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[Cervical plexus block for carotid surgery. 313 consecutive operations]

M Cogan1, H Borie, G Goursot

  • 1Service de Chirurgie vasculaire, Hôpital Saint-Michel, Paris.

Presse Medicale (Paris, France : 1983)
|October 1, 1994
PubMed
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.

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A comparison of ropivacaine and bupivacaine for cervical plexus block.

Anesthesia and analgesia·2001

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%).

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  • 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.