Challenges During Anaesthesia for Awake Craniotomy

摘要: Awake craniotomy enables the intra-operative assessment of a patient’s ­neurological status. This allows safe mapping resection margins in epilepsy surgery, accurate localisation electrodes for deep brain stimulation and excision space occupying lesions eloquent cortex. is becoming more popular as it associated with lower requirement high dependency care, shorter hospital stay reduced costs. In tumour awake testing maximum minimal post-operative neurological deficit. The anaesthetic techniques have evolved along surgical indications but significant challenges remain. goals are provision adequate analgesia sedation, airway, haemodynamic stability, ­optimal operating conditions an alert, cooperative patient assessment.