Orozco-Ramírez SM, Hernández-Sánchez BM, Miranda-González A, De Alba-Salmerón AL

Language: Spanish
References: 8
Page: 312-319
PDF size: 285.24 Kb.

ABSTRACT

Background: The approach of both lesions (tumor or vascular) and epilepsy located in functional brain areas requires special anesthetic management, involving an awake, cooperative patient during brain mapping and the excision of the lesion. Sedation techniques have been used or the technique asleep-awake-asleep, in this the state of alertness and safety in the air are primary objectives. Material and methods: We present two clinical cases where it is important to keep patients awake and cooperative during the neurosurgical approach to the functional area; in the first stage the airway was secured with a laryngeal mask and for the remaining stages, only sedation-analgesia was chosen, ending the surgery and moving to intensive care with an awake patient. Discussion: Many studies have focused on the asleep-awake-asleep technique with success, but it is not without complications, such as failure to ensure the pathway area in the third stage, so in these cases, we focus on patient comfort in the two final stages with spontaneous ventilation. Conclusions: With the technique of asleep-awake patient, we provide in the second stage an adequate sedation-analgesia, without having the risk of invading the airway.

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