Surgical Techniques in Aneurysm Clipping

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What is the primary purpose of using EEG monitoring during flow interruption?

To monitor for major ischemic events

What is the common practice if EEG shows significant slowing during temporary occlusion?

Raise the mean arterial pressure (MAP)

When might it be appropriate to administer barbiturates during occlusion?

If EEG shows significant slowing

What is the purpose of a temporary occlusion before proceeding with a sustained period?

<p>To observe changes in EEG</p> Signup and view all the answers

Why might a surgeon place an electrode strip over the cortex at risk during occlusion?

<p>To monitor for changes in brain activity</p> Signup and view all the answers

What is an important brain protection technique during surgery according to the text?

<p>Limitation of the duration of temporary occlusion episodes</p> Signup and view all the answers

Why is etomidate not recommended for use during surgery according to the text?

<p>It has demonstrated an adverse effect in focal ischemia animal models</p> Signup and view all the answers

What is the key consideration for choosing an anesthetic regimen during aneurysm procedures based on the text?

<p>Precise hemodynamic control and timely wake-up</p> Signup and view all the answers

What is suggested as the minimum hemoglobin value for patients undergoing aneurysm surgery based on the text?

<p>&gt;9 g/dL</p> Signup and view all the answers

Why are barbiturates reserved for specific situations during surgery according to the text?

<p>Potential adverse effects on hemodynamics and wake-up</p> Signup and view all the answers

What is the purpose of placing a temporary clip proximally on the feeding vessel during an aneurysm surgery?

<p>To facilitate the dissection of the neck and apply the permanent clip</p> Signup and view all the answers

In which situation is it occasionally necessary to trap the aneurysm during surgery?

<p>For giant aneurysms near the carotid siphon</p> Signup and view all the answers

What does a clinical survey reveal about temporary occlusion in normothermic, normotensive adults?

<p>Ischemic injuries are inevitable with occlusions exceeding 14 minutes</p> Signup and view all the answers

Why is it recommended to sustain MAP at high-normal levels during temporary occlusion?

<p>To facilitate collateral CBF</p> Signup and view all the answers

What is a common informal rule applied to individual periods of temporary occlusion?

<p>7-minute rule</p> Signup and view all the answers

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