Uyanık Kraniyotomide Anestezi Yaklaşımı: Olgu Sunumu

Year 2019, Volume: 2 Issue: 1, 17 - 22, 30.04.2019

Demet Laflı Tunay , Yasemin Güneş

Abstract

Uyanık kraniyotomi tekniği ilk olarak epilepsinin cerrahi tedavisinde kullanılmış ve daha sonra kritik beyin bölgelerine yakın, supratentoriyal tümörlerin cerrahi tedavisinde veya arteriyovenöz malformasyon gibi lezyonların tedavisinde kullanılmıştır. Bu cerrahi yaklaşım; motor, somatosensör ve dil alanları gibi beynin önemli alanlarını korurken, lezyon rezeksiyonunu maksimum düzeyde gerçekleştirmeyi amaçlar. Bu cerrahi teknik sırasında, hastanın cerrahiye aktif katılımı, kortikal haritalamayı kolaylaştırmak için gereklidir. Bu tip bir prosedürde, anestezistin amacı, operasyonu güvenli ve etkili kılmak; ayrıca hastanın psikofiziksel rahatsızlığını azaltmaktır. Literatürde uyanık kraniyotomi için pek çok anestezi protokolü tanımlanmakla birlikte, en iyi anestezi tekniğine dair ortak bir fikir birliğine henüz ulaşılamamıştır. Biz de bu yazıda; frontal bölgede Broka alanına yakın tümörü olan bir hastadaki anestezik yaklaşımımızı sunmayı amaçladık.

Keywords

Uyanık kraniyotomi, deksmedetomidin, skalp bloğu

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