In patients presenting to the operating room with a saddle pulmonary embolism for noncardiac surgery, it is best to take a multidisciplinary approach and involve the cardiac and vascular surgeons. K E Y W O R D S chondroblastic osteosarcoma, extracorporeal membrane oxygenation (ECMO), saddle embolus, transesophageal echo 984 | SMISSON et al. How to cite this article: Smisson WB, Vale H, Chandrashekar A, Hierlmeier BJ. Intraoperative considerations in a patient with chondroblastic osteosarcoma and saddle pulmonary embolism undergoing amputation.
Background: While the COVID-19 pandemic still rages on in the United States, leaving in
its wake hundreds of thousands of infected patients, families shattered by the untimely death
of their loved ones, an economy in free fall that hit all-time highs barely a few months ago,
and a fearful citizenry unsure of what the future holds, the effect it has had on residency
and fellowship training programs across the country may appear inconsequential to the
general populace. However, if you are a graduating trainee confronted with this unusual set of
circumstances, fear of the virus is not the only thing that is foremost in your mind.
Methods: Literature review.
Results: We discuss the unique challenges our pain fellowship program continues to deal
with during this pandemic and particularly its impact on our fellows. It is entirely likely these
concerns are mirrored in academic programs all over the United States.
Limitations: A narrative review with paucity of literature.
Key words: COVID-19, pain fellowship, interventional pain, graduating trainees, pain clinic,
medical education during a pandemic
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