Combination of Continuous Dexmedetomidine Infusion with Titrated Ultra-Low-Dose Propofol-Fentanyl for an Awake Craniotomy : Case report
An awake craniotomy is a continuously evolving technique used for the resection of brain tumours from the eloquent cortex. We report a 29-year-old male patient who presented to the Khoula Hospital, Muscat, Oman, in 2016 with a two month history of headaches and convulsions due to a space-occupying b...
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| Format: | Article |
| Language: | English |
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Sultan Qaboos University
2016-08-01
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| Series: | Sultan Qaboos University Medical Journal |
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| Online Access: | https://journals.squ.edu.om/index.php/squmj/article/view/2164 |
| _version_ | 1828796216386781184 |
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| author | Samaresh Das Ali Al-Mashani Neelam Suri Neeraj Salhotra Nilay Chatterjee |
| author_facet | Samaresh Das Ali Al-Mashani Neelam Suri Neeraj Salhotra Nilay Chatterjee |
| author_sort | Samaresh Das |
| collection | DOAJ |
| description | An awake craniotomy is a continuously evolving technique used for the resection of brain tumours from the eloquent cortex. We report a 29-year-old male patient who presented to the Khoula Hospital, Muscat, Oman, in 2016 with a two month history of headaches and convulsions due to a space-occupying brain lesion in close proximity with the left motor cortex. An awake craniotomy was conducted using a scalp block, continuous dexmedetomidine infusion and a titrated ultra-low-dose of propofol-fentanyl. The patient remained comfortable throughout the procedure and the intraoperative neuropsychological tests, brain mapping and tumour resection were successful. This case report suggests that dexmedetomidine in combination with titrated ultra-low-dose propofolfentanyl are effective options during an awake craniotomy, ensuring optimum sedation, minimal disinhibition and a rapid recovery. To the best of the authors’ knowledge, this is the first awake craniotomy conducted successfully in Oman. |
| first_indexed | 2024-12-12T04:17:42Z |
| format | Article |
| id | doaj.art-f09069d2dadd4db5a1523a0a348f2bd7 |
| institution | Directory Open Access Journal |
| issn | 2075-051X 2075-0528 |
| language | English |
| last_indexed | 2024-12-12T04:17:42Z |
| publishDate | 2016-08-01 |
| publisher | Sultan Qaboos University |
| record_format | Article |
| series | Sultan Qaboos University Medical Journal |
| spelling | doaj.art-f09069d2dadd4db5a1523a0a348f2bd72022-12-22T00:38:24ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282016-08-0116334735110.18295/squmj.2016.16.03.0142084Combination of Continuous Dexmedetomidine Infusion with Titrated Ultra-Low-Dose Propofol-Fentanyl for an Awake Craniotomy : Case reportSamaresh Das0Ali Al-Mashani1Neelam Suri2Neeraj Salhotra3Nilay Chatterjee4Departments of Anaesthesia & Intensive Care, Khoula Hospital, Muscat, OmanDepartments of Neurosurgery, Khoula Hospital, Muscat, OmanDepartments of Anaesthesia & Intensive Care, Khoula Hospital, Muscat, OmanDepartments of Neurosurgery, Khoula Hospital, Muscat, OmanDepartments of Anaesthesia & Intensive Care, Khoula Hospital, Muscat, OmanAn awake craniotomy is a continuously evolving technique used for the resection of brain tumours from the eloquent cortex. We report a 29-year-old male patient who presented to the Khoula Hospital, Muscat, Oman, in 2016 with a two month history of headaches and convulsions due to a space-occupying brain lesion in close proximity with the left motor cortex. An awake craniotomy was conducted using a scalp block, continuous dexmedetomidine infusion and a titrated ultra-low-dose of propofol-fentanyl. The patient remained comfortable throughout the procedure and the intraoperative neuropsychological tests, brain mapping and tumour resection were successful. This case report suggests that dexmedetomidine in combination with titrated ultra-low-dose propofolfentanyl are effective options during an awake craniotomy, ensuring optimum sedation, minimal disinhibition and a rapid recovery. To the best of the authors’ knowledge, this is the first awake craniotomy conducted successfully in Oman.https://journals.squ.edu.om/index.php/squmj/article/view/2164anesthesiacraniotomydexmedetomidinepropofolfentanylcase reportoman. |
| spellingShingle | Samaresh Das Ali Al-Mashani Neelam Suri Neeraj Salhotra Nilay Chatterjee Combination of Continuous Dexmedetomidine Infusion with Titrated Ultra-Low-Dose Propofol-Fentanyl for an Awake Craniotomy : Case report Sultan Qaboos University Medical Journal anesthesia craniotomy dexmedetomidine propofol fentanyl case report oman. |
| title | Combination of Continuous Dexmedetomidine Infusion with Titrated Ultra-Low-Dose Propofol-Fentanyl for an Awake Craniotomy : Case report |
| title_full | Combination of Continuous Dexmedetomidine Infusion with Titrated Ultra-Low-Dose Propofol-Fentanyl for an Awake Craniotomy : Case report |
| title_fullStr | Combination of Continuous Dexmedetomidine Infusion with Titrated Ultra-Low-Dose Propofol-Fentanyl for an Awake Craniotomy : Case report |
| title_full_unstemmed | Combination of Continuous Dexmedetomidine Infusion with Titrated Ultra-Low-Dose Propofol-Fentanyl for an Awake Craniotomy : Case report |
| title_short | Combination of Continuous Dexmedetomidine Infusion with Titrated Ultra-Low-Dose Propofol-Fentanyl for an Awake Craniotomy : Case report |
| title_sort | combination of continuous dexmedetomidine infusion with titrated ultra low dose propofol fentanyl for an awake craniotomy case report |
| topic | anesthesia craniotomy dexmedetomidine propofol fentanyl case report oman. |
| url | https://journals.squ.edu.om/index.php/squmj/article/view/2164 |
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