Day surgery awake craniotomy for removing brain tumours: technical note describing a simple protocol.
Day surgery awake craniotomy has been recently proposed for patients harbouring supratentorial brain tumours. This technique has been demonstrated to be safe and effective in a large cohort of patients operated by one neurosurgeon at the University of Toronto. The aim of this paper is to present a technical description of the protocol that has been adopted for these patients and a discussion of relevant practical issues which may arise. In particular, patient eligibility criteria are briefly discussed and intra- and post-operative management are presented. Key messages for those who are going to start to perform day surgery awake craniotomies include the preparation of a fast, simple and standardized protocol for the treatment of these patients and cooperation among patients and their care-givers (surgeon, anesthetist, nurses, family members).
Carrabba
G
G
Division of Neurosurgery, Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst Street, Toronto, Ontario, Canada.
Venkatraghavan
L
L
Bernstein
M
M
D000556:Ambulatory Surgical Procedures / Q000379:methods*; D000772:Anesthesia, Local / Q000379:methods; D001860:Bone Plates / Q000592:standards; D001921:Brain / Q000473:pathology / Q000601:surgery; D001932:Brain Neoplasms / Q000601:surgery*; D002985:Clinical Protocols / Q000592:standards*; D003399:Craniotomy / Q000379:methods*; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage; D038361:Neuronavigation / Q000379:methods; D019635:Neurosurgical Procedures / Q000379:methods*; D010045:Outpatients; D010149:Postoperative Pain / Q000188:drug therapy / Q000517:prevention & control; D010348:Patient Care Team / Q000592:standards; D010349:Patient Compliance; D018579:Patient Selection; D011182:Postoperative Care / Q000379:methods; D011300:Preoperative Care / Q000295:instrumentation / Q000379:methods; D019736:Prostheses and Implants / Q000592:standards; D013524:Surgical Flaps / Q000592:standards; D014851:Wakefulness / Q000187:drug effects
D006993:Hypnotics and Sedatives