Awake craniotomy

Jones, Holly; Smith, Martin

doi:10.1093/bjaceaccp/mkh051

Cited by 13 publications

(14 citation statements)

References 7 publications

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“…1 Currently, the “asleep–awake–asleep” technique using general anesthesia with intraoperative wake-up is considered to be the most popular pattern for awake craniotomy. 2-4 Although a variety of medications have been used in awake craniotomy over the past few decades, the ideal medication for conscious sedation in this specific procedure is yet to be proven by appropriate prospective randomized, double-blind clinical trials. 5…”

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confidence: 99%

Comparison of Dexmedetomidine and Propofol for Conscious Sedation in Awake Craniotomy

et al. 2013

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confidence: 99%

Comparison of Dexmedetomidine and Propofol for Conscious Sedation in Awake Craniotomy

et al. 2013

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“…Also, if we had used the Bispectral index to evaluate his level of consciousness, the patient's airway would not have been compromised and we would have been able to induce adequate sedation [ 7 , 8 ]. Moreover, it must be noted that long surgeries and inexperienced surgeons are contraindicative to awake craniotomies [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Anesthetic management with scalp nerve block and propofol/remifentanil infusion during awake craniotomy in an adolescent patient -A case report-

Sung

Kim

Park

et al. 2010

Korean J Anesthesiol

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Despite of various neurophysiologic monitoring methods under general anesthesia, functional mapping at awake state during brain surgery is helpful for conservation of speech and motor function. But, awake craniotomy in children or adolescents is worrisome considering their emotional friabilities. We present our experience on anesthetic management for awake craniotomy in an adolescent patient. The patient was 16 years old male who would undergo awake craniotomy for removal of brain tumor. Scalp nerve block was done with local anesthetics and we infused propofol and remifentanil with target controlled infusion. The patient endured well and was cooperative before scalp suture, but when surgeon sutured scalp, he complained of pain and was suddenly agitated. We decided change to general anesthesia. Neurosurgeon did full neurologic examinations and there was no neurologic deficit except facial palsy of right side. Facial palsy had improved with time.

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“…Capnography under general anesthesia is considered basic monitoring, but carbon dioxide monitoring for sedated or awake patients during mapping is also a common practice. Although carbon dioxide levels may be inaccurate, it is used to confirm ventilation [39].…”

Section: Anesthetic Generalitiesmentioning

confidence: 99%

“…Anesthetic drugs used for this technique are varied, but propofol and remifentanil TCI are the most common, followed by the use of a volatile anesthetic and remifentanil infusion. The use of dexmedetomidine has also been reported with this technique, and it's generally used during the awake stage of surgery and closure [39].…”

Section: Anesthetic Techniquesmentioning

confidence: 99%

Management of Brain Tumors in Eloquent Areas with Awake Patient

Navarro-Olvera¹,

Parra-Romero²,

Heres-Becerril³

et al. 2021

Frontiers in Clinical Neurosurgery

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This chapter aims to provide an overview of the transdisciplinary work of the Neurosurgeon, Neuroanesthesiologist and Neuropsychologist before, during and after the resection of a neoplasm in eloquent areas with the patient conscious under the 3A anesthesia modality (asleep, awake, asleep). The diagnostic approach and the logistics to carry out this procedure and achieve better results will be shown. At present there is growing evidence regarding the benefits of surgery in awake patients, with application in the treatment of epilepsy, abnormal movements and oncological surgery. The benefits of awake craniotomy are increased lesion removal, with improved survival benefit, whilst minimizing damage to eloquent cortex and resulting postoperative neurological dysfunction. Other advantages include a shorter hospitalization time, hence reduced cost of care, and a decreased incidence of postoperative complications. This approach has allowed to achieve a higher degree of resection with less morbidity and a higher quality of life.

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Awake craniotomy

Cited by 13 publications

References 7 publications

Comparison of Dexmedetomidine and Propofol for Conscious Sedation in Awake Craniotomy

Comparison of Dexmedetomidine and Propofol for Conscious Sedation in Awake Craniotomy

Anesthetic management with scalp nerve block and propofol/remifentanil infusion during awake craniotomy in an adolescent patient -A case report-

Management of Brain Tumors in Eloquent Areas with Awake Patient

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