Development of a safe and pragmatic awake craniotomy program at Maine Medical Center

Journal of Neurosurgical Anesthesiology

Volumn 23, Issue 1, 2011, Pages 18-24

  Rughani, Anand I ^a   Rintel, Theodor ^b   Desai, Rajiv ^b   Cushing, Deborah A ^b   Florman, Jeffrey E ^b  

^a UNIVERSITY OF VERMONT COLLEGE OF MEDICINE   (United States)

^b MAINE MEDICAL CENTER   (United States)

Author keywords

Anesthesia; Awake craniotomy; Brain tumor; Glioma; Intraoperative mapping

Indexed keywords

BUPIVACAINE; CEFAZOLIN; DEXAMETHASONE; ETIRACETAM; FENTANYL; MANNITOL; MIDAZOLAM; ONDANSETRON; PHENYTOIN; PROPOFOL; VANCOMYCIN;

ADULT; AGED; ANESTHESIA INDUCTION; ANTIBIOTIC PROPHYLAXIS; ANTICONVULSANT THERAPY; ARTICLE; AWAKE CRANIOTOMY; BRAIN FUNCTION; BRAIN MAPPING; BRAIN SURGERY; BRAIN TUMOR; CANCER PATIENT; CANCER SURGERY; CLINICAL ARTICLE; CLINICAL EFFECTIVENESS; CLINICAL PROTOCOL; CONTROLLED STUDY; CORTICOSTEROID THERAPY; COUGHING; CRANIOTOMY; DRUG WITHDRAWAL; FEMALE; FOLLOW UP; FUNCTIONAL STATUS; HEADACHE; HIP PAIN; HOSPITAL CHARGE; HUMAN; INTRAVENOUS ANESTHESIA; LENGTH OF STAY; LOADING DRUG DOSE; LOCAL ANESTHESIA; LOW BACK PAIN; MALE; NAUSEA; OPERATION DURATION; PATIENT SAFETY; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SEIZURE; UPPER RESPIRATORY TRACT OBSTRUCTION; WEAKNESS;

ADULT; AGED; AIRWAY MANAGEMENT; ANESTHESIA, INTRAVENOUS; ANESTHETICS; BRAIN MAPPING; BRAIN NEOPLASMS; CRANIOTOMY; FEMALE; HUMANS; HYPNOTICS AND SEDATIVES; INTRAOPERATIVE COMPLICATIONS; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; NEUROSURGICAL PROCEDURES; PATIENT SELECTION; PREOPERATIVE CARE; RETROSPECTIVE STUDIES; SEIZURES; TREATMENT OUTCOME; WAKEFULNESS;

EID: 79952753906     PISSN: 08984921     EISSN: None     Source Type: Journal    
DOI: 10.1097/ANA.0b013e3181ebf050     Document Type: Article

References (38)

1. Berger MS, Deliganis AV, Dobbins J, et al. The effect of extent of resection on recurrence in patients with low grade cerebral hemisphere gliomas. Cancer. 1994;74:1784-1791. (Pubitemid 24301834)
2. Keles GE, Chang EF, Lamborn KR, et al. Volumetric extent of resection and residual contrast enhancement on initial surgery as predictors of outcome in adult patients with hemispheric anaplastic astrocytoma. J Neurosurg. 2006;105:34-40. (Pubitemid 43979095)
3. Lacroix M, Abi-Said D, Fourney DR, et al. A multivariate analysis of 416 patients with glioblastoma multiforme: prognosis, extent of resection, and survival. J Neurosurg. 2001;95:190-198. (Pubitemid 32799739)
4. McGirt MJ, Chaichana KL, Gathinji M, et al. Independent association of extent of resection with survival in patients with malignant brain astrocytoma. J Neurosurg. 2009;110:156-162.
5. McGirt MJ, Mukherjee D, Chaichana KL, et al. Association of surgically acquired motor and language deficits on overall survival after resection of glioblastoma multiforme. Neurosurgery. 2009;65: 463-449; discussion 469-70.
6. Bulsara KR, Johnson J, Villavicencio AT. Improvements in brain tumor surgery: the modern history of awake craniotomies. Neurosurg Focus. 2005;18:e5.
7. Jaaskelainen J, Randell T. Awake craniotomy in glioma surgery. Acta Neurochir Suppl. 2003;88:31-35.
8. Piccioni F, Fanzio M. Management of anesthesia in awake craniotomy. Minerva Anestesiol. 2008;74:393-408.
9. Olsen KS. The asleep-awake technique using propofol-remifentanil anaesthesia for awake craniotomy for cerebral tumours. Eur J Anaesthesiol. 2008;25:662-669. (Pubitemid 351914982)
10. Frost EA, Booij LH. Anesthesia in the patient for awake craniotomy. Curr Opin Anaesthesiol. 2007;20:331-335. (Pubitemid 47051894)
11. Keifer JC, Dentchev D, Little K, et al. A retrospective analysis of a remifentanil/propofol general anesthetic for craniotomy before awake functional brain mapping. Anesth Analg. 2005;101:502-558, table of contents.
12. Costello TG, Cormack JR. Anaesthesia for awake craniotomy: a modern approach. J Clin Neurosci. 2004;11:16-19. (Pubitemid 37516782)
13. Berkenstadt H, Perel A, Hadani M, et al. Monitored anesthesia care using remifentanil and propofol for awake craniotomy. J Neurosurg Anesthesiol. 2001;13:246-249. (Pubitemid 32606423)
14. Tongier WK, Joshi GP, Landers DF, et al. Use of the laryngeal mask airway during awake craniotomy for tumor resection. J Clin Anesth. 2000;12:592-594. (Pubitemid 32112222)
15. Pouratian N, Cannestra AF, Bookheimer SY, et al. Variability of intraoperative electrocortical stimulation mapping parameters across and within individuals. J Neurosurg. 2004;101:458-466. (Pubitemid 39100723)
16. Silbergeld DL, Mueller WM, Colley PS, et al. Use of propofol (Diprivan) for awake craniotomies: technical note. Surg Neurol. 1992;38:271-272.
17. Duffau H, Capelle L, Sichez J, et al. Intra-operative direct electrical stimulations of the central nervous system: the Salpetriere experience with 60 patients. Acta Neurochir (Wien). 1999;141:1157-1167.
18. Sanai N, Mirzadeh Z, Berger MS. Functional outcome after language mapping for glioma resection. N Engl JMed. 2008;358:18-27.
19. Ard JL Jr, Bekker AY, Doyle WK. Dexmedetomidine in awake craniotomy: a technical note. Surg Neurol. 2005;63:114-116; discussion 116-7.
20. Bekker AY, Kaufman B, Samir H, et al. The use of dexmedetomidine infusion for awake craniotomy. Anesth Analg. 2001;92:1251-1253. (Pubitemid 32385951)
21. Mack PF, Perrine K, Kobylarz E, et al. Dexmedetomidine and neurocognitive testing in awake craniotomy. J Neurosurg Anesthesiol. 2004;16:20-25. (Pubitemid 38057394)
22. Vitaz TW, Marx W, Victor JD, et al. Comparison of conscious sedation and general anesthesia for motor mapping and resection of tumors located near motor cortex. Neurosurg Focus. 2003;15:E8.
23. Petersen KD, Landsfeldt U, Cold GE, et al. Intracranial pressure and cerebral hemodynamic in patients with cerebral tumors: a randomized prospective study of patients subjected to craniotomy in propofol-fentanyl, isoflurane-fentanyl, or sevoflurane-fentanyl anesthesia. Anesthesiology. 2003;98:329-336. (Pubitemid 36592798)
24. Bala I, Gupta B, Bhardwaj N, et al. Effect of scalp block on postoperative pain relief in craniotomy patients. Anaesth Intensive Care. 2006;34:224-227.
25. Berger MS, Ojemann GA. Intraoperative brain mapping techniques in neuro-oncology. Stereotact Funct Neurosurg. 1992;58:153-161.
26. Haglund MM, Berger MS, Shamseldin M, et al. Cortical localization of temporal lobe language sites in patients with gliomas. Neurosurgery. 1994;34:567-576; discussion 576.
27. Lim DA, Tarapore P, Chang E, et al. Safety and feasibility of switching from phenytoin to levetiracetam monotherapy for glioma-related seizure control following craniotomy: a randomized phase II pilot study. J Neurooncol. 2009;93:349-354.
28. Sartorius CJ, Berger MS. Rapid termination of intraoperative stimulation-evoked seizures with application of cold Ringer's lactate to the cortex. Technical note. J Neurosurg. 1998;88:349-351. (Pubitemid 28063615)
29. Milstein JM, Cohen ME, Sinks LF. The influence and reliability of neurologic assessment and Karnofsky performance score on prognosis. Cancer. 1985;56:1834-1836. (Pubitemid 16218936)
30. Keles GE, Lamborn KR, Chang SM, et al. Volume of residual disease as a predictor of outcome in adult patients with recurrent supratentorial glioblastomas multiforme who are undergoing chemotherapy. J Neurosurg. 2004;100:41-46. (Pubitemid 38017813)
31. Duffau H. Surgery of low-grade gliomas: towards a "functional neurooncology". Curr Opin Oncol. 2009;21:543-549.
32. McGirt MJ, Chaichana KL, Attenello FJ, et al. Extent of surgical resection is independently associated with survival in patients with hemispheric infiltrating low-grade gliomas. Neurosurgery. 2008;63: 700-777; author reply 707-708.
33. Keles GE, Lamborn KR, Berger MS. Low-grade hemispheric gliomas in adults: a critical review of extent of resection as a factor influencing outcome. J Neurosurg. 2001;95:735-745. (Pubitemid 33043344)
34. Duffau H, Lopes M, Arthuis F, et al. Contribution of intraoperative electrical stimulations in surgery of low grade gliomas: a comparative study between two series without (1985 to 1996) and with (1996 to 2003) functional mapping in the same institution. J Neurol Neurosurg Psychiatry. 2005;76:845-851. (Pubitemid 40805817)
35. Skucas AP, Artru AA. Anesthetic complications of awake craniotomies for epilepsy surgery. Anesth Analg. 2006;102:882-887.
36. Duffau H, Capelle L, Denvil D, et al. Usefulness of intraoperative electrical subcortical mapping during surgery for low-grade gliomas located within eloquent brain regions: functional results in a consecutive series of 103 patients. J Neurosurg. 2003;98: 764-778. (Pubitemid 36396778)
37. Danks RA, Aglio LS, Gugino LD, et al. Craniotomy under local anesthesia and monitored conscious sedation for the resection of tumors involving eloquent cortex. J Neurooncol. 2000;49: 131-139. (Pubitemid 32058519)
38. Keles GE, Lundin DA, Lamborn KR, et al. Intraoperative subcortical stimulation mapping for hemispherical perirolandic gliomas located within or adjacent to the descending motor pathways: evaluation of morbidity and assessment of functional outcome in 294 patients. J Neurosurg. 2004;100:369-375. (Pubitemid 38269062)