Cervical epidural anaesthesia for carotid artery surgery

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Anaesthesia for carotid artery surgery.

Twenty-one carotid endarterectomies were performed on 18 patients anaesthetised during droperidol, fentanyl and a cervical plexus block. This technique permitted testing for motor function during carotid clamping, and allowed the operation to proceed safely without a shunt in the majority of patients.

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BACKGROUND Cervical epidural anaesthesia is a regional anaesthesia technique which has been used for upper limb surgery, upper thoracic wall surgery, carotid artery surgery and neck dissections. Anaesthesia for thyroid surgery can be complicated due to the altered functional status of the thyroid or its large size. OBJECTIVE This prospective study was designed to assess the effectiveness and ...

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Cervical Epidural Anesthesia for Carotid Endarterectomy.

The objective of the work was to verify in common clinical practice the advantages and disadvantages of surgery of the carotid arteries under general or regional anaesthesia and the possibility of selective use of a carotid shunt. Epidural cervical block appears to be a useful alternative of general anaesthesia, for the patient as well as the surgeon. It makes it possible to select, if desired,...

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Cervical Carotid Artery

Background and Purpose A model for cerebral ischemia that requires injection of emboli into the internal carotid artery of the rabbit is commonly used. However, in our experience we have found the anatomy of the cervical carotid to be highly variable. If not appreciated, this may result in unexpectedly high variability in the severity of ischemic injury. We undertook this experimental protocol ...

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ژورنال

عنوان ژورنال: Canadian Journal of Anaesthesia

سال: 1990

ISSN: 0832-610X,1496-8975

DOI: 10.1007/bf03005590