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[Cervical plexus block for carotid surgery. 313 consecutive operations]
Presse Medicale (Paris, France : 1983)
|October 1, 1994
Summary
Cervical plexus blockade is a safe and effective anesthesia for carotid surgery, enabling vigilant monitoring of brain tolerance to carotid artery occlusion. This method demonstrated low morbidity and mortality rates in a study of 313 patients.
Area of Science:
- Neurology
- Anesthesiology
- Vascular Surgery
Context:
- Carotid artery surgery aims to prevent stroke but carries risks.
- Optimal anesthetic techniques for carotid endarterectomy remain debated.
- Maintaining brain perfusion and monitoring neurological function during surgery is critical.
Purpose:
- To evaluate the efficacy and safety of cervical plexus blockade for carotid surgery.
- To assess neurological complications and patient tolerance to carotid artery occlusion under this anesthesia.
- To report early outcomes of carotid surgery performed with vigilant patients under cervical plexus blockade.
Summary:
- 313 carotid surgeries were performed using cervical plexus blockade with bupivacaine.
- Neurological events occurred in 12.8% of patients, with higher rates in those with contralateral occlusion (35.5%).
- The study reported a 1.6% morbidity and 0.3% mortality, with no myocardial infarctions observed.
Impact:
- Cervical plexus blockade offers a simple and effective anesthetic option for carotid surgery.
- It allows for reliable assessment of patient tolerance to carotid artery clamping.
- The technique supports stable myocardial hemodynamics during the procedure.