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KMID : 1155520120070030245
Anesthesia and Pain Medicine
2012 Volume.7 No. 3 p.245 ~ p.248
Anesthetic management with propofol/remifentanil target controlled infusion for awake craniotomy -A case report-
Kim Yee-Suk

Bae Hyun-Min
Kim Jong-Bun
Kim Tae-Kwan
Ryu Keon-Hee
Abstract
Awake craniotomy is indicated for tumor resection involving eloquent cortex. It allows the operator to perform appropriate cortical mapping during surgery and facilitate maximum tumor resection while minimizing neurologic deficit. Therefore anesthesia should provide adequate analgesia and sedation but also importantly a full consciousness and cooperation for neurologic testing. This case reports the use of target-controlled infusion (TCI) and monitoring of sedation and anesthetic depth through bispectral index (BIS), providing good control of sedation and analgesia to meet frequent changes throughout the different levels of the procedure while maintaining good condition for intraoperative brain mapping. We propose that TCI of propofol and remifentanil in combination may be a useful alternative for awake craniotomy requiring intraoperative brain mapping surgery.
KEYWORD
Awake craniotomy, Bispectral index (BIS), Conscious sedation, Target-controlled infusion (TCI)
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