Pitfalls of postoperative care following carotid artery surgery

Česká verze

Authors: Michálek Pavel ^1,2; Stern Michael ³; Stříteský Martin ¹; Šedivý Petr ⁴
Authors place of work: Klinika anesteziologie, resuscitace a intenzivní medicíny, 1. LF UK a Všeobecná fakultní nemocnice, Praha ¹; Department of Anaesthetics, Antrim Area Hospital, Antrim, United Kingdom ²; Anesteziologicko-resuscitační oddělení, Nemocnice Na Homolce, Praha ³; Oddělení cévní a rekonstrukční chirurgie, Nemocnice Na Homolce, Praha ⁴
Published in the journal: Anest. intenziv. Med., 22, 2011, č. 3, s. 153-158
Category: Přehledový článek

Summary

Carotid endarterectomy is one of the most frequent vascular surgery procedures worldwide. The postoperative course is mostly uncomplicated. Neurological complications may manifest as a cerebral stroke, hyperperfusion syndrome or, rarely, as convulsions. Postoperative cardiovascular instability that may occur includes hypertension or less often hypotension and cardiac dysrhythmias. Acute myocardial ischaemia is seen mostly in patients with ischaemic heart disease. Other complications include postoperative wound haematoma potentially leading to airway obstruction and damage to the nerves adjacent to the surgical incision.

Keywords:
carotid endarterectomy –⁠ cerebral stroke –⁠ hyperperfusion syndrome –⁠ acute myocardial infarction –⁠ airway obstruction

Zdroje

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