ISSN: 2155-6148
+44 1223 790975
Carola Junemann
Italy
Research Article
Conscious Sedation with Dexmedetomidine in Awake Surgery
Author(s): Roberto Altieri, Francesco Zenga, Antonio Melcarne, Carola Junemann, Emanuela Faccoli, Alessandro Rivera, Sante Atlante, Andrea Lavorato, Giuseppe Palmieri, Massimiliano Minardi, Fabio Cofano, Alessandro Ducati, Diego Garbossa and Riccardo Savastano
Roberto Altieri, Francesco Zenga, Antonio Melcarne, Carola Junemann, Emanuela Faccoli, Alessandro Rivera, Sante Atlante, Andrea Lavorato, Giuseppe Palmieri, Massimiliano Minardi, Fabio Cofano, Alessandro Ducati, Diego Garbossa and Riccardo Savastano
Background: It is well demonstrated that awake surgery for brain tumours is the gold standard to achieve the maximal safe resection. On the other hand, many surgeons prefer general anesthesia in order to avoid useless stress for patients. The aim of our paper is to investigate if there are clinical and biochemical findings demonstrating a different stress level in patients who underwent awake craniotomy compared to those who underwent totally asleep surgery.
Methods: We compared our awake craniotomy series performed with conscious sedation using Dexmedetomidine to a group of patients treated in general anesthesia settings in terms of patient stress, rated by blood pressure, heart rate, glycaemia, lactate values, post-operative ischemia or bleeding at the MRI. We also compared the duration of surgeries in the two groups and the relations between.. View More»
DOI:
10.4172/2155-6148.1000812