Luqman Yemi Adeyemo
Union University
Analyzing the neurological benifits of electroencephalogram versus cerebral oximetry monitoring in carotid endarterectomy surgery
According to the recent report from the center for disease control and prevention (cdc) Stroke is said to be the leading cause of death in the United States. Well over 130,000 people die from stroke or issues relating to stroke each year. This statistically means that an American dies from stroke every 4minutes ("cdc," 2014). 87% of all cerebrovascular accidents (CVA) or strokes in 2014 was as a result of ischemia. Ischemia is defined as a blockage of the main vessels that supply the brain with oxygen, and when blocked, stroke ensues. In recent times, there have been clamors for development of a more standardized and effective treatment model for stroke. An answer to that clamor is the surgical removal of the vessel blockage otherwise known as Carotid Endarterectomy. This surgical procedure is believed to be the most conclusive method of reducing the risk of stroke in the patient with partial or fully occluded carotid artery. Thus, numbers of patients going through this …show more content…
There is an upward of 2-3% chances of intraoperative development stroke in patients going through this procedure. Also, cross clamping of vessels during the procedure may precipitate hypoperfusion. (Satwant et al., 2000). It is therefore imperative that some forms of intraoperative monitoring of cerebral functionality be instituted to prevent occurrence of stroke or ischemia. This study is set out to examine the merits of using electroencephalogram (EEG) as against Cerebral Oximetry as an effective method of intraoperative neurologic monitoring in patients undergoing carotid