Careyana Brenham, MD, FAAFP Associate Dean for Graduate Medical Education Designated Institutional Official Ph: 217.545.8853 Jennifer Rodgers, MS, C-TAGME Director of Graduate Medical Education ACGME, ECFMG, NRMP Regulatory and Accreditation Requirements and Correspondence Resident and Fellow Concerns, Fiscal Officer and Resident Benefits, Contracts, Program and Institutional Agreements Ph: 217.545.3846 Nikki Workman, C-TAGME GME Administrator– Education/ Accreditation Accreditation, Education and Program Coordinator Training Ph: 217.545.5846 Elizabeth 'Betty' Jones GME Administrator– Clinical

ANESTHESIA ELECTIVE SELF-ASSESMENT AND STUDY QUESTIONS Consider the following questions regarding special anesthetic situations. What physiologic changes would you tell your pregnant friend she can expect during her pregnancy? Consider all systems: cv,resp,cns and gi. Unfortunately, at 20 weeks gestation, this friend needs urgent cholecystectomy. What are the anesthetic considerations? Are there any drugs to definitely avoid? Any special monitoring? This same pregnant friend is now about 30 weeks along and is feeling "puffy" and thinks she may be pre-eclamptic. How would you help her determine

ANESTHESIA ELECTIVE SELF-ASSESMENT AND STUDY QUESTIONS Consider the following regional anesthesia cases A colleague of yours from the ER calls and tells you he wants to infiltrate a large leg wound with local anesthetic to suture. He wants to know how much lidocaine he can use (pt is 70kg). How much bupivicaine? What sorts of problems would you expect with a local anesthetic overdose? What properties of lidocaine would make it a better or worse medicine than bupivicaine to infiltrate? Should he use epinephrine containing solutions? How does a spinal anesthetic differ from an epidural

ANESTHESIA ELECTIVE SELF-ASSESMENT AND STUDY QUESTIONS Pharmacology and drug choices. The most commonly used IV induction agents are propofol, pentothal and etomidate. Which would be appropriate choices for intravenous induction agents in the following case scenarios? Consider some drawbacks and benefits of each choice. Healthy 18 year old scheduled for outpatient inguinal hernia repair. 85 year old with known CAD and hypovolemia for emergency surgery. 50 year old with large intracranial mass and known increased ICP. A surgeon tells you he just returned home from the Amazon Jungle. He says

ANESTHESIA ELECTIVE SELF-ASSESMENT AND STUDY QUESTIONS Consider the following problems regarding fluid management and invasive hemodynamic monitoring. Calculate the body fluid deficit for a 5 year old 20 kg child who has been NPO for 8 hours. What is this patient's blood volume? Why is this important to know? How do you asses and replace intra-op fluid and blood losses? During repair of an AAA, there is an acute blood loss of several units of blood. What are your concerns regarding massive transfusion? A 70 yr old with known cardiomyopathy with an EF of 20% presents with bowel obstruction for

ANESTHESIA ELECTIVE SELF-ASSESMENT AND STUDY QUESTIONS Consider these scenarios regarding ASA physical status, NPO guidelines, and airway evaluation. ASA Physical Status — Which ASA classification would you give the following patients? A 50 year old male with a 50 pack/year smoking history presents for laparascopic cholecystectomy. What if the patient also had a history of IDDM and long-standing HTN? What if patient also had known significant CAD? What about a 70 year old patient obviously septic (hypotensive, tachypneic, and unstable) presenting for exploratory lap for probable ischemic bowel

ANESTHESIA ELECTIVE SELF-ASSESMENT AND STUDY QUESTIONS Consider the following situations regarding airway management. A 30 year old gravid female presents for emergent C-section. She just finished eating a large sausage and pepperoni pizza 20 minutes ago. This patient needs a rapid sequence intubation (RSI). List the steps involved in a Rapid Sequence Intubation and consider the rationale for each. What other patients might need a RSI? During ECT a patient's pulse ox reads 80 and ventilation is less that adequate, what can you do to improve mask ventilation? What clues do you have to indicate

General Information CARE is a program designed to register students' participation in summer experiences between Y1 and Y2 that are not MPEE. If you intend to pursue clinical, research, or health-related educational activities during the summer between Y1 and Y1, and you aren't already accepted to MPEE, then you must register for CARE. CARE Quick Facts CARE requires a minimum of 120 hours between the end of Y1 and the beginning of Y2. Participation in CARE will show on your transcript. Summer fees are required for standard track MD students, not Lincoln Scholars Program (LSP) students. If you

Basics of Anesthesia (Stoelting & Miller) is on reserve in the SIU School of Medicine Library. You may check this out for the duration of the clerkship. Copies are also available in the Anesthesia study lounge at Memorial Medical Center (E016). A Medical Student’s Anesthesia Primer or How to Look like a Star on Your First Day / Roy G. Soto, MD Anesthesia Resource Evaluation Anesthesiology-Related Guidelines for Adaptation into Various Medical Student Curricula Medical Student’s Internet Guide to Anesthesia (SEA Medical Student Curriculum Committee)

ANESTHESIA ROTATION ORIENTATION - MEMORIAL MEDICAL CENTER Arrive in the operating room suite, lower level E building at 6:45 AM. You will need to wear proper O.R. attire (scrubs) and please wear your name plate. You will be oriented your first day and also tour the O.R. suite. Daily responsibilities will be outlined.. You will be assigned daily preoperative assessments. The daily operating schedule for the next day is usually available around 1-2 PM. Ask an anesthesiologist which preop assessments might be appropriate for you. After completing these, present your ‘cases’ to an anesthesiologist