Anesthetic Management of Asleep and Awake Craniotomy for Supratentorial Tumor Resection

Research output: Contribution to journalReview articlepeer-review

Abstract

Understanding how anesthetics impact cerebral physiology, cerebral blood flow, brain metabolism, brain relaxation, and neurologic recovery is crucial for optimizing anesthesia during supratentorial craniotomies. Intraoperative goals for supratentorial tumor resection include maintaining cerebral perfusion pressure and cerebral autoregulation, optimizing surgical access and neuromonitoring, and facilitating rapid, cooperative emergence. Evidence-based studies increasingly expand the impact of anesthetic care beyond immediate perioperative care into both preoperative optimization and minimizing postoperative consequences. New evidence is needed for neuroanesthesia's role in neurooncology, in preventing conversion from acute to chronic pain, and in decreasing risk of intraoperative ischemia and postoperative delirium.

Original languageEnglish (US)
Pages (from-to)71-92
Number of pages22
JournalAnesthesiology Clinics
Volume39
Issue number1
DOIs
StatePublished - Mar 2021

Keywords

  • Awake craniotomy
  • Craniotomy
  • Intracranial perfusion management
  • Neuroanesthesia
  • Supratentorial tumor resection

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Medicine(all)

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