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)
- Anesthesia for Neuro-Interventional Procedures (April 2016, Adrian Gelb, MD)
- Quiz
- PBLD
Vasospasm
AVM embolization
- Quiz
- Interactive case
Carotid surgery
- Quiz
- Fellows’ and Residents’ Audio Corner
- Anesthetic considerations for carotid endarterectomy (August 2016, Dr. Arthur Lam)
- PBLD
- Article of the Month:
Trans-carotid revascularization
Stroke thrombectomy
- Quizzes
- 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
- 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
Cerebral oximetry
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)