Johns Hopkins Medicine - ACCM: Pediatric Anesthesia
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Pediatric anesthesia attending, Dr. Rahul Koka, does some intraoperative teaching with resident physician, Dr. Rebecca Grutsch, during a pediatric ortho case.

Pediatric Anesthesia

Pediatric anesthesiologists take care of children from the intrauterine stage to 18 years of age. Residents are first exposed to pediatric anesthesia in the second half of the CA-1 year. Though no set amount of pediatric anesthesia time is required, residents must spend enough time in the peds OR to log enough cases to meet ACGME graduation requirements. Hopkins is the referral center for much of the eastern seaboard, as we are a level 1 trauma center, offering a multidisciplinary PICU and pediatric neurosurgery services. Residents, commensurate with experience, can expect to see a plethora of different pediatric cases, including renal and liver transplant, liver resection and other major abdominal surgery, intracranial and spinal neurosurgery, orthopedic surgery, plastic surgery, and surgery to correct a myriad of congenital anomalies. Many residents even have the opportunity to take part in an EXIT procedure (there are pictures below from an EXIT procedure in 2010 that residents had an opportunity to participate in). Our pediatric anesthesiology faculty members are world-renowned and are incredibly skilled at teaching anesthesia for infants and children. While on pediatric anesthesia, our residents learn pediatric airway management, fluid and electrolyte management, blood product administration, and pediatric pain control and regional anesthesia. Pediatric anesthesia is one of our many strengths, and many residents choose to spend much more time in the peds OR than is required to log their cases.

Hopkins also offers an ACGME accredited pediatric anesthesiology fellowship. To learn more, click here.

Pictures from an EXIT procedure performed in 2010

EXIT Procedure
Members of the obstetric anesthesia, pediatric anesthesia, pediatric otolaryngology, NICU, and obstetrics teams prepare for an ex-utero intrapartum treatment (EXIT) procedure.
EXIT Procedure
Senior resident, Dr. Dawn Yan, inserts a central venous catheter during an ex-utero intrapartum treatment (EXIT) procedure. Anesthesiology Attending, Dr. Christianna Vallera, supervises.
Medical Missions
Senior resident, Dr. Emmett Whitaker, manages the patient's airway during an ex-utero intrapartum treatment (EXIT) procedure. Anesthesiology Attending, Dr. Christianna Vallera, assists.

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