Abstract
Objectives: to prospectively evaluate the safety and efficacy of remifentanil during regional anaesthesia for carotid endarterectomy. Methods: twenty-eight consecutive patients underwent carotid endarterectomy with combined superficial and deep cervical plexus block supplemented with continuous intravenous 0.04 μg·kg-1·min-1 remifentanil infusion. Depth of sedation was monitored using the Observer's Assessment of Alertness/Sedation Scale (OAA/S). The degree of pain, discomfort and anxiety was self-assessed by the patients using a horizontal visual analogue scale. Results: all patients experienced adequate comfort and analgesia. No local anaesthetic supplementation was necessary. No patient had a OAA/S score lower than 4 (with 5=awake/alert to 1=asleep). Respiratory depression did not occur. Selective shunting was required in four cases. No patient was converted to general anaesthesia. There were no permanent neurological deficits, cardiopulmonary complications or deaths. Conclusion: remifentanil as a supplement to regional aneasthesia for carotid endarterectomy, provides comfort and analgesia without hampering mental status evaluation.
| Original language | English |
|---|---|
| Pages (from-to) | 405-409 |
| Number of pages | 5 |
| Journal | European Journal of Vascular and Endovascular Surgery |
| Volume | 22 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - 2001 |
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Keywords
- Carotid endarterectomy
- Conscious sedation
- Regional anaesthesia
- Remifentanil
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Radiology Nuclear Medicine and imaging
- Surgery
Cite this
Remifentanil conscious sedation during regional anaesthesia for carotid endarterectomy : Rationale and safety. / Marrocco-Trischitta, M. M.; Bandiera, G.; Camilli, S.; Stillo, F.; Cirielli, C.; Guerrini, P.
In: European Journal of Vascular and Endovascular Surgery, Vol. 22, No. 5, 2001, p. 405-409.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Remifentanil conscious sedation during regional anaesthesia for carotid endarterectomy
T2 - Rationale and safety
AU - Marrocco-Trischitta, M. M.
AU - Bandiera, G.
AU - Camilli, S.
AU - Stillo, F.
AU - Cirielli, C.
AU - Guerrini, P.
PY - 2001
Y1 - 2001
N2 - Objectives: to prospectively evaluate the safety and efficacy of remifentanil during regional anaesthesia for carotid endarterectomy. Methods: twenty-eight consecutive patients underwent carotid endarterectomy with combined superficial and deep cervical plexus block supplemented with continuous intravenous 0.04 μg·kg-1·min-1 remifentanil infusion. Depth of sedation was monitored using the Observer's Assessment of Alertness/Sedation Scale (OAA/S). The degree of pain, discomfort and anxiety was self-assessed by the patients using a horizontal visual analogue scale. Results: all patients experienced adequate comfort and analgesia. No local anaesthetic supplementation was necessary. No patient had a OAA/S score lower than 4 (with 5=awake/alert to 1=asleep). Respiratory depression did not occur. Selective shunting was required in four cases. No patient was converted to general anaesthesia. There were no permanent neurological deficits, cardiopulmonary complications or deaths. Conclusion: remifentanil as a supplement to regional aneasthesia for carotid endarterectomy, provides comfort and analgesia without hampering mental status evaluation.
AB - Objectives: to prospectively evaluate the safety and efficacy of remifentanil during regional anaesthesia for carotid endarterectomy. Methods: twenty-eight consecutive patients underwent carotid endarterectomy with combined superficial and deep cervical plexus block supplemented with continuous intravenous 0.04 μg·kg-1·min-1 remifentanil infusion. Depth of sedation was monitored using the Observer's Assessment of Alertness/Sedation Scale (OAA/S). The degree of pain, discomfort and anxiety was self-assessed by the patients using a horizontal visual analogue scale. Results: all patients experienced adequate comfort and analgesia. No local anaesthetic supplementation was necessary. No patient had a OAA/S score lower than 4 (with 5=awake/alert to 1=asleep). Respiratory depression did not occur. Selective shunting was required in four cases. No patient was converted to general anaesthesia. There were no permanent neurological deficits, cardiopulmonary complications or deaths. Conclusion: remifentanil as a supplement to regional aneasthesia for carotid endarterectomy, provides comfort and analgesia without hampering mental status evaluation.
KW - Carotid endarterectomy
KW - Conscious sedation
KW - Regional anaesthesia
KW - Remifentanil
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U2 - 10.1053/ejvs.2001.1502
DO - 10.1053/ejvs.2001.1502
M3 - Article
VL - 22
SP - 405
EP - 409
JO - European Journal of Vascular and Endovascular Surgery
JF - European Journal of Vascular and Endovascular Surgery
SN - 1078-5884
IS - 5
ER -