During week three, the trainee will acquire foundational knowledge of spinal cord anatomy and physiology. The trainee will:
- Describe the basic anatomy of the spinal cord, including blood supply and organization of the motor and sensory tracts within the spinal cord
- Understand principles of intraoperative neuromonitoring for spine surgery including effects of physiologic and anesthetic factors.
- Discuss intraoperative management of patients undergoing spine surgery including airway management, analgesia, blood conservation strategies, and positioning concerns
- Understand presentation and pathophysiology of acute and chronic spinal cord injury and concerns for anesthetic management.
- Fellows’ and Residents’ Audio Corner – SNACC (Anesthesia for Spine Surgery, October 2016)
- Quiz 11: Anesthesia for Spine Surgery
- Quiz 51: Spine surgery and coexisting disease
Spinal Shock and Autonomic Hyperreflexia
Spine surgery: analgesic and blood conservation management
- Article: Non-opioid analgesics: Novel approaches to perioperative analgesia for major spine surgery (PMID: 27036605)
- Article: Perioperative Blood Conservation Strategies for Major Spine Surgery (PMID: 27036602)
Spine surgery: airway management in unstable spine
- Cervical Spine Injury PBLD
- Cervical Spine and Airway issue – Clinical Case
- Fellows’ and Residents’ Audio Corner – SNACC (Intubation of the Patient with Unstable Cervical Spine, February 2017)
- Expert Audio Corner: (October 2016, Airway Management of Cervical Spine)
- Article: Airway Management for Cervical Spine (PMID: 27036600)
Intraoperative neuromonitoring: basics and anesthetic influence
- Fellows’ and Residents’ Audio Corner – SNACC (Anesthesia for Neuromonitoring in Spine Surgery, October 2017)
- Fellows’ and Residents’ Audio Corner – SNACC (Neuromonitoring for Intracranial Surgery, January 2018)
- Intraoperative Neuromonitoring 1 – Clinical Case
- Intraoperative Neuromonitoring 2 – Clinical Case
- Expert Audio Corner (May 2016, Neuromonitoring)
- Article: Neuroanesthesia Guidelines for Optimizing TcMEP- Delphi Consensus Study (PMID: 32539292)
Posterior ischemic optic neuropathy
- Article: Update on Perioperative Ischemic Optic Neuropathy Associated With Non-ophthalmic Surgery (PMID: 30042726)
- Article: Practice Advisory for Postoperative Visual Loss 2019 (PMID: 22227790)
Supplementary Reading (SNACC Bibliography Collection)