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MS4 Obstetric Anesthesia

Contact Information

Email the rotation director, Eva Szabo, MD, for more information.

The UNM Department of Anesthesiology strives to provide fourth-year medical students with a broad range of exposure to the field of Obstetric Anesthesiology. Choosing a rotation with our department means you will gain a basic understanding of neuraxial labor analgesia techniques and the perioperative management of obstetric patients with emphasis on cesarean section delivery.

Objectives

  • Acquire the ability to assess patients pre-operatively.
  • Be able to formulate and discuss an anesthetic plan for patients with residents/faculty.
  • Be able to formulate a plan for labor analgesia.
  • Be able to formulate a plan for relief and prevention of pain during and following surgical or obstetrical procedures.
  • Be familiar with commonly used noninvasive monitors, and how to interpret them.
  • Learn the fundamental skills of anesthetic management of laboring patients and patients under spinal anesthesia in the obstetric setting.

Clinical Curriculum

During the course of the elective rotation, the student will be required to participate in patient care in:

  • Preoperative evaluations
  • Anesthesia consultations
  • Neuraxial labor analgesia
  • Neuraxial anesthesia
  • Basics of management of C-sections
  • Post-cesarean pain management techniques and follow-ups
  • Post-epidural follow-ups
  • Basics of anesthesia recovery
  • Criteria for post-anesthesia care unit (PACU) discharge

Simulation

Every rotating student will have the opportunity to practice the spinal anesthesia technique on a mannequin in the BATCAVE (Basic Advanced Trauma Computer Assisted Virtual Experience). When other students rotate on the anesthesiology sub-internship rotation, the student on this elective rotation will be given the opportunity to join the other students for their simulation session in the BATCAVE.

Clinical Skills

When appropriate, the student may perform spinal and epidural anesthesia. Topics covered in detail include:

  • Maternal physiology
  • Regional analgesia for labor and delivery
  • Complications of neuraxial anesthesia
  • Most common emergencies such as emergency C-section delivery and postpartum hemorrhage
  • Anesthesia for C-section delivery
  • Anesthesia for postpartum tubal ligation
  • Pre-eclampsia
  • Obesity
  • Diabetes mellitus

Evaluation

Evaluation will be based on observation. A form will be filled out by the anesthesia faculty and residents the students identify, and collected by the rotation director. The standard UNM School of Medicine Student Evaluation Form will be completed by the rotation director.