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Fellow Bryan Ahlgren, MD monitors a case
 

Cardiothoracic

Department of Anesthesiology


The Cardiovascular Anesthesia Service provides training for residents and one Cardiac Anesthesia Fellow in management of cardiac, major vascular and thoracic procedures. The training covers preoperative evaluation, invasive monitoring, hemodynamic optimization, transesophageal echocardiography, management of cardiopulmonary bypass, total circulatory arrest, and postoperative care of the patient having cardiac, vascular or thoracic surgery. Intraoperative transesophageal echocardiography (TEE) is an integral part of our clinical practice. All cardiac cases are archived in a digital archive system for reporting, billing and teaching. Our faculty has expertise in management of patients for heart and lung transplantation, ventricular assist device placement and pulmonary or esophageal resections.

We are a referral center for complex aortic surgery, including acute dissections, aneurysms and traumatic aortic injuries. Our cardiac and vascular surgeons work together with interventional radiologists using stents in the treatment of thoracic and abdominal aortic aneurysms as well as in acute aortic dissections.

Our thoracic surgery service performs complex surgeries for patients with lung cancer and tuberculosis and is a major referral center for airway reconstruction surgeries. In addition we provide anesthesia care for patients in the adult catheterization laboratories. This includes electrophysiology studies, RF ablations, ICD and Amplatzer device placements, and angioplasty/stenting procedures for congenital heart anomalies. We are also available on a consult basis for management of non-cardiothoracic surgeries for patients with congenital heart disease and pulmonary hypertension.

Each month we have four residents on cardiac rotation who are doing cardiac, vascular and thoracic cases in three different locations to obtain the appropriate number and quality of cases for their anesthesia training.

Our Cardiac Anesthesia Fellowship prepares the trainee to be an expert in cardiac, vascular and thoracic anesthesia, to teach residents or medical students, and do research in an academic setting. We do this by gradually transferring responsibility to the Fellow for the management of cases. The Fellow is expected to pass the TEE Board Exam and have the TEE Board Certification. The Fellowship is flexible enough to meet the needs and goals of the Fellow. As an alternative and part of the cardiac fellowship program the Fellow can have experience in pediatric cardiac anesthesia during one- or two-month rotation in the cardiac OR of the Children’s Hospital. We welcome applicants to our anesthesia residency and cardiovascular fellowship programs.