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Lawrence Spielberger, MD; Herman Turndorf, MD; Alfred Culliford, MD; Anthony Imparato, MD

Arch Surg. 1979;114(1):103-104.

Abstract
• A toy squeaker held by the patient in the contralateral hand is used to monitor cerebral circulation during carotid endarterectomy. Regional anesthesia–cervical plexus block–allowed the patient to cooperate and give useful information, especially during the crucial period of test clamping. In a series of 300 cases, during a period of five years, it was instrumental in avoiding brain damage in 6% of the cases.

(Arch Surg 114:103-104, 1979)

Author Affiliations
From the Departments of Anesthesiology (Drs Spielberger and Turndorf) and Surgery (Drs Culliford and Imparato), New York University Medical Center, New York.

Footnotes
Accepted for publication June 29, 1978.

Reprint requests to Department of Anesthesiology, New York University Medical Center, 550 First Ave, New York, NY 10016 (Dr Spielberger).

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