Washington University Med Center - Barnes Jewish Hospital

Chairperson: Alex S. Evers, M.D.

CV Anesthesia:

Address: Department of Anesthesiology, Campus Box 8054, 660 S. Euclid Avenue,

St. Louis, MO 63110

Telephone: (314)362-1196 Fax: (314)747-3977

General Program Information

# of CA-4, 5: 4

Type of fellowship training available: Clinical only, Clinical/Clinical Research

Responsibility: Clinical 80% Non-Clinical 20%

Salary: $50,000

Minimum length of training: 12 months

# of CA-4, 5 fellows completing 12 or 24 month cardiovascular training in last five years: 11

# CA-3 residents completing 12 months cardiovascular training in last five years: 5

Faculty

Cardiac Anesthesia Faculty -- Research Interest and/or Clinical Expertise

Michael Avidan, MD -- Outcome Studies
Assistant Professor of Anesthesiology and Cardiothoracic Surgery

Charles De Wet, D -- Echocardiography, Arrhythmias
Assistant Professor of Anesthesiology and Cardiothoracic Surgery

George Despotis, MD -- Coagulation, CPB
Associate Professor, Anesthesiology, Immunology & Pathology

Charles B. Hantler, MD -- Clinical Trials, Patient Monitoring
Professor of Anesthesiology and Cardiothoracic Surgery

Laureen Hill, MD -- Arrhythmias, Perioperative Preparation
Assistant Professor of Anesthesiology and Cardiothoracic Surgery

Eric Jacobsohn, MD -- Early Extubation, Intensive Care Management
Director, Cardiothoracic ICU
Associate Professor, Anesthesiology, Immunology & Pathology

Demetrios Lappas, MD, PhD -- Hemodynamic Monitoring, Cardiac Function, Echocardiography
Professor of Anesthesiology

Ajit Nagra, MD -- Thoracic Surgery, Pain Management
Instructor, Anesthesiology

Paul Zanaboni, MD, PhD -- Thoracic Anesthesia, Lung Injury
Assistant Professor of Anesthesiology and Cardiothoracic Surgery

Academic Program

Fellow conferences: 2 per week Type: Clinical, Fellow presentation

Extra-institutional educational conference support: 1-2 meetings per year

In last five years fellows were 1st and 2nd author on: 15 Abstracts, 12 Journal articles

Funding: Dept/Institutional Funds, Pharmaceutical/equipment industry grants

Echocardiography instruction: inside OR, specific rotation (duration 2 months)

Critical care rotation: not available

Clinical Program

# of cardiac procedures with CPB per year: 850

# of non-cardiac thoracic cases per year: 1,200

# of heart, lung and heart/lung transplants per year: 80

# of major vascular cases per year: 20 (all other vascular surgery is done in the general OR)

Distribution of cardiac cases: 75% CABG, 25% Valves, very few adult Congenital (over 350 pediatric cardiac operations at Childrens Hospital)

Operating Room equipment available: transesophageal echocardiography, ECG ST segment analysis, mixed venous oximetry, continuous cardiac output, intraoperative ECG mapping for arrhythmia surgery

Special features, requirements or comments about program: Center for Maze Procedures, lung transplants, lung volume reduction. Cardiac rotation at Childrens Hospital 2 to 6 months. Rotation in vascular surgery. Provides training in cardiac, thoracic and vascular anesthesia, as well as rotation at Childrens Hospital in cardiac anesthesia.