At UTMB the PGY-3 (CA-2) Anesthesiology resident is assigned to a one month rotation at the Shriners Hospital for Children, Galveston. The Galveston Shriners hospital is primarily a pediatric burn hospital specializing in the care of patients with either acute burn injuries or patients requiring reconstructive surgery.
Work at this hospital provides experience with all aspects of burn care in a state of the art burn center. Anesthesiology residents will be involved in acute resuscitation of patients with acute burns as well as their perioperative management during wound excision and grafting. These cases present significant challenges in airway management, vascular access, and fluid management that may involve massive blood loss. An attempt is made to make perioperative management plans compatible with ICU goals and hospital course.
Another significant challenge is provided by airway management for patients requiring reconstructive surgery for healed burn scars involving the face and neck. This rotation provides residents with experience with the use of the flexible fiberoptic bronchoscope and the placement of invasive vascular cannulas in pediatric patients. The hospital is a thirty bed facility on UTMB campus and is connected to John Sealy Hospital via a sky bridge.
Residents will rotate through the Shriners Burns Hospital for Children during the PGY3 year and can also do an elective rotation during the PGY4 year.