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[Carotid endarterectomy using cervical plexus block]

C Aguilar1, S Malillos, M Aroca

  • 1Servicio de Anestesiología, Hospital Universitario San Carlos, Madrid.

Revista Espanola De Anestesiologia Y Reanimacion
|December 1, 1995
PubMed
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Cervical plexus block is an effective anesthesia for carotid endarterectomy, well-tolerated by patients. This regional anesthesia allows continuous neurological monitoring and reduces stroke risk during surgery.

Area of Science:

  • Anesthesiology
  • Neurosurgery
  • Vascular Surgery

Context:

  • Carotid endarterectomy is a surgical procedure to remove plaque from the carotid arteries.
  • Cervical plexus block is a regional anesthesia technique used for head and neck surgeries.

Purpose:

  • To evaluate the efficacy, patient satisfaction, and safety of combined superficial and deep cervical plexus block for carotid endarterectomy.
  • To assess neurological manifestations, hemodynamic changes, and perioperative complications associated with this anesthetic technique.

Summary:

  • The study prospectively analyzed 52 patients undergoing carotid endarterectomy with cervical plexus block.
  • The anesthetic technique was effective in all patients, with 92% reporting high satisfaction.
  • Transient dysphonia was the most common complication (36.5%), with no serious anesthesia-related adverse events. Neurological signs during carotid clamping resolved with shunting.

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Impact:

  • Cervical plexus block provides effective regional anesthesia for carotid endarterectomy, allowing continuous neurological assessment.
  • This technique facilitates the use of intraluminal shunts, potentially preventing stroke during surgery.
  • The procedure is well-tolerated, associated with low complication rates, and preferred by patients for future surgeries.