08-30-10

New Departmental Research PublicationWinchester JB. Regional anesthesiology live web video education. ASRA News. August 2010:12-14.

Regional Anesthesiology Live Web Video Education

The Story Behind My Interest Last summer, from my 104-degree garage in front of a green screen, I webcasted an ultrasoundguided regional anesthesia lecture series to a group of physicians in China with a live Mandarin interpreter sweating profusely beside me. I learned many important lessons that day: that lectures do not have to happen in person to still be effective; that the value of American medical education travels well beyond the borders of our nation; and that wearing a suit and tie in a 104-degree garage is a very bad idea. Most important, I learned that I wanted

to fi nd out more about live Internet streaming and medical Web video education….. and I bought an air conditioner for my garage.

The Value of Live Web Video in Regional Anesthesia In their “Practice Pathway” in the January/February 2009 issue of Regional Anesthesia and Pain Medicine, 1 Sites et al. state that “the novice’s initial clinical experience (should) be mentored and supported by an individual experienced in UGRA.” Like learning a new language, regional anesthesia education requires exposure, repetition and practice to be maximally benefi cial. Until now, such repetition and exposure was not possible unless you were a resident or fellow anesthesiologist, or you were fortunate enough to have an experienced regional anesthesia provider in your group who could provide mentoring. Sure, anesthesiologists have the option to attend a two-day cadaver workshop or a threeday ultrasound preceptorship, but are they returning to their home institution skilled enough to avoid causing a pneumothorax during a supraclavicular block, or to avoid major O.R. delays while they try to remember the dozen steps they learned to place a continuous popliteal sciatic catheter? Live Web video allows regional anesthesia pupils to continue their education after these introductory one- to two-day courses are completed. For instructors, affordable software and hardware options exist that allow the creation of live Web video in just a few clicks. In the next several paragraphs, I will share with you the key steps involved to live stream regional anesthesia video education to the Web.

View the whole article here: http://asra.com/Newsletters/August_10.pdf

http://anesthesiology.duke.edu 1

NewsMonday, August 30, 2010 • Volume 12, Issue 34

Department of Anesthesiology Research ConferenceMonday, 5-6 pm in 5685-HAFS

September 13, 2010 February 28, 2011October 11, 2010 March 14, 2011November 8, 2010 April 25, 2011December 13, 2010 May 17, 2011 - Academic EveningJanuary 10, 2011 June 13, 2011

6th Annual Duke Medicine Patient Safety and Quality ConferenceDecember 10, 2010 | 8:00 a.m. to 5:00 p.m. | Durham Marriott Convention Center

The conference theme will be Patient Safety Culture, with a specific focus on improving safety during handoffs. There will be a dedicated time for the poster session, with an opportunity to speak with the poster authors, and a variety of afternoon breakout sessions. Registration information will be available soon. Attached is the call for abstracts, please distribute to those whom you feel would like to submit an abstract.

2010 ASA Information RequestMark Newman, MD

This message concerns anyone who plans to attend the 2010 ASA Conference this October 16-20th. We will be needing

Continues on page 3.

THIS MoNTH IN THE DEPARTMENT oF ANESTHESIoLogy

August 2010MoNDAy TUESDAy WEDNESDAy THURSDAy FRIDAy30 31 September 1, 2010 2 3

7:15-8:00 a.m., RM203-Pain ClinicMRC Pain Conference

2:30-3:30 p.m., VAMCVA EchocardiographyConference

5-6 p.m., 5685-HAFSCT Conference

5-6 p.m. 6686-HAFSGVTCCM ConferenceSUMMER BREAK

IRB Deadline: Submit 1 originaland 3 copies to Dr. Gan’s office by 5 p.m.

6:30 a.m., 2001DNResident Conference Lecture: “Uptake & Distribution of Inhaled Anesthetics” - Atilio Barbeito, MD

7:15 a.m., 2001DNGrand Rounds: “Clinical Case Conference” - Holly Muir, MD

7:15-8:00 a.m., RM203-Pain ClinicMRC Pain Journal Club

12:00-12:45 p.m., 2003DNCritical Care Conference: “M&M” - Dr. Keki Balsara

4-5 p.m., 5680A-HAFSPediatric Conference

6 - Labor Day 7 8 9 10


5-6 p.m. 6686-HAFSGVTCCM Conference

6:30 a.m., 2001DNResident Conference Lecture: “Non-OpioidAnesthetics” - Scott Brudney, MB

7:15 a.m., 2001DNGrand Rounds: “Cricoid Pressure and RSI: An Evidence Based Clini-cal Update” - Mercy Udoji, MD


12:00-12:45 p.m., 2003DNCritical Care Grand Rounds: “State of Blood Stream Infections in Duke ICUs” - Dr. Nancy Knudsen


13 14 15 16 17



5:30-6:30 p.m., 5680A-HAFSPerioperative Leadership Group Meeting

4-5 p.m., 1700B-DNACES Meeting

5-6 p.m., 5685-HAFS Research Conference




6:30 a.m., 2001DNResident Conference Lecture: “Au-tonomic Nervous System Pharma-cology” - David Lindsay, MD

7:15 a.m., 2001DNGrand Rounds: “Clinical implica-tions of Maternal Obesity” - Maria Small, MD & Cheryl Jones, MD


12:00-12:45 p.m., 2003DNCritical Care Conference: “M&M” - Dan Gilstrap [MICU]


20 21 22 23 24



4-6 p.m. 5685-HAFS



6:30 a.m., 2001DNResident Conference Lecture: “Muscle Relaxants” - Swap-naChaudhuri, MD

7:15 a.m., 2001DNGrand Rounds: “Anaphylaxis in Anesthesia: Special Implications in the Pregnant Patients” - Kallol-Chaudhuri, MD

5 p.m., Chen Conference RoomNeuroradiology Conference


12:00-12:45 p.m., 2003DNCritical Care Grand Rounds


27 28 29 30 october 1, 2010






6:30 a.m., 2001DNResident Conference Lecture: “Opioids” - Dana Wiener, MD

7:15 a.m., 2001DNGrand Rounds: “State of the Department Address” - Mark F. Newman, MD


12:00-12:45 p.m., 2003DNCritical Care Conference


Upcoming:ASA Annual Meeting: October 16-20, 2010 | San Diego, CAAnnual Alumni Reception: Sunday, October 17, 2010 | 7:15 to 8:15 p.m. | San Diego Marriott Marina | San Diego, CA Annual Departmental Holiday Party: Saturday, December 11, 2010 | Bay 7, Downtown Durham | 7 p.m. to 11 p.m.Nineteenth Annual Academic Evening: Tuesday, May 17, 2011Resident graduation & Awards Banquet and Subspecialty Recognition Ceremony: Saturday, June 11, 2011



DUKE ANESTHESIoLogy NEWSUpcoming CME Activities

3rd Annual UNC-Duke Pediatric Anesthesiology Conference“Best Practices in Pediatric Anesthesia Care”September 25, 2010The William & Ida Friday Center for Continuing Education | Chapel Hill, UNCInfants and young children constitute a high risk population for undergoing anesthe-sia and surgery due to unique anatomic, physiologic, and developmental differ-ences compared to adults. A collaborative approach to pediatric anesthesia requires that all team members function with the most up-to-date information on caring for this challenging population. This conference will provide the anesthesia care team with current information on a variety of common pediatric anesthesia problems.

5th Annual Winter Anesthesia and Critical Care ReviewMarch 6-11, 2011 | The Canyons Resort | Park City, UtahFor more information, email Katherine Siler: [email protected] six-day course will focus on reviewing concepts and new advances in pain management, regional anesthesia, critical care, cardiac anesthesia and pediatric anesthesia.

4th Annual Emerging Technologies in the OR& great Fluid DebateJune 12-17, 2011 | Disney’s grand Floridian Resort & Spa Lake Buena Vista, FloridaFor more information, email Katherine Siler: [email protected] six day course will focus on awareness among anesthesia providers concern-ing the function, use and limitations of new technologies and medications currently being used in the operating suites.

14th Annual Duke Cardiothoracic Update and TEE Board ReviewJointly presented by Departments of Anesthesiology at Duke University and Beth Israel Deaconess Medical Center, Harvard Medical School June 23-26, 2011 | Marriott Beach & golf Resort at Palmetto Dunes oceanfront Resort | Hilton Head Island, SCFor more information, email: [email protected] your calendars for another year of cutting-edge research and updated infor-mation designed for medical personnel of all skill levels. NEW FoR 2011: Focused course for the TEE Board Exam in June 2011.

Ultrasound guided Regional Anesthesia Preceptorship Course2010 Dates Available | Duke University Medical Center, Durham, NCFor more information, email Katherine Siler: [email protected] in the Duke Preceptorship will spend three days in the regional block area, operating rooms and on the floor with post surgery patients observing ultra-sound guided single shot nerve blocks and catheter techniques in a wide variety of clinical scenarios. They will learn how to set up the block area for maximum efficien-cy in the OR environment, improve their decision making ability and make choices in the performance of regional anesthesia. A one-on-one discussion with the Duke Faculty member reviewing cases, scanning techniques and the image library as well as covering handout materials will augment the preceptorship experience.

Visiting Preceptorship in Intraoperative Transesophageal Echocardiography2010 Dates Available | Duke University Medical Center, Durham, NCFor more information, email Jaime C. Cooke: [email protected] in the Duke Intraoperative TEE Preceptorship spend one three-day session in the cardiac operating suites, observing techniques of intraoperative TEE and interpretation of images. Preceptors will participate in active discussions with cardiothoracic anesthesia faculty and fellows, and learn the basic TEE exam. They will also learn how to troubleshoot difficult cases and enhance their decision-making skills in the operating room. Cases will be reviewed with fellows and faculty and im-ages from pathology libraries will be used to augment the preceptorship experience.

your information to publish in our “ASA at a Glance” brochure no later than August 10th. This brochure will serve as a useful tool regarding who is attending and what they will be presenting so that you can plan your personal schedule accordingly. Please respond with the following information at your earliest convenience.

Please note, The deadline to return this information is August 10th. Please email the following information to Lauren Marcilliat at [email protected]. Name, Travel Dates, Depart Durham, Return to Durham, Presentation Information.

IF yoU WILL NoT BE PRESENTINg, PLEASE RESPoND “NoT PRESENTINg” in your email. If you will be presenting, you should have received an e-mail from the ASA with details on presentation times and locations. Please provide the following for EACH presentation: Date, Time, Location, Format (e.g. Refresher Course, PBLD, poster), Title.

As a reminder, we do not have a block of rooms available for reservation this year. We apologize for any inconvenience this may cause and encourage you to reserve a room as soon as possible. If you have not already done so, you may reserve a hotel room at a discounted rate by visiting: https://www.tphousing.com/r/startres.asp?EICode=1934&AttCode=19. Thank you for your cooperation. I look forward to seeing you there!

2011 Duke Course in Scientific Management and LeadershipThe Office for Faculty Development is pleased to offer the second annual Duke Course in Scientific Management and Leadership, to be held February 16-18, 2011 at the R. David Thomas Executive Conference Center. This 3-day interactive learning program is designed to equip junior faculty in the basic and clinical sciences with the professional competencies to effectively lead a successful scientific research enterprise.

Applications are now open, and are due by September 30, 2010. Applications and more information can be found on the program’s website:

http://medschool.duke.edu/modules/som_fac_dev_csml/index.php?id=1

Comings and goings in the DepartmentPlease welcome Audrey McPhatter to the department. Audrey is a new Anesthesia Technician. She started today, August 30, 2010.

August 30-September 5 Birthday Wishes

Stewart Capps Dr. Alina NicoaraRussell Giesler Dr. William NorcrossVictoria Grossman Dr. Brian OhlendorfShelley Hilliard Dr. Michael ShaughnessyDr. Ken Honjo Shannon TewDr. Lauren Mcqueen-Shadfar Sandra Williamson Mills

Note: If you do not want your name listed here, please send a removal notice to [email protected].

Continued from page 1.

ClassifiedsReal Estate and Rentals

Better price than NC coast. Beautiful time of year for boating and diving. Department mem-ber owned. Private arrangement for 1800.00 per week. 3 BR 2 bath, sleeps 8. On the beach. Snor-kel from the front porch or rent a boat to explore the reef or other islands. Located on a small, auto-mobile free, quiet, “don’t need to lock your doors” Bahamian Cay. Groceries, small tourist shops, 2 restaurants, marina. Kids safely roam free. This is

the location for the perfect family vacation. Call for details 919-812-2714.

Department-member owned 3 floor luxury townhouse in Kure Beach NC available for rent. Six bedroom, four bath townhouse with private elevator, granite kitchen, stainless appliances, fully-stocked chef’s kitchen (All-Clad pots and Kitchen Aid appliances). Master has private balcony, King bed, walk-in closet with ocean views, spa -like bathroom with jetted tub, glassed-in shower, other bedrooms have two twins,

one queen, one queen, one queen and two twin sleeper chairs. flat panel HD TVs and wireless internet. 2 blocks to the Kure beach pier and restaurants, beach access diagonally across the street. Ocean views from living room and master bedroom. May 1 to October 31 $2300/week November 1 to April 30 $1800/week. Visit http://web.mac.com/bford71/Brad_and_Neil/the_Sandpiper/the_Sandpiper.html for more info.

Merchandise

6’ round-100% wool rug, spring garden (green), excellent condition. - $125 [http://raleigh.craigslist.org/hsh/1893957972.html]

New full size comforter with two shams and two decorative pil-lows. Would be great for a yound girls room. Asking $50 OBO. [http://raleigh.craigslist.org/hsh/1893993573.html]

New queen size comforter with bed skirt and two shams. Asking $100 OBO. [http://raleigh.craigslist.org/hsh/1893971624.html]

New Queen Size Comforter with bedskirt, two shams, valance for dou-ble window, one roll pillow, and one square pillow. Asking $120.00 OBO [http://raleigh.craigslist.org/hsh/1893985113.html]

Gorgeous Arm Chair. Don’t use chair anymore so i’m deciding to sell it. It has been covered by a blanket since i had it. Paid $450.00 for chair, asking $120 OBO. [http://raleigh.craigslist.org/fuo/1892188844.html]

If you are interested in any of these items, please email Shelia Johnson at [email protected] or phone 681-3551.


THE BACK PAgE

Who Knew?The Amazon rainforest produces more than 20% of the world’s oxygen supply. The Amazon River pushes so much water into the Atlantic Ocean that, more than one hundred miles at sea off the mouth of the river, one can dip fresh water out of the ocean.

The volume of water in the Amazon river is greater than the next eight largest rivers in the world combined and three times the flow

of all rivers in the United States.

2010 National MS Society’s Bike Event

It is again time for the National MS Society’s Bike event. I am so ex-cited because this year my daughter and her fiancé will ride with the team. This year has more meaning than ever; it will be our third year of riding. In September a new drug that you can take by mouth instead of injecting it will be available. Also, research has begun on a theory that an abnormality in blood drainage from the brain and spinal cord, may contribute to nervous system damage in MS. This phenomenon is called CCSVI. These are only a couple of the new findings in re-search. These findings and research mean a lot to me living with MS. My family and co-workers are taking on the challenge in riding from 30 -100 miles September 11th to raise as much money as we can to keep this research ongoing. These programs, services, and advocacies re-quire $1.7 million for the 4300 people living with MS here in Eastern North Carolina. My personal goal is to try to raise more than $1,000.00 through this event. I would like you to join me in supporting this real cause by making a contribution toward my fund raising efforts. The Na-tional Multiple Sclerosis Society is a non-profit S01(c)(3) organization, so any donation you make will be tax deductible. Every hour in the United States, someone is newly diagnosed with multiple sclerosis, an unpredictable, often disabling disease of the cen-tral nervous system. Symptoms range from numbness and tingling to blindness and paralysis. The progress, severity, and specific symptoms of MS in any person cannot yet be predicted, but advances in research and treatment are moving us closer to a world free of MS. Most people with MS are diagnosed between the ages of 20 and 50, with more than twice as many women as men being diagnosed with the disease. MS affects more than 400,000 people in the US and 2.5 million worldwide. I believe in the work that the MS Society is doing to fight this disease and hope that you will join me in supporting them. You can donate to-ward my fundraising by mailing a check made out to The National MS Society. The mailing address is 407 Latta Circle, Durham, NC 27712 no later than September the 9th. To donate online you can visit www.msbike.org. Log on to Beavers Family Dentistry team, Jody Everett team captain. Thank you in advance for your generosity and willing-ness to join the movement to create a world free of MS.

08-30-10

Documents

regional anesthesia

issue of regional anesthesia

value of live web video

creation of live web

regional anesthesia

medical web video education

live internet streaming

live mandarin interpreter