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Revista Brasileira de Anestesiologia
On-line version ISSN 1806-907X
MARQUES, Mirna Bastos et al. Use of the lateral approach for laryngeal mask insertion during awake craniotomy: case report. Rev. Bras. Anestesiol. [online]. 2006, vol.56, n.6, pp.654-657. ISSN 1806-907X. http://dx.doi.org/10.1590/S0034-70942006000600010.
BACKGROUND AND OBJECTIVES: During an awake craniotomy in which the Aachen Aphasia test is performed, it is necessary to use the "asleep-awake-asleep" anesthetic technique. The objective of this case report was to describe the anesthetic technique used in a patient with signs of difficult airway. CASE REPORT: The case of a patient who underwent resection of a tumor in the left temporal lobe, in the Wernicke gyrus, with clinical signs of difficult airway is reported. The "asleep-awake-asleep" anesthetic technique, with continuous infusion of propofol and remifentanil, was used. A laryngeal mask, inserted by the lateral approach, was used to keep the airways patency. CONCLUSIONS: The technique used was effective in obtaining an intraoperative awake and cooperative patient, and the airways were maintained patent with a laryngeal mask. Insertion of this device by the lateral approach is especially interesting since this was a patient who presented difficult airway and underwent a surgical procedure in which in which the patient must remain immobile and the surgical field cannot be contaminated.
Keywords : ANESTHETICHS, Intravenous [propofol]; ANESTHETICHS, Intravenous [remifentanil]; ANESTHETICHS, Intravenous [Local]; ANESTHETICHS, Intravenous [ropivacaine]; EQUIPMENT [Laryngeal mask]; SURGERY, Neurosurgery [awake craniotomy].