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Related Experiment Videos

Awake Craniotomy for Tumour Excision.

K Prabhakaran1, Cvr Mohan2, P C Tripathy3

  • 1Classified Specialist (Anaesthesia and Neuroanaesthesia), 166 Military Hospital, C/o 56 APO.

Medical Journal, Armed Forces India
|October 1, 2016
PubMed
Summary

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Awake craniotomy using skull blocks with sedation and analgesia is a successful technique for brain tumor removal near eloquent areas. This method ensures patient cooperation and avoids neurological deficits.

Area of Science:

  • Neurosurgery
  • Anesthesiology

Background:

  • Craniotomy for tumors near eloquent brain areas risks neurological deficits.
  • Awake surgery is a technique to mitigate this risk.

Purpose of the Study:

  • To evaluate the efficacy and safety of awake craniotomy using skull blocks with sedation and analgesia.

Main Methods:

  • Eight patients with intracranial space-occupying lesions underwent awake craniotomy.
  • Procedures involved skull blocks with local anesthetics (bupivacaine, lignocaine) and conscious sedation (midazolam, fentanyl, propofol).

Main Results:

  • The awake craniotomy procedure was successful in all patients.
  • Patients tolerated the surgery well and followed commands during the operation.
Keywords:
AnalgesiaAwake craniotomySedationSkull block

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  • No significant complications were reported.

    • Conclusions:

    • Awake craniotomy with skull blocks, sedation, and analgesia is an established and effective procedure.
    • Successful outcomes depend on strong collaboration between the surgical team and the patient.