Combined femoral and sciatic nerve blocks for lower limb anaesthesia in anticoagulated patients with severe cardiac valvular lesions
Peripheral nerve block (PNB) in anticoagulated patients is controversial and guidelines are not defined. We report two patients with severe cardiac valvular lesions, who underwent emergency surgeries for lower limb. Both the patients were on anticoagulants, warfarin and heparin in one and aspirin an...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2010-01-01
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| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2010;volume=54;issue=3;spage=235;epage=238;aulast=Tantry |
| _version_ | 1818020324149559296 |
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| author | Thrivikrama Padur Tantry Dinesh Kadam Pramal Shetty Sanath Bhandary |
| author_facet | Thrivikrama Padur Tantry Dinesh Kadam Pramal Shetty Sanath Bhandary |
| author_sort | Thrivikrama Padur Tantry |
| collection | DOAJ |
| description | Peripheral nerve block (PNB) in anticoagulated patients is controversial and guidelines are not defined. We report two patients with severe cardiac valvular lesions, who underwent emergency surgeries for lower limb. Both the patients were on anticoagulants, warfarin and heparin in one and aspirin and clopidogrel in the other, with abnormal coagulation profile in the former. Combined femoral and sciatic nerve blocks were used as a sole anaesthetic technique. Postoperatively, the patients were evaluated for bleeding complications at the injection site using high-frequency ultrasound probe. Both had uneventful surgery and recovery. A close postoperative monitoring following PNBs in anticoagulated patients is necessary. |
| first_indexed | 2024-04-14T08:03:42Z |
| format | Article |
| id | doaj.art-bcc36c1b87c046ad9f60cd59e1a11b27 |
| institution | Directory Open Access Journal |
| issn | 0019-5049 |
| language | English |
| last_indexed | 2024-04-14T08:03:42Z |
| publishDate | 2010-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-bcc36c1b87c046ad9f60cd59e1a11b272022-12-22T02:04:49ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492010-01-0154323523810.4103/0019-5049.65372Combined femoral and sciatic nerve blocks for lower limb anaesthesia in anticoagulated patients with severe cardiac valvular lesionsThrivikrama Padur TantryDinesh KadamPramal ShettySanath BhandaryPeripheral nerve block (PNB) in anticoagulated patients is controversial and guidelines are not defined. We report two patients with severe cardiac valvular lesions, who underwent emergency surgeries for lower limb. Both the patients were on anticoagulants, warfarin and heparin in one and aspirin and clopidogrel in the other, with abnormal coagulation profile in the former. Combined femoral and sciatic nerve blocks were used as a sole anaesthetic technique. Postoperatively, the patients were evaluated for bleeding complications at the injection site using high-frequency ultrasound probe. Both had uneventful surgery and recovery. A close postoperative monitoring following PNBs in anticoagulated patients is necessary.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2010;volume=54;issue=3;spage=235;epage=238;aulast=TantryAnticoagulationlower limb anaesthesiaperipheral nerve blocks |
| spellingShingle | Thrivikrama Padur Tantry Dinesh Kadam Pramal Shetty Sanath Bhandary Combined femoral and sciatic nerve blocks for lower limb anaesthesia in anticoagulated patients with severe cardiac valvular lesions Indian Journal of Anaesthesia Anticoagulation lower limb anaesthesia peripheral nerve blocks |
| title | Combined femoral and sciatic nerve blocks for lower limb anaesthesia in anticoagulated patients with severe cardiac valvular lesions |
| title_full | Combined femoral and sciatic nerve blocks for lower limb anaesthesia in anticoagulated patients with severe cardiac valvular lesions |
| title_fullStr | Combined femoral and sciatic nerve blocks for lower limb anaesthesia in anticoagulated patients with severe cardiac valvular lesions |
| title_full_unstemmed | Combined femoral and sciatic nerve blocks for lower limb anaesthesia in anticoagulated patients with severe cardiac valvular lesions |
| title_short | Combined femoral and sciatic nerve blocks for lower limb anaesthesia in anticoagulated patients with severe cardiac valvular lesions |
| title_sort | combined femoral and sciatic nerve blocks for lower limb anaesthesia in anticoagulated patients with severe cardiac valvular lesions |
| topic | Anticoagulation lower limb anaesthesia peripheral nerve blocks |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2010;volume=54;issue=3;spage=235;epage=238;aulast=Tantry |
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