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John D. Corson, MB, ChB, FRCS(Eng); Benjamin B. Chang, MD; Dhiraj M. Shah, MD; Robert P. Leather, MD; Bernard M. DeLeo, MD; Allastair M. Karmody, MB, ChB, ChM, FRCS(Eng)(Ed)

Arch Surg. 1987;122(7):807-812.

Abstract
• This study compared the technique of general and regional cervical block anesthesia for carotid endarterectomy. Three hundred sixty-eight patients undergoing 399 carotid endarterectomies were administered one of these alternative anesthetics as selected preoperatively by each patient and his or her physician. In 242 cases general anesthesia was used. The other 157 cases were done under regional cervical block anesthesia. Perioperative mortality was 1.0%. Nonfatal strokes occurred in 1.25%. There were significantly more strokes in the general anesthesia group. Perioperative blood pressure was unstable for a significantly longer period of time after general anesthesia (mean, 24.6 hours) as compared with regional cervical block anesthesia (mean, 2.1 hours). Furthermore, vasoactive drugs were required for significantly longer periods of time in the general anesthesia group.

(Arch Surg 1987;122:807-812)

Author Affiliations
From the Departments of Surgery (Drs Corson, Chang, Shah, Leather, and Karmody) and Anesthesiology (Dr DeLeo), Albany (NY) Medical College and Albany Veterans Administration Medical Center.

Footnotes
Accepted for publication June 11, 1986.

Read before the Association of Veterans Administration Surgeons, Tampa, Fla, May 11, 1985.

Reprint requests to Veterans Administration Medical Center, 113 Holland Ave, Albany, NY 12208 (Dr Corson).

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