Truncal Blocks: TAP & Thoracic Paravertebral

Theresa Bowling, MD
Accomplished Anesthesiologist with over 20 years of experience in private practice:
Lead and developed Regional Anesthesia programs in the context of Enhanced Recovery After Surgery.
Founded SSRA with a mission to provide high-quality education pertaining to Regional Anesthesia techniques to treat acute pain and develop successful Regional Anesthesia programs.

    Activity Overview:
    This activity describes a detailed description and illustration of the use of ultrasound-guided truncal wall nerve blocks, which can result in improved patient care by decreasing the need for narcotics for postoperative pain. Also addressed are its benefits, indications, contraindications, and strategies for integration of these techniques into practice as clinically appropriate.

    Learning Objectives:
    After completing this activity, the learner will be able to:
    Describe the use of truncal wall blocks in narcotic sparing anesthesia and analgesia for abdominal and chest wall
    Recognize the sonoanatomy of the relevant structure for placing the nerve
    Identify the indications, contraindications, and potential complications of truncal blocks
    Provide strategies for gaining skill in integration of truncal block procedures into practice.

    Activity release date: 06/01/2019
    Expiration Date: 06/01/2021
    Estimated Time to Complete: 1.0 Hour

    Target Audience:
    This activity is intended for anesthesiologists and other specialists who provide direct patient care.

    Relevant Financial Disclosures:
    The following faculty, planners, and reviewers have no relevant financial relationships with commercial interests to disclose.
    Kimberly Archuleta (Medical Academy Planner)
    Brian McAlary, MD (Planner, Reviewer)
    Consulting Fee; Sonosite/Fujifilms
    Fees for Non-CME Services: Sonosite, Halyard/I-Flow, B. Braun
    Theresa Bowling, MD (Faculty)

    Contact Information:
    For questions regarding the content or access to this activity, contact Kimberly Archuleta/

    Instructions for Participation:
    Participants must complete the activity online during the valid credit period that is noted above.
    Follow these steps:
    1. Read the target audience, learning objectives, and faculty/planner/reviewer financial disclosures provided above.
    2. View of the video and other required educational content provided on this course page, including a self-reflective quiz for promoting retention of knowledge.
    3. After completion of the viewing of the video and other materials, you will be provided access to the Activity Evaluation. We request you complete the Activity Evaluation to provide the necessary feedback for continuing accreditation purposes and for the development of future activities.
    4. Additional optional articles on this topic are included for your review. ***NOTE Please fill out the Post Activity Evaluation after the last lesson is required to receive 1 AMA PRA Category 1 Credit(s)™.

    Total Credits Earned For All Courses: 0

    Total Credits Earned For This Course: 1 AMA PRA Category 1 Credit(s)™.

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

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



    Course Content