The use of continuous positive airway pressure during an awake craniotomy in a patient with obstructive steep apnea

被引:14
作者
Huncke, Tessa [1 ]
Chan, Jenny [1 ]
Doyle, Werner [2 ]
Kim, Jung [1 ]
Bekker, Alex [1 ]
机构
[1] NYU Med Ctr, Dept Anesthesiol, Rusk Inst, New York, NY 10016 USA
[2] NYU Med Ctr, Dept Neurosurg, New York, NY 10016 USA
关键词
awake craniotomy; continuous positive airway pressure; morbid obesity; obstructive sleep apnea;
D O I
10.1016/j.jclinane.2007.10.015
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We describe the anesthetic management of a morbidly obese patient with obstructive sleep apnea who underwent awake craniotomy. The patient's personal continuous positive airway pressure (CPAP) machine was used to support ventilation intraoperatively. Dexmedetomidine was used as the primary sedative. During cortical mapping, the CPAP was discontinued. The patient was comfortable and able to cooperate with language testing. (C) 2008 Elsevier Inc. All rights reserved.
引用
收藏
页码:297 / 299
页数:3
相关论文
共 15 条
[1]   The efficacy, side effects, and recovery characteristics of dexmedetomidine versus propofol when used for intraoperative sedation [J].
Arain, SR ;
Ebert, TJ .
ANESTHESIA AND ANALGESIA, 2002, 95 (02) :461-466
[2]  
Bekker AY, 2001, ANESTH ANALG, V92, P1251
[3]   Obstructive sleep apnea in the adult obese patient: Implications for airway management [J].
Benumof, JL .
JOURNAL OF CLINICAL ANESTHESIA, 2001, 13 (02) :144-156
[4]   Intraoperative wake up procedure with propofol and laryngeal mask for optimal excision of brain tumour in eloquent areas [J].
Fukaya, C ;
Katayama, Y ;
Yoshino, A ;
Kobayashi, K ;
Kasai, M ;
Yamamoto, T .
JOURNAL OF CLINICAL NEUROSCIENCE, 2001, 8 (03) :253-255
[5]   Propofol sedation during awake craniotomy for seizures: Patient-controlled administration versus neurolept analgesia [J].
Herrick, IA ;
Craen, RA ;
Gelb, AW ;
Miller, LA ;
Kubu, CS ;
Girvin, JP ;
Parrent, AG ;
Eliasziw, M ;
Kirkby, J .
ANESTHESIA AND ANALGESIA, 1997, 84 (06) :1285-1291
[6]   Anesthesia for a patient with morbid obesity using dexmedetomidine without narcotics [J].
Hofer, RE ;
Sprung, J ;
Sarr, MG ;
Wedel, DJ .
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 2005, 52 (02) :176-180
[7]   The asleep-awake-asleep anesthetic technique for intraoperative language mapping [J].
Huncke, K ;
Van de Wiele, B ;
Fried, I ;
Rubinstein, EH .
NEUROSURGERY, 1998, 42 (06) :1312-1316
[8]   Lateral position decreases collapsibility of the passive pharynx in patients with obstructive sleep apnea [J].
Isono, S ;
Tanaka, A ;
Nishino, T .
ANESTHESIOLOGY, 2002, 97 (04) :780-785
[9]   A retrospective analysis of a remifentanil/propofol general anesthetic for craniotomy before awake functional brain mapping [J].
Keifer, JC ;
Dentchev, D ;
Little, K ;
Warner, DS ;
Friedman, AH ;
Borel, CO .
ANESTHESIA AND ANALGESIA, 2005, 101 (02) :502-508
[10]   Anaesthesia and sleep apnoea [J].
Loadsman, JA ;
Hillman, DR .
BRITISH JOURNAL OF ANAESTHESIA, 2001, 86 (02) :254-266