RESUMO
Forty carotid endarterectomies were undertaken in 34 patients. Operations were prospectively randomized to periarterial application of either 1 per cent lignocaine (n = 19) or normal saline (n = 21), and detailed measurements taken of intraoperative pulse rate and blood pressure. Patients receiving lignocaine demonstrated a lower pulse rate, and lower systolic and mean blood pressures than those receiving placebo, with significance in relation to clamp application and shunt removal (P < 0.05). It was particularly noticeable that patients receiving lignocaine demonstrated less intraoperative variation in pulse rate and blood pressure. Topical lignocaine stabilizes pulse rate and blood pressure during carotid endarterectomy.
Assuntos
Endarterectomia das Carótidas , Lidocaína/administração & dosagem , Administração Tópica , Idoso , Pressão Sanguínea/efeitos dos fármacos , Método Duplo-Cego , Feminino , Frequência Cardíaca/efeitos dos fármacos , Humanos , Cuidados Intraoperatórios , Lidocaína/farmacologia , Masculino , Pessoa de Meia-Idade , Estudos ProspectivosRESUMO
A skin flap based on the medical surface of the upper extremity can be effectively used to close large defects of the chest wall when other lesser procedures prove to be ineffective or inappropriate.
