| Sedación conciente para craniectomía en paciente despierto en un quirófano con resonancia nuclear magnética |
Conscious sedation for awake craniotomy in intraoperative magnetic resona nce imaging operating theater Mohamad Said Maani Takrouri, Firas A Shubbak, Aisha Al Hajjaj, Ronaldo Del Maaestro, Lahbib Soualmi, Mashael H Alkhodair, Abrar M Alduraiby, Najeeb Ghanem Anesthesia Essays Res 2010:4;33-37. doi:10.4103/0259-1162.69306 This case report describes the first case in intraoperative magnetic resonance imaging operating theater (iMRI OT) (BrainSuite;) of awake craniotomy for frontal lobe glioma excision in a 24-year-old man undergoing eloquent cortex language mapping intraoperatively. As he was very motivated to take pictures of him while being operated upon, the authors adapted conscious sedation technique with variable depth according to Ramsey's scale, in order to revert to awake state to perform the intended neurosurgical procedure. The patient tolerated the situation satisfactorily and was cooperative till the finish, without any event. We elicit in this report the special environment of iMRI OT for lengthy operation in pinned fixed patient having craniotomy. |
| Craniotomía con paciente despierto, deprimido y agitado |
Awake craniotomy in a depressed and agitated patient Al Shuabi KM Anesthesia Essays Res 2010:4;41-43 Depressed patients with brain tumors are often not referred to awake craniotomy because of concern of uncooperation which may increase the risk of perioperative complications. This report describes an interesting case of awake craniotomy for frontal lobe glioma in a 41-year-old woman undergoing language and motor mapping intraoperatively. As she was fearful and apprehensive and was on antidepressant therapy to control depression, the author adopted general anesthesia with laryngeal mask airway during initial stage of skull pinning and craniotomy procedures. Then, the patient reverted to awake state to continue the intended neurosurgical procedure. The patient tolerated the situation satisfactorily and was cooperative till the finish, without any event. |
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