Clinical Subspecialties

Cardiothoracic Critical Care Unit

The Loyola University Cardiothoracic Surgery ICU is a unit staffed around the clock by faculty of both the Department of Anesthesiology and Department of Medicine's Pulmonary and Critical Care Medicine Division. A resident and fellow representing each department is on call at any time of the day or night, as well as a full staff of specialized nurses and respiratory therapists.

Loyola is the regional referral center for the most critically ill and challenging cardiac surgery cases. In addition, it is a major center in the Midwest for both heart and lung transplants.

Areas of specialization include the management of transplants, pre-and post-op coronary bypass, valve, and lung surgeries. We also have extensive experience in the management of advanced cases such as ventricular assist devices, nitric oxide therapy and total artificial hearts.

Management of postop problems such as bleeding, sepsis and organ failure is accomplished by a team approach involving consultants from every department. Physical, occupational and speech therapists, as well as nutritionists, pharmacists and social workers insure that every aspect of the patients recovery and ultimate discharge is integrated.

Hepatobiliary Surgery and Liver Transplantation

Loyola University Medical Center currently has an active liver transplantation program and the Department of Anesthesia has been involved in the program's evolution and implementation since starting in November of 1998. We have seen progressive growth as the fifth transplant center in the Chicago market. Candidates for transplantation come from not only the Midwest, but also from throughout the country including states such as Louisiana, Massachusetts, and Pennsylvania and present with a variety of complex liver diseases. The majority of transplantation candidates are a result of hepatitis C infection, however, other causes seen here include alcohol, primary biliary cirrhosis, primary sclerosing cholangitis, fulminant hepatic failure (from a variety of causes), and metabolic disorders.

The Department of Anesthesia is intimately involved in the care of these patients. We participate not only in the evaluation process for transplant candidate selection, but also the perioperative management of these individuals. Residents in anesthesia also are active participants in the care of the transplantation candidate and are an integral part of the team.

In addition to transplantation, Loyola University Medical Center has an active hepatobiliary service. For both anesthesia residents and faculty, there is a tremendous amount of exposure to hepatobiliary surgery including hepatic resections, namely for metastatic disease (but also for primary hepatocellular carcinomas, hemangiomas, etc.), biliary reconstructive surgery, and pancreas surgery. Again, the Department of Anesthesia is involved in all aspects of perioperative care for these patients.

Neuroanesthesia

The neuroanesthesia rotations at Loyola encompasses a large and varied clinical experience. The program blends both high quality didactic and operating room training with state-of-the-art surgeries involving both the spine and intracranial procedures. Loyola is home for the Center for Cranial Base Surgery and is a Midwest referral center for tumors involving the skull base. Residents at Loyola perform a large number of anesthesia for neuromas of the acoustic nerve, glomus vagale and jugulare tumors and clival meningiomas.  Residents gain experience with sitting position approach to the skull base and are exposed to all aspects of air embolism prophylaxis and prevention. In addition, there is a large variety of neurovascular procedures performed and residents gains a good deal of experience in the neuroradiology suites doing complex anesthesia for aneurysm coiling, ablation and stent placements.

In addition, a large number of complex spine procedures are performed and residents learn techniques involving hypotensive anesthesia and the effect of anesthetic agents on neurophysiologic monitors. All of this coupled with the fact that Loyola is the major trauma center for the West and South Chicago Suburbs, provides an excellent experience in both complex elective and emergent neurologic procedures.

The didactic portion of the neuroanesthetic experience involves both case discussions and formal overviews of neurovascular anesthesia, methods for control of intracranial pressure, neurophysiologic monitoring, neuroprotection and spinal cord injury.

The variety of case mix, didactic and operating room rotation make the neuroanesthesia experience at Loyola rewarding and valuable for training resident physicians.

Obstetric Anesthesia

The section of Obstetric Anesthesia in the Department of Anesthesiology at Loyola University Medical Center offers its dedicated service to obstetric patients 24 hours a day, seven days a week. Located in the Russo Pavilion, the Labor and Delivery Suite has seven birthing rooms, six critical care beds and two operating rooms, all equipped with sophisticated state-of- the-art monitors, amenities and best of all, experienced, compassionate and friendly healthcare providers. Loyola obstetric service is specialized in both normal and high-risk pregnancies. Obstetric anesthesia care providers work collaborately with their obstetric colleagues to provide the best optimum care to these parturients. The total number of deliveries at Loyola is more than 1,200 per year. Obstetric anesthesia is provided in the care of approximately 80-90% of these patients, in an array of typical labor epidural or combined spinal-epidural analgesia for vaginal deliveries in normal parturients and complex anesthetic care in complicated high-risk obstetric patients, such as those with pre-eclampsia/eclampsia, cardiac disease or multiple gestations. A high-risk parturient can be referred in advance by her obstetrician for an obstetric anesthesia consult as part of multi-disciplinary approach. In addition, an obstetric anesthesia faculty member regularly attends the scheduled educational birthing classes for expecting mothers and their spouses, in order to educate them about labor analgesia through video presentation and interactive question/answer sessions. Furthermore, once admitted onto the Labor and Delivery suite, the patient is visited by obstetric anesthesia staff and has an opportunity to discuss about the options for labor analgesia and anesthetic care. This care can be tailored by the individual patient's desires and needs.

In summary, with the state-of-the-art facility, latest medical advances and the expertise of our faculty and staff, Loyola Obstetric Anesthesia offers a complete anesthetic care for both normal parturients and most complex high-risk parturients.

Pain Treatment Center

The Pain Management program offers a multidisciplinary program in which a team of specialists provide a wide spectrum of services to relieve chronic non-malignant and cancer pain employing interventional, medication and behavioral approaches.

Diagnostic and therapeutic procedures offered include: epidural steroid injections, trigger point injections, peripheral nerve blocks, placement of epidural catheters or intrathecal pumps for home infusion therapy with local anesthetic and/or pain medicines, neuroaugmentation implantable devices (spinal cord stimulators), neurolytic nerve blocks, radiofrequency procedures, intradiscal procedures, TENS, physical and occupational therapy, biofeedback, medical hypnosis, pain medication titration and maintenance, and cognitive-behavioral techniques such as individual, group, or family psychotherapy.

Pain management services are offered on an outpatient basis at the Loyola Outpatient Center, Center for Health at Homer Glen, the Cardinal Bernardin Cancer Center, and the Burr Ridge Outpatient Center.

For Physician Consultant and Referral please call (708) 216-7925.

Pediatric Anesthesia Training

Pediatric care at Loyola University Medical Center is provided at Ronald McDonald Children's Hospital, a tertiary referral center on the Loyola campus consisting of Level III NICU, PICU, monitored, and ward beds as well as the Ronald McDonald House for parents. The pediatric hospital is an active, growing facility with all pediatric medical and surgical subspecialties represented. The latter includes general, urologic, plastic, orthopedic, ENT, ophthalmologic, and cardiac surgical specialists.

Our goal is to provide the graduating anesthesia resident with the experience, skills and confidence to provide safe anesthesia for routine pediatric cases commonly encountered in a community hospital. The pediatric faculty consists of pediatric anesthesiologists, all of whom have completed a pediatric anesthesia fellowship, are board-certified in both pediatrics and anesthesia, or have equivalent past experience anesthetizing children.

All anesthesia residents will have a minimum core rotation of 2 months of pediatric anesthesia, with the option to take up to 4 more months their senior year. The rotation includes both inpatient and outpatient cases. Outpatient procedures include a large volume of ENT, GU, and ophthalmologic cases. Challenging inpatient procedures include repair of complex congenital heart disease, necrotizing enterocolitis, bronchoscopy, neonatal surgical emergencies, grafting of burns, remote-site anesthesia (radiologic, oncologic), etc.  Required reading assignments with weekly quizzes during the 2 month pediatric anesthesia rotation and giving a lecture on a pediatric anesthesia topic round out the resident's learning experience.

Additionally, a comprehensive series of didactic lectures on pediatric anesthesia is given by the attending pediatric anesthesia faculty during the CA-1 to CA-3 years. On approximately a quarterly basis, a nationally recognized pediatric anesthesiologist is brought to Loyola to lecture at Grand Rounds. Resident participation in pediatric clinical research projects and/or presentation of abstracts is also available and encouraged.