title: [Use of the lateral approach for laryngeal mask insertion during awake craniotomy: case report.].
abstract: OBJECTIVE
  During an awake craniotomy in which the Aachen Aphasia test is performed, it is necessary to use the 'asleep-awake-asleep' anesthetic technique. The objective of this case report was to describe the anesthetic technique used in a patient with signs of difficult airway.
  
  
  METHODS
  The case of a patient who underwent resection of a tumor in the left temporal lobe, in the Wernicke gyrus, with clinical signs of difficult airway is reported. The 'asleep-awake-asleep' anesthetic technique, with continuous infusion of propofol and remifentanil, was used. A laryngeal mask, inserted by the lateral approach, was used to keep the airways patency.
  
  
  CONCLUSIONS
  The technique used was effective in obtaining an intraoperative awake and cooperative patient, and the airways were maintained patent with a laryngeal mask. Insertion of this device by the lateral approach is especially interesting since this was a patient who presented difficult airway and underwent a surgical procedure in which in which the patient must remain immobile and the surgical field cannot be contaminated.
authors.affiliation: Hospital Lifecenter.
authors.forename: Mirna Bastos
authors.initials: MB
authors.lastname: Marques
authors.forename: Carlos Henrique Vianna de
authors.initials: CH
authors.lastname: Castro
authors.forename: Dener Augusto
authors.initials: DA
authors.lastname: Diniz
authors.forename: Ana Tereza Moreira Dantas de Andrade
authors.initials: AT
authors.lastname: Pinto
authors.forename: Marcello Penholate
authors.initials: MP
authors.lastname: Faria