Department Of Anesthesiology

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OBSTETRICAL ANESTHESIA CURRICULUM FOR CA-2

  1. Introduction to Obstetrical Anesthesia
  2. Guidelines for CA-2 anesthesia residents rotating in OB
  3. Orientation to Labor and Delivery
    1. Physical layout
    2. Equipment and supplies
    3. Drugs unique to OB
    4. Anesthesia preoperative evaluation unique to OB patients
    5. Anesthesia Record
    6. Billing Record
    7. Discharge from Anesthesia
    8. Postoperative anesthesia orders
    9. Postop rounds
  4. . What makes a pregnant woman different? Physiologic changes of pregnancy
  5. Stages of Labor - Pain Pathways
  6. Anatomy of the Spine - Clinical implications
  7. Local anesthesia
  8. Anesthetic techniques for labor analgesia:
    1. epidural analgesia
    2. spinal analgesia
    3. combined spinal-epidural analgesia (CSE)
    * double needle technique
    **needle through needle technique
  9. Anesthetic techniques for cesarean section
    1. general anesthesia
    2. spinal anesthesia
    3. epidural anesthesia
    4. Combined spinal-epidural anesthesia (CSE)
    5. IV sedation - supplemental
  10. Anesthesia techniques for:
    1. cervical cerclage
    2. retained placenta
    3. repair of cervical/vaginal lacerations
    4. vulvar hematoma
    5. cervical cerclage
    6. postpartum tubal ligation
  11. Treatment of anesthesia complications
    1. hypotension
    2. intravascular injection
    3. accidental dural puncture
    4. inadequate/unilateral/failed block
    5. management of breakthrough pain
    6. management of sacral sparing
    7. postdural puncture headache
    8. neurologic complications - deficits, infections
    9. high spinal/subdural block
    10. difficult/failed intubation
    11. pseudocholinesterase deficiency
    12. malignant hyperpyrexia
  12. Use of neuroaxial opiates
  13. Discussions of OB Anesthesia topics:
    1. Placental transfer
    2. Fetal evaluation - monitoring, biophysical profile
    3. Labor stages - normal and abnormal labor
    4. Fetal growth abnormalities - intrauterine growth retardation (IUGR), large for gestational age, prematurity
    5. Abnormal fetal presentations - breech, transvie lie
    6. Hemorrhage - antepartum, intrapartum, postpartum
    7. Coagulation abnormalities
    8. Hypertensive disorders: preeclampsia, chronic hypertension. HELLP syndrome
    9. Diabetes
    10. Infections: HIV, HSV, chorioamnionitis
    11. Asthma
  14. Written examinations - multiple choice, in-training multiple choice and type K
  15. Oral Examination
  16. Research project - case report
  17. Oral presentation of topic of choice in OB anesthesia

OB ANESTHESIA CURRICULUM FOR CA-3

  1. Review of OB Anesthesia
  2. Teaching and orientation of CA-2
  3. Dealing with staffing issues
  4. OB anesthesia consultations - with attending
  5. Performance of Complicated Cases
    1. Complicated neurological problems
    2. Complicated cardiac cases
    3. Other complicated medical complications in pregnancy
    4. Difficult airway
    5. Epidural blood patch
  6. Research project
  7. Oral examination
  8. Presentation of topic of choice in OB Anesthesia