MURAGAKI Yoshihiro    Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine    Position   Visiting Professor
Language	English
Title	Preoperative orientation improves patient's understanding and cooperation during awake craniotomy
Conference	The 11th Quadrennial Congress of The World Federation of Neuroscience Nurses - WFNN Congress 2013
Conference Type	International society and overseas society
Presentation Type	Speech
Lecture Type	General
Publisher and common publisher	◎SUZUKI Ayako, MARUYAMA Takashi, NITTA Masayuki, MURAGAKI Yoshihiro, ISEKI Hiroshi, SUKEGAWA Satoko, OKADA Yoshikazu
Date	2013/09/15
Venue (city and name of the country)	Gifu
Holding period	2013/09/13～2013/09/16
Society abstract	The 11th Quadrennial Congress of The World Federation of Neuroscience Nurses - WFNN Congress 2013 abstracts 81
Summary	Introduction: Awake craniotomy is one of the important methods for maximum resection of brain tumors located in eloquent areas, such as language areas or motor cortex, without affecting patient's neurological functions. We have the experience with more than 250 cases of awake craniotomy since 2000. One of the important factors for the success of this surgery is the patient's understanding and cooperation. However, the purpose and method of this technique can be difficult to understand by the patients. Because of deficient preoperative information, patients sometimes claim intolerable pain, express fear and anxiety during the procedure. Therefore, anesthesiologists, nursing staff and neurosurgeons give adequate explanation and written description to patients before planning the procedure. However, we had patients who were not able to continue the awake craniotomy due to panic after emerging from initial sedation. Other patients could not understand the importance of intraoperative tasks to evaluate and preserve motor or language function. Based on the feedback from patients who underwent awake craniotomy in our department, we found that the preoperative orientation by discussion and explanation , with additionally printed illustrated description and advice were not enough to fully understand the procedure adequately. To iinf that improved patient's understanding. Herein, we report the results of preoperative orientation effectiveness.