CARDIOTHORACIC INTENSIVE CARE UNIT CLINICAL ANESTHESIA ELECTIVE

Prerequisites & course information

Requisites: Graduate/professional standing Course Designation: Grad 50% - Counts toward 50% graduate coursework requirement Repeatable for Credit: Yes, unlimited number of completions Last Taught: Fall 2026 Learning Outcomes: 1. Define shock and list the categories of Shock Audience: Graduate 2. Describe the clinical presentation of all forms of shock including hypovolemic under resuscitated hemorrhagic cardiogenic of valvular left ventricle and right ventricle etiologies vasoplegic and mixed shock states Audience: Graduate 3. Describe a goal orientated physical examination for a patient in shock Audience: Graduate 4. Diagnose a patient's shock state with the use of physical examination and advanced monitors including arterial lines pulmonary arterial catheters central venous pressure and echocardiography Audience: Graduate 5. Develop a management plan for a patient's shock state by appropriate use avoidance of fluids pressors vasodilators and inotropes of varying combinations Audience: Graduate 6. Describe the different valvular cardiomyopathies and describe the hemodynamic goals for these clinical states in the precorrection and post correction states Audience: Graduate 7. Describe lung protective ventilation Audience: Graduate 8. Describe how optimal PEEP is determined at the bedside Audience: Graduate 9. Assess for ventilator synchrony and compliance Audience: Graduate 10. Describe ventilator modes and breath delivery for the following: pressure regulated volume control pressure control assist control volume control assist control synchronized intermittent mechanical ventilation and pressure support Audience: Graduate 11. Adjust ventilator settings to improve synchrony or the acid base status of a patient Audience: Graduate 12. Describe a typical checklist for extubation readines, and determine if a patient is appropriate for extubation at the bedside Audience: Graduate 13. Interpret arterial blood gases including calculation of compensation Audience: Graduate 14. Describe the coagulopathy of cardiac bypass Audience: Graduate 15. Determine if a patient needs to return to the operating room for emergent or uncontrolled bleeding Audience: Graduate 16. Describe how we evaluate coagulopathy and how advanced laboratory parameters are used to assess coagulopathy and guide management Audience: Graduate 17. Based on a clinical situation including history and laboratory evaluation determine the appropriate transfusion strategy for a bleeding patient Audience: Graduate 18. Develop a multimodal analgesia plan for postoperative patients Audience: Graduate 19. Describe the postoperative hemodynamic goals for patients after valvular repair and for patients undergoing heart transplant or ventricular assist device placement Audience: Graduate 20. Describe how bypass and postoperative critical care impacts the risk of acute kidney injury Audience: Graduate 21. Describe methods we use to decrease the risk of delirium Audience: Graduate Learning Outcomes: 1. Define shock and list the categories of Shock Audience: Graduate 2. Describe the clinical presentation of all forms of shock including hypovolemic under resuscitated hemorrhagic cardiogenic of valvular left ventricle and right ventricle etiologies vasoplegic and mixed shock states Audience: Graduate 3. Describe a goal orientated physical examination for a patient in shock Audience: Graduate 4. Diagnose a patient's shock state with the use of physical examination and advanced monitors including arterial lines pulmonary arterial catheters central venous pressure and echocardiography Audience: Graduate 5. Develop a management plan for a patient's shock state by appropriate use avoidance of fluids pressors vasodilators and inotropes of varying combinations Audience: Graduate 6. Describe the different valvular cardiomyopathies and describe the hemodynamic goals for these clinical states in the precorrection and post correction states Audience: Graduate 7. Describe lung protective ventilation Audience: Graduate 8. Describe how optimal PEEP is determined at the bedside Audience: Graduate 9. Assess for ventilator synchrony and compliance Audience: Graduate 10. Describe ventilator modes and breath delivery for the following: pressure regulated volume control pressure control assist control volume control assist control synchronized intermittent mechanical ventilation and pressure support Audience: Graduate 11. Adjust ventilator settings to improve synchrony or the acid base status of a patient Audience: Graduate 12. Describe a typical checklist for extubation readines, and determine if a patient is appropriate for extubation at the bedside Audience: Graduate 13. Interpret arterial blood gases including calculation of compensation Audience: Graduate 14. Describe the coagulopathy of cardiac bypass Audience: Graduate 15. Determine if a patient needs to return to the operating room for emergent or uncontrolled bleeding Audience: Graduate 16. Describe how we evaluate coagulopathy and how advanced laboratory parameters are used to assess coagulopathy and guide management Audience: Graduate 17. Based on a clinical situation including history and laboratory evaluation determine the appropriate transfusion strategy for a bleeding patient Audience: Graduate 18. Develop a multimodal analgesia plan for postoperative patients Audience: Graduate 19. Describe the postoperative hemodynamic goals for patients after valvular repair and for patients undergoing heart transplant or ventricular assist device placement Audience: Graduate 20. Describe how bypass and postoperative critical care impacts the risk of acute kidney injury Audience: Graduate 21. Describe methods we use to decrease the risk of delirium Audience: Graduate