Conscious Sedation for Intraoperative Neurosurgical Procedures

Aglio, Linda S.; Gugino, Laverne D.

doi:10.1097/00127927-200103000-00007

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Introduction and Indications1

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2011

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Cited by 3 publications

(1 citation statement)

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“…It is essential that a thorough and clear relationship between medical staff and the patient is established and that the patient is correctly informed about every event that he or she is going to experience. Different authors have demonstrated that good preoperative communication is even more effective in alleviating anxiety than preoperative sedative drugs (Egbert 1963;Aglio 2001).…”

Section: Introduction and Indicationsmentioning

confidence: 99%

Multimodal Approach to the Surgical Removal of Gliomas in Eloquent Brain Regions

Spena¹,

Pepoli²,

Bruno³

et al. 2011

Advances in the Biology, Imaging and Therapies for Glioblastoma

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Section: Introduction and Indicationsmentioning

confidence: 99%

Multimodal Approach to the Surgical Removal of Gliomas in Eloquent Brain Regions

Spena¹,

Pepoli²,

Bruno³

et al. 2011

Advances in the Biology, Imaging and Therapies for Glioblastoma

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Anesthesia for Functional Neurosurgery

Manninen¹,

Apichatibutra²

2009

Textbook of Stereotactic and Functional Neurosurgery

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Patient Satisfaction with Awake Craniotomy for Tumor Surgery: A Comparison of Remifentanil and Fentanyl in Conjunction with Propofol

Manninen

Balki²,

Lukitto³

et al. 2006

Anesthesia &Amp; Analgesia

136

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In this study we compared the effectiveness of the use of remifentanil to fentanyl in conjunction with propofol in providing conscious sedation for awake craniotomy for tumor surgery and to assess patient satisfaction with both techniques. The ability to maintain appropriate levels of sedation, adequate analgesia, and hemodynamic stability was assessed in 50 patients randomized to receive either fentanyl or remifentanil. All complications were documented. Patients were interviewed at 1 h, 4 h, and 24 h after surgery to note their recall of procedure and pain and their overall satisfaction. There were no differences in sedation and pain scores or in hemodynamic and respiratory variables between the two groups. The incidence of intraoperative complications was not different (fentanyl, 14; remifentanil, 16). Respiratory complications occurred in 9 (18%) patients (fentanyl 6, remifentanil 3). The recall and satisfaction scores were not different; 93% of all patients were completely satisfied at all interview times. The use of remifentanil infusion in conjunction with propofol is a good alternative to fentanyl and propofol for conscious sedation for the awake craniotomy and these techniques are both well accepted by the patient.

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Conscious Sedation for Intraoperative Neurosurgical Procedures

Cited by 3 publications

References 54 publications

Multimodal Approach to the Surgical Removal of Gliomas in Eloquent Brain Regions

Multimodal Approach to the Surgical Removal of Gliomas in Eloquent Brain Regions

Anesthesia for Functional Neurosurgery

Patient Satisfaction with Awake Craniotomy for Tumor Surgery: A Comparison of Remifentanil and Fentanyl in Conjunction with Propofol

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