Surgical Technique

Positioning and Anesthetic Considerations

With the patient in the supine position, with the neck slightly extended and the head turned away from the operative side, the surgical field is demarcated from the mastoid process superiorly to the sternal notch inferiorly. Towel rolls under the shoulder blades can also help keep the neck in slight extension (Fig. 38.2).

Carotid endarterectomy can be performed under general or local anesthesia. There are advantages for both approaches. The high-risk cardiac patient should have arterial lines and a

Cure Your Yeast Infection For Good

Cure Your Yeast Infection For Good

The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.

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