|Anesthesia rotation pre-day 3
||[Oct. 5th, 2005|06:29 am]
So I've intubated 5 patients so far and done epiglotoscopy on a sixth. That's a fancy way of saying despite my best efforts on the sixth patient, I was unable to visualize the whole larynx or vocal cords, and thus decided not to attempt the intubation. I've also decided that intubation in the non-urgent setting is for the most part pretty easy, and the challenge lies in having enough experience to handle patients with very anterior anatomy or very small mouths etc. I definitely feel like by the end of my two weeks I will feel confident enough to attempt an intubation in a code setting.|
Since I am the only medical student at TMH on anesthesiology rotation, I am working principally directly with the chief of anesthesiology. It took me the first day to learn how best to interact with him, but it has gone smoothly since making these adjustments. He is very big on using different situations to not only provide specific procedural experience, but to highlight larger issues in medical education and practice. Yesterday the big take-home message was that when you really want to know how a patient is doing, to make it easy for them to give you the answer you don't want to hear. Definitely another arrow in the quiver for my patient interaction skills.
I don't think I would seriously consider anesthesiology as a specialty choice, but it is good to see this field up close for the experience it is giving me and the contrast it will provide to fields I have yet to see.