2016 Sentara Heart Annual Report

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Cardiac Anesthesiology

With 10 board-certified cardiothoracic anesthesiologists, Sentara Heart provides 100 percent physician-staffed anesthesiology services. The physicians of Anesthesia Specialists work exclusively with the cardiothoracic surgeons and cardiologists, allowing patients to benefit from a dedicated and collaborative team of physician experts who perform high volumes of innovative procedures. Each one has completed a full residency in general anesthesia as well as advanced fellowship training in cardiothoracic anesthesiology and critical care.

This team of subspecialists excels in the management of critically ill patients undergoing complex operations, which encompasses the use of invasive monitoring techniques, single-lung ventilation, management of cardiopulmonary bypass, advanced hemodynamic management, and the control of postoperative pain.They are skilled at reading and interpreting intraoperative transesophageal echocardiograms.This allows the team to diagnose unexpected coronary and valve problems, confirm already suspected disease processes, and determine the success of a procedure, all within the surgical suite.

Cardiothoracic anesthesiologists are exclusively dedicated to the care of patients undergoing surgery of the heart and lungs. They assist in the following cases:

  • Coronary artery bypass surgeries
  • Valve repairs and replacements
  • Open aortic procedures
  • Thoracic and lung surgery
  • Heart transplant
  • Ventricular assist devices
  • High-risk interventions in the cath lab
  • Transcatheter aortic valve replacement (TAVR)
  • MitraClip
  • WATCHMAN left atrial appendage closure device
  • EP Lab procedures, ablations, pacemakers, and implantable cardioverter defibrillators (ICD)
  • Extracorporeal life support (ECLS), including extracorporeal membrane oxygenation (ECMO)

Cardiothoracic anesthesiologists at Sentara Heart immerse themselves in advanced training and technologies. They collaborate on innovative procedures such as MitraClip, WATCHMAN, and TAVR. Many of the cardiothoracic anesthesiologists are actively involved in hospital leadership committees focusing on patient safety, clinical quality, root cause analysis, best practices, ethics, and more.

The dedicated, skilled and experienced cardiothoracic anesthesiology team contributes to the ability of Sentara Heart to provide services that would otherwise not be available in the community.They play a crucial role in producing excellent morbidity and mortality rates, especially given the acuity level of the population we serve.