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Neuro Anaesthesia

Neuroanaesthesia generally refers to the anaesthetic management for surgical procedures on the central and peripheral nervous systems. 
Anaesthesia for following surgeries:  
a.  Craniotomy for Brain tumours –  gliomas, meningiomas, craniopharyngiomas, vestibular schwannomas, epidermoid, and intraventricular tumours 
b.  Anaesthesia for awake craniotomy.
c.  Anaesthesia for craniotomy for other disorders such as intractable epilepsy, movement disorders, infections such as pyogenic abscesses, tuberculosis, fungal infections and cysticercosis, hydrocephalus.
d.  Anaesthesia for cerebrovascular disorder – Aneurysm clipping, AVM resection surgery, Dural AV fistula
e.  Anaesthesia for Pituitary surgeries – TNTS, Combined transcranial and transnasal approach and CSF leak procedures.
f.  Anaesthesia for Spine surgery -Degenerative spine disorders, cervical, thoracic and lumbar laminectomy, instrumentation. Anaesthesia for spinal dysraphism and congenital Craniovertebral junction anomalies, acute spine cord injury (trauma).Anaesthesia for spinal cord tumours, both intramedullary and extramedullary. Anaesthesia for scoliosis/Kyphosis surgery. 
g.  Anaesthesia for Paediatric neurosurgery – Supratentorial, infratentorial tumours, Anaesthesia for EDAS for Moya Moya disease, complex craniofacial reconstructive surgeries for craniostenostosis, Anaesthesia for Tethered cord release, Meningomyelocele excision, VP shunt/ VA shunt for Hydrocephalus.  
h.  Anaesthesia for Neuro trauma – Decompression for Subdural/ Extradural haematoma/ contusion/DAI 
i.  Anaesthesia for Interventional Neuroradiology – Anaesthesia for AVM embolisation/ Tumour embolisation, Aneurysm Coiling, Balloon Occlusion test, WADA procedure, Diagnostic/ Therapeutic angiogram, Stereotactic radiosurgery, stereotactic biopsy.
j.  Anaesthesia for MRI for both children and adult.
k. Anaesthesia for Trigeminal Neuralgia – Microvascular Decompression and Radiofrequency Ablation

Pre Anaesthesia Facility – All patients undergoing Elective neurosurgical Procedures are seen in this clinic by a Consultant 1-5 days prior to surgery. 

Clinical Neuro monitoring done in our department
1. Depth of anaesthesia monitoring – BIS/ Entropy/ PSI (Masimo)
2. Cerebral Oximetry
3. Neurophysiology monitoring – MEP/SSEP/Cortical Mapping/Facial and other lower cranial nerve monitoring in collaboration with    Neurophysiology department
4.Transthoracic Echo – Basic skills
5.Trans cranial Doppler 

Procedures done apart from the routine GA/ line placement
1. Scalp block for all craniotomies
2. Epidural Blood patch for spontaneous intracranial hypotension
3. Lumbar drain placement for pituitary surgeries/ For brain relaxation/treatment of intraprocedural CSF leak during spine surgery. 
4. Quadratus Lumborum block/Erector Spinae Block for analgesia following anterior illiac bone graft harvest. 
5. Different modalities of pain management following spine surgery.

DM- NEURO ANAESTHESIA 
Duration of the Course: 3 Year, Accredited by TNMGRU-The Tamil Nadu Dr. M.G.R Medical University, Tamilnadu                              
Eligibility: MD in  Anaesthesia/DNB in Anaesthesia.
No. of seats: Two 
Over view of the course:
The Department of neuroanaesthesia offers opportunity for those interested in advanced neuro anaesthesiology training. The Neurosciences department does about 3000 neuro surgical procedures per year with an extensive range of cases which include tumour surgery, seizure surgery, transnasal trans-sphenoidal pituitary surgery, intracranial aneurysms and other vascular procedures, spinal instrumentations, neuro-trauma, paediatric neurosurgery and awake craniotomy. The neurosciences department is the pioneer in the field of intraoperative neuromonitoring and evoked potential monitoring in India.
This course involves training in the state of the art newer techniques of anaesthesia and intraoperative neuro monitoring for neurosurgical procedures.
The trainees rotate through neurosurgery operation theatres and Neuro intensive care and Neurotrauma ICU which has 18 beds. They are exposed to Neuro radiology and undergo a short training in intraoperative neuromonitoring. There is ample opportunity for hands-on training in procedures such as arterial cannulations, ultrasound and ECG guided central venous cannulations, fibreoptic and video laryngoscopic intubations, Scalp block, Lumbar drain insertion. Trainees are exposed to Trans-cranial Doppler and intracranial pressure monitoring, Depth of anaesthesia monitoring BIS/Entropy/Patient state Index (Masimo) techniques.
They also get an opportunity to train in EEG and other Neurophysiology monitoring such as SSEP/MEP/EEG monitoring. The trainees have exposure to anaesthesia for stereotactic procedures, MRI, interventional and other neuroradiologic procedures. They are also trained in anaesthesia for emergency neurosurgery. There is an ample opportunity for research and trainees are encouraged to publish their work in peer-reviewed journals

Associate Professors

Contact Information

Address :

The Head
Department of Neuro Anaesthesia

Christian Medical College Vellore

Ranipet Campus, Kilminnal – Ranipet District

Vellore – 632517
Tamil Nadu, India  

Email us :

neuroanaesthesia@cmcvellore.ac.in

Reach us :

04172224632

Working hours :

Mon-Fri: 8 am to 4.30 pm

( Sat : 8 am to 12:30 pm)