Carotid Endarterectomy: Comparison Between General Anesthesia and Local Anesthesia. Revision of Our Experience With 428 Consecutive Cases.
Summary of "Carotid Endarterectomy: Comparison Between General Anesthesia and Local Anesthesia. Revision of Our Experience With 428 Consecutive Cases."
BACKGROUND:
This sequential retrospective monocentric study compares the results between general and local anesthesia for carotid endarterectomy (CEA).
METHODS:
Between November 2002 and October 2004, 428 CEAs were performed in our vascular unit. Two groups were formed: group GA (general anesthesia): 219 patients operated under general anesthesia; group LA (local anesthesia): 209 patients operated under local anesthesia.
RESULTS:
No mortality was found in both groups. After surgery, three strokes were detected in group GA and three in group LA (GA 1.36% vs. LA 1.43%, p = .9540); After CEA, there were three TIAs in GA group and none in LA group (GA 0.42% vs. LA 0%, p = .2634).
CONCLUSION:
The morbi-mortality was not influenced by the type of anesthesia used for carotid surgery. No statistical difference was detected in the perioperative neurological and cardiopulmonary complication rates between GA and LA.
Affiliation
Vascular and Endovascular Surgery Unit, Mauriziano Umberto I Hospital, Turin, Italy.
Journal Details
This article was published in the following journal.
Name: Annals of vascular surgery
ISSN: 1615-5947
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20800430
- DOI: http://dx.doi.org/10.1016/j.avsg.2010.04.001
Medical and Biotech [MESH] Definitions
Delayed Emergence From Anesthesia
Abnormally slow pace of regaining CONSCIOUSNESS after general anesthesia (ANESTHESIA, GENERAL) usually given during surgical procedures. This condition is characterized by persistent somnolence.
Dibucaine
A local anesthetic of the amide type now generally used for surface anesthesia. It is one of the most potent and toxic of the long-acting local anesthetics and its parenteral use is restricted to spinal anesthesia. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1006)
Endarterectomy
Surgical excision, performed under general anesthesia, of the atheromatous tunica intima of an artery. When reconstruction of an artery is performed as an endovascular procedure through a catheter, it is called ATHERECTOMY.
Anesthesia Recovery Period
The period of emergence from general anesthesia, where different elements of consciousness return at different rates.
Thiamylal
A barbiturate that is administered intravenously for the production of complete anesthesia of short duration, for the induction of general anesthesia, or for inducing a hypnotic state. (From Martindale, The Extra Pharmacopoeia, 30th ed, p919)
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