RASCI - Course Format & Objective

The format of this two-day course is to provide approximately 13 hours of accredited continuing medical education (CME) divided into 8 hours on a Saturday and 5 hours on a Sunday morning. The course is very intense.

The course is apportioned between:

  1. didactic lectures [17% of time],
  2. visual demonstrations on human models [35% of time], and
  3. hands-on workshops [48% of time],

Printed lecture material is provided.

The hands-on workshops will have 5 elements divided over a total of 6 hours for 12 to 16 delegates;

Workshop session A (Saturday afternoon, Total available time = 1 hour +)

  1. Practice ultrasound transducer handling while using nerve block needles, on Gel-phantoms of nerves in tissue. (estimated practice x 15 minutes, observe a fellow delegate x 15 minutes) 5 stations
  2. Learn operation of an ultrasound machine, estimated 20 minutes explanation groups of 5-7.1 station

Workshop session B (Sunday morning. Total available time = 5 hours)

  1. Ultrasound imaging practice on human model. 4 stations. One to two delegates per station. 15 minutes hands-on per delegate.
    • Femoral, obturator, saphenous nerves
    • Sciatic, transgluteal and popliteal fossa approaches
    • Interscalene and supraclavicular brachial plexus
    • Infraclavicular and axilla brachial plexus
  2. Handling stimulating catheter workshop (20-30 minutes per delegate). Practice handling a styletted stimulating perineural catheter kit. 4 stations.
  3. Pig workshop (30 minutes per delegate ?on-needle?, one delegate watching). Practice placing stimulating nerve block needle onto real nerve using ultrasound guidance on an anesthetized pig. One deep nerve OAIP approach, one shallow nerve OAIP approach, one shallow nerve OAOP approach.

Educational Objectives

Upon completion of this course the learner should be able to:

  • Explain the core concepts of ultrasound guidance of blindly inserted needles onto human peripheral nerves.
  • Apply the complex tasks of simultaneously handling an ultrasound transducer and a stimulating nerve block needle while looking at the nerve and needle on a 2-D sonogram.
  • Define the relevant peripheral neuroanatomy and the 3D relationships of the nerves with other surrounding structures.
  • Use regional anesthesia procedures safely and appropriately to improve patient outcomes.

The course is a focused technique and skills course and the delegate needs to see this course as supplementary to standard full medical and anesthesia training.