anaesthesie des plexus cervicalisplexus...

ANAESTHESIE DESPLEXUS CERVICALISPLEXUS CERVICALIS

SO SIMPEL ES GEHT?

LA-Depot am Pct. nervosum

Ausbreitung in die interscalenäre Fascienloge

paravertebrale Ausdehung des LA der tiefen Plexusanaesthesie

Single injection technique nach AP Winnie

Winnie, AP. Interscalene cervical Plexus BlockA Single Injection TechniqueA Single Injection TechniqueAnaesthesia & Analgesia 54: 371- 75, 1975

WKWK.

Blockadekorrelierte KomplikationenBlockadekorrelierte Komplikationen

PLX sup (2533) 0 0%Plx prof (7558) 19 0,25%

P = 0.006 odds ratio 2,13 rel Risiko 2.12P 0.006 odds ratio 2,13 rel Risiko 2.12

Umwandlung in Allgemeinanaesthesie

Plx sup 10 0,39%Plx prof 157 2.08%Plx prof 157 2.08%

P < 0.0001 odds ratio 5,35 rel Risiko 5,26

LA-Depot am Pct. nervosum

Ausbreitung in die interscalenäre Fascienloge

paravertebrale Ausdehung des LA der tiefen Plexusanaesthesie

(Anesth Analg 2000;91:781–6)

Prospective Randomized Comparison of Deep or Superficial Cervical Plexus Block for CEACervical Plexus Block for CEAStoneham, Mark D. MA, FRCA; Doyle, Anthony, FRCAAnesthesiology 89(4); 10/1998, pp 907-012

Prospective Randomized Comparison of Deep or Superficial Cervical Plexus Block for CEAStoneham, Mark D. MA, FRCA; Doyle, Anthony, FRCAAnesthesiology 89(4); 10/1998, pp 907-012

Prospective Randomized Comparison of Deep or Superficial Cervical Plexus Block for CEAStoneham, Mark D. MA, FRCA; Doyle, Anthony, FRCAAnesthesiology 89(4); 10/1998, pp 907-012

M ki C tid E d t t S f ?Making Carotid Endarterectomy Safer?

T GALA T The GALA Trial multicenter randomised trial

of general v local anaesthesia

for carotid endarterectomy

GALA TRIAL [ISRCTN00525237]GALA TRIAL [ISRCTN00525237]General anaesthetic versus local anaesthetic for carotid surgery

GALA i lti t d i d t i lGALA is a multicentre randomised trial assessing the relative risks of stroke, cardiac events and death following carotid endarterectomy g yunder either general or local anaesthesia

Randomisierung nach 3900 Patienten gestoppt

Principal Investigators: Mr Michael Gough (Leeds) Tel: +44 (0) 113 392 2823 Fax: +44 (0) 113 292 2624 P f Ch l W l (Edi b h)Professor Charles Warlow (Edinburgh) The GALA Trial Co-ordinating Centre Neurosciences Trials Unit Western General Hospital Edinburgh EH4 2XU Scotland Tel: +44 (0) 131 537 2930 Fax: +44 (0) 131 332 5150 email: gala@skull.dcn.ed.ac.uk( ) ( ) g @