Format

Send to

Choose Destination
Neurosurgery. 2001 Sep;49(3):642-5.

Carotid endarterectomy with regional anesthesia.

Author information

1
Section of Neurosurgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA. robert.e.harbaugh@hitchcock.org

Abstract

The senior author (REH) has changed his technique for performing carotid endarterectomy from the use of general anesthesia to the use of cervical block anesthesia. Because a randomized study was not performed, it is difficult to separate effects of increased surgical experience from those caused by a change in anesthetic regimen. Nonetheless, there has been a substantial decrease in complications, length of hospital stay, and costs concomitant with the change to regional anesthesia; we think there is a causal relationship. The use of cervical block anesthesia has practically eliminated the non-stroke-related complications associated with carotid endarterectomy in our practice. The technique for performing carotid endarterectomy under cervical block anesthesia is described in detail.

PMID:
11523675
[Indexed for MEDLINE]

Supplemental Content

Loading ...
Support Center