Awake Craniotomy: A Case Series of Anaesthetic Management using a Combination of Scalp Block, Dexmedetomidine and Remifentanil in Hospital Universiti Sains Malaysia
- Author:
W Mohd Nazaruddin W Hassan
;
Mohd Fahmi Lukman
;
Laila Abd Mukmin
;
Zamzuri Idris
;
Abdul Rahman Izaini Ghani
;
Rhendra Hardy Mohamad Zaini
- Publication Type:Case Reports
- Keywords:
Awake craniotomy, Scalp block, sedation, Dexmedetomidine, Remifentanil, Target controlled infusion
- From:
The Medical Journal of Malaysia
2013;68(1):64-66
- CountryMalaysia
- Language:English
-
Abstract:
Awake craniotomy is a brain surgery in patients who are
kept awake when it is indicated for certain intracranial
pathologies. The anaesthetic management strategy is very
important to achieve the goals of the surgery. We describe a series of our first four cases performed under a combination of scalp block and conscious sedation. Scalp block was performed using a mixture of ropivacaine 0.75% and adrenaline 5 μg/ ml administered to the nerves that
innervate the scalp. Conscious sedation was achieved with
a combination of two recently available drugs in our country, dexmedetomidine (selective α 2-agonist) and remifentanil (ultra-short acting opioid). Remifentanil was delivered in a target controlled infusion (TCI) mode.
