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Review
. 2022 Jan 1;90(1):1-6.
doi: 10.1093/neuros/nyab022.

An Update of Neuroanesthesia for Intraoperative Brain Mapping Craniotomy

Chanhung Z Lee  1 , Clara C M Poon  2
Affiliations
Review

An Update of Neuroanesthesia for Intraoperative Brain Mapping Craniotomy

Chanhung Z Lee et al. Neurosurgery. .

Abstract

The perioperative multidisciplinary team approach has probably been best exemplified by the care of awake craniotomy patients. Advancement in anesthesia and meticulous perioperative care has supported the safety and complexity of the surgical and mapping efforts in glioma resection. The discussions in this review will emphasize on anesthetic and perioperative management strategies to prevent complications and minimize their effects if they occur, including current practice guidelines in anesthesia, updates on the applications of anesthetic medications, and emerging devices. Planning the anesthetic and perioperative management is based on understanding the pharmacology of the medications, the goals of different stages of the surgery and mapping, and anticipating potential problems.

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References

    1. Ojemann G, Ojemann J, Lettich E, Berger M. Cortical language localization in left, dominant hemisphere. An electrical stimulation mapping investigation in 117 patients. J Neurosurg. 1989;71(3):316-326.
    1. Berkenstadt H, Perel A, Hadani M, Unofrievich I, Ram Z. Monitored anesthesia care using remifentanil and propofol for awake craniotomy. J Neurosurg Anesthesiol. 2001;13(3):246-249.
    1. Sarang A, Dinsmore J. Anaesthesia for awake craniotomy—evolution of a technique that facilitates awake neurological testing. Br J Anaesth. 2003;90(2):161-165.
    1. Bilotta F, Rosa G. [Anesthesia] for awake neurosurgery. Curr Opin Anaesthesiol. 2009;22(5):560-565.
    1. Goettel N, Bharadwaj S, Venkatraghavan L, Mehta J, Bernstein M, Manninen PH. Dexmedetomidine vs propofol-remifentanil conscious sedation for awake craniotomy: a prospective randomized controlled trial. Br J Anaesth. 2016;116(6):811-821.

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