title: Awake craniotomy in a patient with ejection fraction of 10%: considerations of cerebrovascular and cardiovascular physiology.
abstract: A 37-year-old man with nonischemic 4-chamber dilated cardiomyopathy and low-output cardiac failure (estimated ejection fraction of 10%) underwent awake craniotomy for a low-grade oligodendroglioma resection under monitored anesthesia care. The cerebrovascular and cardiovascular physiologic challenges and our management of this patient are discussed.
authors: Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, CA, USA. Electronic address: mengl@anesthesia.ucsf.edu.
authors: Lingzhong
authors: L
authors: Meng
authors: Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, CA, USA.
authors: Stephen D
authors: SD
authors: Weston
authors: Department of Neurological Surgery, University of California San Francisco, San Francisco, CA, USA.
authors: Edward F
authors: EF
authors: Chang
authors: Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, CA, USA.
authors: Adrian W
authors: AW
authors: Gelb
mesh_terms: D000328:Adult; D001803:Blood Transfusion; D001932:Brain Neoplasms / Q000601:surgery; D002302:Cardiac Output; D002560:Cerebrovascular Circulation; D003399:Craniotomy / Q000379:methods*; D006801:Humans; D008297:Male; D009837:Oligodendroglioma / Q000601:surgery; D013318:Stroke Volume; D014851:Wakefulness
keywords: Awake craniotomy; Cardiac failure; Cardiovascular physiology; Cerebrovascular physiology