Pregled bibliografske jedinice broj: 1257800
The hemodynamic effect of intermediate cervical plexus block compared to general anesthesia in high risk patients with carotid endarterectomy
The hemodynamic effect of intermediate cervical plexus block compared to general anesthesia in high risk patients with carotid endarterectomy // Periodicum biologorum, 115 (2013), 2; 295-297 (nije recenziran, članak, stručni)
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Naslov
The hemodynamic effect of intermediate cervical
plexus block compared to general anesthesia in
high risk patients with carotid endarterectomy
Autori
BANDIĆ PAVLOVIĆ, DANIELA ; TONKOVIĆ, DINKO ; SAKAN, SANJA ; MARTINOVIĆ, ŽELJKA
Izvornik
Periodicum biologorum (1849-0964) 115
(2013), 2;
295-297
Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, stručni
Ključne riječi
intermediate cervical block ; general anesthesia ; carotid endarterectomy
Sažetak
Background and purpose: Preventive open carotid surgery is a mainstay treatment for stenosis of internal carotid artery. Anesthesia management is crucial in these patients with many comorbidities. Both, general or regional anesthesia are the correct choice. The purpose of our trial was to compare the hemodynamic stability of intermediate cervical plexus block relative to general anesthesia in ASA III and ASA IV patients. Materials and methods: Prospective study, approved by ethics committee, was conducted in the University hospital Zagreb from 2006 till 2010. Eighty nine high risk patients with carotid endarterectomy were enrolled. Thirty five patients were performed in the intermediate cervical block and fifty four in general anesthesia. From medical records, following data were collected – age, sex, ASA status. Mean arterial pressure was calculated. The change of mean arterial pressure during the operation for more than 20% was considered as hemodynamic instability. Postoperative hospital stay was recorded. Results: Significantly higher hemodynamic stability is found in the group of patients with intermediate cervical block (chi- square test=27, 763, p<0, 01). The median intensive care unit stay was 2, 47 days for general anesthesia group, compared to one day for intermediate cervical group. Conclusion: General anesthesia and intermediate cervical block provide effective anesthesia condition for carotid endarterectomy. According to the results of our trial, intermediate cervical block compared to general anesthesia is more hemodynamic stable, associated with shorter hospital stay.
Izvorni jezik
Engleski
POVEZANOST RADA
