During week one, the trainee will acquire advanced knowledge of various neurovascular procedures. The trainee will:
- Identify and manage the perioperative challenges encountered in open cerebrovascular procedures.
- Consider and choose with deeper understanding various anesthetic management options
- Identify complications and their management during perioperative period
- Compare and contrast various invasive and non-invasive monitoring options in such cases
Cerebral aneurysm clipping: elective and emergent
- Newsletter Education corner: Management of a ruptured cerebral aneurysms – decision making and dilemmas
- Quiz
- Intraoperative aneurysm rupture: Neuroanesthesia Emergency Crisis Management (NECM)
- Articles
- IHAST Trial: Mild intraoperative hypothermia during surgery for intracranial aneurysm (IHAST) (PMID: 15647576)
- ISAT Trial: Clipping vs. Coiling:
- Fellows’ and Residents’ Audio Corner
- Anesthesia for Aneurysm Clipping Surgery (July 2018, Dr. Michael Todd)
Subarachnoid hemorrhage
- Articles
- Extraventricular Drain
- Fellows’ and Residents’ Audio Corner
- Intraoperative Management of EVD (July 2022, Dr. Jack Buckley)
- Complications:
- Vasospasm
- Monitoring: Transcranial Doppler
- Articles:
- Articles:
- Management of Vasospasm: Effect of pharmaceutical treatment on vasospasm, delayed cerebral ischemia, and clinical outcome in patients with aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis. (PMID: 21285966)
- Effects of hypervolemia and hypertension on regional cerebral blood flow, intracranial pressure, and brain tissue oxygenation after subarachnoid hemorrhage. (PMID: 17581487)
- Fellows’ and Residents’ Audio Corner
- NeuroICU Management of Subarachnoid Hemorrhage (October 2018, Dr. Andrew Kofke)
- Neurogenic stress cardiomyopathy
- Monitoring: Transcranial Doppler
- Vasospasm
- Fellows’ and Residents’ Audio Corner
Intracranial open neurovascular procedures
- Articles:
AVM resection
- Quiz
- Articles:
Moya moya
- Articles:
- Challenging Case:
Carotid endarterectomy
- Quiz
- Articles:
Supplementary reading