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Signa vitae : journal for intesive care and emergency medicine, Vol. 3 No. Suppl. 1, 2008.

Review article

Anesthetic management in awake craniotomy

FRANCESA ZORZI ; Department of Anesthesia and Intensive Care, Azienda Ospedaliero-Universitaria Santa Maria della Misericordia, Piazzale Santa Maria della Misericordia, Udine 33100, Italy
MASSIMILIANO SALTARINI ; Department of Anesthesia and Intensive Care, Azienda Ospedaliero-Universitaria Santa Maria della Misericordia, Piazzale Santa Maria della Misericordia, Udine 33100, Italy
PAOLO BONASSIN ; Department of Anesthesia and Intensive Care, Azienda Ospedaliero-Universitaria Santa Maria della Misericordia, Piazzale Santa Maria della Misericordia, Udine 33100, Italy
MARCO VECIL ; Department of Anesthesia and Intensive Care, Azienda Ospedaliero-Universitaria Santa Maria della Misericordia, Piazzale Santa Maria della Misericordia, Udine 33100, Italy
PALMA DE ANGELIS ; Department of Anesthesia and Intensive Care, Azienda Ospedaliero-Universitaria Santa Maria della Misericordia, Piazzale Santa Maria della Misericordia, Udine 33100, Italy
AMATO DE MONTE ; Department of Anesthesia and Intensive Care, Azienda Ospedaliero-Universitaria Santa Maria della Misericordia, Piazzale Santa Maria della Misericordia, Udine 33100, Italy

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Abstract

Resection of brain tumors may cause neurological sequelae, according to the site and size of the brain tissue removed. Awake craniotomy has been proposed as a surgical approach to satisfy criteria of radical surgery while minimizing eloquent brain damage.The most critical aspect of awake craniotomy is to maintain adequate patient comfort, analgesia, immobility and cooperation during a long surgical operation, ensuring in the meanwhile the safety, control and maintenance of vital functions. Apart from pharmacological, surgical, technical knowledge and skillfulness, the ability to maintain close psycho-emotionalcontact and support with the patient throughout the operation is a fundamental task that the anesthesiologist has to pursue for the operation to be successfully managed. This review summarizes the current opinion on anesthetic management of patients undergoing awake craniotomy.

Keywords

anesthesia; awake craniotomy; brain mapping; brain tumor; neuro-oncology

Hrčak ID:

20357

URI

https://hrcak.srce.hr/20357

Publication date:

1.2.2008.

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