This rotation is based at the East Campus Hospital (ECH) of LLUMC, which is located approximately 1/2 mile from the University Hospital. Each resident is assigned to this 4-week rotation approximately once per academic year.
The rotation is unique in that the four residents assigned to the rotation will rotate through four different phases of perianesthesia care. A typical resident will go through this service in the following manner. The first day might be 24 hour in-house call. The resident will be responsible for covering the ICU, responding to Code Blue/RRT situations, and will cover the pain service at night. The next day, the resident will be relieved of clinical duty by 1000. The third day the resident will cover the pain service in the OR, placing blocks and managing perioperative pain. Day 4 the resident will be the "perioperative resident", covering the PACE cinic, helping with blocks, lines, and/or intubations.
The ECH is a growing state-of-the-art Rehabilitation Institute with 5 operating rooms that serve neurosurgery (spine), orthopedics, and plastic surgery services. During the one-month rotation, the resident will gain experience with neuraxial blocks, peripheral nerve blocks, and acute pain management. Neuraxial opioids, intravenous patient-controlled analgesia, continuous peripheral nerve catheters and combination techniques are widely utilized. Ultrasound and nerve-stimulator modalities are used for peripheral nerve blocks. A "hands-on" gross anatomy lab is held on alternate years as part of the regional anesthesia core curriculum.
In addition, the resident will be providing services for an 8-bed ICU. There will be surgical as well as medical ICU patients in this unit. Didactic lectures will be give at least 4 times per week, which will cover various ICU topics, as well as some pain/regional lectures.
This rotation is directed by John Lenart, MD.