The medical center of the University of Puerto Rico Medical Sciences Campus is the primary referral center for neurosurgery in Puerto Rico. Therefore the residents are exposed to numerous neurosurgical cases, particularly those of complicated pathology.
We have two full-time attending faculty who completed a formal neuroanesthesia fellowship. The main operating room in ASEM has four neurosurgical suites and one neuroendovascular suite. Another neuroendovascular suite will be opened in May 2007. The Pediatric University Hospital reserves one operating room twice a week for elective pediatric neurosurgery.
Neurosurgical procedures seen include aneurysm clipping, hematoma evacuations, posterior fossa tumor resections, pituitary tumor resections, tethered cord surgeries, craneosinostosis, arteriovenous malformation embolizations, lumbar laminectomies, spinal fusions and other spine surgeries. With these neurosurgical procedures, residents learn increased intracranial pressure management, evoked potentials monitoring, and cerebral protection management.
In March 2007, we performed our first awake craniotomy for tumor resection with dexmetomidine in Puerto Rico which will be published regionally. We are committed to resident education and strive to make this neuroanesthesia rotation a rewarding experience.