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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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