Carotid Atherosclerosis, Regional Anaesthesia Morbidity
Conditions
Keywords
Ultrasound-guided, regional anaesthesia, Cervical block
Brief summary
The aim of this prospective, randomised, controlled study is to compare the efficacy of ultrasound-guided intermediate cervical block to superficial block for carotid endarterectomy. Patients scheduled for carotide endarterectomy under regional anaesthesia (ropivacaine 4.75 mg/ml) are randomised into 2 groups according to the technique of anaesthesia performed: superficial cervical block (Control group) or, ultrasound guided intermediate cervical block (Echo group). Main outcome is cervical block success, defined by surgery performed under regional anaesthesia without supplemental topical lidocaine. Secondary outcomes are rate of conversion to general anaesthesia, total dose of supplemental topical lidocaine and block-related complications.
Interventions
OTHERUltrasound-guided administration of ropivacaine 4.75 mg/ml
OTHERlandmark based superfical ropivacaine 4.75 mg/ml injection
Sponsors
Centre Hospitalier Universitaire de Besancon
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patient scheduled for elective carotid artery endarterectomy under regional anaesthesia
Exclusion criteria
* indication for general anaesthesia * known bleedind diathesis * past medical allergy to local anaesthesic * severe chronic pulmonary disease * contralateral diaphragmatic motion abnormalities * previous cervical ipsilateral surgery * age \< 18 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| cervical block success | surgery time | carotid artery endarterectomy performed under regional anaesthesia without supplemental topical lidocaine. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| percentage of conversion to general anaesthesia | surgery time | conversion to general anaesthesia for insufficient analgesia |
Other
| Measure | Time frame | Description |
|---|---|---|
| percentage of patient needing intraoperative systemic analgesia or sedation | anaesthesia time | if patient related pain in spite of supplemental local anaesthesic. sedation/analgesia let to the discretion of the anesthesist in the operating room |
| amount of local anaesthesic used to performed the block | surgery time | — |
| regional anaesthesia-related complications | 7 postoperative days | Horner syndrom, facial paralysis, cough, phrenic paralysis |
| surgery related complications | 7 postoperative days | hematoma, stroke, bleeding |
Countries
France
Outcome results
None listed