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[Neuroanesthesia during carotid thromboendarterectomy interventions]
M Fregonara1, A Gratarola, C Pissaia
1I Servizio di Anestesia e Rianimazione, Ospedale Maggiore della Carità, Novara.
Minerva Anestesiologica
|April 1, 1992
Abstract:
The paper describes two techniques of anesthesia used during carotid thromboendarteriectomy surgery. The first technique utilises a mixture of O2-N2O, isofluorane and fentanyl as analgesic; the halogenate compound is not administered during carotis clamping and fentanyl is used for maintenance. The second technique is predominantly intravenous and utilises differing doses of propofol during the entire operation with fentanyl as an analgesic. The two techniques are comparable in terms of management and efficacy; the use of ECG monitoring is vital to identify possible intraoperative cerebral ischemic phenomena.