Head and Neck Anesthesia and Advanced Airway Management Fellowship

Didactic Curriculum

H&N/ADVANCED AIRWAY FELLOWSHIP DIDACTIC TEACHING CURRICULUM

The H&N 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 H&N anesthesia group, other expert faculty members of the department, as well as our H&N surgical colleagues, and ICU and ED physicians.

The program can be grouped according to the following categories:

  • H&N anesthesia: general topics
  • H&N anesthesia: special topics and techniques and surgical considerations
  • Advanced airway management: general topics
  • Advanced airway management: special techniques and situations
  • Advanced airway management: hands-on practice & high-fidelity simulation
  • Journal club and Case discussions
 

H&N ANESTHESIA: GENERAL TOPICS
    1. General principles of H&N anesthesia

 

Nekhendzy
    2. PKPD principles relevant for the anesthesiologist

 

Lemmens
    3. PKPD of anesthetic drugs in obesity

 

Lemmens
    4. Intraoperative EEG monitoring

 

Drover
    5. Anesthetic considerations for a geriatric patient

 

Drover
    6. Opioid pharmacology. Total intravenous anesthesia.

 

Shafer
    7. Controlled hypotension

 

Sheehan
    8. Selected topics in transfusion medicine

 

Panigrahi

H&N ANESTHESIA: SPECIAL TOPICS
    9. Clinical evaluation of the OSA patient. Drug-induced sleep endoscopy (DISE).

 

Capasso
   10. Obstructive sleep apnea and the anesthesiologist. Anesthetic considerations for OSA surgery.

 

Doufas, Nekhendzy
   11. OSA surgery: surgical decision-making. Maxillo-mandibular advancement (MMA) and adult craniofacial surgery.

 

Liu
   12. Anesthetic considerations for laryngologic surgery. Jet ventilation: principles and practice.

 

Nekhendzy
   13. Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE): applications for laryngologic surgery. THRIVE and laser precautions.

 

Nekhendzy
   14. Lasers and phonomicrosurgery. Laser ETTs.

 

Sung, Nekhendzy
   15. Cranial base anatomy and selected topics in otologic/neurotologic surgery relevant for the anesthesiologist. Anesthetic considerations for otology/neurotology. Principles of the safe use of PPV through the supraglottic airways.

 

Jan, Nekhendzy
   16. Selected topics in endoscopic sinus surgery (FESS) and pituitary surgery relevant for the anesthesiologist. Anesthetic considerations for FESS and pituitary surgery.

 

Kim, Phillips, Saxena
   17. Patient for facial cosmetic surgery: working as a team. Cosmetic septorhinoplasty. Anesthetic considerations for facial cosmetic surgery.

 

Most, Pepper, Nekhendzy
   18. Selected topics in H&N cancer surgery relevant for the anesthesiologist. Transoral robotic surgery (TORS).

 

Holsinger
   19. Anesthetic considerations for TORS and major H&N cancer and free flap reconstruction surgery

 

Hutton
   20. Recurrent laryngeal nerve (RLN) monitoring and RLN injury. Anesthetic considerations for thyroid and parathyroid surgery. NIM tubes.

 

Noel, Cheng

AIRWAY MANAGEMENT: GENERAL TOPICS
   21. ASA difficult airway algorithm: best practice strategies for success

 

Nekhendzy
   22. Critical decision-making in ASA difficult airway algorithm

 

Nekhendzy
   23. Upper airway anatomy relevant for the anesthesiologist. Preoperative endoscopic airway examination (PEAE).

 

Dewan, Nekhendzy
   24. Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE): mechanisms of action and its use in difficult airway management

 

Nekhendzy
   25. Pediatric difficult airway

 

Ramamurthi
   26. Extubation of the difficult airway and management of the difficult airway in ICU

 

Brun
   27. Surgeon’s perspective on difficult airway. ENT airway tools and operating laryngoscopes.

 

Damrose
   28. Management of the difficult airway in the emergency department. Prehospital airway management.

 

Wagner, Saxena
   29. Human factors in airway management

 

Goldhaber-Fiebert
   30. Awake tracheostomy. Tracheostomy tubes and care.

 

Dewan

AIRWAY MANAGEMENT IN H&N SURGERY:
SPECIAL TECHNIQUES, SITUATIONS and HANDS-ON
   31. Difficult airway and obesity

 

Sheehan
   32. Management of the obstructed airway

 

Nekhendzy
   33. Flexible scope intubation: fundamental technical skills, indications and contraindications, patient selection and preparation. Difficult flexible scope intubation.

 

Drover, Saxena, Mittal
   34. Patient preparation for awake intubation and awake intubation techniques

 

Saxena, Mittal, Drover
   35. Advanced flexible scope intubation techniques. Supraglottic airways – ETT exchange.

 

Mittal
   36. Anatomy and physiology of the LMA function and insertion. Supraglottic airways.

­

Butwick, Goldhaber-Fiebert
   37. Hands-on: Flexible scope intubation (FSI)

 

 Drover, Mittal, Cheng, Saxena
   38. Hands-on: FSI ETT-SGA exchange

 

Mittal, Cheng, Saxena, Drover
   39. Hands-on: Video laryngoscopy, Rigid fiberoptic stylets, Combined endoscopy techniques

 

Saxena, Mittal, Cheng, Drover
   40. Hands-on: SGAs and intubating LMA

 

Butwick, Goldhaber-Fiebert, Nekhendzy
   41. Hands-on: Retrograde intubation

 

Tanaka, McAvoy