cardiothoracic anesthesia

The cardiothoracic anesthesiology rotation is an exciting and important component of the residency program. The cardiothoracic anesthesiology division comprises sixteen faculty members whose clinical practice focuses on cardiothoracic anesthesiology. Many of the attendings conduct clinical studies or basic science research.

Residents are exposed to a wide variety of cardiothoracic cases including patients undergoing: CABG, valvular, and aortic surgeries requiring cardiopulmonary bypass (>2000/yr), off bypass CABG, cardiac transplantation (» 80/yr), and lung transplantation (»50/yr), and placement of a ventricular assist device (» 60 /yr). Residents also care for patient undergoing a wide variety of thoracic surgical procedures, including lung volume reduction surgery, tracheal surgery and esophageal surgery. During the rotation through cardiothoracic anesthesiology, residents become proficient in the placement of arterial, central venous and pulmonary artery catheters, double lumen endotracheal tubes, bronchial blockers, and thoracic epidurals. Residents also receive training in transesophageal echocardiography with hands on experience in the OR and with two TEE simulators.

All residents rotate through cardiothoracic anesthesiology for at least two months during their CA-1 and CA-2 years and many request additional months of exposure during their CA-3 year. The rotation includes a structured lecture program and journal club with the faculty. At the beginning of the rotation, residents receive a list of objectives (based on their particular level). Throughout the rotation they receive reading materials and didactic teaching based on these objectives, and at the conclusion of their rotation, an oral exam is given based on these same objectives. Monthly case conferences are offered to all residents, fellows, and attendings. Residents are also exposed to a variety of clinical research projects.

Martin Chen, MD
Marc Dickstein, MD
Sumeet Goswami, MD
Jonathan Hastie, MD
Mark Heath, MD
Maya Jalbout-Hastie, MD
Taylor Johnston, MD
Desmond Jordan, MD
Bessie Kachulis, MD
Sansan Lo, MD
Steven Miller, MD
Teresa Mulaikal, MD
Ervant Nishanian, MD
Jeremy Poppers, MD
Jack Shanewise, MD, Division Chief
Sarah Smith, MD
Jessica Spellman, MD


Dr. Jack Shanewise became Chief of the Division of Cardiothoracic Anesthesiology in July 2004. He was Director of the Division of Cardiothoracic Anesthesiology at Emory University, Atlanta, Georgia, from 2001 until he was recruited to Columbia. While a staff cardiac anesthesiologist at Emory (1992-2004) he developed a special interest in echocardiography and is a founding member of the National Board of Echocardiography, for which he is currently serving as immediate past president. He has published extensively in the area of cardiovascular anesthesia and has served on the boards of directors for the Society of Cardiovascular Anesthesiologists and the American Society of Echocardiography.  His recruitment recognizes our commitment to intraoperative echocardiography. The education of residents and fellows in cardiothoracic anesthesiology is a priority for Dr. Shanewise.





For further information, write or contact:
Jack Shanewise, MD
Division of Cardiothoracic Anesthesiology
Columbia University, College of Physicians and Surgeons
Department of Anesthesiology
P&S Box 46
630 West 168th St.
New York New York 10032
Telephone: 212 -342-2210
Fax: 212-342-2211




Columbia University Medical Center Department of Anesthesiology