Contents:

• NeuroAnesthesia Web sites
• Basic Science  
• Handbooks
• Techniques
• Clinical Issues

NeuroAnaesthesia Web Sites

The Society for Neurosurgical Anaesthesia and Critical Care (SNACC) web page has a comprehensive bibliography.

Basic Science

Neurological Examination (and for paediatrics) Detailed techniques from the University of Utah wih video. Others from Toronto and neuroexam.com

Brain Atlas - Harvard; huge listing of brain images, functional deficits, very comprehensive.

Chris Thompson's annotated slides on cerebral protection might be interesting.

To optimise emergence after prolonged anaesthesia, drug administration must be optimal. See Chris Thompson's detailed look at context sensitive decrement times - a no-frames (text) version is available.

Handbooks

Cleveland Waterman & GasNet Neuroanesthesia Manual

Techniques

TransCranial Doppler - work in progress, basic summary of TCD by Stefan Strebel, University of Basel.

Clinical Issues

Anaesthesia for Interventional Radiology - 4 part series by A. Rosas MD, from the Internet Journal of Anesthesiology. Part 1 Part 2 Part 3 Part 4

Carotid Endarterectomy - Cochrane Review of local vs. general anaesthesia; MGH update on current management issues, see the chapter on regional anaesthesia, one surgeon's patient information brochure, excellent PDF about carotid anaesthesia by Cole, and BHJ case report with discussion.

Aneurysms - surgical notes from Michael Morgan, advice from the Aneurysm & AVM Support Group.

AVM's - patient info notes from Michael Morgan, advice from the Aneurysm & AVM Support Group.

Paediatric Neurosurgery - Columbia. General info on paediatric neurosurgical problems, aimed at patients, but a useful pathology summary none the less.

Acute Head Injury - secure the airway if respiration is obstructed or weak (always consider the possibility of an unstable fractured neck), hyperventilation for acute elevations of ICP is acceptable for periods of up to a few hours, give mannitol if ICP elevation is not corrected by adequate ventilation, maintain an adequate blood pressure (aim for a mean of at least 50 above ICP), avoid nitrous oxide. If you can't measure ICP assume that it is high. The pupils only blow when things are really bad. Get a CT scan and then definitive treatment as soon as possible.

Case Reports

The Effects of Laryngeal Mask Insertion on Intracranial Pressure in a Patient with Posterior Fossa Tumor D. Ferson, M.D.