During week two, the trainee will expand their knowledge to include management of complex spine surgery and awake craniotomy. They will:
- Identify the perioperative concerns in complex spine surgery and management strategies for preventing and managing blood loss
- Compare the use of total intravenous anesthesia (TIVA) with other anesthetic techniques when intraoperative monitoring is used
- Discuss the advantages of multimodal analgesia for spine surgery
- List the anesthetic considerations and potential complications for awake craniotomy
Complex Spine Surgery
- Articles:
- Perioperative Management for Complex Spine Surgery (PMID 38048486)
- Extubation after Multi-level Spine Surgery (PMID: 24296539)
- Diagnosis and Treatment of Neuroanesthetic Emergencies (PMID: 30334936)
- ERAS for Spine Surgery (PMID: 28009223)
- SNACC Clinical Practice Guidelines for perioperative care of patients for complex spine surgery (PMID: 34483301)
Considerations and Concerns in Cervical Spine Surgery
- Articles:
- Injury and Liability Associated with Spine Surgery (PMID: 28763433)
- Cervical Spine Movement in a Cadaveric Model of Severe Instability: Comparison of 4 Different Laryngoscopes, (PMID: 28230622)
- Intubating LMA-Assisted Flexible Bronchoscopy Intubation and Cervical Spine Motion (PMID: 30893284)
- Dysphagia After Cervical Spine Surgery (PMID: 30794969)
- Interactive Case:
Managing Pain in Spine Surgery Patients
- Quiz:
- JNA Podcast:
- Opioid Alternatives in Spine Surgery (January 2022, Dr. Shilpa Rao)
- Article of the Month: Opioid Alternatives in Spine Surgery (PMID: 32568816)
- Articles:
- Incidence and Risk factors for chronic postoperative opioid use after major spine surgery, (PMID:29570151)
- Multimodal Analgesia in Spine Surgery: an Umbrella Review. (PMID: 33610874)
- Multimodal analgesic regimen for spine surgery: a randomized placebo-controlled trial (PMID: 32235144)
- Pain management after complex spine surgery: a systematic review and procedure-specific postoperative pain management recommendations (PMID: 34397527)
- Intraoperative and postoperative administration of Dexmedetomidine reduces anesthetic and postoperative analgesic requirements in patients undergoing cervical spine surgeries (PMID: 27035842)
Methadone, Ketamine, Lidocane and Dexmedetomidine for Spine Surgery
- Quiz:
- Fellows’ and Residents’ Audio Corner:
- Multimodal Analgesia for Spine Surgery (April 2022, Dr. Shobana Rajan)
- Articles:
- Safety Profile of Intraoperative Methadone for Analgesia After Major Spine Surgery (PMID: 29733094)
- Perioperative Methadone and Ketamine for Postoperative Pain Control in Spinal Surgical Patients: A Randomized Double-Blind, Placebo-Controlled Trial (PMID: 33730151)
- Perioperative Ketamine for Analgesia for Spine Surgery: A Meta Analysis (PMID: 28700455)
- Comparison of Small Dose Ketamine and Dexmedetomidine Infusion for Postoperative Analgesia in Spine Surgery. (PMID: 26018671)
- Systematic Review and Meta-Analysis: Perioperative IV Lidocaine on Complex Spine Surgery PMID: 33235097
- Farag E., et al. Effect of Perioperative Intravenous Lidocaine Administration on Pain, Opioid Consumption, and the Quality of Life After Complex Spine Surgery (PMID: 23681143)
Regional anesthesia for spine surgery
- Articles:
- Regional Anesthesia for Spine Surgery (PMID: 8)
- Regional Anesthesia for Spine Surgery
- Low Thoracic Erector Spinae Plane Block for Perioperative Analgesia in Lumbosacral Spine Surgery, a Case Series (PMID: 29704223)
- Erector Spinae Plane Block for Spine Surgery, a Systemic Review (PMID: 33983515)
- Analgesic Efficacy of Erector Spinae Plane Block in Lumbar Spine Surgery: A Systematic Review and Meta-Analysis (PMID: 35030493)
- Thoracolumbar Interfascial Plane Block in Spinal Surgery: A Systematic Review with Meta-Analysis (PMID: 36894001)
- Efficacy of Thoracolumbar Interfascial Plane Block for Postoperative Analgesia in Lumbar Spine Surgery: A Meta-analysis of Randomized Clinical Trials (PMID: 34704718)
Intraoperative Electrophysiological Monitoring and Anesthesia for Complex Spine Surgery
- Interactive Neuromonitoring Clinical Cases:
- Article:
Tranexamic Acid for Spine Surgery
- Articles:
Spine surgery for AVM/AVF Resection and Tumors
- Articles:
Supplementary Reading (SNACC Bibliography collection)
- Multimodal Analgesia in Spine Surgery ( Pain Management → Multimodal Analgesia for Spine Surgery)
Anesthesia for awake craniotomy
- Fellows’ and Residents’ Audio Corner:
- Anesthesia for Awake Craniotomy, (April 2017, Dr. Sergio Bergese)
- Anesthesia for Awake Craniotomy, (April 2017, Dr. Sergio Bergese)
- Articles:
- Awake Craniotomy: Anesthetic Considerations Based on Outcome Evidence, (PMID: 31107256)
- Comparison of the Asleep- Awake-Asleep Technique and Monitored Anesthesia Care During Awake Craniotomy, (PMID: 31972627)
- Awake vs Asleep Motor Mapping for Glioma Resection, (PMID: 32388682)
- Cognitive and Linguistic Outcomes After Awake Craniotomy, (PMID: 32738586)
- Feasibility of Awake Craniotomy in the Pediatric Population, (PMID: 32856774)
- Dexmedetomidine as Adjunct in Awake Craniotomy, (PMID: 32090308)
- Scalp Blocks:
Challenges during awake craniotomy
- Articles:
- Awake Craniotomy in a Patient with Previously Diagnosed PTSD, (PMID: 32278819)
- Awake Craniotomy: Improving the Patient’s Experience, (PMID: 26263121)
- Intraoperative Seizures During Awake Craniotomy, (PMID: 23615101)
- Awake Craniotomy in Low Resource Settings. (PMID: 33091650)
- Awake Craniotomy Under 3-Tesla Intraoperative MRI imaging, (PMID: 32482989)
Challenging cases: SNACC Newsletter
- (Spring Newsletter 2019): Awake craniotomy In a Patient With History of Malignant Hyperthermia
- (Winter Newsletter 2018): Awake Craniotomy in the Intraoperative MRI Suite
- (Fall Newsletter 2018): Awake Craniotomy for an Aterio-Venous Malformation in the Eloquent Area
SNACC Bibliography Collection :
- Awake Craniotomy (Neurosurgery → Awake Craniotomy)
- Managing Craniotomy pain (Pain Management → Post-Craniotomy Pain Syndromes)