Neuroanesthesia
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Anesthesiology

Neuroanesthesia

Message from the Director, Dr. Irene Osborn

It is a privilege to be part of the evolution of neuroscience and to work closely with our neurosurgical colleagues. Together we discover the unique challenges of our specialty and strive to learn from our patients, from our experiences and our collective humanity.

Commitment to Clinical Excellence

With an average of 20 years of experience and diverse clinical backgrounds, our neuroanesthesiologists provide high-quality perioperative care for our neurosurgical patients. Utilizing the latest intra-operative neurophysiological monitoring and anesthetic techniques, we have the tools and know-how to assure the best possible neurological outcomes for our patients. Our team is available 24/7 to care for patients in both the operating room and our Neuroradiology Suites.

Multidisciplinary Collaboration & Treatment

The Neuroanesthesia team works closely with members of the departments of neurosurgery, interventional neuroradiology, and orthopedic spine surgery to provide advanced and innovative care with a multidisciplinary approach. Our faculty provide state of the art care for the breadth of neurosurgeries including open and endovascular treatment of intracranial vascular disease, awake craniotomy for functional neurosurgery, and complex tumors of the brain and spine. The Neuroanesthesia team is also deeply integrated in the care of acute strokes, playing a vital clinical role at Montefiore’s Advanced Comprehensive Stroke Center.

Education & Training

Our neuroanesthesiologists train our anesthesia residents during a two-month rotation in Neuroanesthesiology. Working with a small group of attending physicians, residents administer total intravenous anesthesia, interpret multimodality electrophysiological monitoring data, perform awake fiber optic intubations and care for neurological and neurosurgical emergencies. Treating more than 1,600 patients with neurosurgical interventions each year, our faculty ensure that residents are exceptionally trained for future clinical practice.

Research

Our neuroanesthesia specialists conduct both individual and group research with the neurosurgical and interventional neuroradiology teams. Some of their current research projects include:

    • FAST Study with Boston Scientific, examining sedation for patients receiving percutaneous spinal cord stimulators.
    • ESCAPE Trial, a multicenter randomized trial evaluating the effects of Nerinetide, a neuroprotectant infused during therapy for acute ischemic stroke.
    • Methadone in craniotomy safety and efficacy, looking at the pain control profiles vs. historical controls in posterior fossa surgery.
    • Gastric ultrasound in acute stroke patients presenting for thrombectomy.

Meet the Neuroanesthesiology Team.