![]() I meet and consent them for epidurals if desired later. The patient tolerates the spinal block well hemodynamically, and after ensuring a T4 sensory level, the C-section is underway.ġ100: Two new patients arrive on L&D during the C-section. While she and Sachin discuss this, I prep the laboring patient for the epidural, which goes smoothly.Ġ830: I run to the OR to help Emmarie position the patient in the OB OR for a spinal anesthetic, which she places on the first stick. He agrees to the plan and we discuss implications of twin-pregnancy on neuraxial anesthesia, including the risk for exaggerated hypotension. ![]() She presents the patient to Sachin and suggests we perform a spinal anesthetic. She is otherwise healthy and her labor has just started. This is her first pregnancy and she is lucky enough to have twins however, the first twin is in a breech position. The short resident generally will take on the first C-section, so Emmarie goes to meet that patient. They would like to perform one C-section and feel that another patient would benefit from a labor epidural. Clay, our night resident kept busy overnight with a pair of C-sections and a labor epidural that is still running.Ġ730: Emmarie and I meet with the OB residents to discuss the current list of patients and their anticipated anesthesia needs. One Long Day ShiftĠ645: Clay, Emmarie, and I meet a few minutes before 7 am to make sure the two OB operating rooms are set for the day and to go over the current list of patients on the labor and delivery unit. Most senior residents elect the Fairfax rotation, as it is a high-volume center that helps them fine tune their neuraxial procedural skills.ĭescribed below are the events of a long day shift from a rotation on OB. During the CA-3 year, residents typically rotate for 1 or two weeks on OB anesthesia at UVA, then they have the option of working 3 weeks at Fairfax Hospital in Northern Virginia (our only rotation in a different hospital). Residents do one month of OB anesthesia in both their CA-1 and CA-2 year. Friday and Saturday are covered by 24 hour resident shifts, and the Sunday 24 hour shift is covered by a CRNA. During the week, two residents alternate working a short and long shift, 7am to 1pm and 7am to 7pm respectively, while the third resident covers the night shift from 7pm to 7am. The basic outline of the schedule divides between weekdays and weekends. Three residents share the responsibility and privilege of providing obstetric anesthesia over a four week period at UVA. Updated description provided by Matt Cross, Class of 2022 UVA Child Development & Rehabilitation Center.Translational Health Research Institute of Virginia.Institute of Law, Psychiatry & Public Policy. ![]() Child Health Research Center (Pediatrics).Thaler Center for AIDS & Human Retrovirus Research Center for Immunity, Inflammation & Regenerative Medicine.Center for Behavioral Health & Technology.Molecular Physiology & Biological Physics.Microbiology, Immunology, & Cancer Biology (MIC). ![]()
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