Residency Educational Objectives

KNOWLEDGE

• Requirements for equipment and set-up in remote locations
• Risks of transporting anesthetized or recovering patients between locations
• Understand how MRI works (basic level)
• Understand magnet safety issues
• Understand complications of invasive procedures such as electrophysiologic (EP) mapping of the heart, deep needle aspirations in the fluoro suite, endoscopies, etc.
• Understand x-radiation and safety issues relative to working in the environment of x-rays
• Detailed knowledge of possible choices available for entirely intravenous anesthetics
• Detailed knowledge of the pharmacokinetics and pharmacodynamics of propofol

SKILLS

• Be able to set up and prepare for an anesthetic in each of the remote anesthesia locations (MRI, CVDL, radiation oncology, endoscopy lab, etc.)
• Be able to use laryngeal mask airways

PERFORMANCE

• Formulate and execute a safe and effective anesthetic plan for each of the remote anesthetizing locations, with and without scavenging capability.
• Anticipate and troubleshoot equipment problems in each of the remote locations.
• Respond to patient oxygen desaturation in the endoscopy suite and anticipate this event during upper endoscopies.
• Respond to, and or anticipate the possibility of hypotension during liver biopsies or other cases where deep needle aspirations, cannulations or biopsies are performed.
• Respond to or anticipate the consequences of dysrhythmias or tamponade in the EP lab.
• Demonstrate effective interpersonal interactions with all involved staff in each of the anesthetizing locations.
• Demonstrate thoughtful adaptability in unusual circumstances.
• Demonstrate the ability to serve as a consultant in anesthesiology, promoting the safe and rational delivery of anesthesia in non-operating room environments.