[Anesthetic considerations for awake craniotomy: case report].

Area of Science:

• Neurosurgery
• Anesthesiology
• Neuroscience

Context:

• Conscious patient cooperation is essential for precise neurosurgical procedures like tumor resection.
• Maintaining perioperative awareness challenges anesthesiologists to ensure patient safety.
• Minimizing neurological deficits and sequelae requires careful surgical and anesthetic management.

Purpose:

• To describe a case of brain tumor resection utilizing intraoperative awakening.
• To highlight the importance of patient cooperation and anesthetic techniques in neurosurgery.
• To demonstrate a method for achieving broad tumor resection while preserving neurological function.

Summary:

• A case report details a brain tumor resection where patient interaction guided surgical manipulation, limiting the approach based on speech and naming deficits.
• The anesthetic technique involved deepening general anesthesia during painful stimuli and intraoperative awakening.
• Successful management relied on patient selection, clear procedure explanation, appropriate drug selection, and laryngeal mask use.

Impact:

• This approach facilitates broader tumor resection and potentially better surgical outcomes.
• It underscores the feasibility of intraoperative awakening for enhanced neurosurgical procedures.
• Ensuring patient consciousness during critical surgical moments improves safety and minimizes complications.