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Difficult Airway and Advanced Neuroanesthesia

Each senior resident spends four weeks on the difficult airway rotation. Because patients with many neurological conditions including acromegaly and cervical spine problems are predisposed to difficult airway, the advanced neuroanesthesia rotation is paired with the difficult airway experience. During this experience, residents are preferentially assigned to patients who have a suspected or known difficult airway. Residents are exposed to patients with previous airway surgery, congenital anomalies of the airway, morbid obesity, limited neck and jaw mobility, and neck and mediastinal masses. They gain experience with fiberoptic intubation, the Bullard Scope, Glidescope, and FastTrach Intubating LMA, and other advanced airway techniques. After this experience, residents will be adept at identifying the patient with a possible difficult airway and are proficient in its management. In addition, the resident will gain valuable experience in complex neurosurgical cases.

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