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

Faisal Shamim, Malika Hameed, Nadeem Siddiqui, Shemila Abbasi

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)100-103
Number of pages4
JournalInternational Journal of Critical Illness and Injury Science
Volume8
Issue number2
DOIs
Publication statusPublished - 1 Apr 2018

Keywords

  • Femoral nerve block
  • peripheral nerve block
  • ropivacaine
  • sciatic nerve block
  • sepsis
  • ultrasound

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