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Personalization

This training can vary between 2 and 4 days depending on the learner's needs


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Ultrasound RA: axilliary blocks, BIS, wall and paravertebral blocks

Regional Anaesthesia

Ultrasound RA: axilliary blocks, BIS, wall and paravertebral blocks

  • CHU Nîmes Caremeau - Rue du Professeur Robert Debré, 30900 Nîmes, France
  • flag Languages spoken : French, English
  • 4-handed practice
  • Level required: all levels
  • Max 2 people
  • Duration : 2 days

Program

Beginner program

You are welcome regardless of level; our duration and objectives will depend on your needs. OBJECTIVES: Learn or improve ultrasound-guided nerve blocks (paravertebral, wall, upper limb) via single injection or catheter. Ultrasound system understanding: main settings, probe selection, hygiene. Probe manipulation for optimal nerve location for RA. Creating archive images. Sonoanatomy knowledge. Tracking and identification of nerves (transverse and longitudinal section) as well as adjacent anatomical structures (arteries, veins, tendons, muscles, bones...).  Understanding of various procedures. Nerve-approach procedure both with and without ultrasound. Monitoring needle progression and tip identification: sentinal neurostimulation, hydrolocalization, anisotropy. Patient circuit organization: pre- and post-block, preparation/recovery room, stretcher organization, patient transfer to stretcher or to standing. In the operating suite: pre-anesthesia room, turnover coordination. Each objective is adapted to the level of training at hand.

Advanced program

You are welcome regardless of level; our duration and objectives will depend on your needs. OBJECTIVES: Learn or improve ultrasound-guided nerve blocks (paravertebral, wall, upper limb) via single injection or catheter. Ultrasound system understanding: main settings, probe selection, hygiene. Probe manipulation for optimal nerve location for RA. Creating archive images. Sonoanatomy knowledge. Tracking and identification of nerves (transverse and longitudinal section) as well as adjacent anatomical structures (arteries, veins, tendons, muscles, bones...).  Understanding of various procedures. Nerve-approach procedure both with and without ultrasound. Monitoring needle progression and tip identification: sentinal neurostimulation, hydrolocalization, anisotropy. Patient circuit organization: pre- and post-block, preparation/recovery room, stretcher organization, patient transfer to stretcher or to standing. In the operating suite: pre-anesthesia room, turnover coordination. Each objective is adapted to the level of training at hand.

Practical aspects

Your attendance for a period of 1 to 4 days, in a mixed approach of both theoretical and practical teaching.

Program details

Internist, CCA and PUPH at Nîmes I direct outpatient management at the CHU in Nîmes, where we do 35% ambulatory procedures (ORL, opthalmic, inguinal hernia, and also total shoulder prosthesis). We have heavy bariatric surgery activity with 6 or 7 sleeves on Tuesday, 5 or 6 hands and 2 or 3 shoulders on Monday, thoracic surgery (2 or 3 paravertebral), and gynecologic where we perform PEC blocks.

My equipment

Ultrasound: GE, Samsung, Phillips: CX

Associated skills

  • Acute Pain
  • Ambulatory
  • Multimodal Analgesia
  • Oesophagial Doppler
  • PECS blocs
  • Paravertebral block
  • Peripheral Regional Block
  • Pharmacology: Curare, Hypnotics, Morphine
  • Post Operative Rehabilitation
  • RAAC
  • Rehabilitation and ICU
  • Toxicity of LA
  • Trunk blocks
  • Ultrasound Guided Regional Anesthesia
  • Ultrasound-Guided Puncture

Mentor

Pr Philippe Cuvillon

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