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Anesthetic Considerations for Endovascular Repair of the Thoracic Aorta

Olivia M Valencia1, Thomas Powell1, Ali Khalifa1

  • 1Division of Cardiovascular Anesthesiology, Texas Heart Institute, Baylor College of Medicine, Houston, TX, USA.

Seminars in Cardiothoracic and Vascular Anesthesia
|November 1, 2024
PubMed

Keywords:
aortic archascending aortacardiac anesthesiadescending aortaendovascularthoracic aorta

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
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