Head and Neck Anesthesia and Advanced Airway Management

Head and Neck Anesthesia and Advanced Airway Management

Welcome to Stanford Head and Neck Anesthesia and Advanced Airway Management Program!

Contact Us

Stanford H&N Anesthesia and Advanced Airway Management Program (SAAMP)
E-mail: nek@stanford.edu

Our group is the largest and one of the busiest groups of the multispecialty anesthesia division (MSD) of the Department of Anesthesiology, Perioperative and Pain Medicine. Formally established in 1998, it currently includes 10 designated faculty anesthesiologists with a special interest and expertise in H&N anesthesia and advanced airway management, also making it the largest group of its kind in the country. Current faculty members include: Dr. Vladimir Nekhendzy (Chief of the Division and SAAMP Director), Dr. Erin Bushell, Dr. Alexander Butwick, Dr. Jeremy Collins, Dr. David Drover, Dr. Sara Goldhaber-Fiebert, Dr. Maeve Hennessy, Dr. Kevin Malott, Dr. Amit Saxena and Dr. Brita Mittal (H&N fellow).

In clinical care, we cover 3-6 operating rooms daily. The diverse surgical procedures range from major head and neck cancer and thyroid surgery to laryngologic, neurotologic, and skull base surgery, surgery for obstructive sleep apnea (OSA), transoral robotic surgery (TORS), oromaxillofacial and orthognatic surgery, facial cosmetic surgery, and others.

Over the years, our group has developed many special anesthetic protocols aimed at improving surgical outcomes, diminishing intraoperative airway morbidity, and increasing patient satisfaction. Some of the examples include detailed techniques for proper positioning of the NIM tubes for intraoperative monitoring of recurrent laryngeal nerve function during thyroid and skull base surgery, stratified use of opioid infusion techniques, anesthetic management for outpatient facial cosmetic surgery, instigation of dexmedetomidine use for intraoperative management of OSA patients and introduction of the Transnasal Humidified Rapid Insufflation Ventilatory Exchange (THRIVE) into clinical practice. We have also developed focused clinical approach to safe use of different advanced airway techniques for specific H&N surgical procedures.

In clinical and didactic teaching, a formal H&N Anesthesia/Advanced Airway Management rotation accommodates 2 residents per month. It has been consistently ranked among the top 4 rotations of the Stanford anesthesiology residency program, and has been the top residency rotation for the last two years (2015-2016). The rotation offers a carefully compiled curriculum with clearly defined, ACGME-compliant teaching goals and objectives. A structured residentís portfolio allows the rotation faculty and the residents to monitor the teaching/learning process.

Over the years, we have been privileged to share our clinical and teaching experience nationally and internationally. Our leading role in comprehensive resident education has been recognized by the international Society for Head and Neck Anesthesia (SHANA; www.shanahq.com), which has adopted its goals, objectives and curriculum after Stanfordís H&N Anesthesia program.

Our Stanford Advanced Airway Management Program (SAAMP) was established in 1998. Originally started as a simple teaching course on flexible fiberoptic intubation, SAAMP had gradually grown into an annual, weekend-long didactic and hands-on airway course for Stanford anesthesia residents, faculty, and critical care fellows. Since 2012, SAAMP offers Stanford CME Advanced Airway Management and Fiberoptic Course to national and international audience. It provides unique, multidisciplinary overview of the airway problems and their best practice solutions in the operating room, emergency department, and critical care settings. The course offers over 30 evidence based lectures and case-based discussions, 10 state of the art airway stations, and an integrated, 5 station fiberoptic intubation course.

Lead by H&N Anesthesia Group, SAAMP currently includes 22 faculty members from the departments of anesthesiology, emergency medicine, and otolaryngology-head and neck surgery. SAAMP members have presented lectures and hands-on courses nationally and internationally, in Brazil, Indonesia, China, South Africa, Israel, Switzerland, Ireland, and the U.K. In the last 5 years, we have held 9 state/national and 14 international SAAMP advanced airway courses, training over 1000 physicians.

In 2009, our H&N Anesthesia Division bolstered its leadership by establishing a one year clinical fellowship in H&N Anesthesia and Advanced Airway Management, the first fellowship of this kind in the U.S. The fellowship is highly structured and integrates didactic, clinical, difficult airway simulation and research components. A full description of the fellowship training is available at http://med.stanford.edu/anesthesia/education/clinical_fellowship.html and in the Fellowship Training section of this site. The Stanford fellowship experience is guiding the SHANAís mission for promoting advanced education in H&N anesthesia globally.

Stanfordís H&N Anesthesia Group continues to provide excellence in clinical services, education and research at Stanford. We welcome you to our educational resources and to our growing community!

 

Vladimir Nekhendzy, M.D.

Clinical Professor of Anesthesia and Otolaryngology
Director, Stanford Head & Neck Anesthesia & Advanced Airway Management Program (SAAMP)
President Society for Head and Neck Anesthesia (SHANA)
www.shanahq.com

E-mail: nek@stanford.edu

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