Anesthesia for Neurosurgery

At Weill Cornell Medicine Anesthesiology, our neuroanesthesiologists are dedicated to the care of patients suffering from a variety of neurologic disorders. We also act as consultants for patients with neurological conditions undergoing other surgical procedures. The faculty have an excellent collaborative relationship with the neurosurgeons, neuroradiologists, neurophysiologists and nurses with whom we work on a daily basis.

The pediatric anesthesiology division covers both pediatric neurosurgery cases and assists with adult neurosurgery cases as well.

Our physicians provide expert care for roughly 3,000 patients annually in the operating rooms and approximately 1,200 patients annually in the interventional neuroradiology suite. The division has been at the forefront of developing anesthesia and sedation protocols for intracranial brain tumors, vascular malformations, and epilepsy surgery as well as spine surgery and interventional procedures.

 

Clinical

The neuroanesthesiology division covers six to seven ORs daily as well as two to three interventional neuroradiology suites. We are experts in the care of patients suffering from a variety of neurologic disorders.

  • For brain tumors, we provide anesthesia for traditional craniotomy for tumor resection, and have been at the forefront of developing sedation and pain relief protocols for the patient who must remain awake during portions of their surgery.

  • For patients with an aneurysm, vascular malformation or carotid stenosis, we provide expert care in the interventional neuroradiology suite or in our state-of-the-art hybrid operating room, which allows a patient to have both a neuroradiologic study and open surgery without being moved to another hospital location.

  • We care for both minor and major spinal surgical patients. Whether a patient needs a vertebroplasty, excision of a herniated disk, laminectomy, multilevel spinal fusion or placement of spinal cord stimulators, we tailor our anesthetic to ensure patient comfort and facilitate the latest technology in the monitoring of spinal cord function.

  • We provide mild to deep sedation for patients with movement disorders who need to undergo placement of deep brain stimulators; these allow the patient to follow commands and perform basic neurologic exam throughout the operation. For epilepsy patients, we care for those undergoing both diagnostic and treatment procedures from vagal nerve stimulator placement to craniotomy.

  • We provide care in the interventional neuroradiology suite for endovascular tumor and AVM embolization, aneurysm coiling, carotid stent placement, vertebroplasty, direct arterial tumor injections of chemotherapy and thrombectomy for strokes. We are an accredited comprehensive stroke center.

In collaboration with the neurosurgery department, we have created five ERAS protocols for minor and major spine surgery, Chiari malformation surgery, retromastoid and suboccipital craniotomy and transsphenoidal procedures. The goals of the protocols are to increase patient satisfaction by using a multimodal approach for pain management, decrease opioid use, and decrease postoperative nausea and vomiting.

 

Education

The Department of Anesthesiology's Neuroanesthesiology Fellowship is a one-year program that provides advanced clinical training in the subspecialty. Fellows also design and initiate research and participate in the education of residents. The Fellowship Program has received five-year accreditation by the International Council on Perioperative Neuroscience Training (ICPNT).

Our program provides unparalleled experience to the fellow as we work with one of the busiest and highest-ranking neurosurgery departments in the country and the world. We provide the fellow with both an outstanding clinical experience as well as the opportunity to participate in research in many areas related to neuroanesthesiology. 

Learn more about the Neuroanesthesiology Fellowship.

 

Research

Members of the division are engaged in research in many areas within neuroanesthesiology, including neuropathic pain, EEG analysis, non-invasive neuromonitoring techniques, cerebrovascular physiology, and mechanisms of anesthesia.

    Publications by the Department of Anesthesiology faculty

     

    Faculty

    Dr. maria bustillo

    Maria Bustillo, M.D.

    Chief, Division of Neuroanesthesiology
    Professor of Clinical Anesthesiology
    Professor of Anesthesiology in Clinical Neurological Surgery

    David Kopman, M.D.

    David Kopman, M.D.

    Assistant Chief, Division of Neuroanesthesiology
    Assistant Professor of Clinical Anesthesiology

    Alina Boltunova, MD

    Alina Boltunova, M.D.

    Assistant Professor in Anesthesiology

    Peter Goldstein, MD

    Peter Goldstein, M.D.

    Professor of Anesthesiology

    Daniel Lahm, M.D.

    Daniel Lahm, M.D.

    Associate Professor of Clinical Anesthesiology
    Associate Professor of Anesthesiology in Clinical Neurological Surgery

    Dr. Christine Lennon

    Christine Lennon, M.D.

    Assistant Professor of Clinical Anesthesiology

    Dr. Patricia Fogarty Mack

    Patricia Fogarty Mack, M.D., FASA

    Professor of Clinical Anesthesiology

    Dr. Kane O. Pryor

    Kane O. Pryor, M.D.

    Associate Professor of Clinical Anesthesiology
    Associate Professor of Anesthesiology in Clinical Psychiatry

    Paul Riegelhaupt, MD

    Paul Riegelhaupt, M.D., Ph.D.

    Assistant Professor of Anesthesiology

    Dr. Safavynia

    Seyed Safavynia, M.D., Ph.D.

    Assistant Professor of Anesthesiology

    Dr. Usenko

    Jaroslav Usenko, M.D.

    Assistant Professor of Clinical Anesthesiology

    Contact Us

    Dept. of Anesthesiology
    NewYork-Presbyterian Hospital/Weill Cornell Medicine
    525 East 68th Street, Box 124
    New York, NY 10065

    Office of the Chair
    Phone: (212) 746-2962
    E-mail:  Office of the Chair, anesthesiology-chair@med.cornell.edu

    Residency and Fellowship Education
    Direct all inquiries to:
    Phone: (212) 746-2941
    E-mail: anes-programs@med.cornell.edu
    For trainee verification inquiries: anes-verification@med.cornell.edu

    Patient Billing Inquiries
    Phone: (646) 962-5700