The National Heart Centre’s (NHC) department of Cardiothoracic Anaesthesia comprises a team of 11 dynamic fully trained specialists who constantly work towards providing the highest standard of perioperative care to patients presenting for a wide variety of cardiothoracic procedures. Being a part of the largest national centre for cardiovascular medicine promises exposure to a wealth of clinical material and abundant opportunity to learn and gain experience.
The case mix ranges from routine coronary artery bypass grafting and valve surgery, to more complex aortic aneurysm repairs, correction of adult congenital heart defects, insertion of ventricular assist devices and anaesthetic support for cardiac procedures in the cardiovascular laboratory.
SingHealth is the largest thoracic surgical centre in Singapore and is a regional referral site for complex thoracic surgical procedures. Residents in our program will see the whole gamut of challenging thoracic cases from extrapleural pneumonectomy, mediastinal mass excision to airway laser surgery and tracheal resections.
New state-of-the-art procedures are constantly being introduced, for example Robotic cardiothoracic surgery and Transcatheter Aortic Valve Implantation (TAVI) done in our newly renovated hybrid operating theatre. The cardiac anaesthetist often forms a vital part of the multidisciplinary team involved in the management of these complex and challenging cases.
Residents will have ample opportunity to learn and practice insertion of invasive lines such as arterial lines, central venous catheters, thoracic epidurals, double lumen tubes, and bronchial blockers as well as gain a basic understanding of intraoperative transesophageal echocardiography, fibreoptic bronchoscopy, jet ventilation and use of nitric oxide.
As the only national heart and lung transplantation program, SingHealth residents will have the opportunity to assist faculty in these complex and challenging transplantations. Additional learning through consultant and trainee presentations via the Cardiothoracic Service Education and Research Forum (cSERF) will be carried out on a monthly basis, and this provides a platform for discussion of updates and current practices.