Awake craniotomy in a patient with ejection fraction of 10%: considerations of cerebrovascular and cardiovascular physiology

Abstract A 37-year-old man with nonischemic 4-chamber dilated cardiomyopathy and low-output cardiac failure (estimated ejection fraction of 10%) underwent awake craniotomy for a low-grade oligodendroglioma resection under monitored anesthesia care. The cerebrovascular and cardiovascular physiologic...

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Bibliographic Details
Published inJournal of clinical anesthesia Vol. 27; no. 3; pp. 256 - 261
Main Authors Meng, Lingzhong, MD, Weston, Stephen D., MD, Chang, Edward F., MD, Gelb, Adrian W., MBChB
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.05.2015
Elsevier Limited
Subjects
Adult
Anesthesia
Anesthesia & Perioperative Care
Awake craniotomy
Blood pressure
Blood Transfusion
Brain Neoplasms - surgery
Cardiac failure
Cardiac Output
Cardiovascular physiology
Catheters
Cerebrovascular Circulation
Cerebrovascular physiology
Circulatory system
Craniotomy - methods
Decision making
Fractions
Hospitals
Humans
Male
Oligodendroglioma - surgery
Pain Medicine
Physiology
Stroke Volume
Urine
Wakefulness
Cardiac failure
Cerebrovascular physiology
Awake craniotomy
Cardiovascular physiology
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Summary:Abstract A 37-year-old man with nonischemic 4-chamber dilated cardiomyopathy and low-output cardiac failure (estimated ejection fraction of 10%) underwent awake craniotomy for a low-grade oligodendroglioma resection under monitored anesthesia care. The cerebrovascular and cardiovascular physiologic challenges and our management of this patient are discussed.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2015.01.004