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ADVANCED CADAVER COURSE
INTRATHECAL DRUG DELIVERY COURSE VIII
BASIC & CLINICAL SCIENCE FOR THE MANAGEMENT OF PATIENTS WITH CHRONIC PAIN: INTRATHECAL DRUG DELIVERY COURSE VI . June 28th - 29th, 2019 Barcelona, Spain

TARGET AUDIENCE

This course is designed for pain practitioners (pain specialists, anesthesiologists, neurosurgeons) utilizing intrathecal drug delivery for pain management both in cancer and non cancer patients. Also interesting for those who treat severe spasticty.
Physicians attending the course should have at least 2 years of practice with ongoing use of neuromodulation techniques in the treatment of chronic pain and/or spasticity patients, and with basic knowledge of spinal analgesia using intrathecal drug delivery.

OBJECTIVES

After participation in this educational meeting, participants should have an understanding of:

  1. Basic neuroanatomy related with the performance of intrathecal drug delivery
  2. Current imaging and neurophysiology relevant for performing diagnosis and performing the intrathecal drug delivery for pain & spasticity treatment
  3. Indentify questions that need to be addressed to increase knowledge of intrathecal techniques used in chronic pain treatment
  4. Current indications of Intrathecal drug delivery in chronic pain and recommendations for the evaluation and management of these pain conditions
  5. Evidence-Based recommendations and strategies in the patient screening and follow-up, in the managemet of intrathecal drug delivery analgesia
  6. Learning Case scenarios for the acquisition of critical assessment and management skills

TOPICS OF THE COURSE

Day 1 – Friday 28th June 2018
BASIC SCIENCE

Time

Session

Speakers

08.15-8.30

Introduction and Welcome

José De Andrés
Carmen Gomar
Albert Prats

08.30-10.30

ANATOMY FOR PAIN CLINICIANS:
Spinal Cord and Spine for IDD

 

08.30-09.00

Anatomy of DRG, intratecal nerve roots, epidural fat and epidural nerves. Anatomy of spinal vasculature

Albert Prats

09.00-09.30

The spinal meninges and their role in the spinal movement

Miguel Angel Reina

09.30-10.00

Catheter position and dynamics of CSF relevant for IDD

Jose De Andres

10.00-11.30

IMAGING TECHNIQUES FOR PAIN CLINICIANS

 

10.00-10.30

MRI and CT-Scan (modalitites)
How to make the best selection for the intended diagnosis

Beatriz Gómez-Anson

10.30-11.00

Break

 

11.00-11.30

 SAFETY AND SETTINGS  FOR BETTER X-RAY IMAGES
1.-What do you need to know about your machine.
2.-How to use correctly-safety procedures
3.-Which C arm must I buy for doing my practice?

Jordi Blasco

11.30-13.30

BASIC KNOWLEDGE OF NEUROPHYSIOLOGY  & PHARMACOLOGY INVOLVED IN IDD EFFECTS

 

11.30-12.00

Spinal cord physiology

Anthony Dickenson

12.00-12.30

Spinal cord pharmacokinetics: properties and routes defining the movement of molecules from the epidural and intrathecal sites of injection into the parenchyma of the central nervous system

Tony L. Yaksh

12.30-13.00

Potential mechanisms of action of spinally administered drugs

Anthony Dickenson

13.00-13.30

Intrathecal Drug Agents: Mechanism of Spinal drug toxicity

Tony L. Yaksh

13.45-15.00

Lunch

 

15.30-19.30

CADAVER. HANDS-ON DEMOSTRATION
1. Cadaver Station
-Surgical performance of subcutaneous pocket 
-Refilling procedure with Ultrasonography guidance
CADAVER (1) SUPINE Trunk Pelvis
2. Cadaver Station
-Surgical performance of subfascial subcutaneous pocket
-Refilling procedure with Programming guidance
CADAVER (1) SUPINE Trunk Pelvis
3. Cadaver Station
Paraspinal Puncture and Catheter fixation at spine level 
CADAVER (1) PRONE Trunk Pelvis
4. Cadaver Station
Puncture and catheter feeding in subarachnoid space
Catheter tunelling and pump connection 
CADAVER (1) PRONE Trunk Pelvis
5.-Ultrasonography Station
Neuraxial structures
Transversus abdominis Plane (TAP) block with Ultrasonography guidance for field anesthesia in pump implant
MODEL (1)
6.-Technical Station
Devices and programming

Salim Hayek
Xavier Sala-Blanch

 

Christophe Perruchoud
Engineer

 

Sam Eldabe

 

Gustavo Fabregat

 

Manfred Greher

Engineers

20.30

Dinner

 

Day 2– Saturday 29th June 2018
CLINICAL SCIENCE

Time

Session

Speakers

08.30-09.30

Technical Aspects of Intrathecal Drug Delivery

 

08.30-09.00

Patient Selection criteria, screening and preparation; Trial criteria modalities; titrating; devices available in the market for trialling; Pump Hardware selection

Sam Eldabe

09.00-09.30

Strategies in the follow-up of intrathecal drug infusion
-Lack of efficacy: Programing and drug exchange/combination decision
-Opioid scalation and Microdosing
-Excess in residual volume: Mechanical Tests, plan for and manage ITDD pump replacements

Salim Hayek

09.30-10.00

Interactions with Medical, electrical and/or magnetic equipment and other exposing radiations in daily live
Recognition and management of complications

José De Andrés

10.00-13.30

Disease specific pain asssessment and management with IDD

 

10.00-10.30

Neuropathic pain

Sam Eldabe

10.30-11.00

Break

 

11.00-11.30

Failed back syndrome and chronic mechanical low back pain

Christophe Perruchoud

11.30-12.00

Chronic abdominal and pelvic/perineal pain

Salim Hayek

12.00-12.30

Cancer pain

Denis Dupoiron

12.30-13.00

Recognition and management of complications
-related to the patient
-related to drugs
-related to the ITDD device

José De Andrés

13.00-14.00

Learning Case scenarios

 

14.00-14.05

Closing Remarks

José De Andrés

14.15-15.30

Lunch

 

15.30

Departures

 

ACCREDITATION

An Application has been made to the EACCME ® for CME accreditation of this event.

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