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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 4

SNACC Advanced Neuroanesthesia Classroom – Week 4

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

In week four, the trainee will review the following procedures with more emphasis on independent decisions about technique, monitoring, and approach to complications.

  • Epilepsy surgery
  • Vagal nerve stimulator placements
  • Posterior fossa surgeries, microvascular decompression of cranial nerves, trigeminal neuralgia surgery, and Arnold-Chiari malformation surgery
  • Complex neurosurgical positioning
  • Transsphenoidal pituitary resection

 Epilepsy surgery

  • Quizzes
    • Seizure Surgery
    • Anesthetic Management of patients for and with vagal nerve stimulators
  • Articles:
    • Review: Anesthesia for epilepsy surgery. (PMID: 33456862)
    • The anesthetic considerations of intraoperative electrocorticography during epilepsy surgery. (PMID: 23780418)
    • Anesthetic considerations for stereotactic electroencephalography implantation (PMID: 31920225)
    • Vagal Nerve Stimulation: Overview and Implications for Anesthesiologists. (PMID: 17056962)
  • Fellows’ and Residents’ Audio Corner
    • Anesthesia for epilepsy surgery (December 2019, Dr. Susana Vacas)
  • PBLD
    • Anesthesia for epilepsy surgery

 Posterior fossa surgery

  • Quiz
    • Trigeminal Neuralgia
  • Articles
    • Anesthetic Management of Patients Undergoing Open Suboccipital Surgery. 2021 (PMID: 33563388)
    • Intraoperative Hypertensive Urgency and Hemodynamic Instability during Microvascular Decompression for Trigeminal Neuralgia.

 Complex neurosurgical positioning and complications

  • Quizzes
    • Monitoring
    • General Neuroanesthesia
    • Patient Positioning During Surgery
  • Articles
    • Risks and benefits of patient positioning during neurosurgical care. (PMID: 17884711)
    • Feasibility of Intraoperative MRI Guidance for Craniotomy (PMID: 21593689)
    • A standardized protocol for the prevention of clinically relevant venous air embolism during neurosurgical interventions in the semisitting position (PMID: 19240616)
    • Cognitive Aids for the Diagnosis and Treatment of Neuroanesthetic Emergencies: Consensus Guidelines on Behalf of SNACC 2019. (PMID: 30334936)
  • PBLD
    • Sitting craniotomy
  • Fellows’ and Residents Audio Corner
    • Anesthesia for Sitting Craniotomy- (January 2016, Dr. Jeffrey Pasternak)
    • Positioning for Neurosurgical Procedures (March 2022, Dr. Val Luoma)

Transsphenoidal pituitary resection

  • PBLD
    • Patient with Pituitary Adenoma for Transsphenoidal Resection
  • Quiz
    • Pituitary Surgery
    • Transsphenoidal Surgery for Pituitary Tumor
    • Complications of Pituitary surgery
  • Articles
    • Anesthesia and Intensive care implications for pituitary surgery: Recent trends and advancements(PMID: 22029028)
    • Perioperative management of patients undergoing transsphenoidal pituitary surgery (PMID: 16192540)
    • Anesthetic management during transsphenoidal pituitary surgery, Current Opinion in Anaesthesiology

 Difficult airway  

  • Quiz
    • Airway management in the neurosurgical patients
  • SNACC Article of the Month Commentary:
    • Emergency Airway Management During Awake Craniotomy: Comparison of 5 Techniques in a Cadaveric Model

Supplementary Reading (SNACC Bibliography Collection)

  • Anesthesia and epilepsy (Neurosurgery → Anesthesia and Epilepsy, Neurointensive care → Status Epilepticus)
  • Beach chair position (Neurosurgery → Beach Chair Position)
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