Division of Neuroanesthesia
The UM Neuroanesthesia Division provides perioperative care to patients undergoing neurosurgical and neuroendovascular procedures at Jackson Memorial Hospital. The University of Miami Neurosurgical Service provides a high volume of challenging cases involving the brain and spinal cord. Spine surgeons from the Departments of Neurological Surgery and Orthopedic Surgery perform approximately 1000 major spine procedures annually, which include spine decompression and fusion, spinal instrumentation, and spinal cord tumor surgery. Approximately 800 surgical procedures involving the brain are done annually, which include complex intracranial tumor craniotomies, open neurovascular craniotomies, sitting craniotomies, and stereotactic procedures.
Clinicians are involved with the state of the art neuromonitoring as both motor evoked potential monitoring and somatosensory evoked potential monitoring are used in major spine surgeries and craniotomies. Neuromonitoring is employed in approximately 1000 spine cases and 300 craniotomies. The University of Miami has made significant contributions in the application of motor evoked potential monitoring as a routine part of perioperative care in patients undergoing spine surgery. Currently, there is an ongoing interest in the application of hypothermic techniques in patients undergoing spinal cord tumor surgery.
In addition, the department is actively involved in the administration of anesthesia to patients undergoing neurointerventional procedures in the radiology department. Each year, over 300 general anesthetics are provided to patients receiving endovascular treatment for conditions such as aneurysms (ruptured and non-ruptured), arteriovenous malformations, CNS tumor and fistula embolilzations, and vertebroplasties.