title: The use of continuous positive airway pressure during an awake craniotomy in a patient with obstructive sleep apnea.
abstract: 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.
authors.affiliation: Department of Anesthesiology, New York University Medical Center, Rusk Institute, New York, NY 10016, USA. jkhuncke@msn.com
authors.forename: Tessa
authors.initials: T
authors.lastname: Huncke
authors.forename: Jenny
authors.initials: J
authors.lastname: Chan
authors.forename: Werner
authors.initials: W
authors.lastname: Doyle
authors.forename: Jung
authors.initials: J
authors.lastname: Kim
authors.forename: Alex
authors.initials: A
authors.lastname: Bekker
mesh_terms: 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
chemical_list: D006993:Hypnotics and Sedatives; D020927:Dexmedetomidine