Anesthetic management with propofol/remifentanil target controlled infusion for awake craniotomy: A case report
Anesthesia and Pain Medicine
; : 245-248, 2012.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-74816
Responsible library:
WPRO
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.
Full text:
Available
Health context:
Sustainable Health Agenda for the Americas
Health problem:
Goal 9: Noncommunicable diseases and mental health
Database:
WPRIM (Western Pacific)
Main subject:
Piperidines
/
Brain Mapping
/
Propofol
/
Conscious Sedation
/
Consciousness
/
Craniotomy
/
Analgesia
/
Anesthesia
/
Neurologic Manifestations
Language:
English
Journal:
Anesthesia and Pain Medicine
Year:
2012
Document type:
Article