I’m finished with the first week of my cardiothoracic anesthesiology fellowship, and after a year of ICU training, I can already see the benefits of knowing how these patients do post-operatively to take better care of them in the operating room. I’ve seen how certain combinations of anesthetics translate to outcomes like better pain control, facilitating rapid extubation, hemodynamic stability, etc. This insight has molded my approach to providing better perioperative care. 🙂
In the first week, I’ve already done some incredible cases and feel even more comfortable with transesophageal echocardiography (TEE). Furthermore, I absolutely love working with the residents to improve their understanding of physiology, the application of pharmacology, and many of the nuances inherent to cardiothoracic surgery.
I’m now looking forward to my first day as an attending intensivist tomorrow in the thoracic ICU!