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The ultrasound-guided C2-C4 compartment block combined to dexmedetomidine sedation: an ideal approach for carotid endarterectomy in awake patients.
Minerva Anestesiol
October 2018
Department of Anesthesia and Intensive Care Unit, S. Salvatore Hospital, L'Aquila, Italy.
Randomized clinical trial comparing surgery, endovenous laser ablation and ultrasound-guided foam sclerotherapy for the treatment of great saphenous varicose veins.
Br J Surg
October 2016
Department of Vascular Surgery, University of Helsinki, Helsinki University Hospital, Helsinki, Finland.
Background: Endovenous ablation techniques and ultrasound-guided foam sclerotherapy (UGFS) have largely replaced open surgery for treatment of great saphenous varicose veins. This was a randomized trial to compare the effect of surgery, endovenous laser ablation (EVLA) (with phlebectomies) and UGFS on quality of life and the occlusion rate of the great saphenous vein (GSV) 12 months after surgery.
Methods: Patients with symptomatic, uncomplicated varicose veins (CEAP class C2-C4) were examined at baseline, 1 month and 1 year.
Ultrasound-guided carotid sheath block for carotid endarterectomy: a case series of the spread of injectate.
Heart Lung Vessel
July 2015
Department of Anesthesiology and Intensive Care, Kantonsspital, Lucerne, Switzerland.
Introduction: We aimed to show the spread of local anesthetic following an ultrasound-guided, double-injection technique of a carotid sheath block before carotid endarterectomy.
Methods: The study included 15 patients scheduled for elective carotid endarterectomy. The carotid sheath block was performed after ultrasound-guided localization of the carotid bifurcation (level C4-C6) at the posterior border of the sternocleidomastoid muscle.
[Ultrasound-guided intermediate cervical plexus block. Anatomical study].
Anaesthesist
June 2015
Klinik für Anästhesiologie und Intensivmedizin, HELIOS-Kliniken Schwerin, Wismarsche Str. 393-397, 19049, Schwerin, Deutschland,
Background And Objectives: The innervation of the human cervical region is complex and subject to relevant anatomical variability involving sections of the cervical plexus, brachial plexus and cranial nerves.
Aim: The objective was to demonstrate the dissemination of injected dye solution by anatomical preparation and to define a suitable target compartment for an ultrasound-guided block technique.
Material And Methods: Own anatomical preparations are compared to recent review articles on the subject.
[Carotid-surgery in ultrasound-guided anesthesia of the regio colli lateralis].
Anasthesiol Intensivmed Notfallmed Schmerzther
October 2005
Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Klinikum Ludwigsburg.
Objective: Carotid endarterectomy significantly reduces the risk of stroke in patients with symptomatic and asymptomatic carotid artery stenosis. An increasing number of interventions in carotid surgery are performed under regional anesthesia in conscious patients. Carotid endarterectomy in local anesthesia requires block of the cervical nerves C2-C4, which may be accomplished in different ways.
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