The small group design of the WS, allows every participant ample time to practice
  • Discussions on block techniques, tips and tricks
  • Ample time for needle-eye coordination practice, guided by instructors on special phantoms


Neuraxial and Truncal Techniques | 13:00 - 14:30

Not to miss Hands-on workshops with live models, delivered by some of NYSORA’s best International Regional Anesthesia Experts!

Sessions limited to 30 delegates, to allow hands-on practice time, interact with all of the highly experienced instructors and work with different US machines. So sign up if you want to assure a spot!

Target audience​: Practitioners with interest in learning and improving US-guided spinal and epidural techniques, paravertebral blocks and lumbar plexus blocks

Contents: ​This session will follow the format of a master class delivered by top experts in the field, covering the essential knowledge, tips and tricks and safety precautions that are essential to perform
  • Spinal and Paravertebral Blocks
  • Quadratus Lumborum, Serratus Plane, PEC Blocks
Goals:
  • Overview of the relevant anatomy and its correlation to the sonoanatomy
  • Description of the indications, standard views and common needle approaches
  • Live demonstration by top experts, of systematic scanning techniques to identify the main elements for a safe procedure
  • Hands-on scanning on live models
  • Discussion of techniques and case management with the experts
  • Needle-eye coordination practice on water based spine phantom


  • Pediatric Workshops | 15:00 - 16:30

    Hands on workshop on live models (young slim adults or children) delivered by international pediatric regional anesthesia experts!

    Places are limited, to allow ample hands-on practice time, interact with all of the highly experienced instructors and work with different US machines. So sign up if you want to assure a spot!

    Target audience​: Anesthesiologists interested in improving their skill in the most common Pediatric US-Guided Regional Anesthesia Techniques.

    Contents:​ The WS covers the most widely performed blocks in the pediatric patient
    • Upper extremity
    • Lower extremity
    • Abdominal wall
    • Overview of the relevant anatomy and its correlation with the sonoanatomy of the area of interest
    • Description of the optimal US views and common block approaches
    • Live demonstration of a systematic scanning technique to obtain the optimal US view.
    • Hands on scanning practice on models guided by the instructors. The small group design of the WS, allows every participant enough time to scan all the blocks.
    • Discussion of block techniques, tips and tricks with the experts
    • Hands on practice of needle-eye coordination guided by instructors on specific phantoms that will be available throughout the course of the WS.


    These workshops can be purchased as an all day workshop for $250.00 or individual 90 minute workshops for $ 75.00 each

    Leadership and Followership | 8:30 - 10:00


    Leadership-styles and how to deal with it

    Followership – there is no leader without followers

    “I take control”- leadership in crisis – lessons from aviation

    Working on the OR means working in teams. Every team needs (at least sometimes) a leader, but every leader needs followers.
    In 3 interactive lectures this workshop will address the dynamics behind leadership and followership and provide tools for an optimized team performance.
    We will discuss the importance of situational leadership with changing leaders in contrast with the historical role of “the one and only” hierarchical leader.
    Finally, we will focus on team-management and leadership in crisis-situations:
    how to use the team resources most effectively?, how to communicate in crisis? are examples of questions we will discuss.

    Cultural Diversity / Cultural Sensitivity | 10:30 - 12:00


    Cultural sensitivity as key for multicultural teams (how to deal with a multi-cultural team / hierarchy / male-female-relationship / assertiveness)

    Cultural sensitivity in patient care (how to deal with patients of different cultural backgrounds with respect to e.g. man-woman-interaction caregiver-patient, end of life-decisions, organ donation...)

    GLBT (Gay, Lesbian, Bisexual, Transgender)-Diversity management in the perioperative care (team and patient).

    “Diversity” summarizes the fact that not all people are the same: Different cultural backgrounds imply different views on hierarchy, male-female relationships, assertiveness, just to name a few.
    This is relevant for the interaction inside a team (e.g. will an Asian nurse speak up to a Western anesthetist if he is going to make a mistake and will he understand the message?).
    This is also relevant for the interaction between the caregiver and the patient (e.g. how deal the different religions with end-of-life-decisions?).
    Finally, “diversity” addresses the different sexual orientations, where also special needs and implications have to be taken into account in the interpersonal sphere.
    In 3 interactive lectures this workshop will create awareness for cultural diversity and promote cultural sensitivity.
    Our speakers will provide insights and tools for a professional approach to diversity in the clinical practice.

    The Second Victim and the Art of Debriefing | 13:00 - 14:30


    The problem – what does the second victim make a second victim (and how to deal with it)?

    Debriefing a serious event

    Debriefing successes and near misses

    Because we cannot prevent all incidents, we have to optimize the way we deal with them. In case of serious incidents and calamities, there is not only one victim (the patient suffering from the incident), but always a second victim (the caregiver suffering from the fact that he/she was involuntarily involved in this incident).
    Feeling guilty for something which was not completely preventable, doubting the own professional competence are typical patterns we find in second victims.
    Professional debriefing after a serious event can cause, but also prevent second victims. Finally, debriefing successes and near misses can strengthen a team and even prevent serious events.
    In 3 interactive lectures we will cover the art of debriefing and the problem of the second victim and provide tools and ideas to deal with both.

    Implementing Change | 15:00 - 16:30


    Times are changing - Some general ideas of change management

    Pitfalls and resistance when implementing change

    Successful examples of change management / success factors

    Improving patient safety is inseparably linked to implementing changes in current medical practice. Therefore we will dedicate one workshop to the topic of “implementing change”.
    How do we come from an idea for improvement to a new standard in daily practice, which is followed by the whole department?
    In 3 interactive lectures we will discuss the pitfalls and the success factors of change management. We will provide the insights and tools that can help you to initiate and to implement change in your own department / hospital.

    Friday April 22, 2016


    Practical Workshops | 8:30 - 12:00

    • Delivered by an International Faculty of Airway Experts
    • Excellent Feedback Received for the Past 4 Years
    • Demonstrations of Advanced Airway Techniques and the Latest Airway Equipment
    • A Hands-on Workshop Covering:
      • Essential Fibre Optic Skills
      • Emergency Tracheal Access – Cannula (fine bore, wide bore & Seldinger), Percutaneous & Surgical Techniques
      • Ultrasound use in Airway Management
      • Demonstrations of Video Laryngoscopes
      • Supraglottic Airway Devices, Including Second Generation
      • Practical Guidance on Sedation and Topicalisation of the Airway for Awake Fibreoptic Intubation
    • Video demonstrations of advanced airway techniques on real patients

    Case based discussions & ask the experts session | 13:00 - 16:30

  • A selection of airway talks given by leading experts in their field
  • Airway cases discussed with audience participation
  • Ask the experts session with airway experts including authors of the new 2015 DAS intubation guidelines


  • WINFOCUS Course | 8:30 - 16:30



    Critical care and emergency ultrasound is recognized as a vital tool for point of care diagnosis and management of acute conditions.

    The WINFOCUS Basic Echo Course is targeted at anesthesiologists, emergency physicians and intensivists with limited or no prior experience of bedside ultrasound. It covers using focused cardiac and lung ultrasound during cardiac arrest as well as critical scenarios such as acute hemodynamic instability or dyspnea. This course provides a systematic approach to critical situations, integrating ultrasound into the traditional workup.

    The course teaches participants the principles of image acquisition, their interpretation as well as integrating the information gained through focused ultrasound into clinical decision-making. Through a combination of brief didactic lectures and small group hands-on teaching participants will gain the knowledge and competency to adopt point of care ultrasound into their daily practice.

    The course is the first of 3 mandatory steps to achieving full WINFOCUS accreditation. Participation is strictly limited to 20 delegates. Book early to avoid disappointment!

    Pre-course

    Pre-course online test
    MCQs
    Script concordance cases
    Pre-course reading material

    Course



    Welcome

    The Critical Care Ultrasound Concept & Introduction to Focused Cardiac Ultrasound (FoCUS)

    Objectives:
    • Learn principles of critical care ultrasound and specifically of FoCUS (clinician-performed, narrow in scope, problem-based, goal-directed, time-sensitive, simplified, mainly qualitative, low-threshold trigger for further referral)
    • Review current evidences and recommendations
    • Learn a model / mnemonic for teaching and performing ultrasound (Indication / Acquisition / Image Interpretation / Clinical Decision-Making)
    • Identify place and aim of FoCUS within Echocardiography competences and training
    Active Learning: interactive discussion with case-based learning

    Focused Cardiac Ultrasound – Basic TTE views & Eyeballing Principles

    Objectives:
    • Learn how to acquire adequate ultrasound images of the 5 main focused cardiac views (subcostal, apical 4 chamber, parasternal long and short axis, inferior vena cava)
    • Identify key cardiac anatomical structures
    • Principles of qualitative/semi-quantitative image interpretation
    • The preliminary step of a FoCUS exam: screen for signs of chronic conditions
    Active Learning: video analysis / interactive lecture & case-based learning

    Focused Cardiac Ultrasound – Basic Assessment of LV Function

    Objectives:
  • Review cardiac physiology and anatomy relevant to LV function assessment
  • Correctly identify and interpret FoCUS signs of LV function (visual estimation of LV fractional shortening and ejection fraction, MAPSE measurement)
  • Active Learning: video analysis / interactive lecture & case-based learning

    Focused Cardiac Ultrasound – Basic Assessment of RV Function

    Objectives:
    • Review cardiac physiology and anatomy relevant to RV function assessment
    • Correctly identify and interpret FoCUS signs of RV function (visual estimation of RV dilatation, RV ejection fraction, septal dyskinesia, TAPSE measurement)
    Active Learning: video analysis / interactive lecture & case-based learning

    Hands-on 1: KNOBOLOGY / PARASTERNAL VIEWS
    Each group will rotate through 2 stations of 30 min/each (1 live stations with healthy models and 1 station with US simulator)

    Objectives:
    • Effectively operate an ultrasound machine in its basic functions
    • Learn how to acquire adequate ultrasound images for focused examinations of heart and lung
    • Correctly interpret acquired images and recognize key anatomical structures
    Active Learning: small group hands-on sessions; case simulations with ultrasound simulator

    Image review session 1 – LV FUNCTION
    1 hour session of image review session focusing on image interpretation

    Objectives:
    • Correctly interpret acquired images, recognize key anatomical structures, and assess LV function and signs of LV pathology
    Active Learning: small group video analysis

    Focused Cardiac Ultrasound – Basic Assessment of Fluid Status/Screening for Severe Hypovolemia

    Objectives:
    • Review cardiac physiology and anatomy relevant to fluid responsiveness/heart-lung interactions
    • Correctly identify and interpret FoCUS signs of severe hypovolemia (LV and RV sizes, wish emphasis on LV end diastolic area; inferior vena cava (IVC) size and variations for the assessment of fluid status)
    Active Learning: video analysis / interactive lecture & case-based learning

    Focused Cardiac Ultrasound – Basic Assessment of Pericardial Effusion/tamponade Physiology

    Objectives:
    • Review cardiac physiology and anatomy relevant to pericardial effusion and tamponade physiology
    • Correctly identify and interpret FoCUS signs of pericardial effusion and of tamponade physiology (IVC plethora, RA systolic collapse, RV diastolic collapse)
    Active Learning: video analysis / interactive lecture & case-based learning

    Focused Cardiac Ultrasound in Cardiac Arrest

    Hands-on 2: APICAL & SUBCOSTAL VIEWS
    Each group will rotate through 2 stations of 30 min/each (1 live stations with healthy models and 1 station with US simulator)

    Objectives:
    • Effectively operate an ultrasound machine in its basic functions
    • Learn how to acquire adequate ultrasound images for focused examinations of heart and lung
    • Correctly interpret acquired images and recognize key anatomical structures
    Active Learning: small group hands-on sessions; case simulations with ultrasound simulator

    Image review session 2 – RV FUNCTION, IVC, PERICARDIUM
    1 hour session of image review session focusing on image interpretation

    Objectives:
    • Correctly interpret acquired images, recognize key anatomical structures, and assess RV function, signs of RV pathology, presence of pericardial effusion, and estimate of fluid responsiveness
    Active Learning: small group video analysis

    Hands-on 3: FOCUSED CARDIAC ULTRASOUND REVIEW SCANS
    Each group will rotate through 2 stations of 30 min/each (2 live stations with healthy models and 1 station with US simulator)

    Objectives:
    • Effectively operate an ultrasound machine in its basic functions
    • Learn how to acquire adequate ultrasound images for focused examinations of heart and lung
    • Correctly interpret acquired images and recognize key anatomical structures
    Active Learning: small group hands-on sessions; case simulations with ultrasound simulator

    LUNG ULTRASOUND 101

    Objectives:
    • Learn basic lung sonographic findings (A-lines, B-lines, lung sliding, lung pulse, lung point, pleural effusion, consolidation, air bronchograms)
    • Learn principles of ultrasonographic diagnosis of pneumothorax, interstitial syndrome (pulmonary edema of various causes – ARDS vs. cardiogenic pulmonary edema), atelectasis/consolidation, pleural effusion (simple, complex, loculated)
    Active Learning: video analysis / interactive lectures & case-based learning

    Focused cardiac ultrasound – Basic valve assessment

    Objectives:
    • Review valvular anatomy and physiology of mitral and aortic valves
    • Learn a simplified ultrasonographic approach with FoCUS to mitral and aortic valve diseases
    Active Learning: video analysis / interactive lecture & case-based learning

    Focused cardiac ultrasound – Approach to shock

    Objectives:
    • Learn an integrated clinical and sonographic approach in the setting of undifferentiated shock
    Active Learning: video analysis / interactive lecture / case-based learning / Q & A

    Pitfalls and limitations of focused cardiac ultrasound

    Objectives:
    • Understand limitations of focused cardiac ultrasound
    • Understand main pitfalls of focused cardiac ultrasound (pre-existing cardiac disease, interpretation of LV function in light of pharmacological/mechanical support, , pitfalls in tamponade assessment, pitfalls in volume status assessment, pitfalls in acute core pulmonale assessment)
    Active Learning: video analysis / interactive lecture & case-based learning

    Hands-on 4: LUNG ULTRASOUND
    Each group will rotate through 2 stations of 30 min/each (1 live stations with healthy models and 1 station with US simulator)

    Objectives:
    • Learn how to acquire adequate ultrasound images for ruling out Pneumothorax, ruling out Pleural effusion
    Active Learning: small group hands-on sessions; case simulations with ultrasound simulator

    Image review session 3 – INTEGRATED APPROACH TO SHOCK & DYSPNEA
    1 hour interactive session of cases of critically ill patients managed with use of point-of-care ultrasound

    Objectives:
    • Learn an integrated ultrasound approach to shock and dyspnea
    • Correctly interpret acquired images, and integrate findings in clinical decision making
    Active Learning: small group video analysis

    The WINFOCUS basic echo certification pathway
    Post-course test
    Adjourn

    Saturday April 23, 2016


    This is a half-day workshop available for $150

    Emergency Management of Serious Complications in Anesthesia | 8:30 - 12:00



    Using a combination of short lectures, simulation and case presentations, the emergency management of a number of serious complications in anaesthesia will be explored. These will include symptom management as well as discussion of specific topics such as pacing problems, local anaesthetic toxicity and malignant hyperpyrexia amongst others.

    During this workshop, participants will:
    • Discuss the management of pacing problems and life-threatening dysrhythmias
    • Undertake hands-on emergency cricothyrotomy using a surgical approach
    • Practice the immediate management of local anaesthetic toxicity
    • Describe the range of presentations of malignant hyperpyrexia and necessary interventions
    • Discuss the immediate management of intraoperative cardiac arrest
    • Describe the aetiology, management, follow-up and future planning of the patient with anaphylaxis


    Winfocus Course (continued) | 8:30 - 12:00



    Critical care and emergency ultrasound is recognized as a vital tool for point of care diagnosis and management of acute conditions.

    The WINFOCUS Basic Echo Course is targeted at anesthesiologists, emergency physicians and intensivists with limited or no prior experience of bedside ultrasound. It covers using focused cardiac and lung ultrasound during cardiac arrest as well as critical scenarios such as acute hemodynamic instability or dyspnea. This course provides a systematic approach to critical situations, integrating ultrasound into the traditional workup.

    The course teaches participants the principles of image acquisition, their interpretation as well as integrating the information gained through focused ultrasound into clinical decision-making. Through a combination of brief didactic lectures and small group hands-on teaching participants will gain the knowledge and competency to adopt point of care ultrasound into their daily practice.

    The course is the first of 3 mandatory steps to achieving full WINFOCUS accreditation. Participation is strictly limited to 20 delegates. Book early to avoid disappointment!



    Workshops

    90 Minute Workshop

    Full Day Workshop

    Regional Anesthesia

    $75

    $250

    Human Factors

    $75

    $250

    Airway

    N/A

    $250

    WINFOCUS

    N/A

    $400 (1.5 days)

    Emergency Management

    N/A

    $150 (half-day)



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