Anaesthetic Considerations of Awake Craniotomy: An Upcoming Entity

Anaesthetic Considerations of Awake Craniotomy: An Upcoming Entity

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Awake craniotomy was historically advocated for resistant epilepsy surgery.Presently, its role Party Games has widened for resection of lesions abutting or invading the eloquent cortex.It aims at maximizing resection while minimizing neurological damage.Anaesthetic challenges include providing sufficient depth of anaesthesia, full cooperation and consciousness during cortical mapping, smooth transition between anaesthesia and consciousness, airway protection, haemodynamic stability, patient immobility and co-operation.Communication and co-operation between the patient and Wooden Kit surgical and anaesthesia teams is vital.

We report safe conduct of monitored anaesthesia care by the combined use of dexmedetomidine and scalp nerve blocks for tumour resection.This technique ensured haemodynamic stability, decreased stress response to painful stimuli and improved patient tolerance.As awake craniotomy is an upcoming technique, knowledge about anaesthetic implications, challenges and techniques will help in optimum management.