Study in Multidisciplinary
PAin ResearchInternational Symposiumof Ultrasound in Regional Anesthesia

Florence, Italy
MARCH 30TH – APRIL 1ST

PRELIMINARY PROGRAM

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Massimo Allegri & Philip Peng
Congress Presidents

2

Massimo Allegri, University of Parma, Italy (SIMPAR)
Inna Belfer, McGill University Health Center, Montreal, Canada (SIMPAR)
Giorgio Cruccu, University La Sapienza, Rome, Italy (SIMPAR)
Philip Peng, University of Toronto, Toronto, Canada (ISURA)SCIENTIFIC COMMITTEE MEMBERS

Inna Belfer, McGill University Health Center, Montreal, Canada
Juan Pablo Cata, The University of Texas-MD Anderson Cancer Center, Houston, TX, USA
Vincent Chan, University of Toronto, Toronto, Canada
Josè De Andrès, Valencia School of Medicine-Valencia General University Hospital, Valencia, Spain
Manuela De Gregori, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
Luda Diatchenko, McGill University Health Center, Montreal, Canada
Christopher Gharibo, Johns Hopkins University, Baltimore, USA
Vijaya Gottumukkala, The University of Texas MD Anderson Cancer Center, Houston, USA
Thomas Grau, Academic Hospital of WWU, Münster, Germany
Pablo M. Ingelmo, McGill University Health Center, Montreal, Canada
Troels Staehelin Jensen, Aarhus University Hospital, Denmark
Patricia Lavand’homme, St Luc Hospital UCL Medical School, Brussels, Belgium
Per-Arne Lönnqvist, Karolinska Institutet, Stockholm, Sweden
Edward Mariano, Stanford University School of Medicine; VA Palo Alto Health Care System, California, USA
Barry Nicholls, Taunton & Somerset NHS foundation Trust, Taunton, UK
Geert Van Geffen, Radboud University Medical Centre, Nijmegen, Netherlands

LOCAL SCIENTIFIC COMMITTEE

Marco Baciarello, University of Parma, Italy
Dario Bugada, Azienda Ospedaliero Universitaria Parma
Flaminia Coluzzi, University “La Sapienza”, Rome, Italy
Christian Compagnone, Azienda Ospedaliero Universitaria Parma
Andrea Fanelli, Ospedale Sant’Orsola Bologna, Italy
Maurizio Marchesini, Azienda Ospedaliero Universitaria di Parma, Italy
Andrea Truini, University “La Sapienza”, Rome, Italy
Renato Vellucci, Azienda Ospedaliero Universitaria Careggi, Florence, Italy

3

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First morning session,685$

Pre-conference peri-operative workshops(Please note: pre-registration is requested, fee not included)

09.00-11.00 / 12.00-14.00 / 14.30-16.30

GREEN ROOM
Airway and lung

AUDITORIUM

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08.15-08.30
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08.30-08.50
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09.00-11.00 / 12.00-14.00 / 14.30-16.30
08.50-10.10

ONICE ROOM

Update on trunk block

Gastric

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First morning session
AUDITORIUM

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10.10-10.50

Update on limb block

AUDITORIUM

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Debate I: We need peripheral nerve block for hip and knee surgery(0DULDQR

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Lower limb block-what’s new
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11.30-13.15
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Update on six common US-guided
Update….peripheral block

GREEN ROOM

10.50-11.00

Question and Answer

10.00-10.15
Welcome address

11.30-13.15
How I do it-group demonstration

Upper limb block-what’s new

GREEN ROOM

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10.15-11.00
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09.00-11.00

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LEMON HOUSE

14.30-15.45

Opioid free anesthesia and analgesia: how to do it

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13.15-14.30

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FIRST FLOOR,685$:25.6+236(Please note: pre-registration is requested, fee not included)

Lunch

14.30-15.30

16.00-16.30

AUDITORIUM

Break

Debate II: We don’t need PEC block for breast surgery
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Debate III: Does regional anesthesia improve outcome for orthopedic surgery
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16.00-18.45

09.00-11.00

AUDITORIUM

AUDITORIUM

Plenary session SIMPAR-ISURA

Opioid free Analgesia: make it possible

16.00-16.30

Bench - Adverse Drug Effects and Preoperative Medication Factors Related toPerioperative Low-Dose Ketamine Infusions.

Authorities Welcome

First morning session(9LVFXVL&KDLUPHQ$OOHJUL%HOIHU&UXFFXTranslational - Opioid free analgesia - evidence and tricks

16.30-17.00
From Acute to Chronic Pain: the best 2016 paper. A Basic Science Point of View
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From child to adult - Opioid free analgesia for children%$QGHUVRQClinical - Multimodal Analgesia: which new role for opioid?

17.00-17.30
From Acute to Chronic Pain: the best 2016 paper. A Translational Point of View
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18.00-18.20
Discussion
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First morning session

First morning session

8.30-9.45

LEMON HOUSE

GREEN ROOM

Neuropathic pain: it is not anymore an issue…

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Bench - Cell transplant to treat neuropathic pain and itch

Update on 4 common US-guided axial block'%HQQHW

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Translational - The paintful channellopathies
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09.45-11.00
How I do it-group demonstration&0%%721/XPEDU0%6,-&DXGDO

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First morning session

First morning session

ONICE ROOM

09.30-11.00

352&21

FIRST FLOOR(Please note: pre-registration is requested, fee not included)

Radiofrequency in back pain:
Pulsed vs Continous vs Cooled

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US-RA 1 Comprehensive upper limb block (BPB and rescue)
US-RA 2 Comprehensive lower limb block (Sc, Fem, Ad, Po, Ankle)

0((77+((;3(57(Please note: pre-registration is requested, fee not included)

09.30-10.15

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US-RA 5 Rescue block

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(Please note: pre-registration is requested, fee not included)

How to write an article

US-RA 8 Diaphragm, lung and bladder scan
US-RA 9 Upper trunk block (PVB, PEC, SAP)
US-RA 10 Lower trunk block (QLB, TAP, ILN)
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FIRST FLOOR

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Postoperative Pain: a new way to understand it(Please note: pre-registration is requested, fee not included)

US-RA 4 Brachial plexus block - below clavicle
US-RA 5 Rescue block
US-RA 7 Spine scan
US-RA 9 Upper trunk block (PVB, PEC, SAP)
US-RA 10 Lower trunk block (QLB, TAP, ILN)
US-RA 11 Advanced Shoulder and elbow (SSN, AxN, DSN, Sup trunk)
US-RA 12 Advanced lower limb block (lumbar, sacral plexus, Sc)
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Translational - NSAID an old drug with a “new” mechanism on Central nervous
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US-RA 6 Popliteal and ankle

11.00-11.30

Bench - Genomic: a way to better understand mechanism of acute pain

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Clinical - Future perspectives in the perioperative prevention of chronic pain
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ONICE ROOM

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352&21

GREEN ROOMMSK sonoanatomy(Please note: pre-registration is requested, fee not included)%0RULJJO

11.55-12.20
Update joint innervation: Hip, knee &SIJ

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12.20-13.15
Shoulder-Scanning Protocol and intervention (with demonstration)

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Clinical - Are there different predictors of analgesic response between
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how to solve the nightmare!

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11.30-12.15

12.15-13.00

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FIRST FLOORFIRST FLOOR,685$5(*,21$/$1(67+(6,$:25.6+23,685$5(*,21$/$1(67+(6,$:25.6+23

US-RA 4 Brachial plexus block - below clavicle

US-RA 3 Brachial plexus block - above clavicle

US-RA 5 Rescue block

US-RA 4 Brachial plexus block - below clavicle

US-RA 6 Popliteal and ankle

US-RA 5 Rescue block

US-RA 7 Spine scan

US-RA 6 Popliteal and ankle

US-RA 8 Diaphragm, lung and bladder scan

US-RA 7 Spine scan

US-RA 9 Upper trunk block (PVB, PEC, SAP)

US-RA 8 Diaphragm, lung and bladder scan

US-RA 10 Lower trunk block (QLB, TAP, ILN)

US-RA 9 Upper trunk block (PVB, PEC, SAP)

US-RA 11 Advanced Shoulder and elbow (SSN, AxN, DSN, Sup trunk)

US-RA 10 Lower trunk block (QLB, TAP, ILN)

US-RA 12 Advanced lower limb block (lumbar, sacral plexus, Sc)

US-RA 11 Advanced Shoulder and elbow (SSN, AxN, DSN, Sup trunk)(Please note: pre-registration is requested, fee not included)(Please note: pre-registration is requested, fee not included)

13.15-14.30

20

Lunch

21

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First afternoon session

First afternoon session
Please add UltrasoundPain Track

14.30-16.00

GREEN ROOM

AUDITORIUM

Scanning Protocol and interventional (with demonstration)

Understanding and treating chronic Postoperative Pain

Elbow/wrist

Bench - What do monoamines do in pain modulation?

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Translational - Is the peripheral nervous system primarily responsible for acutepain becoming chronicKnee-(LVHQDFKFrom child to adult - Is chronic postoperative pain different in children?

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Clinical - ERAS: how fast track surgery could prevent chronic postoperative pain

Multidimensional approach to chronic pain: it is possible!

Discussion - Which insights for our clinical practice

Bench - Multidimensional way to approach pain

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From child to adult - Virtual Reality in children to treat pain
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First afternoon session

First afternoon session

ONICE ROOM

14.30-15.15

Cancer Pain Management in 2016 and Beyond

FIRST FLOOR

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anaesthetics,685$5(*,21$/$1(67+(6,$:25.6+23

Translational - Chemotherapy Induced Peripheral Neuropathy

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Clinical - Uses of Bone Cement outside of the Vertebra
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Clinical - Breakthrough Cancer Pain: how to treat it

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US-RA 4 Brachial plexus block - below clavicle
US-RA 5 Rescue block
US-RA 6 Popliteal and ankle

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US-RA 10 Lower trunk block (QLB, TAP, ILN)

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First afternoon session
15.15-16.00

FIRST FLOOR

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US-RA 4 Brachial plexus block - below clavicle
US-RA 5 Rescue block16.30-18.15

AUDITORIUM

Local anesthesia: how to perform
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US-RA 6 Popliteal and ankle

From child to adult - Neosaxitoxin. New drug

US-RA 7 Spine scan
US-RA 9 Upper trunk block (PVB, PEC, SAP)
US-RA 10 Lower trunk block (QLB, TAP, ILN)
US-RA 11 Advanced Shoulder and elbow (SSN, AxN, DSN, Sup trunk)
US-RA 12 Advanced lower limb block (lumbar, sacral plexus, Sc)
16.00 - 16.30)ULGD\0DUFKVW
Second afternoon session

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Clinical - To block or not to block: prevent postoperative persistent pain
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Break

26

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Second afternoon session

16.30-17.30

ONICE ROOM

GREEN ROOM

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Autologous blood and PRP

352&21(Please note: pre-registration is requested, fee not included)

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Hip and knee denervation

Interventional Techniques for Cancer Pain0*RIHOG

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HALL 9Opioids and chronic pain: how to make them friends
Bench - Genetic predictors of human chronic pain conditions.
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Translational - The role of opioids in pain and pleasant touch&%XVKQHOO

Ketamine and Lidocaine infusions should be partof the anesthetic regimen

Clinical - Opioids: the other side of the pond

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Clinical - A holistic approach to chronic pain
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16.30-18.00

Discussion - Which insights for our clinical practice

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US-RA 1 Comprehensive upper limb block (BPB and rescue)
US-RA 2 Comprehensive lower limb block (Sc, Fem, Ad, Po, Ankle)

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16.30-17.15

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US-RA 3 Brachial plexus block - above clavicle

US-RA 4 Brachial plexus block - below clavicle(Please note: pre-registration is requested, fee not included)

US-RA 4 Brachial plexus block - below clavicle
US-RA 5 Rescue block

Delete(Please note: pre-registration is requested, fee not included)

US-RA 5 Rescue block
US-RA 6 Popliteal and ankle

US-RA 6 Popliteal and ankle

US-RA 7 Spine scan

US-RA 7 Spine scan

US-RA 9 Upper trunk block (PVB, PEC, SAP)

US-RA 8 Diaphragm, lung and bladder scan

US-RA 10 Lower trunk block (QLB, TAP, ILN)

US-RA 9 Upper trunk block (PVB, PEC, SAP)

US-RA 11 Advanced Shoulder and elbow (SSN, AxN, DSN, Sup trunk)

US-RA 10 Lower trunk block (QLB, TAP, ILN)

US-RA 12 Advanced lower limb block (lumbar, sacral plexus, Sc)

30

31

6DWXUGD\$SULOVW

6DWXUGD\$SULOVW
First morning session

First morning session

09.00-11.00

09.00-10.15

AUDITORIUM

GREEN ROOM

Nerve Stimulation: an “old” technique for new indications

How I do it-group demonstration

Bench - Mechanisms of spinal cord stimulation to justify new indications of SCS$QNOH3RSOLWHDO,66&,&%3%5HVFXH

Translational - Burst stimulation: where does it work?

10.15-11.00%/LQGHURWK''H5LGGHU

Clinical - Dorsal root ganglion and lateral stimualtion. Anatomical reasons forintended targets'H$QGUHVClinical - Trigeminal Ganglion Stimulation-39DQ%X\WHQ

Discussion - Which insights for our clinical practice

How to prevent neurological complication
9&KDQLEMON HOUSE

9LVFHUDO3DLQZK\LWLVVRGLIƓFXOWWRFXUHDQGFDUH&KDLUPHQ0%DFLDUHOORBench - Estrogen-dependent changes in visceral afferent sensitività

08.30-09.00

Translational - Evolutionary considerations in the development of chronic pelvic
pain)&HUYHUR

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GREEN ROOM
track. If you take away
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32/$UHQGW1LHOVHQ

Clinical - Interventional techniques in visceral pain
53ODQFDUWHClinical - Spinal cord Stimulation for visceral pain. It can work
.DSXUDO

Discussion - Which insights for our clinical practice'LVFXVVLRQ$9DOHQWH5'L3DVTXDOH

33

6DWXUGD\$SULOVW

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First morning session

First morning session
Same principle, state 8:45-15:30
Gray box for ISURA …
then list the type of WS

ONICE ROOM

08.45-09.30

Truncal somatic blocks will replace TEA as the preferred modality for abdominal
surgery

FIRST FLOOR

HALL 9(Please note: pre-registration is requested, fee not included)*RWWXPPXNNDOD$)DQHOOL

,685$&+521,&3$,1:25.6+23
US-CP 1 Cervical Spine facet0((77+((;3(57US-CP 2 Lumbar spine(Please note: pre-registration is requested, fee not included)

US-CP 3 SIJ joint and denervation

Unraveling genetics and behavioral risk factors for
persistent post-surgical and chronic pain conditions

US-CP 4 Stellate, SSN,%HOIHU/'LDWFKHQNR

US-CP 6 Shoulder

US-CP 5 GON, intercostal
US-CP 7 Elbow and wrist
US-CP 8 Hip and knee
US-CP 9 Ankle joint and nerve

34

35

6DWXUGD\$SULOVW

6DWXUGD\$SULOVW
First morning session

09.30-10.15

First morning session
10.15-11.00

FIRST FLOOR

DeleteFIRST FLOOR,685$&+521,&3$,1:25.6+23,685$&+521,&3$,1:25.6+23

US-CP 10 Hip and knee joint, trochanteric bursa injection

US-CP 9 Ankle joint and nerve

US-CP 1 Cervical Spine facet

US-CP 10 Hip and knee joint, trochanteric bursa injection

US-CP 2 Lumbar spineUS-CP 11 Hip and knee denervation

US-CP 1 Cervical Spine facet

US-CP 4 Stellate, SSN

US-CP 2 Lumbar spine

US-CP 5 GON, intercostalUS-CP 6 Shoulder

US-CP 3 SIJ joint and denervation

US-CP 7 Elbow and wrist

US-CP 4 Stellate, SSN

US-CP 8 Hip and knee

US-CP 5 GON, intercostal(Please note: pre-registration is requested, fee not included)(Please note: pre-registration is requested, fee not included)

US-CP 6 Shoulder
US-CP 7 Elbow and wrist
11.00-11.30

36

Break

37

6DWXUGD\$SULOVW

6DWXUGD\$SULOVW
Second morning session

Second morning session
Add Ultrasound-RA
track

11.30 -13.00

GREEN ROOM

AUDITORIUM

Optimal perioperative analgesic anesthesia protocol

Low Back Pain: an unresolved issue

Hip and knee

Bench - Innervation of inetrvertabral disc: a new way to approach discogenic
pain?

Abdominal (major and lower)*&DSSHOOHUL

55DXFN$)DQHOOL

Translational - Predictive Factors for Successful Outcome of PulsedRadiofrequency Treatment in Patients with Intractable Lumbosacral Radicular
Pain

Pediatric orthopedic surgery-9DQ=XQGHUWClinical - Spinal cord stimulation in the “virgin back”$%HKULEMON HOUSE$O.KDLVL

Prevention perioperative pain in cancer patients

From child to adult - Children with low back pain: are all the same? Answers
from the Chronic pain modulation perspective

Bench - Predicting, preventing and managing persistent pain after breast cancer
surgery: the importance of psychosocial factors&)HUODQG./6FKUHLEHU

Discussion - Which insights for our clinical practice&KDLUPHQ7%'

Translational - How to prevent perioperative opioid hyperalgesia in cancer
patients/DYDQGōKRPPH

From child to adult - NSAIDs and paracetamolol in children%$QGHUVRQClinical - Preoperative chemotherapy impact on opioid perioperative
consumption and chronic pain
-&DWD

Discussion - Which insights for our clinical practice&KDLUPHQ9*RWWXPPXNNDOD'H*UHJRUL

38

39

6DWXUGD\$SULOVW

6DWXUGD\$SULOVW
Second morning session

Second morning session

ONICE ROOM

11.30-12.15

Regional anesthesia in trauma patients

FIRST FLOOR

0DULDQR*KLVL

delete,685$&+521,&3$,1:25.6+23

HALL 9(Please note: pre-registration is requested, fee not included)

0((77+((;3(57US-CP 8 Hip and knee

Still More Opioid Guidelines - CDC, etc - What do I do?

US-CP 10 Hip and knee joint, trochanteric bursa injection(Please note: pre-registration is requested, fee not included)

77RHOOH06FKDWPDQ&*KDULER

US-CP 9 Ankle joint and nerve
US-CP 1 Cervical Spine facet
US-CP 2 Lumbar spine
US-CP 11 Hip and knee denervation
US-CP 4 Stellate, SSN
US-CP 5 GON, intercostal
US-CP 6 Shoulder

40

41

6DWXUGD\$SULOVW

6DWXUGD\$SULOVW
Second morning session

12.15-13.00

deleteFIRST FLOORFirst afternoon session
14.00 - 15.30

AUDITORIUM,685$&+521,&3$,1:25.6+23

Tips and tricks in drug neuromodulation of chronic pain

US-CP 7 Elbow and wrist<DNVK(Please note: pre-registration is requested, fee not included)

US-CP 8 Hip and knee

Translational - Matematical models predicting better outcome in intrathecal
drug delivery

US-CP 9 Ankle joint and nerve
US-CP 10 Hip and knee joint, trochanteric bursa injection
US-CP 1 Cervical Spine facet$/LQQQLQJHU

Clinical - Innovations in intrathecal drug delivery programmino'H$QGU«V

US-CP 2 Lumbar spine

Discussion - Which insights for our clinical practice

US-CP 3 SIJ joint and denervation&KDLUPHQ0DUFKHVLQLUS-CP 4 Stellate, SSN

GREEN ROOM

US-CP 5 GON, intercostal
13.00-14.00

Bench - Infusion models in animals , in the search of the optimal distribution
pattern

Add Ultrasound-RA
track above Optimal
peri-operative……

Optimal perioperative analgesic anesthesia protocol
Obstetric

Lunch:7HRK

Shoulder surgery'*KLVL

Morbidly obese patient&/RER

Breast surgery
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4243

6DWXUGD\$SULOVW

6DWXUGD\$SULOVW
First afternoon session

First afternoon session
DeleteLEMON HOUSE

14.00-14.45

From acute to chronic pain: the never ending story

FIRST FLOOR

Bench - A randomized, phase 2 study investigating TRV130, a biased ligand of
WKHҍRSLRLGUHFHSWRUIRUWKHLQWUDYHQRXVWUHDWPHQWRIDFXWHSDLQ,685$&+521,&3$,1:25.6+23

Translational - Regional anesthesia: long playing story and challenges for the
futureUS-CP 6 Shoulder

From child to adult - Can we predict the trajectories of pain with a blood test?

US-CP 8 Hip and knee&)HUODQG

US-CP 9 Ankle joint and nerve

Clinical - Gabapentinoids in acute pain

US-CP 10 Hip and knee joint, trochanteric bursa injection

9LVFXVL*RWWXPXNNDOD*KDULER

Discussion - Which insights for our clinical practice&KDLUPHQ*RWWXPPXNNDOD

(Please note: pre-registration is requested, fee not included)

US-CP 7 Elbow and wrist

US-CP 1 Cervical Spine facet
US-CP 2 Lumbar spine
US-CP 3 SIJ joint and denervation
US-CP 4 Stellate, SSN

ONICE ROOM

Cannabinoids in chronic pain: friend or foe?
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4445

6DWXUGD\$SULOVW
First afternoon session
14.45-15.30

FIRST FLOOR,685$&+521,&3$,1:25.6+23(Please note: pre-registration is requested, fee not included)

US-CP 5 GON, intercostal
US-CP 6 Shoulder

deleteUS-CP 7 Elbow and wrist
US-CP 8 Hip and knee
US-CP 11 Hip and knee denervation

US-CP 10 Hip and knee joint, trochanteric bursa injection
US-CP 4 Stellate, SSN

46

47