Awake Craniotomy: A Case Series of Anaesthetic Management using a Combination of Scalp Block, Dexmedetomidine and Remifentanil in Hospital Universiti Sains Malaysia

Awake Craniotomy: A Case Series of Anaesthetic Management using a Combination of Scalp Block, Dexmedetomidine and Remifentanil in Hospital Universiti Sains Malaysia

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...

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Bibliographic Details
Published in:Medical journal of Malaysia Vol. 68; no. 1; pp. 64 - 66
Main Authors: Mohd Nazaruddin, W H W, Mohd Fahmi, L, Laila, A M, Zamzuri, I, Abdul Rahman, I Z, Hardy, M Z R
Format: Journal Article
Language:English
Published: Malaysia 2013
Subjects:
Anesthetics
Conscious Sedation
Craniotomy
Dexmedetomidine
Humans
Malaysia
Scalp
Malaysia
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Summary: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 0.7% and adrenaline 5 5µg/ 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.
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ISSN:0300-5283