Combined sciatic and femoral nerve blocks for infrainguinal arterial bypass surgery: A case series

Yazigi, Alexandre; Madi-Gebara, Samia; Haddad, Fadia; Hayeck, Gemma; Tabet, Georges

doi:10.1053/j.jvca.2005.01.002

Cited by 23 publications

(10 citation statements)

References 13 publications

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“…Combined femoral and sciatic nerve blockade using 0.375% bupivacaine provided adequate anesthesia for lower extremity vascular surgery with stable hemodynamic status in high-risk patients [10]. We obtained adequate surgical anesthesia in all of our study patients with 0.25% bupivacaine.…”

Section: Discussionmentioning

confidence: 75%

Femoral and sciatic nerve block with 0.25% bupivacaine for surgical management of diabetic foot syndrome: an anesthetic technique for high-risk patients with diabetic nephropathy

Kocum

Türköz

Bozdogan

et al. 2010

Journal of Clinical Anesthesia

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Section: Discussionmentioning

confidence: 75%

Femoral and sciatic nerve block with 0.25% bupivacaine for surgical management of diabetic foot syndrome: an anesthetic technique for high-risk patients with diabetic nephropathy

Kocum

Türköz

Bozdogan

et al. 2010

Journal of Clinical Anesthesia

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“…For bypass surgeries, general anesthesia was preferred because the surgery lasted a long time and required immobilization. 12) However, severe comorbidities may prevent long survival periods and increase the risk of perioperative complications. [13][14][15][16] We analyzed the results of patients who did not undergo arterial reconstruction and underwent primary major amputations.…”

Section: Discussionmentioning

confidence: 99%

Outcomes in Patients with Critical Limb Ischemia due to Arteriosclerosis Obliterans Who Did Not Undergo Arterial Reconstruction

et al. 2018

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The prevalence of arteriosclerosis obliterans (ASO) and critical limb ischemia (CLI) is currently increasing, and arterial reconstruction is often attempted to salvage the limb. Some patients cannot undergo attempted revascularization because of contraindications, and they only receive conservative treatment. In this study, we investigate the comorbidities and survival rates of patients with CLI who receive conservative treatment. Thirty-five patients with CLI due to ASO, who had not undergone revascularization surgery (C group), were enrolled. As controls, 136 patients with CLI due to ASO who did undergo revascularization (R group), mainly via bypass surgery, were enrolled. Coronary artery disease, heart failure, and respiratory dysfunction were factors indicating conservative treatment. Limb salvage rates and survival rates were not significantly different between the two groups. Patients who had survived for less than two years after surgery had a higher prevalence of chronic heart failure, cardiovascular disease, and end-stage renal disease compared to patients who had survived for more than two years. The use of statins, dual antiplatelets, aspirin, or warfarin did not influence whether a patient survived for longer than two years. 77% of patients survived for more than two years after receiving only conservative therapies. Surgical revascularization did not improve the prognosis of patients with CLI as compared with the conservative therapy. Clinicians might start with conservative treatment while considering other treatment options for patients with CLI.

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“…Peripheral nerve blocks are an alternative to general anesthesia and regional neuraxial blocks in some infrequent clinical situations. 2,4 Figure 2 Patient positioning in the operating room.…”

Section: Discussionmentioning

confidence: 99%

Anesthesia for lower extremity vascular bypass with peripheral nerve block

Guimarães

Angonese

Gomes³

et al. 2017

Brazilian Journal of Anesthesiology (English Edition)

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Vascular bypass is a surgical procedure widely used to treat peripheral vascular disease. The intraoperative anesthetic technique and the most appropriate postoperative analgesia for these high-risk patients remain controversial. We present the case of a patient undergoing femoropopliteal-distal bypass in our service, presenting with relevant comorbidities to the choice of anesthetic technique. This patient had several determining factors of difficult airway, especially thoracic kyphoscoliosis, which prevented him from being properly positioned for airway management, and chronic lung disease. This patient was also taken antiplatelet drugs, which is a contraindication for neuraxial block. So, we chose the anesthetic technique of peripheral nerve block, specifically the blockade of femoral and sciatic nerves. PALAVRAS-CHAVEBloqueio de nervo femoral; Bloqueio de nervo isquiático; Cirurgia vascular Anestesia para bypass vascular em membro inferior com bloqueio de nervos periféricosResumo A cirurgia para bypass vascular é um procedimento amplamente usado para o tratamento da insuficiência vascular periférica. A técnica anestésica para o intraoperatório e para analgesia pós-operatória mais apropriada para esses pacientes de alto risco ainda permanece controversa. Apresentaremos o caso de um paciente submetido a bypass femoropoplíteo distal no nosso serviço, que apresentava comorbidades relevantes para a escolha da técnica * Corresponding author. E-mail: jordana fguimaraes@yahoo.com.br (J.F. Guimarães). Anesthesia for lower extremity vascular bypass with peripheral nerve block 627 anestésica. Esse paciente apresentava fatores determinantes de via aérea difícil, principalmente cifoescoliose da coluna torácica, que o impedia de ser posicionado adequadamente para o manejo da via aérea, além de ser portador de patologia pulmonar crônica. Também fazia uso de antiplaquetários que contraindicavam o bloqueio de neuroeixo. Por isso, optou-se como técnica anestésica pelo bloqueio de nervos periféricos, especificamente o bloqueio dos nervos femoral e isquiático.

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Combined sciatic and femoral nerve blocks for infrainguinal arterial bypass surgery: A case series

Cited by 23 publications

References 13 publications

Femoral and sciatic nerve block with 0.25% bupivacaine for surgical management of diabetic foot syndrome: an anesthetic technique for high-risk patients with diabetic nephropathy

Femoral and sciatic nerve block with 0.25% bupivacaine for surgical management of diabetic foot syndrome: an anesthetic technique for high-risk patients with diabetic nephropathy

Outcomes in Patients with Critical Limb Ischemia due to Arteriosclerosis Obliterans Who Did Not Undergo Arterial Reconstruction

Anesthesia for lower extremity vascular bypass with peripheral nerve block

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