| Superficial vs combined cervical plexus block for carotid endarterectomy: a prospective, randomized study. | |
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MedLine Citation:
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PMID: 15629339 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The present study compares combined and superficial cervical plexus block in patients submitted to carotid endarterectomy (CEA) in terms of anesthetic efficacy, satisfaction of the patient and surgeon, complications resulting from the type of anesthesia, and final outcome. METHODS: A total of 125 patients submitted to elective CEA were randomized into 2 groups: the first group was submitted to superficial cervical block and the second group to combined (superficial plus deep) cervical block. RESULTS: No significant difference in anesthetic quality was observed between the 2 types of blocks. Complications related to the anesthetic method were observed in only 1 (1.6%) patient of the superficial block group and in 5 (7.4%) patients of the combined block group (P > .05). Anesthetic supplementation by the surgeon was necessary in 50 (81.96%) patients, with no significant difference between the 2 groups. The surgical conditions were closely similar in the 2 groups, showing no significant difference. The final morbidity and mortality in the present series was 1.6%. CONCLUSIONS: Superficial cervical anesthetic block shows the same efficacy as combined block, with the surgical conditions being closely similar. The incidence of complications related to the anesthetic technique is higher for combined block. The type of block does not influence the final outcome of the patients. |
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Authors:
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Atos Alves de Sousa; Marcos Antônio Dellaretti Filho; Wilson Faglione; Gervásio Telles Cardoso Carvalho |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Surgical neurology Volume: 63 Suppl 1 ISSN: 0090-3019 ISO Abbreviation: Surg Neurol Publication Date: 2005 |
Date Detail:
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Created Date: 2005-01-04 Completed Date: 2005-03-08 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0367070 Medline TA: Surg Neurol Country: United States |
Other Details:
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Languages: eng Pagination: S22-5 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Faculdade de Ciências Médicas de Minas Gerais e Santa Casa Hospital, Belo Horizonte, MG, 30150-310 Brazil. sousatos@terra.com.br |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anesthetics, Local / administration & dosage*, adverse effects Carotid Arteries / surgery* Cervical Plexus / drug effects, physiology, surgery* Endarterectomy, Carotid / methods* Female Hospital Mortality Humans Intraoperative Complications / etiology, physiopathology Length of Stay Male Neck Pain / drug therapy, prevention & control* Nerve Block / adverse effects, methods* Pain / drug therapy, prevention & control Patient Satisfaction / statistics & numerical data Prospective Studies Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Anesthetics, Local |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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