A literature review on anesthetic practice for carotid endarterectomy surgery based on cost, hemodynamic stability, and neurologic status.
An extensive literature review was undertaken to evaluate the best anesthetic practice for carotid endarterectomy surgery. Two anesthetic techniques were evaluated: general anesthetic with an endotracheal tube and regional anesthetic block. Three variables were reviewed with respect to significant clinical outcomes based on anesthetic technique. Relevant literature was obtained through multiple sources that included professional journals, a professional website, and textbooks. According to the literature, there is an advantage to performing regional anesthesia with respect to cost and neurologic status. Information analyzed was inconclusive with respect to hemodynamic stability and anesthetic technique. We conclude that regional anesthesia may have some slight advantages; however, more investigation is warranted.
Meitzner
Mark C
MC
William Beaumont Hospital, Royal Oak, Mich, USA.
Skurnowicz
Julie A
JA
Mitchell
Anne
A
D000765:Anesthesia, Conduction / Q000009:adverse effects / Q000191:economics / Q000379:methods; D000768:Anesthesia, General / Q000009:adverse effects / Q000191:economics / Q000379:methods; D019985:Benchmarking; D002545:Brain Ischemia / Q000209:etiology; D003362:Cost-Benefit Analysis; D016894:Endarterectomy, Carotid; D019317:Evidence-Based Medicine; D006801:Humans; D006973:Hypertension / Q000209:etiology; D007902:Length of Stay; D016343:Monitoring, Intraoperative; D017202:Myocardial Ischemia / Q000209:etiology; D009460:Neurologic Examination; D009719:Nurse Anesthetists; D018579:Patient Selection; D016896:Treatment Outcome