TY - JOUR
T1 - Carotid endarterectomy
T2 - A comparison of regional versus general anesthesia in 500 operations
AU - Bowyer, Mark W.
AU - Zierold, Dustin
AU - Loftus, John P.
AU - Egan, J. Craig
AU - Inglis, Kristen J.
AU - Halow, Kevin D.
PY - 2000
Y1 - 2000
N2 - The outcomes of 489 patients undergoing 500 carotid endarterectomies were reviewed to compare results from using general anesthesia with those from using regional (cervical block) anesthesia. From September 1982 to May 1998, 228 procedures (221 patients) were performed under general anesthesia and 272 procedures (268 patients) were performed under local anesthesia. A detailed comparison of the two groups revealed close similarity in age, sex, presenting symptoms, and associated risk factors. Overall, perioperative mortality was 0.8%. In comparison to regional anesthesia, the general anesthesia group had greater overall morbidity (23.3 vs. 13.6%, p < 0.008) and more frequent use of postoperative vasoactive drugs to control blood pressure (40.4 vs. 26.1%, p < 0.001). Furthermore, anesthesia time, operative time, and frequency of shunt use were significantly greater in the general anesthesia group (p < 0.03).
AB - The outcomes of 489 patients undergoing 500 carotid endarterectomies were reviewed to compare results from using general anesthesia with those from using regional (cervical block) anesthesia. From September 1982 to May 1998, 228 procedures (221 patients) were performed under general anesthesia and 272 procedures (268 patients) were performed under local anesthesia. A detailed comparison of the two groups revealed close similarity in age, sex, presenting symptoms, and associated risk factors. Overall, perioperative mortality was 0.8%. In comparison to regional anesthesia, the general anesthesia group had greater overall morbidity (23.3 vs. 13.6%, p < 0.008) and more frequent use of postoperative vasoactive drugs to control blood pressure (40.4 vs. 26.1%, p < 0.001). Furthermore, anesthesia time, operative time, and frequency of shunt use were significantly greater in the general anesthesia group (p < 0.03).
UR - http://www.scopus.com/inward/record.url?scp=0034062473&partnerID=8YFLogxK
U2 - 10.1007/s100169910026
DO - 10.1007/s100169910026
M3 - Article
C2 - 10742429
AN - SCOPUS:0034062473
SN - 0890-5096
VL - 14
SP - 145
EP - 151
JO - Annals of Vascular Surgery
JF - Annals of Vascular Surgery
IS - 2
ER -