Dr. Marc A. Beckerman is an assistant professor in the Department of Anesthesiology at the Icahn School of Medicine at Mount Sinai in New York, NY. He completed his internship in general surgery at Mount Sinai, followed by his anesthesia residency at Robert Wood Johnson University Hospital–Rutgers in New Jersey. He then returned to Mount Sinai for a regional anesthesia fellowship and subsequently joined the faculty. His clinical work includes general operating room anesthesia, directing the hospital’s pain service, and resident education and simulation. Dr. Beckerman serves as associate program director for the regional anesthesia fellowship and as a junior faculty development advisor. He also facilitates the medical school’s course in pain management and was a recent recipient of Mount Sinai’s Faculty Educator of the Year award.

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CME-CPD

Target audience

This roundtable is designed for the clinician learner in the specialties of anesthesia, acute pain medicine, and regional anesthesia who wants to gain knowledge in phrenic-sparing regional anesthetic techniques for shoulder surgery and their application in patients with varying pulmonary risk.

Objectives

• Compare the analgesic efficacy and incidence of hemidiaphragmatic paresis among contemporary phrenic-sparing approaches for shoulder surgery relative to traditional interscalene block.
• Interpret the key findings and limitations of recent evidence on phrenic-sparing shoulder blocks—including systematic reviews, meta-analyses, and RCT data.
• Evaluate whether modifying interscalene block technique, including extrafascial injection and reduced local anesthetic volume, meaningfully decreases respiratory impairment without impacting block quality or duration.
• Apply current evidence to select an appropriate regional anesthetic strategy for shoulder surgery in patients with normal pulmonary reserve versus those at elevated respiratory risk.

Accreditation and credit designation statements

Total Credits: 1.00

• Physicians: The American Society of Regional Anesthesia and Pain Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The American Society of Regional Anesthesia and Pain Medicine designates this internet live activity for a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
• PAs (Physicians Assistants): AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 1.00 hours of Category 1 credit for completing this program.
  
• Nurse Practitioners: The American Association of Nurse Practitioners (AANP) accepts AMA PRA Category 1 Credits™ from organizations accredited by the ACCME. This activity has been approved for a maximum of 1.00 AMA PRA Category 1 Credits.™
• Registered Nurses: Regulations dictate that only physicians may earn CME credits, however, many state Boards of Registered Nursing accept AMA PRA Category 1 Credits™ from organizations accredited by the ACCME. Attendees are responsible for confirming their specific board’s acceptance of ASRA-provided credits. This activity has been approved for a maximum of 1.00 AMA PRA Category 1 Credits.™