Skip Navigation LinksHome > July 2004 - Volume 16 - Issue 3 > Neurological Evaluation by Intraoperative Wake-up During Car...
Journal of Neurosurgical Anesthesiology:
Case Report

Neurological Evaluation by Intraoperative Wake-up During Carotid Endarterectomy Under General Anesthesia

Kitagawa, Norihito MD*; Oda, Mayuko MD*; Kakiuchi, Toshihiko MD*; Taniguchi, Miwa MD*; Totoki, Tadahide MD*; Ohtsubo, Satoshi MD†; Harano, Kiyoshi MD‡

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Abstract

Although 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.

© 2004 Lippincott Williams & Wilkins, Inc.

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