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Learning Center

Learning Center

Session Name: Learning Centers

Pod 2 - Hands-On Ultrasound Guidance for Upper and Lower Limb Chemodenervation Procedures

Friday, November 17, 2023
12:15 PM – 1:30 PM CT
Location: Learning Center in the Pavilion
In-Person

    Session Director(s)

  • Katharine E. Alter, MD

    Senior Research Clinician
    National Institute of Health
    Bethesda, Maryland

    No financial relationships to disclose.

  • Heakyung Kim, MD (she/her/hers)

    Professor and Chair, Dept of PM&R, Kimberly Clark Distinguished Chair in Mobility Research, UTSW
    University of Texas Southwestern Medical Center
    Dallas, Texas

    Disclosure(s): Abbvie Biotech: Consultant/Advisory Board (Terminated, December 31, 2021); Catalyst medical Education: Honorarium (Ongoing); Cleveland Clinic: Honorarium (Terminated, December 31, 2022); Ipsen: Research Grant (includes principal investigator, collaborator or consultant and pending grants as well as grants already received) (Ongoing); LIH Health Care: Honorarium (Ongoing); Merz: Consultant/Advisory Board (Terminated, April 30, 2022); Parcira Pharmaceutical Company: Consultant/Advisory Board (Ongoing)

    • Faculty(s)

  • FD

    Franklin Domingo, MD

    Medical Staff
    Makati Medical Center
    San Pedro, Laguna, Philippines

    No financial relationships to disclose.

  • Afua Asante-Otoo, MD (she/her/hers)

    Pediatric Physiatrist
    National Institutes of Health
    Bethesda, Maryland

    No financial relationships to disclose.

  • Stephen A. Nichols, MD

    Senior Attending Physician for Rehabilitation
    Mt. Washington Pediatric Hospital
    Baltimore, Maryland

    No financial relationships to disclose.

  • SY

    Simge J. Yonter, MD

    Staff Physician
    National Institutes of Health
    Bethesda, Maryland

    No financial relationships to disclose.

  • William Berrigan, MD

    Assistant Professor of Orthopedics, Primary Care Sports Medicine
    UCSF
    San Francisco, California

    No financial relationships to disclose.

  • Jeimylo cristobal De Castro, MD (he/him/his)

    Chairman
    The Medical City- South Luzon
    Silang, Cavite, Cavite, Philippines

    No financial relationships to disclose.

  • Jeffrey S. Brault, DO

    Vice Chair - Department of PMR
    Mayo Clinic of Rochester
    Rochester, Minnesota

    No financial relationships to disclose.

  • Monika Desai, MD, FAAPMR, MD

    Division Chief and Program Director, Pediatric Rehabilitation Medicine
    Montefiore Medical Center/Albert Einstein College of Medicine
    Scarsdale, New York

    No financial relationships to disclose.

Lab Marketing

Description: : This skills lab will provide hands on training in the use of ultrasound guidance for chemodenervation procedures in the upper and lower limbs. This includes teaching pattern recognitions, ultrasound transducer handling skills and image optimization required by clinicians to incorporate US guidance into clinical practice.
Course directors faculty will provide a demonstration of US identification of each region followed by hands on practice led by table trainers at 8 ultrasound stations. Participants will also practice in plane and out of plane needle insertion and techniques for image optimization via transducer handling and machine operation.

Why is this lab needed? : Accurately targeting muscles and nerves for chemodenervation procedures (botulinum toxin, neurolytics) is key for patient safety and increasing the success rate of these procedures. Ultrasound guidance is the most anatomically accurate method of guiding needles for chemodenervation procedures. Hands on practice of the skills is a prerequisite for clinicians to use US guidance for chemodenervation.

Lab Outline/Format:: Ultrasound demonstration of key areas (arm, forearm, hand, thigh/hip, leg, calf, injection techniques) will be provided by the course directors. Following each demonstration, the participants will engage in hands on scanning practice supervised by faculty. 8 ultrasound machines will provide ample time for hands on practice.

Learning Objectives:

  • Identify key muscles in the upper limb which are frequently targeted for chemodenervation procedures.
  • Identify key muscles in the lower limb which are frequently targeted for chemodenervation procedures.
  • Identify the benefits and limitations of in-[lane and out of plane needle insertion techniques.
  • demonstrate proficiency in transducer handling and US machine "knoboloy".