Anesthetic considerations for awake craniotomy for epilepsy and functional neurosurgery.
The two most common neurosurgical procedures that call for an awake patient include epilepsy surgery and functional neurosurgery. Monitoring patients in the awake state allows more aggressive resection of epileptogenic foci in functionally important brain regions. Careful patient selection and preparation combined with attentive monitoring and anticipation of events are fundamental to a smooth awake procedure. Current pharmacologic agents and techniques at the neuroanesthesiologist's disposal facilitate an increasing number of procedures performed in awake patients.
Department of Anesthesiology, Mayo Clinic College of Medicine, 200 First Street SE, Rochester, MN 55901, USA. erickson.kirstin@mayo.edu
Kirstin M
KM
Erickson
Daniel J
DJ
Cole
D000758:Anesthesia / Q000379:methods*; D000777:Anesthetics; D000075202:Contraindications; D003399:Craniotomy / Q000379:methods*; D046690:Deep Brain Stimulation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D004567:Electrodes, Implanted / Q000009:adverse effects; D004827:Epilepsy / Q000601:surgery*; D006801:Humans; D008839:Microelectrodes; D016343:Monitoring, Intraoperative; D009422:Nervous System Diseases / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000009:adverse effects / Q000379:methods*; D018579:Patient Selection; D011187:Posture; D014851:Wakefulness / Q000502:physiology
D000777:Anesthetics