Awake Craniotomy: Brain Surgery While You’re Awake – How Anaesthesia Works to Keep You Comfortable

 Awake Craniotomy: A Medical Marvel in Neurosurgery

Awake craniotomy is a specialized brain surgery where the patient remains conscious. It sounds shocking, but with expert anaesthesia, it’s safe and often necessary for precise surgical outcomes.

Why Keep the Patient Awake?

The brain itself doesn’t feel pain. When operating near critical areas controlling speech or movement, being awake helps surgeons avoid damaging essential functions. Patients can respond to commands, helping guide the surgery.

How Anaesthesia Makes It Possible

Patients are first sedated and a local anaesthetic is applied to numb the scalp. Once the skull is opened, sedation is lightened or stopped, allowing the patient to wake and interact, all without pain. Anaesthesiologists adjust medications carefully to balance comfort and consciousness.

Real-Time Brain Mapping

Surgeons stimulate brain areas and ask the patient to speak, move, or count. If the patient struggles, surgeons know they’ve reached a sensitive area and adjust their technique accordingly.

Risks, Safety, and Recovery

Though technically complex, awake craniotomies are remarkably safe in experienced hands. Patients may feel slight discomfort but are constantly monitored. Recovery is often faster than with general anaesthesia, with less nausea and confusion.

Awake craniotomy is a perfect example of how anaesthesia is not just about sleep—but about precision, safety, and medical innovation.

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