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
Jun 20, 2007·British Journal of Anaesthesia·J J PanditP Gration
Jan 29, 2009·British Journal of Anaesthesia·M S AbrahamsJ-L Horn
Dec 17, 2009·Anesthesia and Analgesia·Yosuke UsuiKenjiro Matsuno
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
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 3, 2014·Anaesthesia·A L CalderonE Boselli
May 9, 2015·Journal of Vascular Surgery·Judith HoeferCorinna Velik-Salchner
May 28, 2015·Der Anaesthesist·R SeidelA Wree
Dec 17, 2015·Anaesthesia Critical Care & Pain Medicine·Isabelle LeblancIvan Philip
Aug 2, 2016·Anaesthesia Critical Care & Pain Medicine·Arslane AliletGuillaume Besch
Oct 16, 2016·Der Anaesthesist·R SeidelM Schulze
Jul 5, 2018·Korean journal of anesthesiology·Jin-Soo KimSook Young Lee
Jul 6, 2016·Regional Anesthesia and Pain Medicine·Jin-Soo KimHan Bum Joe
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
Apr 3, 2020·Journal of Anesthesia·Ha Yeon KimJin-Soo Kim
Jun 30, 2018·Yeungnam University Journal of Medicine·Wangseok DoHeon-Jeong Lee
Mar 19, 2015·European Journal of Anaesthesiology·Andreas KoköferPeter Gerner
Oct 3, 2018·Der Anaesthesist·R SeidelM Schulze
Aug 25, 2020·European Journal of Anaesthesiology·B Krishna ArjunMadappa C Narendrababu
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
Apr 23, 2021·Journal of Vascular Surgery·Helmuth TauberCorinna Velik-Salchner