Peds anesthesia

[RedPeony]

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I'm pretty interested in this field, just wondering if it's going to be as impacted by CRNAs as anesthesia in general. Also, what is the balance of OR time vs. sedating during other types of procedures in peds anesthesia? Do most peds-trained anesthesiologists work in a children's hospital or are a lot of them working in general academic/private hospitals and doing a large percentage of the peds cases plus adult/ob cases? Thanks so much!

 

[michigangirl]

The majority (I don't know the %) of fellowship trained peds anesthesiologists practice in a children's hospital setting because that is where much of the pediatric acuity and complexity resides, also often a program designed around children, a community of peds anesthesiologists to work with, etc. etc. if you liked kids enough to do a fellowship, then presumably you'd like to spend the majority of your OR time taking care fo them-- of course there are exceptions, those who do peds anesthesia fellowship so they will feel comfortable taking care of any child at any time.

I don't see peds anesthesiology being as affected by CRNAs as general adult anesthesia, particularly in large children's hospitals with critically ill neonates and children, but I don't have a crystal ball. I feel pretty confident in the short and probably long -term of job security as a pediatric anesthesiologist as long as I'm in a hospital with a Level III NICU and a PICU.