Acta chirurgica Hungarica
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Acta chirurgica Hungarica · Jan 1998
Randomized Controlled Trial Comparative Study Clinical TrialComparison of propofol-fentanyl or midazolam-fentanyl intravenous anaesthesia for carotid endarterectomy.
Carotid endarterectomy has become a standard surgical operation in the therapy of cerebrovascular insufficiency. The cardiovascular status of the patients needs special attention, since the long-term prognosis is predominantly influenced by concomitant coronary artery disease. General anesthesia techniques are raising the challenge of maintaining cardiovascular stability and establishing adequate cerebral monitoring. ⋯ Fifteen patients were anaesthetised with propofol-fentanyl or midazolam-fentanyl combined with N2O-O2. Haemodynamic parameters (mean arterial pressure, heart rate) showed not significant changes during anaesthesia. Recovery profil proved to be significantly better after propofol-fentanyl compared to midazolam-fentanyl anaesthesia.