Anesthetic management with propofol/remifentanil target controlled infusion for awake craniotomy: A case report
Anesthesia and Pain Medicine
;
: 245-248, 2012.
Artigo
em Inglês
| 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:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Piperidinas
/
Mapeamento Encefálico
/
Propofol
/
Sedação Consciente
/
Estado de Consciência
/
Craniotomia
/
Analgesia
/
Anestesia
/
Manifestações Neurológicas
Idioma:
Inglês
Revista:
Anesthesia and Pain Medicine
Ano de publicação:
2012
Tipo de documento:
Artigo
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