Dexmedetomidine for awake craniotomy without laryngeal mask

Arquivos de Neuro-Psiquiatria

Antonio Nogueira De Almeida¹  Cristiane Tavares¹  Adriana Tibano¹  Seigi Sasaki¹  Kazuco Nakai Murata¹  Raul Marino Jr¹ 

[1] ,Real e Benemérita Sociedade Portuguesa de Beneficência Hospital São Joaquim Instituto Neurológico de São PauloSão Paulo SP ,Brasil

关键词: awake craniotomy;    dexmedetomidine;    epilepsy surgery;    cortical mapping;    neuroanesthesia;    craniotomia;    dexmedetomidina;    cirurgia para epilepsia;    mapeamento cortical;    neuroanestesia;   

DOI  :  10.1590/S0004-282X2005000500005

来源: SciELO

【 摘 要 】

OBJETIVE: This paper reports the use of dexmedetomidine in three epileptic patients with cavernous angiomas that underwent awake surgery in order to map their speech areas. METHOD:Loading dose of dexmedetomidine varied from 1 mug/Kg/h to 3 mug/Kg/h over 20 minutes and maintenance dose from 0.4 mug/Kg/h to 0,8 mug/Kg/h. RESULTS: There was no occurrence of hemodynamic instability, convulsions or respiratory depression. Patients tolerated well the procedure. CONCLUSION: Dexmedetomidine was useful for awake craniotomy as it decreased patients’ level of consciousness but did not produce agitation. Laryngeal mask was not necessary to keep air ventilation.

【 授权许可】

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