Depressed patients with brain tumors are often not referred to awake craniotomy because of concern of uncooperation which may increase the risk of perioperative complications. This report describes an interesting case of Awake Craniotomy for frontal lobe glioma in 41 year old woman undergoing language and motor mapping intra-operatively. As she was fearful and apprehensive and was on antidepres...

Current therapy for carotid stenosis mainly includes carotid endarterectomy and endovascular stenting, which may incur procedure-related cerebral ischemia. Several methods have been employed for monitoring cerebral ischemia during surgery, such as awake neurocognitive assessment, electroencephalography, evoked potentials, transcranial Doppler, carotid stump pressure, and near infrared spectrosc...

Abstract Introduction Heart rate variability (HRV) measured for 24 hours (long-term HRV) serves as the clinical gold standard in risk stratification of patients with comorbidities such myocardial infarction, stroke, multiple sclerosis, end stage renal disease, and diabetic neuropathy. Previous studies explored utility ultra-short (US) HRV, less than five minutes which could be used bedside prog...

Awake blind nasal endotracheal intubation is a modification of Sir Ivan Magill's technique of blind nasal intubation under ether anaesthesia.1 The introduction of neuromuscular blocking agents, facilitating oral intubation under direct vision, led to a decline in popularity of Magill's method and it is now used sparingly, if at all.2 Where the sedated patient remains awake and co-operative, the...

Abstract Reasoning with counterfactuals such as “if his sister had entered silently, the child would have been awake”, requires considering what is conjectured (“his silently”) and counterfactual possibility did not enter silently”). In two experiments, we test how both adults (Study 1) children from 8 to 12 years 2) construct possibilities about cause of an effect (“the was awake because…”). W...

Objective: This article aims to review the current evidence in Covid-19 patients with acute respiratory failure who required awake prone positioning as a therapeutic intervention.
 I searched literature on MEDLINE, PubMed, Cochrane Library, Google Scholar, and other databases. found several studies that analyzed shared data regarding patients, duration ranging from 12-16 hours.
 major...

Background: The importance of monitoring cognition during awake craniotomy has been well described in previous studies. The relevance of being coached during such a procedure has received less attention and questions still remain unanswered about what factors are the most important herein. Objective: The aim of this study was to qualitatively analyze what factors were, according to our patients...

“Wide Awake Hand Surgery” is a small illustrated technical book written by Donald Lalonde, who is a professor at Dalhousie Medical School in New Brunswick, Canada. Dr. Lalonde has extensive expertise in hand surgery, with many years of experience using local anesthetics with epinephrine in surgery. This book is written in a simple, easy-to-understand manner; as the author states in the preface,...