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Journals / Türk Anestezi ve Reanimasyon Dergisi / 2008 / Cilt: 36 - Sayı: 4

Cervical plexus block during carotid endarterectomy in a patient with a longstanding tracheostomy

Trakeostomili hastada servikal pleksus bloğu ile karotid endarterektomi uygulaması

Erdal ASLIM
Elif A. AKPEK
Yasin ALIC
Tankut AKAY
Pages
253–257
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The cervical plexus block was effective, the patient was calm and cooperative during the procedure, intraoperative course was uneventful

📌 3 Key Takeaways

🎯
Objective & Hypothesis:We describe a patient with a longstanding tracheostomy who underwent carotid endarterectomy (CEA) after a cervical plexus block had been administered.
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Key Findings & Data:In this individual, the challenges of anesthetic management, which were caused by his tracheostomy, included difficulty in differentiating the anatomic landmarks used to direct the placement of the regional blockade, the administration of supplemental oxygen, and ensuring effective clinical neurologic monitoring.
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Conclusion & Impact:The cervical plexus block was effective, the patient was calm and cooperative during the procedure, intraoperative course was uneventful
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

We describe a patient with a longstanding tracheostomy who underwent carotid endarterectomy (CEA) after a cervical plexus block had been administered. In this individual, the challenges of anesthetic management, which were caused by his tracheostomy, included difficulty in differentiating the anatomic landmarks used to direct the placement of the regional blockade, the administration of supplemental oxygen, and ensuring effective clinical neurologic monitoring. The cervical plexus block was effective, the patient was calm and cooperative during the procedure, intraoperative course was uneventful

Özet

Kalıcı trakeostomili bir hastada servikal pleksus bloğu ile karotid endarterektomi (KEA) ameliyatı sunulmuştur. Bu olgu, trakeostomi varlığı nedeni ile söz konusu olan, anatomik işaret noktaların bulunması, hava yolunun korunması ile oksijen desteğinin sağlanması ve etkili klinik nörolojik değerlendirme yapılması için iletişim kurulabilmesi gibi olası güçlükler bakımından ele alınmıştır. Servikal blok uygulaması başarı ile gerçekleştirildi, hasta sakin ve koopere idi, ameliyat sorunsuz şekilde tamamlandı.

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Cite This Article

ASLIM, E., AKPEK, E. A., ALIC, Y., AKAY, T. (2022). Cervical plexus block during carotid endarterectomy in a patient with a longstanding tracheostomy. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 36 - Sayı: 4, 253–257. https://ajindex.com/articles/619966

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References (11)

  1. Allen BT, Anderson CB, Rubin BG et al. The influence of anesthetic technique on perioperative complications after carotid endarterectomy. J Vasc Surg 1994; 19:834-42
  2. Santamaria G, Britti RD, Tescione M, Moschella A, Bellinvia C. Comparison between local and general anaesthesia for carotid endarterectomy. A retrospective analysis. Minerva Anaestesiol 2004; 70:771-8
  3. Brown H. Anatomy of the spinal accessory nerve plexus: relevance to head and neck cancer and atherosclerosis. Exp Biol Med 2002; 227:570-8
  4. Ducci M, Appetecchia M, Marzetti M. Neck dissection for surgical treatment of lymphnode metastasis in papillary thyroid carcinoma. J Exp Clin Cancer Res 1997; 16:333-5
  5. Karuman PM, Soo KC. Motor innervation of the trapezius muscle: a histochemical study. Head Neck 1996; 18:254-8
  6. Melgar MA, Mariwalla N, Madhusudan H, Weinand M. Carotid endarterectomy without shunt: the role of cerebral metabolic protection. Neurol Res 2005; 27:850-6
  7. Ackerstaff RG, van de Vlasakker CJ. Monitoring of brain function during carotid endarterectomy; an analysis of contemporary methods. J Cardiothorac Vasc Anaesth 1998; 12:341-7
  8. Bond R, Rerkasem K, Counsell C, et al. Routine or selective carotid shunting for carotid endarterectomy (and different methods of monitoring in selective shunting), Cochrane Database Syst Rev 2002; 2:CD000190
  9. Deogaonkar A, Vivar R, Bullock RE, Price K, Chambers I, Mendelow AD. Bispectral index monitoring may not reliably indicate cerebral ischaemia during awake carotid endarterectomy. Br J Anaesth 2005; 94:800-4
  10. Sarma SK, Dy EA, Welch K, Dorie P, Zelenock GB, Stanley JC. Evaluation of a cerebral oximeter as a monitor of cerebral ischemia during carotid endarterectomy. Anesthesiology 2000; 93:964-70
  11. Sbarigia E, Schioppa A, Misuraca M, et al. Somatosensory evoked potentials versus locoregional anaesthesia in the monitoring of cerebral function during carotid artery surgery: preliminary results of a prospective study. Eur J Vasc Endovasc Surg 2001; 21:413-6.