Case Report: Emergency awake craniotomy for cerebral abscess in a patient with unrepaired cyanotic congenital heart disease [version 2; referees: 2 approved]

Corinne D’Antico; André Hofer; Jens Fassl; Daniel Tobler; Daniel Zumofen; Luzius A. Steiner; Nicolai Goettel

doi:10.12688/f1000research.9722.2

F1000Research (Feb 2017)

Case Report: Emergency awake craniotomy for cerebral abscess in a patient with unrepaired cyanotic congenital heart disease [version 2; referees: 2 approved]

Corinne D’Antico,
André Hofer,
Jens Fassl,
Daniel Tobler,
Daniel Zumofen,
Luzius A. Steiner,
Nicolai Goettel

Affiliations

Corinne D’Antico: Department of Anesthesia, Surgical Intensive Care, Prehospital Emergency Medicine and Pain Therapy, University Hospital Basel, University of Basel, Basel, Switzerland
André Hofer: Department of Anesthesia, Surgical Intensive Care, Prehospital Emergency Medicine and Pain Therapy, University Hospital Basel, University of Basel, Basel, Switzerland
Jens Fassl: Department of Anesthesia, Surgical Intensive Care, Prehospital Emergency Medicine and Pain Therapy, University Hospital Basel, University of Basel, Basel, Switzerland
Daniel Tobler: Department of Cardiology, University Hospital Basel, University of Basel, Basel, Switzerland
Daniel Zumofen: Department of Neurosurgery, University Hospital Basel, University of Basel, Basel, Switzerland
Luzius A. Steiner: Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland
Nicolai Goettel: Department of Anesthesia, Surgical Intensive Care, Prehospital Emergency Medicine and Pain Therapy, University Hospital Basel, University of Basel, Basel, Switzerland

DOI: https://doi.org/10.12688/f1000research.9722.2
Journal volume & issue: Vol. 5

Abstract

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We report the case of a 39-year-old male with complex cyanotic congenital heart disease undergoing emergency craniotomy for a cerebral abscess. Maintenance of intraoperative hemodynamic stability and adequate tissue oxygenation during anesthesia may be challenging in patients with cyanotic congenital heart disease. In this case, we decided to perform the surgery as an awake craniotomy after interdisciplinary consensus. We discuss general aspects of anesthetic management during awake craniotomy and specific concerns in the perioperative care of patients with congenital heart disease.

Published in F1000Research

ISSN: 2046-1402 (Online)
Publisher: F1000 Research Ltd
Country of publisher: United Kingdom
LCC subjects: Medicine; Science
Website: https://f1000research.com

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