11 COMPARISON OF ASLEEP AWAKE ASLEEP (AAA) TECHNIQUE/ MONITORED ANAESTHESIA CARE (MAC) TECHNIQUE FOR AWAKE CRANIOTOMY
Journal Title: Indian journal of applied basic medical sciences - Year 2018, Vol 20, Issue 31
Abstract
BACKGROUND: Awake craniotomy is an important technique used for Braintumor excision from eloquentcortex,Epilepsyfoci removalsurgery,Deepbrain stimulation,Lesscommonly formycoticaneurysms,A-Vmalformation near cortical areas. AIMS AND OBJECTIVES Maintaining patients cooperationby provision of optimalanalgesia,sedation,anxiolysis and comfortable position ,Achieving homeostasis with safe airway, adequate ventilationand hemodynamic stability.,Ensure minimal interference with electrocorticographicrecording during mapping. To show the feasibility of dexmedetomidine and scalp blockwith 0.5% bupivacaine for cortical mapping. Material methods in both group Dexmedetomidiine infusion &scalp block given In group A:Igel2nd generation LMA for airway managementafter inj propofol 2 mg/kg In group B: Nasopharyngeal airway for same Observations: group A better airway management & less complications Conclusion: AAA method is superior then MAC method. INTRODUCTION Awake craniotomy is popular since 2 decades.It is usallyperform for epilepsy surgery,temporal lobectomy, which encroaches eloquent cortex,motor ,speech areas,Deep brain stimulation,for AV malformation which needs intraoperative functional testing, Cortical mapping, which requires patient to be awake.Main advantage of awake surgery is to define limits of resection & avoid Postoperative neurological deficits.
Authors and Affiliations
DR TAPAN PARIKH
Keywords
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