• Singapore medical journal · Feb 2024

    Anaesthetic considerations and challenges during awake craniotomy.

    • Leonard Tang and Tong Khee Tan.
    • Department of Anaesthesia, Singapore General Hospital, Singapore.
    • Singapore Med J. 2024 Feb 2.

    AbstractThis article summarises the key anaesthetic considerations and challenges surrounding the perioperative management of a patient undergoing awake craniotomy. The main goals include patient comfort, facilitation of patient cooperation during the critical awake phase and maintenance of optimal operating conditions. These are achieved through appropriate patient selection and preparation, familiarity with the complexity of each surgical phase and potential complications that may arise, as well as maintenance of close communication among all team members. Challenges such as loss of patient cooperation, loss of airway, intraoperative nausea and vomiting, seizures, cerebral oedema, hypertension, blood loss and use of intraoperative magnetic resonance imaging are discussed. The importance of teamwork, competence, vigilance and clear management strategies for potential complications to maximise patient outcomes is also highlighted.Copyright © 2024 Copyright: © 2024 Singapore Medical Journal.

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