Hypnosis-Assisted Awake Craniotomy for Eloquent Brain Tumors: Advantages and Pitfalls.

Détails

ID Serval
serval:BIB_030D0E6436B5
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Hypnosis-Assisted Awake Craniotomy for Eloquent Brain Tumors: Advantages and Pitfalls.
Périodique
Cancers
Auteur⸱e⸱s
Cossu G., Vandenbulcke A., Zaccarini S., Gaudet J.G., Hottinger A.F., Rimorini N., Potie A., Beaud V., Guerra-Lopez U., Daniel R.T., Berna C., Messerer M.
ISSN
2072-6694 (Print)
ISSN-L
2072-6694
Statut éditorial
Publié
Date de publication
05/05/2024
Peer-reviewed
Oui
Volume
16
Numéro
9
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
Awake craniotomy (AC) is recommended for the resection of tumors in eloquent areas. It is traditionally performed under monitored anesthesia care (MAC), which relies on hypnotics and opioids. Hypnosis-assisted AC (HAAC) is an emerging technique that aims to provide psychological support while reducing the need for pharmacological sedation and analgesia. We aimed to compare the characteristics and outcomes of patients who underwent AC under HAAC or MAC.
We retrospectively analyzed the clinical, anesthetic, surgical, and neuropsychological data of patients who underwent awake surgical resection of eloquent brain tumors under HAAC or MAC. We used Mann-Whitney U tests, Wilcoxon signed-rank tests, and repeated-measures analyses of variance to identify statistically significant differences at the 0.05 level.
A total of 22 patients were analyzed, 14 in the HAAC group and 8 in the MAC group. Demographic, radiological, and surgical characteristics as well as postoperative outcomes were similar. Patients in the HAAC group received less remifentanil (p = 0.047) and propofol (p = 0.002), but more dexmedetomidine (p = 0.025). None of them received ketamine as a rescue analgesic. Although patients in the HAAC group experienced higher levels of perioperative pain (p < 0.05), they reported decreasing stress levels (p = 0.04) and greater levels of satisfaction (p = 0.02).
HAAC is a safe alternative to MAC as it reduces perioperative stress and increases overall satisfaction. Further research is necessary to assess whether hypnosis is clinically beneficial.
Mots-clé
anesthesia, awake craniotomy, brain neoplasms, brain tumor, eloquent area, hypno-sedation, hypnosis, monitored anesthesia care
Pubmed
Web of science
Open Access
Oui
Création de la notice
16/05/2024 15:31
Dernière modification de la notice
25/05/2024 7:12
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