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J Neurosurg Anesthesiol · Jul 2004
Case ReportsNeurological evaluation by intraoperative wake-up during carotid endarterectomy under general anesthesia.
- Norihito Kitagawa, Mayuko Oda, Toshihiko Kakiuchi, Miwa Taniguchi, Tadahide Totoki, Satoshi Ohtsubo, and Kiyoshi Harano.
- Department of Anesthesiology, Saga Medical School, Nebeshima, Saga, Japan. kitagawa@mail.anes.saga-med.ac.jp
- J Neurosurg Anesthesiol. 2004 Jul 1; 16 (3): 240-3.
AbstractAlthough general anesthesia allows relief from stressors such as pain, discomfort, or anxiety for patients undergoing carotid endarterectomy, neurologic assessment is less reliable than under local anesthesia. We describe a unique anesthetic management strategy for carotid endarterectomy patients incorporating the advantages of both general and local anesthesia. The technique allows thorough assessment of neurologic function during carotid cross-clamping by intraoperative wake-up, and guarantees airway management by tracheal intubation.
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