Myocardial infarction following regional anaesthesia for carotid endarterectomy

Donald Prough, Phillip E. Scuderi, Edward Stullken, Courtland H. Davis

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

From 1969 through 1982, 185 carotid endarterectomies were performed under regional anaesthesia on 153 patients. Of these patients, 38 (25 per cent) had suffered a previous myocardial infarction, 63 (41 per cent) had documented coronary artery disease, and 115 (75 per cent) had hypertension. Anaesthesia was provided by a superficial cervical plexus block. Monitoring consisted of measurement of direct arterial pressure and continuous display of the electrocardiogram. Oxygen was administered by nasal cannula throughout the procedure. Mean arterial pressure was elevated when necessary by infusion of phenylephrine. No patient in this study suffered an acute myocardial infarction. The only cardiac complications consisted of eight episodes of non-life-threatening dysrhythmias, We conclude that regional anaesthesia for carotid endarterectomy is associated with a low risk of perioperative myocardial infarction.

Original languageEnglish (US)
Pages (from-to)192-196
Number of pages5
JournalCanadian Anaesthetists' Society Journal
Volume31
Issue number2
DOIs
StatePublished - Mar 1984
Externally publishedYes

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Keywords

  • anaesthetics
  • bupivacaine
  • cardiovascular
  • carotid endarterectomy
  • heart
  • lidocaine
  • local
  • mepivacaine
  • myocardial infarction
  • prilocaine
  • surgery

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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