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Electives - General Surgery

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Postoperative Cardiovascular Surgical Care (ICU)

Elective Number: (Oasis E76k) 3010

Rotation Supervisor: Dr. Curt Tribble

Coordinator: Diana Houchens

Duration: Maximum: 4 weeks; Minimum 2 weeks

Available: all Rotations

Report to: TCV PO Chief Adm. Fellow (PIC #1878)

Time to Report: 5:30 am

Place to Report: TCV Post Operative Unit

Typical day: 5:30 am - 5:00 pm

Attendance: A student may not take time off during this rotation.

Suggested preparatory reading:

  • Bojar, Robert 2005 Manual of Perioperative Care in Cardiac Surgery (4th edition);
  • Rasmussen TE, Clouse WD, Tonnessen BH 2008 Handbook of patient care in Vascular Diseases (5th edition);
  • Lemmer, JH, Vlahakes GJ 2010 Handbook of patient care in Cardiac Surgery (2nd edition);
  • Elefteriades, Tribble, Geha, Siegel & Cohen The House Officers Guide to ICU Care (3rd edition);
  • Tribble, Hobson & Thaemert 2012 ICU Recall (3rd edition)

Number of students per rotation: 2

Course Description: This elective is designed to give the senior medical student post-surgical intensive care patient experiences focus on the cardiac, general thoracic, and vascular surgery patient populations. The students will take call with the resident on the TCVPO rotation and will be expected to present patients during teaching rounds which occur each morning with the TCV Surgery fellows/anesthesia attendings. The rotation emphasizes the postoperative care of the cardiovascular and thoracic surgical patients.

Learning Objectives:

The students will obtain patient care experiences in postoperative hemodynamics, ventilator management, cardiac pharmacology and overall post-surgical recovery of patients.

The students will develop technical skills in bedside monitoring and learn invasive procedures such as central line placement, Swan-Ganz catheter insertion, and chest tube insertion & removal.

There may be opportunities to participate in emergency procedures, gain exposure to mechanical assist devices (IABP, VAD, ECMO), and may have the opportuntity for spending time in the operating room.

The varied population will include patients with CAD, heart valve disease, cardiomyopathy, congential cardiac, esophageal or pulmonary pathology. There may be night rotations and weekend rounds during their elective.

The experience exposes the students to the high volume of post-surgical cardiovascular and thoracic surgery patients under the supervison of the Cardiac Surgery Residents, the cardiac surgery faculty (Drs. Kron, Kern, Ailawadi, Ghanta, Gangemi, Tribble and Yarboro), the General Thoracic Surgery residents and the general thoracic surgery attendings (Drs. Kozower, Lau and Isbell).

 

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