Kasprzak, Piotr M. and Altmeppen, J. and Angerer, M. and Mann, S. and Mackh, J. and Topel, I. (2006) General versus locoregional anesthesia in carotid surgery: A prospective randomised trial. VASA-JOURNAL OF VASCULAR DISEASES, 35 (4). pp. 232-238. ISSN 0301-1526,
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Background: To evaluate the influence of anesthetic technique on perioperative neurological and cardiopulmonary complication rates inpatients undergoing carotid endarterectomy. Patients and methods: 186 patients with symptomatic internal carotid artery (ICA) stenosis > 70% orasymptomatic ICA stenosis > 80% were prospectively randomized for either locoregional (LA) or general anesthesia (GA). Results: Neurological complication rates were similar in both groups (GA 2% vs. LA 2%). Cardiopulmonary complication rates were not significantly different (GA 4% vs LA 1%). There were no stroke-related deaths, but one patient from the GA group died from severe postoperative pneumonia. Thus, a significant difference in combined stroke / cardiopulmonary related death between the two groups (GA 1% vs LA 0%) could not be found. However, perioperative cardiopulmonary monitoring showed that significantly more patients operated under general anesthesia had hypertensive events, with systolic blood pressure values greater than 180 mmHg on postoperative day one. There were no differences in the number of postoperatively hypotensive episodes (systolic blood pressure values < 100 mmHg) between the two groups. Conclusions: Significant differences in the perioperative neurological and cardiopulmonary complication rates between general and locoregional anesthesia in patients undergoing carotid endarterectomy could not be observed.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | REGIONAL ANESTHESIA; PERIOPERATIVE COMPLICATIONS; ARTERY SURGERY; CERVICAL BLOCK; ENDARTERECTOMY; STENOSIS; ISCHEMIA; DISEASE; anesthesia general; anesthesia locoregional; cartotid artery disease |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Anästhesiologie Medicine > Lehrstuhl für Chirurgie Medicine > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie Medicine > Lehrstuhl für Neurologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 20 Jan 2021 08:19 |
| Last Modified: | 20 Jan 2021 08:19 |
| URI: | https://pred.uni-regensburg.de/id/eprint/33845 |
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