Anaes Vivas · Neuroanaesthesia
Clinical viva — the awake craniotomy
A clinical viva on the awake craniotomy — the asleep-awake-asleep or the monitored-awake technique, the scalp block and the local infiltration, the dexmedetomidine/remifentanil sedation, the airway management, the intraoperative seizures and the nausea, and the patient selection.
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Prompt
A junior colleague asks how you set up and conduct an awake craniotomy for the eloquent-cortex glioma. Walk them through the technique, the challenges, and the pitfalls.
Stimulus
A junior colleague asks how you set up and conduct the awake craniotomy for the eloquent-cortex glioma (the intraoperative speech and motor mapping). Walk them through the technique, the challenges, and the pitfalls.
References3ShowHide
- [5]Chen JS, et al. Intraoperative functional brain mapping for glioma surgery. J Neurooncol, 2026.PMID 42286256
- [1]Bou Sleiman V, et al. Anesthetic management of neurosurgical emergencies. Curr Opin Anaesthesiol, 2025.PMID 40071979
- [42286257]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.