Zdrehuş Claudiu
1 Anesthesia and Intensive Care Department, "Iuliu Haţieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Rom J Anaesth Intensive Care. 2015 Apr;22(1):17-24.
Carotid endarterectomy has been widely used for the surgical treatment of carotid stenosis, and may be performed under either general or loco-regional anaesthesia. The greatest risks of carotid endarterectomy are the neurologic complications and the myocardial infarction. Anaesthetic and surgical techniques are constantly under scrutiny to try to reduce the relatively high incidence of morbidity and mortality of an operation which in itself is only preventative. Loco-regional anaesthesia is an alternative to general anaesthesia which has attracted considerable attention amid claims of a reduction in operative morbidity and mortality. This review describes the problems and some solutions for providing loco-regional or general anaesthesia for carotid endarterectomy.
颈动脉内膜切除术已被广泛用于颈动脉狭窄的外科治疗，可在全身麻醉或局部区域麻醉下进行。颈动脉内膜切除术最大的风险是神经并发症和心肌梗死。麻醉和手术技术一直在接受审视，以试图降低这种本身只是预防性手术的相对较高的发病率和死亡率。局部区域麻醉是全身麻醉的一种替代方法，在声称可降低手术发病率和死亡率的情况下受到了相当多的关注。这篇综述描述了为颈动脉内膜切除术提供局部区域麻醉或全身麻醉的问题及一些解决办法。
