Uso da abordagem lateral para introdu??o de máscara laríngea durante craniotomia em paciente acordado: relato de caso

摘要

BACKGROUND AND OBJECTIVES: During an awake craniotomy in which the Aachen Aphasia test is performed, it is necessary to use the "asleep-awake-asleep" anesthetic technique. The objective of this case report was to describe the anesthetic technique used in a patient with signs of difficult airway. CASE REPORT: The case of a patient who underwent resection of a tumor in the left temporal lobe, in the Wernicke gyrus, with clinical signs of difficult airway is reported. The "asleep-awake-asleep" anesthetic technique, with continuous infusion of propofol and remifentanil, was used. A laryngeal mask, inserted by the lateral approach, was used to keep the airways patency. CONCLUSIONS: The technique used was effective in obtaining an intraoperative awake and cooperative patient, and the airways were maintained patent with a laryngeal mask. Insertion of this device by the lateral approach is especially interesting since this was a patient who presented difficult airway and underwent a surgical procedure in which in which the patient must remain immobile and the surgical field cannot be contaminated.