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SNACC

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
    • 2023 SAH Management AHA/ASA Guidelines (PMID: 37212182)
    • Stanlies D’Souza: Aneurysmal Subarachnoid Hemorrhage (PMID: 25272066)
  • Extraventricular Drain
    • Fellows’ and Residents’ Audio Corner
      • Intraoperative Management of EVD (July 2022, Dr. Jack Buckley)
    • Online Neuro Training Module: EVD Safety Campaign
    • 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)
          • Podcasts:
            • 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)
  • Quiz:
    • Cerebrovascular Atherosclerotic Disease

Moya Moya

  • Articles:
    • Moya Moya Disease: Moya Moya Disease and Moya Moya Syndrome (PMID: 19297575).
    • Anesthetic Management of Patients Undergoing Intracranial Bypass Procedures. (PMID: 25625262)
    • Moya Moya Disease: A Review of the Disease and Anesthetic Management. (PMID: 20924291)
  • Challenging Case:
    • Moya Moya, a Rare Cerebrovascular Disease: Clinical Decision Making and Concerns for the Anesthesiologist.

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)

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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Warrenville, IL 60555

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