Erickson Kirstin M, Cole Daniel J
Department of Anesthesiology, Mayo Clinic College of Medicine, 200 First Street SE, Rochester, MN 55901, USA.
Anesthesiol Clin. 2012 Jun;30(2):241-68. doi: 10.1016/j.anclin.2012.05.002. Epub 2012 Jul 3.
The two most common neurosurgical procedures that call for an awake patient include epilepsy surgery and functional neurosurgery. Monitoring patients in the awake state allows more aggressive resection of epileptogenic foci in functionally important brain regions. Careful patient selection and preparation combined with attentive monitoring and anticipation of events are fundamental to a smooth awake procedure. Current pharmacologic agents and techniques at the neuroanesthesiologist's disposal facilitate an increasing number of procedures performed in awake patients.
两种最常见的需要患者保持清醒的神经外科手术包括癫痫手术和功能神经外科手术。对处于清醒状态的患者进行监测，能够在功能重要的脑区更积极地切除致痫灶。仔细的患者选择和准备，以及细心的监测和对各种情况的预判，是清醒手术顺利进行的基础。神经麻醉医生可使用的当前药物和技术，使得越来越多的手术能够在清醒患者身上实施。
