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Chapter 2.11 - Vascular

from Section 2 - Surgery

Published online by Cambridge University Press:  26 May 2025

Edited by
Rebecca Leslie ,
Emily Johnson ,
Gary Thomas  and
Philip Harrington
Rebecca Leslie
Affiliation:
Royal United Hospitals NHS Foundation Trust, Bath
Emily Johnson
Affiliation:
Worcester Acute Hospitals NHS Trust, Worcester
Gary Thomas
Affiliation:
Cwm Taf Morgannwg University Health Board, Bridgend
Philip Harrington
Affiliation:
West Midlands Deanery, Birmingham
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Summary

The anaesthetic management of abdominal aortic aneurysms (AAAs) is a big topic which can be evaluated in the CRQ and SOE. It is important to understand the effects of aortic cross-clamping and the management intra- and postoperatively of elective and emergency repairs.

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Chapter
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Dr Podcast Scripts for the Final FRCA , pp. 473 - 496
Publisher: Cambridge University Press
Print publication year: 2025

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References

Further Reading

Al-Hashimi, M, Thompson, J. Anaesthesia for elective open abdominal aortic aneurysm repair. Continuing Education in Anaesthesia, Critical Care and Pain. 2013; 13(6): 208–212.CrossRefGoogle Scholar
Leoard, A, Thompson, J. Anaesthesia for ruptured abdominal aortic aneurysm. Continuing Education in Anaesthesia, Critical Care and Pain. 2008; 8(1): 11–15.CrossRefGoogle Scholar

Further Reading

Barnett, HJ, et al. Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis. The New England Journal of Medicine. 1998; 339(20): 1415–1425.CrossRefGoogle ScholarPubMed
ECST Writers. Randomised trial of endarterectomy for recently symptomatic carotid stenosis: Final results of the MRC European Carotid Surgery Trial (ECST). The Lancet. 1998; 351 (9113): 1379–1387.CrossRefGoogle Scholar
GALA Trial Collaborative Group. General anaesthesia versus local anaesthesia for carotid surgery (GALA): A multicentre, randomised controlled trial. The Lancet 2008; 372 (9656): 2132–2142.CrossRefGoogle Scholar
Halliday, A et al. Carotid artery surgery to reduce long-term stroke rates: Individual patient data eta-analysis of the randomised trials in asymptomatic patients. The Lancet. 2021.CrossRefGoogle Scholar
Halliday, A et al., 10-year stroke prevention after successful carotid endarterectomy for asymptomatic stenosis (ACST-1): a multicentre randomised trial. The Lancet. 2010; 376 (9746): 1074–1084.CrossRefGoogle ScholarPubMed
Hussain, AS, Mullard, A, Oppat, WF, Nolan, KD. Increased resource utilization and overall morbidity are associated with general versus regional anesthesia for carotid endarterectomy in data collected by the Michigan surgical quality collaborative. Journal of Vascular Surgery. 2017; 66: 802–809.CrossRefGoogle ScholarPubMed
Knappich, C, Kuehnl, A, Tsantilas, P, et al. Intraoperative completion studies, local anesthesia, and antiplatelet medication are associated with lower risk in carotid endarterectomy. Stroke. 2017; 48: 955–962.CrossRefGoogle ScholarPubMed
Ladak, N, Thompson, J. General or local anaesthesia for carotid endarterectomy? Continuing Education in Anaesthesia Critical Care and Pain. 2012; 12(2): 92–96.CrossRefGoogle Scholar
Liu, J, Martinez-Wilson, H, Neuman, MD, et al. Outcome of carotid endarterectomy after regional anesthesia versus general anesthesia: A retrospective study using two independent databases. Translational Perioperative and Pain Medicine. 2014; 1: 14–21.Google ScholarPubMed
Muller, MD, Lyrer, P, Brown, MM, et al. Carotid artery stenting versus endarterectomy for treatment of carotid artery stenosis. Cochrane Database of Systematic Reviews. 2020.CrossRefGoogle Scholar
National Institute for Health and Clinical Excellence. Carotid artery stent placement for symptomatic extracranial carotid stenosis. www.nice.org.uk/guidance/ipg389.Google Scholar
National Institute for Health and Clinical Excellence. Stroke: Diagnosis and initial management of acute stroke and transient ischaemic attack (TIA). www.nice.org.uk/guidance/ng128.Google Scholar
Reddy, RP, Karnati, T, Massa, RE et al. Association between perioperative stroke and 30-day mortality in carotid endarterectomy: A meta-analysis. 2019; Clinical Neurology and Neurosurgery. 181: 44–51.CrossRefGoogle ScholarPubMed
Rerkasem, A, Orrapin, S, Howard, DPJ, Rerkasem, K. Carotid endarterectomy for symptomatic carotid stenosis. Cochrane Database of Systematic Reviews. 2020.CrossRefGoogle Scholar
Siu, A, Patel, J, Prentice, HA, et al. A cost analysis of regional versus general anesthesia for carotid endarterectomy. Annals of Vascular Surgery. 2017; 39: 189–194.CrossRefGoogle ScholarPubMed
Stoneham, MD, Stamou, D, Mason, J. Regional anaesthesia for carotid endarterectomy. British Journal of Anaesthesia. 2015; 114 (3): 372–383CrossRefGoogle ScholarPubMed
Vaniyapong, T, Chongreksut, W, Rerkasem, K. Local versus general anaesthesia for carotid endarterectomy. Cochrane Database of Systematic Reviews. 2013.CrossRefGoogle Scholar
Warlow, CP. Symptomatic patients: the European Carotid Surgery Trial (ECST). Journal des maladies vasculaires. 1993; 18(3): 198–201.Google Scholar

Further Reading

Bisgaard, J, Torp-Pedersen, C, Rasmussen, BS, Houlind, KC, Riddersholm, SJ. Regional Versus General Anaesthesia in Peripheral Vascular Surgery: A Propensity Score Matched Nationwide Cohort Study of 17 359 Procedures in Denmark. European Journal of Vascular and Endovascular Surgery. 2021; 61: 430–438.CrossRefGoogle Scholar
Bradbury, et al. Bypass versus Angioplasty in Severe Ischaemia of the Leg (BASIL) trial: An intention-to-treat analysis of amputation-free and overall survival in patients randomised to a bypass surgery-first or a balloon angioplasty-first revascularisation strategy. Journal of Vascular Surgery. Supplement May 2010; 51; (5): 55–175.Google ScholarPubMed
Fraser, K, Raju, I. Anaesthesia for lower limb revascularisation surgery. BJA Education. 2015; 15, (5) 225–230.CrossRefGoogle Scholar
Norgren, L, Hiatt, WR, Dormandy, JA et al. Inter-society consensus for the management of peripheral arterial disease (TASC II). Journal of Vascular Surgery. 2007; 45: 55–67.CrossRefGoogle ScholarPubMed

Further Reading

Patel, S, Reddy, U. Anaesthesia for interventional neuroradiology, BJA Education. 2016; 16 (5): 147–152.CrossRefGoogle Scholar
Redgrave, J, et al. Interventional therapies in stroke management: Anaesthetic and critical care implications, BJA Education. 2017; 17(2): 43–47.CrossRefGoogle Scholar
Schönenberger, S, Uhlmann, L, Hacke, W, Schieber, S, Mundiyanapurath, S, Purrucker, JC, Nagel, S, Klose, C, Pfaff, J, Bendszus, M, Ringleb, PA, Kieser, M, Möhlenbruch, MA, Bösel, J. Effect of conscious sedation vs general anesthesia on early neurological improvement among patients with ischemic stroke undergoing endovascular thrombectomy: A randomized clinical trial. Journal of the American Medical Association. 2016; 316(19): 1986–1996.CrossRefGoogle ScholarPubMed
Taylor, J, et al. Radiation safety for anaesthetists. Continuing Education in Anaesthesia Critical Care and Pain. 2013; 13 (2): 59–62.CrossRefGoogle Scholar

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  • Vascular
  • Edited by Rebecca Leslie, Royal United Hospitals NHS Foundation Trust, Bath, Emily Johnson, Worcester Acute Hospitals NHS Trust, Worcester, Gary Thomas, Cwm Taf Morgannwg University Health Board, Bridgend, Philip Harrington, West Midlands Deanery, Birmingham
  • Book: Dr Podcast Scripts for the Final FRCA
  • Online publication: 26 May 2025
  • Chapter DOI: https://doi.org/10.1017/9781009267441.021
Available formats
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To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • Vascular
  • Edited by Rebecca Leslie, Royal United Hospitals NHS Foundation Trust, Bath, Emily Johnson, Worcester Acute Hospitals NHS Trust, Worcester, Gary Thomas, Cwm Taf Morgannwg University Health Board, Bridgend, Philip Harrington, West Midlands Deanery, Birmingham
  • Book: Dr Podcast Scripts for the Final FRCA
  • Online publication: 26 May 2025
  • Chapter DOI: https://doi.org/10.1017/9781009267441.021
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Vascular
  • Edited by Rebecca Leslie, Royal United Hospitals NHS Foundation Trust, Bath, Emily Johnson, Worcester Acute Hospitals NHS Trust, Worcester, Gary Thomas, Cwm Taf Morgannwg University Health Board, Bridgend, Philip Harrington, West Midlands Deanery, Birmingham
  • Book: Dr Podcast Scripts for the Final FRCA
  • Online publication: 26 May 2025
  • Chapter DOI: https://doi.org/10.1017/9781009267441.021
Available formats
×