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Specialty

Cardiac

Clinical Care

The Department of Anesthesiology has a long tradition of excellence in the clinical care of cardiac surgical patients dating back to the development of the clinical application of pulmonary artery catheterization and transesophageal echocardiography. Today, Yale-New Haven Hospital is a busy pediatric and adult cardiac surgery center, delivering cardiac anesthesiology services for over 1,250 patients annually. With all cardiac anesthesia faculty members trained in transesophageal echocardiogapy (TEE), we are well equipped to provide intraoperative echocardiographic examination for all cardiac surgical procedures. Weekly collaborative echo conferences between the Department of Cardiology and Anesthesiology are designed to review emerging topics in echocardiograph as well as interesting and challenging cases. In addition, there are active collaborations in the area of TEE associated research between the Department of Anesthesiology and Cardiology.

Significant clinical emphasis is placed on the management of patients with complex cardiac and cardio-thoracic disease as well as management of patients in the cardio-thoracic ICU. The expansion of clinical programs in the area of cardiac assist devices as well as cardiac transplantation have significantly expanded the scope and breadth of service provided by the cardiac anesthesia division. The Cardiac Anesthesiology team also cares for patients undergoing a variety of trans-catheter valve procedures as well as robotic heart surgery have further embellished the division's clinical profile.

In addition, with increasing complexity and variety of electrophysiology cases being offered at Yale-New Haven Hospital the department expanded the coverage of the cardiac anesthesiology division to include all of the electrophysiology cases on the York St campus.

Lastly, the Cardiothoracic Intensive care Unit is managed by the Department of Anesthesiology. The unit continues to expand and now encompasses an 18 bed unit on West Pavilion 3rd floor and a 6 bed unit on South Pavilion 5th floor. With the increasing complexity and size of the Cardiothoracic ICU the hospital and Anesthesiology Department have worked collaboratively to provide 24 hour in-house Attending coverage to our patients.

Core Research Areas Include:

  • Evaluation of the impact of cardiopulmonary bypass on the inflammatory response
  • Invasive and non-invasive cardiovascular monitoring
  • Impact of CPB on hepatic/renal function
  • Development of TEE-quality-assurance mechanisms and education materials
  • Tissue engineering/regeneration medicine
  • Identifying outcome indicators in patients receiving cardiac assist devices
  • Impact of LVAD on metabolic function