Email this article Evaluation of superficial cervical plexus block combined with total intravenous anesthesia for reconstructive operations on carotid arteries
- Authors: Osipenko D.V.1, Marochkov A.V2
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Affiliations:
- Gomel Regional Clinical Cardiology Center, Ministry of Health of Belarus
- Mogilev Regional Hospital, Ministry of Health of Belarus
- Issue: Vol 11, No 1 (2017)
- Pages: 29-35
- Section: Articles
- URL: https://journals.rcsi.science/1993-6508/article/view/42846
- DOI: https://doi.org/10.18821/1993-6508-2017-11-1-29-35
- ID: 42846
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Abstract
Objective. The main purpose of the prospective, randomized study was to evaluate the efficiency of the superficial cervical plexus block combined with total intravenous anesthesia by propofol and fentanyl during surgical procedures on carotid arteries. Material and methods. 86 patients were divided in 2 groups depending on the method of anesthesia. There was held a comparative analysis of clinical, instrumental, laboratory parameters, the intensity of pain and the number of perioperative complications. Results and conclusion. It turned out that this option allows you to reduce the dose of anesthetic propofol and fentanyl, to decrease the duration of mechanical ventilation, as well as to provide better antinociceptive protection of patients during surgical procedures on carotid arteries.
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##article.viewOnOriginalSite##About the authors
Dmitry V. Osipenko
Gomel Regional Clinical Cardiology Center, Ministry of Health of Belarus
Email: osipenko081081@mail.ru
MD, PhD, Department of anesthesiology and intensive care, Regional Clinical Cardiology Center 246114, Gomel, Republic of the Belarus
A. V Marochkov
Mogilev Regional Hospital, Ministry of Health of Belarus212026, Mogilev, Republic of the Belarus
References
- Мрочек А. Г. Сердечно-сосудистые заболевания в Республике Беларусь : анализ ситуации и стратегии контроля. Минск.: Навука; 2011.
- Naylor A. R., Rothwell P. M., Bell Naylor P. R. Overview of the Principal Results and Secondary Analyses from the European and North American Randomised Trials of Endarterectomy for Symptomatic Carotid Stenosis. Eur. J. Vasc. Endovasc. Surg. 2003; 26(2):115-29.
- Naylor A. R., Mackey W. C. Carotid artery surgery : A problem based approach. Philadelphia: W. B. Saunders; 2000.
- Полларда Б.Дж. Руководство по клинической анестезиологии. Москва: МЕДпресс-информ; 2006.
- Findlay J.M. et al. Carotid Endarterectomy : A Review. The Canadian journal of neurological sciences. 2004; 31(1):22-36.
- Tonkovi D. et al. Anesthesia techniques for carotid endarterectomy. Signa Vitae. 2012; 7(2):7-10.
- Марочков А. В., Якимов Д. А. Измерение острой боли в клинической практике: монография. Могилев: МГУ им. А. А. Кулешова; 2011.
- Неймарк М. И. и др. Характеристика параметров церебральной гемодинамики, мозгового кровотока при различных видах анестезии в реконструктивной хирургии экстракранильных сосудов. Анестезиология и реаниматология. 2010; 4:55-63.
- Шмилев В.В., Неймарк М.И. Регионарная анестезия в хирургии сонных артерий: достоинства и недостатки. Регионарная анестезия и лечение острой боли. 2013; VII (2):33-8.
- Крайник В. М., Козлов С. П., Дешко Ю. В. Влияние блокады шейного сплетения на состояние антиноцицептивной защиты при операциях на внутренних сонных артериях. Анестезиология и реаниматология. 2012; 3:22-5.
- Messner M. et al. The superficial cervical plexus block for postoperative pain therapy in carotid artery surgery. A prospective randomised controlled trial. Eur. J. Vasc. Endovasc. Surg. 2007; 33 (1):50-4.
