Anesthetic Considerations for Enhanced Recovery After Supratentorial Craniotomy: A Case Report

Enhanced Recovery After Surgery (ERAS) in neurosurgery aims to shorten hospital stays and improve outcomes. Craniotomies often cause moderate to severe pain, requiring effective perioperative analgesia. A 44-year-old woman undergoing tumor removal craniotomy benefited from ERAS, including preoperative counseling, nutrition, thromboprophylaxis, and antibiotic prophylaxis. Postoperatively, she was fully conscious in the HCU, receiving IV paracetamol 1g/6h and dexmedetomidine 0.2 mcg/kg/h for 24 hours. ERAS supports faster recovery, reduced hospitalization, and lower costs. Successful implementation demands a multidisciplinary approach across the perioperative period.