gms | German Medical Science

57th Annual Meeting of the German Society of Neurosurgery
Joint Meeting with the Japanese Neurosurgical Society

German Society of Neurosurgery (DGNC)

11 - 14 May, Essen

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Patient acceptance of brain surgery under awake conditions. A retrospective analysis using a standardized statistical validated questionnaire

Wie ist die Akzeptanz von Kopfoperationen bei wachen Patienten? Eine retrospektive Analyse mit standardisiertem Fragebogen

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  • corresponding author K.H. Wrede - Department of Neurosurgery, International Neuroscience Institute Hannover
  • A. Fiferna - Department of Neurosurgery, International Neuroscience Institute Hannover
  • L. Stieglitz - Department of Neurosurgery, International Neuroscience Institute Hannover
  • H.-H. von Gösseln - Department of Anesthesiology, International Neuroscience Institute Hannover
  • M. Karst - Klinik für Anesthesiologie, Medizinische Hochschule Hannover
  • M. Samii - Department of Neurosurgery, International Neuroscience Institute Hannover
  • W. Lüdemann - Department of Neurosurgery, International Neuroscience Institute Hannover

Deutsche Gesellschaft für Neurochirurgie. Japanische Gesellschaft für Neurochirurgie. 57. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie. Essen, 11.-14.05.2006. Düsseldorf, Köln: German Medical Science; 2006. DocSA.10.08

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dgnc2006/06dgnc147.shtml

Published: May 8, 2006

© 2006 Wrede et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Objective: To compare the patients acceptance and postoperative course of brain surgery under awake conditions and general anesthesia management.

Methods: We retrospectively reviewed the anesthetic management, complications and discharge time of 90 patients with intracerebral lesions. Forty-seven patients with intracerebral lesions in eloquent areas underwent surgery under local anesthesia and slight sedation. Forty-three patients with intracerebral lesions in non-eloquent areas underwent surgery under general anesthesia. Intraoperative neuronavigation was used in both groups. Postoperatively the patients were asked to complete the Patients questionnaire for the Perioperative Phase (PPP questionnaire) to compare the patients’ acceptance of both types of anesthesia management.

Results: Forty-six patients in the local anesthesia group tolerated the procedure very well, only one patient required conversion to general anesthesia due to agitation. The results of the PPP questionnaire revealed a very good acceptance for the procedure in local anesthesia (medium score: 82.54) also in comparison to the general anesthesia (medium score: 78.50) group. Overall, anesthetic complications were minimal.

Conclusions: Surgery under local anesthesia is a well tolerated and safe procedure for the removal of intracerebral lesions in eloquent areas that can otherwise hardly be removed without high risk of postoperative neurological deficits.