Carotid endarterectomy under local anesthesia supplemented with neuroleptic analgesia.

摘要: Surgical treatment of the carotid artery is being performed increasingly under local rather than general anesthesia. The advantage anesthesia that neurologic function can be continuously assessed while arteries are cross-clamped, and unnecessary shunting can, thus, avoided, with resulting sedation, analgesia, alpha blockade blood pressure stability. main objection to use anxiety patient. We overcame this difficulty in a series 42 patients by supplementing anesthetic neuroleptic analgesia. possible disadvantages administration apnea prolonged sedation. Only one we studied required an intraluminal shunt. One patient died cardiac disease suffered early postoperative stroke, which subsequently resolved. believe anesthesia, supplemented sedation analgesia overcome anxiety, should more widely used for endarterectomy.