Neurological evaluation by intraoperative wake-up during carotid endarterectomy under general anesthesia.
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.
Kitagawa
Norihito
N
Department of Anesthesiology, Saga Medical School, Nebeshima, Saga, Japan. kitagawa@mail.anes.saga-med.ac.jp
Oda
Mayuko
M
Kakiuchi
Toshihiko
T
Taniguchi
Miwa
M
Totoki
Tadahide
T
Ohtsubo
Satoshi
S
Harano
Kiyoshi
K
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