Anesthetic management with propofol/remifentanil target controlled infusion for awake craniotomy: A case report
Anesthesia and Pain Medicine
;
: 245-248, 2012.
Artículo
en Inglés
| WPRIM
| ID: wpr-74816
ABSTRACT
Awake craniotomy is indicated for tumor resection involving eloquent cortex. It allows the operator to perform appropriate cortical mapping during surgery and facilitate maximum tumor resection while minimizing neurologic deficit. Therefore anesthesia should provide adequate analgesia and sedation but also importantly a full consciousness and cooperation for neurologic testing. This case reports the use of target-controlled infusion (TCI) and monitoring of sedation and anesthetic depth through bispectral index (BIS), providing good control of sedation and analgesia to meet frequent changes throughout the different levels of the procedure while maintaining good condition for intraoperative brain mapping. We propose that TCI of propofol and remifentanil in combination may be a useful alternative for awake craniotomy requiring intraoperative brain mapping surgery.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Piperidinas
/
Mapeo Encefálico
/
Propofol
/
Sedación Consciente
/
Estado de Conciencia
/
Craneotomía
/
Analgesia
/
Anestesia
/
Manifestaciones Neurológicas
Idioma:
Inglés
Revista:
Anesthesia and Pain Medicine
Año:
2012
Tipo del documento:
Artículo
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