CAROTID ENDARTERECTOMY IN A DGH

Preferred method is with ultrasound guidance (steps 15-18, and see below for more technical description of ultrasound guidance), but if performing without ultrasound, palpate the carotid artery and insert needle lateral to the artery at the apex of the triangle formed by the SCM, aiming toward the ipsilateral nipple at an angle 30-45 degrees ... ................
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