Carotid Endarterectomy; Local or General Anaesthesia?
نویسندگان
چکیده
منابع مشابه
Local versus general anaesthesia for carotid endarterectomy.
BACKGROUND Carotid endarterectomy reduces the risk of stroke in people with recently symptomatic, severe carotid artery stenosis. However, there are significant perioperative risks which may be lessened by performing the operation under local rather than general anaesthetic. This is an update of a Cochrane review first published in 1996, and previously updated in 2004. OBJECTIVES To assess th...
متن کاملAnaesthesia for carotid endarterectomy - general or loco-regional?
Carotid endarterectomy has been widely used for the surgical treatment of carotid stenosis, and may be performed under either general or loco-regional anaesthesia. The greatest risks of carotid endarterectomy are the neurologic complications and the myocardial infarction. Anaesthetic and surgical techniques are constantly under scrutiny to try to reduce the relatively high incidence of morbidit...
متن کاملIntraoperative Monitoring Modalities for Carotid Endarterectomy Under General Anaesthesia
Stroke is the most significant perioperative risk for patients undergoing carotid endarterectomy (CEA). Patients are accepting a greatly increased short-term risk of stroke in return for a reduced risk over the subsequent years. The causes of perioperative stroke are multiple and include emboli, technical problems such as intimal flap, intraoperative cerebral ischaemia during clamping, and post...
متن کاملRegional anaesthesia for carotid endarterectomy.
Summary Regional anaesthesia is a popular choice for patients undergoing carotid endarterectomy (CEA). Neurological function is easily assessed during carotid cross-clamping; haemodynamic control is predictable; and hospital stay is consistently shorter compared with general anaesthesia (GA). Despite these purported benefits, mortality and stroke rates associated with CEA remain around 5% for b...
متن کاملPhysiological advantages of cerebral blood flow during carotid endarterectomy under local anaesthesia. A randomised clinical trial.
OBJECTIVE to examine the effects of type of anaesthesia on cerebral blood flow during carotid endarterectomy (CEA). DESIGN prospective randomised study. METHODS thirty-four CEA procedures under local anaesthesia (LA) are compared to 33 procedures under general anaesthesia (GA). Mean middle cerebral artery velocity (MCAV(mean)) was monitored using Transcranial Doppler (TCD) and mean arterial...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: European Journal of Vascular and Endovascular Surgery
سال: 2001
ISSN: 1078-5884
DOI: 10.1053/ejvs.2001.1382