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Ultrasound-guided peripheral nerve blocks in high-risk patients, requiring lower limb (Above and below knee) amputation

A case series of five high-risk patients with lower limb ischemia, sepsis, altered coagulation, and multi-organ dysfunction requiring emergent or urgent lower limb amputation is presented. Use of peripheral nerve blocks for below and above knee amputations is quite uncommon which provides better hem...

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Autores principales: Shamim, Faisal, Hameed, Malika, Siddiqui, Nadeem, Abbasi, Shemila
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6018257/
https://www.ncbi.nlm.nih.gov/pubmed/29963413
http://dx.doi.org/10.4103/IJCIIS.IJCIIS_60_17
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author Shamim, Faisal
Hameed, Malika
Siddiqui, Nadeem
Abbasi, Shemila
author_facet Shamim, Faisal
Hameed, Malika
Siddiqui, Nadeem
Abbasi, Shemila
author_sort Shamim, Faisal
collection PubMed
description A case series of five high-risk patients with lower limb ischemia, sepsis, altered coagulation, and multi-organ dysfunction requiring emergent or urgent lower limb amputation is presented. Use of peripheral nerve blocks for below and above knee amputations is quite uncommon which provides better hemodynamic stability and pain management, especially in the very sick patients. The surgeries were successfully carried out under ultrasound-guided combined femoral and sciatic nerve blocks. All five patients obtained adequate level of block at the area of amputation. There were no complications related to anesthetic management. Patients remained hemodynamically stable and pain-free during surgery and postoperatively. Combined femoral-sciatic nerve block under ultrasound guidance is safe and satisfactory alternative anesthetic technique for such patients.
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spelling pubmed-60182572018-06-29 Ultrasound-guided peripheral nerve blocks in high-risk patients, requiring lower limb (Above and below knee) amputation Shamim, Faisal Hameed, Malika Siddiqui, Nadeem Abbasi, Shemila Int J Crit Illn Inj Sci Case Report A case series of five high-risk patients with lower limb ischemia, sepsis, altered coagulation, and multi-organ dysfunction requiring emergent or urgent lower limb amputation is presented. Use of peripheral nerve blocks for below and above knee amputations is quite uncommon which provides better hemodynamic stability and pain management, especially in the very sick patients. The surgeries were successfully carried out under ultrasound-guided combined femoral and sciatic nerve blocks. All five patients obtained adequate level of block at the area of amputation. There were no complications related to anesthetic management. Patients remained hemodynamically stable and pain-free during surgery and postoperatively. Combined femoral-sciatic nerve block under ultrasound guidance is safe and satisfactory alternative anesthetic technique for such patients. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6018257/ /pubmed/29963413 http://dx.doi.org/10.4103/IJCIIS.IJCIIS_60_17 Text en Copyright: © 2018 International Journal of Critical Illness and Injury Science http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Shamim, Faisal
Hameed, Malika
Siddiqui, Nadeem
Abbasi, Shemila
Ultrasound-guided peripheral nerve blocks in high-risk patients, requiring lower limb (Above and below knee) amputation
title Ultrasound-guided peripheral nerve blocks in high-risk patients, requiring lower limb (Above and below knee) amputation
title_full Ultrasound-guided peripheral nerve blocks in high-risk patients, requiring lower limb (Above and below knee) amputation
title_fullStr Ultrasound-guided peripheral nerve blocks in high-risk patients, requiring lower limb (Above and below knee) amputation
title_full_unstemmed Ultrasound-guided peripheral nerve blocks in high-risk patients, requiring lower limb (Above and below knee) amputation
title_short Ultrasound-guided peripheral nerve blocks in high-risk patients, requiring lower limb (Above and below knee) amputation
title_sort ultrasound-guided peripheral nerve blocks in high-risk patients, requiring lower limb (above and below knee) amputation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6018257/
https://www.ncbi.nlm.nih.gov/pubmed/29963413
http://dx.doi.org/10.4103/IJCIIS.IJCIIS_60_17
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