An Online Neuroanesthesiology Course Provided by ICPNT accredited Tiantan Neuroanesthesia Training Program in China


Nan Lin, MD, PhD
Beijing Tiantan Hospital, Capital Medical University, Beijing, China 

The International Council on Perioperative Neuroscience Training (ICPNT) is running a mission to promote high-quality neuroanesthesia education. Many outcomes of this global mission have been seen. One of the ICPNT accredited neuroanesthesia training programs at Beijing Tiantan Hospital, Capital Medical University, recently offered an online Neuroanaesthesiology course. The course is well designed by the department neuroanesthesia group and is jointly supported by ICPNT and the Beijing Society of Anesthesiology Neuroscience group. The course was initially released on an open-access platform on December 27th, 2021. Since then, it has been accessible to all medical practitioners and students. The Tiantan program aims to provide standardized educational courses in clinical neuroanesthetic management for subspecialty trainees in China. It can also be beneficial for anyone willing to learn neuroanesthesia in China and worldwide. 

The course is not only an essential part of the ICPNT accredited Tiantan program but also a part of the neuroanesthesia CME program. The invited lecturers are all from Beijing Tiantan Hospital, Capital Medical University, including senior neuroanesthesia subspecialists, neurosurgeons, intraoperative neurophysiological monitoring physicians, and specialists in critical care. Seventeen educational lectures were delivered, covering the brain’s basic anatomy, management of specific neuroanesthesia cases, perioperative neuromonitoring, neurocritical care, etc. 

Dr. Ruquan Han, the chair of the anesthesia department at Beijing Tiantan Hospital, offered opening remarks for this online course program. Next, Dr. Andrew Kofke, Chair of the ICPNT, and Dr. Chanhung Lee, Chair of the Neuroanesthesia Program Relations (NPR) committee, presented brief introductions of ICPNT and NPR programs, respectively. Then, Dr. Nan Lin, the Tiantan program executive director, explained the structure and content of the neuroanesthesiology fellowship program at Beijing Tiantan Hospital and addressed the object and outline of this course. 

This lecture series began with the most common ischemic neurovascular disease, CEA, titled ‘Anesthesia management for CEA.’ It was followed by the lecture ‘Cerebral Vascular-Arterial System.’ Next, an invited neurosurgical professor delivered the lecture ‘Understanding Neuroanatomy’, followed by a sequence of lectures on perioperative management for a supratentorial brain tumor, pituitary adenoma, pediatric neurosurgical diseases awake craniotomy, traumatic brain injury, and DBS & Functional Neurosurgery. Each lecture was structured into the following parts: relevant anatomy, the pathophysiology of specific intracranial disease, a brief introduction to neurosurgical intervention, perioperative management, cutting-edge research, and clinical case sharing. In addition to the management of specific intracranial conditions, fluid management for neurosurgery, management for neuroanesthesia recovery, and management for pregnant patients with neurosurgical diseases was also given. In terms of brain function monitoring topic, it reviews the principles and applications of brain oximetry monitoring and neurophysiological monitoring; the latter was discussed from the neurophysiologist’s view and anesthesiologist’s view. The last two lectures were on perioperative stroke and cognitive dysfunction in elderly patients and reperfusion brain injury in the intensive care unit, which are two hot topics in perioperative neuroscience. 

All the lectures are free and available on the website of Digital Aesculap Academy China (www.daac.com.cn). After logging in with an account, one can access all the lectures by typing in the keyword ‘ICPNT’ in the searching area. In order to create an account, one needs to download the ‘Aesculap Academy app’ by scanning the QR code (See at the end). The lectures are available on both the PC website and app. (See the figure) 

The lectures are in Chinese. More than one thousand Chinese physicians have registered and watched the lectures until now. This significantly benefits both individual practitioners and hospital training programs in China. In addition to delivering educational knowledge, this course program is also helpful in fulfilling the goal of ICPNT, spreading the ICPNT mission, and promoting its recognition in China. Hopefully, more and more high-quality Chinese programs can be developed to share invaluable experiences. They can also join the ICPNT accredited programs and NPR programs. It is anticipated that connections can be built in this way to share experiences with all perioperative physicians in China, contributing to the worldwide ICPNT neuroanesthesiology educational network. 

The lecture series has received good feedback. We hope that more specialists and professors can join the program team to enrich the content further and improve the quality. Finally, everyone who participated and contributed to the course program development and presentation is much appreciated.  

 Acknowledgment to all contributing speakers: Ruquan Han, Andrew Kofke, Chanhung Lee, Nan Lin, Xiaoxiao Zhang, Hongxun Mei, Pinan Liu, Xiaoyuan Liu, Yun Yu, Xu Jin, Kun Peng, Hailong Jin, Jiajia Ma, Hui Liang, Hui Qiao, Haiyang Liu, Yunzhen Wang, Huiwen Wang, Yuming Peng, Jia Dong, Liping Liu. 

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