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An Update of Neuroanesthesia for Intraoperative Brain Mapping Craniotomy
Chanhung Z Lee1, Clara C M Poon2
1Department of Anesthesia and Perioperative Care, University of California , San Francisco, San Francisco, California, USA.
Neurosurgery
|March 1, 2021
Summary
Awake craniotomy requires a multidisciplinary team for glioma resection. This review covers anesthetic and perioperative strategies to prevent and manage complications during these complex neurosurgical procedures.
Area of Science:
- Neurosurgery
- Anesthesiology
- Oncology
Background:
- The multidisciplinary team approach is crucial for awake craniotomy.
- Advancements in anesthesia and perioperative care enhance glioma resection safety and complexity.
- Meticulous planning is essential for successful surgical and mapping efforts.
Purpose of the Study:
- To review anesthetic and perioperative management strategies for awake craniotomy.
- To emphasize complication prevention and management during glioma resection.
- To provide updates on current guidelines, anesthetic medications, and emerging devices.
Main Methods:
- Review of current practice guidelines in anesthesia.
- Analysis of anesthetic medication applications.
- Evaluation of emerging devices for perioperative care.
Main Results:
- Anesthetic and perioperative management planning requires understanding drug pharmacology.
- Knowledge of surgical and mapping goals is vital.
- Anticipating potential problems is key to successful outcomes.
Conclusions:
- Effective perioperative and anesthetic management optimizes patient outcomes in awake craniotomy.
- A thorough understanding of surgical phases and potential complications guides management strategies.
- Continuous updates on anesthetic practices and technology are essential for complex neurosurgical procedures.
