Superficial or deep cervical plexus block for carotid endarterectomy: a systematic review of complications†
作者： J.J. Pandit , R. Satya-Krishna , P. Gration
DOI: 10.1093/BJA/AEM160
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摘要: Carotid endarterectomy is commonly conducted under regional (deep, superficial, intermediate, or combined) cervical plexus block, but it not known if complication rates differ. We a systematic review of published papers to assess the rate associated with superficial (or intermediate) and deep combined plus superficial/intermediate). The null hypothesis was that were equal. Complications interest were: (1) serious complications related placement (2) incidence conversion general anaesthesia, (3) systemic surgical-anaesthetic process. retrieved 69 describing total 7558 deep/combined blocks 2533 superficial/intermediate blocks. Deep/combined block higher injecting needle when compared (odds ratio 2.13, P = 0.006). anaesthesia also 5.15, < 0.0001), there an equivalent other 1.13, 0.273; NS). conclude safer than any method employs injection. may have been influenced by direct complications, suggest superficial/combined provides better analgesia during surgery.
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