Overview
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Core Procedures/Privileges Peripheral vascular cannulation [venous and arterial], Tracheal intubation [including use ofFiberoptic Bronchoscope], mechanical ventilatory support, acute and chronic respiratory care, spinal and epidural catheter placement and narcotic/anesthetic administration Placement of central access catheter Pre-operative /post-operative consultation and evaluation. The clinical management of various fluid, electrolyte and metabolic disturbances The management of critically ill patients including special care units Management of procedures for rendering a patient unconscious and/or insensible to pain and emotional stress during surgical, obstetrical and other medical procedures The support and protection of life functions under the stress of anesthetic and surgical manipulation and other medical procedures The clinical management of the patient unconscious from whatever cause The management of problems in pain relief The management of problems in cardiac and respiratory resuscitation Â
Infiltration of Local anesthesia, topical application and minor nerve blocks. Peripheral nerve blocks Neuraxial blocks Truncal Blocks Chronic Pain Management- (appropriate documentation of pertinent training, education, knowledge, and current competency must be provided to the departmental chairperson to consider these privileges).
Acupuncture (special certification required) Destructive nerve blocks (alcohol, phenol, cryoanesthesia) Epidural neurolysis Diagnostic and therapeutic nerve blocks Discography Translaminar Epidural Injections
Cervical/thoracic Lumbar spineTransforaminal Epidural Injections Cervical/thoracic Lumbar spine Radiofrequency ablation Cryo ablation Intradiscal electrothermal ablation (IDET) Percutaneous kyphoplasty
Epiduroscopy
Dorsal Column Stimulator
Insertion of device Management of device
Intraspinal techniques
Catheter insertion
Implantable pump insertion
Implantable infusion devices
Critical Care - ( appropriate documentation of pertinent training, education, knowledge, and current competency must be provided to the department chairperson to consider these privileges) Bronchoscopy to assess tracheal and bronchial abnormalities Fiberoptic bronchoscopy therapeutic* Gastroesophageal balloon tamponade* Percutaneous tracheostomy tube placement (Seldinger technique) Continuous renal replacement therapy* Therapeutic bronchoscopy for pulmonary toilet Diagnostic bronchoscopy for assessment of pneumonia To include bronchial alveolar lavage Emergency pericardiocentesis Emergency tracheostomy/cricothyroidotomy Certification of Brain Death (special credentialing required)*(Must be Board Certified in Neurology, Critical Care or Neurosurgery
Transesophageal Echocardiographv (TEE)* - (appropriate documentation of pertinent training, consider these privileges)Image acquisition and preliminary interpretation Definitive interpretation
Qualifications
Individuals applying for privileges in this department must have successfully completed an ACGME approved residency training program in Anesthesiology. The burden of proof of qualifications rests with the applicant. You should place a check (✓)mark for those procedures in which you wish privileges.
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