Clinical Experience - Liver Transplant Anesthesia Fellowship Program

The objectives of the fellowship include clinical, didactic and research components.

The clinical program embodies comprehensive perioperative management. Fellows will participate in preoperative evaluation and selection of transplant patients through twice weekly, multidisciplinary selection committee meetings. Three fellow days per week plus some night and weekend call provides many opportunities for the fellow to participate in transplant cases with the liver attending anesthesiologists. The largest experience for the fellow will be with deceased donor orthotopic liver transplants. There is also an expanding living donor program and a handful of pediatric or living donor cases done each year. Duties for the fellow include OR 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 on some patients continuous intraoperative dialysis. During the one year experience the fellow will typically participate in more than 50 cases of liver transplantation. In compliance with UNOS regulations, a one year fellow from our program qualifies to become a Director of Liver Transplant Anesthesia at a major medical center.