Safety and Efficiency of Ultrasound-guided Intermediate Cervical Plexus Block for Carotid Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Carotid Artery Stenosis
- Sponsor
- Institut Mutualiste Montsouris
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- quality of anesthesia
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
Since stroke and myocardial ischemia are major causes of perioperative morbidity and mortality associated with carotid endarterectomy, monitoring the brain and ensuring the best hemodynamic stability are important goals of perioperative management.
The investigators conducted a prospective observational study about efficacy and safety of the ultrasound-guided intermediate cervical plexus block (CPB), with early (immediate postoperative) and mid-term (day 30) outcomes in awake patients undergoing carotid endarterectomy.
Detailed Description
From April 2011 to May 2013, all patients undergoing a carotid endarterectomy were informed of the study and prospectively included. The study was approved by our institutional ethical Review Board (CEPAR, Institut Mutualiste Montsouris Paris France). Oral consent was obtained from patients. Written informed consent of the patients to participate was not necessary according to the French law regarding observational study. The anesthesiologist in charge of the patient recorded all the parameters of the ultrasound-guided intermediate cervical plexus block: facility and duration of block performance, local anesthetic volume, quality of anesthesia and surgical dissection, and adverse effects of the intermediate CPB. . Neurological status was assessed intraoperatively, in the postoperative setting and at one month after the procedure. Perioperative hemodynamic stability (intraoperative non invasive blood pressure variations) and pulse oxymetry were recorded. As well as ECG and cardiac Troponin I (cTnI) measurments performed the day before surgery and each morning during the 3 first postoperative days. Any clinical coronary or neurological event was recorded at one month. Statistical analysis was performed on Prism 6 for Mac OS X (Version 6.0c, www.graphpad.com). Data are presented as mean ± standard deviation (SD) for continuous data and number (percentage) for categorical data.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients undergoing carotid endarterectomy
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
quality of anesthesia
Time Frame: immediate
assessed by the patient (quality scale) and absence of the need to general anesthesia
Secondary Outcomes
- Hemodynamic stability(immediate during surgery)