Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
ISSN: 2155-6148
Halim Syahril
Intensive Care and Pain Management, Faculty of Medicine,
Makassar
Indonesia
Case Report
Awake Cranioplasty: A Case Series
Author(s): Halim Syahril*#, Syafruddin Gaus*#, Syafri K Arif and Nur Surya Wirawan
Halim Syahril*#, Syafruddin Gaus*#, Syafri K Arif and Nur Surya Wirawan
Background: Cranioplasty restores the normal cranial architecture and protective functions of the skull and may play a role in normalizing cerebrospinal fluid dynamics in patients undergoing large craniectomies. It has a definitive impact on restoration of normal intracranial physiology and improvement of patient neurological condition. Anesthesia for awake neurosurgery procedure poses a unique challenge to anesthesiologists.
Objective: To present cases of awake cranioplasty and describe the principles of anesthetic management during this procedure.
Case description: 3 patients who have skull defect underwent cranioplasty procedure. Patients were managed with dexmedetomidine load of 1 mcg/kg over 10-15 min followed by infusion at rates of 0.2 mcg/kg/hr to 0.7 mcg/kg/hr and a local infiltration without airway instru.. View More»
DOI:
10.4172/2155-6148.1000830