title: Simultaneous Bilateral Carotid Endarterectomy under Cervical Plexus Blockade.
abstract: In patients with severe carotid artery stenosis who developed transient ischemic attack, carotid endarterectomy is one of the most effective treatments. In particular, in patients with contralateral carotid artery lesions, there is a risk of serious neurologic complications during the intra-operative period. Experienced staff can perform simultaneous bilateral carotid endarterectomy safely in carefully selected patients. The advantages of regional anaesthesia in carotid endarterectomy are evaluation of intra-operative neurological condition and defining correct indications for shunt usage. It is a cheap, reliable and easy method that reduces the length of stay in the intensive care unit and in the hospital and may influence the overall cost of care. However, it is important to make dose adjustments to avoid potential complications of nerve involvement during bilateral procedure. In this case report, we share our experiences regarding bilateral carotid endarterectomy under cervical plexus blockade.
authors.affiliation: Clinic of Anaesthesiology and Reanimation, Antalya Training and Research Hospital, Antalya, Turkey.
authors.forename: Ali Sait
authors.initials: AS
authors.lastname: Kavaklı
authors.affiliation: Clinic of Cardiovascular Surgery, Antalya Training and Research Hospital, Antalya, Turkey.
authors.forename: Raif Umut
authors.initials: RU
authors.lastname: Ayoğlu
authors.affiliation: Clinic of Anaesthesiology and Reanimation, Antalya Training and Research Hospital, Antalya, Turkey.
authors.forename: Nilgün Kavrut
authors.initials: NK
authors.lastname: Öztürk
authors.affiliation: Clinic of Cardiovascular Surgery, Antalya Training and Research Hospital, Antalya, Turkey.
authors.forename: Kadir
authors.initials: K
authors.lastname: Sağdıç
authors.affiliation: Clinic of Cardiovascular Surgery, Antalya Training and Research Hospital, Antalya, Turkey.
authors.forename: Muzaffer
authors.initials: M
authors.lastname: Yılmaz
authors.affiliation: Clinic of Anaesthesiology and Reanimation, Antalya Training and Research Hospital, Antalya, Turkey.
authors.forename: Kerem
authors.initials: K
authors.lastname: İnanoğlu
authors.affiliation: Clinic of Cardiovascular Surgery, Antalya Training and Research Hospital, Antalya, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Emmiler
keywords: Cervical plexus; carotid endarterectomy; carotid stenosis; nerve block