[Combined transgluteal ischial and femoral nerve block: retrospective data on 65 risk patients with leg amputation].

Der Anaesthesist
C RaithH Walch

Abstract

For amputations of the lower limbs the combined blockade of the sciatic nerve (via the transgluteal approach) and the femoral nerve (via the inguinal route) may be a suitable alternative to general or neuroaxial anaesthetic methods. In highly comorbid, high risk patients this catheter-linked regional anaesthesia combines the advantages of avoiding controlled ventilation with decreased cardiovascular depression, as conveyed by the use of general anaesthesia or neuraxial techniques. Furthermore, improved postoperative analgesia may be achieved for several days. In our retrospective study, 65 patients who were scheduled for amputation of the lower limbs were analysed. In 58 patients (89%), a regional anaesthesia technique employing only a catheter technique was performed and only 7 patients (11%) required additional general anaesthesia. For postoperative pain management, local anaesthetics were administered via an indwelling nerve block catheter and excellent pain scores were achieved in these patients. However, successful employment of this technique necessitates sufficiently trained personnel as well as on-going training in the performance of catheter-based local analgesia.

References

Aug 1, 1980·Anesthesia and Analgesia·R M Rosenblatt
May 1, 1993·Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS·M Tryba
Feb 12, 1998·Der Anaesthesist·F W Schildberg, H J Krämling
May 26, 1998·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·V Chan
Aug 5, 1998·Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS·P MarhoferN Mayer
Aug 11, 2001·Der Anaesthesist·G Meier
Nov 20, 2002·Anesthesiology·Gretchen Henkel
Feb 1, 2005·Journal of the American College of Cardiology·Emile FerrariBaudouy Marcel
Mar 5, 2005·Der Anaesthesist·S A Kozek-LangeneckerUNKNOWN Task Force on Perioperative Coagulation of the Austrian Society for Anesthesiology and Intensive Care Medicine
Mar 15, 2005·Regional Anesthesia and Pain Medicine·Chester C BuckenmaierJohn H Chiles
Dec 22, 2005·Anesthesia and Analgesia·Jeffrey M RichmanChristopher L Wu
Jun 29, 2006·Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS·Peter Steffen
Jul 31, 2007·Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS·Michael NeuburgerDorothea Lang

❮ Previous
Next ❯

Citations

May 7, 2009·Current Opinion in Anaesthesiology

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2022 Meta ULC. All rights reserved