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Canadian Journal of Anesthesia, Vol 16, 331-335, Copyright © 1969 by Canadian Anesthesiologists' Society

The Use of Electroencephalographic Monitoring during Carotid Endarterectomy, as an Indicator for the Application of a Temporary By-Pass

B. M. MARSHALL M.D., F.R.C.P.(C)1 and W. M. LOUGHEED M.D., F.R.C.S.(C)1

1 Departments of Anaesthesia and Surgery (Neurosurgery), University of Toronto, and the Divisions of Anaesthesia and Neurosurgery, Toronto General Hospital

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.






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Copyright © 1969 by the Canadian Anesthesiologists' Society.