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)
- Online Neuro Training Module: EVD Safety Campaign
- 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)
- Podcasts:
- 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:
- Quiz:
Moya Moya
- Articles:
- Challenging Case:
AVM resection
- Quiz
- Articles:
Carotid Endarterectomy
- Quiz
- Articles:
Supplementary reading


