Otolaryngology, Ophthalmology, Oral Surgery
We are privileged to provide anesthesia services for this department that is consistently ranked highly by US News and World Report. While on this rotation, residents become experts at airway management. We emphasize alternative airway management techniques such as fiberoptic intubation, use of the bougie and fast-trach aids, light-wand intubation, retrograde intubation and use of alternative laryngoscopes. Jet ventilation with heliox is commonly used in pediatric airway management. Residents learn to evaluate the compromised airway and plan appropriate anesthesia techniques. Head and neck cancer surgery is a major component and residents become familiar with management of fluid, electrolytes and blood replacement during surgical procedures that are of long duration.
This department is also ranked highly by US News and World Report. Residents become expert at balancing the need for a quiet operating field and yet be able to wake the patient up in a timely fashion. Corrective eye procedures for children are commonly performed at the University of Iowa. Residents also learn to manage as many as ten cataract surgeries in one day, thus gaining valuable “private practice”-like experience.
Because oral surgeons need unimpeded access to the mouth, residents become expert at nasal intubation, both blind and under direct vision. Residents gain expertise in blood pressure control with vasoactive agents as many of the jaw advancement surgeries also require induced hypotension.