Anesthesia for lower extremity vascular bypass with peripheral nerve block
Abstract 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-d...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Anestesiologia
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| Series: | Revista Brasileira de Anestesiologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000600626&lng=en&tlng=en |
| _version_ | 1819140388164730880 |
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| author | Jordana de Fraga Guimarães Cristine Formighieri Angonese Rafael Klein Gomes Vasco Miranda Junior Carlos Farias |
| author_facet | Jordana de Fraga Guimarães Cristine Formighieri Angonese Rafael Klein Gomes Vasco Miranda Junior Carlos Farias |
| author_sort | Jordana de Fraga Guimarães |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-22T11:37:46Z |
| format | Article |
| id | doaj.art-1d497ef509d740d0b01cc35d8851bc81 |
| institution | Directory Open Access Journal |
| issn | 1806-907X |
| language | English |
| last_indexed | 2024-12-22T11:37:46Z |
| publisher | Sociedade Brasileira de Anestesiologia |
| record_format | Article |
| series | Revista Brasileira de Anestesiologia |
| spelling | doaj.art-1d497ef509d740d0b01cc35d8851bc812022-12-21T18:27:22ZengSociedade Brasileira de AnestesiologiaRevista Brasileira de Anestesiologia1806-907X67662663110.1016/j.bjane.2014.07.020S0034-70942017000600626Anesthesia for lower extremity vascular bypass with peripheral nerve blockJordana de Fraga GuimarãesCristine Formighieri AngoneseRafael Klein GomesVasco Miranda JuniorCarlos FariasAbstract 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000600626&lng=en&tlng=enBloqueio de nervo femoralBloqueio de nervo isquiáticoCirurgia vascular |
| spellingShingle | Jordana de Fraga Guimarães Cristine Formighieri Angonese Rafael Klein Gomes Vasco Miranda Junior Carlos Farias Anesthesia for lower extremity vascular bypass with peripheral nerve block Revista Brasileira de Anestesiologia Bloqueio de nervo femoral Bloqueio de nervo isquiático Cirurgia vascular |
| title | Anesthesia for lower extremity vascular bypass with peripheral nerve block |
| title_full | Anesthesia for lower extremity vascular bypass with peripheral nerve block |
| title_fullStr | Anesthesia for lower extremity vascular bypass with peripheral nerve block |
| title_full_unstemmed | Anesthesia for lower extremity vascular bypass with peripheral nerve block |
| title_short | Anesthesia for lower extremity vascular bypass with peripheral nerve block |
| title_sort | anesthesia for lower extremity vascular bypass with peripheral nerve block |
| topic | Bloqueio de nervo femoral Bloqueio de nervo isquiático Cirurgia vascular |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000600626&lng=en&tlng=en |
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