Q&A with Speakers

Q&A with Speakers

Some of our key speakers reveal more interesting information about their upcoming lectures at ESRA 2018 in Dublin.

Dr. Andrea Saporito

Session Topic:
Difficult clinical cases: how to assess a patient for regional anaesthesia?

Learning objectives:
EDRA format is recently changed, to incorporate a session about special patient groups and complications. This lecture, dedicated to EDRA candidates, focuses on how to tackle this part of the exam systematically and effectively by reviewing how to assess and optimize high-risk patients before surgery.



Dr. Edward R. Mariano

Session Topic:
Regional Anesthesia Education and Social Media

Learning objectives:
After participating in this educational activity, participants should be able to:

  • Identify available online tools that can be used to augment the traditional academic CV
  • Compare available social media platforms in the context of academic medicine (education and research)
  • Discuss advantages and disadvantages of engaging in social media outlets as a healthcare professional



Dr. Emine Aysu Salviz

Session Topic:
Local Anesthetic Systemic Intoxication: How to prevent, How to diagnose and how to treat?

Learning objectives:

  • Anesthetists use local anaesthetics everyday
    for a wide variety of procedures such as peripheral nerve blocks, neuroaxial blocks and wound infiltration. Local anaesthetics may be absorbed more than expected and/or injected intravenously by mistake in various practice locations.
  • Having the knowledge and skills of treatment and management of local anaesthetic systemic toxicity is of great importance. Every anaesthetist performing regional anaesthesia and analgesia methods should be capable of managing this life-threatening side effect/complication.



Dr. Nuala Lucas

Session Topic:
Intrathecal Catheters are the Way Forward for Management of Accidental Dural Puncture

Learning objectives:
This entertaining pro-con debate aims to address the issues around the management of accidental dural puncture. What’s the best way to prevent post-dural puncture headache in these circumstances? What is the best way to proceed?
Accidental dural puncture, which can lead to a severe headache, is a significant cause of anaesthetic morbidity, particularly in obstetric patients. All anaesthetists must be familiar with the best strategies to manage this complication of epidural analgesia.





Dr. Mario Fajardo Pérez

Session Topic:
Place of SCB and ICB in shoulder surgery

Learning objectives:
Use the ultrasound technique for SCB and ICB in shoulder surgery. And the diaphragmatic evaluation before performing brachial plexus block.
This topic is important for participants because the diaphragmatic evaluation is not spread between the anesthesiologists.

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Dr. Hugo Trindade

Session Topic:
Safety profile of caudal analgesia 

Learning objectives:
Caudal epidural is the commonest regional technique used in children. It is mandatory to have a correct insight of the safety characteristics of either single-shot or continuous caudal epidural techniques alongside with the local anesthetics and additives infused, particularly amongst infants. Several studies have raised concerns regarding the safety of anesthetics on the developing brain and the still unknown and controversial possibility of a neurotoxicity effect. Since then regional anesthesia and analgesia techniques have gained even more popularity. Neuraxial and particularly, caudal blocks, are still viewed as a hallmark achievement for adequate pain control.

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Prof. Salim M Hayek

Session Topic:
Spine mediated pain. To medial branch
lesion or not!

Learning objectives:
The medial branches supply sensory innervation to the facet joints but also the multifidi—critical core muscles for restoring healthy back function. Should we sacrifice function and rehabilitation to treat pain symptoms? Recent trials have cast doubt on the efficacy of radiofrequency neurotomy of medial
nerve branches for back pain. Should we pay more attention to muscle function restoration as opposed to ablation?

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Dr. Branislav Mislovic

Session Topic:
Pain Conundrums in Children

Learning objectives:
I would like to a discuss the options we have to treat the pain in our paediatric patients properly without compromising the saftety. Not long time ago, codein has been disregarded as a safe drug to be used in paediatric patients. As other options of other efficient drugs are limited mainly due to the safety, we need to rely more on other techniques, including regional analgesic techniques. I will discuss
a few examples how the postoperative pain can be improved even in the youngest age groups.

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Dr. Karen Boretsky

Session Topic:
Which Indications of Caudals in Children: European View Versus American View.

Learning objectives:
Pain management using regional anesthesia is important in children in the perioperative period. This lecture will discuss the advantages of the traditional caudal blockade in pediatric patients with an emphasis on recent advances and culture shifts in North America.  The participants will then apply this knowledge to everyday use in children. In North American, ultrasound imaging is being used to assist in teaching caudal anatomy to trainees and improving localization of the epidural space and positioning of needles and catheters via the sacral hiatus.

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Dr.Stephen Mannion

Session Topic:
How to Turn Pediatric Regional Anesthesia Into a Child's Play

Learning objectives:
(i) To describe a number of "simple" blocks for use in children undergoing regional anaesthesia.
(ii) To describe the most appropriate surgical procedures to apply them to.

Paediatric regional anaesthesia is often seen as the “Cinderella” of regional anaesthesia as a specialty. Anaesthesiologists may have concerns about performing regional anaesthesia in children as they are usually under general anaesthesia, and are a heterogeneous patient group. However, a small number of blocks are sufficient to manage the majority of paediatric surgical procedures and are considered relatively easy to master with very low complication rates.

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PD Dr. Eric Albrecht

Session Topic:
Adjuvants to local anaesthetics: are all mixtures safe?

Learning objectives:
I will speak on the different molecules that can prolong the efficacy of local anaesthetics when injected perineurally, with a stress on dexamethasone.This is of uttermost importance as the dual objective is to improve patient comfort for a period as long as possible, while not causing harm.

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Prof. Dr Ayten Bilir

Session Topic:
Epidural-Related Maternal Fever (ERMF) Contributes to the Development of Intrapartum Fever?

Learning objectives:
Women who receive epidural analgesia experience a larger increase in temperature than the other forms of analgesia. Etiology of EMRF, its possible contribution to the development of intrapartum fever and the most important issue, its consequences to the mother and baby will be discussed.

The mechanism of ERMF is still remaining incompletely understood. Hyperthermia can lead to important maternal and fetal or neonatal adverse effects. The attributed contribution of epidural analgesia to the development of intrapartum fever is important for the future strategies.



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