What question did this study set out to answer?

To assess whether the choice of regional versus general anesthesia correlates with perioperative complications and clinical outcomes in patients undergoing carotid endarterectomy.

December 1, 1996Journal of Vascular SurgeryOpen Access

A comparison of regional and general anesthesia in patients undergoing carotid endarterectomy

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Authors

CRCaron RockmanHackensack University Medical Center TRThomas S. RilesSupélec MGMark GoldNew York University

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Implication

Retrospective study observes comparable complication rates between regional and general anesthesia in carotid endarterectomy, suggesting regional techniques are safe and effective.

Key Points

To assess whether the choice of regional versus general anesthesia correlates with perioperative complications and clinical outcomes in patients undergoing carotid endarterectomy.
Retrospectively reviewed medical records of N=3,975 carotid endarterectomy operations performed at a single institution over a 32-year period (1962 to 1994).
Compared operations using regional anesthesia (n=3,382; 85.1%) against general anesthesia for preoperative risk factors and perioperative complications.
Across all 3,975 operations, perioperative stroke occurred in 2.2%, myocardial infarction in 1.7%, and death in 1.5%, with no statistically significant differences between anesthetic techniques.
A nonsignificant trend toward higher rates of perioperative stroke (3.2% vs 2.0%) and perioperative death (2.0% vs 1.4%) was observed in the general anesthesia group.
Patients receiving general anesthesia had significantly higher baseline rates of previous stroke (36.1% vs 26.4%; p < 0.01) and contralateral total occlusion (21.8% vs 15.4%; p = 0.001).

Cite This Study

Rockman et al. (1996) studied this question.

synapsesocial.com/papers/6aa7cd265a44c3b67fae5b15 https://doi.org/10.1016/s0741-5214(96)70040-x

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Implication

Retrospective study observes comparable complication rates between regional and general anesthesia in carotid endarterectomy, suggesting regional techniques are safe and effective.

A comparison of regional and general anesthesia in patients undergoing carotid endarterectomy

Discussion

Member takes

Implication

Key Points

Cite This Study

A comparison of regional and general anesthesia in patients undergoing carotid endarterectomy

Discussion

Member takes

Implication

Key Points

Cite This Study

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