Anesthesia & Clinical Research
Open Access

Nur Surya Wirawan

Publications

• Case Report
  Awake Cranioplasty: A Case Series
  Author(s): Halim Syahril, Syafruddin Gaus, Syafri K Arif and Nur Surya WirawanHalim Syahril, Syafruddin Gaus, Syafri K Arif and Nur Surya Wirawan
  
  Background: Cranioplasty restores the normal cranial architecture and protective functions of the skull and may play a role in normalizing cerebrospinal fluid dynamics in patients undergoing large craniectomies. It has a definitive impact on restoration of normal intracranial physiology and improvement of patient neurological condition. Anesthesia for awake neurosurgery procedure poses a unique challenge to anesthesiologists. Objective: To present cases of awake cranioplasty and describe the principles of anesthetic management during this procedure. Case description: 3 patients who have skull defect underwent cranioplasty procedure. Patients were managed with dexmedetomidine load of 1 mcg/kg over 10-15 min followed by infusion at rates of 0.2 mcg/kg/hr to 0.7 mcg/kg/hr and a local infiltration without airway instru.. View More»
  DOI: 10.4172/2155-6148.1000830

  Abstract PDF

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