DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]
OPERATION: Carotid Endarterectomy (Right / Left)
ANAESTHETIC: General [/ regional — superficial and deep cervical plexus block with local infiltration]
ANTIBIOTICS: [Drug and dose / Not indicated]
DVT PROPHYLAXIS: [Agent / mechanical / Not indicated]
POSITION: Supine with head turned to contralateral side, neck slightly extended. Head ring.
INDICATION:
Symptomatic carotid artery stenosis [>70% / as per CAS criteria]. [TIA / minor stroke / amaurosis fugax]. [Carotid duplex / CTA/MRA — degree of stenosis].