Safe Pain Control and Regional Anesthesia for the Practicing General Surgeon
Regional anesthesia blocks have been shown to reduce patients’ postoperative opioid consumption when utilized as an adjunct for pain control and as part of a multimodal pain control regimen in specific surgical procedures. To this end, the American College of Surgeons Patient Education Committee is proud to offer a regional anesthesia skills course composed of three parts:
- An online pre-workshop (CME credit available)
- An in-person skills session
- A post-workshop online discussion (CME credit available)
Pre-Workshop Online Course
Participants are required to complete seven free online modules to learn about local anesthetics and the transversus abdominis plane (TAP) and pectoral (PEC) block techniques, and review case studies where these techniques are employed in specific surgical settings and for specific patients. Register and complete the online course now. The course needs to be completed prior to attending the in-person skills session. CME credit is available for the online learning modules, with 2.75 AMA PRA Category 1 Credits™.
In-Person Skills Session
Wednesday, March 11 | The University of Chicago Simulation Center
Cost: $400 per person
Please note: The $400 fee covers supplies, transportation, and course space rental fees.
The in-person skills session, attendees will listen to a lecture on how to utilize and deliver local anesthetics for abdominal wall and pectoral blocks followed by training at different skills stations. Skills stations will allow participants to practice: (1) visualizing the abdominal and pectoral planes via ultrasound using standardized patients, (2) needle placement via both ultrasound and laparoscope on mannequins and animal tissue, and (3) using different formulations of naloxone as well as patient drug abuse screening and communication strategies. Later in the day, attendees will be tested at the skills stations and take a written posttest and evaluation.
- Standardized Patients, Ultrasound
- NYSORA TAP Simulator
- Pacira LAP-TAP Simulator
- Pacira Breast Simulator for PEC
- Pork bellies for LAP-TAP
- Patient Education: Communication, Screening, and Safe Naloxone Use
Following the in-person session, attend a one-hour online discussion to gain CME credit and share experiences of implementing these techniques at your place of practice. During the discussion, ask questions and share best practices with faculty and other learners. Mentorship and clinical verification will be forthcoming. Mentors must be identified and have privilege rights at your place of practice. If you are interested in clinical verification, please contact Tarra Barot for forms and an application.
This course can be taken by any member of the health care team who administers analgesia or performs surgery, or who monitors and supports patients intra- or postoperatively, especially:
- Physician assistants
- Utilize ultrasound to visualize the medial and lateral pectoral nerves necessary for PEC 1 injection.
- Utilize ultrasound to visualize the abdominal planes necessary for delivery of TAP injection.
- Demonstrate correct placement and delivery of a PEC injection using porcine tissue and mannequins.
- Demonstrate correct placement and delivery of a TAP injection using porcine tissue and mannequins.
- Summarize dosing, contraindications, and other patient safety requirements associated with the delivery of two local anesthetics utilized for either TAP or PEC blocks.
- Review the different naloxone preparations and demonstrate how they should be used.
- Describe screening best practices, functional assessments of pain, and patient safety and communication strategies regarding prescription opioid use.
- Bus service is provided from the Swissotel Chicago to The University of Chicago Simulation Center.
- We are unable to reimburse participants for any parking expenses.
Skills Course Agenda
10:30 am: Bus pickup at Swissotel Chicago and travel to The University of Chicago Simulation Center
11:00–11:30 am: Lunch and Registration
11:30 am–12:30 pm: Lecture
12:30–2:30 pm: Training at Skills Stations
2:30–2:45 pm: Break
2:45–5:00 pm: Skills Station Testing and Written Posttest** and Evaluation
** Posttest will be administered onsite on Wednesday, March 11.
5:00–5:30 pm: Return to Swissotel Chicago
In accordance with the ACCME Accreditation Criteria, the American College of Surgeons must ensure that anyone in a position to control the content of the educational activity (planners and speakers/authors/discussants/moderators) has disclosed all relevant financial relationships with any commercial interest (see below for definitions).
The ACCME defines a “commercial interest” as any entity producing, marketing, re-selling, or distributing health care goods or services used on or consumed by patients. Providers of clinical services directly to patients are NOT included in this definition.
Relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner.
Conflict of Interest
Circumstances create a conflict of interest when an individual has an opportunity to affect CME content about products or services of a commercial interest with which he/she has a financial relationship.
The ACCME also requires that ACS manage any reported conflict and eliminate the potential for bias during the educational activity. Any conflicts noted below have been managed to our satisfaction. The disclosure information is intended to identify any commercial relationships and allow learners to form their own judgments. However, if you perceive a bias during the educational activity, please report it on the evaluation.
Faculty and Disclosures
John Daly, MD, FACS, FRCSI(Hon), FRCSG(Hon) - Nothing to disclose
Fox Chase Cancer Center, Temple Health
Kathleen Heneghan, PhD, MSN, RN - Nothing to disclose
American College of Surgeons
Jarrod Kaufman, MD, FACS - Nothing to disclose
Premier Surgical and Premier Vein Center, LLC
Jonah Stulberg, MD, PhD, MPH, FACS - PI, Pacira Pharmaceuticals, Inc; Speaker, Intuitive Surgical
Northwestern Memorial Hospital
Stephen Small, MD - Nothing to disclose
The University of Chicago,
Pending approval, CME credits will be provided for the activity.