Journal of neurosurgical anesthesiology
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J Neurosurg Anesthesiol · Jan 2011
Letter Case ReportsDifficult oral intubation in acromegalic patients--a way out.
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J Neurosurg Anesthesiol · Jan 2011
Development of a safe and pragmatic awake craniotomy program at Maine Medical Center.
Awake craniotomy offers an excellent means of performing intraoperative mapping and optimizing surgical resection of brain tumors. Awake craniotomy relies on a strong collaboration between anesthesiologists, neurosurgeons, and operating room staff. The authors recently introduced awake craniotomy for tumor resection at the Maine Medical Center and propose that it can be performed safely, effectively, and efficiently in a high-volume community hospital. ⋯ With attention focused on patient selection and a streamlined anesthetic protocol, the authors were able to successfully implement an awake craniotomy protocol in a community setting with satisfying results, including low operative morbidity, short operative times, low anesthetic complications, and excellent patient tolerance.