Endarterectomía carotídea bajo anestesia regional: experiencia inicial

Background: Endarterectomy is the treatment of choice for internal carotid artery critical stenosis. Some authors have proposed that the use of regional anesthesia has advantages over general anesthesia. Aim: To report our initial experience with carotid endarterectomy under regional anesthesia. Pat...

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Autores principales:	Mertens M,Renato, Canessa B,Roberto, Valdés E,Francisco, Krämer Sch,Albrecht, Lema F,Guillermo, Díaz G,Rodrigo, Urzúa U,Jorge
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2000
Materias:	Anesthesia, conduction Endarterectomy, carotid Hypertension
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000100007
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spelling	oai:scielo:S0034-988720000001000072000-05-25Endarterectomía carotídea bajo anestesia regional: experiencia inicialMertens M,RenatoCanessa B,RobertoValdés E,FranciscoKrämer Sch,AlbrechtLema F,GuillermoDíaz G,RodrigoUrzúa U,Jorge Anesthesia, conduction Endarterectomy, carotid Hypertension Background: Endarterectomy is the treatment of choice for internal carotid artery critical stenosis. Some authors have proposed that the use of regional anesthesia has advantages over general anesthesia. Aim: To report our initial experience with carotid endarterectomy under regional anesthesia. Patients and methods: Between 1998 and 1999, patients with critical carotid artery stenosis, asymptomatic or with transient and recovered symptoms, were selected. A C2, C3, C4 root deep cervical block and superficial block was performed, using a mixture of lidocaine and bupivacaine. A carotid endarterectomy with patch and without routine shunt insertion, with standard and neurological monitoring, was performed. Results: During the study period, 94 carotid endarterectomies were done, 22 under regional anesthesia in 21 patients (12 male, age range 58-90 years old). Ninety five percent had hypertension, 52% smoked and 38% had renal dysfunction. One patient was converted to general anesthesia. Seventeen patients were discharged within 48 hours of the procedure and the rest, within 72 hours. There was no mortality or complications. Conclusions: Endarterectomy under regional anesthesia is less invasive, has excellent results and is well accepted by patients. (Rev Méd Chile 2000; 128: 53-58)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.128 n.1 20002000-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000100007es10.4067/S0034-98872000000100007
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Anesthesia, conduction Endarterectomy, carotid Hypertension
spellingShingle	Anesthesia, conduction Endarterectomy, carotid Hypertension Mertens M,Renato Canessa B,Roberto Valdés E,Francisco Krämer Sch,Albrecht Lema F,Guillermo Díaz G,Rodrigo Urzúa U,Jorge Endarterectomía carotídea bajo anestesia regional: experiencia inicial
description	Background: Endarterectomy is the treatment of choice for internal carotid artery critical stenosis. Some authors have proposed that the use of regional anesthesia has advantages over general anesthesia. Aim: To report our initial experience with carotid endarterectomy under regional anesthesia. Patients and methods: Between 1998 and 1999, patients with critical carotid artery stenosis, asymptomatic or with transient and recovered symptoms, were selected. A C2, C3, C4 root deep cervical block and superficial block was performed, using a mixture of lidocaine and bupivacaine. A carotid endarterectomy with patch and without routine shunt insertion, with standard and neurological monitoring, was performed. Results: During the study period, 94 carotid endarterectomies were done, 22 under regional anesthesia in 21 patients (12 male, age range 58-90 years old). Ninety five percent had hypertension, 52% smoked and 38% had renal dysfunction. One patient was converted to general anesthesia. Seventeen patients were discharged within 48 hours of the procedure and the rest, within 72 hours. There was no mortality or complications. Conclusions: Endarterectomy under regional anesthesia is less invasive, has excellent results and is well accepted by patients. (Rev Méd Chile 2000; 128: 53-58)
author	Mertens M,Renato Canessa B,Roberto Valdés E,Francisco Krämer Sch,Albrecht Lema F,Guillermo Díaz G,Rodrigo Urzúa U,Jorge
author_facet	Mertens M,Renato Canessa B,Roberto Valdés E,Francisco Krämer Sch,Albrecht Lema F,Guillermo Díaz G,Rodrigo Urzúa U,Jorge
author_sort	Mertens M,Renato
title	Endarterectomía carotídea bajo anestesia regional: experiencia inicial
title_short	Endarterectomía carotídea bajo anestesia regional: experiencia inicial
title_full	Endarterectomía carotídea bajo anestesia regional: experiencia inicial
title_fullStr	Endarterectomía carotídea bajo anestesia regional: experiencia inicial
title_full_unstemmed	Endarterectomía carotídea bajo anestesia regional: experiencia inicial
title_sort	endarterectomía carotídea bajo anestesia regional: experiencia inicial
publisher	Sociedad Médica de Santiago
publishDate	2000
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000100007
work_keys_str_mv	AT mertensmrenato endarterectomiacarotideabajoanestesiaregionalexperienciainicial AT canessabroberto endarterectomiacarotideabajoanestesiaregionalexperienciainicial AT valdesefrancisco endarterectomiacarotideabajoanestesiaregionalexperienciainicial AT kramerschalbrecht endarterectomiacarotideabajoanestesiaregionalexperienciainicial AT lemafguillermo endarterectomiacarotideabajoanestesiaregionalexperienciainicial AT diazgrodrigo endarterectomiacarotideabajoanestesiaregionalexperienciainicial AT urzuaujorge endarterectomiacarotideabajoanestesiaregionalexperienciainicial
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Endarterectomía carotídea bajo anestesia regional: experiencia inicial

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