Postoperative nausea and vomiting after craniotomy for tumor surgery: a comparison between awake craniotomy and general anesthesia

Manninen, Pirjo; Tan, Tong

doi:10.1016/s0952-8180(02)00354-9

Cited by 78 publications

(28 citation statements)

References 17 publications

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“…In a recent randomized, controlled and double-blind study that compared morphine administration and scalp block, similar efficiency has been reported for both methods; however, morphine administration was associated with higher incidence of nausea and vomiting [24]. Despite the advantages that have been reported so far [6][7][8][9], the use of local anesthetics in these procedures produces the risk of all complications related to local anesthetic agents. Chawdhury et al reported severe bradycardia during scalp block, and they reported trigeminal cardiac reflex as being the cause of this finding.…”

Section: Discussionmentioning

confidence: 80%

“…It is for this reason that better hemodynamic stability is achieved in patients receiving scalp block. Awake craniotomy procedure can be performed with scalp block and concurrent sedation, and awake craniotomy avoids the adverse effects that are observed with general anesthesia [6]; early postoperative neurological evaluation; speedy recovery; minimization of hospital stay [7]; and consequently, resource utilization, which is particularly beneficial in developing countries [8,9]. Infiltration anesthesia in the scalp has been previously used in cranial surgeries [10][11][12][13][14][15], and selective nerve blockade was first described by Girvin et al [16] in 1986 and then by Rubial et al [17] in 1992.…”

Section: Discussionmentioning

confidence: 99%

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Scalp Block for Burr Holle Evacuation of Subdural Hematoma: A Series of Seven Patients and Review of the Literature

2016

Ann Clin Anal Med

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hematoma. The demographic features of the patients, sedative agents administered, and local anesthetic agents and the doses preferred for scalp block were specified. All patients were hemodynamically stable in the perioperative period, and none of the patients developed complications. None of the patients developed early or late local anesthetic toxicity. Discussion:Considering the presence of comorbid conditions in this patient population, scalp block provides a more comfortable and safe method compared to general anesthesia for both anesthesiologists and the clinicians that undertake postoperative care of the patients after evacuation of subdural hematoma.

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Scalp Block for Burr Holle Evacuation of Subdural Hematoma: A Series of Seven Patients and Review of the Literature

2016

Ann Clin Anal Med

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“…Awake glioma resection is regarded as the standard of care for those lesions that reside in close proximity to the eloquent brain (13,43,44). Accumulating evidence shows the better outcomes, including extent of resection, late neurological deficits and survival, associated with awake brain tumor resection compared with surgery under GA (45)(46)(47). While the surgeon's ability to perform cortical and subcortical stimulation mapping for the purpose of maximizing tumor resection while preserving language and sensorimotor function in an awake patient is crucial, the anesthesiologist's role is also speculated to be substantial (22).…”

Section: Outcome-oriented Care: Defining the Role Of Neuroanesthesiolmentioning

confidence: 99%

Practice Trends and Research Priorities of Neurosurgical Anesthesia

Meng¹,

Li²,

Gelb³

2015

J Anesth Perioper Med

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Aim of review:One of the goals of neurosurgical anesthesia is to facilitate the execution of neurosurgical procedures including intraoperative neurological monitoring. However, it should also and always aim at benefiting the patients by improving the patient's long-term and disease-specific outcomes. Method: In this review, we highlighted some perspectives of today's practice trends and research priorities of neurosurgical anesthesia for the purpose of exploring the best care based on evidence, and speculation where relevant evidence is lacking. Recent findings: The advancement in general anesthesia and better understanding of neurological diseases have promoted the evolution of the sub-specialty of neurosurgical anesthesia. Facilitating modern neurosurgical procedures including intraoperative neurological monitoring is a priority of neurosurgical anesthesia. However, a focus on the patient outcomes can never be over-emphasized. The effect of any component of anesthesia care, such as drugs choice and dose, ventilation management, and intravascular volume and cardiac output care, on patient's outcome should be appraised by quality research. Summary: It is important to recognize that different patient populations have different and disease/surgery-specific outcomes that should also be taken into account during the customization of anesthesia techniques. ABSTRACT

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“…The frequency of PONV seems to be lower in patients submitted to awake craniotomy compared to those submitted to craniotomy under general anaesthesia. This fact is likely due to the greater use of opioids, particularly morphine, either pre or post-operatively 29 . The most used antiemetic is ondansetron 4-8 mg, but metoclopramide (10 mg), droperidol (0.625 mg) or dexamethasone (4-16 mg) have all been used 18, 29, 39, 45 .…”

Section: Postoperative Carementioning

confidence: 99%