BoardsBridgeCEA Awake Shunt
Awake neurologic assessment and prompt perfusion support during carotid clamping
During carotid test clamping or after shunt placement, a neurologic change should prompt blood-pressure augmentation with phenylephrine.
If you forget
New deficit during carotid clamping: augment blood pressure with phenylephrine and coordinate immediately with the surgeon.
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Key numbers
- C2-C4 dermatomes: target of cervical plexus block for regional CEA.
- More than 50 years: regional and local techniques have been used for CEA.
- 16-channel unprocessed EEG: selective-shunt series reported no unpredicted new neurologic deficit on awakening.
Uri Rozen, MD — Licensed Physician, Israel
Source guidelines: Millers Anesthesia 10 Ch52 Anesthesia FOR Vascular Surgery · Millers Anesthesia 10 Ch29 Anesthetic Implications OF Concurrent Diseases · Millers Anesthesia 10 Ch35 Neurophysiologic Monitoring · SVS Perioperative Vascular Care 2022
Re-review cadence: 12 months from reviewed date.
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Card ID: cea-awake-shunt · Path: aba.vascular.carotid.cea-awake-shunt