Anesthesiology

Neuro/Trama Anesthesia

This division provides anesthesia for adults undergoing brain and spinal cord surgery. Craniotomy (for tumor or for vascular lesions) and back surgery comprise the majority of patients. It also provides management for specialized neuroanesthesia care including: patients in sitting position, cerebral aneurysms clipping, aneurysm clipping under circulatory arrest, awake craniotomy, seizure surgery, and infratentorial surgery.

Anesthetic strategy is tailored to meet the surgical requirements of: lengthy procedures; no muscle relaxant (identify nerve tracts); “dee” anesthesia (to ensure immobility); rapid and crisp emergence (to monitor nervous system function in the postoperative period); and control of cardiovascular and respiratory function (to ensure maintenance of nervous system function). Anesthesia deliverers are exposed to the pharmacodynamics and pharmacokinetics of anesthetic, analgesic, and vasoactive drugs.