REGIONAL BLOCK AS S MONO-METHOD OF ANESTHESIA FOR SURGICAL INTERVENTIONS ON THE BRACHIOCEPHALIC VESSELS
DOI:
https://doi.org/10.32782/2411-9164.20.1-1Keywords:
cervical plexus block, brachiocephal vessels, endarterectomy, monoanesthesia, regional block, vascular surgeryAbstract
Carotid endarterectomy (CEA) is the preferred treatment choice in patients with multifocal atherosclerotic lesions of the brachiocephalic arteries (BA). The optimal method of anesthesia for carotid endarterectomy is cervical plexus block. We assume that this method has certain advantages versus general anesthesia in terms of monitoring the neurological status during carotid cross-clamping, since in conscious patients, monitoring of such indicators as speech, consciousness, and motor function provides sufficient information for timely prevention of cerebral perfusion disorders. The modern development of regional anesthesia using ultrasound guidance allows for effective anesthesia in the intra- and postoperative period and reduces or avoids the use of narcotic analgesics, which accelerates the patient’s recovery period after surgery. According to the anatomical areas of the CEA surgical intervention, regional anesthesia can be chosen as a type of anesthesia: superficial or deep cervical plexus block, which has proven to be effective as a component of monoanesthesia and analgesia.
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