April 12, 2017
Congratulations to all on a fantastic match day! We are ecstatic to welcome our 15 incoming interns from around the world. They’ll be inundated with paperwork soon enough and Friday June 23rd will be here before you (and they!) know it. Check out this article, titled “Residency Program Director Reveals Match Day Highlights,” for more details about the incoming class.
I hope you had an opportunity to meet Dr. Jeffrey Plagenhoef, the ASA President and chairman of the Anesthesiology Department at Baylor Scott and White Hillcrest Medical Center in Texas. He spoke on professionalism and advocacy at a reception which united Duke, UNC, Wake Forest, and other NCSA physicians in the triangle and gave a fantastic grand rounds on threats the future of anesthesiology and ASA’s strategies to address them.
Angela and Jack have begun working on 2017-2018 schedules as vacation and scheduling (for rising CA-2s and CA-3s) forms were due last week. Some new rotations include perioperative medicine for interns as well as the continuation of subspecialties during the end of CA-1 year. Speaking of schedules, if you haven’t heard, the residents OR schedule will officially be in QGenda starting July. Residents will receive email updates on day of cases and any changes that occur. As with any system change, there may be a few bumps in the road, so please be patient. We’re also working on CA1 orientation that will begin Monday, June 12th.
This week is the celebration of GME week! GME trainees make an incredible difference in every aspect of patient care and this week celebrates you! Stop by the cafeteria Tuesday or Wednesday to pick up your gift and meal pass, courtesy of Hospital Administration. You’re also invited to the group picnic at the Durham Bulls park this Thursday! You should have received an email from paperless port for this game (and our annual housestaff celebration on June 3rd).
Check out our DARE blog in the coming weeks to see the amazing global health activities Duke Anesthesiology Residency is involved in (hint: Guatemala, Ghana, and Haiti). We’ll have some great takes from Dr. Aaron Sandler, Dr. Brad Taicher, and our very own, Dr. Brian Rogers, Dr. Anu Doshi, and Dr. Stephanie Jones.
Rising CA-2s and CA-3s, don’t forget to complete your moonlighting request form that Jessica sent out last week for the 2017-2018 year. This is very important and easy to check off the to-do list.
Have a great week!
Presented at ASA 2016
Obstruction of Endotracheal Tube in an Infant With a Retropharyngeal and Anterior Mediastinal Abscess
Dennis B. Thapa, MD, Nathaniel H. Greene, MD, Andrea G. Udani, MD
Intraoperative ventilatory failure is not an uncommon complication, however, acute endotracheal obstruction by a foreign body or blood clot can be difficult to quickly discriminate from other causes. Once the diagnosis is made, quick action is needed to restore ventilation. The ultimate solution is to exchange the endotracheal tube; however, there can be other ways of resolving this in situations where reintubation would be difficult or unsafe. This case report talks about such an event in an infant with multiple airway challenges including a retropharyngeal and anterior mediastinal abscess. We have also formulated an algorithm based on complete ETT obstruction.
CENTRAL LINE – 4/16 – 4/22
This weekend (4/15-16): Hulsey, Hall
Next weekend (4/22-23): Smith, Bangor
This week (Sat PM 4/15* – Fri AM 4/21): Rogers*, Anderson (*Jia covering Roger’s Sat PM 4/15)
Next week (Sat PM 4/22 – Fri AM 4/28): Seifert, Pleticha
Friday Night Call
This Friday (4/14): Smith, Pleticha
Next Friday (4/21): Overmon, Devinney
Liver Call Weekend (pager: 7320)
This weekend (Fri PM 4/15 – Sun PM 4/16): S. Jones
Next weekend (Fri PM 4/22 – Sun PM 4/23): Van Hoomissen
Liver Call Weekday (pager: 7320)
Liver day (Mon AM 4/17-Fri PM 4/21): L. Jones
Liver night (Sun PM 4/16 – Fri AM 4/21): Hulsey
Saturday 4/15 AM: Seifert
Saturday 4/15 PM: Bluth
Sunday 4/16 AM: Mangubat
Saturday 4/22 AM: Falcinelli
Saturday 4/23 PM: Jia
Sunday 4/24 AM: Overmon
This Friday (4/14): Bangura, Chen
Next Friday (4/21): Donald, Devinney
Simulator (4-6 p.m. — page charge CRNA *7853 to ask for relief at 3:45 p.m.)
*These are mandatory sessions*
Mon (4/17): Cobert, Donald, Fox
CA3 on call pager (970-9313) is covered by CA3 on general OR call.
Liver call pager (970-7320) is always covered.
Have a good week!
Please stop by during the office hours listed below. Or, please feel free to contact any of our leadership to schedule a meeting outside of standard office hours.
Don’t forget to register for the Transition to Practice joint conference with UNC!
Duke Health wants to showcase our residents online! Please contact Jennifer Schwabel and Jessica Burkhart if you’re interested in creating a video for your physician profile page! Check out Dr. Thomas Buchheit’s profile video for a great example.
Want to talk with someone?
Personal Assistance Service (PAS) is the faculty/employee assistance program of Duke University, that is FREE. The staff of licensed professionals offer assessment, short-term counseling, and referrals to help resolve a range of personal, work, and family problems. PAS services are available at no charge to Duke faculty and staff, and their immediate family members. An appointment to meet with a PAS counselor may be arranged by calling the PAS office at 919-416-1PAS (919-416-1727), Monday through Friday between 8:00 A.M. and 5:00 P.M. If you need assistance outside of those hours, call the Blood and Body Houtlins (684 1115) for behavioral health concerns.
This Week in Lectures
CA1 (4/11): Cardiac Output: What determines it? (You might be surprised) with Dr Michael Shaughnessy
CA2/3 (4/12): Airway Blocks with Dr Bret Stolp
Interns (4/13): Respiratory Devices with Jason Boyle, RRT-ACCS
Thursday (4/13): Clinical Case Conference with Dr Brad Taicher
Next Week in Lectures
CA1 (4/18): What to do when the surgeon tell you that the brain is “tight”? with Dr Dhanesh Gupta
CA2/3 (4/19): Cricothyrotomy Lab with Dr Bret Stolp
Thursday (4/20): Quality Improvement Presentations with Dr Brad Taicher
Private practice group in Lewes Beach Delaware is expanding! See Dr Jay Hutson’s email in the jobs box account for more details about the job and how to reach him.
Emory is expanding faculty – high risk OB, peds, cards, thoracic, general cases, etc. Contact Dr Bola Faloye, 2013 alumni, for more information. Contact information is in box account!