Epic Fail? Not on our watch. . .

We all knew it was coming.   It is remarkable how two small words – Go Live – can inspire such anxiety.  Before you start rethinking the use of aersolized midazolam in pre-op, remember there are many resources available to help work through the glitches.  

All superusers may be identified by their red hats.  These red hats provide guidance to all of perioperative services.  They can also issue “tickets” to IT. 

Our department has two dedicated super-users:  Kaitlyn Pellegrino and Ben Jones.  You can contact them via pager (numbers are on the HL board) but they are usually close at hand in pre-op, ORs or the lounge.   We also have a number of embedded superusers. These CRNAs and Physicians are available to point you in the right direction.  Check out the complete list in the Epic Anesthesiology Wikki. 

There are several other resources for information.  Pick up one of the Anesthesia Provider Start Guides.   These booklets are available in the Hixon-Lied lounge and are a great place to start.  You can also check out the  Epic Anesthesiology Wikki – located on the J-drive. TNMC also has a hospital-wide tips blog here.  It is more general but does have some useful information.

Finally, stay tuned to this blog as we will be posting daily tips, tricks and vital info for surviving Epic.

Welcome New Residents!

I’m not sure if you noticed but it is July.

Again.

Every year it approaches in stealth.  One moment you are complaining about the cold and the snow and will-it -ever-be-warm-again?   The next, it is 102 degrees outside and you ask yourself. . . . .

Who are all of these new people? 

It’s time to welcome the newest members of our UNMC Anesthesiology family.   We have 12 CA-1s starting this July.  Some you have seen around as students and some are new to UNMC.  Here are the names to look for:

Bradley Fremming, MD, Ph.D

Virginia Hardie, MD

Cale Kassel, MD

Seth Keiser, MD

Eric Monk, MD

Jeffrey Ottmar, MD

Tyler Ptacek, MD

Brendan Thelen, MD

Konstantin Turchaninov, MD, Ph.D

Charles Walcutt, MD

James Wheeless, MD

Brittany Willer, MD

In addition to our categorical residents, we now have 4 PGY-1 residents starting this year.  You may see them in the operating room, on surgical rotations and around the hospital.  They include:

Austin Adams, MD

Devin Kearns, DO

Shaun Thompson, MD

Maulin Vora, MBBS

 So while many of us may be distracted by the ever-looming approach of Epic and the usual disarray that July brings, remember there are those among us still trying to figure out the basics.  Be sure to point them in the right direction, lend a hand, an encouraging word.  Let’s give them a warm welcome to UNMC.

RESIDENTS TAKE HOME TOP AWARDS

This past weekend was eventful for UNMC Anesthesiology. Not only did we match 11 outstanding candidates (more on that later), but had an outstanding showing at the Midwest Anesthesia Resident’s Conference. 
A little background.  The MARC is the third largest anesthesia conference held in the United States. It sits behind only the ASA conference in October and the PGA in New York in December. Depending on the year, attendance may exceed the PGA. Residents may submit case reports or original research for presentation. All presentations are then evaluated by a panel of judges and awards given for each category. UNMC had 10 residents present at MARC this year and 3 came home with top awards
Here’s who presented:

Amy Beethe
INTRAOPERATIVE MANAGEMENT OF PATIENT WITH CONGENITAL TETRA-AMELIA
1st Place General Case Presentations

Nicholas Markin
PARTIAL HEPATECTOMY AND PNEUMONECTOMY FOR METASTATIC PULMONARY CARCINOID
3rd Place Cardiovascular Case Presentations

Jennifer Hansen
NEUROGENIC PULMONARY EDEMA
3rd Place Neuroanesthesia Case Presentations

Kyle Ringenberg
POST-OPERATIVE SUPPLEMENTAL OXYGEN THERAPY ASSOCIATED WITH INCREASED RISK FOR POST-OPERATIVE MYOCARDIAL INFARCTION IN NON-CARDIAC SURGICAL PATIENTS

Martha Chacon
COMPLICATIONS FOLLOWING BIVENTRICULAR ASSIST DEVICE IMPLANTATION IN A PATIENT WITH CARDIOGENIC SHOCK

Archit Sharma
TACHYARRHYTHMIA -FIRST PRESENTATION OF ADVERSE EFFECTS WITH REMIFENTANIL

Dustin Sorenson
EXTRACARDIAC TAMPONADE POST-CENTRAL LINE PLACEMENT

Marci Franzen
DIFFICULT AIRWAY MANAGEMENT AND INTRAOPERATIVE ALLERGIC REACTION IN A PATIENT WITH SPINAL MUSCULAR ATROPHY

Aaron Kinney
IDENTIFICATION OF SUPERIOR VENA CAVA OBSTRUCTION USING CEREBRAL OXIMETRY AFTER FAILING TO SEPARATE FROM CARDIOPULMONARY BYPASS

Nathan McIntire
ANESTHETIC MANAGEMENT FOR SURGICAL REPAIR OF A CONGENITAL DIAPHRAGMATIC HERNIA IN A FOUR DAY OLD NEONATE

Congratulations to all the residents who presented. Everyone did an outstanding job. A special congrats to Drs. Beethe, Markin and Hansen for bringing home top category awards. Thanks to all who helped with presentations, critiques and coverage of clinical duties.