Evaluating Anesthesia Guidance for Rescue Analgesia in Awake Patients Undergoing Carotid Endarterectomy with Cervical Plexus Blocks: Preliminary Findings from a Randomized Controlled Trial DOI Open Access
Michał Stasiowski, Nikola Zmarzły, Beniamin Oskar Grabarek

et al.

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 14(1), P. 120 - 120

Published: Dec. 28, 2024

Background/Objectives: Eversion carotid endarterectomy (CEA) in awake patients is performed using cervical plexus blocks (CPBs) with or without artery sheath infiltration (CASI) under ultrasound guidance. Although adequacy of anesthesia (AoA) guidance monitors nociception/antinociception balance, its impact on intraoperative analgesia quality and perioperative outcomes CEA remains unexplored. Existing literature lacks evidence whether AoA-guided enhances clinical over standard techniques. This study aimed to assess the role AoA improving undergoing CPBs alone CASI compared practice. Methods: A randomized controlled trial included 184 divided into three groups: intravenous rescue fentanyl (IRF) lidocaine (LID) guided by hemodynamic observation (C group), IRF LID (AoA IRF, LID, (AoA-CASI group). Primary adverse events, secondary assessed medication demand stability. Results: Analysis 172 revealed no significant differences between groups events parameters (p > 0.05). However, AoA-CASI group demonstrated significantly reduced usage C < 0.001). No advantage was observed regarding = 0.1). Conclusions: does not reduce improve stability CEA. Clinical implications suggest that focusing surgical technique optimization may yield greater benefits reducing advanced anesthetic monitoring. Further studies are warranted explore alternative approaches enhance outcomes.

Language: Английский

Anesthesia depth prediction from drug infusion history using hybrid AI DOI Creative Commons
Liang Wang, Yiqi Weng,

Wenli Yu

et al.

BMC Medical Informatics and Decision Making, Journal Year: 2025, Volume and Issue: 25(1)

Published: April 8, 2025

Language: Английский

Citations

0
Evaluating Anesthesia Guidance for Rescue Analgesia in Awake Patients Undergoing Carotid Endarterectomy with Cervical Plexus Blocks: Preliminary Findings from a Randomized Controlled Trial DOI Open Access
Michał Stasiowski, Nikola Zmarzły, Beniamin Oskar Grabarek

et al.

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 14(1), P. 120 - 120

Published: Dec. 28, 2024

Background/Objectives: Eversion carotid endarterectomy (CEA) in awake patients is performed using cervical plexus blocks (CPBs) with or without artery sheath infiltration (CASI) under ultrasound guidance. Although adequacy of anesthesia (AoA) guidance monitors nociception/antinociception balance, its impact on intraoperative analgesia quality and perioperative outcomes CEA remains unexplored. Existing literature lacks evidence whether AoA-guided enhances clinical over standard techniques. This study aimed to assess the role AoA improving undergoing CPBs alone CASI compared practice. Methods: A randomized controlled trial included 184 divided into three groups: intravenous rescue fentanyl (IRF) lidocaine (LID) guided by hemodynamic observation (C group), IRF LID (AoA IRF, LID, (AoA-CASI group). Primary adverse events, secondary assessed medication demand stability. Results: Analysis 172 revealed no significant differences between groups events parameters (p > 0.05). However, AoA-CASI group demonstrated significantly reduced usage C < 0.001). No advantage was observed regarding = 0.1). Conclusions: does not reduce improve stability CEA. Clinical implications suggest that focusing surgical technique optimization may yield greater benefits reducing advanced anesthetic monitoring. Further studies are warranted explore alternative approaches enhance outcomes.

Language: Английский

Citations

0