Ultrasound-guided femoral nerve, femoral branch of genitofemoral nerve and sciatic nerve block for femoro-popliteal or tibial arterial bypass surgery on patients with cardiac dysfunction -Report of two cases

• Published in: Anesthesia and pain medicine (Korean society of anesthesiologists) 2013, 8(4), , pp.222-225
• Main Authors: Burn Young Heo, 곽미숙, 정재웅, 오은정, 최수주, Sangmin Maria Lee, 김영욱
• Format: Article
• Language: English
• Subjects: 마취과학
• ISSN: 1975-5171; 2383-7977

We report two cases of high-risked patients with cardiac dysfunction undergoing femoro-popliteal or tibial arterial bypass surgery anesthetized by ultrasound guided peripheral nerve blocks; femoral nerve, femoral branch of genitofemoral nerve and sciatic nerve block. We used an anesthetic solution consisting of 0.375% ropivacaine with epinephrine. We provided sufficient surgical anesthesia. These nerve blockades provided stable intraoperative and postoperative hemodynamic status, which is valuable knowledge from the perspective of postoperative pain control as well as satisfaction of both patients and surgeons. We believe that femorosciatic nerve block with concurrent femoral branch block of genitofemoral nerve could be an excellent anesthetic choice for patients receiving femoro-popliteal or tibial arterial bypass surgery, especially in patients with cardiac dysfunction. KCI Citation Count: 0