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: [email protected]( ) ( ) g @