Anaesthetic Management of Supratentorial Tumor Craniotomy using Awake-throughout Approach. | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2017]

Author(s):

1. Faraz Shafiq: Department of Anaesthesiology, The Aga Khan University, Karachi, Pakistan

2. Fahad Salim: Department of Anaesthesiology, The Aga Khan University, Karachi, Pakistan

3. Ather Enam: Department of Neurosurgery, The Aga Khan University, Karachi, Pakistan

4. Jai Parkash: Department of Anaesthesiology, The Aga Khan University, Karachi, Pakistan

5. Mohammad Faheem: Department of Neurosurgery, The Aga Khan University, Karachi, Pakistan

Abstract:

The authors are reporting an anaesthetic management of patient presenting with left parietal lobe space occupying lesion and scheduled for Awake-craniotomy. Awake-throughout approach using scalp block was planned. Among techniques reported for keeping patient awake during the surgery, this one is really underutilized. The successful conduct requires thorough preoperative assessment and psychological preparation. We used powerpoint presentation as a preoperative teaching tool. The anatomical landmark technique was used to institute scalp block, where individual nerves were targeted bilaterally. Patient remained stable throughout and participated actively in intraoperative neurological monitoring. Postoperative period showed remarkable recovery, better pain control, and shorter length of stay in hospital.

Page(s): 775-777

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 27, Issue: 12, Year: 2017

Keywords:

Anaesthesia Supratentorial neoplasms Scalp Awakecraniotomy

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