Department of Anesthesiology

Pediatric Cardiovascular Anesthesiology Fellowship Clinical Experience

Master
Content

We believe that our clinical volume and complexity are one of the greatest strengths of our program.   Reflecting this volume are our anesthetizing locations, which include: 

  • 4 cardiovascular operating rooms
  • 3 cardiac catheterization labs
  • 1 electrophysiology lab
  • A procedure room suite
  • CT
  • MRI
  • Interventional radiology

At all of these sites, our fellows are paired 1:1 with an attending anesthesiologist, thereby increasing the fellows’ procedural experience as well as fellow-level directed learning.  In our operating rooms, fellows routinely place the necessary central and arterial lines.  

Below are data demonstrating our case volume as a system as well as fellows’ case numbers over recent years.  The end-result of our clinical experience is that our fellows are well-prepared to manage any patient presenting for any procedure.  

Content
Selected Surgical Case Volumes, Texas Children’s Hospital 2023
Case TypeTotal
Stage 1 Palliation (Norwood)19
Bidirectional Cavopulmonary Anastomosis (BDG)36
Fontan26
Arterial switch (dTGA and dTGA/VSD)14
Truncus arteriosus 9
Tetralogy of Fallot27
Complete atrioventricular septal defect18
Coarctation of the aorta21
Heart transplant24
Lung transplant5
VAD26
ECMO as primary procedure (not post-cardiotomy)62
Adult congenital 55
Content
Case Volumes and Procedures Per Fellow, 2022-2024, n = 4 fellows 

Procedure

Average (range)
Fellow as sole trainee, total bypass cases113 (101-136)
Stage 1 Palliation (Norwood)8 (6-10)
Bidirectional Cavopulmonary Anastomosis (BDG)8 (6-10)
Fontan7 (5-10)
Arterial switch6 (5-9)
Other neonatal procedures15 (7-23)
Coarctation of the aorta6 (4-13)
Cardiac or lung transplant6 (6-7)
Placement of circulatory assist device13 (6-19)
Diagnostic catheterization procedures38 (25-55)
Interventional catheterization procedures41 (39-45)
Central venous catheterization104 (85-136)
Arterial line placement 117 (104-143)