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Society for Neuroscience in Anesthesiology and Critical Care

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You are here: Home / SNACC Advanced Neuroanesthesia Classroom – Week 1

SNACC Advanced Neuroanesthesia Classroom – Week 1

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WEEK 1
WEEK 2
WEEK 3
WEEK 4

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:
      • The durability of endovascular coiling versus neurosurgical clipping of ruptured cerebral aneurysms: 18 year follow-up of the UK cohort of the International Subarachnoid Aneurysm Trial (ISAT) (PMID 25465111)
    • Fellows’ and Residents’ Audio Corner
      • Anesthesia for Aneurysm Clipping Surgery (July 2018, Dr. Michael Todd)

Subarachnoid hemorrhage

  • Quizzes
    • Subarachnoid Hemorrhage
    • Complications of Subarachnoid Hemorrhage
  • Articles
    • Critical care management of patients following subarachnoid hemorrhage: NCS Consensus Guidelines (PMID: 21773873)
    • Stanlies D’Souza: Aneurysmal Subarachnoid Hemorrhage (PMID: 25272066)
  • Extraventricular Drain
    • Fellows’ and Residents’ Audio Corner
      • Intraoperative Management of EVD (July 2022, Dr. Jack Buckley)
    • Complications:
      • Vasospasm
        • Monitoring: Transcranial Doppler
          • Articles:
            • Transcranial Doppler ultrasonography in anaesthesia and intensive care (PMID: 15220174)
          • 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
            • Article:
              • Brain-Heart Interactions: Cardiac Complications After Stroke (PMID: 28775014)

Intracranial open neurovascular procedures

  • Articles:
    • Systematic Review: Extracranial-intracranial arterial bypass surgery for occlusive carotid artery disease. (PMID: 20166076)
    • Anesthetic considerations for intraoperative management of cerebrovascular disease in neurovascular surgical procedures. (PMID: 17884703)

AVM resection

  • Quiz
    • Anesthesia for AV Malformations of the Brain
  • Articles:
    • Arteriovenous Malformations of the Brain. (PMID: 28489992)
    • Anesthesia considerations and intraoperative monitoring during surgery for arteriovenous malformations and dural arteriovenous fistulas. (PMID: 22107866)

Moya moya

  • Articles:
    • Moyamoya Disease: Moyamoya disease and moyamoya syndrome (PMID: 19297575).
    • Anesthetic management of patients undergoing intracranial bypass procedures. (PMID: 25625262)
    • Moyamoya disease: a review of the disease and anesthetic management. (PMID: 20924291)
  • Challenging Case:
    • Moyamoya, a Rare Cerebrovascular Disease: Clinical Decision Making and Concerns for the Anesthesiologist.

Carotid endarterectomy

  • Quiz
    • Carotid Endarterectomy
    • Carotid Disease & Neuromonitoring
  • Articles:
    • Local vs. General Anaesthesia for Carotid Endarterectomy. Cochrane Review 2021. (PMID: 34642940)
    • Treatment options: Carotid Stenting Versus Endarterectomy for Asymptomatic Carotid Artery Stenosis: A Systematic Review and Meta-Analysis. (PMID: 28679848)

Supplementary reading

  • Controversies in intraoperative aneurysm rupture management
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