Potters Jan-Willem, Klimek Markus
Department of Anesthesiology, Erasmus MC, Rotterdam, The Netherlands.
Curr Opin Anaesthesiol. 2015 Oct;28(5):511-6. doi: 10.1097/ACO.0000000000000231.
Awake craniotomy patients are exposed to various stressful stimuli while their attention and vigilance is important for the success of the surgery. We describe several recent findings on the perception of awake craniotomy patients and address nonpharmacological perioperative factors that enhance the experience of awake craniotomy patients. These factors could also be applicable to other surgical patients.
Proper preoperative counseling gives higher patient satisfaction and should be individually tailored to the patient. Furthermore, there is a substantial proportion of patients who have significant pain or fear during an awake craniotomy procedure. There is a possibility that this could induce post-traumatic stress disorder or related symptoms.
Preoperative preparation is of utmost importance in awake craniotomy patients, and a solid doctor-patient relationship is an important condition. Nonpharmacological intraoperative management should focus on reduction of fear and pain by adaptation of the environment and careful and well considered communication.
清醒开颅手术患者在术中会受到各种应激刺激，而他们的注意力和警觉性对手术成功至关重要。我们描述了一些关于清醒开颅手术患者感知的最新研究发现，并探讨了围手术期非药物因素对改善清醒开颅手术患者体验的作用。这些因素也可能适用于其他手术患者。
恰当的术前咨询可提高患者满意度，且应根据患者个体情况进行定制。此外，相当一部分患者在清醒开颅手术过程中会经历显著的疼痛或恐惧。这有可能诱发创伤后应激障碍或相关症状。
术前准备对清醒开颅手术患者至关重要，稳固的医患关系是重要条件。非药物术中管理应通过调整环境以及谨慎且周全的沟通，着重减轻恐惧和疼痛。
