CARDIOTHORACIC INTENSIVE CARE UNIT CLINICAL ANESTHESIA ELECTIVE

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.

SURGERY 963

Direct supervision by Cardiothoracic fellows and attending physicians. Participate in regularly scheduled supervisor-student meetings, which involve some or all of the following: rounding on service patients, participating in scheduled operative procedures, presenting cases and teaching topics, and discussing patient cases. Complete independent activities including some or all of the following: reading about patient conditions and preparing for direct patient care as needed. Attend conferences associated with the assigned general surgery service. Complete other patient care related learning activities as assigned by instructors; these are dependent on the individual student, the patients under the student's care, and the location.

ANESTHES 930

An expanded version of the American Heart Association's Advanced Cardiac Life Support (ACLS) course designed to provide the necessary knowledge and skills to manage the first minutes of a cardiorespiratory emergency using ACLS protocols. Opportunities to learn the proper management of the ten core cases (i.e. Asystole, Bradycardia, Tachycardia, etc.) in the three rescuer roles: lone rescuer; resuscitation team member; and resuscitation team leader. Learn essential resuscitation skills including: recognition of cardiac arrest rhythms and common bradycardias and tachycardias; proper use of conventional and automated external defibrillators (AED); use of transcutaneous pacing devices; advanced airway management; administration of drugs via intravenous and endotracheal routes; recognition of the 12-lead electrocardiogram signs of acute injury and ischemia; adult CPR.

SURGERY 962

Direct supervision by General Surgery senior residents, fellows, and attending physicians. Participate in regularly scheduled supervisor-student meetings, which involve some or all of the following: rounding on service patients, participating in scheduled operative procedures, presenting cases and teaching topics, and discussing patient cases. Complete independent activities including some or all of the following: reading about patient conditions and preparing for direct patient care as needed. Attend conferences associated with the assigned general surgery service. Complete other patient care related learning activities as assigned by instructors; these are dependent on the individual student, the patients under the student's care, and the location.

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.