Anesthesia for carotid endarterectomy

Abstract

Carotid endarterectomy (CEA) is commonly performed to prevent the devastating sequelae of stroke. A focused preoperative cardiac and neurologic evaluation prior to CEA provides valuable data that can be used to optimize patient safety and comfort via an individually tailored anesthetic plan. With invasive monitoring, careful titration of anesthetics, and neurologic monitoring, strict control of hemodynamics can achieve cardiac stability and provide neurologic protection. Postoperative maintenance of hemodynamics and vigilance for possible complications may further ensure excellent patient care and success of surgery.