Epiglottic hematoma after carotid endarterectomy with cervical block

Area of Science:

• Anesthesiology
• Vascular Surgery

Background:

• Limited trials evaluate risks of cervical plexus block (CPB) during urgent carotid endarterectomy (CEA).
• CPB is an anesthetic option for CEA, but its complications require further study.

Observation:

• A patient undergoing urgent CEA with CPB developed a rare complication: postoperative epiglottic hematoma.
• Clinical signs aided in differentiating this hematoma from more common postoperative issues.

Findings:

• Epiglottic hematoma following CPB for CEA is a rare but serious complication.
• Steroids and observation were the primary treatment modalities for this patient.

Implications:

• This case underscores the need for vigilance regarding rare CPB complications in CEA.
• Further research is crucial to fully understand and mitigate risks associated with CPB in urgent CEA procedures.