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...
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 ...
متن کاملAnesthesiologic Management for Awake Craniotomy
Indeed, when dealing with brain lesions located in functional areas, such as sensorimotor, language or vision, neurosurgeons aim at removing the maximum amount of lesion minimizing the risk of producing neurological deficits so as to avoid impairing patient’s quality of life. As a matter of fact, in the span of a few millimetres around the margin of the resection, as well as within the lesion t...
متن کاملAnesthetic Considerations for awake Craniotomy in Epilepsy Surgery
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 کاملAnesthetic care during awake craniotomy in a pediatric patients
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...
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ژورنال
عنوان ژورنال: THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA
سال: 2009
ISSN: 0285-4945,1349-9149
DOI: 10.2199/jjsca.29.49