Anaesthesia for awake craniotomy with the use of dexmedetomidine in combination with propofol infusion and ProSeal laryngeal mask airway

Authors

  • Gentle Sunder Shrestha Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu
  • Megha Koirala Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu
  • Prakash Karki Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu
  • Navindra Raj Bista Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu
  • Gopal Sedain Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu
  • Moda Nath Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu

DOI:

https://doi.org/10.3126/jsan.v2i2.13539

Keywords:

combined anesthetics, craniotomy, dexmedetomidine, laryngeal mask airway

Abstract

Awake craniotomy for resection of tumour in the eloquent cortex aims to maximize tumour resection while sparing important areas of the brain. It poses several challenges to an anaesthesiologist. The goal is to provide adequate sedation, analgesia, and respiratory and haemodynamic control, but also an awake and cooperative patient for neurological testing. Here we report a case of awake craniotomy conducted safely with asleep-awake-asleep technique using dexmedetomidine infusion, scalp block and controlled ventilation with ProSeal laryngeal mask airway.

Journal of Society of Anesthesiologists of Nepal 2015; 2(2): 84-86

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Published

2015-09-30

How to Cite

Shrestha, G. S., Koirala, M., Karki, P., Bista, N. R., Sedain, G., & Nath, M. (2015). Anaesthesia for awake craniotomy with the use of dexmedetomidine in combination with propofol infusion and ProSeal laryngeal mask airway. Journal of Society of Anesthesiologists of Nepal, 2(2), 84–86. https://doi.org/10.3126/jsan.v2i2.13539

Issue

Section

Case Reports