Anesthesiology Case Conf – Spinal Cord Ischemia

Presented by:
Jonathan Cates, MD
Assistant Professor
University of Florida College of Medicine

Faculty Disclosure:

Dr. Cates has disclosed that he has no relevant financial relationships. No one else in a position to control content has any relationships to disclose.

Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/. All relevant financial relationships have been mitigated.

Release Date: January 21, 2022
Expiration Date:  January 21, 2024

Target Audience:  Specialty Physicians (Anesthesiologists), Anesthesiology Assistants

Learning Objectives:

As a result of participation in this activity, participants should be able to:

  1. Describe spinal cord anatomy and vasculature.
  2. Indicate which procedures are at high risk for spinal cord ischemia.
  3. Recognize signs and symptoms of spinal cord ischemia.
  4. Apply rescue maneuvers for patients with signs of spinal cord ischemia.

Requirements for successful completion: Certificates are awarded upon successful completion (80% proficiency) of the post-test.

Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Resource(s) for further study:

  • https://nba.uth.tmc.edu/neuroscience/m/s2/chapter03.html
  • https://www.neurosurgicalatlas.com/volumes/principles-of-cranial-surgery/lumbar-drain?#
  • Riley SP, Donnelly MJ, Khatib D, Warren C, Schroeder KM. Post-duralpuncture headaches following spinal drain placement during thoracoabdominal aortic aneurysm repair: incidence, associated risk factors, and treatment. J Anesth. 2015 Aug;29(4):544-50. doi: 10.1007/s00540-015-1990-3. Epub 2015 Mar 5. PMID: 25739876.​
  • Bisdas, Theodosios, et al. “Risk Factors for Spinal Cord Ischemia after Endovascular Repair of Thoracoabdominal Aortic Aneurysms.” Journal of Vascular Surgery, vol. 61, no. 6, 2015, pp. 1408–1416., https://doi.org/10.1016/j.jvs.2015.01.044. ​
  • DeSart, Kenneth, et al. “Fate of Patients with Spinal Cord Ischemia Complicating Thoracic Endovascular Aortic Repair.” Journal of Vascular Surgery, vol. 58, no. 3, 2013, https://doi.org/10.1016/j.jvs.2013.02.036. ​
  • Preventza, Ourania, et al. “Neurologic Complications after the Frozen Elephant Trunk Procedure: A Meta-Analysis of More than 3000 Patients.” The Journal of Thoracic and Cardiovascular Surgery, vol. 160, no. 1, 2020, https://doi.org/10.1016/j.jtcvs.2019.10.031. ​
  • Awad, Hamdy, et al. “Endovascular Repair and Open Repair Surgery of Thoraco-Abdominal Aortic Aneurysms Cause Drastically Different Types of Spinal Cord Injury.” Scientific Reports, vol. 11, no. 1, 2021, https://doi.org/10.1038/s41598-021-87324-6. ​

 

If you have any questions please feel free to contact (Karen Horowitz) AT (352) 273-8870 or at khorowitz@anest.ufl.edu