Ultrasound-guided locoregional anaesthesia for carotid endarterectomy: a prospective observational study

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
R MartuseviciusH B Nielsen

Abstract

Ultrasound guidance is increasingly used for invasive anaesthetic procedures to improve efficacy, facilitate performance and reduce risk of complications. Herein, we present a simple approach to ultrasound-guided locoregional anaesthesia for patients undergoing eversion carotid endarterectomy. At the level of the base of the carotid bifurcation, the needle was inserted at the lateral border of the sternocleidomastoid muscle and, guided by ultrasound, advanced 0.5-1 cm posterolateral to the carotid artery, where ropivacaine (7.5 mg ml(-1)) was injected. During retraction of the needle, additional local anaesthetic was administered beneath the sternocleidomastoid muscle and, finally, subcutaneous infiltration along the surgical incision line was performed. The primary study end point was the amount of additional ropivacaine (7.5 mg ml(-1)) provided intra-operatively. Secondary measures included the occurrence of puncture-related complications and the adverse effects to locoregional anaesthesia. Sixty consecutive patients admitted for primary carotid endarterectomy were prospectively included. The volume of administered ropivacaine for locoregional anaesthesia and subsequent intra-operative supplementation was 31.7 ± 3.5 and 1.9 ±...Continue Reading

References

Feb 17, 1998·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·D Raithel
Oct 23, 2003·British Journal of Anaesthesia·J J PanditJ F Morris
Apr 29, 2004·British Journal of Anaesthesia·R J Telford, M D Stoneham
Jan 5, 2005·Surgical Neurology·Atos Alves de SousaGervásio Telles Cardoso Carvalho
Oct 27, 2010·Regional Anesthesia and Pain Medicine·De Q H TranRoderick J Finlayson
May 27, 2011·British Journal of Anaesthesia·S K RamachandranJ J Pandit

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Citations

Sep 3, 2013·Current Opinion in Anaesthesiology·Kirstin M Erickson, Daniel J Cole
Aug 13, 2014·Anesthesiology Clinics·James FlahertyRyan Derby
Sep 2, 2014·Journal of Ultrasound·Alessandra CiccozziFranco Marinangeli
Dec 17, 2015·Anaesthesia Critical Care & Pain Medicine·Isabelle LeblancIvan Philip
Jul 5, 2018·Korean journal of anesthesiology·Jin-Soo KimSook Young Lee
Mar 17, 2020·Dento Maxillo Facial Radiology·Theodosios SaranteasChristos Perisanidis
Mar 2, 2016·European Journal of Anaesthesiology·Pernille CedergreenHenning Bay Nielsen
May 7, 2020·The Journal of Craniofacial Surgery·Ali Bestemi Kepekçi, Ahmet Hamdi Kepekçi
Jan 9, 2021·The Journal of Vascular Access·Emre Can Çelebioğlu, Mehmet Sadık Bilgiç
Feb 21, 2021·Journal of Cardiothoracic and Vascular Anesthesia·Fulya Yilmaz, Koray Bas

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