Akkaya, OzgurAydogan, Eyup2026-01-242026-01-2420252074-18042074-1812https://hdl.handle.net/20.500.12868/4985Background 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.eninfo:eu-repo/semantics/closedAccessPain ManagementCarotid EndarterectomyInfiltrationRegional AnesthesiaArticle271WOS:001616623600001Q4