Stanford Vascular Rotation Educational Site

Curriculum Goals and Objectives

Identify common vascular procedures (e.g. major vessel bypass, carotid endarterectomy, AV fistula creation/repair) and describe their specific anesthetic management.
Outline preoperative, intraoperative, and postoperative concerns specific to the vasculopathic patient.
Demonstrate skills necessary for providing anesthesia for vascular surgery cases (e.g. establishing intravenous and arterial access in diseased vessels, appropriate heparin and protamine dosing, clear communication with surgical team regarding blood pressure management and timing of medication administration).
Obtain/maintain POC i-STAT certification for intraoperative ACT measurement.
Appreciate the wide range of management techniques utilized in vascular anesthesia: from complex general anesthetics for open abdominal aortic aneurysms to regional techniques for toe amputations. Become facile at choosing the best technique for the specific procedure in often very sick patients.
Apply skills honed in vascular cases (e.g. recognition of vasculopathic patients, labile blood pressure management, appropriate blood product preparation and transfusion) to broader range of practice.
Identify not only surgeon- and Stanford-specific preferences but describe alternative techniques in other practice settings (e.g. local anesthesia for carotid endarterectomy).