The use of continuous positive airway pressure during an awake craniotomy in a patient with obstructive sleep apnea.
We describe the anesthetic management of a morbidly obese patient with obstructive sleep apnea who underwent awake craniotomy. The patient's personal continuous positive airway pressure (CPAP) machine was used to support ventilation intraoperatively. Dexmedetomidine was used as the primary sedative. During cortical mapping, the CPAP was discontinued. The patient was comfortable and able to cooperate with language testing.
Huncke
Tessa
T
Department of Anesthesiology, New York University Medical Center, Rusk Institute, New York, NY 10016, USA. jkhuncke@msn.com
Chan
Jenny
J
Doyle
Werner
W
Kim
Jung
J
Bekker
Alex
A
D000758:Anesthesia / Q000379:methods*; D045422:Continuous Positive Airway Pressure / Q000379:methods*; D003399:Craniotomy / Q000379:methods*; D020927:Dexmedetomidine; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications; D012640:Seizures / Q000601:surgery; D020181:Sleep Apnea, Obstructive / Q000150:complications*; D013702:Temporal Lobe / Q000601:surgery; D016896:Treatment Outcome
D006993:Hypnotics and Sedatives; D020927:Dexmedetomidine