Potential adverse effects of norepinephrine on cortical somatosensory-evoked potentials during carotid endarterectomy: A case report

Philip David Bamberger, Sedat Ulkatan, Estela Lladó Carbó, Vedran Deletis, Alan I. Benvenisty

Research output: Contribution to journalArticlepeer-review

Abstract

The cerebral metabolic and vascular effects of intravenous norepinephrine have been shown in an animal model using somatosensory-evoked potentials (SSEPs). A case of intravenous norepinephrine resulting in a decrease in SSEP amplitude (of greater than 50%) despite no significant change in blood pressure, prior to cross-clamping during a carotid endarterectomy is presented. This finding may have implications for the use of norepinephrine in the critical care unit as well as the operating room.

Original languageEnglish
Pages (from-to)657-660
Number of pages4
JournalJournal of Clinical Anesthesia
Volume23
Issue number8
DOIs
StatePublished - Dec 2011
Externally publishedYes

Keywords

  • Carotid endarterectomy
  • Neurophysiologic monitoring
  • Norepinephrine
  • Somatosensory-evoked potentials

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