Površinski prema kombiniranom (dubokom i površinskom) bloku vratnog pleksusa za karotidnu endarterektomiju: prospektivna studija u 324 bolesnika
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| Title: | Površinski prema kombiniranom (dubokom i površinskom) bloku vratnog pleksusa za karotidnu endarterektomiju: prospektivna studija u 324 bolesnika |
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| Authors: | Ivanec, Željko, Mazul-Sunko, Branka, Lovričević, Ivo, Sonicki, Zdenko, Gvozdenović, Aleksandra, Kličan, Katarina, Krolo, Helena, Halapir, Tomislav, Novotny, Zdenko |
| Source: | Acta clinica Croatica CODEN ACLCED Volume 47 Issue 2 |
| Publisher Information: | Sestre Milosrdnice University hospital and Institute of Clinical Medical Research, 2008. |
| Publication Year: | 2008 |
| Subject Terms: | Endarterectomy, carotid - methods, Endarterektomija, karotida - štetni učinci, Blokada živca - štetni učinci, Endarterectomy, carotid - adverse effects, Anesthesia, conduction - methods, Endarterektomija, karotida - metode, Anestezija, provedba - metode, Nerve block - adverse effects |
| Description: | Zasad još nije jasno ima li ijedna tehnika regionalne anestezije za karotidnu endarterektomiju prednosti pred drugima. Stoga smo analizirali djelotvornost analgezije, nuspojave i stopu komplikacija kod bolesnika podvrgnutih operaciji karotide pod kombiniranom (dubokom i površinskom) ili samo površinskom blokadom vratnog pleksusa. Prospektivno smo analizirali podatke za 324 bolesnika koji su primili kombinirani (n=107) ili površinski (n=216) blok vratnog pleksusa. Prikupljeni su podaci za intraoperacijsku vrijednost VAS (Verbal Analog Score), arterijski tlak i srčanu frekvenciju. Djelotvornost analgezije dodatno se procjenjivala prema dozi dopunskog 1%-tnog lidokaina i fentanila te vremenu proteklom do prvog davanja analgetika u Jedinici intenzivne skrbi. Za vrijeme operacije je VAS bio nešto viši u skupini s površinskom blokadom (medijan 0,6, raspon 0-3,9) u odnosu na skupinu s kombiniranom blokadom (medijan 0,4, raspon 0-2,4; p It is not clear if any technique of regional anesthesia for carotid endarterectomy has an advantage over another. Therefore, we analyzed analgesic efficacy, side effects and complication rate in patients undergoing carotid surgery either under combined (deep and superficial) or superficial cervical block alone. Data on 324 patients that received either combined (n=107) or superficial (n=216) cervical block were prospectively analyzed. Data were collected on the intraoperative Verbal Analog Score (VAS), arterial pressure and heart rate. Analgesic efficacy was additionally assessed by the dose of supplemental 1% lidocaine and fentanyl and time before the first analgesic was administered at Intensive Care Unit. During surgery, VAS was slightly higher in the superficial group (median 0.6, range 0-3.9) than in the combined group (median 0.4, range 0-2.4; p |
| Document Type: | Article Review |
| File Description: | application/pdf |
| Language: | Croatian |
| ISSN: | 1333-9451 0353-9466 |
| Access URL: | https://hrcak.srce.hr/file/42999 https://hrcak.srce.hr/file/42998 https://hrcak.srce.hr/27170 https://hrcak.srce.hr/27170 |
| Rights: | CC BY NC ND |
| Accession Number: | edsair.od.......951..c38a8e58866cd54eb3a0ce2baf62257d |
| Database: | OpenAIRE |
Nájsť tento článok vo Web of Science | Abstract: | Zasad još nije jasno ima li ijedna tehnika regionalne anestezije za karotidnu endarterektomiju prednosti pred drugima. Stoga smo analizirali djelotvornost analgezije, nuspojave i stopu komplikacija kod bolesnika podvrgnutih operaciji karotide pod kombiniranom (dubokom i površinskom) ili samo površinskom blokadom vratnog pleksusa. Prospektivno smo analizirali podatke za 324 bolesnika koji su primili kombinirani (n=107) ili površinski (n=216) blok vratnog pleksusa. Prikupljeni su podaci za intraoperacijsku vrijednost VAS (Verbal Analog Score), arterijski tlak i srčanu frekvenciju. Djelotvornost analgezije dodatno se procjenjivala prema dozi dopunskog 1%-tnog lidokaina i fentanila te vremenu proteklom do prvog davanja analgetika u Jedinici intenzivne skrbi. Za vrijeme operacije je VAS bio nešto viši u skupini s površinskom blokadom (medijan 0,6, raspon 0-3,9) u odnosu na skupinu s kombiniranom blokadom (medijan 0,4, raspon 0-2,4; p<br />It is not clear if any technique of regional anesthesia for carotid endarterectomy has an advantage over another. Therefore, we analyzed analgesic efficacy, side effects and complication rate in patients undergoing carotid surgery either under combined (deep and superficial) or superficial cervical block alone. Data on 324 patients that received either combined (n=107) or superficial (n=216) cervical block were prospectively analyzed. Data were collected on the intraoperative Verbal Analog Score (VAS), arterial pressure and heart rate. Analgesic efficacy was additionally assessed by the dose of supplemental 1% lidocaine and fentanyl and time before the first analgesic was administered at Intensive Care Unit. During surgery, VAS was slightly higher in the superficial group (median 0.6, range 0-3.9) than in the combined group (median 0.4, range 0-2.4; p |
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| ISSN: | 13339451 03539466 |