Ultrasound-guided femoral nerve, femoral branch of genitofemoral nerve and sciatic nerve block for femoro-popliteal or tibial arterial bypass surgery on patients with cardiac dysfunction: Report of two cases.
- Author:
Burn Young HEO
1
;
Mi Sook GWAK
;
Jae Woong JUNG
;
Eun Jung OH
;
Soo Joo CHOI
;
Sangmin Maria LEE
;
Young Wook KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. gwakms@skku.edu
- Publication Type:Case Report
- Keywords:
Femoral nerve;
Nerve block;
Peripheral vascular disease;
Regional anesthesia;
Sciatic nerve;
Ultrasonography
- MeSH:
Amides;
Anesthesia;
Anesthesia, Conduction;
Epinephrine;
Femoral Nerve*;
Hemodynamics;
Humans;
Nerve Block;
Pain, Postoperative;
Peripheral Nerves;
Peripheral Vascular Diseases;
Sciatic Nerve*;
Ultrasonography
- From:Anesthesia and Pain Medicine
2013;8(4):222-225
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report two cases of high-risked patients with cardiac dysfunction undergoing femoro-popliteal or tibial arterial bypass surgery anesthetized by ultrasound guided peripheral nerve blocks; femoral nerve, femoral branch of genitofemoral nerve and sciatic nerve block. We used an anesthetic solution consisting of 0.375% ropivacaine with epinephrine. We provided sufficient surgical anesthesia. These nerve blockades provided stable intraoperative and postoperative hemodynamic status, which is valuable knowledge from the perspective of postoperative pain control as well as satisfaction of both patients and surgeons. We believe that femorosciatic nerve block with concurrent femoral branch block of genitofemoral nerve could be an excellent anesthetic choice for patients receiving femoro-popliteal or tibial arterial bypass surgery, especially in patients with cardiac dysfunction.
