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Cardiothoracic Anesthesia
This rotation is designed to teach the
residents the fundamental principles or cardiothoracic anesthesia
and subsequently to build on this foundation to develop an
understanding of more advanced issues in the field. The
emphasis of the rotation is for residents to understand
cardiopulmonary physiology and pathophysiology and how these are
effected by anesthesia and surgery.
Throughout the continuum of education in
cardiothoracic anesthesia residents gain experience in invasive
hemodynamic monitoring, including systemic and pulmonary artery
catheterization, cardiac output measurement, and the interpretation
of the data derived from these monitoring techniques.
Residents also gain experience in the use of transesophageal
echocardiography.
Within the field of cardiac anesthesia
residents will care for patients having coronary artery bypass
surgery, both with and without the use of cardiopulmonary bypass;
valve replacement and repair surgery; thoracic aortic surgery; heart
transplantation; and the implantation of various ventricular assist
devices. The mechanical circulatory assist program at Temple
includes 4 different types of ventricular assist devices.
Within the field of thoracic anesthesia
residents will care for patients having various thoracic surgery
procedures by both open and thoracoscopic techniques. In
addition to routine thoracic surgical procedures residents will care
for patients having lung transplantation and lung volume reduction
surgery. Residents will gain facility with various methods
used to achieve lung isolation and provide one-lung ventilation,
including the placement of endobronchial tubes and various bronchial
blockers.
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