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Article
Anaesthetic management of supratentorial tumor craniotomy using awake-throughout approach
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
  • Faraz Shafiq, Aga Khan University
  • Fahad Salim, Aga Khan University
  • Ather Enam, Aga Khan University
  • Jai Parkash, Aga Khan University
  • Mohammad Faheem, Aga Khan University
Publication Date
12-1-2017
Document Type
Report
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.

Citation Information
Faraz Shafiq, Fahad Salim, Ather Enam, Jai Parkash, et al.. "Anaesthetic management of supratentorial tumor craniotomy using awake-throughout approach" Journal of the College of Physicians and Surgeons--Pakistan : JCPSP Vol. 27 Iss. 12 (2017) p. 775 - 777
Available at: http://works.bepress.com/ather_enam/106/