Significant Reductions in Length of Stay After Carotid Endarterectomy Can Be Safely Accomplished Without Modifying Either Anesthetic Technique or Postoperative ICU Monitoring

Abstract

A uniform policy of discharge home from the intensive care unit on postoperative day 1 following CEA under general anesthesia can reduce LOS and decrease resource utilization without compromising care.

Contemporary predictors of extended postoperative hospital length of stay after carotid endarterectomy

“…Furthermore, the reported mean postoperative LOS after CEA has significantly decreased in numerous practice settings. 9,12,[23][24][25][26][27][28][29][30][31] Unlike other institutions, 12,29 we did not observe a linear trend in LOS over time.…”

Perioperative outcome of carotid endarterectomy with regional anesthesia: two decades of experience from the Caribbean

“…Hemodynamic instability necessitating the use of vasoactive drugs is a major disadvantage of general anesthesia [20]. There have been conflicting reports regarding the increased incidence of postoperative ICU admissions, increased hospital stay, and costs when general and regional anesthesia are compared [21,22]. However, more evidence favors regional anesthesia with respect to perioperative outcome and costs.…”

Letter to the Editor: Suture Line Disruption After Carotid Endarterectomy

“…Early discharge has been considered safe as the majority of major adverse events occur in the first 24-48 hours after surgery. [2][3][4] Rupture of a vein patch had been one reason to keep patients hospitalized for a longer period. [5][6][7] This was reported with use of ankle vein; use of thigh veins has been reported to eliminate this.…”