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- John L Ard, Alex Y Bekker, and Werner K Doyle.
- Department of Anesthesiology, New York University Medical Center, NY 10016, USA. jardjr@hotmail.com
- Surg Neurol. 2005 Feb 1;63(2):114-6; discussion 116-7.
BackgroundResection of lesions in eloquent areas of the brain are sometimes best done with the patient awake. An awake patient provides neurological feedback as the lesion is resected. This increases the chances of a complete resection without leaving a patient neurologically devastated. Unfortunately, this procedure is not always well tolerated by the patient.MethodsWe performed a case series of awake craniotomies using a dexmedetomidine infusion.ResultsAll 17 patients included in our study tolerated the procedure well with no major complications.ConclusionsThe addition of dexmedetomidine to our technique improves safety and comfort for patients undergoing awake craniotomy.
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