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ST. DOMINICJACKSON MEMORIAL HOSPITAL JACKSON, MISSISSIPPI CVS Post Carotid EndarterectomyDate & Time Page 1 of 3Pharmacy Mnemonic: CVSPOCE1 1. Admit to CVR PACE, then CVR Inpatient to Dr.:Anesthesia
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01
Start by preparing all the necessary equipment and supplies, including sterile dressings, suture materials, and antiseptic solutions.
02
Position the patient in a supine position with the head turned slightly to the contralateral side.
03
Administer anesthesia as per the patient's condition and the surgeon's preference.
04
Make a vertical incision along the anterior border of the sternocleidomastoid muscle, extending from the level of the hyoid bone to the clavicle.
05
Carefully dissect through the subcutaneous tissue and platysma muscle to expose the carotid sheath.
06
Identify the common carotid artery (CCA) and its bifurcation, along with the internal and external carotid arteries.
07
Temporary occlude the CCA and internal carotid artery to prevent embolization before performing the endarterectomy.
08
Make a longitudinal arteriotomy on the common carotid artery and extend it distally into the internal carotid artery.
09
Remove the atherosclerotic plaque from the artery using delicate instruments, taking care not to damage the arterial wall.
10
Thoroughly irrigate the operative field with heparinized saline to flush out any remaining debris.
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Carefully inspect the artery for any residual plaque or irregularities before performing closure.
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Close the arteriotomy using sutures or a patch graft, depending on the surgeon's preference.
13
Achieve hemostasis and close the deep and subcutaneous layers using absorbable sutures.
14
Apply a sterile dressing over the incision site and secure it with adhesive tape or surgical staples.
15
Provide post-operative care instructions to the patient and schedule follow-up appointments for monitoring.

Who needs post-op carotid endarterectomy?

01
Post-op carotid endarterectomy is typically performed on patients who have significant carotid artery stenosis or narrowing.
02
It is most commonly indicated for patients with symptomatic carotid artery stenosis, especially those who have experienced transient ischemic attacks (TIAs) or strokes.
03
However, the decision to undergo post-op carotid endarterectomy ultimately depends on the patient's individual case and the recommendation of their healthcare provider.
04
Patients with severe carotid artery stenosis and a high risk of future stroke may benefit from this surgical procedure.
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Post-op carotid endarterectomy is a surgical procedure to remove plaque from the carotid artery after the initial surgery.
The healthcare provider who performed the surgery is required to file the post-op carotid endarterectomy report.
The report must be filled out with details of the surgery, post-operative care, and any complications that may have occurred.
The purpose is to monitor the patient's recovery following the surgery and ensure that there are no complications.
The report must include details of the surgery, post-operative care, any complications, and the patient's progress.
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