Anesthesia for lower extremity vascular bypass with peripheral nerve block
Autor(a) principal: | |
---|---|
Data de Publicação: | 2017 |
Outros Autores: | , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Anestesiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000600626 |
Resumo: | 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. |
id |
SBA-1_63d4554be2fb7558f9c3c0d31a2df4cc |
---|---|
oai_identifier_str |
oai:scielo:S0034-70942017000600626 |
network_acronym_str |
SBA-1 |
network_name_str |
Revista Brasileira de Anestesiologia (Online) |
repository_id_str |
|
spelling |
Anesthesia for lower extremity vascular bypass with peripheral nerve blockFemoral nerve blockSciatic nerve blockVascular surgeryAbstract 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.Sociedade Brasileira de Anestesiologia2017-12-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000600626Revista Brasileira de Anestesiologia v.67 n.6 2017reponame:Revista Brasileira de Anestesiologia (Online)instname:Sociedade Brasileira de Anestesiologia (SBA)instacron:SBA10.1016/j.bjane.2014.07.020info:eu-repo/semantics/openAccessGuimarães,Jordana de FragaAngonese,Cristine FormighieriGomes,Rafael KleinMiranda Junior,VascoFarias,Carloseng2017-11-29T00:00:00Zoai:scielo:S0034-70942017000600626Revistahttps://www.sbahq.org/revista/https://old.scielo.br/oai/scielo-oai.php||sba2000@openlink.com.br1806-907X0034-7094opendoar:2017-11-29T00:00Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA)false |
dc.title.none.fl_str_mv |
Anesthesia for lower extremity vascular bypass with peripheral nerve block |
title |
Anesthesia for lower extremity vascular bypass with peripheral nerve block |
spellingShingle |
Anesthesia for lower extremity vascular bypass with peripheral nerve block Guimarães,Jordana de Fraga Femoral nerve block Sciatic nerve block Vascular surgery |
title_short |
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_sort |
Anesthesia for lower extremity vascular bypass with peripheral nerve block |
author |
Guimarães,Jordana de Fraga |
author_facet |
Guimarães,Jordana de Fraga Angonese,Cristine Formighieri Gomes,Rafael Klein Miranda Junior,Vasco Farias,Carlos |
author_role |
author |
author2 |
Angonese,Cristine Formighieri Gomes,Rafael Klein Miranda Junior,Vasco Farias,Carlos |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Guimarães,Jordana de Fraga Angonese,Cristine Formighieri Gomes,Rafael Klein Miranda Junior,Vasco Farias,Carlos |
dc.subject.por.fl_str_mv |
Femoral nerve block Sciatic nerve block Vascular surgery |
topic |
Femoral nerve block Sciatic nerve block Vascular surgery |
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. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000600626 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942017000600626 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.bjane.2014.07.020 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Anestesiologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Anestesiologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Anestesiologia v.67 n.6 2017 reponame:Revista Brasileira de Anestesiologia (Online) instname:Sociedade Brasileira de Anestesiologia (SBA) instacron:SBA |
instname_str |
Sociedade Brasileira de Anestesiologia (SBA) |
instacron_str |
SBA |
institution |
SBA |
reponame_str |
Revista Brasileira de Anestesiologia (Online) |
collection |
Revista Brasileira de Anestesiologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA) |
repository.mail.fl_str_mv |
||sba2000@openlink.com.br |
_version_ |
1752126629544460288 |