SNACC Neuroanesthesia Classroom – Week 1

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

Quizzes:
- Monitoring the Brain
Podcasts:
- ICP Monitoring Expert Audio Corner
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:
- Cerebral Physiology
Articles:
- Cerebral Blood Flow: Integrative Regulation of Human Brain Blood Flow (PMID 24396059)
- Cerebral Metabolism: Cerebral Energy Metabolism and the Brain’s Functional Network Architecture: An Integrative Review (PMID 23756687)

Cerebral Physiology: cerebral ischemia and management/protection

CNS anatomy: blood supply, blood brain barrier

CNS-related Fluid Management

Quiz:
- Fluid Management in the Neurosurgical Patient

Supplementary Reading (SNACC Bibliography Collection)

Neurophysiology
Neuroanatomy