Awake craniotomy anesthetic management using dexmedetomidine, propofol, and remifentanil

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Awake 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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Remifentanil-propofol vs dexmedetomidine-propofol--anesthesia for supratentorial craniotomy.

The aim of the present study was to compare the perioperative hemodynamics, propofol consumption and recovery profiles of remifentanil and dexmedetomidine when used with air-oxygen and propofol, in order to evaluate a postoperative analgesia strategy and explore undesirable side-effects (nausea, vomiting, shivering). In a prospective randomized double-blind study 50 ASAI-III patients scheduled ...

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Anesthetic management with scalp nerve block and propofol/remifentanil infusion during awake craniotomy in an adolescent patient -A case report-

Despite of various neurophysiologic monitoring methods under general anesthesia, functional mapping at awake state during brain surgery is helpful for conservation of speech and motor function. But, awake craniotomy in children or adolescents is worrisome considering their emotional friabilities. We present our experience on anesthetic management for awake craniotomy in an adolescent patient. T...

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Anesthetic management of awake craniotomy with laryngeal mask airway and dexmedetomidine in risky patients

Corresponding author: Jeong Jin Lee, M.D., Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50, Ilwon-dong, Gangnam-gu, Seoul 135-710, Korea. Tel: 82-2-3410-0369, Fax: 82-2-3410-0361, E-mail: [email protected] This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (h...

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Awake craniotomy using a modified nasal airway, propofol, and remifentanil in an adolescent

Introduction It is now possible to map areas of proposed brain resection. If these are near speech and motor regions, intraoperative stimulation may prevent permanent injury while allowing a more complete resection (1). This requires an awake, cooperative patient to assess motor and verbal response. We describe the first reported case of an awake craniotomy, in an adolescent, using only a nasal...

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ژورنال

عنوان ژورنال: Drug Design, Development and Therapy

سال: 2017

ISSN: 1177-8881

DOI: 10.2147/dddt.s124736