Anesthetic management with propofol/remifentanil target controlled infusion for awake craniotomy: A case report.
- Author:
Yee Suk KIM
1
;
Hyun Min BAE
;
Jong Bun KIM
;
Tae Kwane KIM
;
Keon Hee RYU
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea, Bucheon, Korea. 3tkkim@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Awake craniotomy;
Bispectral index (BIS);
Conscious sedation;
Target-controlled infusion (TCI)
- MeSH:
Analgesia;
Anesthesia;
Brain Mapping;
Conscious Sedation;
Consciousness;
Craniotomy;
Neurologic Manifestations;
Piperidines;
Propofol
- From:Anesthesia and Pain Medicine
2012;7(3):245-248
- CountryRepublic of Korea
- Language:English
-
Abstract:
Awake craniotomy is indicated for tumor resection involving eloquent cortex. It allows the operator to perform appropriate cortical mapping during surgery and facilitate maximum tumor resection while minimizing neurologic deficit. Therefore anesthesia should provide adequate analgesia and sedation but also importantly a full consciousness and cooperation for neurologic testing. This case reports the use of target-controlled infusion (TCI) and monitoring of sedation and anesthetic depth through bispectral index (BIS), providing good control of sedation and analgesia to meet frequent changes throughout the different levels of the procedure while maintaining good condition for intraoperative brain mapping. We propose that TCI of propofol and remifentanil in combination may be a useful alternative for awake craniotomy requiring intraoperative brain mapping surgery.
