Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Awake Craniotomy: A New Airway Approach.

Chitra Sivasankar1, Rolf A Schlichter, Dimitry Baranov

  • 1From the Department of Anesthesiology, University of Pennsylvania, Philadelphia, Pennsylvania.

Anesthesia and Analgesia
|November 19, 2015
PubMed
Summary

Bilateral nasopharyngeal airways offer a successful airway management strategy for awake craniotomies, avoiding endotracheal intubation in 90 patients. This technique facilitates smoother patient transitions between anesthetic states during neurosurgery.

Related Concept Videos

You might also read

Related Articles

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

Sort by
Same author

Opioid-Associated Hippocampal Injury: Past, Present, and Future Directions.

Hippocampus·2026
Same author

Hippocampal volume alterations in opioid use disorder: Evidence for posterior vulnerability and heterogeneity.

Drug and alcohol dependence·2026
Same author

Regular use of opioids and dementia, cognitive measures, and neuroimaging outcomes among UK Biobank participants with chronic non-cancer pain.

Alzheimer's & dementia : the journal of the Alzheimer's Association·2025
Same author

Failed Neuroprotection Trials: An Evaluation of Complexity and Clinical Trial Design.

Anesthesiology·2025
Same author

Neurocritical Complications of Basal Cell Carcinoma With Intracranial Invasion.

Cureus·2024
Same author

Anesthesiologists' Role in Recognition, Prevention, and Treatment of Childbirth-Related Posttraumatic Stress Disorder.

Anesthesia and analgesia·2024

Area of Science:

  • Neurosurgery
  • Anesthesiology
  • Airway Management

Background:

  • Awake craniotomies are established procedures requiring careful airway management.
  • Current airway management strategies include endotracheal intubation, laryngeal mask airways, facemasks, and nasal cannulas.
  • Managing the airway during transitions between sedation and wakefulness presents challenges.

Purpose of the Study:

  • To describe the successful use of bilateral nasopharyngeal airways in patients undergoing awake craniotomies.
  • To evaluate the efficacy of nasopharyngeal airways in maintaining adequate gas exchange without endotracheal intubation.
  • To report any adverse events associated with this airway management technique.

Main Methods:

  • A case series of 90 patients undergoing awake craniotomies was reviewed.

Related Experiment Videos

  • Bilateral nasopharyngeal airways were utilized for airway management throughout the procedure.
  • Success was defined as the absence of endotracheal intubation due to inadequate gas exchange.

    • Main Results:

    • Successful airway management was achieved in all 90 patients using bilateral nasopharyngeal airways.
    • No patients required endotracheal intubation for inadequate gas exchange.
    • The technique facilitated a smooth transition between the asleep and awake phases of anesthesia.

    Conclusions:

    • Bilateral nasopharyngeal airways represent a viable and effective airway management strategy for awake craniotomies.
    • This method avoids airway stimulation associated with endotracheal intubation.
    • Further investigation into potential adverse events is warranted.