The Vascular Anesthesia Rotation gives the resident the opportunity to care for some of the most critically ill patients presenting to the operating room while honing their clinical and technical skills on a day-to-day basis. Many of these patients have diffuse atherosclerotic disease and coronary artery disease and severely compromised end organ function. Surgical procedures range from the relatively minor, such as vascular and dialysis access procedures, to major surgeries such as peripheral arterial bypass, carotid endarterectomy or open repair of abdominal aortic aneurysm.
A large number of vascular surgeries are done using endovascular techniques in one of 4 state of the art operating rooms. While many of the endovascular procedures only need minimal sedation, complex endovascular surgeries such as thoracic, abdominal or thoraco-abdominal stent placement require invasive monitoring such arterial, central venous or pulmonary artery catheters and often spinal drains are placed by the anesthesiology team to prevent spinal cord injury.
Residents will have the opportunity to learn to care for these potentially intricate and challenging cases and understand the complex and fascinating pathophysiology of vascular disease that affects the entire body.
This Vascular Anesthesia Rotation is geared to the CA-2 and CA-3 resident. Besides gaining experience caring for critically ill patients, the resident will become proficient in placing and interpreting arterial catheters and central venous and pulmonary artery catheters. Also, there will be ample experience in performing spinal, epidural, regional blocks (for example for placement of AV fistulas) as well as spinal drains.
We also provide a 1 or 2 year combined clinical and research fellowship training (Liver transplantation/major vascular) for those individuals interested in an academic career. The fellowship emphasizes comprehensive training in perioperative care of patients undergoing liver transplantation as well as major vascular surgical procedures.
Faculty:
Tricia Brentjens, MD
HT Lee, MD, PhD
John S. Mercer, MD
Vivek Moitra, MD
Imre Redai, MD
Gebhard Wagener, MD, Division Chief
Yejun Zhao, MD
