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Vega Colón M, López González JM, Jiménez Gómez BM, Pico Veloso J, Fernández Mendez M, Fernández Suárez FE, del Castro Madrazo JA, Álvarez Marcos F, Fajardo Pérez M, Lin JA, Galluccio F, Hou JD, Chan SM. Prospective Observational Study after Eversion Carotid Endarterectomy with Ultrasound-Guided Deep-Intermediate Cervical Plexus Blockade. Healthcare (Basel) 2022; 10:healthcare10101986. [PMID: 36292433 PMCID: PMC9601612 DOI: 10.3390/healthcare10101986] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Revised: 10/01/2022] [Accepted: 10/03/2022] [Indexed: 11/04/2022] Open
Abstract
(1) Introduction: The aim was to describe the anesthetic and surgical technique of eversion carotid endarterectomy performed under intermediate-deep cervical block with sedation, and to analyze the intraoperative and postoperative results. (2) Material and Methods: Thirty cases of unilateral eversion carotid endarterectomy (n = 30), performed between 2019–2020 in a tertiary center under intermediate-deep ultrasound-guided cervical plexus block and sedation, were prospectively observed and analyzed. Hemodynamic (blood pressure, heart rate) and neurological (cerebral oximetry) variables were measured in four intraoperative phases: at the beginning of the operation, prior to carotid clamping, after unclamping and at the end of the operation. We assessed acute postoperative pain in a numerical rating scale at 6, 12 and 24 h, early and 30-day complications, and length of stay. (3) Results: Baseline mean arterial pressure values were 100.4 ± 18 mmHg, pre-clamping 95.8 ± 14 mmHg, post-clamping 94.9 ± 11 mmHg, and at the end of the operation 102.4 ± 16 mmHg. Cerebral oximetry values were 61.7 ± 7/62.7 ± 8, 68.5 ± 9.6/69.1 ± 11.7 and 68.1 ± 10/68.1 ± 10 for the left and right hemispheres at baseline, pre- and post-clamping, respectively. The pain assessment showed a score less than or equal to 3. The incidence of residual nerve block, early complications, and major complications in the first 30 days was 40%, 16.7% and 3.3%, respectively. (4) Conclusions: The combination of intermediate-deep cervical plexus block and low-dose sedation is an effective and safe alternative in awake eversion carotid endarterectomy.
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Affiliation(s)
- María Vega Colón
- Division of Cardiovascular and Thoracic Anesthesiology, Asturias University Central Hospital (HUCA), 33001 Oviedo, Spain
| | - José Manuel López González
- Division of Cardiovascular and Thoracic Anesthesiology, Asturias University Central Hospital (HUCA), 33001 Oviedo, Spain
| | - Bárbara María Jiménez Gómez
- Division of Cardiovascular and Thoracic Anesthesiology, Asturias University Central Hospital (HUCA), 33001 Oviedo, Spain
| | - Jandro Pico Veloso
- Division of Cardiovascular and Thoracic Anesthesiology, Asturias University Central Hospital (HUCA), 33001 Oviedo, Spain
| | - Marta Fernández Mendez
- Division of Cardiovascular and Thoracic Anesthesiology, Asturias University Central Hospital (HUCA), 33001 Oviedo, Spain
| | | | | | | | - Mario Fajardo Pérez
- Morphological Madrid Research Center (MoMaRC), Ultradissection Spain Echo Training School, 28029 Madrid, Spain
| | - Jui-An Lin
- Center for Regional Anesthesia and Pain Medicine, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
- Department of Anesthesiology, School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
- Department of Anesthesiology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
- Department of Anesthesiology, School of Medicine, National Defense Medical Center, Taipei 11490, Taiwan
- Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan
- Center for Regional Anesthesia and Pain Medicine, Wan Fang Hospital, Taipei Medical University, Taipei 11696, Taiwan
- Correspondence:
| | - Felice Galluccio
- Morphological Madrid Research Center (MoMaRC), Ultradissection Spain Echo Training School, 28029 Madrid, Spain
- Center for Regional Anesthesia and Pain Medicine, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
- Center for Regional Anesthesia and Pain Medicine, Wan Fang Hospital, Taipei Medical University, Taipei 11696, Taiwan
| | - Jin-De Hou
- Department of Anesthesiology, School of Medicine, National Defense Medical Center, Taipei 11490, Taiwan
- Division of Anesthesiology, Hualien Armed Forces General Hospital, Hualien 97144, Taiwan
| | - Shun-Ming Chan
- Department of Anesthesiology, Tri-Service General Hospital and National Defense Medical Center, Taipei 11490, Taiwan
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López González JM, Pico Veloso J, Trespalacios Guerra R, Fernández Suárez FE, Del Castro Madrazo JA, Marcos FÁ. Use of endovascular catheters and guidewires for endotracheal tube uniblocker replacement in thoracoabdominal aneurysm open surgical repair. Minerva Anestesiol 2022; 88:412-414. [PMID: 35072438 DOI: 10.23736/s0375-9393.21.16148-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- José M López González
- Division of Cardiovascular and Thoracic Anesthesiology, Asturias University Central Hospital (HUCA), Oviedo, Spain -
| | - Jandro Pico Veloso
- Division of Cardiovascular and Thoracic Anesthesiology, Asturias University Central Hospital (HUCA), Oviedo, Spain
| | - Ramón Trespalacios Guerra
- Division of Cardiovascular and Thoracic Anesthesiology, Asturias University Central Hospital (HUCA), Oviedo, Spain
| | - Félix E Fernández Suárez
- Division of Cardiovascular and Thoracic Anesthesiology, Asturias University Central Hospital (HUCA), Oviedo, Spain
| | | | - Francisco Á Marcos
- Department Vascular Surgery, Asturias University Central Hospital (HUCA), Oviedo, Spain
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Contreras Saiz E, Fernández Martínez D, Cifrián Canales I, Pico Veloso J, Álvarez Pérez JA. Acute Massive Idiopathic Gastric Ischemia. Cir Esp 2020; 98:565-566. [PMID: 31902531 DOI: 10.1016/j.ciresp.2019.11.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2019] [Accepted: 11/14/2019] [Indexed: 10/25/2022]
Affiliation(s)
- Elisa Contreras Saiz
- Departamento de Cirugía General y del Aparato Digestivo, Hospital Universitario Central de Asturias, Oviedo, Asturias, España.
| | - Daniel Fernández Martínez
- Departamento de Cirugía General y del Aparato Digestivo, Hospital Universitario Central de Asturias, Oviedo, Asturias, España
| | - Isabel Cifrián Canales
- Departamento de Cirugía General y del Aparato Digestivo, Hospital Universitario Central de Asturias, Oviedo, Asturias, España
| | - Jandro Pico Veloso
- Departamento de Anestesiología y Reanimación, Hospital Universitario Central de Asturias, Oviedo, Asturias, España
| | - José Antonio Álvarez Pérez
- Departamento de Cirugía General y del Aparato Digestivo, Hospital Universitario Central de Asturias, Oviedo, Asturias, España
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