<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-1273</journal-id>
<journal-title><![CDATA[Anestesia Analgesia Reanimación]]></journal-title>
<abbrev-journal-title><![CDATA[Anest Analg Reanim]]></abbrev-journal-title>
<issn>1688-1273</issn>
<publisher>
<publisher-name><![CDATA[Sociedad de Anestesiología del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-12732016000200031</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Uso de la Dexmedetomidina en la Neurocirugía con el paciente despierto. A propósito de un caso clínico.]]></article-title>
<article-title xml:lang="en"><![CDATA[Use of Dexmedetomidine in Neurosurgery with the patient awake. About a clinical case.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Monteiro]]></surname>
<given-names><![CDATA[Dra. Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[LucianaTassano]]></surname>
<given-names><![CDATA[Dra.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Kuster]]></surname>
<given-names><![CDATA[Dr. Federico]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bouchacourt]]></surname>
<given-names><![CDATA[Dr. Juan Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Departamento y Cátedra de Anestesiología. Hospital de Clínicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>29</volume>
<numero>2</numero>
<fpage>31</fpage>
<lpage>44</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12732016000200031&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12732016000200031&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12732016000200031&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Presentamos el caso de un paciente de 58 años, coordinado para resección de tumor temporo insular izquierdo mediante una craneotomía despierto. Se analiza en este trabajo, a partir de la descripción del caso clínico, las ventajas de la resección de este tipo de lesiones con el paciente despierto. La posibilidades de abordaje, despierto durante todo el procedimiento (awake), dormido-despierto-dormido (asleep-awake-asleep), dormido-despierto (asleep-awake). A su vez se analiza la técnica anestésica, la combinación de fármacos y especialmente las características de la Dexmedetomidina. Conclusiones: la neurocirugía con el paciente despierto, determina una serie de características y desafíos para el equipo anestésico tratante y la interacción con un equipo mulitidisciplinario (neurocirujanos, neurofisiologos, anestesiologos). Existen diferentes combinaciones de fármacos; siendo la Dexmedetomidina una opción que mejorar la satisfacción de los pacientes durante la etapa de despertar, así como las condiciones quirúrgicas con mínimas interferencia en la monitorización neurofisiológica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary: 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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Dexmedetomidina]]></kwd>
<kwd lng="es"><![CDATA[Neurocirugía]]></kwd>
<kwd lng="es"><![CDATA[Craneotomía despierto]]></kwd>
<kwd lng="es"><![CDATA[Despertar intraoperatorio]]></kwd>
<kwd lng="es"><![CDATA[Monitorización neurofisiológica]]></kwd>
<kwd lng="es"><![CDATA[NINDEX®]]></kwd>
<kwd lng="es"><![CDATA[TIVA]]></kwd>
<kwd lng="en"><![CDATA[Dexmedetomidine]]></kwd>
<kwd lng="en"><![CDATA[Neurosurgery]]></kwd>
<kwd lng="en"><![CDATA[Awake craniotomy]]></kwd>
<kwd lng="en"><![CDATA[Nindex]]></kwd>
<kwd lng="en"><![CDATA[TIVA]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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