Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Psychosurgery

Psychosurgery

Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...

Stages of General Anesthesia

Stages of General Anesthesia

Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Seeing the wood for the trees: defining the forgotten concept of patient dissatisfaction in the light of patient satisfaction research.

International journal of health care quality assurance incorporating Leadership in health services·2000

Same author

GABAA receptor mediated elevation of Ca2+ and modulation of gonadotrophin-releasing hormone action in alphaT3-1 gonadotropes.

Journal of neuroendocrinology·2000

Same author

Tennessee's mental health services in crisis. Strained system undergoes comprehensive review.

Tennessee medicine : journal of the Tennessee Medical Association·2000

Same author

Influence of hypertension, left ventricular hypertrophy, and left ventricular systolic dysfunction on plasma N terminal proBNP.

Heart (British Cardiac Society)·2000

Same author

Detection of immunoglobulin antibodies in the sera of patients using purified latex allergens.

Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology·2000

Same author

Getting a job as a research nurse.

Nursing New Zealand (Wellington, N.Z. : 1995)·2000

Same journal

List of guest reviewers.

HSR proceedings in intensive care & cardiovascular anesthesia·2013

Same journal

An A to Z of peer-to-peer writing.

HSR proceedings in intensive care & cardiovascular anesthesia·2013

Same journal

Treatment of mediastinitis following cardiac surgery-still in discussion.

HSR proceedings in intensive care & cardiovascular anesthesia·2013

Same journal

Management of sterno-mediastinitis using titanium mesh following cardiac surgery.

HSR proceedings in intensive care & cardiovascular anesthesia·2013

Same journal

Cerebral oxygen saturation is improved by xenon anaesthesia during carotid clamping.

HSR proceedings in intensive care & cardiovascular anesthesia·2013

Same journal

Pulse pressure variation as a predictor of fluid responsiveness in mechanically ventilated patients with spontaneous breathing activity: a pragmatic observational study.

HSR proceedings in intensive care & cardiovascular anesthesia·2013

See all related articles

Search research articles

Related Experiment Video

Updated: May 13, 2026

Intra-Operative Behavioral Tasks in Awake Humans Undergoing Deep Brain Stimulation Surgery

Intra-Operative Behavioral Tasks in Awake Humans Undergoing Deep Brain Stimulation Surgery

Published on: January 6, 2011

Patients selection for awake neurosurgery.

J D Dreier¹, B Williams, D Mangar

¹Critical Care Fellow, Department of Anesthesiology and Critical Care Medicine, University of South Florida, Tampa, Florida.

HSR Proceedings in Intensive Care & Cardiovascular Anesthesia

|February 27, 2013

Summary

This summary is machine-generated.

This study introduces a new decision algorithm to improve patient selection for awake craniotomy, a procedure beneficial for neurocognitive testing during surgery. The algorithm simplifies anesthetic choices and prevents inappropriate patient assignments.

Keywords:

anesthesia for neurosurgery awake craniotomy patient selection

More Related Videos

Translational Brain Mapping at the University of Rochester Medical Center: Preserving the Mind Through Personalized Brain Mapping

Translational Brain Mapping at the University of Rochester Medical Center: Preserving the Mind Through Personalized Brain Mapping

Published on: August 12, 2019

The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation

The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation

Published on: August 2, 2024

Related Experiment Videos

Last Updated: May 13, 2026

Intra-Operative Behavioral Tasks in Awake Humans Undergoing Deep Brain Stimulation Surgery

Intra-Operative Behavioral Tasks in Awake Humans Undergoing Deep Brain Stimulation Surgery

Published on: January 6, 2011

Translational Brain Mapping at the University of Rochester Medical Center: Preserving the Mind Through Personalized Brain Mapping

Translational Brain Mapping at the University of Rochester Medical Center: Preserving the Mind Through Personalized Brain Mapping

Published on: August 12, 2019

The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation

The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation

Published on: August 2, 2024

Area of Science:

Neurosurgery
Anesthesiology
Neuroscience

Background:

Awake craniotomy offers benefits for neurocognitive testing during surgery, particularly for procedures in eloquent brain areas or for epilepsy foci.
Patient selection for awake craniotomy can be challenging, necessitating clear criteria.

Purpose of the Study:

To develop and present a novel decision algorithm for selecting appropriate patients for awake craniotomy.
To streamline the preoperative anesthetic selection process and minimize errors.

Main Methods:

A retrospective chart review of 397 craniotomies performed between 2005 and 2006 was conducted.
Data on indications and anesthetic techniques (awake vs. general) were analyzed to develop a decision tree.
A specific sedation and anesthesia sequence involving dexmedetomidine, propofol, LMA, skull block, desflurane, and remifentanil was utilized.

Main Results:

Out of 397 craniotomies, 79 patients (20%) underwent awake craniotomy.
The developed decision tree effectively guided the selection of patients for awake procedures.
The described anesthetic technique, including specific agents and airway management, proved successful.

Conclusions:

The proposed decision algorithm simplifies preoperative anesthetic selection for awake craniotomy.
This approach helps prevent the erroneous assignment of patients unsuitable for awake procedures.
The described anesthetic sequence and decision-making tool are effective for optimizing patient selection.