As a Level 1 Trauma Center, there are a large number of patients with severe central nervous system injury to both the brain and spinal cord. With four full-time neurosurgeons on staff, scheduled cases can range from craniotomies to endovascular interventions for aneurysms. In addition, the large spine surgery service is composed of neurosurgical and orthopedic spine surgeons who do everything from adult scoliosis correction to spinal tumor resection.
In your Neuroanesthesia rotation, you will be learning invaluable skills in intracranial pressure management (with 23.4% hypertonic saline, mannitol, lasix, etc.), fluid management, and intra-operative spinal cord monitoring. Many of these cases will need invasive monitoring and allow you daily opportunities for central line placement. The larger spine surgeries can be complicated by massive bleeding, which will require you to be very familiar with management of blood and component therapy.