During week two, the trainee will expand foundational knowledge to craniotomy management for traumatic brain injury and pituitary surgery. The trainee will:

• Describe common postoperative complications after craniotomy and management
• Explain the intraoperative concerns and anesthetic management of patients undergoing transsphenoidal pituitary surgery for pituitary tumors
• Explain the conceptual and practical aspects of administering anesthesia for a basic craniotomy

Craniotomy: Concerns and Complications

• Podcast:
  • Fellows’ and Residents’ Audio Corner – SNACC (Delayed Emergence After a Craniotomy, April 2019)
• Quizzes:
  • Reflexes During Neurosurgery
  • Brain and Heart Interactions

Basic OR Management of Craniotomy

• Podcasts:
  • Fellows’ and Residents’ Audio Corner – SNACC
  • Anesthesia for Craniotomy Part 1, March 2021
  • Posterior Fossa Craniotomy, August 2023
  • Expert Audio Corner (March 2016, Scalp Blockade for Postcraniotomy Pain)
•  PBLD:
  • Intracranial Tumor
• Quiz:
  • Scalp Blocks and Craniotomy Pain
• Articles:
  • Comparison of Propofol and Volatile Agents for Maintenance of Anesthesia During Elective Craniotomy Procedures: Systematic Review and Meta-Analysis (PMID 24482247)
  • “Scalp Block” During Craniotomy: A Classic Technique Revisited (PMID 20479675)

Hydrocephalus (CSF Diversion)

• Article:
  • Perioperative Management of Hydrocephalus (PMID 33456824)
• Quiz:
  • Shunting-the-CSF

Traumatic Brain Injury (TBI)

• Overview:
  • TBI by Martin Smith
• Quizzes:
  • TBI 101
  • Concussive Injury
• Brain Trauma Foundation Guidelines:
  • Severe TBI
  • Surgical Management
  • SIBICC Severe TBI Algorithms
• Podcast:
  • Fellows’ and Residents’ Audio Corner – SNACC (Traumatic Brain Injury, June 2016)
• Case Discussions:
  • Interactive case discussion, Anesthetic management of TBI
  • TBI PBLD

Pituitary surgery – Secreting tumors/Non-secreting tumors

• PBLD:
  • Pituitary Surgery
• Quizzes:
  • Pituitary Disease
  • Pituitary Apoplexy
• Article:
  • Anesthesia for Transsphenoidal Pituitary Surgery (PMID 23963232)

Supplementary Reading (SNACC Bibliography Collection)