Pain Management During and After Carotid Endarterectomy Cases Performed with Regional and İnfiltration (Tumescent) Anesthesia

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dc.contributor.authorAkkaya, Ozgur
dc.contributor.authorAydogan, Eyup
dc.date.accessioned2026-01-24T12:26:52Z
dc.date.available2026-01-24T12:26:52Z
dc.date.issued2025
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractBackground and Objectives: Previous studies have discussed the advantages of different anesthesia techniques in carotid artery surgery. However, there is not enough data comparing local anesthesia and block techniques. In this retrospective study, pain management during and after carotid endarterectomy cases is performed with regional and infiltration (tumescent) anesthesia. Methods: Endarterectomy cases performed in our clinic between 2022 and 2023 were examined. The patient's age, gender, comorbidities, type of anesthesia (infiltration anesthesia, deep cervical plexus block), and postoperative pain levels of the patients were evaluated. Results: Body Mass Index (BMI) means of patients were statistically significant and higher in cervical block patients compared to infiltration patients (P < 0.05) Operation pain was significantly correlated with BMI ( r = 0.346 ; r < 0.01 ) and medicine usage ( r = - 0.252 ; P < 0.05 ) Pain after 24h was significantly correlated with operation duration ( r = - 0.296 ; P < 0.05 ) and medicine ( r = - 0.286 ; P < 0.05 ) The effect of medicine on operation pain was insignificant multivariate level (P > 0.05) , whereas the effect of BMI was significant ( B = 0.055 ; P < 0.05 ) with controlling anesthesia type. Pain level according to BMI was significant with 0.717 Area Under Curve (AUC) value meaning 71.7% pain predictive value of BMI. Patients having a BMI over 22.85 had high pain with 93.2% positive predictive and 42.9% negative predictive level. Effects of medicine and operation duration on VAS after 24 hours were insignificant at the univariate level (P > 0.05) Conclusion: Although there is no medical justification, retrospectively, cervical block was preferred more in patients with high BMI. High BMI predicts intraoperative pain, suggesting tailored analgesia for obese patients. Further researches are needed to understand cervical block preference for higher BMI and its effects on operation pain.
dc.identifier.issn2074-1804
dc.identifier.issn2074-1812
dc.identifier.issue1
dc.identifier.urihttps://hdl.handle.net/20.500.12868/4985
dc.identifier.volume27
dc.identifier.wosWOS:001616623600001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.language.isoen
dc.publisherDubai Iranian Hosp
dc.relation.ispartofIranian Red Crescent Medical Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20260121
dc.subjectPain Management
dc.subjectCarotid Endarterectomy
dc.subjectInfiltration
dc.subjectRegional Anesthesia
dc.titlePain Management During and After Carotid Endarterectomy Cases Performed with Regional and İnfiltration (Tumescent) Anesthesia
dc.typeArticle

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