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Content Outline for SNACC
(Adapted from ABA Content Outline)

  1. Physiological Sciences
    1. Physiology
    1. Respiration
    1. CNS control of respiration (Feldman JL, McCrimmon DR, Neural Control of Breathing, in Fundamental Neuroscience, 1999 pages 1063-90.)
    1. Cardiovascular
    2. a. neuro-cardiac interactions (Sved AF, Cardiovascular System, in Fundamental Neuroscience, 1999 pages 1051-62.)

    3. Central and peripheral nervous system (Drummond JC, Patel PM, Cerebral physiology and the effects of anesthetics and techniques, in Anesthesia 5th Edition, pages 695-734, and Later J, Keep R, Betz AL, Goldstein GW, Blood-Brain-Cerebrospinal fluid barriers, in Basic Neurochemistry 6th Edition, Page 671-89)
    1. blood-brain barrier
    2. cerebral blood flow
    3. cerebral blood volume
    4. cerebrospinal fluid
    5. cerebral metabolism
    6. intracranial pressure
    7. nociception
    1. Endocrine function (Neuroendocrine Systems I and II, in Fundamental Neuroscience, 1999 pages 1127-87.
    2. Temperature regulation (Sessler DI, Temperature Monitoring, in Anesthesia 5th Edition, pages 1367-1389.

a. effect of temperature on CNS function

    1. Pharmacology (Anesthesia/Miller)
    1. General concepts
    2. Anesthetics
    1. Inhaled
    1. halogenated
    2. nitrous oxide
    1. Intravenous

i. barbiturates

    1. benzodiazepenes
    2. narcotics
    3. hypotic (misc.)
  1. Physical Sciences
    1. Anatomy (Youmans)
    1. Radiological anatomy of the brain and skull
    2. Nervous system
    1. Brain
    2. Spinal cord and spine
    3. Meninges

B. Biochemistry

    1. Normal body metabolism
    2. Acid-base regulation: buffer systems
    3. Water and electrolytes
    4. Neurotransmitters (Part 2: Intercellular Signaling, in Basic Neurochemistry, 6th edition, pages 191-400)
    1. catecholamines
    2. acetylcholine
    3. serotonin
    4. histamine
    5. glutamate/aspartate
    6. GABA/glycine
    7. neuropeptides
    8. growth factors
    9. nitric oxide
    1. Intracellular Signaling (Part 3: Intracellular Signaling, in Basic Neurochemistry, 6th edition, pages 401-536)

a. transcriptional factors

    1. G proteins
    2. phosphoinositides
    3. cyclic nuceotides
    4. calcium
    5. serine and threonine phosphorylation
    6. tyrosine phosphorylation
    1. Physics
    1. Monitoring methods
    2. Instrumentation
    3. Ventilators
  1. Clinical Sciences (Use neuroanesthesia textbooks by Albin, Cottrell, or Cucchiara and neurosurgery textbook by Youmans)
    1. Anesthesia procedures, methods and techniques
    1. Preoperative evaluation/preparation of a neurosurgical patient
    1. coma/stupor
    2. cerebral ischemia
    3. brain edema
    1. Monitoring
    1. cardiovascular
    2. neurophysiological

i. electroencephalogram

ii. somatotory evoked potentials

iii. magnetic evoked potentials

iv. electrocorticography

    1. cortical stimulation
    1. venous air embolism
    2. cerebral hemodynamics
    1. cerebral blood flow
    2. intracranial pressure
    1. Neuroprotection
    1. pharmacology
    2. hypothermia
    1. Positioning
    1. Disease states
    1. Cardiovascular
    1. cardiopulmonary bypass and brain protection
    2. coexisting coronary artery disease in the neurosurgical patient
    3. coexisting congenital heart disease in the neurosurgical patient
    1. Central nervous system (clinical topics/techniques/scenarios)
    1. Neoplasms
    1. supratentorial tumors
    2. infratentorial tumors (posterior fossa)
    3. suprasellar tumors
    1. Cerebrovascular disease
    1. aneurysms
    2. arteriovenous malformation
    3. carotid artery disease
    1. Epilepsy
    2. Functional neurosurgery
    3. Spinal cord
    4. Pediatric neurosurgery
    1. hydrocephalus
    2. encephaloceles/myelomeningoceles
    3. craniosynostosis
    4. craniofacial surgery
    1. Radiosurgery
    2. Trauma
    3. CNS infections
    1. Endocrine disorders
    1. pituitary disease
    2. adrenocortical disease
    1. Special problems
    1. Radiology
    1. angiography
    2. invasive radiology
    3. CT scan
    4. MRI and MRT
    5. PET scan
    1. Critical care medicine
    1. postoperative patient
    2. trauma

Recommended Textbooks:

Anesthesia 5th Edition, edited by.Miller RD, Churchill Livingston (Philadelphia) 2000.

Anesthesia and Neurosurgery, 3rd Edition, edited by Cottrell JE, and Smith DS, Mosby (St. Louis) 1994, 4th Edition due late 2000.

Basic Neurochemistry: 6th Edition, edited by, Siegal GJ, Agranoff BW, Albers RW, Fisher SK, Uhler MD, Lippincott-Raven (Philadelphia) 1999.

Clinical Neuroanesthesia, 2nd Edition, edited by Cucchiara RF, Black S, Michenfelder JD, Churchill Livington (New York) 1998.

Fundamental Neuroscience: edited by, Zigmond MJ, Bloom FE, Landis SC, Roberts JL, Squire LR, Academic Press (San Diego) 1999.

Textbook of Neuroanesthesia, edited by Albin MS, McGraw Hill (New York) 1996.

Youman's Neurological Surgery: 5th Edition, edited by H.R. Winn, M.D. Lippincott-Raven (Philadelphia)


SNACC - American Society of Anesthesiologists
520 N. Northwest Highway
Park Ridge, IL 60068-2573
TEL: 847-825-5586 FAX: 847-825-5658
email: snacc@ASAhq.org