We describe the anesthetic management of a morbidly obese patient with obstructive sleep apnea who underwent awake craniotomy. The patient's personal continuous positive airway pressure (CPAP) machine was used to support ventilation intraoperatively. Dexmedetomidine was used as the primary sedative. During cortical mapping, the CPAP was discontinued. The patient was comfortable and able to cooperate with language testing.
All Science Journal Classification (ASJC) codes
- Anesthesiology and Pain Medicine
- Awake craniotomy
- Continuous positive airway pressure
- Morbid obesity
- Obstructive sleep apnea