Dexmedetomidine Sedation in a High-Risk Patient During Awake Craniotomy
نویسندگان
چکیده
منابع مشابه
Dexmedetomidine for awake craniotomy without laryngeal mask.
OBJECTIVE This paper reports the use of dexmedetomidine in three epileptic patients with cavernous angiomas that underwent awake surgery in order to map their speech areas. METHOD Loading dose of dexmedetomidine varied from 1 microg/Kg/h to 3 microg/Kg/h over 20 minutes and maintenance dose from 0.4 microg/Kg/h to 0.8 microg/Kg/h. RESULTS There was no occurrence of hemodynamic instability, ...
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This study compared remifentanil and dexmedetomidine as awake fiberoptic intubation (AFOI) anesthetics. Thirty-four adult ASA I-III patients were enrolled in a double-blinded randomized pilot study to receive remifentanil (REM) or dexmedetomidine (DEX) for sedation during AFOI (nasal and oral). Thirty patients completed the study and received 2 mg midazolam IV and topical anesthesia. The REM gr...
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This prospective study evaluated the safety and efficacy of patient-controlled sedation (PCS) using propofol during awake seizure surgery performed under bupivacaine scalp blocks. Thirty-seven patients were randomized to receive either propofol PCS combined with a basal infusion of propofol (n = 20) or neurolept analgesia using an initial bolus dose of fentanyl and droperidol followed by a fent...
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Background: Anaesthesia for neurosurgical procedures, specifically craniotomies requiring patient participation presents a challenge to both the neuroanaesthesiologist and the neurosurgeon. Despite the popularity of general anaesthesia for these procedures, there has been a renewed interest in this technique of awake craniotomy due to its definite advantages in specific patient populations. Thi...
متن کامل[Dexmedetomidine for neurocognitive testing in awake craniotomy: case report.].
BACKGROUND AND OBJECTIVES Tumor resections in the speech areas of the brain are more safely done using cognitive tests to determine their exact location. Patients must be awake, comfortable, and cooperative for the precise identification of the areas to be preserved. The objective of this report is to present a surgical procedure done with the patient awake, without endotracheal intubation, usi...
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ژورنال
عنوان ژورنال: İstanbul Kanuni Sultan Süleyman Tıp dergisi
سال: 2015
ISSN: 2148-273X
DOI: 10.5222/iksst.2015.133