Grazia D'Onofrio, Antonio Izzi, Aldo Manuali, Giuliano Bisceglia, Angelo Tancredi, Vincenzo Marchello, Andreaserena Recchia, Maria Pia Tonti, Nadia Icolaro, Elena Fazzari, Vincenzo Carotenuto, Costanzo De Bonis, Luciano Savarese, Leonardo Pio Gorgoglione, Alfredo Del Gaudio
Our anesthetic technique proposed for awake craniotomy is the monitored anesthesia care (MAC) technique, with the patient in sedation throughout the intervention. Our protocol involves analgo-sedation through the administration of dexmedetomidine and remifentanil in a continuous intravenous infusion, allowing the patient to be sedated and in comfort, but contactable and spontaneously breathing. Pre-surgery, the patient is pre-medicated with intramuscular clonidine (2 µg/kg); it acts both as an anxiolytic and as an adjuvant in pain management and improves hemodynamic stability...
July 5, 2023: Brain Sciences