title: Neurological evaluation by intraoperative wake-up during carotid endarterectomy under general anesthesia.
abstract: Although general anesthesia allows relief from stressors such as pain, discomfort, or anxiety for patients undergoing carotid endarterectomy, neurologic assessment is less reliable than under local anesthesia. We describe a unique anesthetic management strategy for carotid endarterectomy patients incorporating the advantages of both general and local anesthesia. The technique allows thorough assessment of neurologic function during carotid cross-clamping by intraoperative wake-up, and guarantees airway management by tracheal intubation.
authors.affiliation: Department of Anesthesiology, Saga Medical School, Nebeshima, Saga, Japan. kitagawa@mail.anes.saga-med.ac.jp
authors.forename: Norihito
authors.initials: N
authors.lastname: Kitagawa
authors.forename: Mayuko
authors.initials: M
authors.lastname: Oda
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Kakiuchi
authors.forename: Miwa
authors.initials: M
authors.lastname: Taniguchi
authors.forename: Tadahide
authors.initials: T
authors.lastname: Totoki
authors.forename: Satoshi
authors.initials: S
authors.lastname: Ohtsubo
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Harano
mesh_terms: D000768:Anesthesia, General; D000772:Anesthesia, Local; D016893:Carotid Stenosis / Q000601:surgery; D003243:Consciousness; D003250:Constriction; D016894:Endarterectomy, Carotid; D006801:Humans; D007442:Intubation, Intratracheal; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000379:methods*; D009460:Neurologic Examination