Patient tolerance of craniotomy performed with the patient under local anesthesia and monitored conscious sedation

Neurosurgery
R A DanksP M Black

Abstract

Craniotomy and brain mapping performed with the patient under local anesthesia and monitored sedation is an important technique to allow optimal resection of brain tumors or other lesions in close apposition to eloquent cortex. The subjective experience of patients undergoing this procedure has not been addressed in the literature. This study formally, intensively, and prospectively assessed the subjective experience of 21 consecutive patients undergoing this procedure. Assessment involved structured interviews at 2 to 3 days postoperatively by a member of the surgical team and at 1 month postoperatively by a psychiatrist, supplemented by pre- and postoperative assessments of the patients' moods using the brief Profile of Mood States questionnaire. At the 1-month interview, all patients were entirely comfortable with the experience and there were no indications of adverse psychological sequelae of the event. In the early postoperative interview, approximately one-half of the patients reported that the experience was entirely satisfactory, without any intraoperative discomfort or pain. One-third of the patients recalled minor difficulties at some stage of the experience, and one-fifth recalled moderate difficulties. An operating...Continue Reading

References

Oct 1, 1992·Surgical Neurology·D L SilbergeldE Lettich
Jan 1, 1987·Journal of Chronic Diseases·D F CellaS Rafla
Jun 1, 1987·Neurosurgery·P M Black, S F Ronner
Dec 1, 1984·Journal of Neurosurgery·E M Gregorie, S Goldring

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Citations

Feb 27, 2004·Journal of Clinical Anesthesia·Carin A HagbergJames M Berry
Feb 15, 2001·Journal of Clinical Anesthesia·W K TongierB Mickey
Mar 7, 2014·Acta neurochirurgica·Monika MilianGuenther C Feigl
Nov 26, 2014·Saudi Journal of Anaesthesia·Mahmood GhazanwyAshish Sinha
Sep 1, 2014·Seminars in Oncology·Eli T SayeghAndrew T Parsa
Jul 3, 2013·Acta neurochirurgica·Ernil HansenAlexander Brawanski
Nov 18, 2008·Journal of Anesthesia·Kiyotaka Sato, Masato Kato
Jan 23, 2013·Revista española de anestesiología y reanimación·J Benatar-Haserfaty, P Tardáguila Sancho
Aug 21, 2012·Anesthesiology Clinics·Kirstin M Erickson, Daniel J Cole
Jun 12, 2012·Annales Françaises D'anesthèsie Et De Rèanimation·H Duffau
Jul 26, 2011·Clinical Neurology and Neurosurgery·Karsten H WredeWolf O Lüdemann
Sep 8, 2010·Neurologic Clinics·Vikram C PrabhuJohn M Lee
Dec 5, 2009·Neuroimaging Clinics of North America·Lorenzo BelloSergio M Gaini
Sep 22, 2007·Anesthesiology Clinics·Kirstin M Erickson, Daniel J Cole
Feb 24, 2016·World Neurosurgery·Holger JoswigWerner Surbeck
Jun 27, 2001·Journal of Neurosurgical Anesthesiology·H BerkenstadtZ Ram
Jun 27, 2003·Journal of Neurosurgical Anesthesiology·John ArdAlex Bekker
Oct 5, 2006·Current Opinion in Anaesthesiology·S Himmelseher, E Pfenninger
Oct 3, 2006·Current Opinion in Anaesthesiology·M M Sá Rêgo, P F White
Jul 21, 2009·Journal of Neurosurgery·Kathleen Joy KhuMark Bernstein
Apr 25, 2015·Journal of Neurosurgery·Shawn L Hervey-JumperMitchel S Berger
Jan 3, 2001·Anesthesia and Analgesia·H J BlanshardM Bernstein
Jun 1, 2001·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·M Bernstein
Nov 1, 2005·Arquivos de neuro-psiquiatria·Antonio Nogueira de AlmeidaRaul Marino
Dec 6, 2006·AORN Journal·Alvisa Palese, Stefania Infanti
Apr 2, 2008·Journal of Neurosurgery·Mel Boulton, Mark Bernstein
May 20, 2011·British Journal of Neurosurgery·S S WahabC Weidmann
Mar 1, 2012·Journal of Neurosurgical Anesthesiology·Barbara SantiniMassimo Gerosa
Jun 1, 2000·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·R L Sahjpaul
Feb 23, 2010·Neurosurgery·Hugues Duffau
Jan 17, 2009·Topics in Magnetic Resonance Imaging : TMRI·Arya NabaviMaximilian Mehdorn

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