Anesthetic considerations for awake craniotomy
نویسندگان
چکیده
منابع مشابه
[Anesthetic considerations for awake craniotomy: case report].
BACKGROUND AND OBJECTIVES The conscious patient cooperation during neurological procedures has become necessary for the delimitation of areas to be managed by a neurosurgeon, with better results in the treatment of tumor lesions, vascular or epileptic foci, and lesser sequelae. The need for perioperative awareness (responsiveness to commands) challenges anesthesiologists to further ensure patie...
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Awake craniotomy represents an essential option for surgical procedures requiring a patient’s participation in defining the extent of resection. This includes excision of epileptogenic foci, performed in patients with medically refractory epilepsy. Approximately 2 million Americans with a diagnosis of epilepsy are treated with Antiepileptic Drugs (AEDs), of these 20 percent continue to have sei...
متن کاملAwake craniotomy anesthetic management using dexmedetomidine, propofol, and remifentanil
INTRODUCTION Awake craniotomy allows continuous monitoring of patients' neurological functions during open surgery. Anesthesiologists have to sedate patients in a way so that they are compliant throughout the whole surgical procedure, nevertheless maintaining adequate analgesia and anxiolysis. Currently, the use of α2-receptor agonist dexmedetomidine as the primary hypnotic-sedative medication ...
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Cortical mapping has demonstrated a wide variability in the location of areas controlling speech, memory, motor and sensory function. These regions of the cortex, often referred to as eloquent cortex, can be near areas of epileptic foci or pathologic lesions, making the surgical resection of these lesions difficult. Optimal assessment of eloquent cortex function during a craniotomy often requir...
متن کاملAwake craniotomy
From the Department of Neurosurgery (Bajunaid), Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada, the Department of Neurosurgery (Ajlan), Stanford University, Stanford, California, United States of America, the Division of Neurosurgery (Bajunaid), Faculty of Medicine, King Abdulaziz University, Jeddah, and the Division of Neurosurgery (Ajlan), Faculty of...
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ژورنال
عنوان ژورنال: Anesthesia and Pain Medicine
سال: 2020
ISSN: 1975-5171,2383-7977
DOI: 10.17085/apm.20050