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:
- Describe spinal cord anatomy and vasculature.
- Indicate which procedures are at high risk for spinal cord ischemia.
- Recognize signs and symptoms of spinal cord ischemia.
- 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 Credit™. 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