Assessment of Didactic Transesophageal Echocardiography Education During Anesthesia Residency
Goldstein, Sheldon; Feierman, Dennis E; Samayoa, Gabriela M; Roth, Ram; Delphin, Ellise; Gubenko, Yuriy A; Stohl, Malka; Rimal, Jyotsna; Botea, Andrei; Zweig, Ronit; Skubas, Nikolaos J
Background/UNASSIGNED:Transesophageal echocardiography can be a useful monitor during noncardiac surgery, in patients with comorbidities and/or undergoing procedures associated with substantial hemodynamic changes. The goal of this study was to investigate if transesophageal-echocardiography-related knowledge could be acquired during anesthesia residency. Methods/UNASSIGNED:After institutional review board approval, a prospective observational study was performed in two anesthesiology residency programs. After a 41-week didactic transesophageal-echocardiography-education curriculum residents' exam scores were compared to baseline. The educators' examination was validated against the National Board of Echocardiography's Examination of Special Competence in Advanced Perioperative Transesophageal Echocardiography. Results/UNASSIGNED:= .0045). Conclusions/UNASSIGNED:The 41-week course resulted in significant increases in exam scores in all 3 CA-classes. While didactic knowledge can be learned by anesthesiology residents during training, it requires significant time and effort. It is important to educate residents in echocardiography, to prepare them for board examinations and to care for the increasingly older and sicker patient population. Further work needs to be done to determine optimal methods to provide such education.
PMCID:7664599
PMID: 33225014
ISSN: 2333-0406
CID: 4680242
Pharmacotherapeutic considerations in anesthesia
Goldstein, Sheldon; Amar, David
This article focuses on new findings leading to improved understanding of the pathophysiology and mechanisms of potential drug interactions between anesthetic drugs or techniques and cardiovascular medications in patients scheduled for surgery. Only the most frequently used drugs are reviewed. Elective surgery provides the luxury to consider these risks and alter therapy accordingly. Under urgent circumstances, however, the increased risks associated with these agents should be anticipated with the goal to minimize adverse effects while maintaining optimal cardiovascular function in the perioperative period.
PMID: 12549987
ISSN: 1521-737x
CID: 172029