Anesthesia technique choice motives for carotid endarterectomy

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The choice of anesthesia technique for carotid endarterectomy has been discussed for a long time. The authors consider various options for general anesthesia and regional blockades for awake surgery. Several studies have compared the effect of general and regional anesthesia on 30-day postoperative outcomes including stroke, myocardial infarction and mortality. However, selection of anesthesia in various cases has been not adequately addressed. This review is devoted to foreign and national literature data on selection of anesthesia technique for carotid endarterectomy. The authors discuss potential benefits and drawbacks of actual approaches in clinical practice. Indications and contraindications for various anesthetic techniques are summarized. The main factors affecting selection of anaesthetic methods for carotid endarterectomy are identified.

Keywords:

anesthetic technique

carotid endarterectomy

general anesthesia

local anesthesia

regional anesthesia

Authors:

Syrovatskiy A.A.

Sokolov North-Western District Scientific and Clinical Center

Saiganov S.A.

Mechnikov North-Western State Medical University

Lebedinskii K.M.

North-Western State Medical University n.a. Mechnikov, Federal Research;
Clinical Center of Intensive Care Medicine and Rehabilitology

SPIN RSCI: 3590-2308
Scopus AuthorID: 6602775085
ResearcherID: O-8655-2014
ORCID: 0000-0002-5752-4812

Received:

18.11.2021

Accepted:

12.12.2021

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