PS-08 - Controversies in Regional Anesthesia: Debates and Discussions

Saturday, May 3, 2025

3:30 PM - 5:30 PM EST

Location: Gatlin B

CE: 2

Moderator(s)

Linda Le-Wendling, MD (she/her/hers)

Professor, Department of Anesthesiology
University of Florida, Gainesville
Gainesville, Florida, United States

Melody Herman, MD (she/her/hers)

Director of Regional Anesthesiology
Atrium Health Carolinas Medical Center
Waxhaw, North Carolina, United States

Edward Mariano, MD, MAS, FASA, FASRA (he/him/his)

Professor and Vice Chair
Stanford University School of Medicine / VA Palo Alto Health Care System, California, United States

PDF
Manoj Karmakar, MBBS, MD, FRCA, FHKCA (he/him/his)

Professor
The Chinese University of Hong Kong
Shatin, Hong Kong
Ki Jinn Chin, MBBS, MMed, FRCPC

Professor
Toronto Western Hospital, University Health Network, University of Toronto
Toronto, Ontario, Canada

PDF
Steve Coppens, MD (he/him/his)

Head of clinic and fellowship director
University hospitals of Leuven
Leuven, Belgium
David Provenzano, MD

President
Pain Diagnostics and Interventional Care

Disclosure(s):

Linda Le-Wendling, MD: No financial relationships to disclose

Alexander Stone, MD: No financial relationships to disclose

Melody Herman, MD: No financial relationships to disclose

Edward R. Mariano, MD, MAS, FASA, FASRA: No financial relationships to disclose

Manoj K. Karmakar, MBBS, MD, FRCA, FHKCA: No financial relationships to disclose

Ki Jinn Chin, MBBS, MMed, FRCPC: No financial relationships to disclose

Steve Coppens, MD: No relevant disclosure to display

David Provenzano, MD: No relevant disclosure to display

Explore the infectious risks with performance of regional anesthetic techniques and assess the value of the use of probe covers in reducing this risk
Compare the benefits and limitations of the use of thoracic paravertebral, erector spinae, and epidural blocks for thoracic surgery
Develop a procedure-specific algorithm for selection of optimal block for analgesia (thoracic paravertebral vs ESP vs thoracic epidural) based on the source of pain, the duration of pain, and the extent of pain
Reflect upon newly acquired educational content from the meeting that the participant will take home and apply to their clinical and/or academic practice

3:30 PM - 3:45 PM EST

Debate 1a: Sterile transparent film barrier dressings are adequate for single-shot PNBs
Associate Faculty: Alexander Stone, MD – Brigham and Women's Hospital/Harvard Medical School
Co-Presenter: Melody Herman, MD (she/her/hers) – Atrium Health Carolinas Medical Center
3:45 PM - 4:00 PM EST

Debate 1b: Plastic sleeve sterile probe covers are essential for single-shot PNBs
Speaker: Edward R. Mariano, MD, MAS, FASA, FASRA (he/him/his) – Stanford University School of Medicine / VA Palo Alto Health Care System
4:00 PM - 4:15 PM EST

Panel Discussion and Open Forum
4:15 PM - 4:30 PM EST

Debate 2a: PVB is the prefered RA technique for thoracic surgery
Speaker: Manoj K. Karmakar, MBBS, MD, FRCA, FHKCA (he/him/his) – The Chinese University of Hong Kong
4:30 PM - 4:45 PM EST

Debate 2b: ESP Block is the prefered RA technique for thoracic surgery
Speaker: Ki Jinn Chin, MBBS, MMed, FRCPC – Toronto Western Hospital, University Health Network, University of Toronto
4:45 PM - 5:00 PM EST

Debate 2c: Epidurals are the prefered RA technique for thoracic surgery
Speaker: Steve Coppens, MD (he/him/his) – University hospitals of Leuven
5:00 PM - 5:20 PM EST

Panel Discussion and Open Forum
5:20 PM - 5:30 PM EST

Open Forum and Closing Remarks
Speaker: David Provenzano, MD – Pain Diagnostics and Interventional Care