RACE

CARDIOTHORACIC ANESTHESIA

Faculty
Director of the Cardiothoracic anesthesiology dept. is Prof.Dr.Mahesh Vakamudi, who is the chief and HOD of Department of Anesthesiology department. Cardiothoracic anesthesiology department consist of group of dedicated cardiothoracic anesthesiology faculty members.
The cardiothoracic anesthesiology rotation is an important component of the residency program, where residents are exposed to a wide variety of cardiothoracic cases including patients undergoing: CABG, valvular, and aortic surgeries requiring cardiopulmonary bypass, off bypass CABG, pneumonectomy and lobectomy. During the rotation through cardiothoracic anesthesiology, residents become proficient in the placement of arterial and central venous catheters, double lumen endotracheal tubes, bronchial blockers, and thoracic epidurals. Residents also receive training in transesophageal echocardiography with hands on experience in the OR.

Experience provided with
  1. Coronary revascularization surgery - on pump and off pump
  2. Valve surgery - repair and replacement
  3. Adult congenital heart surgery
  4. Major aortic surgery - ascending, arch and descending thoracic aorta
  5. Routine thoracic surgery - VATS, pulmonary resections
  6. Thoracic epidural insertion
  7. Esophageal surgery
  8. Tracheal surgery
  9. Lung volume reduction surgery
  10. Pulmonary thromboembolectomy surgery
  11. Catheter based interventions including valve implantation and repair
  12. Electrophysiology procedures - pacemakers, ICDs, afib ablations

Advanced Perioperative TEE Training
Fellowship training in adult cardiothoracic anesthesiology includes dedicated training in advanced perioperative transesophageal echocardiography in addition to the time spent providing anesthesia care in the OR. The primary goal with this experience for our Fellows is to become proficient in performing, documenting and communicating a comprehensive intraoperative TEE examination on patients undergoing cardiac and thoracic surgery. Additional TEE experience is gained on patients in the non cardiac ORs and in the CTICU.

Rotations
Cardiothoracic OR
Residents in rotation to gain expertise in providing anesthesia care for patients undergoing all kinds of cardiac and thoracic surgery. For the majority of cases, the fellow acts as the primary anesthesiologist under the supervision of the faculty member.

Cardiothoracic ICU
Residents actively participate in daily ICU rounds and are directly involved in patient care and management. The primary goal for fellows on this rotation is to develop proficiency in providing critical care for adults with a variety of cardiothoracic critical illnesses, as well as performing diagnostic and therapeutic procedures, acute postoperative management, and advanced life support.

Academic and Administrative Activities
We have weekly two classes for residents, which include seminars, case presentations and journal clubs. Our Fellows are encouraged to attend major CT anesthesiology clinical meetings..