Anaesthesia for Emergency Neurosurgery and Anaesthetic Emergencies

Curriculum Reference

13.9.14 Provides safe anaesthetic care to ASA 1-3 adults for simple elective and emergency intracranial, spinal and neuroradiology procedures under local supervision.

HiLLO 12: Doctors specialising in Intensive Care Medicine understand the special needs of, and are competent to manage patients with neurological diseases, both medical and those requiring surgery, which will include the management of raised intracranial pressure, central nervous system infections and neuromuscular disorders.

HiLLO 7: Specialists in Intensive Care Medicine can provide pre-operative resuscitation and optimisation of patients, deliver post-operative clinical care including optimising their physiological status, provide advanced organ system support and manage their pain relief.

HiLLO 10: Intensive Care Medicine specialists will have developed the necessary skills of induction of anaesthesia, airway control, care of the unconscious patient and understanding of surgery and its physiological impact on the patient.

Review Articles

Traumatic brain injury: an evidence based review of the management (including anaesthesia for trauma craniotomy) BJA Education 13(6), 189-195, (2013)

Intracranial haemorrhage: therapeutic interventions and anaesthetic management British Journal of Anaesthesia 113 (Supp2) II17-II25 (2014)

chronic subdural management – middle meningeal artery embolisation

https://pubmed.ncbi.nlm.nih.gov/30798265/

National Guidelines

SNACC – Cognitive aids for the diagnosis and treamtent of neuroanaesthetic emergencies

Online Resources

Anaesthesia for patients with acute traumatic brain injury (Uptodate.com – paywall)

Upcoming events

Simulation – emergency thrombectomy . Session at NACCS ASM May 9th Birmingham

https://whova.com/embedded/session/PNpy+n+0R1uFaYxRcA0L208W1G1OT4u0nlGcVXsZr5w=/2162455/?widget=primary

NACCS Webinars & Video

Chronic subdural haematoma management Dr Dan Stubbs