Sciannameo F, Ronca P, De Sol A, Alberti D
Istituto di Patologia Chirurgica (R), Sede di Terni, Università degli Studi di Perugia.
Minerva Chir. 1994 Apr;49(4):319-26.
The main methods for cerebral monitoring and protection during surgical operations of extracranial carotid are examined, analyzing for everyone advantages and limits. Particularly, the authors discuss benefits and disadvantages of cerebral monitoring using somato-sensorial evoked potentials (EP) associated with the measurement of the stump pressure in patients in which general anaesthesia was performed, comparing this method to the monitoring of patients operated using locoregional anaesthesia. The results obtained allow us to say that EP are a very good method for cerebral monitoring and that, if they are not pathological, also with stump pressure values lower than 40 mmHg, a shunt is not necessary.
本文探讨了颅外颈动脉手术期间脑监测和保护的主要方法，并分析了每种方法的优缺点。特别是，作者讨论了在全身麻醉患者中使用体感诱发电位（EP）与残端压力测量相结合进行脑监测的利弊，并将该方法与局部麻醉手术患者的监测进行了比较。所得结果表明，EP是一种很好的脑监测方法，并且，如果EP无异常，即使残端压力值低于40 mmHg，也无需分流。
