Anesthesia Manual

Table of Contents
Welcome 1

Learning Objectives 2-4

Elective/Rotation Details 5-6

O.R. Schedule/Activities 7-9

On-Call Schedule 10

Rounds 11

Lecture Series/Textbook 12

Evaluations 13-14

T-Clerk Activities 15

Electives 16-18

Contact Information 19-20
Anesthesia Elective/Rotation Manual
2010-2011
Anesthesia UGME 2010-2011
1
Welcome

Welcome to the Department of Anesthesia at the University of Ottawa. We hope that you have
an enjoyable and informative rotation with us. This handout will give you some guidelines to
get the most out of your stay.

As a medical student, you will be spending your time in the operating room with a resident
and/or staff Anesthesiologist. You will be assigned to a different Anesthesiologist for each day
of your elective/rotation. Requests to shadow specific Anesthesiologists may be accommodated
depending on staff/O.R. availability. During your elective/rotation, you will be expected to work
one evening call (until 10pm); you will be under the supervision of the on-call resident.

Dr. Nikhil Rastogi is the Undergraduate Director and site coordinator at the General campus.
France Greenwood is the administrative assistant for the General campus Department of
Anesthesia and will conduct the General site orientation on the first day of your
elective/rotation.

Julie Ghatalia is the site coordinator at the Civic campus. Julie is also the undergraduate
coordinator for the Department of Anesthesia and will conduct the Civic site orientation on the
first day of your elective/rotation.

If you have any questions, Julie Ghatalia (Undergraduate Coordinator) and Dr. Nikhil Rastogi
(Undergraduate Director) will be your resource people. If they are not available, then Dr. Rob
MacNeil should be your contact.

We hope you have an enjoyable and rewarding time with us in the Department of Anesthesia. If
you feel there are any areas for improvement, please discuss them with Dr. Rastogi. Positive
and negative feedback are welcome, to ensure the best possible rotation for future students.

Nikhil Rastogi, MD, FRCPC
Undergraduate Director
Department of Anesthesiology
The Ottawa Hospital

2

Learning Objectives

A. GENERAL OBJECTIVES

1. To demonstrate an understanding of the anesthetic considerations for a variety
of medical conditions and perform the appropriate/necessary preoperative
assessment/preparation of the patient.
2. To acquire the knowledge necessary to conduct appropriate fluid and blood
component therapy
3. To recognize and describe the main drug classes frequently used in the
perioperative period
4. To review and describe the principles of acute pain management
5. To acquire basic skills in airway management

B. SPECIFIC KNOWLEDGE AND SKILLS OBJECTIVES (expanded from general objectives)

1. To demonstrate an understanding of the anesthetic considerations for a variety
of medical conditions and perform the appropriate/necessary preoperative
assessment/preparation of the patient.

By the end of the rotation, the third year medical student will be able to
perform a preoperative assessment as described in Anesthesia for Medical
Students, 2nd Ed. Specifically, the student will be able to:

A) Obtain and record a pertinent medical history
B) Perform a focused physical examination including assessment of the airway,
the respiratory and cardiovascular systems, and other systems as indicated
by the clinical situation
C) Interpret basic laboratory data and investigations relevant to the
preoperative assessment
D) Develop a problem list and assigning appropriate ASA physical status based
on their patient assessment
E) Recommend appropriate pre-medication (e.g. anxiolytic, aspiration
prophylaxis) and recognize which medications to hold preoperatively (e.g.
anticoagulants, oral hypoglycemics)
F) State the recommended preoperative fasting guidelines, list the risk factors
for perioperative aspiration and describe strategies to reduce this risk.
3

2. To acquire the knowledge necessary to conduct appropriate fluid and blood
component therapy.

By the end of the rotation, the third year medical student will be able to:
A) Recognize and describe the physiologic and pathologic routes of fluid losses
and be able to estimate these losses
B) Assess a patients volume status using history, physical examination and
laboratory investigations
C) Insert a peripheral intravenous catheter using the technique described in the
Emergency Medicine Learning Module on the University of Ottawa website.
D) Demonstrate an understanding of the composition of commonly available
intravenous fluids by selecting appropriate perioperative fluid and electrolyte
replacement while taking into account the patients deficits, maintenance
requirements, and ongoing losses.
E) State the indications and complications of the various blood products
(PRBCs, FFP, platelets) and describe the factors influencing ones
decision/threshold to administer blood product therapy.

3. To recognize and describe the main drug classes frequently used in the
perioperative period.

A) By the end of the rotation, the third year medical student will be able to
describe the main therapeutic effects, side effects and contraindications of
the following classes of medications as described in the text: Anesthesia for
Medical Student, 2
nd
Edition. The main examples of medications used in the
different classes have been noted in parentheses.
a. Benzodiazepines (midazolam, lorazepam)
b. Opioids (fentanyl, morphine, dilaudid, codeine, demerol)
c. Induction agents (propofol)
d. Inhalational agents (desflurane, sevoflurane)
e. Local anesthetics (lidocaine, bupivicanie)
f. Muscle relaxants (succinylcholine, rocuronium)
g. NSAIDS (ibuprofen, naproxen, celecoxib)
h. Vasoactive medications (ephedrine, neosynephrine)
i. Antiemetics (dexamethasone, ondansetron, prochlorperazine)
B) The student will be able to differentiate the 2 classes of local anesthetics and
state the maximum recommended doses for lidocaine and bupivicaine
C) The student will be able to recognize the signs and symptoms of local
anesthetic toxicity and outline the initial management.

4

4. To review and describe the principles of acute pain management

A) Explain the concept of multimodal analgesia
B) Identify and describe a variety of modalities commonly used for pain control.
Examples of these are: patient controlled analgesia (IV PCA), intrathecal
(spinal) opioids, epidural infusions and peripheral nerve blockade.

5. To acquire basic skills in airway management

By the end of the rotation, the third year medical student will be able to
demonstrate the ability to manage the airway and ventilation of an
unconscious patient.

This will be demonstrated by the ability to:
A) Label the basic structures of the oropharyngeal and laryngo-tracheal
anatomy
B) State the indications and complications of airway management by face mask,
laryngeal mask and intubation
C) Identify the appropriate size of face masks, laryngeal masks, oral and nasal
airways, laryngoscope blades, and endotracheal tubes
D) Recognize upper airway obstruction and independently demonstrate
appropriate use of face mask, oral and nasal airways, head positioning, jaw
thrust and chin lift maneuvers
E) Independently demonstrate bag-mask ventilation of an unconscious patient
F) Successfully prepare appropriate equipment for intubation
G) Position and intubate a patient with minimal supervisory intervention
H) Correctly identify within 15 seconds those patients in whom endotracheal
intubation was not successful
I) Recognize the need for intubation/controlled ventilation using a combination
of clinical circumstances, physical signs and lab results

6. To participate in an emergency resuscitation and in so doing, to recognize the
various roles that health care professionals play in such situations as assessed
by the students preceptor during a real or simulated emergency.


A) Participate in a supportive role in an emergency resuscitative effort and
demonstrate knowledge of the ABC approach
B) Demonstrate ability to apply monitoring equipment including ECG leads and
BP cuff to a patient with minimal supervisory intervention
5
Elective/Rotation Details

Important Points:

Please be prompt. You will be expected in the O.R. by 7:30 am.

You will be expected to see in-patients on the afternoon before their surgery. Please
see the section O.R. Schedule (pg. 7-9) for more details.

You are expected to attend Grand Rounds during your rotation. Please see the section
Rounds (pg. 11) for more details.

On Mondays, Wednesdays and Fridays, Julie will be in her office at the University of
Ottawa Skills and Simulation Centre. She can still be reached at
[email protected]. Julie will spend from 7:30am to 8:30am on those days in
her Anesthesia Undergraduate office (B302) before departing to the Centre. On
Tuesdays and Thursdays, Julie will be situated in her Undergraduate office (B302) from
7:30am to 3:30pm and can be reached at (613) 798-5555 ext. 17886.

First Day:

If you are at the General campus, please report to France Greenwoods office (Critical
Care Wing, rm. 1401) by 7:30am. She will provide you with a locker, the change room
access code, the call schedule and evaluation cards. You will also receive a brief
orientation to the O.R. by one of the Anesthesiology residents.

If you are at the Civic campus, please report to Julie Ghatalias office (Main Building, rm.
B302) by 7:30am. She will provide you with a locker, the change room access code, the
call schedule and evaluation cards. You will also receive a brief orientation to the O.R. by
one of the Anesthesiology residents.

Daily Routine:

07:40 am
o Arrive in OR (in greens)
o Set up IV bag/tubing
o See first patient, do a focused Hx and PE
o PMHx, Meds, Allergies
6
o Personal and family anesthetic history
o Airway assessment, auscultation heart/lungs
o Review patient with anesthesiologist

08:00 am
o First case surgical start time

Daily Routine (continued):

3:30 pm
o Usual finish time for O.R.
o Check O.R. schedule for next day
o 90% of patients come to hospital on morning of surgery (assessed weeks before
in PAU clinic)
o If any of your patients are in hospital the day before, do a pre-operative visit on
the ward and try to touch base with the staff you are scheduled to work with
next day

Illness:

Civic: In the event that you become ill during your rotation, please notify Judy Dureau
(Scheduling Coordinator) at (613)-761-4576 as soon as you realize that you will be
unable to work. Once you are able to return to work, please call Judy (preferably before
12:00 pm) so that you will be included in the schedule for the following day.

General: In the event that you become ill during your rotation, please notify France
Greenwood at (613)-737-8187 as soon as you realize that you will be unable to work.
Once you are able to return to work, please call France (preferably before 12:00 pm) so
that you will be included in the schedule for the following day.

7
O.R. Schedule/Activities

Civic:

The O.R. day starts at 7:30 am every day except Wednesday, when it starts at 8:00am to
accommodate Grand Rounds.

If you are assigned to the Riverside hospital, please report to the O.R. desk at the Riverside
Campus main level at 7:30 am. You will receive your room assignment and a locker key. Present
yourself to the Anesthesiologist in the O.R. by 7:45 am. On days of rounds (Wednesdays), you
should attend the rounds at the Civic and speak to Julie about transportation to the Riverside
(either the hospital shuttle or a staff member).

At the end of the day, you may look up your next days room assignment. At the Civic Campus, a
list of the next days schedule is available in the Anesthesia Lounge at approximately 2:00 pm.
The frontsheet and the full OR schedule will be posted here. If the schedule is not posted you
may call the Main O.R. desk at 613-798-5555, ext 14724. At the Riverside campus, a list of the
next days schedule (Riverside + Civic) will be available at the OR clerks station (613-738-8400,
ext 88496).

There are several categories of patients which are listed on the schedule:

Patients with a ward (e.g. A-3) or TCI (to come in) beside their name are inpatients, and should
be seen by you pre-op. If possible, try to be accompanied by the staff with whom you will be
doing the case, but logistically that may be difficult to arrange. The purpose of this visit is to
provide you with the opportunity to practice your focused anesthesia history, physical
(including airway assessment) and lab assessment. See Chapters 3 and 6 in the text. Inpatients
are usually more complex, so familiarizing yourself with their pathology will increase your
learning. Also, it provides an opportunity for the patient to meet you.

SDCS and SDCS-ON are daycare patients, who come in on the morning of surgery and go
home the same day or first thing the next morning.

SDA means that they are admitted on the day of their surgery and will have been seen by an
anesthesiologist at an earlier date in the Pre-Assessment Unit (PAU). These patients are not in
hospital, so need not be seen pre-op. It is suggested that you review their charts the day
before their surgery by visiting the PAU on E1.

8
Civic (continued):

By arriving prior to the beginning of the case, you will be able to discuss the anesthetic plan
with your staff person and help prepare the O.R. for the first case.

Long operative procedures will provide you with an opportunity to discuss questions with your
staff. If you are a third year medical student doing your mandatory two week anesthesia
rotation, please bring your discussion topic list (green card) to the O.R. with you. Show the list
to your staff to make sure that you are meeting your learning objectives. Chapter 25 in the
recommended text has review questions to evaluate whether or not you understand the
material. There is frequently time for reading during long cases, so if there is a slow period,
discuss some library time with your staff. Make sure you agree what time you should return for
participation in the O.R. activities or discussion of the topic that you have read about. There is a
library on B3 (Room 301) so that the staff can call you back if need be. The keypunch code for
entry to this room is 2020.

General:

The O.R. day starts at 7:30 am every day except Wednesday, when it starts at 8:30am to
accommodate Grand Rounds.

At the end of the day, you may look up your next days room assignment. A list of the next days
schedule is available at the operating room front desk and the Anesthesia office (CCW1401) at
approximately 3:00 pm. The frontsheet and the full OR schedule will be posted here. If you are
at the Civic campus for a teaching session, the next days General frontsheet/cases will be
available in the Anesthesia Lounge (B304) at approximately 3:00pm.

There are several categories of patients which are listed on the schedule: Patients with a ward
(e.g. A-3) or TCI (to come in) beside their name are inpatients, and should be seen by you pre-
op. If possible, try to be accompanied by the staff with whom you will be doing the case, but
logistically that may be difficult to arrange. The purpose of this visit is to provide you with the
opportunity to practice your focused anesthesia history, physical (including airway assessment)
and lab assessment. See Chapters 3 and 6 in the text. Inpatients are usually more complex, so
familiarizing yourself with their pathology will increase your learning. Also, it provides an
opportunity for the patient to meet you.

SDCS are daycare patients, who come in on the morning of surgery and go home the same
day or the next morning.

SDA means that they are admitted on the day of their surgery and will have been seen by an
anesthesiologist at an earlier date in the Pre-Assessment Unit (PAU). These patients are not in
hospital, so need not be seen pre-op.

9
General (continued):

You should be in the O.R. between 7:30 and 7:40. By arriving prior to the beginning of the case,
you will be able to discuss the anesthetic plan with your staff person and help prepare the O.R.
for the first case.

Long operative procedures will provide you with an opportunity to discuss questions with your
staff. If you are a third year medical student doing your mandatory two week anesthesia
rotation, please bring your discussion topic list (green card) to the O.R. with you. Show the list
to your staff to make sure that you are meeting your learning objectives. Chapter 25 in the
recommended text has review questions to evaluate whether or not you understand the
material. There is frequently time for reading during long cases, so if there is a slow period,
discuss some library time with your staff. Make sure you agree what time you should return for
participation in the O.R. activities or discussion of the topic that you have read about.

10
On-Call Schedule

Civic:

You will be scheduled to work one evening per elective/rotation from 16:00 to approximately
22:00 hrs. You will be expected to work the next day, so you should judge how late to stay
based on the nature of the cases booked for that evening. You will not be expected to work on
weekends. You will be booked in an OR from 7:30am-3:30pm the day of your call shift. When
you arrive in OR8 for your call shift (4pm), please introduce yourself to the A resident on call.
You may either spend your time with the resident or the staff, depending on the cases booked.
The purpose of working in the evening is to give you some exposure to anesthesia for
emergency surgery. The resident also covers the Case Room, Emergency Room, trauma codes,
arrest team, etc. so following them can be quite informative.

General:

You will be scheduled to work one evening per elective/rotation from 16:00 to approximately
22:00 hrs. You will be expected to work the next day, so you should judge how late to stay
based on the nature of the cases booked for that evening. You will not be expected to work on
weekends, although if you wish to have additional emergency experience this can be arranged.
You will be booked in an OR from 7:30am-3:30pm the day of your call shift. When you arrive for
your call shift, contact the resident on call. You may either spend your time with the resident
or the staff, depending on the cases booked. The purpose of working in the evening is to give
you some exposure to anesthesia for emergency surgery. The resident also covers the Case
Room, Emergency Room, trauma codes, arrest team, etc. so following them can be quite
informative.

11
Rounds

Civic:

Grand Rounds are held mid-September to mid-May. They are held on Wednesday mornings
(7:15-8:00 am) in the Bickell Conference Room (near the hospitals Main Entrance). The topic
for Wednesday rounds is posted on the lounge room (B304) door.

General:

Rounds are held mid-September to mid-May. Resident Case Rounds are held on Tuesday
mornings at 7:00 am by a staff anesthesiologist, usually in the Anesthesia Conference Room
(Room 2501). Interesting anesthesia problems are discussed informally, with input from
medical students and residents. Grand Rounds are held on Wednesday mornings (7:15-8:00
am) in the Conference Room 2501.

**All rounds cancelled during the summer months (July-August)**

12
Lecture Series/Textbook

Lecture Series:

A collection of voice-over, Power Point lectures can be found in the Anesthesia Department
library/computer room. The lectures are on the computers and can also be accessed from the
internet (available on anesthesia.org and One45). The lecture series was specifically made for
3
rd
year medical students with your learning objectives in mind. You are expected to go over
these lectures over the course of your rotation. If there is a lull during a longer surgical case,
you may ask to be excused from the O.R. to do so. Alternatively, your staff anesthesiologist may
suggest that you go review them at some appropriate point in the day.

There are 7 lectures with a total lecture time of 6 hours:
Pre-operative assessment
Induction/maintenance of anesthesia
Hemodynamic changes during anesthesia
Pharmacology
Perioperative complications
Acute pain management
Video on laryngoscopy (optional)

If you experiences problems accessing the lectures please notify France (General) or Julie (Civic)
as soon as possible if you are still unable to access the lectures.

Textbook:

The reference texts for this rotation are Anesthesia for Medical Students by Dr. Pat Sullivan
(this text is out of print and no longer available in the bookstore) and A Brief Introduction to
Anesthesia edited by K. Raymer and R. Kolesar. Both texts are available to borrow from Julie
(Civic) and France (General) for a $25.00 deposit per book.

13
Evaluations

Evaluations:

You will be provided with daily evaluation cards (yellow), which should be given each day to
the staff and/or resident with whom you are working. They will fill out the yellow cards and
return them to Dr. Nikhil Rastogi (Undergraduate Director), who will complete the final
evaluation based on the returned cards. For elective students, if you have an evaluation form to
be filled out, please hand it in during the first week of your rotation.

You will be provided with preceptor evaluation cards (elective students only) in order for you
to evaluate the assigned staff person for the day. Please fill these out daily and return them to
Julie Ghatalia before the end of your rotation. University of Ottawa students must fill in the
evaluation of preceptor form on One45. Student nominations (on One45 and the daily
evaluation cards) are used for the annual undergraduate teaching award in the Department of
Anesthesia. Significant concerns should be discussed with the undergraduate director.

Students must also fill out the overall rotation evaluation (part A) and Anesthesia specific
rotation evaluation form (part B) on One45. Both completed forms must be submitted to Julie
Ghatalia at the end of rotation meeting.

Mid-Unit Evaluation:

Prior to receiving the mid-unit email, you should have achieved at least one of each procedure
on the Anesthesia T-Clerk list. If your T-Log is incomplete, please notify Julie Ghatalia to assure
adequate exposure by the end of the rotation. The email will also contain the assigned date and
time for your end of rotation appointment.

End of Rotation Meeting:

The end of rotation meeting will be with Julie Ghatalia. Prior to the appointment, you must fill
in the preceptor and rotation evaluations.
Please bring the following items to the meeting:
Copy of T-Log report
Rotation evaluations
Anesthesia for Medical Students text (if borrowed)

14
Exam:

There will be an exam at the end of your twelve week block. The Anesthesia component
consists of twenty multiple choice questions and four CDM/LMCC-type (clinical decision-
making) questions. The questions are based on the objectives provided, as well as the
discussion topics card (green).

Feedback:

Preceptor feedback (regarding knowledge/skills) is usually given scattered throughout the day
rather than a formal session at end. If you feel you have not received sufficient feedback, it is
your responsibility to solicit it (take an active role in your learning!)

Ask about:
What youve done well
What you can improve upon and how

15
T-Clerk Activities

You must keep track of your learning activities on T-Clerk/T-Res, during your rotation. This is
part of a nationwide, University-driven initiative to quantify the medical students exposure
during their clinical training. The info must also be entered into your own personal portfolio via
your PDA and/or a web-based program.

Your T-Log must be submitted to Julie Ghatalia (Undergraduate Coordinator) at the end of your
rotation. The completion and submission of your T-Log for the Anesthesia rotation is
mandatory. Failure to record the rotation procedures and problems on the T-Clerk system will
result in the delay of your rotation evaluation and the inclusion of a notation regarding
professionalism concerns.

The following activities/experiences comprise the T-Clerk report for your Anesthesia Rotation:

TR018a Trainee Goal Activities Count -- problems by rotation and procedures by rotation

Patient Encounter
Post-Operative Pain Management
Pre-Operative Assessment
Shock/Hypotension*

*These experiences were covered in the simulator session and airway workshop components of
the rotation orientation and may count towards the completion of your T-Logs.

Procedure
Bag and Mask Ventilation
Intravenous (IV) Insertion
Intubation
Laryngeal Mask Insertion
Oral/Nasal Airway Insertion*
Oxygen (by Prongs/Face Mask)*
Rapid Sequence Induction
16
Electives

The Ottawa Hospital General campus:

The Department of Anesthesiology at the Ottawa Hospital - General Campus offers elective
experience to interested undergraduate medical students in their 2nd, 3rd and 4th years of
training.
For the 2nd year student, one half-day per week for the period of a semester would be spent
with one or two staff anesthesiologists. In addition to discussing the clinical aspects of anatomy,
physiology and pharmacology as related to the practice of anesthesiology, the student will have
opportunity to learn such clinical skills as IV solution preparation, IV insertion, patient
monitoring and airway assessment/management, including endotracheal intubation.
For the 3rd and 4th year students, electives of 2 to 3 weeks duration are available. This is in
addition to the mandatory rotation on the Anesthesiology service in the medical school
curriculum. Emphasis will be directed toward developing a clearer understanding and
appreciation of the specialty of Anesthesiology. The student will learn to perform a pre-
anesthetic evaluation and learn how patient factors may influence the perioperative period.
The student will acquire basic knowledge of the pharmacology of anesthetic agents and
medications. He/she will become familiar with the anesthetic machine and breathing circuit, as
well as the specialized anesthesiology monitors. By the end of the elective the student should
be able to conduct, under supervision, a basic general anesthetic involving induction of
anesthesiology, airway management, maintenance, emergence and recovery room care. The
opportunity to learn regional anesthesiology, such as spinal blocks, will also be available.
SITE COORDINATOR: Dr. Nikhil Rastogi
LOCATION: General Campus - The Ottawa Hospital
DURATION: 2-3 weeks
AVAILABLE FOR: 2nd, 3rd and 4th year medical students
CONTACT: Julie Ghatalia (Undergraduate Coordinator) PHONE: (613) 798-5555 ext. 17886
EMAIL: [email protected]

PLEASE NOTE: Students from other Canadian universities must submit the necessary
paperwork to the University of Ottawa electives office ([email protected])

17
The Ottawa Hospital Civic campus:

The Department of Anesthesiology at the Ottawa Hospital - Civic Campus offers elective
experience to interested undergraduate medical students in their 2nd, 3rd and 4th years of
training.
For the 2nd year student, one half-day per week for the period of a semester would be spent
with one or two staff anesthesiologists. In addition to discussing the clinical aspects of anatomy,
physiology and pharmacology as related to the practice of anesthesiology, the student will have
opportunity to learn such clinical skills as IV solution preparation, IV insertion, patient
monitoring and airway assessment/management, including endotracheal intubation.
For the 3rd and 4th year students, electives of 2 to 3 weeks duration are available. This is in
addition to the mandatory rotation on the Anesthesiology service in the medical school
curriculum. Emphasis will be directed toward developing a clearer understanding and
appreciation of the specialty of Anesthesiology. The student will learn to perform a pre-
anesthetic evaluation and learn how patient factors may influence the perioperative period.
The student will acquire basic knowledge of the pharmacology of anesthetic agents and
medications. The student will become familiar with the anesthetic machine and breathing
circuit, as well as the specialized anesthesiology monitors. By the end of the elective the
student should be able to conduct, under supervision, a basic general anesthetic involving
induction of anesthesiology, airway management, maintenance, emergence and recovery room
care. The opportunity to learn regional anesthesiology, such as spinal blocks, will also be
available.
UNDERGRADUATE DIRECTOR: Dr. Nikhil Rastogi
LOCATION: Civic Campus - The Ottawa Hospital
DURATION: 2 to 3 weeks
AVAILABLE FOR: 2nd, 3rd and 4th year medical students
CONTACT: Julie Ghatalia (Undergraduate Coordinator) PHONE: (613) 798-5555 ext. 17886
EMAIL: [email protected]


18
Childrens Hospital of Eastern Ontario (CHEO):

Objectives:
Learn the anatomy and management of the pediatric airway in the unconscious patient.
Learn how to intubate the trachea.
Learn vascular assess techniques.
Learn about anesthesia pharmacology in children.
Participate in the rounds and teaching sessions of the department.

Overview:
This clinical elective is usually available only for students who have already completed a prior
rotation in adult anesthesiology and must be recommended/approved by the Department Head
or Coordinator in that adult department.
Students will work with different staff members in the operating room and other areas where
anesthesiology services are provided at CHEO. They will be given "hands-on" clinical experience
under the direct supervision of staff members. The major emphasis is on the acquisition of
useful clinical technical skills.
They are expected to become familiar with the techniques and equipment used in the airway
management of the unconscious patient, as well as acquiring skills in intravenous (and arterial)
access.
The student should become familiar with pre-operative assessment of children and appreciate
the implications of co-existing disease or medications on anesthetic drugs and management.
SITE COORDINATOR: Dr. Gould
LOCATION: Children's Hospital of Eastern Ontario
DURATION: 1 week (minimum)
NO. OF STUDENTS: 1
AVAILABLE FOR: 3rd year medical students
CONTACT: Jennifer Borup EMAIL: [email protected]

19
Contact Information

General:

NAME TITLE PHONE EMAIL
Dr. Nikhil Rastogi Director/Site
Coordinator
N/A [email protected]
France Greenwood Admin. Assistant (613) 737-8187 [email protected]

Civic:

NAME TITLE PHONE EMAIL @toh.on.ca
Julie Ghatalia Undergrad. Coordinator (613) 798-5555 ext 17886 uganesthesia
Judy Dureau Scheduling Coordinator (613) 761-4576 jdureau

CHEO:

NAME TITLE PHONE EMAIL
Dr. Marian Gould N/A [email protected]
Jennifer Borup Admin. Assistant (613) 737-2431 [email protected]

University of Ottawa:

NAME TITLE PHONE 562-5800 EMAIL @uottawa.ca
Denis Vadeboncoeur Liaison Officer-Year3 ext 8131 medyear3
Julie Clavelle Electives Coordinator ext 8552 elective
Guylaine Renaud Academic Advisor ext 8427 grenaud
Christiane Raymond Liaison Officer-Year4 ext 3808 medyear4

20
Websites:

TITLE ADDRESS
Undergrad. Medical Education http://www.intermed.med.uottawa.ca/Students/MD/eng/
Electives Catalogue http://www.medicine.uottawa.ca/electives/eng/index.html
One45 WebEval http://www.one45.com/webeval/ottawa/
Dept. of Anesthesiology http://www.anesthesia.org/index2.html
Anesthesiology Residency http://www.ottawa-anesthesia.org/

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