From an anesthesiological perspective, carotid endarterectomy (CEA) is an operation that is increasingly being performed with locoregional techniques and sedation. The aim of this observational study was to compare dexmedetomidine with midazolam and fentanyl during CEA in terms of perioperative adverse events, patient, anesthetist, and surgeon satisfaction, as well as the possible reduction in clamping time and the number of times additional local anaesthesia is needed. Sixty patients listed for CEA were enrolled and two types of sedation were used, both protocols widely used in our hospital, resulting in the formation of two groups of patients. Both the intermediate and superficial cervical plexus blocks were administered, and the patients in Group 1 were sedated with midazolam and fentanyl, and Group 2 was sedated with dexmedetomidine. The investigators examined comorbidities, surgical time and clamping, and possible intraoperative use of local anaesthetics and intraprocedural complications, and follow-up at 180 days to observe any residual deficits. The data were analysed with Statistical Package for Social Science (SPSS) Statistics 25 (IBM).
Age range
18 Years
Sex
ALL
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Patients, anaesthetists and surgeons' satisfaction
Timeframe: Periprocedural
Number of Participants with Hypertension
Timeframe: Periprocedural
Number of Participants with Hypotension
Timeframe: Periprocedural
Number of Participants with Bradycardia
Timeframe: Periprocedural
Number of Participants with Nausea and/or Vomiting
Timeframe: Periprocedural
Number of Participants with Desaturation
Timeframe: Periprocedural
Number of Participants with Chronic surgical site pain
Timeframe: Up to 6 months