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The anesthesia for combined carotid endarterectomy (CEA) and coronary artery bypass grafting (CABG) is mentioned in this report. Although electroencephalogram was set up to detect the sign of brain ischemia during surgery, it became unreliable because of electrical noise from the medical instruments. Another monitoring method, such as trans-cranial Doppler, was thought to be needed to avoid the electrical noise. In anesthesia, a gradual measured induction with judicious fluid loading was imperative along with a protection from the reflex response to pain stimuli. Thiopental was used to protect the brain from ischemic injury during CEA. The perfusion pressure during cardiopulmonary bypass was maintained at 55-65 mmHg, and no neurological complication was seen.
T Tsujimoto, and
T Suzuki, and
T Kinoshita
June 1997,
Cardiovascular surgery (London, England),
T Tsujimoto, and
T Suzuki, and
T Kinoshita
June 2002,
Kyobu geka. The Japanese journal of thoracic surgery,
T Tsujimoto, and
T Suzuki, and
T Kinoshita
January 2002,
Journal of the Mississippi State Medical Association,
T Tsujimoto, and
T Suzuki, and
T Kinoshita
October 1998,
The American surgeon,
T Tsujimoto, and
T Suzuki, and
T Kinoshita
June 1996,
The Journal of thoracic and cardiovascular surgery,
T Tsujimoto, and
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T Kinoshita
January 1991,
International angiology : a journal of the International Union of Angiology,
T Tsujimoto, and
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December 1996,
Journal of vascular surgery,
T Tsujimoto, and
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December 2005,
Arquivos brasileiros de cardiologia,
T Tsujimoto, and
T Suzuki, and
T Kinoshita
April 2008,
The Journal of cardiovascular surgery,
T Tsujimoto, and
T Suzuki, and
T Kinoshita
January 2003,
Medicina (Kaunas, Lithuania),
