Awake Craniotomy in Low-Resource Settings: Findings from a Retrospective Cohort in the Philippines

Awake craniotomy: nuts and bolts

“…24 In a prospective cohort study from France of 374 patients who underwent awake craniotomy for an intra-axial supratentorial cerebral lesion from 2009 to 2014, only 3.4% or 13 patients had intraoperative partial seizures, and none of the procedures were considered as failed awake craniotomy. 25 In a retrospective descriptive study done in the Philippines from 2010 to 2019, 65 patients underwent awake craniotomy, most commonly for tumor excision. 25 The SAA technique was selected in most patients (67.7%) and the SAS technique in the remaining (32.3%).…”

“…25 In a retrospective descriptive study done in the Philippines from 2010 to 2019, 65 patients underwent awake craniotomy, most commonly for tumor excision. 25 The SAA technique was selected in most patients (67.7%) and the SAS technique in the remaining (32.3%). Of the 65 cases, no surgery was aborted.…”

“…Some factors associated with seizure occurrence included significantly younger patients, those with a history of seizures, and patients whose tumors are located in the frontal lobe 24 . In a prospective cohort study from France of 374 patients who underwent awake craniotomy for an intra-axial supratentorial cerebral lesion from 2009 to 2014, only 3.4% or 13 patients had intraoperative partial seizures, and none of the procedures were considered as failed awake craniotomy 25 …”

Consideraciones anestésicas para resección de gliomas en protocolo dormido – despierto – dormido

“…La técnica ideal dependerá del tipo de paciente y de la experiencia del neuroanestesiólogo [14]. Una vez que durante la valoración preanestésica se asegura que el paciente no cumple con los criterios de exclusión mayores como es la negativa del paciente al procedimiento y criterios de exclusión menores los cuales incluyen obesidad con IMC > 38, presencia de síndrome de apnea obstructiva del sueño (SAOS) entre otros [15].…”