Awake Craniotomy in an Adolescent

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Awake 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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Although acupuncture has existed for over 2000 years, its application as an anesthetic aid began in the 1950s in China. The first surgical procedure performed under acupuncture anesthesia was a tonsillectomy. Soon thereafter, major and minor surgical procedures took place with electroacupuncture alone providing the anesthesia. The procedures performed were diverse, ranging from cardiothoracic s...

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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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Awake Craniotomy and Coaching

Background: The importance of monitoring cognition during awake craniotomy has been well described in previous studies. The relevance of being coached during such a procedure has received less attention and questions still remain unanswered about what factors are the most important herein. Objective: The aim of this study was to qualitatively analyze what factors were, according to our patients...

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Awake Craniotomy: Lessons Learned

Awake craniotomy is still in its evolutionary stage and is generally successful in a highly motivated patient. The attending anesthesiologist must ensure that patient is optimally sedated and pain free yet readily arousable. In addition, it is essential to have a Plan B and C ready in case the first one fails. We adopted awake craniotomy technique in a 33 yr old male patient undergoing excision...

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ژورنال

عنوان ژورنال: Anaesthesia and Intensive Care

سال: 2001

ISSN: 0310-057X,1448-0271

DOI: 10.1177/0310057x0102900416