[General anesthesia vs combined anesthesia during internal carotid artery surgery]

Abstract

Methods 50 patients underwent surgery on internal carotid artery. The first group of patients were performed combined anesthesia with Propofol , Phentanil and superficial cervical plexus block (SCPB). Second group were administrated Phentanil and Propofol. Monitoring: blood pressure, BIS, dose of anesthetic agents. Results of study indicated that combined method of anesthesia with SCPB provided better brain perfusion because of high level of MBP (mean blood pressure) at the time of occlusion of ICA and more stable hemodynamic indices. In addition second group of patient had longer period of recovery due to higher dose of Phentanil than the first group.

Conclusion: Combined anesthesia with propofol, phentanil and CPB provides better analgesia and require less dose of opiodes anesthetics.