Pediatric Anesthesiology Fellowship
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Pediatric Anesthesiology Fellowship
Admissions
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Clinical Rotations & Call Experiences
Day in the Life Rotation Descriptions
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Day in the Life Rotation Descriptions
General Pediatric Anesthesiology Main Operating Room
As fellows at Texas Children's Hospital, we spend the majority of our year in the main operating room. This allows for exposure to a broad variety of patients and cases, ultimately forming the foundation of our excellent clinical training. Cases range from tonsillectomies to thoracotomies and spinal fusions, and it's always enough to keep you on your toes.
Pediatric Cardiovascular Anesthesiology
During this fellowship year, we have two months of pediatric cardiovascular anesthesiology. As one of the top pediatric heart centers in the country, Texas Children's Hospital is the destination for children and adults with congenital heart diseases. We are exposed to a simple ASD closure to more complex surgical procedures, palliative surgeries (Norwood, Glenn and Fontan) and heart/lung transplants.
Regional Anesthesia
While on the Regional Anesthesia rotation at Texas Children's Hospital, we are exposed to a variety of nerve blocks and neuraxial techniques to help our diverse and growing patient population with peri-operative and non-operative pain. One unique aspect about pediatric regional anesthesia is that most of our blocks are performed after the patient is induced with general anesthesia, as most would not tolerate the procedure awake.
Non-Operating Room Anesthesia
As a fellow at TCH, I have the unique opportunity to undertake a 4-week Non-Operating Room Anesthesia rotation, which aims to expose fellows to various off-site anesthesia locations. The NORA schedule, provided at the beginning of the rotation, encompasses diverse assignment locations, including GI Procedure Suites, Interventional Radiology, CT/Rad-Fluoro, MRI, Magnetoencephalography, Nuclear Medicine, and the Mark Wallace Tower Treatment/Procedure Rooms, where lumbar punctures and intrathecal chemotherapy procedures are performed.
Post-Anesthesia Care Unit
Management of patients in the PACU is an often-forgotten aspect of anesthesiology. As a trainee, post-operative care is typically spearheaded by the PACU nurses and our attendings. However, there are valuable lessons to be learned about perioperative management based on patient management from the PACU.
Maternal Fetal Anesthesia
Fellows at TCH have the fascinating and unique opportunity of rotating with our Maternal Fetal Anesthesia service. This provides us with the challenge of taking care of two (or more!) patients at once in the same operating room while keeping our OB anesthesia knowledge and skills up to par during the pediatric anesthesia fellowship. TCH is one of only a handful of centers across the nation offering minimally invasive, open, and hybrid fetal interventions, as well as performing EXIT procedures.
Supervision/Preop Clinic
The "Supervision, Preoperative Clinical Rotation" prepares us to practice independently, supervise other members of the pediatric anesthesia care team and manage staffing resources appropriately. While on this rotation, we also respond to hospital wide-emergencies and actively manage preoperative clinic patient concerns.
