지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.10
- 수록면
- 338 - 343 (6page)
- DOI
- 10.17085/apm.21022
이용수
초록· 키워드
오류제보하기
Background: Awake craniotomy is a well-tolerated procedure for the resection of brain tumors residing within or close to the eloquent cortical areas. Monitored anesthesia care (MAC) is a dominant anesthetic approach for awake craniotomy; however, it is associated with inherent challenges such as desaturation and hypercapnia, which may lead to various complications. The prevention of respiratory insufficiency is important for successful awake craniotomy. As measures to avoid respiratory depression, the use of high-flow nasal cannula (HFNC) can improve patient oxygenation and monitor the oxygen reserve index (ORi) to detect hypoxia earlier. Case: We report two cases of awake craniotomy with MAC using HFNC and ORi. We adjusted the fraction of inspired oxygen of the HFNC according to the ORi level. The patient underwent successful awake craniotomy without a desaturation event or additional airway intervention. Conclusions: Combined HFNC and ORi monitoring may provide adequate oxygen reserves in patients undergoing awake craniotomy.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Hervey-Jumper SL / 2015 / Awake craniotomy to maximize glioma resection : methods and technical nuances over a 27-year period / J Neurosurg 123:325~339
김승현 / 2020 / Anesthetic considerations for awake craniotomy / Anesthesia and Pain Medicine 15(3):269~274
Smith SC / 2018 / High flow nasal cannula, a novel approach to airway management in awake craniotomies / J Neurosurg Anesthesiol 30:382
Wong JWM / 2017 / High-flow nasal oxygen in patient with obstructive sleep apnea undergoing awake craniotomy : a case report / A A Case Rep 9:353~356
Scheeren TWL / 2018 / The oxygen reserve index(ORI) : a new tool to monitor oxygen therapy / J Clin Monit Comput 32:379~389
김승현 / 2020 / Anesthetic considerations for awake craniotomy / Anesthesia and Pain Medicine 15(3):269~274
Smith SC / 2018 / High flow nasal cannula, a novel approach to airway management in awake craniotomies / J Neurosurg Anesthesiol 30:382
Wong JWM / 2017 / High-flow nasal oxygen in patient with obstructive sleep apnea undergoing awake craniotomy : a case report / A A Case Rep 9:353~356
Scheeren TWL / 2018 / The oxygen reserve index(ORI) : a new tool to monitor oxygen therapy / J Clin Monit Comput 32:379~389
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