The Neuroanesthesia Division at Columbia University Medical Center (CUMC) provides the highest quality of care for patients undergoing neurosurgical procedures and provides expert guidance for the perioperative care of patients with neurologic disease. In close partnership with surgeons, proceduralists, and intensivists from the Departments of Neurology, Neurosurgery, Psychiatry, Radiology, and Orthopedic Surgery we are committed to excellent patient care, education, and research.
The Neuroanesthesia Division provides more than 2,100 anesthetics per year in CUMC’s main operating rooms. We also provide anesthesia in various off-site locations including the interventional neuroradiology & MRI suites, as well as electroconvulsive therapy. The Division is the control center of perioperative care for patients undergoing a vast array of neurosurgical procedures, including craniotomies for intracranial tumors, resections of intracranial vascular lesions, ablation of epilepsy foci, transsphenoidal surgery, functional neurosurgery, peripheral neurosurgery, oncologic spine surgery, and corrective spine surgery.
With one of the largest neurovascular practices in the country, we provide anesthesia for a large volume of patients with central and peripheral neurovascular lesions. Our division treats more than 1,000 vascular patients every year using either surgical or endovascular modalities. CUMC is an acute ischemic stroke center providing the community with high-quality medical care for neurovascular emergencies.
The Neuroanesthesia Division at CUMC also provides anesthesia for innovative therapies in neuro-oncologic surgery and functional neurosurgery for neurologic or psychiatric diseases. We integrate high-level, quantitative neuromonitoring with intensive perioperative care in order to provide the safest anesthesia care possible.
The division’s large number of cases and a variety of procedures provide a superb learning opportunity for residents and fellows. Teaching occurs both in the operating room and in small didactic sessions held every morning. We host weekly journal clubs to introduce residents to high-profile clinical trials and/or breakthrough scientific work in the fields of neuroscience, neurosurgery, and neurosurgical anesthesia.
CUMC’s Clinical Neuroanesthesiology Fellowship program is compliant with the Society for Neuroscience in Anesthesiology and Critical Care (SNACC) training recommendations. Upon completion of the curriculum, fellows will receive sub-specialty certification by the International Council on Perioperative Neuroscience Training (ICPNT). The fellowship was designed to provide fellows with the skills necessary to become excellent neuroanesthesiologists at a time when major advances are being made in neurosurgery, neuroradiology, and neuroscience. In addition to spending time in the operating room delivering anesthetic care during neurosurgical procedures, fellows will experience neurocritical care, diagnostic and interventional radiology, advanced spine surgery, neuromonitoring, and electives in neuropsychology, neurostimulation, and neurotrauma. In order to foster academic leadership in the field of neuroanesthesiology, fellows will be able to spend a substantial amount of time working on a neuroscience research project of their choice.
Faculty members in our division are involved in a variety of scholarly projects, including clinical, translational, and basic science research in neuroscience and other areas relevant to anesthesiology. Among the recent projects are EEG biomarkers of post-operative delirium, mechanistic investigations of preferred recovery trajectories after general anesthesia, population science/outcome studies using computerized intraoperative data, studies of intra-arterial drug delivery to treat brain diseases using cutting-edge optical methods, investigation of the function of GABA-A receptors expressed on non-neuronal cells, laboratory investigation of the effects of anesthetics in peripheral cholinergic nerves. Research from our division has been published in well-recognized journals in the fields of neuroscience, neurosurgery, and anesthesiology and presented nationally at SNACC, American Society of Anesthesiologists, International Anesthesia Research Society, and Association of University Anesthesiologists meetings.
Paul S. García, MD, PhD
Associate Professor, Department of Anesthesiology, Columbia University
Chief, Neuroanesthesia Division, Columbia University Medical Center
New York Presbyterian Hospital - Irving
622 West 168th Street (PH5)
New York, NY 10032