Anesthesia for Awake Craniotomy

摘要: In recent years, performing awake craniotomy has become increasingly popular and widespread. This can be attributed to reports that describe the many advantages of over under general anesthesia, including its low rate complications, greater extent tumor resection, less postoperative pain, considerable reductions in cost resource utilization, reduction intensive care total hospital stay, improved outcomes (Gruenbaum et al. Curr Opin Anaesthesiol 29(5):552–557, 2016; Flexman Can J Anaesth 63:205–211, 2015). Although is typically well-tolerated, anesthetic management requires extensive knowledge training providing local scalp blockade, advanced airway management, a dedicated sedation–analgesia protocol, skillful systemic cerebral hemodynamics. Moreover, anesthesiologist should able recognize prepare for common intraoperative respiratory depression, toxicity, an uncooperative patient, acute changes or Most importantly, anesthesia patient undergoing vigilance ability quickly adapt unanticipated complications ensue.