Journal article
Use of anticoagulants, electroencephalographic monitoring, and barbiturate cerebral protection in carotid endarterectomy
Neurosurgery, Vol.9(1), pp.1-5
07/1981
DOI: 10.1097/00006123-198107000-00001
PMID: 7279167
Abstract
This paper describes a treatment protocol for threatened stroke in patients to carotid endarterectomy. The protocol includes the use of perioperative anticoagulation, intraoperative electroencephalographic (EEG) monitoring, and hypertension or barbiturates to protect the brain against documented ischemia intraoperatively. The rational and methods for protecting the patient from the threat of thromboembolism and cerebral ischemia during each of the periods of specific risk are discussed. The most unique feature of this protocol is the use of thiopental-induced EEG burst suppression for ischemia unresponsive to hypertension during carotid clamping, which has obviated the use of a potentially dangerous and cumbersome in-line arterial shunt.
Details
- Title: Subtitle
- Use of anticoagulants, electroencephalographic monitoring, and barbiturate cerebral protection in carotid endarterectomy
- Creators
- C E GrossH P Adams JrM D SokollT Yamada
- Resource Type
- Journal article
- Publication Details
- Neurosurgery, Vol.9(1), pp.1-5
- Publisher
- United States
- DOI
- 10.1097/00006123-198107000-00001
- PMID
- 7279167
- ISSN
- 0148-396X
- eISSN
- 1524-4040
- Language
- English
- Date published
- 07/1981
- Academic Unit
- Neurology; Iowa Neuroscience Institute; Anesthesia
- Record Identifier
- 9984020740002771
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