Severe Hypertension with Dexmedetomidine Infusion during Awake Craniotomy

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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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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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[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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The Opioid-sparing Effect of Intraoperative Dexmedetomidine Infusion After Craniotomy.

BACKGROUND We conducted a randomized trial to evaluate the opioid-sparing effect of an intraoperative infusion of dexmedetomidine (DEX) after craniotomy. METHODS Sixty adult patients scheduled for craniotomy were divided randomly into group A (DEX infusion at 0.5 μg/kg/h for 10 min and then adjusted to 0.2 to 0.5 μg/kg/h from tracheal intubation to incision suturing) and group B (0.9% saline ...

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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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ژورنال

عنوان ژورنال: Journal of Neuroanaesthesiology and Critical Care

سال: 2018

ISSN: 2348-0548,2348-926X

DOI: 10.1055/s-0037-1616040