Our thoracic ICU rotation is perhaps the most difficult rotation we have as anesthesia critical care fellows. For two weeks, we’re q2 call (meaning on call every other day). The patients are super sick, but the pathologies are incredibly fascinating.

Esophagectomies, pleurectomies, lung transplants, and a myriad of other procedures are brought post-operatively to the thoracic ICU. The post-op management of these patients is intense, as they can crump at any time for any reason – bleeding, hypotension, dysrhythmias, pneumothorax, myocardial infarction, hypoxemia, aspiration, etc.

I was fortunate to have a great team of residents for the last two weeks! Together, we performed procedures ranging from bronchoscopies to line placements and discussed comprehensive plans for each patient.

I’ll be moving on to my first real elective as a fellow – two weeks on the infectious disease (ID) service! Hope to learn more about the finer points of ID as its a field that’s incredibly relevant to the ICU setting. 🙂

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