#TILT #CardsAnes considerations for persistent left superior vena cava:
- PAC may be impossible to advance via L internal jugular v.
- Cannot effectively give retrograde cardioplegia
- May req extra venous drainage cannula for CPB
- Can complicate 🫀 transplant

#MedSky #AnSky #MedEd #Anesthesiology

#TILT: Visceral situs or isomerism typically match atrial situs or isomerism, ie:
- Atrial situs inversus➡️visceral situs inversus
- Right atrial isomerism➡️abdominal heterotaxy w/ asplenia
- Left atrial isomerism➡️abdominal heterotaxy w/ polysplenia

#MedSky #AnSky #CardioSky #MedEd

- Yao and Artusio: While I barely touched this as a resident, I’m currently reading it through for oral boards (aka APPLIED). I think for an APPLIED, it’s probably one of the better options, *but* APPLIED is more about articulating what you know rather than rote learning, so practice makes perfect

Other options and disclaimers:
- Morgan and Mikhail➡️was not my favorite text. Not detailed enough for rotations, too dense for exams IMO, *but* a ton of BASIC and ADVANCED questions come from M&M. I read it through M4-intern year and barely touched again, personally

For subspecialties, my preference was to read Barash, aka Barash, Cullen, and Stoeltling’s Clinical Anesthesia.

Barash is *far* too detailed for exam studying, but it’s a perfect overview before starting a rotation (eg 6 pages on OLV is too much for exams, but perfect before a thoracic rotation)

Moving onto studying for clinical rotations.

My favorite introductory anesthesia text for M4s and/or orienting CA1s has to be “baby Miller”, aka Miller’s Basics of Anesthesia

It’s the perfect amount of info without being overwhelming to really master the basics of practice. I read while orienting

For BASIC, I also used Hall’s, which is a book of multiple choice questions. I have mixed feelings — it might have helped, but most of the same info was on TrueLearn. A small number of Halls questions had dated information. Do with that what you will 🤷‍♀️

My favorite written resource for the exams takes me to Faust’s Anesthesiology Review

I read this cover to cover every year of residency. It’s a perfect amount of high-yield without being too intimidating.

Disclaimer: While great for exam studying, this is *not* detailed enough for rotations

Let’s start with exams.

Nothing works better than memory retrieval for studying, and the best retrieval resource by and away for anesthesiology is TrueLearn

If your residency pays for this USE it. And use it a lot. If not, *highly* recommend investing some CME in it. Worth it.