Pediatric Anesthesia

The broad range of pediatric surgical illness presenting at Tisch and Bellevue Hospitals provides residents with abundant clinical opportunities. Minimum pediatric case requirements are quantified by the American Board of Anesthesiology, and residents in the NYU Program easily exceed those requirements. Residents begin on the Pediatric Anesthesia Service after completion of one full year of general anesthesia training. Tutorial is provided at the start of the rotation which highlights the many differences between adult and pediatric anesthesia, including equipment, pre-operative evaluation, pre-medication, anesthetic and homeostatic maintenance, and post-operative analgesia. Residents remain on the service at Tisch for four consecutive weeks, during which time these lessons are reinforced by hands-on patient care. Residents then move on to Day Surgery for two additional weeks, providing anesthesia care for more routine "bread and butter" cases. Clinical experience at Bellevue is interspersed throughout the second and third years of the residency program.

The focus of the pediatric anesthesia rotation is to produce residents with a firm grasp of fundamental skills. These skills include pediatric airway evaluation, mask induction, mask airway maintenance, and endotracheal intubation; venous and arterial cannulation; maintenance of physiologic homeostasis; and exposure to regional techniques for anesthesia as well as post-operative analgesia. A schedule of lectures for residents is posted monthly and repeated on that interval; lectures reflect the content coverage suggested by the American Board of Anesthesiology. A reading list is provided and residents are encouraged to read material relevant to patient management that can be discussed pre-operatively or during OR cases. Every effort is made to provide one-to-one attending/resident staffing in the operating room so that clinical experience is maximized. Lastly, performance feedback is provided weekly to residents during the rotation through both verbal and written evaluations. Every attempt is made to identify weaknesses in basic skills so that improvement can be made in a timely manner.