Eligibility Criteria and Psychological Profiles in Patient Candidates for Awake Craniotomy

Abstract

From these preliminary results, we observed that warning signs for minor failure were fear of pain and anxiety, as revealed by psychological questionnaire responses, and the incapability of self-control at psychophysiological monitoring. This assessment may serve to fit mapping modality to the single patient and to avoid complications.

Awake craniotomy for brain tumor: indications, technique and benefits

“…Although awake craniotomies are well tolerated by patients, fear of the surgery and anxiety related to it may cause challenges with the intraoperative examination [23]. Patients suspected of belonging to this group, assuming they have not been excluded from the procedure, may benefit from short-acting oral sedatives like Zolpidem given in the evening before the surgery [24].…”

Anesthetic Approach to High-Risk Patients and Prolonged Awake Craniotomy Using Dexmedetomidine and Scalp Block

“…1,2,[9][10][11][12]15 The presence of these comorbid conditions would be considered popular reasons to consider the use of regional anesthesia and sedation in other procedures (eg, hip or knee arthroplasty). 1,2,[9][10][11][12]15 The presence of these comorbid conditions would be considered popular reasons to consider the use of regional anesthesia and sedation in other procedures (eg, hip or knee arthroplasty).…”

Anestesia para craneotomía en el paciente despierto: una actualización

“…Los pacientes maduros y bien motivados son los mejores candidatos para la craneotomía en el paciente despierto. Recientemente se realizó también un estudio piloto en el cual se utilizaron pruebas psicológicas y psicofisiológicas objetivas para seleccionar a los pacientes 13 . Aunque hay informes sobre el uso seguro de la craneotomía en el paciente despierto en Pediatría, la selección de los casos debe ser más rigurosa y se debe basar en la madurez del paciente y la evaluación individual del riesgo frente al beneficio 14 .…”