Resumo

MONTEIRO, Dra. Mariana; LUCIANATASSANO, Dra.; KUSTER, Dr. Federico  e  BOUCHACOURT, Dr. Juan Pablo. Use of Dexmedetomidine in Neurosurgery with the patient awake. About a clinical case. Anest Analg Reanim [online]. 2016, vol.29, n.2, pp.31-44. ISSN 0255-8122.

We present the case of a 58-year-old patient, scheduled to resection of left insular tumor by an awake craniotomy.

In this paper, from the description of the clinical case, we analyzed the advantages of a resection of this type of lesion with an awake patient. We discuss the surgical approach, and options of an awake patient all throughout the procedure, asleep-awake-asleep and asleep-awake. Also, the anesthetic technique, the combination of drugs and especially the characteristics of Dexmedetomidine are analyzed.

Conclusions: neurosurgery with an awake patient, determines a series of characteristics and challenges for the anesthetic and multidisciplinary team (neurosurgeons, neurophysiologists, anesthesiologists). There are different combinations of drugs, with Dexmedetomidine being an option that would improve patient satisfaction during the awakening stage, as well as surgical conditions with minimal interference in neurophysiological monitoring.

Palavras-chave : Dexmedetomidine; Neurosurgery; Awake craniotomy; Nindex; TIVA.

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