Abstract
Awake craniotomy was introduced for surgical treatment of epilepsy a long time ago and has subsequently been used in patients undergoing surgical management of supratentorial tumors, arteriovenous malformations, and deep brain stimulation (Pasquet, Curr Res Anesth Analg 33(3):156–164, 1957). Awake craniotomy aims to maximize lesion resection while sparing important foci, particularly the so-called eloquent areas such as the motor, somatosensory, short-term memory, and language areas (July et al. Surg Neurol 71:621–625, 2009). Several new techniques have recently been developed for anesthetic management in awake craniotomy.
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References
Pasquet A (1954) Combined regional and general anesthesia for craniotomy and cortical exploration. II. Anesthetic considerations. Curr Res Anesth Analg 33(3):156–164
July J, Manninen P, Lai J, Yao Z, Bernstein M (2009) The history of awake craniotomy for brain tumor and its spread into Asia. Surg Neurol 71:621–625
Wada J (1949) A new method for the determination of the side of cerebral speech dominance. A preliminary report of the intra-carotid injection of sodium amytal in man. Igaku to Seibutsugaki 14:221–222
Piccioni F, Fanzio M (2008) Management of anesthesia in awake craniotomy. Minerva Anesthesiol 74:393–408
Guideline Committee of the Japan Awake Surgery Conference (2012) The guidelines for awake craniotomy. Neurol Med Chir 52:119–141
Lobo F, Beiras A (2007) Propofol and remifentanil effect-site concentrations estimated by pharmacokinetic simulation and bispectral index monitoring during craniotomy with intraoperative awakening for brain tumor resection. J Neurosurg Anesthesiol 19:183–189
Silbergeld DL, Mueller WM, Colley PS, Ojemann GA, Lettich E (1992) Use of propofol for awake craniotomies. Surg Neurol 38:271–272
Manninen PH, Balki M, Lukitto K, Bernstein M (2006) Patient satisfaction with awake craniotomy for tumor surgery: a comparison of remifentanil and fentanyl in conjunction with propofol. Anesth Analg 102:237–242
Bekker AY, Kaufman B, Samir H, Doyle W (2001) Use of dexmedetomidine infusion for awake craniotomy. Anesth Analg 92:1251–1253
Costello TG, Cormack JR, Hoy C, Wyss A, Braniff V, Martin K, Murphy M (2004) Plasma ropivacaine levels following scalp block for awake craniotomy. J Neurosurg Anesthesiol 6:147–150
Tongier WK, Joshi GP, Landers DF, Mickey B (2000) Use of the laryngeal mask airway during awake craniotomy for tumor resection. J Clin Anesth 12:592–594
Skucas AP, Artru AA (2006) Anesthetic complications of awake craniotomies for epilepsy surgery. Anesth Analg 102:882–887
Herrick IA, Craen RA, Gelb AW, Miller LA, Kubu CS, Girvin JP, Parrent AG, Eliasziw M, Kirkby J (1997) Propofol sedation during awake craniotomy for seizures: patient-controlled administration versus neurolept analgesia. Anesth Analg 84:1285–1291
Berkenstadt H, Perel A, Hadani M, Unofrievich I, Ram Z (2001) Monitored anesthesia care using remifentanil and propofol for awake craniotomy. J Neurosurg Anesthesiol 13:246–249
Blanshard HJ, Chung F, Manninen PH, Taylor MD, Bernstein M (2001) Awake craniotomy for removal of intracranial tumor: considerations for early discharge. Anesth Analg 92:89–94
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Ishida, T., Kawamata, M. (2015). Anesthesia in Awake Craniotomy. In: Uchino, H., Ushijima, K., Ikeda, Y. (eds) Neuroanesthesia and Cerebrospinal Protection. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54490-6_33
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DOI: https://doi.org/10.1007/978-4-431-54490-6_33
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