General anesthesia and
an arterial line are used for carotid endarterectomy. Blood loss
is usually small. Patients are often awakened in the operating room to assess their
neurologic function and make sure they have not had a stroke. Pain after carotid
endarterectomy is usually slight. Patients are often kept in the intermediate care unit or
" step down " unit; occasionally in the surgical intensive care unit for
observation after this surgery.