Neuro Anesthesia

Neuro Anesthesia

2 Blocks

Leads

Dr. Gregory Krolczyk & Dr. Jelka Lujic

Welcome Message

The neuroanesthesia subspecialty consists of educational material that is to be completed over two distinct blocks termed neuroanesthesia core 1 and neuroanesthesia core 2. In recognition of the haphazard order in which residents experience various neurosurgical procedures, and to allow flexibility in residents’ schedules to accommodate vacations, sick days, OR closures etc., no further restrictions or deadlines are mandated upon completion of core 1. Residents are encouraged to work through material that is relevant to their clinical exposure to facilitate memory consolidation. Specifically, if residents are booked to help with an awake craniotomy, they should take the opportunity to work through the awake craniotomy learning case.  As in other rotations, clinical exposure to all variety of neurosurgical cases is not guaranteed on account of certain cases being more common than others.

EPAs & Milestones

  • Management of pituitary disease and resection
    • Demonstrates understanding of complications associated with different surgical approaches to pituitary resection
  • Management of spinal cord injury and disease
    • Demonstrates principles of neuroprotection
    • Demonstrates ability to manage an unstable C-spine
    • Demonstrates perioperative management of spinal cord injury and disease
    • Demonstrates understanding risk factors and anesthetic considerations for autonomic hyperreflexia
    • Demonstrates a complete neurological assessment
  • Management of craniotomy for intracranial pathology
    • Demonstrates management of raised ICP perioperatively
    • Demonstrates understanding of the signs of venous air embolus
  • Management of anesthesia for cerebrovascular disease
    • Demonstrates management and optimization of ICP and CPP
    • Demonstrates management of CVA managed by interventional radiology

Academic Curriculum

Learning Cases

Core 1

  • Anesthetic Management of High Cervical Spine Injury
  • Resection of Supratentorial Tumour
  • Cerebrospinal Fluid Drainage
  • Acute Subdural Hematoma
  • Stroke Code Requiring Anesthesia
  • Anesthesia Management of Pituitary Adenoma

Core 2

  • Antiepileptic Drugs
  • Awake Craniotomies
  • Neuromonitoring
  • Posterior Fossa Craniotomy and Venous Air Embolism
  • Clipping of Cerebral Aneurysm

Assessment Tools

  • Submitted the required number of CCATs (12 minimum per module)
  • Demonstrated evidence of Self-Learning
  • Completed a minimum of 8 days (per module) with the neuroanesthesia sub-speciality group
  • Compliant with Resident Logbook
  • Submitted a case & staff assignment calendar
  • Successfully completed Core 1: 2 neuroanesthesia quizzes
  • Completed Society of Neuroanesthesia and Critical Care (SNACC) quizzes
  • Completed required reading prior to the start of the module (5 textbooks/handbooks/articles))
  • Successfully completed Core 2 - exam 1
  • Successfully completed Core 2 - exam 2

Resources

  • Neuroanesthesia Chapter – Miller’s Anesthesia 8th edition
  • Neuroanesthesia Chapter – Barash
  • Todd, MM. Outcomes After Neuroanesthesia and Neurosurgery: What makes a difference. Anesthesiology Clin 30 (2012) 399–408.
  • Crute, D., Sebeo, J., Osborn, IP. Neuroimaging for the Anesthesiologist. Anesthesiology Clin 30 (2012) 149–173
  • Cottrell’s Neuroanesthesia, 5th or 6th editions, Cottrell's Handbook - available for loan during your rotation from the department. (to be used for further enrichment material)
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