Reference : Awake craniotomy
Scientific journals : Article
Human health sciences : Surgery
Human health sciences : Anesthesia & intensive care
http://hdl.handle.net/2268/9041
Awake craniotomy
English
Bonhomme, Vincent mailto [Centre Hospitalier Universitaire de Liège - CHU > > Anesthésie et réanimation >]
Franssen, Colette mailto [Université de Liège - ULg > > Anesthésie et réanimation >]
Hans, Pol [Centre Hospitalier Universitaire de Liège - CHU > > Anesthésie et réanimation >]
2009
European Journal of Anaesthesiology
Cambridge University Press
26
11
906-912
Yes (verified by ORBi)
International
0265-0215
1365-2346
Cambridge
United Kingdom
[en] Anaesthetic techniques ; awake craniotomy ; review
[en] Awake craniotomy has become an increasingly frequent procedure. In this paper, the principles of its anaesthetic management are reviewed. The means allowing achievement of anaesthetic objectives are described, with emphasis on points that determine success of the procedure. A careful and adequate selection and preparation of patients are mandatory, and the intervening team must be a skilled team. Choosing an awake technique or general anaesthesia depends on several factors, including the risk of obstructive apnoea, seizures, nausea and vomiting, patient's ability to cooperate, and localization of lesions. The main challenge of intraoperative anaesthetic management relies on the ability of rapidly adjusting the level of sedation and analgesia according to the sequence of surgical events, while ensuring haemodynamic stability, adequate ventilation, and minimal interference with eventual eletrophysiological recordings. Throughout the procedure, complications must be anticipated and managed according to predefined guidelines. More prospective randomized clinical trials are still needed to improve safety and efficacy of awake craniotomies, as well as to validate this technique in comparison with more conventional anaesthetic management.
http://hdl.handle.net/2268/9041
10.1097/EJA.0b013e32833000c5

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