The Impact of Intraoperative Magnetic Resonance Imaging on Patient Safety Management During Awake Craniotomy

Journal of Neurosurgical Anesthesiology
Kotoe KamataMakoto Ozaki

Abstract

Awake craniotomy paired with intraoperative magnetic resonance imaging (iMRI) is now the established technique for maximizing surgical resection, while preserving neurological function. However, leaving an unsecured airway patient in the iMRI gantry represents considerable risk. Our study aimed at identifying the incidence of critical adverse events in unsecured airway patients during iMRI as part of awake craniotomy. We conducted a clinical chart review of consecutive awake craniotomies performed between November 1999 and December 2015. Sequences of iMRI performed without invasive airway management were selected for assessment and the incidence of critical adverse events, including general convulsive seizure, respiratory arrest, nausea/vomiting and agitation, was identified. Critical adverse events occurred in 21 of 356 unsecured airway patients within 24 of the 579 iMRI sequences. In cases using the low-field strength open MRI scanner, emergency termination of scans due to patient decline was recorded in only 4 cases: no cases of cardiac arrest, accidental death, or thermal injury were recorded. Compared with cardiovascular monitoring, patient respiratory status was poorly recorded. In terms of anesthesia, concurrent use of i...Continue Reading

References

May 1, 1996·Acta Radiologica·R E Sepponen
Jun 16, 2004·Cancer·Hugues Duffau, Laurent Capelle
Aug 12, 2005·Magnetic Resonance in Medical Sciences : MRMS : an Official Journal of Japan Society of Magnetic Resonance in Medicine·Naoto HayashiTetsuhiko Takahashi
Feb 8, 2006·Magnetic Resonance in Medical Sciences : MRMS : an Official Journal of Japan Society of Magnetic Resonance in Medicine·Hiroshi IsekiKintomo Takakura
Oct 3, 2006·Acta Neurochirurgica. Supplement·Y MuragakiT Hori
Feb 6, 2007·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Andrea SzelényiVolker Seifert
Jan 17, 2009·Topics in Magnetic Resonance Imaging : TMRI·Arya NabaviMaximilian Mehdorn
Jun 27, 2009·Neurosurgery Clinics of North America·Sergio D Bergese, Erika G Puente
Jul 21, 2009·European Journal of Anaesthesiology·Vincent BonhommePol Hans
Oct 21, 2010·Acta Neurochirurgica. Supplement·Yoshihiro MuragakiKintomo Takakura
Apr 19, 2011·Journal of Clinical Anesthesia·Jonathan B WaughYulia A Khodneva
Aug 16, 2011·Current Opinion in Anaesthesiology·Craig D McClainSulpicio G Soriano
Apr 25, 2012·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Philip C De Witt HamerMitchel S Berger
Oct 11, 2014·Journal of Surgical Case Reports·Kotoe KamataYoshikazu Okada
Jan 20, 2015·Neurosurgical Focus·Masayuki NittaYoshikazu Okada
Mar 27, 2015·Journal of Neurosurgical Anesthesiology·Lingzhong MengAdrian W Gelb
Apr 25, 2015·Journal of Neurosurgery·Shawn L Hervey-JumperMitchel S Berger
Jun 11, 2016·Current Opinion in Anaesthesiology·Lauren C Berkow

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Citations

Jan 24, 2020·Journal of Neurosurgical Anesthesiology·Jeffrey J Pasternak
May 21, 2019·Current Opinion in Anaesthesiology·Darreul Sewell, Martin Smith
Nov 18, 2018·Indian Journal of Anaesthesia·Kotoe Kamata, Makoto Ozaki

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Methods Mentioned

BETA
SGA
sedation

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