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:
- Management of complex spine surgery. (PMID: 28731875)
- 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)
- Articles:
- Clinical Audio and Video Corner
- Quiz
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
- Articles
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)
- Opioid Alternatives in Spine Surgery (January 2022, Dr. Shilpa Rao)
- Articles
- Incidence and Risk factors for chronic postoperative opioid use after major spine surgery, (PMID:29570151)
- Best Evidence in multimodal pain management in spine surgery (PMID: 25766366)
- 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)
- Articles
Methadone, ketamine, 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)
Lidocaine for pain management in spine surgery
Regional anesthesia for spine surgery
Intraoperative electrophysiological monitoring and anesthesia for complex spine surgery
- Interactive Neuromonitoring Clinical Cases
- Article
Tranexamic acid for spine surgery
Spine surgery for AVM/AVF resection and tumors
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)
- 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)
- Articles:
- Anesthesia for awake craniotomy, (April 2017, Dr. Sergio Bergese)
- Fellows’ and Residents’ Audio Corner
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)
- Articles
Challenging cases: SNACC Newsletter
SNACC Bibliography collection :
- Awake Craniotomy (Neurosurgery → Awake Craniotomy)
- Managing Craniotomy pain (Pain Management → Post-Craniotomy Pain Syndromes)