The Division of General Anesthesia provides services for adult patients in the Milstein/Heart Hospitals, the Spine Hospital at NewYork-Presbyterian/The Allen Hospital, the Irving 13 Endoscopy Suite, and the Eye Institute, providing care for patients undergoing a wide variety of procedures: ENT, general, bariatric surgery, breast, colorectal, general, endocrine, plastic, vascular, gynecologic, oral, orthopedic, endoscopic, urologic, neurosurgical, transplantation (liver, pancreas, renal), and eye surgery. The division is also responsible for responding to adult arrests/stat intubations throughout the medical center. In 2016, these cases totaled 29,974 anesthetics in the operating room for outpatients and inpatients, including high-acuity patients requiring lifesaving interventions. Frequently encountered are cases requiring jet ventilation, the massive transfusion protocol, and ECMO initiation.
Our anesthesiologists provide around-the-clock coverage for airway emergencies and cardiac arrests in all areas of the campus, utilizing state-of-the-art devices and techniques for management of difficult airways, such as videolaryngoscopy and cricothyroidotomy. Ultrasound techniques enhance placement of central lines and peripheral nerve blocks. Our anesthesiologists routinely provide care for patients with ventricular-assist devices requiring anesthesia for general surgery.
In addition to the operating rooms, our division conducts out-of-OR anesthetics in the endoscopy suite, the cardiac catheterization lab, neuroradiology, interventional radiology, and ECT, among other bedside procedures, numbering 10,878 cases at Milstein/Heart Hospital and 1,042 at the Allen Hospital in 2016. Residents participate in all aspects of anesthesia care in all subspecialties and at all sites in and out of the OR. In addition to the OR and non-OR cases, residents participate in acute pain, PACU, and critical care (surgical ICU and cardiothoracic ICU) rotations.
The state-of-the-art Margaret Wood Center for Education and Simulation is used for 1:1 training sessions in crisis management, task training (e.g., thoracic epidural), and standardized patient evaluation (Dr. Maniker) and surface, vascular, and nerve-anatomy ultrasound training (Dr. Panzer). Didactic sessions include Milstein morning lectures and neuroanesthesia morning reports.
Our faculty conducts active research in the areas of anesthetic effects on airway smooth muscle (Dr. C. Emala), lung inflammation and asthma (Dr. G. Yocum), and bronchoconstriction (Dr. M. Mikami). Other faculty projects include the study of acute kidney injury and renal protection (Drs. HT Lee and M. Kim), surgery-induced inflammation (Dr. R. Whittington), and vascular smooth-muscle activity in hypertension (Dr. Yim). Our funding includes NIH as well as FAER grants. In 2016, we presented at 125 national/international meetings. In 2017, we have 47 ongoing studies among 27 investigators throughout our subspecialties, including clinical, bench, education, and epidemiological studies.
Allen Friedman, MD