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Combination of Continuous Dexmedetomidine Infusion with Titrated Ultra-Low-Dose Propofol-Fentanyl for an Awake Craniotomy.
- Source :
-
Sultan Qaboos University Medical Journal . Aug2016, Vol. 16 Issue 3, pe347-e351. 5p. - Publication Year :
- 2016
-
Abstract
- An awake craniotomy is a continuously evolving technique used for the resection of brain tumours from the eloquent cortex. We report a 29-year-old male patient who presented to the Khoula Hospital, Muscat, Oman, in 2016 with a two month history of headaches and convulsions due to a space-occupying brain lesion in close proximity with the left motor cortex. An awake craniotomy was conducted using a scalp block, continuous dexmedetomidine infusion and a titrated ultra-low-dose of propofol-fentanyl. The patient remained comfortable throughout the procedure and the intraoperative neuropsychological tests, brain mapping and tumour resection were successful. This case report suggests that dexmedetomidine in combination with titrated ultra-low-dose propofolfentanyl are effective options during an awake craniotomy, ensuring optimum sedation, minimal disinhibition and a rapid recovery. To the best of the authors' knowledge, this is the first awake craniotomy conducted successfully in Oman. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 2075051X
- Volume :
- 16
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Sultan Qaboos University Medical Journal
- Publication Type :
- Academic Journal
- Accession number :
- 117600661
- Full Text :
- https://doi.org/10.18295/SQUMJ.2016.16.03.014