title: Case Report: Emergency awake craniotomy for cerebral abscess in a patient with unrepaired cyanotic congenital heart disease.
abstract: We report the case of a 39-year-old male with complex cyanotic congenital heart disease undergoing emergency craniotomy for a cerebral abscess. Maintenance of intraoperative hemodynamic stability and adequate tissue oxygenation during anesthesia may be challenging in patients with cyanotic congenital heart disease. In this case, we decided to perform the surgery as an awake craniotomy after interdisciplinary consensus. We discuss general aspects of anesthetic management during awake craniotomy and specific concerns in the perioperative care of patients with congenital heart disease.
authors.affiliation: Department of Anesthesia, Surgical Intensive Care, Prehospital Emergency Medicine and Pain Therapy, University Hospital Basel, University of Basel, Basel, Switzerland.
authors.forename: Corinne
authors.initials: C
authors.lastname: D'Antico
authors.affiliation: Department of Anesthesia, Surgical Intensive Care, Prehospital Emergency Medicine and Pain Therapy, University Hospital Basel, University of Basel, Basel, Switzerland.
authors.forename: André
authors.initials: A
authors.lastname: Hofer
authors.affiliation: Department of Anesthesia, Surgical Intensive Care, Prehospital Emergency Medicine and Pain Therapy, University Hospital Basel, University of Basel, Basel, Switzerland.
authors.forename: Jens
authors.initials: J
authors.lastname: Fassl
authors.affiliation: Department of Cardiology, University Hospital Basel, University of Basel, Basel, Switzerland.
authors.forename: Daniel
authors.initials: D
authors.lastname: Tobler
authors.affiliation: Department of Neurosurgery, University Hospital Basel, University of Basel, Basel, Switzerland; Department of Radiology, Division of Diagnostic and Interventional Neuroradiology, University Hospital Basel, University of Basel, Basel, Switzerland.
authors.forename: Daniel
authors.initials: D
authors.lastname: Zumofen
authors.affiliation: Department of Anesthesia, Surgical Intensive Care, Prehospital Emergency Medicine and Pain Therapy, University Hospital Basel, University of Basel, Basel, Switzerland; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.
authors.forename: Luzius A
authors.initials: LA
authors.lastname: Steiner
authors.affiliation: Department of Anesthesia, Surgical Intensive Care, Prehospital Emergency Medicine and Pain Therapy, University Hospital Basel, University of Basel, Basel, Switzerland; Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.
authors.forename: Nicolai
authors.initials: N
authors.lastname: Goettel
keywords: Awake craniotomy; congenital heart disease; conscious sedation