Anaesthesia for awake craniotomy—evolution of a technique that facilitates awake neurological testing

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Anaesthesia for awake craniotomy--evolution of a technique that facilitates awake neurological testing.

BACKGROUND There is an increasing trend towards performing craniotomy awake. The challenge for the anaesthetist is to provide adequate analgesia and sedation, haemodynamic stability, and a safe airway, with an awake, cooperative patient for neurological testing. METHODS The records of all patients who had awake craniotomy at our institution were reviewed. Patients were divided into three grou...

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Until recently most hand surgeries was performed with a tourniquet to provide better visibility. The discomfort of the tourniquet is very unpleasant and unnecessary for patients. To avoid this, we have traditionally relied on an anesthesiologist to give sedation, brachial plexus or Bier block, or general anesthesia. A good alternative to traditional tourniquet hand surgery is to use only 2 medi...

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BACKGROUND Awake craniotomy (AC) renders an expanded role in functional neurosurgery. Yet, evidence for optimal anaesthesia management remains limited. We aimed to summarise the latest clinical evidence of AC anaesthesia management and explore the relationship of AC failures on the used anaesthesia techniques. METHODS Two authors performed independently a systematic search of English articles...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2003

ISSN: 0007-0912

DOI: 10.1093/bja/aeg037