RESUSCITATION ANESTHESIOLOGY ELECTIVE

ANESTHES 919

In-depth exposure to inpatient and outpatient anesthesiology as well as sub-specialty anesthesiology, working under the direct supervision of Anesthesiology faculty, residents, fellows and advanced practice providers. Each student's schedule is individualized to meet each location's capacity and student preference.

ANESTHES 911

Early recognition and aggressive management of shock states is one of the most challenging and rewarding patient care experiences. If done well the patient impact is incredible and lives can be saved. Integrate detailed physiologic understanding of shock states and shock evaluation - including echocardiography - with the pharmacology of shock management to develop a practical approach to patient care. Echocardiography training will emphasize obtaining views, recognizing anatomy and appreciating biventricular function as a method to differentiate shock states and select an appropriate treatment plan. The in-depth science of the course will be supplemented by clinical experiences focusing on shock evaluation and management in the cardiothoracic critical care unit, medical intensive care unit and, when possible, with cardiac anesthesiology enabling the student to develop a practical bedside approach to the evaluation and management of shock.

ANESTHES 920

Supervised by house staff, clinical anesthetists and attending physicians. Activities include: pre-operative chart review and anesthetic plan proposal, participating in scheduled procedures, presenting cases and teaching topics, and discussing patient cases. Evaluate and learn to co-manage the full spectrum of inpatient and ambulatory anesthesia patients. Care for patients undergoing sedation, monitored anesthesia care, general and regional anesthesia. Learn the indications for and data provided by various invasive and non-invasive monitoring techniques. Become familiar with relevant pharmacology including, anesthetic agents, muscle relaxants, resuscitation drugs and pain medications. Learn fundamental airway management skills including bag-mask ventilation, supraglottic airway placement, and endotracheal intubation skills. Intravenous access technique practice is taught, including a central line placement course.

EMERMED 920

Gain comfort with necessary skills in leadership and communication to effectively run a resuscitation and to review the basic science, which guide the principles of resuscitation of a variety of critical-illness disease states. Students will first attain ACLS certification via AHA approved curriculum, followed by in-depth reviews of skills and underlying basic science behind the creation of ACLS guidelines. In addition to hands-on skills such as CPR, BVM respiration, I/O access, and airway management, simulation will be utilized to teach advanced skills in leadership, teamwork, and communication, which are integral to success in running ACLS-based resuscitation's. Crisis-Resource Management skills will be introduced and practiced in a variety simulated resuscitation scenarios, with students having the opportunity to practice various roles, including leading a code team.

ANESTHES 922

Participate in the care of critically ill patients assigned to the Cardiothoracic Intensive Care Unit (CITCU) critical care team. Includes post-surgical patients who have undergone coronary artery bypass grafting, cardiac valvular procedures, ventricular assist device placements, cardiac transplantation and lung transplantation. May include patients with significant cardiothoracic surgical history (e.g. patients who have a ventricular assist device or who had prior lung transplantation) who are admitted for "medical" reasons including sepsis or shock of varying etiologies. As part of the CTICU team, participate in management of patients requiring venovenous and venoatrial extracorporeal membrane oxygenator (ECMO) support. The students are supervised by residents (house staff), fellows (largely in critical care anesthesiology, occasionally in pulmonology critical care) and attending physicians.