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The International Association for the Study of Pain

SPPM Basic Ultrasound Guided Nerve Blocks and Phantom Simulation Workshop for Pediatric Acute Pain Management

Workshop

Workshop

1:45 pm

02 October 2023

Room 503

Session Description

Nerve blocks and the use of ultrasound are important tools in the arsenal of multimodal analgesia for postoperative and post-trauma pain relief in children. They are opioid-sparing and enhance recovery, and hence essential skills for pediatric anesthesia, trauma, critical care, and pain practitioners. In this workshop, sponsored by the Society of Pediatric Pain Medicine, the initial 30 minutes will provide some basic foundations in ultrasound and the advantages of its use for commonly performed nerve/fascia blocks for acute postsurgical pain. We will also discuss the placement of single injection blocks and dosing, nerve catheters, and dosing, as well as the use of management of ambulatory nerve catheters. Indications, contraindications, side effects/complications, and management of potential problems will be discussed.

Following this, we will divide participants to get hands-on experience at 4 work stations (15 minutes each):
  1. Needle phantom station
  2. Upper extremity and truncal (upper anterior)
  3. Lower extremity blocks and truncal (lower anterior)
  4. Neuraxial and truncal (posterior) blocks
At each station, we will discuss the anatomy and ultrasound images and indications of the most common blocks/pitfalls/decision considerations in managing acute pediatric pain from trauma, surgery, or other acute pain.

We will provide practical instruction to maximize the success of the block placement, including sedation and the use of ultrasound for accurate needle placement.  The specific blocks we will discuss are in the presentations below.  
Participants will be able to view only the ultrasound probes used on live models to best understand the relevant anatomy for accurate block placement and will be able to practice on phantoms to practice hand-eye coordination with needle insertion.

Moderators

Resources