Abstract

GONZALEZ, Luis Fernando et al. Craneotomia con paciente despierto para resección de tumores cerebrales. Rev. colomb. anestesiol. [online]. 2009, vol.37, n.1, pp.57-62. ISSN 0120-3347.

Craniotomy with the patient under conscious sedation and blockade of the scalp nerves, aims to preserve functionality of eloquent cortex areas while resection of tumors or epilepsy mapping are achieved. We reviewed our institutional database, looking for patients who underwent to awake craniotomy in the last 10 years. This case report resumes the accumulated experience, main observed problems during its implementation and how these were resolved through time. We found 9 patients, all of them scheduled to glial brain tumor resections, whom where previously instructed in the preanesthetic assessment about the different intraoperative situations. Procedures were doing without changes in the anesthetic technique or major events.

Keywords : Craniotomy; awake pacient; brain tumors; anesthetic techniques; sedation; blockade of the scalp.

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