![]() ![]() Didactic teaching includes the weekly combined Cardiology/Cardiac Surgery/Cardiothoracic Anesthesiology Conference that is a forum for review of interesting and difficult cases, often involving presentation of echocardiography, weekly TEE Review, and monthly Cardiothoracic Anesthesiology Journal Club. Rotations include 1 month each in the echo lab, the cardiothoracic ICU, and attached to the adult congenital heart disease service. There are ample opportunities to perfect skill at thoracic epidural catheter placement, and management of single lung ventilation. Our lung transplant program is one of the larger programs in the country. ![]() The thoracic surgery practice, under the direction of Douglas Wood, MD, and Michael Mulligan, MD, is a large program, also with enormous complexity, including lung volume reduction, complex pulmonary resections and pulmonary thromboendarterectomy for chronic pulmonary embolization. Natrajan and Joffe, have extensive experience with both pediatric and adult congenital heart surgery. Verrier is an adult congenital heart surgery specialist. Adult congenital heart disease is a major emphasis. The program is of moderate size, but of enormous complexity, with many cases of valvular and adult congenital disease, heart transplant, cardiomyopathy requiring ventricular assist devices, and thoracic aortic surgery. Edmark Professor of Cardiovascular Surgery, and Gabriel Aldea, MD, Chief of Adult Cardiac Surgery. The cardiac surgery practice is under the direction of Edward Verrier, MD, Chief of Cardiothoracic Surgery and William K. We also make use of resources from our other hospitals- Northwest Hospital Medical Center, Childrens Hospital and Medical Center, and the Veterans Administration Medical Center. The core activities of the Cardiothoracic Clinical Fellowship take place at the University of Washington Medical Center. Further transthoracic echocardiography experience is gained through the use of transthoracic echo for postoperative hemodynamic management in the ICU. Fellows typically spend a month in the echocardiography laboratory becoming familiar with transthoracic echocardiography. The diverse echocardiography experience of our fellowship is well represented in the, “Atlas of Intraoperative Transesophageal Echocardiography” authored by Drs. A cardiac surgery population with a large proportion of valvular and adult congenital heart disease provides superb opportunities to observe cardiac structural pathology, ranging from the common to the very rare. Alan Pearlman and Catherine Otto) is available for consultation and participates in our teaching program. A world famous echocardiography laboratory (faculty includes Drs. Transesophageal echocardiography is performed in virtually all patients undergoing cardiac surgery, using the latest digital echocardiography imaging equipment. The University of Washington cardiothoracic anesthesiology division has superb resources in echocardiography, under the guidance of Donald Oxorn, MD, FACC, Professor of Anesthesiology and Medicine (Cardiology) and Director of Intraoperative Echocardiography. Chest 2016 149:315-52.Intraoperative echocardiography is the essence of state-of-the-art cardiothoracic anesthesiology practice. ![]() Antithrombotic Therapy for VTE Disease: CHEST guideline and Expert Panel Report. Management of massive and submassive pulmonary embolism, iliofemoral deep vein thrombosis, and chronic thromboembolic hypertension: a scientific statement from the American Heart Association. ![]() Harborview Medical Center Pulmonary Embolism Response Team (PERT)ġ. UW Medicine Montlake Pulmonary Embolism Response Team (PERT) Guidelines for Prevention of VTE in Hospitalized Patients – Part 2: Recommendations by Clinical Group Guidelines for Prevention of VTE in Hospitalized Patients – Part 1: Risk Assessment and General Recommendations ![]()
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