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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 3

SNACC Advanced Neuroanesthesia Classroom – Week 3

GO TO WEEKLY OUTLINE
WEEK 1
WEEK 2
WEEK 3
WEEK 4

During week three,  the senior trainee will review the anesthetic management of the following procedures with an emphasis on choice of technique, monitoring, and approach to complications:

  • Endovascular coiling of cerebral aneurysms and arteriovenous malformations
  • Carotid stenting, trans-carotid revascularization
  • Stroke management
  • The trainee will also review the various monitoring modalities
    • Key aspects of raw and processed EEG and their clinical anesthetic applications and limitations
    • Clinical application and limitations of cerebral oximetry

Interventional neurosurgery:

Aneurysm coiling

  • Fellows’ and Residents’ Audio Corner
    • Anesthesia for Neuro-Interventional Procedures (April 2016, Adrian Gelb, MD)      
  • Quiz
    • Anesthesia for Neurointerventional Radiology
  • PBLD
    • Aneurysm Coiling in a Parturient with SAH

Vasospasm

  • Article
    • Balloon catheter technique for dilatation of constricted cerebral arteries after aneurysmal SAH (PMID: 6234754)

AVM embolization

  • Quiz
    • Anesthesia for AV Malformations of the Brain
  • Interactive case
    • Case Presentation: Endovascular Embolization of Intracranial Dural AV Fistula Benign?

 Carotid surgery

  • Quiz
    • Carotid Disease & Neuromonitoring
  • Fellows’ and Residents’ Audio Corner
    • Anesthetic considerations for carotid endarterectomy (August 2016, Dr. Arthur Lam)
  • PBLD
    • Carotid Endarterectomy
  • Article of the Month:
    • Long-term outcomes after stenting versus endarterectomy for treatment of symptomatic carotid stenosis: the International Carotid Stenting Study (ICSS) randomised trial (PMID: 25453443)

 Trans-carotid revascularization

  • Article
    • Anesthetic Considerations for Transcarotid Artery Revascularization: Experience
      and Review of Forty Cases From a Single Medical Center (PMID: 33505816)

Stroke thrombectomy

  • Quizzes
    • Cerebrovascular Atherosclerotic Disease
    • Stroke
    • Acute Stroke
  • Fellows’ and Residents’ Audio Corner
    • ICU Management of Stroke Patients (February 2020, Dr. Ugan Reddy)
  • JNA Podcast
    • Stroke Thrombectomy January 2016
    • General Anesthesia vs Conscious Sedation in Endovascular Thrombectomy for Stroke (January 2021, Dr. Vandse)
  • Articles
    • General Anesthesia versus Conscious Sedation in Endovascular Thrombectomy for Stroke: A Meta-analysis of 4 Randomized Controlled Trials 2021 (PMID: 31567645)
    • Site of Occlusion May Influence Decision to Perform Thrombectomy Under General Anesthesia or Conscious Sedation 2021 (PMID: 31567854)
    • SNACC Consensus Statement: Anesthetic management of endovascular treatment for acute ischemic stroke during COVID19 Pandemic. 2020 (PMID: 32282614).
    • DEFUSE 3: Thrombectomy for Stroke at 6 to 16 Hours with Selection by Perfusion Imaging. 2018 (PMID: 29364767)
    • DAWN: Thrombectomy 6 to 24 hours after Stroke with a Mismatch between Deficit and Infarct 2018 (PMID: 29129157)
    • Blood Pressure Thresholds and Neurologic Outcomes After Endovascular Therapy for Acute Ischemic Stroke An Analysis of Individual Patient Data From 3 Randomized Clinical Trials 2020 (PMID: 31985746)

Intraoperative EEG/processed EEG

  • ICE-TAP: International Consortium for EEG training of Anesthesia Practitioners
  • Quiz
    • EEG Monitoring in the Surgical Patient
  • Fellows’ and Residents’ Audio Corner
    • Neuromonitoring for Intracranial Surgery (January 2018, Dr. Antoun Koht)
  • Clinical Audio and Video Corner
    • EEG Trajectories During Anesthetic Emergence and Postoperative Delirium in the PACU (December 2018, Dr. Paul Garcia)
  • Articles
    • Clinical Electroencephalography for Anesthesiologists: Part I: Background and Basic Signatures (PMID: 26275092)
    • Monitoring Depth of Anesthesia Utilizing a Combination of Electroencephalographic and Standard Measures Commentary

Cerebral oximetry 

  • Quiz
    • Cerebral Oximetry
  • Article of the month
    • The effects of systemic oxygenation on cerebral oxygen saturation and its relationship to mixed venous oxygen saturation: A prospective observational study comparison of the INVOS and ForeSight Elite cerebral oximeters. (PMID: 29484605)

Supplementary Reading (SNACC Bibliography Collection)

  • Cerebral Ischemia articles (Neurophysiology → Cerebral Ischemia)
  • AVM articles (Neurosurgery → Arteriovenous Malformation)
  • Carotid endarterectomy articles (Neurosurgery → Carotid endarterectomy)
  • EEG articles (Neuromonitoring → Electroencephalography) 
  • Cerebral oximetry articles (Neuromonitoring → Cerebral oximetry)
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Raleigh, NC 27615

Phone: 919-674-4182
Email: info@snacc.org

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