Summary and Conclusions
A continuous eeg monitor was used as a means of indicating the adequacy of cerebral blood flow during a trial clamp-off period in patients undergoing carotid thromboendarterectomy. If the eeg indicated a decrease in cerebral function, in spite of the employment of general anaesthesia, moderate hypothermia, induced hypertension and induced hypercarbia, then a temporary by-pass shunt was employed. The management of a typical case is described.
Résumé
Un moniteur enregistrait continuellement ľEEG chez des malades qui subissaient une thrombo-endartériectomie carotidienne afin ďindiquer la qualité du courant sanguin cérébral durant une période de tentative de clampage. Si ľEGG montrait une diminution de la fonction cérébrale, en dépit de ľanesthésie générale, une hypothermic modérée, un début ďhypertension et ďhypercarbie, alors on pratiquait une dérivation temporaire. On décrit le mode de traitement ďUn cas problème typique.
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Marshall, B.M., Lougheed, W.M. The use of electroencephalographic monitoring during carotid endarterectomy, as an indicator for the application of a temporary by-pass. Can. Anaes. Soc. J. 16, 331–335 (1969). https://doi.org/10.1007/BF03004462
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DOI: https://doi.org/10.1007/BF03004462