It is a very busy service, but for some reason, caudals don't get done very often.
Every belly case gets a caudal at our institution. I've done at least a dozen. I've also done thoracic epidurals on older kids (e.g. four-year-olds single shot).
Why aren't you doing more caudals? "For some reason" isn't a good explanation.
How about "the data is not good for most procedures and it is not without morbidity." I don't want my child to have a potentially harmful procedure that's no better than toradol for analgesia or satisfaction. For some big cases, sure, but for routine b&b cases, its not worth it.
I've done a few TEFs, one CDH and a bunch of omphaloceles/gastroschises. Is this pretty typical or are you guys putting up significantly more by the time you are nearly done with residency?
The pedi bronch room is something I look forward to because you get some pretty cool airway problems to manage. Doing peds stuff is worth it to me because getting lines and tubing the little guys is a skills unto itself. You never know what you'll be faced with down the road.
Don't you guys do pedi hearts at Loyola? My friend interviewed there for a CV fellowship and she said it is by far the busiest program in Chicago. Congrats on the position.
You know whats 10X worse than those big nasty cases (which actually aren't that nasty)? The pediatric BRONCH ROOM. Seriously dude, screw that room. Seriously.
Oh yeah? I think by far the worst room is the dental room. When people say anesthesia is boring, they are thinking about the pediatric dental room. i think the only time I have fallen asleep doing anesthesia is doing anesthesia for dental cleaning, etc. (I may have even fallen off the chairs.) After you have done 10 or so nasal intubations, they just aren't that exciting anymore.
I wanted to do some hearts when I did my children stuff but the attendings told me not to bother. They said it was an absolutely worthless experience unless I was going into pediatric anesthesia.