PRIMARY OBJECTIVES:
I. To compare the overall hospital length of stay (LOS) in patients undergoing craniotomy with light sedation vs. general anesthesia.
SECONDARY OBJECTIVES:
I. To compare resource utilization between the two groups. II. To assess the frequency of post-operative delirium. III. To measure patient perceptions. IV. To track patient complications during hospital stay - nausea/vomiting, pain, hematology/lab stability, hemodynamic stability.
V. To track re-admission and extended hospital stay rates. VI. To compare cost of both approaches.
OUTLINE: Patients are randomized to 1 of 2 arms.
ARM I: Patients receive light sedation (awake) and undergo craniotomy.
ARM II: Patients receive intubated general anesthesia and undergo craniotomy.
After completion of study, patients are followed up at 1month and 1 year.