الفهرس 
Preoperative Assessment and PreparationOnly 14 pages are availabe for public view
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Abstract
The anesthetic and surgical management of patients undergoing neurovascular surgical procedures has undergone substantial changes in recent years, with perhaps the most changes occurring with respect to carotid endarterectomy (Larson and Youngberg, 2000).
Because it is the most commonly performed vascular procedure, the trend has been toward simplifying the perioperative course, which includes greater use of indirect methods for evaluating adequacy of cerebral function, greater use of regional anesthesia, less use and reliance on monitors for evaluation adequacy of cerebral function, less use of surgical shunts, less use of ICU facilities, and earlier discharge from hospital (Larson Youngberg, 2000).
These changes have decreased hospital costs for this operation without any documented increase on morbidity or mortality (Larson and Youngberg, 2000).
Anesthesiologists and surgeons continue to search for ways to protect the brain from ischemia during temporary interruption of circulation. (Larson and Youngberg, 2000)
It is well to recognize that cerebral vascular disease may be a manifestation of systemic vascular disease, including coronary artery or renovascular disease, and perioperative outcome may benefit from careful preoperative evaluation and therapy for these systems (Larson and Youngberg, 2000).
The association between carotid artery disease and coronary artery disease presents a number of complex issues. If the patient has combined disease, which entity should be addressed first? The literature does not provide a clear answer to this question (Larson and Youngberg, 2000).