Carotid endarterectomy with regional anesthesia

Citation
Re. Harbaugh et Hj. Pikus, Carotid endarterectomy with regional anesthesia, NEUROSURGER, 49(3), 2001, pp. 642-645
Citations number
13
Categorie Soggetti
Neurology,"Neurosciences & Behavoir
Journal title
NEUROSURGERY
ISSN journal
0148396X → ACNP
Volume
49
Issue
3
Year of publication
2001
Pages
642 - 645
Database
ISI
SICI code
0148-396X(200109)49:3<642:CEWRA>2.0.ZU;2-P
Abstract
THE SENIOR AUTHOR (REH) has changed his technique for performing carotid en darterectomy from the use of general anesthesia to the use of cervical bloc k anesthesia. Because a randomized study was not performed, it is difficult to separate effects of increased surgical experience from those caused by a change in anesthetic regimen. Nonetheless, there has been a substantial d ecrease in complications, length of hospital stay, and costs concomitant wi th the change to regional anesthesia; we think there is a causal relationsh ip (11). The use of cervical block anesthesia has practically eliminated th e non-stroke-related complications associated with carotid endarterectomy i n our practice. The technique for performing carotid endarterectomy under c ervical block anesthesia is described in detail.