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    Anesthesiology Medical Students

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    James
    Anesthesiology is introduced as a medical specialty that: - Works in diverse areas of hospitals including the OR, ICU, pain clinics and more. - Cares for a highly diverse patient population from infants to the elderly. - Provides both medical care and critical care before, during, and after surgical procedures using advanced technology.

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    Anesthesiology Medical Students

    Uploaded by

    James
    242 views38 pages
    Anesthesiology is introduced as a medical specialty that: - Works in diverse areas of hospitals including the OR, ICU, pain clinics and more. - Cares for a highly diverse patient population from infants to the elderly. - Provides both medical care and critical care before, during, and after surgical procedures using advanced technology.

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    Introduction To Anesthesiology For Medical Students

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    Anesthesiology is introduced as a medical specialty that: - Works in diverse areas of hospitals including the OR, ICU, pain clinics and more. - Cares for a highly diverse patient population from infants to the elderly. - Provides both medical care and critical care before, during, and after surgical procedures using advanced technology.

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    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    242 views38 pages

    Anesthesiology Medical Students

    Uploaded by

    James
    Anesthesiology is introduced as a medical specialty that: - Works in diverse areas of hospitals including the OR, ICU, pain clinics and more. - Cares for a highly diverse patient population from infants to the elderly. - Provides both medical care and critical care before, during, and after surgical procedures using advanced technology.

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    You are on page 1of 38

    Anesthesiology: An Introduction For Medical Students

    James Lamberg

    What Do You Know?


    Where Do Anesthesiologists Work? Who Do They Care For? What Do They Do? Common Misconceptions:
    Just Push The White Stuff (propofol) A Very Narrow Sub-Specialty Just Put People To Sleep Too Competitive Boring
    Anesthesiology: An Introduction For Medical Students 2 / 38

    Common Stereotype

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    So What Do They Do?


    Work In Every Area Of Medicine
    OR, PACU, ICU, OB, Peds, Pain Clinic

    Work With The Most Diverse Patient Population


    Premature Infants To Geriatrics

    Provide Medical Care & Critical Care


    Prior To, During, And After Surgical Procedures

    Work With Advanced Technology


    Anesthesiology: An Introduction For Medical Students 4 / 38

    You Might Like Anesthesia If


    You Enjoy Performing Procedures You Are Interested In Critical Care You Had Prior Experience (e.g. EMT) You Enjoyed:
    Pharm, Physio, Cardiology, Pulmonology

    You Like All Areas Of Medicine


    You Can Specialize Though

    You Like To See Immediate Results

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    Ether Day October 16th, 1846

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    Brief History
    Pre-1800: Surgery Without Anesthesia 1846: First Ether Anesthetic 1884: Cocaine For Local Anesthesia 1921: Epidural Anesthesia Described 1942: Curare Clinical Trial Success 1960: Short Acting Opioids 1982: Transesophageal Echo 1983: Laryngeal Mask Airway
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    Anesthesiology: An Introduction For Medical Students

    In The Operating Room

    Anesthesiology: An Introduction For Medical Students

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    In The Operating Room


    Pre-Anesthesia
    History & Physical Exam Positioning & Patient Setup

    Induction
    Put Patient To Sleep Manage Airway Create Best Operating Conditions For The Surgery Team

    Anesthesiology: An Introduction For Medical Students

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    In The Operating Room


    Maintenance
    Anesthesia Machine Inhaled Anesthetics

    Emergence
    Safe Awakening Transfer To PACU

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    In The Post-Anesthesia Care Unit

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    In The Post-Anesthesia Care Unit


    Reduce The Risk Of Post-Operative Complications (e.g. Stroke, MI) Reduce The Risk Of Post-Operative Nausea & Vomiting Reduce Post-Surgical Pain Safely Discharge Patients Home Or To Other Parts Of The Hospital

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    In The Intensive Care Unit

    Anesthesiology: An Introduction For Medical Students

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    In The Intensive Care Unit


    Founded Critical Care Medicine Overlapping Skills:
    Airway Management Ventilator Management Analgesia & Sedation Management Of:
    Respiratory Emergencies Cardiac Emergencies Common Critical Care Issues (e.g. sepsis)

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    In The Pain Management Clinic

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    In The Pain Management Clinic


    Diagnosis Of Pain Treatment Of Pain
    Pharmacologic Procedural
    Injections Pumps Stimulators

    Non-Pharmacologic
    Biofeedback OMT
    Anesthesiology: An Introduction For Medical Students 16 / 38

    Obstetric Anesthesia

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    Obstetric Anesthesia
    Risks To Mother & Fetus
    Pharmacology Physiology

    Pain Management Awake C-Sections Obstetric Emergencies

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    Cardiothoracic Anesthesia

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    Cardiothoracic Anesthesia
    Cardiac Anesthesia
    Cardiopulmonary Bypass
    Multiple Vascular Lines

    Transesophageal Echo
    Performed By Anesthesiologist

    Thoracic Anesthesia
    Dual Lumen Tubes

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    Neuro Anesthesia

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    Neuro Anesthesia
    Physiology Aneurysm Clipping Awake Craniotomy Lumbar CSF Drain Specific Disorders Electroconvulsive Therapy

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    Pediatric Anesthesia

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    Pediatric Anesthesia
    Anatomical Differences Otolaryngology Congenital Heart Defects Gastrointestinal Disorders

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    Trauma Anesthesia

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    Trauma Anesthesia
    Airway Management Transfusion Medicine Tension Pneumothorax

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    Acute Pain Management

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    Acute Pain Management


    Local Anesthesia Neuraxial Anesthesia
    Epidural Spinal Combined

    Peripheral Blocks
    Upper Extremity Lower Extremity

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    Simulation

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    What About Research?


    CA-3 Research Track Advances In Safety & Technology Deaths Per 10,000 Anesthetics:
    1950: 17.9 1975: 2.2 1980: 0.7 1989: 0.04

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    Its Too Competitive For Me


    ROAD: Radiology, Ophthalmology, Anesthesiology, Dermatology Freeman Book: Competitive
    Not Very or Extremely Competitive

    NRMP Match Data


    Anesthesiology In The Middle

    Academic Medicine (Mar 2009, Vol 84, #3): Competitive


    Not Most or Lease Competitive
    Anesthesiology: An Introduction For Medical Students 31 / 38

    Its Too Competitive For Me


    Choosing A Medical Specialty by Freeman (2004) By Unmatched Rate:
    Emergy Med 6.5% General Surgery 5.4% Anesthesiology 5.2% Ob/Gyn 4.3% Psychiatry 4.3% Neurology 3.0%
    Anesthesiology: An Introduction For Medical Students 32 / 38

    Its Too Competitive For Me


    NRMP Data 2008
    Preferred Step 1 Score: 220

    NRMP Data 2009


    Preferred Step 1 Score: 222 Preferred Step 2 Score: 230 Similar To:
    Internal Medicine, Pathology, General Surgery, Emergency Medicine, Pediatrics, Obstetrics & Gynecology, Neurology

    Anesthesiology: An Introduction For Medical Students

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    Its Too Competitive For Me


    Academic Medicine (Mar 2009, Vol 84, #3), Selection Criteria for Residency: Results of a National Program Directors Survey.

    Most Competitive: Plastics, Orthopedics, Otolaryngology, Ophthalmology, Radiology, Rad/Onc, Neurosurgery. Competitive: Emergency Medicine, Urology, Dermatology, General Surgery, Anesthesiology, Pediatrics, Ob/Gyn. Less Competitive: Psychiatry, Pathology, PM&R, Internal Medicine, Neurology, Family Medicine.
    34 / 38

    Anesthesiology: An Introduction For Medical Students

    Its Too Competitive For Me


    Dispelling Myths
    Medical Education Online (2005;10:17), Residency Selection Criteria: What Medical Students Perceive As Important. Academic Medicine (Mar 2009, Vol 84, #3), Selection Criteria for Residency: Results of a National Program Directors Survey. Academic Emergency Medicine (Jan 2002, Vol 7, #1), Selection Criteria for Emergency Medicine Residency Applicants.
    Anesthesiology: An Introduction For Medical Students 35 / 38

    But Isnt It Boring?


    Different Areas Of The Hospital Diverse Patient Population Lots Of Procedures

    Anesthesiology: An Introduction For Medical Students

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    The Best Medical Specialty?

    Anesthesiology: An Introduction For Medical Students

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    Thank You

    Anesthesiology: An Introduction For Medical Students

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