A day of cardiac anesthesia

A day of cardiac anesthesia

Cardiac Anesthesia at UVA

As a resident at UVA there is always an exciting case going on during your TCV rotation.  Residents spend several weeks each year rotating through Thoracic, Cardiac, and Vascular surgery (TCV).  In the operating room you will work closely with both cardiac surgeons and perfusionists.  The environment is one in which everyone works together to provide the best care for the patient.  Here is a summary of a typical day on the cardiac rotation. 

The day before surgery, residents will look up pertinent information on their patient and discuss the anesthetic plan with the attending.  From preoperative concerns to intraoperative management of the patient, you will be able to learn how to approach a disease from different perspectives.   The day of surgery is an early start beginning around 6:15 making sure your room is ready and all drugs have been carefully prepared.   Next the resident meets the patient in the preoperative area.   The resident then places an arterial line, a central venous line, and a pulmonary artery catheter if appropriate.  There is lots of hands on learning and the attendings are great at giving us just enough supervision to allow us to feel comfortable but at the same time allowing us to be independent.  The patient is taken to the OR for intubation, and then the surgery begins.  During the case there is abundant teaching by the attending.  This includes discussing the particular patient’s pathologic state and completing a focused TEE study.