DEPARTMENT OF ANESTHESIOLOGY ANNUAL REPORT

CLINICAL ACTIVITIES
OTOLARYNGOLOGY,
HEAD, NECK/NEURO-
ANESTHESIOLOGY
Cecil O. Borel, M.D.,
Chief, Division of Otolaryngology,
Head, Neck/Neuroanesthesia
Medical Director, Neurosciences
Intensive Care Unit
Associate Professor of
Anesthesiology
Associate Professor of Surgery
(Neurosurgery)
Members
John C. Keifer, M.D.
Kathryn P. King, M.D., MSN
Ziaur Rahman, M.B., B.S.
Dianne L. Scott, M.D.
Alan B. Shang, M.D.
Bryant W. Stolp, Ph.D., M.D.
Jeffrey M. Taekman, M.D.
David S. Warner, M.D.
Carleen E. Bagnall, CRNA, BSN
Cythia R. Black, CRNA
Russell T. Giesler, CRNA, BSN
Janet L. Margeson, CRNA
Michele D. Moody, CRNA, BSN, RN, MS
John F. Pierce, CRNA
Kena B. Sigman, CRNA, MSN
James M. Temo, CRNA, MSN, MBA
62 CLINICAL ACTIVITIES
The Otolaryngology, Head, Neck/Neuroanesthesia
Division provides anesthetic
care for patients undergoing head and
neck surgery, neurological surgery,
neuroradiological procedures, aesthetic
surgery, and electroconvulsive therapy
(ECT).
Otolaryngology, Head,
Neck/Neuroanesthesia/
Airway
Bryant W. Stolp, Ph.D., M.D.
Section Chief
The Otolaryngology, Head, Neck/
Neuroanesthesia/Airway group provides
anesthetic care for adults undergoing
procedures such as: complex head and
neck surgery, airway laser surgery, and
translabrynthine acoustic surgery. In
addition, this group focuses on developing,
maintaining, and providing equipment
and expertise for managing difficult
airways in the OR and hospital
environment.
Teaching efforts have included individual
instruction in use of fiberoptic
and alternative laryngoscopic techniques.
Each year the group presents a
fiberoptic workshop for both residents
and faculty. This year the workshop
was expanded to include more hands
on workstations for the demonstration
and practice of such emergency airway
management skills as cricothyrotomy,
FastTrach LMA, Upshur scope and jet
ventilation. The usual adult and pediatric
fiberoptic stations were upgraded
with the addition of new mannequins
and videos with good success. Perhaps
the best improvement was the addition
of live pig lab stations used to perfect
fiberoptic intubation techniques under
conditions simulating those in the OR.
Future plans include compilation of an
emergency airway management teaching
guide to be used in conjunction
with the manual for resident rotation
on OHN anesthesia. We are still seeking
out space to relocate the permanent
airway management workstation. This
was an extremely useful site for both
residents and faculty alike to practice
intubation skills using a variety of techniques
immediately prior to induction
in the OR. (While in existence we had
no reports of broken fiberoptic scopes!).
We hope to expand this workstation
to include interactive computer simulations
of airway cases. We are actively
involved in the developing teaching
scenarios for the new human anesthesia
simulator. We will be expanding the
teaching to include faculty, fellows,
nurses, and residents from other services.
A final accomplishment this year
includes the creation of special Anesthesia
emergency airway packs located
on all Code carts in the OR and at all
anesthetizing sites out of the OR. Hopefully,
this will allow our anesthesia providers
immediate access to necessary
equipment before the onset of adverse
outcomes.
Neuroanesthesia
John C. Keifer, M.D.
Section Chief
Group members provide anesthesia
for adults undergoing brain and spinal
cord surgery. Anesthesiologists provide
management for specialized neuroanesthesia
care such as the following:
patients in sitting position, cerebral
John C. Keifer, M.D.