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Overview

Topics

Objectives

Audience

Faculty

Credits

Resources

Overview

Ultrasound-Guided Peripheral Nerve Procedures Training Video is designed to introduce scan techniques and protocols for performing ultrasound guided peripheral nerve injections. It reviews technical considerations for performing safe and effective injections including tips on needle guidance and image optimization.

Date of Original Release: 5/23/2023
This edition valid for credit through: 5/23/2026
Video Length: 0:41:00

Online Video Product Code: OV-PNUGP
USB Product Code: USB-PNUGP

Topics

In-Plane and Out-of-plane Ultrasound Guided Injection Techniques
Ultrasound -Guided Injection Basics
Indicates for Ultrasound Guided vs Blind Injection Techniques
Transducer Selection, Pre-Scan Protocols, and Transducer Manipulation Techniques
System Optimization and Nerve Safety Techniques
Procedure Set-up
Suprascapular Nerve Injection Techniques
Extrinsic Ganglion: Fenestrate-Aspirate-Inject
Deep Radial Nerve
Median Nerve at the Carpal Tunnel- Including Post-Injection Scan
Fibular Nerve at Fibular Head
Tibial Nerve a Tarsal Tunnel
Sural Neuroma Hydro-Dissection Techniques with Post-Scan
Ultrasound-Guidance in Complicated Areas Such as the Pectoralis Minor

Objectives

State the clinical indications for performing ultrasound-Guided peripheral nerve injections.
Recognize sonographic appearance of the anatomy of the nerves.
Outline in-plane and out-of-plane injection techniques
List system optimization parameters, examination protocols and scan techniques for performing safe and accurate ultrasound-guided injection techniques.
List appropriate techniques for performing ultrasound guided hydro-dissections.
Use of Doppler/Power Doppler for nerve/vessel identification and assistance with performing ultrasound-guided injection techniques.
Perform ultrasound guided injection techniques for upper and lower extremity nerve applications.

Audience

Physicians, PA’s, sonographers and other medical professionals who will be involved with performing and/or interpreting ultrasound evaluation of peripheral nerves. Physicians may include (but is not limited to) pain management, anesthesia, neurology, PM & R, MSK, radiology, orthopedic and sports medicine.

Faculty

Jeffrey Strakowski MD

Clinical Professor, Dept. of PM&R
The Ohio State University
Associate Director of Medical Education,
Dept. of PM&R. at OhioHealth
Riverside Methodist Hospital
Columbus, Ohio.
GUI QI Task Force Subcommittee
No relevant financial relationships to disclose.

Content Validation
All presentations for this CME activity were reviewed and approved by members of the GUI CME Review Committee to determine content validity and to ensure that no conflicts of interest exist prior to the activity commencement or material compilation.

Disclosure of Individuals in Control of Content
In addition to the faculty listed the following individuals are recognized by GUI as being in control of content of this program:

James Mateer, MD, RDMS (Medical Director - planner, QI Task Force)
Gulfcoast Ultrasound Institute
Milwaukee, WI
No relevant financial relationships to disclose.

Charlotte Derr, MD, RDMS, FACEP (Co-Medical Director-planner, QI Task Force)
Assistant Professor of Emergency Medicine &
Fellowship Director of Emergency Medicine
Ultrasound Fellowship Program
University of South Florida Medical School
Tampa, FL
No relevant financial relationships to disclose

Andreas Dewitz, MD, RDMS(Member of Advisory Board, QI Task Force Subcommittee)
Associate Professor of Emergency Medicine
Vice Chair of Ultrasound Education
Boston Medical Center Boston, MA
No relevant financial relationships to disclose

Lori Green, BA, RT, RDMS, RDCS, RVT (Program Director-planner, Content Reviewer, QI Task Force)
President, Gulfcoast Ultrasound Institute, Inc.
No relevant financial relationships to disclose

Trisha Reo, AAS, RDMS, RVT (Program Coordinator - planner, Content Reviewer, QI Task Force)
Gulfcoast Ultrasound Institute, Inc.
No relevant financial relationships to disclose

Disclosure of Commercial Support
There was no commercial support involved in the planning, development/implementation of this activity.

Credits (Optional with additional purchase)

The Gulfcoast Ultrasound Institute is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Gulfcoast Ultrasound Institute designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course also meets CME/CEU requirements for ARDMS. Note: While offering the CME credit hours noted above, activities are not intended to provide extensive training or certification for exam performance or interpretation.