Virtual Anesthesiology Medical Student Learning Program Pilot Designed in Response to COVID-19

Amanda S Xi1, Natalie J Koons1, Abigail Schirmer1

  • 1is a Staff Anesthesiologist/Intensivist in the Department of Anesthesia, Critical Care, and Pain Medicine at Massachusetts General Hospital in Boston, MA. is a Medical Student in the College of Osteopathic Medicine at the University of New England in Biddeford, ME. is a General Surgery Resident at Ascension St. John Hospital in Detroit, MI. is a Resident in the Department of Anesthesiology at New York-Presbyterian/Weill Cornell Medicine in New York, NY. is a Radiologist in the Division of Abdominal Imaging and Department of Radiology at Massachusetts General Hospital in Boston, MA.

Abstract

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Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
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Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

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Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
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Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

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Stages of General Anesthesia01:22

Stages of General Anesthesia

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