Simultaneous Bilateral Carotid Endarterectomy under Cervical Plexus Blockade

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Simultaneous Bilateral Carotid Endarterectomy under Cervical Plexus Blockade.

In patients with severe carotid artery stenosis who developed transient ischemic attack, carotid endarterectomy is one of the most effective treatments. In particular, in patients with contralateral carotid artery lesions, there is a risk of serious neurologic complications during the intra-operative period. Experienced staff can perform simultaneous bilateral carotid endarterectomy safely in c...

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Simultaneous bilateral carotid endarterectomy: our first experience.

UNLABELLED Indications for and against bilateral carotid surgery as a simultaneous or a staged procedure and patient selection criteria for simultaneous bilateral carotid endarterectomies (SBCE) are discussed. METHODS Six patients who underwent 12 SBCE (group A) were compared with 20 patients who underwent 40 bilateral staged endarterectomies (group B). The indications and surgical management...

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Remifentanil or propofol for sedation during carotid endarterectomy under cervical plexus block.

BACKGROUND During carotid endarterectomy under regional anaesthesia, patients often require medication to control haemodynamic instability and to provide sedation and analgesia. Propofol and remifentanil are used for this purpose. However, the benefits, side-effects, and optimal dose of these drugs in such patients are unclear. METHODS Sixty patients were included in a prospective, randomized...

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Lactate/pyruvate monitoring during carotid endarterectomy under general anaesthesia versus cervical plexus block: A randomised controlled study

BACKGROUND AND AIMS Carotid endarterectomy (CEA) reduces the risk of stroke in patients with significant carotid stenosis and may be performed under general anaesthesia (GA) or regional anaesthesia (RA). This study aimed to compare RA and GA with regard the jugular venous bulb blood lactate and pyruvate levels. METHODS This randomised-controlled trial was done between October-2013 and Septemb...

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Carotid Endarterectomy under Regional Anesthesia

Regional anesthesia for carotid endarterectomy is a simple, reliable, and virtually complication-free technique. We began to perform a series of carotid endarterectomy under regional anesthesia at our institution in May 1990. This report describes our experience with 180 operated patients from May 1990 till December 1995, with regional anesthesia. All patients were operated with microsurgery an...

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ژورنال

عنوان ژورنال: Turkish Journal of Anesthesia and Reanimation

سال: 2015

ISSN: 2149-0937,2149-276X

DOI: 10.5152/tjar.2015.87369