Noise during bone drilling – An unaddressed patient concern during awake craniotomy

Electroacupuncture-Assisted Craniotomy on an Awake Patient.

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...

Commentary: Out-of-Body Experience during Awake Craniotomy

Anesthetic 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...

scalp block for awake craniotomy in a patient with a frontal bone mass: a case report

Propofol versus Remifentanil Patient Controlled Sedation for Awake Craniotomy During Epileptic Surgeries

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...