Combination of Continuous Dexmedetomidine Infusion with Titrated Ultra-Low-Dose Propofol-Fentanyl for an Awake Craniotomy Case report
Journal Title: Sultan Qaboos University Medical Journal - Year 2016, Vol 16, Issue 3
Abstract
An awake craniotomy is a continuously evolving technique used for the resection of brain tumours from the eloquent cortex. We report a 29-year-old male patient who presented to the Khoula Hospital, Muscat, Oman, in 2016 with a two month history of headaches and convulsions due to a space-occupying brain lesion in close proximity with the left motor cortex. An awake craniotomy was conducted using a scalp block, continuous dexmedetomidine infusion and a titrated ultra-low-dose of propofol-fentanyl. Te patient remained comfortable throughout the procedure and the intraoperative neuropsychological tests, brain mapping and tumour resection were successful. Tis case report suggests that dexmedetomidine in combination with titrated ultra-low-dose propofolfentanyl are effective options during an awake craniotomy, ensuring optimum sedation, minimal disinhibition and a rapid recovery. To the best of the authors’ knowledge, this is the frst awake craniotomy conducted successfully in Oman.
Authors and Affiliations
Samaresh Das| Departments of Anaesthesia & Intensive Care, Khoula Hospital, Muscat, Oman, Ali Al-Mashani| Departments of Neurosurgery, Khoula Hospital, Muscat, Oman, Neelam Suri| Departments of Anaesthesia & Intensive Care, Khoula Hospital, Muscat, Oman, Neeraj Salhotra| Departments of Neurosurgery, Khoula Hospital, Muscat, Oman, Nilay Chatterjee| Departments of Anaesthesia & Intensive Care, Khoula Hospital, Muscat, Oman
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