Principios de la anestesia para craneotomía en paciente vigil

Abstract

Craniotomy in awake patients is becoming more widely used in a range of situations, such as functional neurology, brain stimulation for treatment of Parkinson disease, surgery for treating epilepsy, as well as in neurological procedures to resect brain tumors in eloquent area. The main anesthesia regimen for craniotomy in the awake patient is chosen to provide the appropriate analgesia, sedation, systemic hemodynamic stability and airway patency for the type of neurosurgical procedure being carried out. The objective of the present study was to conduct a review of the principles governing anesthesia for neurosurgeries involving craniotomy in awake patients.