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Tessa W Huncke, M.D.
Clinical Associate Professor; Clinical Dir of Anesthesia at TischDepartment of Anesthesiology (Anesthesiology)
NYU Anesthesia Associates
Clinical Addresses
DEPARTMENT OF ANESTHESIOLOGY550 FIRST AVENUE
NEW YORK, NY 10016
Phone: 212-263-5072
Medical Specialties
AnesthesiologyInsurance
AETNA HMO, AETNA INDEMNITY, AETNA POS, AETNA PPO, EBCBS CHLD HLTH, EBCBS EPO, EBCBS HLTHY NY, EBCBS HMO, EBCBS INDEMNITY, EBCBS MEDIBLUE, EBCBS POS, EBCBS PPO, GHI CBP, HIP ACCESS I, HIP ACCESS II, HIP CHLD HLTH, HIP EPO/PPO, HIP FAM HLTH, HIP HMO, HIP MEDICAID, HIP MEDICARE, HIP POS, LOCAL 1199 PPO, MULTIPLAN/PHCS PPO, OXFORD FREEDOM, Oxford Liberty, Oxford Medicare, UHC EPO, UHC HMO, UHC POS, UHC PPO, UHC TOP TIERInsurance Disclaimer: Insurance listed above may not be accepted at all office locations. Please confirm prior to each visit. The information presented here may not be complete or may have changed.
Board Certification
1993 — AnesthesiologyEducation
1988 — Univ. of California, Los Angeles, Medical Education1988-1989 — UCLA Medical Center (Internal Medicine), Internship
1989-1992 — UCLA Medical Center (Anesthesiology), Residency Training
All data from NYU Health Sciences Library Faculty Bibliography — -
Contact:
http://hsl.med.nyu.edu/faculty-bibliography-search#about
The asleep-awake-asleep anesthetic technique for intraoperative language mapping
Huncke K; Van de Wiele B; Fried I; Rubinstein EH
1998 Jun;42(6):1312-1316, Neurosurgery
OBJECTIVE: We evaluated a combined technique designed for procedures requiring intraoperative language mapping. We planned to induce general anesthesia with endotracheal intubation and hyperventilation and then to awaken and extubate the patient for speech testing. After the latter, endotracheal reintubation and general anesthesia were planned. METHODS: With the patient under intravenously induced sedation, we topically anesthetized the airway with lidocaine that was delivered through a spraying catheter. Fiberoptic endotracheal intubation was then performed on the awake patient, using a modified endotracheal tube. General anesthesia with intravenous propofol or sodium thiopental was induced, the patient's head was attached to a Mayfield holder, and the pin and operative sites were infiltrated with 0.5% bupivacaine with epinephrine. In anticipation of speech mapping, general anesthesia was discontinued and lidocaine was injected into the catheter that was spirally attached to the endotracheal tube. After speech mapping, the awake patients were endotracheally intubated, guided with the fiberoptic laryngoscope or tube changer, and general anesthesia was induced and maintained until termination of the surgery. RESULTS: We did not observe any complications, such as coughing or head movements, during the preparation for general anesthesia, awakening and endotracheal extubation for speech mapping, and post-testing reintubation or induction of general anesthesia. CONCLUSION: The combined technique that we describe abolished the potential discomfort of surgical stimulation on a sedated patient, reduced the duration of wakefulness, and provided a secure airway and the means to hyperventilate our patients before dural opening
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id: 21533,
year: 1998,
vol: 42,
page: 1312,
stat: Journal Article,
