A review of blood pressure care during awake brain surgery
Original title: Intraoperative Hemodynamic Management and Cerebral Protection During Awake Craniotomy: Evidence-Based Approaches.
How far along is this research?
- Lab cells
- Animals
- Review
- Tested in people
This looks across many earlier studies rather than running a new one.
This is a review of what doctors already know, not a new result.
The short version
Doctors looked at how to keep blood pressure safe while a patient is awake during brain surgery.
What was studied. Researchers searched PubMed, Embase, and Google Scholar for studies on blood pressure care during awake brain surgery. They pulled what they found into one written review.
What they found. High blood pressure was the most common problem. It showed up in 8% to 34% of cases. Low blood pressure showed up in 10% to 11%, and it was tied to stroke and death. When the brain did not get enough blood flow, stroke was seen in up to 23% of patients, and 68% had nerve problems. Numbing the scalp, setting a blood pressure goal for each person, and using certain medicines helped keep patients steady.
What this means, and what it doesn't
What it could mean: Awake brain surgery is already a standard way to remove some tumors. Your team watches your blood pressure the whole time. There are known ways to keep it steady, and you can ask your surgery team what they plan to use.
What it doesn't mean: This is not a new treatment or a new drug. It is a summary of studies that already exist, not a fresh result. The authors say there are no randomized trials on this, and care differs from place to place. It does not mean awake brain surgery carries no risk. It is not a cure for a brain tumor.
Source: PubMed, August 29, 2026 · Read the original
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