Awake craniotomy for brain tumor resection: anesthetic management and clinical experience from a high complexity hospital in Latin America

Awake craniotomy under monitored anesthesia care with dexmedetomidine and remifentanil was feasible, safe, and well tolerated in this cohort. The absence of serious complications highlights the value of structured anesthetic protocols and trained multidisciplinary teams. This experience provides reference for the adoption of similar strategies in hospital settings across Latin America, where implementation of awake craniotomy remains limited.