Page 19 - CASA Bulletin of Anesthesiologisy 2022 9(6)-1 (3)

Vol. 9, No 6, 2022

Perioperative Anesthetic care includes assessment, Intraoperative and Postoperative
management of Neurosurgery cases- with a special emphasis on procedures like
Neuromonitoring, Transcranial dopplers, and Cerebral oximetry. In the Neurocritical care
module, the fellows evaluate and manage critical neurological illnesses, perioperative
morbidities in neurological injury patients, postoperative pain, and implement analgesic
regimens tailored to neurological status and provide anesthetic care for various interventional
neuroradiology procedures. During the Interventional Neuroradiology module, the fellows
become experts at assessing MRI and providing care and intervention assisting the neuro-
interventionalist. The Cognitive Module involves learning Neuroanatomy, Neurophysiology,
Neuropathology, Neuropharmacology, and Neurologic injury- Classification and Grading.
Educational Activities include lectures, simulation labs, research, and conferences. And finally,
Educational Methodology comprises problem-based learning, weekly case presentations (formal
and informal), lectures, and journal clubs.Flexibility exists such that the neuroanesthesiology
education could be designed to be a continuum with additional education in research,
neuromonitoring, and neurocritical care.

Ultimately ICPNT neuroanesthesiology fellows gain skills in teaching, supervising,
innovation, and professionalism in preparation for becoming future educators and leaders in
perioperative neuroscience. The goal is to prepare fellows to have expertise in perioperative care
of patients undergoing neurosurgical interventions and independently manage complex and rare
neurosurgical cases and neurological crises. The ICPNT is providing a cohesive curriculum to
bridge the now-to-future gap in Neuroanesthesia training and help develop the next generation of
Neuroanesthesiologists who will participate in a future practice which will require capability in
adaptive innovation to facilitate advances in neurosurgery and neuroradiology.

References

1. Sewell, D., Henderson, C., Tremblay, M.-H., Pellerin, H., & Flexman, A. M. (2017). Survey of neuroanesthesia
fellowships in Canada. Canadian Journal of Anesthesia/Journal Canadien d’anesthésie, 64(3), 323–324.
https://doi.org/10.1007/s12630-016-0751-6
2. Rajan, S., Theard, M. A., Easdown, J., Goyal, K., & Pasternak, J. J. (2019). Perceived Benefits and Barriers to a
Career in Neuroanesthesiology: A Pilot Survey of Anesthesiology Clinicians. Journal of Neurosurgical
Anesthesiology, Publish Ahead of Print. https://doi.org/10.1097/ANA.0000000000000655
3. Valero, R., Nathanson, M. H., Willner, D., Fàbregas, N., & Bilotta, F. (2017). Developing standardised advanced
training in neuroanaesthesia: Results of a Europe-wide survey. European Journal of Anaesthesiology, 34(2), 51–
53. https://doi.org/10.1097/EJA.0000000000000530
4. Abcejo, A. S., Cottrell, J., & Paisansathan, C. (2022). Celebrating Gold: 50 Years of Advancing Perioperative
Neuroscience Through the Society for Neuroscience in Anesthesiology and Critical Care. Journal of
Neurosurgical Anesthesiology, 34(3), 255–256. https://doi.org/10.1097/ANA.0000000000000851
5. Mashour GA. The Three Pillars of Neuroanesthesiology. ASA Monitor. 2017;81:48.
6. Mashour GA, Avitsian R, Lauer KK, Soriano SG, Sharma D, Koht A, Crosby G. Neuroanesthesiology fellowship
training: Curricular guidelines from the society for neuroscience in anesthesiology and critical care. J Neurosurg
Anesthesiol. 2013;25(1):1–7.

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