A transient ischemic attack during carotid endarterectomy operation under cervical epidural anaesthesia: (Case report) Servikal epidural anestezi uygulanan bir karotis endarterektomi operasyonunda rejyonal anestezi sayesinde gozlenebilen bir 'gecici iskemik atak' (Olgu sunumu)
Turk Anesteziyoloji ve Reanimasyon, cilt.27, sa.1, ss.52-54, 1999 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 27 Sayı: 1
- Basım Tarihi: 1999
- Dergi Adı: Turk Anesteziyoloji ve Reanimasyon
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.52-54
- Anahtar Kelimeler: Carotis, Cervical epidural anaesthesia, Endarterectomy, Regional anaesthesia, Transient ischemic attack
- Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Evet
Özet
There still is not a consensus on the anaesthetic technique whether regional or general anaesthesia during carotid endarterectomy (CEA) operations because both offer some advantages and disadvantages. The most important advantage of regional anaesthesia is the reliable and easy monitoring of the neurologic status. As an alternative to cervical plexus block, cervical epidural anaesthesia can also be chosen. In a CEA operation, where cervical epidural anaesthesia was performed as the anaesthetic technique, a transient ischemic attack followed by a focal convulsion was observed after the clampage of the carotis. An intraluminal shunt was placed immediately (in 2.5 minutes), and the neurologic status reversed without any sequela. In addition, no haemodynamic instabilities were detected throughout the operation. After the operation the patient reported that she felt no pain, no anxiety and she didn't remember any 'sleep period' during the operation.