[Anesthesia for craniotomy in the conscious patient].

Area of Science:

• Neurosurgery
• Anesthesiology

Context:

• Craniotomy in the conscious patient (CPC) is utilized for epilepsy surgery, deep brain stimulation, and tumor resection in eloquent brain areas.
• This technique minimizes damage to critical functional brain regions.

Purpose:

• To review anesthetic management for CPC.
• To outline comprehensive considerations for CPC procedures.
• To describe intraoperative neurophysiological tests used during CPC.

Summary:

• Successful CPC relies on careful patient selection, understanding procedural phases, and seamless coordination among specialists.
• Effective anesthetic management includes ensuring patient comfort, adequate analgesia, and psycho-emotional support.
• Pharmacological strategies and specific anesthetic techniques are crucial for CPC success.

Impact:

• Optimizing anesthetic management and interdisciplinary collaboration enhances patient safety during CPC.
• This approach facilitates radical surgeries while preserving neurological function.
• Improved understanding of CPC contributes to better surgical outcomes in neurosurgery.