During week one, the trainee will acquire foundational knowledge of cerebral anatomy and physiology. The trainee will:
- Describe the basic anatomy of the brain, including blood supply, venous drainage, and cerebrospinal fluid production and flow.
- Appreciate the concept of intracerebral pressure and cerebral perfusion pressure.
- Understand autoregulation and contributing variables including CMRO2/CBF coupling. Appreciate the connection to cerebral ischemia and protection.
- Understand the anesthetic effects on cerebral blood flow and CMRO2.
Rotation Introduction:
- Fellows’ and Residents’ Audio Corner – SNACC (Introduction to Neuroanesthesiology, August 2020)
Cerebral physiology: CSF management, Intracranial Pressure and Perfusion Pressure
- Quiz 1: Neuroanesthesia
- ICP Monitoring Expert Audio Corner
- Quiz 49: Monitoring the Brain
- Articles
- Cerebral Perfusion Pressure: On a Not-dead Horse: CPP Deserves More Respect (PMID 22045157)
- CSF Drainage: The Insertion and Management of External Ventricular Drains: An Evidence-Based Consensus Statement : A Statement for Healthcare Professionals from the Neurocritical Care Society (PMID 26738503)
- Intracranial Pressure: Guidelines for the Acute Treatment of Cerebral Edema in Neurocritical Care Patients (PMID 32227294)
Cerebral Physiology: influencing CBF, CMRO2
- Quiz 13: Cerebral Physiology
- Articles
Cerebral Physiology: cerebral ischemia and management/protection
CNS anatomy: blood supply, blood brain barrier
- Quiz 42: Understanding Motor Pathways in the Central Nervous System
- Article: Blood Brain Barrier: Perioperative complications of blood brain barrier disruption under general anesthesia: a retrospective review (PMID 18157025)
CNS-related Fluid Management
Supplementary Reading (SNACC Bibliography Collection)