PGY-4 (CA-3 & Chief Year)

Beginning My Final Month Of Neuroanesthesia As A CA-3

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Tomorrow I’ll be beginning my second and final month of dedicated neuroanesthesia working with a large anesthesia group in Houston at our private, adult hospital. This is the same group I rotated with back in December 2015 on regional anesthesia (so – much – FUN!), so I’m definitely looking forward to the perks of working with these anesthesiologists again! Not to mention free parking… and access to the physician’s lounge… and no call! 😀

Cerebral blood flow autoregulation curves (Image:

I’ll be in cases ranging from spine and brain tumor resections to deep brain stimulations and neurointerventional radiology cases.

I’ve always been fascinated by the unique considerations and anesthetic challenges posed by patients with problems involving the central nervous system. Intracranial pressure (ICP) management, burst-suppression, awake craniotomies, neurophysiologic monitoring (ie, evoked potentials), and performing a timely neuroexam post-operatively are all facets of neuroanesthesia which I aim to improve on this month.

The first day of every new rotation is a little unnerving, but I’m hoping the skills I’ve garnered thus far in my training will translate well into this private practice rotation. 🙂

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