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Skills and Procedures Form - Anesthesiology

Procedures
Please list the approximate number performed within the past 24 months
- General
- Spinal
- Epidural
- Bier block
- Brachial plexus block
- Peripheral nerve block
- Rotrobulbar block
- Diagnostic therapeutic – nerve blocks
- Intravenous sedation
- Pediatric anesthesia
- Obstetrical anesthesia
- Neonatal anesthesia
- Cardiovascular anesthesia (open heart)
- Vascular anesthesia (except open heart)
- Thoracic surgeries (except open heart)
- Neurological anesthesia
- Pain management procedures
- Fiber-optic intubation skills
- Ventilator management
- Post-anesthetic management
- ICU management of patient
- Other
Please list any other skills below
Invasive Lines
- Arterial line placement
- Swan-Ganz insertion
- Swan-Ganz monitoring
- Central line placement
Resuscitation
- Neonatal
- Pediatric
- Adult
Please list any limitations or comments on information provided above:
I affirm that all information provided on this page is true and accurate.*
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Date

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