Table 1.
Anesthesiology In Vivo Skills Lab Curriculum.
| Introduction: |
| Basics of respiration and ventilation |
| Overview of anesthetic machines and ventilators |
| Refresher on basic anesthetic principles and monitoring |
| Regional Anesthesia Module: |
| Epidural and spinal placement |
| Review anatomy and kit contents |
| Place epidural catheters using kit provided |
| Perform lumbar puncture |
| Place lumbar paravertebral nerve block |
| Peripheral nerve block |
| Review equipment and anatomy |
| Stimulate the sciatic nerve |
| Block response with lidocaine provided |
| Intercostal nerve block |
| Review anatomy and identify ribs |
| Perform intercostal block |
| Thoracic Module: |
| Needle thoracostomy |
| Review anatomy and identify ribs |
| Perform thoracostomy (may create a pneumothorax) |
| Chest tube placement |
| Review pneumothorax and indications |
| Review anatomy and identify ribs |
| Place chest tube and secure with suture |
| Hemodynamics Module: |
| Central line and pulmonary artery (PA) catheter placement |
| Review anatomy and kit components |
| Set up and zero pressure transducer |
| Access femoral vein (percutaneously or via cut-down) |
| Place central venous catheter using kit provided |
| Exchange with an introducer kit over a wire |
| Place PA catheter and review waveforms |
| Arterial line placement |
| Review anatomy and kit components |
| Set up and zero pressure transducer |
| Access femoral artery (percutaneously or via cut-down) |
| Place arterial line using kit provided |
| Review hemodynamics |
| Mystery pharmacology |
| Administer drugs (provided) |
| Assess waveforms and hemodynamic responses |
| Identify drugs and review mechanisms of action |
| Airway Module: |
| Video laryngoscopy |
| Review indications and equipment |
| Perform laryngoscopy |
| Laryngeal mask airway (LMA) |
| Review indications and equipment |
| Place LMA |
| Fiberoptic bronchoscopy |
| Review anatomy and equipment |
| Drive bronchoscope and identify anatomy |
| Perform left bronchial blocker placement |
| Observe alterations in vital signs and perform auscultation |
| Endotracheal tube exchange |
| Review supplies and procedure |
| Exchange endotracheal tube using guide provided |
| Retrograde intubation |
| Review indications and anatomy |
| Review supplies and procedure |
| Perform retrograde intubation |
| Percutaneous airway |
| Review indications and anatomy |
| Review supplies and procedure |
| Extubate and perform percutaneous airway |
| Surgical airway |
| Review indications and anatomy |
| Review supplies and procedure |
| Perform surgical airway and intubate |
| Anatomy Module (following lab completion): |
| Thoracic anatomy |
| Perform left thoracotomy |
| Review anatomy and identify structures |
| Cardiac anatomy |
| Review anatomy and identify structures |