Anesthesiology subspecialties - An overview of cardiac, obstetric, pain, pediatric, & regional
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- Опубліковано 26 чер 2024
- Did you know that anesthesiology has many subspecialties? In this video, I bring you into the operating rooms (and procedure suites) for each of the most common subspecialties, and also mention some of the less well-known fellowships available after anesthesiology residency.
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0:00 Start
0:32 Introduction
1:10 Cardiac anesthesia
2:44 Critical care
3:47 Obstetric anesthesia
5:12 Pain management
6:25 Pediatric anesthesia
7:46 Regional anesthesia
9:17 Other fellowships
Subspecialty links:
Ambulatory anesthesia: sambahq.org/education-researc...
Cardiac anesthesia: scahq.org/fellowships-and-car...
Critical care anesthesia: socca.org/fellowships.php
Liver transplant anesthesia: icahn.mssm.edu/education/resi...
Neuroanesthesia: www.snacc.org/fellowships
Obstetric anesthesia: www.soap.org/residents-fellows
Pain management: icahn.mssm.edu/education/resi...
Pediatric anesthesia: pedsanesthesia.org/fellowships
Regional anesthesia: www.asra.com/the-asra-family/...
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Find Max Feinstein, MD online:
Instagram: @MaxMFeinstein
Twitter: @MaxMFeinstein
Website: www.MaxFeinsteinMD.com
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The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional.
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Music
Subtle Swagger by Ron Gelinas Chillout Lounge | / atmospheric-music-portal
Music promoted by www.free-stock-music.com
Creative Commons Attribution 3.0 Unported License
creativecommons.org/licenses/...
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#Anesthesiology #Residency #MedicalSchool - Наука та технологія
Good luck with your pediatric anesthesia fellowship Application
Thank you!
@@MaxFeinsteinMD hello. I’ve been a PA for 14 years recently accepted to medical school. I’m hoping to go into anesthesiology. Do you mind expounding on why you’re choosing pediatric anesthesia
As a patient who is a zebra (Kyphoscoliotic Ehlers-Danlos Syndrome and a rare primary immune deficiency), I love your zebra scrub cap! ❤🦓
I'm so glad you can appreciate that scrub cap!!
This was such a cool video! As soon as you stepped into the Pain Management room, I was both surprised and very familiar with that setting. I dealt with a few years of chronic pain in my shoulder, elbow, and wrist after a serious accident. I had a few exploratory examinations and injections done in an office just like that, as well as imaging for nerve damage and fittings for custom wrist/elbow braces. I had no idea that fell under anesthesiology!
Hello Max! Omg any patient would be so blessed to have u put them to sleep. I love how u educate not only residents or students. But in a way that even lay people can understand. Have u had many like crisis during cases that your adrenalin is pumping. I know u have a video where all your monitors went blank. Always love your videos and get excited when u come into my feed 🥰
May your fellowship dreams come true. Anybody or anyplace would be so lucky to have you.
Hello!! I’ve just graduated pediatric residency (5 years in Italy). I’ve spent last 3 years in neonatal and pediatric ICU and I’d like to apply for pediatric critical care medicine fellowship! I’ve spent all 2022 in my local PICU (Verona - the city of Romeo and Juliet 😂) and I just fell in love! I love the precision needed in procedures and the variety of disease and patient! Good luck for your application!
Great video man!! I always learn a lot from your videos!! I’m gonna start Donating to the Anesthesiologist Foundation since It was hard for me to go to college to be a Anesthesiologist after I graduated high school in 08 because of my cerebral palsy! Good luck with your pediatric fellowship application! I enjoy your videos! I’m 31 from Memphis
Your amazing! Thanks so much for sharing and best of luck on your future!
Your exceptional content tutorials are unprecedented, to my knowledge.
Love the intro lol 😂 so cute! Hello there 👋. Thanks for sharing all these informative videos Dr. Feinstein!
That's an incredible video!!! Love it
CLINICAL INFORMATICS MY MAJOR 🥰🥰 the best undergraduate major, hands down
I know you will do great doc. Good luck on your future!
I had brain cancer as a child, anyone willing to take time to work with children are great humans, good luck with your pediatrics application!!!
Great video as always! Beat of luck on your app, I'm sure you'll get exactly what you're looking for! Also, seeing the brachial plexus brings back some flashbacks haha
Max, Thanks for this Wonderful and Informative video. Have a Wonderful Thanksgiving💖
Thanks Carla, happy Thanksgiving to you, too!
Excellent video keep up.
Oh, those nerve blocks... I've had more ilioinguinal blocks and ablations than I can count. I've become quite familiar with the various machines they use. Glad I'm beyond that.
In 2022 you're going to hit the 150k mark in subscribers. I'm calling it now.
Thanks for the vote of confidence, I hope so!
Hi Max. Great video. I would think you’d be great at pediatric anesthesia and even on the acute pain service. I’m 50yo C5-6 Quadriplegic who’s currently in a hospice center getting my medication managed better before continuing my journey at home or another facility. Anesthesia has been an integral part of my care for thirty plus years, allowing me to function and live independently post injury. But in today’s climate of the ‘opioid crisis’ it has become next to impossible to fill my medications at the pharmacy. Doctors are scared of losing their license and pharmacies scared of DEA intervention. Maybe some time you can touch on those things...thanks again
Hi Chris, thanks for the nice feedback! I have heard other patients describe the predicament you describe, it sounds like a real challenge for everyone involved especially the patient. As I spend more time learning about pain management perhaps I'll be able to make a video going over the dilemma you mentioned. Thanks for the suggestion.
@@MaxFeinsteinMD I hope you are able to make a video about pain management anesthesia as you learn more about it. I'd definitely be interested in learning more about that.
Just wanted to thank you again - I was in the cath lab a couple of weeks ago for a cardioversion (unsuccessful unfortunately so I'm looking at an ablation) and I wasn't frightened at all by all of the hardware in the room. I thought it was really interesting that there was one huge table in the middle of the room was this huge platform (I guess a bed) and at the foot was one of the largest monitor screens I have ever seen hanging from the ceiling- had to be a good 6'-8' across. I wonder if on off hours they use it to watch football/soccer? :-)
Anyway, thanks.
Haha I haven't seen any other uses for the big TV but I'll report back if I do.
great video!
Love the new mini-intro. Not too long, succinct and clean.
I don't necessarily have an interest in pursuing anesthesiology, but I do have a niche interest in it. These videos are a gem for me. Thank you for the material.
Thanks for the nice feedback on the intro and videos! Glad you enjoy
Wishing good luck and all the best @ Max Feinstein M.D.👍👍😀😀🌹🌹❤️❤️
Thank you!
Cool that you ended up being interested in peds. I remember you beginning that rotation and it seems like it was your favorite! As is mine. Not sure if I'll go cardiac peds or not. Too much stress and too much training
Hi Dr Max! Wow, a lot of information so fast. Glad to see you back. You will breeze through the pediatric anesthesia thing. You will be great with children. Thanks for another great video. I’m going to watch it again! I have had many of those steroid epidurals over the past 20 years. I don’t mind them at all. I only hate the questions you have to answer 50 times like “what’s your name”. “What’s your birthday” “what are we doing for you today” “are those your real teeth” “do you have any jewelry on” “are you allergic to any medication” “did you eat today” etc etc etc lol
Happy Holidays to you and your family! Medication is hard to get for sick people…my theory is they are saving it up for Hollywood, Athletes, and Aristocrats! I’m not in any of those categories. I am only a73 year old disabled man. What do I need with controlled substances for pain!
you are just full of life, sound like a great patient to have!
Good luck with your pediatric anesthesia fellowship application :)
Hi Dr. Feinstein, I have been watching your video for a while and they are interesting and informative. One question that I have on anesthesiology subspecialties is which subspecialty(OB or Ped) covers fetal surgery, including EXIT procedure and open fetal surgery at "midgestation"?
Would you be able to do a tour of the anesthesia machine, seems like a really interesting and complex device!
He has already. Check his older videos out. Interesting stuff.
Could you do a video on international/global care? I’m especially curious about anesthesiology in developing countries where they use different (older?) medications like Halothane. 😃
Very cool!
OMG you finally posted another vid! Woohoo.
I love when you talk about pediatric anesthesia because I'm an adult but have to have pediatric anesthesiologist work on my case when I have surgeries. I have to go to a hospital that offers the pediatric anesthesia and doctors
why is that?
@@livelife2324 because I have hemifacial microsomia and the adult equipment cannot be used on my due to my airway. I actually was transferred to uofm right before they were putting me under at a different hospital
Best of luck to your with your application! I know that you will be accepted and be great!
Very interesting video. I had no idea 🤷♀️ that there were so many specialties. How long will your training be? Will you continue with your videos! Again, FOOD LUCK 🍀
With my first csection I felt it when the doctor tested me for feeling and I told him but the anestesiologist told him that I was ready and she told him that I couldn't be feeling it. I said I don't knwo what I should or shouldn't feel but I felt that but the doctor after arguing with the anestegiologist he started and then when there was no doubt that I was feeling it he ordered the anestegiolist to give me more meds and she said that she couldn't until my daughter was born, so the doctor said he'd get her out as fast as he could. They waited what seemed like an eternity for me to clearly verbally acknowledge that I saw her before knocking me out. When i had my 2nd csection that anestegiologist was no longer working at that hospital and I told the anestegiolist that was there for my son's birth that if that happened again to just end the pain as soon as she could. She told me what to expect to feel and what was happening in the surgery and what I might feel as it happened, which was very reassuring. My 2nd csection was painfree and it was great to feel that the anestegioloist was there to help, where for the first I felt like a slab of meat. The anestegioloist who was there for my 2nd csection was also there for my gallbladder surgery and while I only saw her in the prep, it was nice to know that I was going in with a familiar and safe face.
I know you're a resident so it may be hard for you to answer, but what have your perceptions been of real-life lifestyles of anesthesia vs surgery? I'm an M3 wrestling between anesthesia or surgical subspecialty, eventual lifestyle is important to me. Some people say there is no difference between the two, others will say anesthesia has much more flexibility and is less hours overall. I watched your video on reasons for choosing anesthesia, but curious how much (if at all) this factored into your decision. Thanks!
Going for a total thyroidectomy next week, very anxious in general but especially because they will be cutting into my throat! So wondering how the intubation works in that scenario?? I’m one of those ppl who loves to know every single detail of what’s going to happen instead of ignorance is bliss 😅 so I find your videos fascinating and super helpful and calming, thank you!!
Also was recently diagnosed with vasculitis so worried about how that will affect surgery too 😮
Best video.Now I know why this profession needs attention to detail
I am a senior in hs but I am thinking about the sub specialty in obstetrics
That sparkling gold chain ☺
Do you also use the MaskUmm spray for pediatric patients or just the LorAnn oil?
One of my best friends from middle/high school is just 2 months short of finishing her CNA requirements and it looks so so hard!! I see the stuff she has to study and it’s like 🤯🤯🤯 lol.
Doctors study even more!
What's the workup and risk evaluation for patients with things like adrenal insufficiency and diastolic dysfunction? Do these present obstacles for anesthesia? What if the patient has suspected mitochondrial myopathy? Are they at increased risk for things like anoxia or spontaneous cardiac arrest while under? If a patient had one or more of these but potentially suspected more how could they communicate this information with their doctors to get evaluated effectively and reduce the risk for a required surgery?
I was under the impression that all these subspecialties besides critical care and pain is not required to do anesthesia in those situations? I have heard of non cardiac fellow anesthesiologists do anesthesia for sick cardiac patients (for example). Any clarifications on this? Thanks for the content man.
Nice new intro
Thank you! I hired people on Fiverr to make it -- it was designed by adryanart and animated by bleszen.
I want to have a anesthesia meet up that would be so coooool
If someone has an elective hysterectomy does an obstetric anesthesiologist do the surgery or would it be a general anesthesiologist?
Best Fellowship Rotations: 1. Airway Book Chair 2.Pent Sux Tube 3.Accuse Blame Criticize
I have a question about getting an epidural during labor. I have 3 kids..with each birth I had an epidural. The first two worked fine and getting the epidural was fine. The third time was terrible. The anesthesiologist stabbed me with the needle like ten times. It was so painful. He told me he was having trouble placing the needle because I have scoliosis. The other two times I had an epidural they did not have any trouble with this. Put needle in only once. What do you think of this? Also the third time the epidural did not work…only numbed my legs.
I am getting botox from an anesthesiologist in a few weeks for strong pain in my arm with a big AVM. Hope it works!
I hope so, too!
What happens when you have to go to the rest room when you are on a case
Hello, I want a speciality where I have medicine knowledge, hand procedures and also medications. Do you think anesthesiology is good for me?
Thanks for another great video! If you do a critical care fellowship, could you still practice general anesthesia as well as NICU for example? Or would that require additional fellowship to work in the NICU? Thanks!
Hi Emily, if you do critical care then yes you can still practice general anesthesia. I actually don't know for certain whether a critical care trained anesthesiologist can attending in the NICU -- I thiiiink a Peds anesthesia fellowship may be required in addition but I really don't know.
@@MaxFeinsteinMD Thanks Doc!
@@asdfjklasdfjkl408 are you in college or med school?
Wait, can you explain the bubblegum thing?
You should get a bigger chain !! :)
Curiously,I wonder,do the different sub specialties of Anesthesiology pay more or less,than the standard rate for your are (State) and experience level? Thank you.
Generally speaking, subspecialty-trained anesthesiologists make slightly more per year than general anesthesiologists, but it evens out over time because the general anesthesiologist makes a full attending salary during the year that a subspecialist is doing fellowship. The only subspecialty that consistently makes more than average is pain management. Hope that helps!
Thank you for taking the time to answer my question.✌🏻
Can a Bs anesthesia technologist goes to these field?
Espacally to pain management.
Can CRNA do different fellowship subspecialties?
No, there isn’t subspecialty training for CRNAs.
Question. U speak of subspecialtiees. 1 being neuro. My husband had 2 brain surgeries 14 hrs apart.. so would that require a anesthesiologist of neuro or is there ones who just do brain surgeries. 2nd question is like where do u sit or stand as thhe surgeons would be in your space ? 🤔
Hi Sherry! General anesthesiologists are typically able to care for patients undergoing neurosurgery, so no, a subspecialty-trained neuroanesthesiologist isn't required.
Also, for neurosurgery, usually the operating table is turned 180 degrees away from us after we induce anesthesia. Then we turn it back around once the surgery is done. Great question!
❤❤
How many anesthesiologists are suppose to be at a hospital at once. My son has been waiting for surgery forever and now we are waiting on an anesthesiologist. It's just crazy
Isn't that an interscalane block?
Hi Stefan, that's close to an interscalene block but isn't quite as proximal on the brachial plexus as an interscalene.
You look like the actor from s2 e17 from chigaco med
No he doesn’t. They Intubated laterally!! Which is so stupid I had to stop watching.
I thought Regional anaesthesia is same as Pain management
the zebra hat made me think you were going to tell me there's a rare disease anesthesiology subspecialty
Seeing your headgear when you hear hoofbeats think horses not zebras!
I thought you would choose pain medicine
I chose pediatric anesthesiology
Problems: Anesthesiology is the most competing residency.
What do you mean?
WUT
competitive
You forgot Dental anesthesiology
Dental anesthesiology is a subspecialty of dentistry, not anesthesiology. That said, anesthesiologists do provide anesthesia for dental cases that occur in operating rooms.
@@MaxFeinsteinMD I have seen videos in which anesthesiologists bring mobile equipment and supplies to the dental office to do intubated cases with the dentist. I've also seen dedicated dental surgery centers that have fully equipped anesthesia ORs with dental chairs in them.
*Eyes narrow* I know why you sick bastards go into pain management. It's because you get pleasure from sticking us with giant needles several times a year and burning our nerves, aka ablations. Then you write us scripts as compensation for your sick pleasures. . . Lmao just joking. I love my anesthesiologist who manages my pain. I've seen him every two weeks for the past 14 years (since I was 21) and he truly has become one of my dearest friends.
If your doing teaching .... MAKE SURE YOU TEACH YOUR STUDENTS HOW TO ADMINISTER THE ANISTESIA TO PATIENTS WHO ARE ALLERGIC TO THE AFTER EFFECTS OF THE ANISTESIA. ... Five surgeries, only ONE knew how to administer the anesthesia. violently sick .... Poor training.