Anaesthesia for awake craniotomy with the use of dexmedetomidine in combination with propofol infusion and ProSeal laryngeal mask airway

Authors

  • Gentle Sunder Shrestha Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu
  • Megha Koirala Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu
  • Prakash Karki Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu
  • Navindra Raj Bista Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu
  • Gopal Sedain Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu
  • Moda Nath Marhatta Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu

Keywords:

combined anesthetics, craniotomy, dexmedetomidine, laryngeal mask airway

Abstract

Awake craniotomy for resection of tumour in the eloquent cortex aims to maximize tumour resection while sparing important areas of the brain. It poses several challenges to an anaesthesiologist. The goal is to provide adequate sedation, analgesia, and respiratory and haemodynamic control, but also an awake and cooperative patient for neurological testing. Here we report a case of awake craniotomy conducted safely with asleep-awake-asleep technique using dexmedetomidine infusion, scalp block and controlled ventilation with ProSeal laryngeal mask airway.

Author Biographies

Gentle Sunder Shrestha, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu

Lecturer, Department of Anaesthesiology

Megha Koirala, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu

Lecturer, Department of Anaesthesiology

Prakash Karki, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu

Resident, Department of Anaesthesiology

Navindra Raj Bista, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu

Lecturer, Department of Anaesthesiology

Gopal Sedain, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu

Lecturer, Neurosurgery Unit, Department of Surgery

Moda Nath Marhatta, Tribhuvan University Teaching Hospital, Institute of Medicine, Maharajgunj, Kathmandu

Professor and Head, Department of Anaesthesiology

References

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Published

2015-09-10

How to Cite

Shrestha, G. S., Koirala, M., Karki, P., Bista, N. R., Sedain, G., & Marhatta, M. N. (2015). Anaesthesia for awake craniotomy with the use of dexmedetomidine in combination with propofol infusion and ProSeal laryngeal mask airway. Journal of Society of Anesthesiologists of Nepal, 2(2), 84-86. Retrieved from http://www.jsan.org.np/jsan/index.php/jsan/article/view/66

Issue

Vol. 2 No. 2 (2015): 2015 September Issue

Section

Case Report

License

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC-BY-NC-4.0) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

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