The objectives of the fellowship include clinical, didactic and research components.
The clinical program emphasizes comprehensive perioperative management. Fellows will participate in preoperative evaluation of the candidates at the Ochsner preop clinic on a weekly basis. In addition fellows will participate as the anesthesiology consultant in a once or twice weekly multidisciplinary selection committee for OLT candidate suitability. Three days per week plus some night and weekend call provides many opportunities for the fellow to participate in transplant cases with the 8 liver attending anesthesiologists. By far the largest experience for the fellow will be with deceased donor orthotopic liver transplants. There may be a handful of pediatric or living donor cases. Duties include room setup, insertion of invasive monitors and large bore central venous access and basic transesophageal echocardiogram. Cases involve management of large volume resuscitation, management of coagulopathy with TEG and HEPCON and continuous intraoperative dialysis. During the one year experience the fellow will typically participate in more than 50 cases of liver transplantation. In accordance with the new UNOS regulation, a one year fellow will achieve sufficient qualifications to become Director of Liver Transplant Anesthesia at a major medical center.