Thoracic Anesthesiology

Program Overview

The Department of Anesthesiology and Pain Medicine offers a Thoracic Anesthesiology Fellowship Training Program at The Ottawa Hospital. The Ottawa Hospital is a tertiary care centre in the National Capital Region. Thoracic surgical services are provided at the General campus of The Ottawa Hospital, which is a referral centre for thoracic surgery in the Champlain LHIN for Eastern Ontario.

We have a strong clinical program with six thoracic specialty surgeons and we are proud of our collegial multidisciplinary approach to the care of these patients. There are approximately 7 ORs per week for thoracic surgery patients.

The fellowship is structured for anesthesiologists seeking to advance and build a solid clinical approach to the care of the thoracic patient with a view to becoming a leader in this subspecialty area. Fellows will gain expertise in the care of routine thoracic surgical patients. There are more than 450 lung resection procedures and over 50 esophageal resections performed each year, done open, hybrid or MIE techniques.

Fellows will also gain experience in the care of patients for tracheal resection, resection of mediastinal masses, Video-Assisted Thoracic Surgery (VATS) and sleeve resections. High Frequency Jet Ventilation is used for advanced airway procedures. Proficiency will be gained in perioperative optimization of the thoracic surgery patient, advanced lung isolation techniques and postoperative analgesic techniques.

Numerous advanced thoracic surgery features of our program include robotic thoracic surgery, advanced Enhanced Recovery After Surgery (ERAS) pathways, an important number of patients enrolled in our Virtual Recovery After Surgery (VRAS) program, and we currently have a fair number of patients getting same day pulmonary wedge resections procedures. We are fortunate to work daily with a fantastic team of thoracic surgeons and nurses. We do not perform lung transplants in Ottawa.

Fellows are expected to pursue a scholarly project during their training period and be active in the education of Anesthesiology and Pain Medicine residents and students in the program. We have approximately three Thoracic Anesthesiology Journal Club (per year), where the Fellow is expected to present one article out of a few to review. Monthly informal meetings with the Thoracic Anesthesiology Fellowship lead to review Thoracic Anesthesiology topics, literature, cases and for ongoing review of the Fellow’s progression are held. A formal Grand Round presentation is expected near the end of the academic year. The Fellow will be actively involved in resident education with the competency by design (CBD) curriculum, in addition to any ongoing educational activities that relates to Thoracic Anesthesiology.

Goals and Objectives

The fellow will:

  • Develop skills to become a leader in the care of thoracic surgery patients
  • Gain experience in the preoperative assessment and optimization of thoracic surgery patients
  • Describe anesthetic considerations for specific respiratory diseases
  • Describe the anesthetic considerations for routine thoracic procedures and introduce approaches to more complex problems in thoracic anesthesiology
  • Develop an approach to postoperative management of thoracic surgery patients
  • Refine skills required for adequate analgesia, lung isolation, and monitoring of thoracic surgery patients.

 

Key Faculty

 

 Applications

 uOttawa Admissions Website

For more details about application requirements, please visit our Fellowship Application Instructions page.

 

Contact Us

Dr. Sylvain Moffett
Thoracic Anesthesia Fellowship Directors

Mrs. Kelsey Rice
Fellowship Program Coordinator
Department of Anesthesiology and Pain Medicine
Email: krice@toh.ca

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