ABSTRACT
OBJECTIVE: The use of locoregional anesthesia versus general anesthesia (GE) in carotid endarterectomy (CEA) has been a debatable issue in clinical studies for the past several years. In our study, GE with wake-up tests (WUTs) during carotid cross-clamping was used instead of stump pressure (SP) to directly assess the neurological status of the patient to determine whether shunting was needed. Our study assessed the percentage of patients under light sedation and mechanically ventilated needing shunting based on WUT compared to a systolic stump pressure (SPs) cutoff value of Subject(s)
Anesthesia, General
, Carotid Stenosis/surgery
, Cerebrovascular Disorders/diagnosis
, Endarterectomy, Carotid
, Monitoring, Intraoperative/methods
, Neurologic Examination
, Wakefulness
, Aged
, Aged, 80 and over
, Anesthesia, General/adverse effects
, Anesthesia, General/methods
, Anesthetics, Intravenous/administration & dosage
, Blood Pressure
, Blood Pressure Determination
, Carotid Stenosis/physiopathology
, Cerebrovascular Circulation
, Cerebrovascular Disorders/etiology
, Cerebrovascular Disorders/physiopathology
, Cerebrovascular Disorders/prevention & control
, Endarterectomy, Carotid/adverse effects
, Female
, Humans
, Logistic Models
, Male
, Middle Aged
, Piperidines/administration & dosage
, Predictive Value of Tests
, Propofol/administration & dosage
, Remifentanil
, Reproducibility of Results
, Respiration, Artificial
, Retrospective Studies
, Risk Assessment
