FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3116151811> ?p ?o ?g. }

• W3116151811 abstract "Transcarotid artery revascularization (TCAR) procedure is a novel hybrid surgical modality in treating carotid stenosis. Understanding the various steps of the TCAR and the unique challenges involved in the anesthetic management is essential for the successful conduct of anesthesia. In this article, we discuss the overview of the key issues relevant to the anesthetic management and strategies from our experience. We present the data on anesthetic management and outcomes of 40 patients who underwent TCAR procedure at our institute between June 2018 and February 2020. Electronic medical records were retrospectively reviewed and relevant demographic, clinical, and laboratory data were collected. All our patients had general anesthesia with an endotracheal tube utilizing standard American Society of Anesthesiology (ASA) monitoring along with intra-arterial blood pressure monitoring and cerebral oximetry. The mean age of our patients was 73.6 ± 7.58 years. Fifteen (37.5 %) patients had significant co-morbidities, thus classified as ASA 4 and 10 (25%) patients were on at least three antihypertensives (beta-blockers, calcium channel blockers, angiotensin-converting enzyme inhibitors, loop diuretics, thiazides). Thirty-four (85%) patients were considered to have symptomatic carotid stenosis which was the predominant indication for the TCAR procedure. Patients who had episodes of transient ischemic attack (TIA) or a cerebrovascular accident (CVA) documented by a computerized tomography (CT) scan of the brain and/or residual weakness are considered symptomatic. Thirty-six (90%) of our patients received a bolus dose of 0.2 - 0.4 mg of glycopyrrolate for maintaining heart rate of around 70 beats per minute (BPM) and 38 (95%) received phenylephrine infusion during the carotid clamp to maintain blood pressure between 140 and 160 mm Hg systolic or at patients’ baseline. Twenty-one (52.5%) patients needed antihypertensives such as hydralazine ( 10-20 mg) or beta-blockers such as labetalol (10-20 mg) at the time of emergence from anesthesia to mitigate hemodynamic response during extubation. The mean blood loss was 74 ml ± 33.19 ml, and none of our patients received blood transfusion during the perioperative period. The mean duration of anesthesia was 202.6 ± 27.85 minutes, and the mean length of hospital stay was 1.5 ± 0.97 days. A thorough preoperative examination with specific attention to the preoperative neurological deficits and cardiopulmonary reserve is important for the meticulous management of intraoperative hemodynamics. Intraoperative administration of glycopyrrolate and the use of vasopressors to maintain optimal hemodynamics to ensure cerebral perfusion during the perioperative period should be considered. The anesthetic goals of carotid revascularization (TCAR) are perioperative hemodynamic stability and early evaluation of neurological status in the immediate postoperative period." @default.
• W3116151811 created "2021-01-05" @default.
• W3116151811 creator A5030810283 @default.
• W3116151811 creator A5056333854 @default.
• W3116151811 creator A5070775188 @default.
• W3116151811 date "2020-12-24" @default.
• W3116151811 modified "2023-10-05" @default.
• W3116151811 title "Anesthetic Considerations for Transcarotid Artery Revascularization: Experience and Review of Forty Cases From a Single Medical Center" @default.
• W3116151811 cites W1192911807 @default.
• W3116151811 cites W2067628495 @default.
• W3116151811 cites W2100194095 @default.
• W3116151811 cites W2130583197 @default.
• W3116151811 cites W2170363863 @default.
• W3116151811 cites W2225721238 @default.
• W3116151811 cites W2325738755 @default.
• W3116151811 cites W2400691142 @default.
• W3116151811 cites W2791453970 @default.
• W3116151811 cites W2906824285 @default.
• W3116151811 cites W2966720581 @default.
• W3116151811 doi "https://doi.org/10.7759/cureus.12250" @default.
• W3116151811 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7822093" @default.
• W3116151811 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/33505816" @default.
• W3116151811 hasPublicationYear "2020" @default.
• W3116151811 type Work @default.
• W3116151811 sameAs 3116151811 @default.
• W3116151811 citedByCount "0" @default.
• W3116151811 crossrefType "journal-article" @default.
• W3116151811 hasAuthorship W3116151811A5030810283 @default.
• W3116151811 hasAuthorship W3116151811A5056333854 @default.
• W3116151811 hasAuthorship W3116151811A5070775188 @default.
• W3116151811 hasBestOaLocation W31161518111 @default.
• W3116151811 hasConcept C126322002 @default.
• W3116151811 hasConcept C141071460 @default.
• W3116151811 hasConcept C164705383 @default.
• W3116151811 hasConcept C2778162923 @default.
• W3116151811 hasConcept C2779526319 @default.
• W3116151811 hasConcept C2780007028 @default.
• W3116151811 hasConcept C42219234 @default.
• W3116151811 hasConcept C71924100 @default.
• W3116151811 hasConcept C84393581 @default.
• W3116151811 hasConceptScore W3116151811C126322002 @default.
• W3116151811 hasConceptScore W3116151811C141071460 @default.
• W3116151811 hasConceptScore W3116151811C164705383 @default.
• W3116151811 hasConceptScore W3116151811C2778162923 @default.
• W3116151811 hasConceptScore W3116151811C2779526319 @default.
• W3116151811 hasConceptScore W3116151811C2780007028 @default.
• W3116151811 hasConceptScore W3116151811C42219234 @default.
• W3116151811 hasConceptScore W3116151811C71924100 @default.
• W3116151811 hasConceptScore W3116151811C84393581 @default.
• W3116151811 hasLocation W31161518111 @default.
• W3116151811 hasLocation W31161518112 @default.
• W3116151811 hasLocation W31161518113 @default.
• W3116151811 hasOpenAccess W3116151811 @default.
• W3116151811 hasPrimaryLocation W31161518111 @default.
• W3116151811 hasRelatedWork W1991105627 @default.
• W3116151811 hasRelatedWork W1998096025 @default.
• W3116151811 hasRelatedWork W2030306980 @default.
• W3116151811 hasRelatedWork W2047967234 @default.
• W3116151811 hasRelatedWork W2060636699 @default.
• W3116151811 hasRelatedWork W2087451743 @default.
• W3116151811 hasRelatedWork W2334313111 @default.
• W3116151811 hasRelatedWork W4320150083 @default.
• W3116151811 hasRelatedWork W4360820072 @default.
• W3116151811 hasRelatedWork W2412699432 @default.
• W3116151811 isParatext "false" @default.
• W3116151811 isRetracted "false" @default.
• W3116151811 magId "3116151811" @default.
• W3116151811 workType "article" @default.