Head and Neck Anesthesia and Advanced Airway Management Fellowship
The Head and Neck Anesthesia/Advanced Airway Management fellowship offers comprehensive didactic teaching curriculum during the fellowship year of training.
The program is multidisciplinary, and enjoys lecture contributions from all the members of the Head and Neck Anesthesia group, other expert faculty members of the department, as well as our Head and Neck surgical colleagues, and ICU and ED physicians.
The program can be grouped according to the following categories:
Head and Neck Anesthesia: a) general topics; b) special topics and techniques and surgical considerations;
Advanced Airway Management: a) general topics; b) special techniques and situations; c) hands-on practice & high-fidelity simulation
We are proud to offer a one-year combined head and neck/advanced airway anesthesia fellowship. The Stanford head and neck/advanced airway teaching program has been in place since 1998, and our department has pioneered this subspecialty fellowship training in the U.S. in 2009.
This unique fellowship is highly structured, integrating didactic, clinical, simulation and research components. Comprehensive lectures and discussions are combined with outstanding opportunity to manage complex cases, and to acquire state-of-the-art advanced airway management skill sets in real life situations. The Stanford head and neck anesthesia division is one of the busiest in the department, and runs 3-6 operating rooms every day. We perform over 3,000 H&N anesthetics annually.
The surgical procedures range from major head and neck cancer surgery to complex laryngeal surgery, transoral robotic surgery (TORS), surgery for obstructive sleep apnea, advanced neurotologic and skull base surgery, functional endoscopic sinus and pituitary surgery, facial plastic surgery, as well as maxillofacial and orthognatic surgery. The fellow(s) will learn unique anesthetic implications for these procedures, and become proficient with pharmacokinetic principles of different opioid infusions, and administration of total intravenous anesthesia and deliberate hypotension. The trainee(s) will also master different jet ventilation techniques and the use of the advanced oxygenation techniques, such as THRIVE (transnasal humidified rapid-insufflation ventilatory exchange) for laryngologic surgery. Simulation-based difficult airway management is also included as part of the fellowship training.
Although the majority of training will be on the adult patient population, participation in the anesthesia care of pediatric head and neck surgical patients, many of whom present to Stanford with congenital airway abnormalities, can be arranged.
Flexibility in the fellowship curriculum is allowed, and the program can be structured to suit the individual needs. We will accept 1-2 qualified individuals each year. All applicants must have a strong commitment to excellence in clinical care, education, and research, which will constitute an integral part of the fellowship year.
Vladimir Nekhendzy, M.D.
Clinical Professor of Anesthesiologya and Otolaryngology
Director, Stanford Head & Neck Anesthesia & Advanced Airway Management Program (SAAMP)
Past President, Society for Head and Neck Anesthesia (SHANA)