Cerebral protection with thiopentone during combined carotid endarterectomy and clipping of intracranial aneurysm
| Autor: | P P McConkey, N D Kien |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
medicine.medical_treatment
Ischemia Carotid endarterectomy Critical Care and Intensive Care Medicine 030218 nuclear medicine & medical imaging Brain Ischemia 03 medical and health sciences 0302 clinical medicine Aneurysm medicine Humans Hypnotics and Sedatives Carotid Stenosis cardiovascular diseases Thiopental Intraoperative Complications Endarterectomy Endarterectomy Carotid business.industry Electroencephalography Intracranial Aneurysm Clipping (medicine) Middle Aged medicine.disease Constriction Burst suppression Stenosis Anesthesiology and Pain Medicine medicine.anatomical_structure Neuroprotective Agents Anesthesia cardiovascular system Female business 030217 neurology & neurosurgery Carotid Artery Internal Artery |
| Zdroj: | Anaesthesia and intensive care. 30(2) |
| ISSN: | 0310-057X |
| Popis: | We report a case of carotid endarterectomy and clipping of an ipsilateral internal carotid artery aneurysm in a patient with complete contralateral carotid stenosis. The patient developed an ischaemic electroencephalographic (EEG) tracing on temporary carotid clamping and bypass shunt was contraindicated. We used thiopentone titrated to EEG burst suppression for pharmacological cerebral protection during the subsequent prolonged carotid clamp necessary for carotid endarterectomy. We review the use of thiopentone for this purpose, in particular the evidence for efficacy, mechanism of action and optimal dosage and timing of administration. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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