Hacettepe Üniversitesi Ameliyathanelerinde Uyanık Kraniotomi Yöntemi ile Alınan Vakaların Anestezi Yönetimi ve Perioperatif Komplikasyonlar Açısından Retrospektif Değerlendirilmesi

Abstract

We evaluated 33 awake craniotomy cases with regards to age, sex, ASA class, WHO CNS tumor classification (for tumor surgeries), comorbidities, anesthesia management, total anesthesia time, intraoperative complications, postoperative complications and mass localizastion. Our objective was to create a detailed account of patient demographics, anesthesia management and complications for awake craniotomy cases and compare our results with that of similar studies in literature We obtained this data by investigating hospital accounts, patient files and anesthesia reports after the ethics committee approval. Our results in patient demographichs and comorbidities, total anesthesia time, complications and management of the complications was parallel with other awake craniotomy series. Unlike studies in similar nature, we did not observe any incidence of intraoperative seizures, hemodynamic instability and respiratory insufficiency that necessitates general anesthesia. Intraoperative sedation levels for different phases of surgery were not objectively reported in our anesthesia reports and no reported evidence was found regarding postoperative nausea and vomiting. Potential reasons for the absence of the aforementioned information was discussed in detail later in this study. We concluded that sedative drug choice did not affect intraoperative complication incidence, postoperative seizures and sedative drug preference was not affected by age comorbidities and ASA classification.