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Anesthesiology Clinical Teaching Sites

Regional One Health Medical Center
Regional One Health Medical Center is UTHSC's primary teaching hospital. Serving about 150 miles and a population of one million. Regional One Health Medical Center exposes students to a diverse patient population and a wide variety of illnesses. A Level I Trauma Center, Regional One Health Medical Center is the referral center for trauma cases resulting from, among other things, inner-city violence, rural farm accidents, highway accidents, and more general trauma. Many of the inner-city patients treated at Regional One Health Medical Center present unusual and advanced pathologies. The MED's OB department, a Level IV obstetric service, has 15 labor, delivery, recovery rooms, three operating rooms and a dedicated four-bed OB Intensive Care Unit used for more than 6,000 deliveries a year, many of which are high-risk.
Le Bonheur Children's Hospital

The Department of Anesthesia at Le Bonheur Children’s Hospital (LCH) administers over 18,000 anesthetics annually. These cases are delivered in 17 operating rooms, two cardiac catherization labs, two MRI’s and a CT scanner. Two thousand (2,000) anesthetics occur at the pediatric surgery center (Le Bonheur East). Three hundred and twenty-five (325-350) open-heart procedures are performed in the hospital each year. The Society of Thoracic Surgeons has given the cardiac program at LCH three stars, its highest designation. Only 10 programs out of more than 140 receive such a rating. For the past several years, LCH has annually performed 14 heart transplants, five VAD’s, including Pedimag, Centrimag, and Heartmate/Heartware, and 500 cardiac catherization.

Anesthesiology at LCH supports the orthopedics program that performs spinal fusions, Vertical Expandable Prosthetic Titanium Rib (VEPTR) placement and growing rods from the MAGECTM (MAGnetic Expansion Control) System.  The orthopedic program is one of the highest rated in the nation and is in partnership with the Campbell Clinic. The neurosurgical program and tumor volume is one of the highest in the United States. LCH is one of only a few hospitals with an intraoperative MRI in a children’s hospital. In 2010, it was the first one to have a 3T IMRI in the USA.

Liver and Kidney transplants are performed as a part of Methodist University Hospital’s very highly rates solid organ transplant program. LCH has also performed surgery on a congenitally joined ischiophagus set of twins over the past two years and has done no less than three sets of patients over the past ten years — a very large and unique clinical experience. The hospital is a Level 1 Trauma Center and has one of the busiest pediatric emergency departments in the United States. The anesthesia department supports a very active regional anesthesia service and is engaged in collaborative research papers with several departments including orthopedics, ENT and cardiac surgery.

Methodist University Hospital

Methodist University Hospital is a 617-bed facility located in the heart of the Memphis Medical Center. MUH is the major academic campus and principal teaching hospital of the University of Tennessee Health Science Center. The Department of Anesthesiology performed 14,649 anesthetics in 2017. Of these, in terms of clinical material for residency and fellowship training, the department provided anesthesia for:

CPT Count Type Description of Case
00210 314 NEURO Other Intracranial Procedure
00211 47 NEURO Craniotomy
00214 70 NEURO Burr Holes
00215 19 NEURO Cranioplasty
00220 62 NEURO Cerebrospinal Fluid Shunting
00566 225 CABG CABG
00600 35 SPINAL Other Cervical Spine & Cord Procedure
00620 24 SPINAL Other Thoracic Spine & Cord Procedure
00630 148 SPINAL Other Lumbar Procedure
00670 244 SPINAL Extensive Spine & Sinal Cord Procedure
00796 108 TRANSPLANT Liver Transplant (could be donor or recip)
00868 122 TRANSPLANT Kidney Transplant (could be donor or recip)

This data highlights the complexity and acuity the caseload which anesthesia trainees will be exposed to on rotations at MUH.

Memphis VA Medical Center

The Memphis VA Medical Center is a 210-bed tertiary care facility with an additional 60 bed spinal cord unit. It provides Medical and Surgical (non-Obstetrical) treatment to Veterans of the United States Military Services. Anesthesia services are involved in approximately 3000 surgical procedures and about 3500 endoscopic or interventional medical and radiologic procedures per year.

St. Jude Children's Research Hospital

The St. Jude Children’s Research Hospital works to advance cures and prevent pediatric catastrophic diseases through research and treatment.  Carrying on the mission of founder Danny Thomas, patients and families never receive a bill from SJCRH.

St. Jude is licensed for 80 inpatient beds and has approximately 7,800 active patients. Operating within the department of Pediatric Medicine, the Division of Anesthesiology provided care for approximately 13,000 encounters in FY17 (including pain management) in all phases of pediatric anesthesiology throughout the hospital setting. This included diagnostic imaging, radiation oncology, surgery, the procedure room, the outpatient pain clinic and on the inpatient pain service.

Anesthetizing locations in diagnostic imaging include MRI, CT, nuclear medicine, PET, MIBG and interventional radiology. Three operating rooms host procedures such as intrathoracic and intraabdominal surgeries, as well as orthopedic oncologic procedures. Anesthesia is provided in a procedures area where typical oncology procedures such as lumbar punctures, bone marrow aspirates and biopsies and administration of intrathecal chemotherapy are performed. Anesthesiology is active in traditional radiation oncology (photon) for both treatments, MRI and CT simulations and in the world’s only dedicated pediatric proton treatment facility.

The Division of Anesthesiology assists the Division of Critical Care Medicine in providing anesthesia care for critically ill patients requiring bedside procedures and provides consultation for airway management in the ICU and for other emergencies as needed.

For pain management, the scope of clinical practice includes consultation for inpatients with complex medical conditions related to acute and chronic pain, and outpatient consultations in the pain clinic. Related to acute pain management, the spectrum of practice ranges from acute postoperative pain (with short duration of follow up) for invasive pain management (with continuous epidural catheters, continuous peripheral nerve catheters) to opioid patient controlled analgesia and continuous ketamine infusion or lidocaine infusion. The most prevalent consultations in a vast array of clinical circumstances are chronic neuropathic pain secondary to chemotherapeutic agents, tumor-related nerve compression, and bone marrow transplant related neuropathic chronic pain. Of a rarer nature, but requiring a high level of acuity of care, the service provides consultation and pain management for palliative care and at the end of life, in close collaboration with the Palliative Care service. 

There are ongoing research projects in pain management and peri-operative anesthesiology, as well as collaborations with Psychology, Neuro-Oncology, Radiology, Radiation Oncology, and Orthopedics among others. Recently, the Division focused on long-term effects of anesthesia and on influence of anesthetic management on cancer outcomes. Over the past 18 years, clinical research from the pain service has generated more than 50 manuscripts addressing multiple areas of pain management in pediatric oncology. 

Patient safety is a key focus of the Division of Anesthesiology. St. Jude is member institution of Wake Up Safe, the patient safety organization sponsored by the Society for Pediatric Anesthesia.

Last Published: Dec 11, 2018