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Online Panel Discussion - Improving Pain Management of the Front Limb using Regional Analgesia
Species

Small Animal

Contact Hours

3 Hours - RACE Accredited

Language

English

Discipline

Anaesthesia & Pain Management

Diagnostic Imaging

Orthopaedics

Surgery

Recorded on: 30th November 2023
                                                  

Panelists:

Chiara Adami   DMV, MRCVS, PG Cert. (Vet. Ed.), PhD, DACVAA, DECVAA - Queens Veterinary School, University of Cambridge, UK
Pedro Boscan   DVM, MSc, PhD, DACVAA - Colorado State University, USA
Diego Portela   DVM, PhD, DACVAA - University of Florida, USA
                                                  

Moderator:

Matt Read   DVM, MVSc, DACVAA - MedVet Columbus, USA

 

PANEL DISCUSSION DESCRIPTION

Surgeries involving the forelimb are commonly performed in small animal practice. The use of regional anesthesia has revolutionized hospital flow, case throughput and, in particular, our ability to provide perioperative analgesia and optimal care for patients undergoing these painful procedures. Its use is also expanding beyond simply using nerve blocks to manage surgical pain, with new applications being appreciated for managing chronic pain resulting in lameness or from cancer. The list of possible regional anesthetic techniques that can be used has expanded over the last 20 years and there is often confusion over which technique to use and when to use it. Many veterinarians may find themselves asking “Which block should I perform for a particular procedure?”, “Is one approach clinically better than another?”, “Do the benefits outweigh any potential risks?”, “Can I perform blocks blindly or is it worth learning how to use ultrasound to perform my blocks?”.

Join our panel of internationally renowned anesthesia and pain management specialists for an interactive discussion covering the ins and outs of delivering regional anesthesia for forelimb procedures. We will discuss what information experts in the field use to decide which technique to perform on a patient, how to select which drug and dose to administer, what equipment to use, the pros and cons of the various techniques that are possible (e.g. blind, nerve stimulator-guided, ultrasound-guided), and their personal preferences. Differences in decision making between cats and dogs will be discussed, as will controversial aspects of the various blocks and what types of new techniques are in development and on the horizon.

Whether you are new to the idea of using regional anesthesia for forelimb procedures and simply want to improve your level of patient care or are a seasoned practitioner of nerve blocks and want to refine your approach by hearing what experts are doing and how they got there, you will find this session invaluable to your professional development.

Chiara graduated cum laude at the University of Perugia, Italy. In 2009 she started a Residency in Veterinary Anaesthesia and Analgesia at the Teaching Hospital of the University of Berne, Switzerland, where she continued working as Clinical Lecturer after she became a Diplomate of both the American and European Colleges of Veterinary Anaesthesia and Analgesia, in 2013.

In 2015 she was appointed as Senior Lecturer at the Royal Veterinary College (University of London), and since 2021 she works at the Department of Veterinary Medicine of the University of Cambridge (current role: Associate Professor in Veterinary Anaesthesia). 

Chiara has authored more than 70 scientific articles in peer-reviewed veterinary journals and is regularly invited as speaker on Small Animal Anaesthesia at national and international courses/conferences. Her research focuses on anaesthesia and analgesia of non-conventional animal species and management of both acute and chronic pain in companion animals.

Dr. Portela received his veterinary degree from the School of Veterinary Sciences, University of Buenos Aires (Argentina) in 2002. In 2009, he obtained a Ph.D. from the University of Pisa (Italy) focusing his research on small animal regional anesthesia. He worked from 2009 to 2013 as a post-doc in the Anesthesiology section of the Veterinary Teaching Hospital, University of Pisa (Italy). In 2016, Dr. Portela completed his residency in anesthesiology at Cornell University College of Veterinary Medicine (Ithaca, NY). He is currently a Diplomate of the American College of Veterinary Anesthesia and Analgesia and holds the position of Assistant Professor in anesthesia and pain management at the University of Florida in Gainesville, FL.

Dr. Portela's primary research focus centers on locoregional anesthesia and he has authored textbooks and numerous peer-reviewed articles in this field and lectured in various locoregional anesthesia courses and workshops. 

Dr. Matt Read graduated with a DVM with distinction from the Western College of Veterinary Medicine in Canada in 1998. Following graduation, he completed a residency in veterinary anesthesiology and a Master of Veterinary Science. He became board-certified with the American College of Veterinary Anesthesia and Analgesia (ACVAA) in 2002.

Following his residency, Matt taught at the University of Georgia for two years before returning to Canada and developing and supervising the anesthesia services in two large specialty hospitals in Toronto and Calgary between 2003 and 2010. In 2010, Matt joined the University of Calgary as an Associate Professor where he taught in the DVM program and also served as Assistant Dean, Admissions.

In 2018, Matt moved to Columbus, Ohio where he is now working as an anesthesiologist and serving as Specialty Team Leader - Anesthesiology for MedVet, a family of emergency and specialty hospitals with more than 30 locations across the USA.

Matt has delivered over 100 lectures and workshops around the world and is currently preparing the second edition of a textbook, Small Animal Regional Anesthesia and Analgesia.

He dreams of someday going into space and opening an ice cream shop in the Caribbean, not necessarily in that order.

Dr. Boscan obtained his DVM degree in 1996 from a veterinary school in Barquisimeto, Venezuela. After a small animal anesthesia internship at Utrecht University, Netherlands, he did his neuroscience MSc at University of Andalucia (Spain) with a strong emphasis on pain processing. Dr. Boscan obtained his PhD at University of Bristol, UK and concentrated his efforts in studying the CNS integration of pain, cardiovascular and respiratory systems. After his PhD, he returned to veterinary medicine and did an anesthesia residency at UC Davis. Dr. Boscan worked as an anesthesia clinical fellow for 1 year at UC Davis and then accepted an assistant professor position at Colorado State University. Since 2006, he has been a faculty member at CSU (anesthesia department) with a current positions of Professor and CSU anesthesia service chief, overseeing a  team of 7 anesthesiologists and over 30 anesthetists.

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