Residency Educational Objectives

KNOWLEDGE

• Differences in airway anatomy between children and adults.
• Age dependence of the sensitivity to anesthetic agents.
• NPO guidelines for pediatric patients.
• Pediatric respiratory physiology.
• Transition of fetal to post-natal circulation.
• Anesthetic implications and pre-operative assessment of various pediatric diseases including Downs syndrome, mental retardation, cerebral palsy, spina bifida, scoliosis, asthma, obstructive sleep apnea, premature birth and associated problems, tracheo-esophageal fistula, omphalocoele, gastroschisis, diaphragmatic hernia, sickle cell disease.
• Mapleson circuits.
• Fluid/electrolyte/glucose management in pediatric patients.
• Recognition and management of malignant hyperthermia and masseter muscle rigidity.
• Implications of pre-operative URI's.

SKILLS

• Set up the room for any age pediatric patient.
• Administration of pre-medication appropriate to the patient's age.
• Mask induction
• Intubation
• Placement of caudal catheter.

PERFORMANCE

• Formulation of anesthetic plans and administration of anesthesia for the most common pediatric operations, including GU procedures, tonsillectomy and adenoidectomy, casting, ORIF, abdominal surgery, Hickman line placement, endoscopy, bronchoscopy, craniotomies, craniofacial procedures, airway emergencies.