title: Awake craniotomy in an adolescent.
abstract: We present our approach to management of awake craniotomy for epilepsy surgery for an adolescent. The importance of patient selection and preoperative preparation is stressed. Anaesthetic management included regional scalp block and preincisional surgical infiltration of local anaesthetic and light sedation with propofol, fentanyl and midazolam. The patient remained responsive to voice for all but a small part of the procedure.
authors.affiliation: Department of Paediatric Anaesthesia and Pain Management, Royal Children's Hospital, Parkville, Victoria.
authors.forename: R J
authors.initials: RJ
authors.lastname: McDougall
authors.forename: J V
authors.initials: JV
authors.lastname: Rosenfeld
authors.forename: J A
authors.initials: JA
authors.lastname: Wrennall
authors.forename: A S
authors.initials: AS
authors.lastname: Harvey
mesh_terms: D000293:Adolescent; D018686:Anesthetics, Intravenous; D001931:Brain Mapping; D016292:Procedural Sedation; D003399:Craniotomy; D017034:Epilepsy, Frontal Lobe / Q000601:surgery*; D005283:Fentanyl; D005625:Frontal Lobe / Q000601:surgery; D006801:Humans; D006993:Hypnotics and Sedatives; D008297:Male; D008874:Midazolam; D015742:Propofol
chemical_list: D018686:Anesthetics, Intravenous; D006993:Hypnotics and Sedatives; D008874:Midazolam; D005283:Fentanyl; D015742:Propofol