ArticleAnesthesia and pain medicine2021
Awake craniotomy using a high-flow nasal cannula with oxygen reserve index monitoring - A report of two cases.
Article in Anesthesia and pain medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 10 citations in OpenAlex.
- Oxygen concentration titration guided by oxygen reserve index during pediatric laryngeal surgery with high-flow nasal cannula oxygen: a randomized controlled trial.Journal of anesthesia · 2024Trial
- Exploring the effectiveness of high-flow nasal cannula in the neurointensive care unit: a prospective observational study.BMC neurology · 2025Observational
- Recent advancements in the practice of neuroanaesthesia and neurocritical care: An update.Indian journal of anaesthesia · 2023Article
- High-flow nasal cannula oxygenation for awake craniotomy in patients with obesity: looking beyond oxygenation.Anesthesia and pain medicine · 2022Article
- Trans-nasal humidified rapid insufflation ventilatory exchange (THRIVE) in neuroanesthesia practice: A review.Journal of anaesthesiology, clinical pharmacologyReview
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAwake craniotomy is a well-tolerated procedure for the resection of brain tumors residing within or close to the eloquent cortical areas. Monitored anesthesia care (MAC) is a dominant anesthetic approach for awake craniotomy; however, it is associated with inherent challenges such as desaturation and hypercapnia, which may lead to various complications. The prevention of respiratory insufficiency is important for successful awake craniotomy. As measures to avoid respiratory depression, the use of high-flow nasal cannula (HFNC) can improve patient oxygenation and monitor the monitoring the oxygen reserve index (ORi) can detect hypoxia earlier. CASE: We report two cases of awake craniotomy with MAC using HFNC and ORi. We adjusted the fraction of inspired oxygen of the HFNC according to the ORi level. The patient underwent successful awake craniotomy without a desaturation event or additional airway intervention.
conclusionsCombined HFNC and ORi monitoring may provide adequate oxygen reserves in patients undergoing awake craniotomy.
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