Open Access
CC BY 4.0 · J Neuroanaesth Crit Care 2024; 11(01): 052-055
DOI: 10.1055/s-0042-1760269
Case Report

Awake Aneurysm Clipping: Challenges Conquered

Autoren

  • Kirandeep Kaur

    1   Division of Neuroanaesthesia, Anaesthesia and Intensive Care, Post Graduate Institute of Medical Education & Research, Chandigarh, India
  • Priya Thappa

    1   Division of Neuroanaesthesia, Anaesthesia and Intensive Care, Post Graduate Institute of Medical Education & Research, Chandigarh, India
  • Ankur Luthra

    2   Anaesthesia and Intensive Care, Post Graduate Institute of Medical Education & Research, Chandigarh, India
  • Rajeev Chauhan

    2   Anaesthesia and Intensive Care, Post Graduate Institute of Medical Education & Research, Chandigarh, India
  • Nidhi Panda

    1   Division of Neuroanaesthesia, Anaesthesia and Intensive Care, Post Graduate Institute of Medical Education & Research, Chandigarh, India
  • Sushanta K. Sahoo

    3   Department of Neurosurgery, Post Graduate Institute of Medical Education & Research, Chandigarh, India

Abstract

Microsurgical aneurysm clipping under general anesthesia is considered a definitive procedure for the obliteration of unruptured and ruptured aneurysms. Aneurysm clipping can present with postoperative neurological complications, which can be missed under general anesthesia even with intraoperative neurophysiological monitoring. Real-time monitoring with awake patients can help prevent and treat these complications very early. The anesthesiologist has a vital role in awake aneurysm surgery from providing adequate surgical conditions to patient satisfaction and managing intraoperative complications. We report the first-hand experience as a neuroanesthesiology team managing awake craniotomy and aneurysm clipping.



Publikationsverlauf

Artikel online veröffentlicht:
24. April 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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