CASE REPORTS PRIKAZI SLUČAJEVA

Summary Introduction. There is an increasing trend towards performing awake craniotomy procedures. The method is indicated for sur- gical treatment of brain changes located in functional regions. This technique poses a unique challenge for the anaesthesiologist in view of providing adequate sedation, analgesia, hemodynamic and respiratory stability yet to keep the patient awake and coo- perative during the procedure. Case Report. After the adequate preoperative preparation of the patient, the surgical procedure on tumorous change in the left frontoparietal area (Broca's area) was performed. Due to the tumour localization, the surgical treatment was performed in awake condition under intraoperative neurop- hysiological monitoring of the patient. Analgosedation (Ramsay score 2-3) was provided via continuous infusion of propofol and reminfentanil. Local infiltration anaesthesia (scalp block) was preformed with levobupivacaine. The surgical procedure procee- ded without any major incidents and complications. Conclusion. A propofol/reminfentanil combination provided safe and effec- tive analgosedation of the patient.