Anesthesia Critical Care Fellowship Core Curriculum
- Cardiopulmonary resuscitation: ACLS and ATLS provider certification; leader of the SICU consult team (called to cardiopulmonary arrests and urgent endotracheal intubations in the hospital).
- Respiratory: airway management; respiratory failure–ARDS; pneumonitis; use of inhaled nitric oxide; ventilator weaning; respiratory mechanics and work of breathing; barotraumas; care of postoperative thoracic patients, including special considerations for tracheal and bronchoplastic surgery.
- Cardiovascular: rhythm analysis; therapy of arrhythmias; pacing; hemodynamic monitoring; biomechanics of hemodynamic pressure monitors; analysis of hemodynamic data; myocardial dysfunction; myocardial ischemia; valvular diseases; pericardial tamponade; pericarditis; pulmonary hypertension and right ventricular failure; use of vasopressors; shock –- etiology, pathophysiology, and treatment; mesenteric vascular disorders; peripheral vascular disease; thrombotic disorders.
- Renal/GU: renal physiology and dysfunction; renal failure –- chronic and acute; peritoneal dialysis; intermittent and continuous hemodialysis and ultrafiltration.
- Gastrointestinal: GI bleeding; liver dysfunction and failure; pancreatitis; management of stomas; ascites; intra-abdominal sepsis.
- Metabolic: acid-base disorders; electrolyte disorders; calcium, magnesium, and phosphorous disorders.
- Endocrine: management of diabetes in ICU patients; thyroid disorders; pituitary and adrenal dysfunction; parathyroid dysfunction.
- Infectious disease: culture and isolation techniques and interpretation; nosocomial and catheter-related infections; antibiotic resistance, dosing, and drug interactions.
- Neurologic: treatment of acute head injury; measurement and management of cerebral blood flow and intracranial pressure; subarachnoid hemorrhage; acute stroke, acute spinal syndromes; perioperative management of myasthenia gravis and other neurologic diseases.
- Ultrasound: The fast-paced intensive care unit (ICU) environment requires imaging techniques that provide immediate, detailed and accurate information at the patient bedside. As a result, ultrasonography has become an invaluable tool in the management of critically ill and injured patients and proves to be an essential modality for optimizing therapeutic procedures. The use of modern real-time ultrasound units for guidance during vascular and nonvascular procedures as well as for diagnosing specific emergent conditions such as cardiac pathologies, pericardia I tamponade, deep venous thrombosis (DVT), and other conditions in acutely ill ICU patients has risen dramatically in recent years due to its portability, ease of use and accurate evaluation. Ultrasound remains popular also because it is relatively inexpensive, and presents little threat to both patients and practitioners. Consequently, education and experience with ultrasound technology is an essential educational component of critical care training.
Department of Anesthesia,
Critical Care and Pain Medicine
55 Fruit Street
Boston, MA 02114
Public Transportation Access: Yes
Disabled Access: Yes